(For Prezi Video) dissertation2

MP
by Michelle Pye1 view·Updated Mar 9, 2020

Audio TranscriptAuto-generated

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