This guideline should be taken in conjunction with these documents. Its purpose is to provide the scope of practice for neonatal examiners at Imperial College NHS Trust in order to provide a standardised, high quality service (NMC 2008, UK National Screening Committee 2008). Who performs the examination? The newborn examination can be carried out by appropriately trained midwives, neonatal nurse practitioners and medical staff. All new doctors and neonatal nurse practitioners to the Trust will receive training on the newborn physical examination during their local induction period.
The article is useful in bringing to light that more effort should be put into the involvement of father’s on breastfeeding education courses, so the decision to breast or formula feed can be thoughtfully made based on evidential facts. Agha, Farah, and Habiba Sharff Ali. “Breast Feeding; Factors Causing Early Termination”. Professional Medical Journal. 18.3 (2011): 485-488.
P1: Explain the requirements for two different careers in the health sector. The job role of a midwife is to provide advice, care and support for women and their babies during pregnancy, labour and the early postnatal period. They help women make their own decisions about the care and services they access. Their responsibilities are wide ranging and include; caring for new-born children, providing health education and parenting support immediately after delivery, until care is transferred to a health visitor. Midwives are personally responsible for the health of both mother and baby and only refer to obstetricians if there are medical complications.
2. If a mother is scheduled for a Caesarean- section birth, how would this flowchart change? If the mother is scheduled that means she is already registered, and the hospital know that the baby is going to be birthed that day. So the expecting mother would be taken to the operating room, baby would be delivered, they would go to the mother-child recovery room, then discharged. The mother would go from step 2 to step 6, then to step 8.
This information can often be conflicting, promoting the advantages of one way of feeding over another. The NHS (2007) identifies the advantages of breastfeeding as: providing all the nutrients a baby needs for the first 6 months of life; helping to protect a baby from infection and other diseases; reducing the mother’s chances of getting some illnesses later in life; helping physical and emotional bonding; helping the mother return to her pre-pregnancy figure; and being easy for the baby to absorb. In addition, breast milk protects against: ear infections, asthma, eczema, chest infections, obesity, gastro-intestinal infections, childhood diabetes and urine infections (NHS 2007) (see booklet enclosed). While the advantages of breastfeeding are well established, there are also disadvantages to this method of feeding. However, the NHS Education for Scotland cites Lawrence (1999): Disadvantages of breastfeeding are those factors perceived by the mother as an inconvenience to her since there are no known disadvantages to the normal infant.
-OR- Knowledge deficit: SIDS r\t unfamiliarity with information aeb verbalization of lack of understanding. Client’s long term goal: The patient and family will have the knowledge base needed to make informed decisions regarding the care of their newborn to prevent SIDS. Desired Short-term Goals Plans/Interventions Rationale (with citations) Planned / Actual Evaluation of STG 1 The patient will: A Learn the definition of SIDS B Learn how SIDS affects infants C Understand the risk factors of SIDS The nurse will: A Teach the family the definition of SIDS: SIDS or, Sudden Infant Death Syndrome is defined as an unexplained and unexpected death on an infant before the age of one year. Upon postmortem investigation, no plausible cause is found. (Hockenberry & Wilson, 2009) pg.
Home vs Hospital Birth Women should have the option of planning their impending birth at home, a midwife led unit or in an obstetric unit (National Collaborating Centre for Women’s and Children’s Health, 1998, 2006). The obstetric unit is seen as the predominant setting where births take place and sadly due to the current shortage of midwives it is the place where the woman is less likely to experience one-to-one care or the constant care of a midwife unless the birth takes place in a midwife-led unit or birth centre (Hatem et al., 2008). Even though a large proportion of women giving birth in the UK are reported to be healthy and experience a ‘normal’ physiological labour and birth there is still a substantial possibility that a large proportion of births that occur inside obstetric units experience some type of medical intervention during the labour process (NHS Information Centre, 2009). In 2007, According to a cohort study conducting by the BMJ (2011) approximately eight per cent of births happened outside of an obstetric unit with 2.8% occurring with the home, approximately 3% in alongside midwifery units and slightly under 2% for free standing midwifery units. In 2007 the ‘Department of Health’ pledged to make homebirth a viable option by 2009 in England.
36 percent of women having elective C-sections scheduled their delivery before the recommended 39 weeks, making babies more likely to visit the intensive care unit, have infections and develop respiratory distress. Researchers say that elective C-sections are safest for the baby when done between 39 to 41 weeks of gestation and that women considering elective C-sections should wait until that point for the safest delivery. Though surgical know-how has grown with the increased use of C-sections, doctors say it is still important for women to weigh all possible risks against possible benefits when opting for the procedure. The Web site babycenter.com provides a physician panel-reviewed list of pros and cons of both vaginal birth and C-sections: Vaginal Birth Pros: Less risk of maternal hemorrhage, infection, blood clots, damage to internal organs Less risk of baby having specific respiratory problems (TTN and persistent pulmonary hypertension) Baby potentially less likely to develop allergies, asthma, or lactose intolerance Shorter hospital stay (one to three days) and quicker physical recuperation In later pregnancies, labor may be shorter and offer quicker delivery Mother may breast-feed more effectively Mother much less likely to require c-section in subsequent
2010 External Report on Nestlé’s WHO Code compliance INTRODUCTION Nestlé supports the best start in life for babies. This means protecting and promoting breastfeeding and ensuring that, when alternatives are needed, these are of the highest quality and are marketed responsibly and in line with the International Code of Marketing of Breast‐milk Substitutes (WHO Code). Nestlé recognizes that the WHO Code is an important instrument for the protection of infant health, in particular in countries where public health concerns are heightened. Nestlé is committed to making sure that each employee operates in compliance with the WHO Code and in a way consistent with the Nestlé Policy and Instructions on implementing the WHO Code, last revised in July 2010. In the 152 countries with high infant mortality and malnutrition rates as defined by UNICEF – classified as ‘higher‐risk’, Nestlé is committed to following the WHO Code as a minimum requirement and to applying national legislation when this is stricter than the Code.
BARRIER NURSNG INTRODUCTION This commentary will be used to help everyone to understand what Barrier nursing means and the reason for preventing the spread of infection. However I will be discussing the national and local policies influencing the experiencing of health and social care in nursing. I will also explain the concept of professionalism in accordance with nursing and midwifery council’s (NMC) professional code of conduct (NMC 2009). According to the Department of Health (2004), they explained that the term "barrier nursing" is given to a method of nursing care that has been used for over one hundred years when caring for a patient known or thought to be suffering from a contagious disease such as open pulmonary tuberculosis. However there are two types of infection control barrier and isolation nursing (Garner 1996).