Care in labour ( lecture) Flashcards
What are the options for the place of birth?
Obstetric ward
Midwifery led unit - Alongside or freestanding
Home
A place of their choosing
Who are the healthcare professionals on labour ward?
Labour ward co-ordinator
Midwives
Nurses
Doctors- obstetricians, anaesthetists, neonatologists
Clinical support workers
Theatre team
What are some other staff in maternity care?
Neonatal team
Sonographers
Infant feeding team
Physiotherapists
Pharmacists
Bereavement team
Link workers
Porters
Doulas
Cleaners
Admin team
Paramedics
How to become part of the team
Attend handover - at least two each day
Be prepared to introduce yourself - name and rol e
After handover speak to the consultant coordinator
Offer to help/ get involved
Whos involved in the theatre team?
Obstetricians = Surgeon + Assistants
Anaesthetic team = Anaesthetist + Operating department practitioner
Neonatal team= Doctors + Nurse practictioners
Midwife
Support workers
Risk classification in pregnancy’ labour
Low
Increased
High
What are the key aspects of care in labour
1:1 care
Maternal comfort and hygiene
Maternal monitoring
Assessment of progress in labour
Fetal monitoring
Birth
What is the immediate postnatal care for a birthing person and baby?
Birthing person: Management of postpartum haemorrhage
Repair of perineal trauma
Bladder care
Baby: Resuscitation
Monitoring inc. temperature, blood glucose
Feeding
What are the factors for a change in risk in the birthing person during labour?
Raised heart rate or BP +/- proteinuria
Pyrexia: 38°C or 2 x 37.5°C
Vaginal blood loss other than a show
Rupture of membranes >24h
Pain: other than associated with contractions, requesting additional pain relief
What are the factors for a change in risk during or after birth?
Presence of meconium
Need for advanced neonatal resuscitation
How do people decide where to birth
Advice from maternity team - based on risk assessment
Preference for surroundings
Accessibility
Perception of risk
Options during labour e,g pain relief, pool
Where do people go after birth?
