care providers. We want the delivery process to be one of the best moment and memorable joy in your life. Don’t let it become a tragedy in your life. Dr Mardiana Kipli M.D (UNIMAS) is an Obstetric & Gynaecology registrar currently in Kuching and is in her final year of completing her Masters in Obstetric & Gynaecology. Works Cited Royal College of Obstetricians and Gynaecologist/Royal Collage of Midwives Joint statement. Home Birth; 2007

ittee-on-Obstetric-Practice/Timing-of-Umbilical-Cord-Clamping-After-Birth Chaparro CM, Neufeld LM, Tena Alavez G, Eguia-Liz Cedillo R, Dewey KG. Effect of timing of umbilical cord clamping on iron status in Mexican infants: a randomized controlled trial. Lancet 2012;367:1997–2004. Retrieved November 9, 2014 Asfour, V, and S Bewley. 2011. Cord clamping practice could affect the ratio of placental weight to birth weight and perinatal outcomes. BJOG: An International Journal of Obstetrics & Gynecology

medications used are pitocin and syntocinon which are “a synthetic form of the hormone oxytocin”. Cytotec is another drug used to start labor. However, Cytotec has many risks and adverse effects when used for this purpose. Administering Cytotec to obstetrics patients is considered off label use. “In the United States, the regulations of the Food and Drug Administration (FDA) permit physicians to prescribe approved medications for other than their intended indications. This practice is known as off label

age(NEJM 309 (1983):621-4). Women who've had a previous abortion have a 200% increased risk of miscarriage after two or more abortions (JAMA 243 (1980): 2495-9). 160% increased risk o... ... middle of paper ... ...6 American Journal of Obstetrics & Gynecology 166 (1992):100-103 American Journal of Public Health 72 (1982):253-6 Bernadell Technical Bulletin 1 (1989):1-2 British Journal of Cancer 43 (1981):72-6 British Medical Journal 290 (1985):907-9 Canadian Journal of Psychiatry

education, income, a sense of control over life circumstances and access to health care services (Ministry of Health [MoH], 2000). Full maternity care comprises of prenatal care, early pregnancy care, antenatal care, postnatal care and also full obstetric care (Preston & Miller, 2012). Midwives are the main providers of maternity services in rural areas, who work as either Lead Maternity Carers (LMCs), who provide maternity care for women from early pregnancy up to six weeks postnatal, or are employed

any workplace- be it a cashier at a drug store or a Physician. The art of communicating well with a person at any level is important to convey the right information and to make the right impression. In my views, nurses working in Pediatrics and Obstetrics floor need a greater level of communication skills. It will not only save them from any legal consequences, but also to help their patients and family members feel comfortable during one of the most stressful times of their lives. In my experience

Severe obstetric haemorrhage is the leading cause of maternal death worldwide, with an average of five/1000 mothers being affected (Al-Zarqi, Vangen, Forsen, & Stray-Pedersen, 2008). Obstetric haemorrhage includes postpartum and antepartum bleeding, where if not managed correctly, can lead to mortality. For this reason, it is important for health practitioners to have an in depth understanding of the epidemiology, assessment, presentation and pre-hospital management principles associated with both

A birth plan is meant to help the parents for the physical and emotional idea of the birth process. The expectant parents who have a birth plan are better prepared for what is to come when the labor process begins. A birth plan requires evolution throughout the pregnancy because plans and ideas can change at any time (Kaufman, 2007). This personal birth plan is going to explore the idea of a natural home delivery with a midwife present. I personally feel that for my birth experience I would like

Transition & Life Cycle: Across family life-cycle literature, the arrival of a first child into the marital structure is considered to be one of the most common and key stages a family will experience during its development. Further, it also possesses the potential to be one of the most stressful examples of change within the marital relationship with the experience of having a baby being ranked at 6th out of 102 stressful life events1. It is widely accepted that the birth of a child changes the

Victoria Ambulance (2013) protocols follow a similar pattern to St. John for PHM of APH. The left lateral tilt is also used, stating that this can help reduce aorta-caval compression and subsequent hypotension. The use of blankets or pillows as wedges placed under the patients right hip is encouraged to achieve a 30° tilt of the patient. If clinical signs of altered perfusion are present fluid resuscitation as per the hypovolemia section is indicated. With a BP less than 100mmHg systolic, 0.9% normal