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Dear Jo
What was recorded on her admission observations as they
surely must have included abdo palpation and what was she told
afterwards? I remember a multiparous woman who was having a caesar for a
breech and was showered and shaved and in a theatre gown and requested palpation
as the baby had been moving a lot. It was cephalic. She promptly got dressed and
requested discharge. She was, after she got a dressing down about caesar being
the best option for an "unstable" lie.She returned 2days later just in time to
push out her cephalic baby inside the "hallowed walls".
Also I had mentioned about finding out
about ante natal expressing. Women who are insulin dependant gestational
diabetics are offered the option to express from about 38 weeks on as their
babies automatically go to the nursery for observation. They have to be
quick though as they are also booked for induction at 38 weeks.Our
lactation consultation tells me she would only expect a few mls but few women
take up the option. The babies mostly have formula or drips for low blood
sugar.
On another note, I wonder how, or
if other places manage to meet step 4 of the BFHI and " help mothers
initiate breastfeeding within a half hour of birth". This is the set criteria
but often mum or baby are not ready for whatever reason.I realise they have to
be normal vaginal births. Anyone From a BFHI hospital care to
comment
Thanks Linda
Trewern.-------------------------------------
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