Antenatal screening tests and care
Marianne Lewis has attended her booking appointment at 8 weeks pregnant. The midwife Leah, has taken a detailed medical, obstetric, and family history. She has discussed the place of birth – Marianne is considering a home birth. The midwife has also discussed diet and healthy eating with a focus on ensuring iron-rich foods as Marianne is vegan but also has a history of iron deficiency anemia with her last 2 pregnancies. Iron supplementation caused severe constipation and she is keen to avoid it this time. Leah has discussed national antenatal screening tests and provided a booklet to supplement this verbal information. As yet Marianne is unsure about accepting some of them.
Leah has undertaken a set of maternal observations as a baseline which were all within normal limits. Urinalysis was normal – Marianne had previously seen the GP for frequency of micturition and increased vaginal discharge but nothing abnormal was detected and no treatment was necessary.
- ENSURE THAT YOU FOCUS ON THE INFLUENCES ON THE WOMAN’S EXPERIENCE FROM THE PERSPECTIVE OF THE ANTENATAL SCREENING IF THAT’S WHAT YOU CHOOSE TO FOCUS ON. INCLUDE THE COMMUNICATION FROM THE MIDWIFE AND HOW THAT INFLUENCES CARE.
INTRODUCTION – NOT MORE THAN 200 WORDS
In this part, remember to mention that this will be looking into Marianne’s antenatal care.
| What is reflection? | |
| Why is it important to midwifery practice? | |
| Have you linked reflection to the NMC code? | |
| How does reflection link to the code? | |
| Have you discussed reflection in relation to revalidation? | |
| What do the standards for proficiency for midwives say about reflection? | |
| Which reflective model are you using? | |
| Why did you choose this reflective model? | |
| Have you acknowledged confidentiality? And pseudonymised? |
| Which care episode have you chosen? | ANTENTAL CARE ONLY |
| What are the key issues in this episode of care? | |
| Which element or issue in that care episode have you chosen to focus on? | |
| Have you given an overview of the element of care/ issue you are discussing? | |
| What could the communication issues be around your chosen care element? | |
| What methods of communication did the midwife use? | |
| What does the care episode tell you about how the client felt? | |
| What care would you expect to be provided for this care element/ issue? | |
| What does the evidence say about the impact of this element of care/ issue on the client and or her baby? |
| How might the environment effect communication? | |
| How might the mode of communication effect the client’s experience? | |
| What about the midwife’s body language? | |
| Could she have used any documented communication techniques to assist her in communicating with the client? | |
| What impact does poor or good communication have on the woman/ woman’s experience of childbearing? | |
| What about providing informed choice? | |
| What other potential barriers exist for communication? | |
| Did the midwife put the client at the centre of care? | |
| Is there any evidence of individualised care? | |
| What national papers or guidance supports the care provided of influences the midwives care? | |
| What impact would having a known care provider/ continuity have had? |
| What worked well in the care episode? | |
| How did the midwife support the client? | |
| What could be improved for next time? | |
| What did you learn from your research around this topic? | |
| How will you implement this when you go to placement? | |
| Were there any other resources or techniques you could implement in the future to support communication on this topic? |
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