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Ending the midwifery-woman partnership
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Ending the midwifery-woman partnership

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This is a very brief overview of some of the things a midwife has to consider when discharging a mother and baby from her care in the post natal period

This is a very brief overview of some of the things a midwife has to consider when discharging a mother and baby from her care in the post natal period

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    Ending the midwifery-woman partnership Ending the midwifery-woman partnership Presentation Transcript

    • Ending the partnership http://www.flickr.com/photos/reverb/2111203297
    • Physical examination
      • Breasts - ensure adequate lactation; talk about breast exam.
      • Abdominal scar (if woman has one) - healed
      • Fundus - involuted
      • Lochia - minimal
      • Perineum - healed; refer if woman is having painful sexual intercourse
      • Bladder/bowels – returned to normal pattern
      • BP - normalised
      • Evidence of post natal depression – lack of sleep, poor appetite, unsettled or depressed state of mind
      • 6 week baby check
      • Head to toe
      • Heart and lungs
      • Length and head circumference
      • Hip check
      • Feeding
      http://www.flickr.com/photos/spamily/296925400/
    • Associated information
      • Cervical smear at 3 months if required
      • Sexual intercourse – recommence when comfortable
      • Contraception
      • ?Rubella immunisation if not immune
      • ?Physical check with general practitioner – some mothers may prefer midwife to do it, as opposed to GP
      • ?Referral to other health providers eg mental health, child health nurse
    • Information given to woman
      • Child health nurse and clinics
      • Immunisation
      • Post natal support groups
      • Financial help
      http://www.flickr.com/photos/spudnik06/208131052/in/photostream/
    • Ending the partnership
      • Make sure woman is warned of your last visit
      • Will you be continuing a relationship?
      • Debrief about labour and birth
      • How will you evaluate your care and get the woman’s feedback?
      • Make sure the woman has a copy of her notes
      • Pass on discharge information to GP/child health nurse
      • How do you bring the partnership to end?
    • http://www.flickr.com/photos/eyeliam/3097749651/