Pregnancy and Prenatal
Some topics from Ina May’s Guide to Childbirth (2003, pp. 183-203) that we might want to use to organize our discussion:
• Nutrition
• Ultrasound
• Chorionic Villus Sampling (CVS)
• Amniocentesis
• 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 ...
Initial Interview
• What does this look like?
• What are the goals of this meeting?
Medical History
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
Physical Exam
Other resources – Varney’s Midwifery or Holistic Midwifery (Vol.1)
• Estimated Date of Birth
* Ways to calculate this?
*Bimanual exam
• Weight
• BP
• Pulse
• Temp
• Reflexes
• 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
Screening Out
Lab Work and much more ...
Comments
I thought I would do the minutes from our meetings.
Feb. 22nd 6:30 pm. Rachael, Rebecca, Angela and Jen were present for the study group which met at Rebecca's house. When formal discussion started we began with lab work: hemoglobin, hematocrit. Then moved to what tested using urine test strips: glucose, protein, blood, nitrates, and ketones. We identified why it was important to test for each of these elements. We began discussing edema and the signs for pre-eclamsia. We plan to research further if a cervix can have edema. Rebecca will be buying urine strips for future use in our groups and we discusses when and what our group learning session should like like with Nickie.
Written by Jen Anderson-Tarver
2/23/06, 4:45 pm.
Posted by: Jen | February 23, 2007 10:51 PM