By Amanda Sullivan BA(Hons) PGDip PhD RM RGN, Lucy Kean BM BCH DM MRCOG, Alison Cryer SRN SCM
This publication serves as a consultant to a finished diversity of diagnostic screenings and checks used while pregnant. It hyperlinks regimen antenatal care with professional investigations, describing whilst stick to up is needed and the way to interpret the implications. Designed for ease of reference, this source is helping midwives make trained, evidence-based medical judgements. It additionally presents suggestions approximately how top to debate delicate concerns with moms and the way to supply aid to folks receiving undesirable information. This publication is a necessary source for midwives and different healthiness pros interested by offering antenatal care to ladies and their households. specialist participants make sure that the knowledge is trustworthy and up to date, and the easy-to-use structure publications practitioners via each one technique, interpretation of effects, and acceptable interventions.
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Extra info for Midwife's Guide to Antenatal Investigations, 1e
While most will come to an acceptance of this, they may need time to do so and support around and acknowledgement of their feelings. Reporting screening results With the introduction of universal screening for Down’s syndrome,7 all women are faced with the choice of whether or not to have a screening test. Most women enter the screening process expecting reassurance, but for a significant minority of women whose results prompt the offer of an invasive test, this will feel very much like ‘bad news’ about the pregnancy and will evoke shock and anxiety.
During a consultation, it is likely that these stages may overlap or be repeated. However, it is useful to consider them separately here, so that decision-making components can be identified and considered in relation to midwifery practice. Defining the issue This may be a routine aspect of antenatal care, such as offering a screening test. It may also involve clinical observations or test results. The midwife requires expertise to identify and explain clinical issues. Sometimes, the woman defines an issue, such as reduced fetal movements or concerns about her forthcoming labour.
For example, a woman may conclude that she will give birth to a boy because she feels the same as she did in a previous male pregnancy. She may therefore decide to paint the nursery blue and buy blue baby clothes. Midwives also use this heuristic when deciding on the best course of action. This may lead to poor decisions, but can also be regarded as an accumulation of experience that enables clinical judgement. It may be argued that expert decision making encompasses pattern recognition that is recalled subconsciously or intuitively.