Obstetrics and gynaecology

Assessment 1: High Risk Pregnancy Subjective Data is M.J. is a 24-year-old African American female who presented the clinic for abnormal vaginal bleeding and twelve weeks pregnant. The patient is a single mother who works as a cashier clerk, has a high school level of education, and lives with her boyfriend of one year. She denies a history of alcohol or drug abuse. M.J. admits to being pregnant since using a home pregnancy test. M.J. states that she may be 12 weeks pregnant and denies having…

Description On my second experience on the obstetric ward I was assign to a patient. B.J is 24-years-old old para 3 gravida 2, patient has a 5-years-old daughter and a 3 days old baby boy. The patient stated that this birth was difficult and stressful, because she had UTI, pre-term contraction at 27 weeks and was hospitalized for 3 weeks. She then returned to the hospital at 35 weeks with another pre-term contraction, high blood pressure and funneling cervix. Feeling I felt quite sad about the…

Nurses play a vital role in detecting potential complications in the maternal and neonate during and after a vacuum assisted delivery. Nurses have many interventions that can be put in place to reduce the use of VAVD such as, an upright lateral position to facilitate fetal decent, use of analgesia, and the administration of endogenous hormone and uterine stimulant oxytocin (Lacker, 2012). Nurses can also help to prevent the unnecessary use of vacuum devices during delivery by, encouraging the…

Child Birth Advancements Childbirth itself has not changed at all! Babies are still born today in the same way that that they have been born for generations. But many things associated with childbirth have changed, including: Women's expectations of childbirth Pain management options The economics of childbirth and the system of healthcare The technology used during pregnancy and birth. These factors have greatly changed women's childbirth experiences.Today, a woman having a baby in an…

I don't have children and have honestly never thought about having any in my near future, so this topic is new to me. I do believe when and if during a pregnancy the discussion of a C-section were to arise; it would be due to current or previous circumstances. I would have the following questions. How will a C-section/drugs used affect my body and my child? Will having a C-section pose complications in future pregnancies? What is the recovery like? Could possible C-section complications affect…

In Annie Dillard’s excerpt, the narrator follows the process after a new birth. The bustle of the obstetrical ward is documented carefully, by the narrator listing each individual step precisely and carefully. The nurses are often seen with a bored expression on their face while the new parents gaze at their children with wonder and amazement. The narrator adds her own personal emotional remarks to the monotonous routine of the nurses. These rhetorical devices contrast the different reactions…

After spending many years in the US, it was not until my junior year in college that I really saw the demand for doctors with qualified training. With four biomedical engineers, I created a project aiming to design an affordable retractor for emergency cesarean section in the developing countries. I was shocked to learn that many women in India lack the adequate access to healthcare and have cesarean procedure performed by midwives with limited experiences, as the country's social and economic…

REVIEW OF LITERATURE 1.0 INTRODUCTION The exact definition of postpartum period has been very vague. Certain clinicians consider the time from birth to the return of reproductive organs to normalcy as the period of postpartum, while others consider postpartum period to be the time between the fourth stage of labor and the postpartum recovery year (1). It can also be considered as three distinct yet continuous phases. Between six and twelve hours post delivery which is the acute phase, between…

The Purpose and Value of Labor Support What is a Doula? A doula is a person who shows support emotionally and physically to birthing women and their families, compassion when she mothers, and service through her mission to serve and care for others when it's their time to go thru childbirth. When a doula shows support to a birthing women many women seek a doula because they are scared to birth since it's their first time and fear is the main concern, "will I be able to have my baby ", or…

Strongest argument in favor of home birth. The strongest argument given for the home birth is found in the sixth chapter of Marsden Wagner’s book, Born in the USA. Wagner’s chapter is filled with historical background, but this only strengthens his argument. He asserts that the only evidence obstetricians have against home birth are studies which do not distinguish between planned and unplanned home-births (Wagner 139). This distinction is crucial in assessing and proving the safety of planned…