Some topics from Ina May’s Guide to Childbirth (2003, pp. 183-203) that we might want to use to organize our discussion:
• Chorionic Villus Sampling (CVS)
• Maternal Serum Alpha-fetoprotein Screening
• Gestational Diabetes
• Screening for Beta Strep (Group B Streptococcus)
• Prenatal Rhogam
• Informed Consent
Some topics from Elizabeth Davis’ Heart and Hands (2004, pp. 11-64) – another way to organize our discussion ...
• What does this look like?
• What are the goals of this meeting?
Can we find some medical history forms to look at?
• Obstetrical history
• Abortion history
• Gynecological history
• Contraceptive history
• Family history – cancer, hypertension, diabetes, cancer ...
• Other – bleeding, spotting, flu-like symptoms, chicken pox, herpes, vomiting, fatigue, urinary tract problems, vaginal discharge, meds (prescription and OTC), household or workplace chemicals
Other resources – Varney’s Midwifery or Holistic Midwifery (Vol.1)
• Estimated Date of Birth
* Ways to calculate this?
• Breast Exam
• Pelvic Assessment
* consider rape/sexual abuse history – see Simkin’s When Survivors Give Birth
• Pelvimetry (pp. 23-28)
*becoming a lost art (p. 28)
*see also Frye’s Holistic Midwifery (Vol. II)
• Fundal height
• Assessing gestational age
• Fetal stuff - uterine/fetal palpation, Leopold’s maneuvers, fetal lie, fetal position, presentation, attitude, fetal heart tones
* lost midwifery arts of pelvic assessment, fetal and uterine palpation, fetal heart auscultation, fundal height assessment – almost all replaced by ultrasound (p. 30)
Nutrition and Exercise
Lab Work and much more ...