Antenatal Care & Assessment Flashcards
State the aims of antenatal care (7)
- building relationships
- monitoring progress
- checking mother is doing well in herself
- health promotion - addictions, pregnancy problems
- informing choice
- referrals where necessary
- safeguarding
Physical factors to consider when planning antenatal care?
disabilities, mobility, age, existing health conditions, previous pregnancies, surgery, abuse, BMI, surrogacy, paragravida, fertility, smoking, alcohol, genetics
Physiological factors to consider when planning antenatal care?
mental health, addiction, body image, trauma (rape, domestic abuse, previous birth, childhood sexual attack, exploitation), tocophobia (fear of birth), postnatal depression, genetics, suicidal thoughts, anxiety, planned/unplanned pregnancy
Social factors to consider when planning antenatal care?
relationship status, alcohol, smoking, drugs, minority groups, isolation, social services (safeguarding), education, sexuality, body image, self confidence, employment, criminal record
Environment factors to consider when planning antenatal care?
where they live, housing, funding, addictions in the household, employment, benefits, positive atmosphere, children, pollution (co2 screening)
Spiritual factors to consider when planning antenatal care?
values, beliefs, culture, religion, community, hypnobirthing, aromatherapy, against male midwife care, woman centred, emergency care plan (e.g. no blood products)
What physical examinations take place during antenatal appointments?
weight, blood pressure, urinalysis, oedema, nausea, blood tests
What models of care are there for midwifery care?
midwife led shared care consultant led care team midwifery caseload independant midwifery
Principles of care (7)
- woman centred care - enabling informed decisions
- NICE guidelines, evidenced based practice
- care flexibility
- appropriate follow up
- continuity of care
- recognition of changes for required intervention
- direct line of referral