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(For Prezi Video) dissertation2
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by
Michelle Pye
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Updated Mar 9, 2020
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00:00 - 00:01
Hi, guys.
00:01 - 00:03
I'm just gonna do a quick espada of my lovely
00:04 - 00:06
case leading lady who has just delivered.
00:07 - 00:09
She was a prime it over the healthy bm I
00:10 - 00:12
know. Medical history, no mental health shoes.
00:13 - 00:15
She was a single mom, but very well supported by
00:15 - 00:15
a family.
00:16 - 00:18
She found her symptoms upset.
00:18 - 00:22
You call Stasis constantly itching on palms of her hands
00:22 - 00:23
and soles of her feet and on your arms and
00:24 - 00:24
legs everywhere.
00:24 - 00:27
At this point on dhe, she found that 35 weeks
00:28 - 00:31
she went, see a midwife on the blood test, confirmed
00:31 - 00:34
that diagnosis and she was held for consul to like
00:34 - 00:36
care where she was referred.
00:37 - 00:41
Extra growth scans on check on the amount of fluid
00:42 - 00:43
on dhe.
00:43 - 00:45
She had become a blood test to check on her
00:45 - 00:46
bile acids in the blood.
00:47 - 00:49
So such a cost basis is where your liver is
00:50 - 00:51
not really dealing with.
00:51 - 00:53
Violence is very well and you end up with much
00:53 - 00:54
higher levels in the bloodstream.
00:55 - 00:58
Then you should have that causes the woman she was
00:58 - 01:02
told by the consultant of the increased risk off stillbirth
01:02 - 01:07
without special color Stasis, obviously for women just causes the
01:07 - 01:10
itch book for the for the baby, you know, it
01:11 - 01:13
increases the risk of intrigue around death.
01:13 - 01:17
So she was offered a sweep of 37 weeks and
01:17 - 01:18
then induction it.
01:18 - 01:21
There's seven and four, and she obviously snatched that up.
01:22 - 01:25
You say the words, you know, increased risk of stillbirth,
01:26 - 01:28
and you obviously gonna you're gonna take that lifeline.
01:29 - 01:31
So she snatched that up on a 37 weeks, went
01:31 - 01:32
for a sweep.
01:33 - 01:36
She reported that she found that very, very traumatic that
01:36 - 01:38
it made her feel sick and actually made a feel
01:38 - 01:40
ill for a couple of days after that, which is
01:40 - 01:42
such a shame for her.
01:42 - 01:45
And she was very, very anxious than about the induction
01:46 - 01:48
process is she was sure it just could be more
01:48 - 01:49
of the same When she got quite frightened.
01:51 - 01:54
She hadn't really engaged with the case loading situation until
01:54 - 01:55
this point.
01:56 - 01:58
But then she rang me and she called me up
01:58 - 02:00
today on everything that's been going on on.
02:00 - 02:02
Told me she was going for induction and I arranged
02:02 - 02:05
to go in for induction to give her a bit
02:05 - 02:05
of support.
02:06 - 02:08
When I got there, it became quite clear she had
02:08 - 02:11
no idea what the induction was goingto entail.
02:12 - 02:15
She didn't know what they look for on the vaginal
02:15 - 02:20
examinations. She she had no idea at the time frame
02:20 - 02:25
of everything, the whole thing was a complete unknown.
02:25 - 02:27
But she did have him on this for support and
02:28 - 02:29
on me, and I clarified as much as I could.
02:30 - 02:31
Um, we stayed there with her all day.
02:32 - 02:33
She had the purpose in the morning.
02:34 - 02:35
That's right, having type things.
02:35 - 02:37
And it looked quite positive.
02:38 - 02:40
Me and her mom had to leave it but known
02:41 - 02:43
nine PM, which is when the wards visiting hours have
02:43 - 02:45
gone. So she went through the night on a Rome,
02:46 - 02:49
which is unfortunately when the labor pains really ramped up.
02:50 - 02:52
So then she was on the ward where you cannot
02:52 - 02:53
have 1 to 1 care.
02:54 - 02:56
It's not possible on the ward and no matter how
02:57 - 02:58
hard they tried, and they are amazing on there.
02:59 - 03:01
But you know, there are a lot of women shouldn't
03:01 - 03:03
have once one care on more.
03:03 - 03:03
Mustn't there for support.
03:04 - 03:05
Officer. I wasn't there for support.
03:05 - 03:08
She was just on her own all night and they
03:08 - 03:09
gave her an examination.
03:09 - 03:12
She was once sent me to an offer paracetamol, which
03:12 - 03:13
she said felt like a joke.
03:14 - 03:18
She then was they had another look later on in
03:18 - 03:21
the morning and found she was three centimeters on, decided
03:21 - 03:23
to allow a Mormon for some extra support.
03:23 - 03:26
She really wasn't managing very well, and she's really quite
03:26 - 03:30
frightened. Um, I went in a swell on Dhe when
03:30 - 03:30
I got there.
03:31 - 03:33
They just in another examination because she was really struggling
03:34 - 03:35
and found she was found to be fully so she
03:36 - 03:38
went to delivery suite and she was pushing.
03:39 - 03:41
She pushed for an hour and 25 minutes.
03:42 - 03:45
There were D cells on the C t.
03:45 - 03:47
G. She was down for continuous CTG monitor and as
03:47 - 03:51
part of their care plan without electric collar Stasis, there
03:52 - 03:57
were deceleration XRT, each contraction they've gone on for, you
03:57 - 03:59
know, under 90 minutes, but was coming up for 90
03:59 - 04:01
minutes. And there was some reduction in variability.
04:03 - 04:07
So the shift lead decided to do in a piece.
04:08 - 04:10
Thio bring things on a little bit.
04:10 - 04:12
We have vertex visible, which were, you know, getting a
04:12 - 04:13
lot of movement.
04:13 - 04:15
So she's supposed to Ripley's Infiltrated ladder.
04:16 - 04:18
Contained did the appears that a beautiful life, but the
04:18 - 04:22
gorgeous baby girl straight into skin skin, baby happy and
04:22 - 04:23
help the out.
04:23 - 04:25
Garza. 10 months blood lost was 400 males.
04:26 - 04:27
She was sitting in the room by the shift lead.
04:28 - 04:32
She didn't need interrupted searchers on the perineum instead of
04:33 - 04:36
subcutaneous searchers because the area was so swollen.
04:37 - 04:40
Duthie, Lana Kane that she felt that it was gonna
04:41 - 04:42
need in trucks, stitches to keep it together.
04:43 - 04:48
And she was My lady was very aware that she
04:49 - 04:50
was desperate to go home.
04:50 - 04:52
He was extremely tired.
04:52 - 04:55
She was absolutely wrong out she just heading off.
04:56 - 04:58
She did attempt to breastfeed, which was getting very frustrated
04:59 - 05:01
and quite cross with it'll really on.
05:02 - 05:04
DSO decided to bottle feed so we went through bottle
05:05 - 05:06
feeding with Andi.
05:06 - 05:09
She fed the baby beautifully on dhe.
05:09 - 05:10
It went really well.
05:11 - 05:12
She was just so desperate to get home.
05:13 - 05:15
Really. She did get to go home that evening.
05:16 - 05:17
She went home.
05:18 - 05:18
She she feels fine.
05:19 - 05:19
She's doing really well.
05:20 - 05:20
They was doing really well.
05:21 - 05:24
It's feeding really well, but she has such me sense
05:24 - 05:27
that she feels disappointed that she didn't manage to follow
05:28 - 05:29
through with the breast feeding, but that she felt she
05:29 - 05:32
really didn't have it in a tow feed at that
05:32 - 05:34
point. But she feels quite disappointed.
05:35 - 05:38
Um, on some support, there were feeding choices at the
05:38 - 05:39
minute, okay?
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