By Helen Baston; Jennifer Hall
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Additional resources for Antenatal
There are several advantages to conducting the booking history at the woman’s home address. The balance of power between woman and health professional is more even. The woman is in her own familiar environment, on her own territory, the midwife is a guest. Clinics and hospitals can be daunting places for women to attend. They may be associated with diﬃcult memories, clinical smells and there are often unfamiliar protocols to follow. Of course, many measures have been taken to make such environments more friendly and relaxed, but the privacy and familiarity associated with one’s own home cannot be replicated.
What equipment does the midwife use to take a woman’s blood pressure in the home? How does this diﬀer from the equipment the GP might use? What would the midwife do if she could not get a blood sample from Joanna after two attempts? Models of care There are many models of care ranging from midwife-led to consultantled antenatal care. The midwife is responsible for informing woman of her options and enabling her to make the most appropriate choice for her individual circumstances. It is not stated in the scenario how this was discussed 34 with Joanna.
Constipation may be exacerbated by some oral iron therapy. g. cereals, fresh fruit and vegetables. A systematic review of interventions for treating constipation in pregnancy concluded that bowel stimulants were more effective than bulking agents but were more likely to lead to abdominal pain and diarrhoea (Jewell Young 1998). Haemorrhoids may compound the problem. Activity Find out what is meant by hyperemesis gravidarum. See if you can discover what is the incidence and who is most at risk of this condition.