lisamct

lisamct

learning disabilities/midwifery

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All Content by lisamct

  1. Nursing to be all degree in England..

    I think its interesting that Midwifery became a degree only profession in 2008 and didn't receive one inch of media coverage but it happens in Nursing and its widely reported. Im genuinely interested in why this might be the case (other than the fac...
  2. UK Hospitals Policies ???

    Our hospital policy is still no mobile phone use and still has all the signs up banning the use of mobile phones and Im pretty sure the main medical building keeps to this ban. However in maternity, where I am, mobile phones are used pretty freely i...
  3. Very true. Im sure our home birth and 6hr discharge rate is due to womens reluctance to be admitted to the post natal wards and I dont blame them. On several occasions Ive had to transfer women from our midwifery led unit to out consultant unit and t...
  4. I totally agree, quite often it doesnt feel safe either. They do try to have 2 midwives on a night shift but often that can be 1 MW with a support worker or, on occasion one MW on her own. Only the basics are done at night, in the main its mostly bre...
  5. No nursery's here, babies and mums are together 24/7. Us midwives do try to help out at night on the post natal wards as much as possible but often on a night shift there is only 1 of us to up to 16 mums and babies so often its just not possible.
  6. For a UK perspective we have no visitors in labour ward at all. Women can have 1 support person with them during labour/birth or on occasion 2. but only with special permission from whoever is in charge and doesnt happen very often. We dont even have...
  7. Midwife pay progression

    Ive just qualified (Sept 08) as a midwife in Scotland, sadly what band you start on and how long it takes you to progress up the ladder depends greatly on where geographically you plan to work (AfC has done nothing to provide equality in midwifery ba...
  8. Elective Primary C/S

    Fantastic to hear, good for her! I think statistics still show that Moxibustion is just as effective, if not more so, at turning breech babies than ECV as well as being less interventional and therefore safer for all involved. Our docs dont personal...
  9. Elective Primary C/S

    Being in the UK we dont have the financial issues you guys in the US have with insurance etc but one of the big things recently where I am that has reduced the amount of elective c/s in general has been the change in timing of offering the procedure ...
  10. Pain Meds and Epidural's during laboor

    There was some research noted in the BJM recently which suggested that the earlier in labour an epidural was sited the less of an effect it had on the duration of labour itself, if I can find the reference I'll post it. As others have said individual...
  11. Elective Primary C/S

    Im sorry but to say C/S is not detrimental to babies or mothers (which Im assuming your also suggesting) is pretty inaccurate. C/S puts babies at risk of respiratory problems, diabetes, hypertension, adult mental health issues, injury from surgery i...
  12. How often are your postpartum vital signs and assessments?

    Vaginal deliveries - In labour ward; Once within 30mons of delivery and again prior to transfer - Once in in-patient ward; Once daily C/S - In recovery area; 5mins x4, 15mins x2 30minx4 - In in-patient area; On admiss...
  13. Baby in a bag!

    Ive supported a couple of women birthing babies still in intact membranes, I just leave them intact until the baby is born and then rupture them then if they havent gone spontaneously during the birth. I guess (certainly where I work) we dont artific...
  14. amount of time alotted from recovery to pp unit

    Our expected time limit to transfer to post natal ward is 2 hours from delivery (regardless of type of delivery) This doesnt always happen however, either due to labour ward issues (difficulty getting babies to latch on and feed, mums not well enoug...
  15. Postpartum hemorrhage kit

    We do manual removals of clots here too but just using the usual mid-forearm length sterile gloves. We do have full arm length gloves that we use in the birthing pool so it might be an idea to stick a few pairs in the pph box. I forgot we do also kee...
  16. Postpartum hemorrhage kit

    The unit I trained in had one (this is in the UK so contents might be a bit different) Ours contained; IV fluids (Harmanns, NaCl etc) Gelafusin Venflons Venflon dressings Tape IV tubing sets Blood bottles Needles IV fluid labels Gloves Sterile specul...
  17. To Bulb Sxn Or Not?

    Before I start Im aware that I seem to be always posting "we dont do that" type of posts but just want to give a different perspective so here goes... We never suction on the perineum, in fact those bulb suction things dont even seem to exist over he...
  18. fundal checks

    For our post C/S women our routine assessments include BP, Pulse, Temp, Resps, O2 sats, lochia, pain, leg/calf pain, itching, nausea, alertness, urine output. We do these every 5 mins x4, then every 15mins x2, every 30 mins x2. Then women move from ...
  19. Does your hospital have a policy on no walking after ROM?

    If their membranes rupture and they're not in labour, babies head is engaged and all is 'normal. our women are sent off home to do whatever they can to get themselves into labour and brought back 24-36 hours later for induction if nature doesnt kick ...
  20. fundal checks

    I guess here its just that its another intervention thats generally not needed so why make all women go through what can be a very painful experience if there's not a clinical need to do it. Most of our maternity care is based around the principle th...
  21. fundal checks

    Im in the UK. Where I am we dont do any routine fundal checks on post CS women unless there is a clinical indication to do so (pain, increased lochia, temp, abdo changes etc) We also dont routinely do fundal checks on women post vaginal delivery onc...
  22. Branch conversion

    Might be worth contacting your local uni to ask what options you have available. Before I retrained as a midwife I considered converting from my original Learning Disability nursing qualification to adult nursing. I searched around for conversion cou...
  23. Just being picky because its a bug bear of mine but just wanted to say that there are no 'midwife nurses' in the UK. Here nursing and midwifery and 2 totally different individual professions we have completely different routes to qualification and n...
  24. Post-Grad Midwifery in Edinburgh

    Hi Firstly where in Ireland are you from? If your in Southern Ireland and therefore not a UK national it will be pretty difficult for you to get into uni over here and you will need to fund yourself entirely, you wont have your course fee's paid and ...
  25. Anterior lips and future deliveries

    An anterior lip isn't an indication for section so there must have been other factors going on that you maybe didnt pick up on. Babies position may have been a factor although there are often maternal positions you can use to try and 'fix' this (if y...