By edited by Amanda Sullivan, Lucy Kean and Alison Cryer.
Scientific perform in context --
Development of fetal investigations: ancient and sociological views --
Involving mom and dad: info and trained judgements --
Pregnancy loss, breaking undesirable information and aiding mom and dad --
Maternal investigations --
Haematology in being pregnant --
Maternal ailments in being pregnant --
Infections in being pregnant --
Fetal investigations --
First trimester ultrasound scans --
Second trimester exact anomaly experiment --
Biochemical markers in Down's syndrome screening --
Chromosomal and genetic checking out --
Assessment of fetal wellness --
Ongoing advancements --
Antenatal investigations for the long run.
Read Online or Download Midwife's guide to antenatal investigations PDF
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Extra resources for Midwife's guide to antenatal investigations
This is a very delicate and difficult area for practitioners as they need to provide the help and support that will prevent parents from feeling ‘abandoned’. ’ Because of the desire to be non-directive, the temptation can be to evade or gloss over such questions. It is more helpful for parents if the difficulty of their situation and the anxiety raised by dilemmas they face is acknowledged. Though no health professional can make decisions for parents, they can support them and help provide a framework to guide them to the choice that is appropriate to their individual circumstances.
Where there is a choice, this should be made explicit in verbal and written communications. Women’s views of health professionals in general and the midwife’s behaviour are also very important when making decisions. Even when women would like information about investigations, they may be reluctant to seek this from a midwife they perceive to be too busy, unhelpful or unapproachable. This clearly militates against informed decisions. Midwives also influence this stage of decision making by the way that information is portrayed.
For instance, a mother who presents with a small vaginal bleed in early pregnancy should not be greeted with the news that she may be beginning to miscarry. Instead, it is kinder to explain other potential causes before the chances of a miscarriage. Likewise, it can increase distress if the risk of miscarriage is the last message given during a consultation. In summary, the first stage of informed decision making requires the issue to be defined and mutually understood. Midwives have their own personal and professional perspectives to bring to bear, whilst women will also have a range of expectations and preferences.