The Current And Historical Health History Of The Pregnant Woman

1955 Words Sep 25th, 2016 8 Pages
Assessing the current and historical health history of the pregnant woman directs the appropriate antenatal care, allowing planning of appropriate intrapartum management, whilst preparing postpartum and postnatal care options. Effective antenatal advice provided by midwives’ enables the patient to make informed choices regarding care during pregnancy (3Centres Collaboration, 2012e; Australian Health Ministers’ Advisory Council [AHMAC], 2012; AHMAC, 2014). Reviewing and monitoring progress throughout the pregnancy, whilst conducting appropriate tests enables the midwife to provide evidence-based individualised care, detecting any changes that may require intervention (3Centres Collaboration, 2012e; AHMAC, 2014).
During the initial pregnancy confirmation appointment typically with a General Practitioner a referral is made for blood group testing, confirming the woman’s blood group, rhesus factor and red cell antibody count (AHMAC, 2012). Establishing the woman’s blood group enables preparation when a blood transfusion is required (Baston, 2014). Preparation becomes more important when any red-cell antibodies in the maternal vascular system are detected as these increase the difficulty of cross matching blood, including the inability to use rapid electronic cross matching (Kean, Godfrey, & Sullivan, 2014). Identifying negative rhesus status enables prophylactic management with anti-D immunoglobulin at 28 and 34 weeks gestation resulting in improved Kleihauer tests during…

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