1.1 Introduction
Second trimester miscarriage is often under reported and lacks recognition in both clinical practice and the literature. There are varied definitions for second trimester miscarriage and terms used to describe miscarriage in current literature. Miscarriage is defined by The World Health Organisation (WHO) (2001) as the premature expulsion of an embryo or fetus from the uterus up to 23 weeks of pregnancy and weighing less than 500g. Internationally there are different views on how second trimester miscarriage is distinguished from miscarriage and stillbirth. In Australia and America pregnancy loss before 20 weeks is considered a miscarriage and a stillbirth is defined as fetal death after 20 weeks (The American College of Obstetrics
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Here I cared for women who experienced miscarriage and early pregnancy loss on a daily basis. I also on occasion cared for women following a stillbirth or early neonatal death. During this time I assisted in the planning and organisation of the annual remembrance service. I was struck by the large number of bereaved parents who attended and the appreciation they showed to the staff that looked after them. The experience I gained here encouraged me to apply for the Higher Diploma in Midwifery. During my time as a student midwife I cared for a number of bereaved parents and while it was a challenging experience I found it to be very rewarding also. Student midwives are offered the opportunity to complete a one week elective placement during their training program. I elected to spend a week with the clinical midwife specialist in bereavement and gained a wealth of knowledge from observing her practice during that week. Following the completion of the Higher Diploma in Midwifery I worked in the labour ward of the National Maternity Hospital. I thoroughly enjoyed this experience and spent over three years working very happily in the labour ward. Towards the end of my third year in the labour ward I successfully applied for the position of research assistant and worked with the bereavement team to complete the research project ‘An exploration of the prevalence and patterns of care for women presenting with Mid-trimester Loss at the National Maternity Hospital’ (Cullen et al., 2016). The current study is a follow on study. Throughout the process of completing this project I worked closely with the bereavement team and this further developed my interest in this area. One outcome of this study was a recommendation for further research examining mid-trimester loss (or second trimester miscarriage)
“Let’s terminate the pregnancy and start again next month’” (Collins 167). It took a couple minutes to process the words I just read because the doctor made it sound like being pregnant was equivalant to writing the wrong word in pen. Pregnancy is actually pretty complicated when you put it into perspective because about it, there is another life being created inside a woman’s body. It just amazes how incompetent some people can be.
Peggy Orenstein in her article ‘Mourning my Miscarriage’ narrated her experience about her miscarriage and how she was able to mourn her loss. I learnt from Peggy’s experience that grieving involves acknowledging one’s loss in a way that allow a person to reflect, seek understanding of the loss, and in some way seek a resolution which might be ongoing. I also learnt that restorative communication is important as a way to deal with grief. Peggy in her experience applied herself deeply in seeking to deal with her grief, she talked about her experiences, how her culture does not recognize her miscarriage as a loss, and how her pro-abortion stands might play a role, in other words she sought a deeper understanding of her miscarriage as a way of
Context. Postnatal depression is one of the most frequent difficulties viewed as behavioral issues and mental sickness/problems in women about four to six weeks after giving birth. It’s a major public health issue given its prevalence and impact not only on mothers and babies but also to their households as well. However, untreated postnatal depression is well-known to suffer adverse results such as unfavorable parenting practices and impaired mother-baby bonding, which in return is known to affect rationale and emotional growth of the baby. The gravest, of course, is maternal suicide and infanticide.
Enabling Professionalism reflection This is a reflection on continuing professional and personal development in practice. This reflection is to allow me to improve profeesionally with supportive, evidence based literature and to enable me to evaluate the impact my professional behaviour as a student and future midwife. My learning need is to focus on the importance of professional behaviour when on placement and working with women, their families and members of the multi-disciplinary team (MDT).
Abortion refers to the termination of a pregnancy by removing or taking out the fetus or embryo from the uterus prematurely or before it is ready for birth. There are two major forms of abortion: spontaneous, which is often referred to as a miscarriage and as the name suggests is unintentional or the purposeful abortion, which is most often abortion induced by medication or other such ways. The term abortion is commonly used to refer to the induced abortion, and this is the particular abortion, which has been filled with controversy. In developed nations, induced abortions are the most dependable and trustworthy form of medical procedures in medicine if it is performed under the auspices of the local law. Thus, abortions are possibly the most
I believe in this career I will get to have the pleasure of experiencing both. Being a mother myself, I know firsthand the unexplainable feeling of your first ultrasound or they day you find out whether its boy or girl. I will get to interact with the patients and be the one to deliver the news first hand. As in anything, it’s not always rainbows and sunshine. There will be times where I have to deliver bad, or even devastating new.
The evaluation is the final part of my three mandatory written pieces of my graded unit. The final evaluation stage of the graded unit requires me to reflect on how the activity went, whilst highlighting my strengths, areas that require future development and identify my weaknesses, this, in turn, will enable me to adapt my practice to ensure I am continuously supporting patients to the standards set within The Nursing Midwifery Council (NMC). Looking back on the activity, I am proud of myself for being able to plan and follow the activity through to complication. When completing the book with Mr X I found it to be an enjoyable activity that not only offered benefits to Mr X but also to myself, it allowed me to understand the importance of building a therapeutic relationship with a patient. Building a successful therapeutic relationship required me to have good communication and interpersonal skills, (Radcliffe and Ford, 2015), that allowed me to build a relationship with Mr X based on mutual trust and respect.
I believe that by applying myself with hard-work and commitment to the realisation of my goals, I will be able to achieve my potential and become an excellent midwife. Since the birth of my beautiful daughter I have been focussed on perusing a career in midwifery. The care and support that both my partner and I received throughout the Antenatal, Labour and Post-partum periods was outstanding and this made, what I can only describe as the most intense and incredible experience of my life. I would feel a huge sense of satisfaction and pride in knowing that my hard-work will allow me to guide thousands of expectant parents and families through this lifechanging journey.
As a first time mom going into motherhood can be a frightening and joyful moment. That leads myself and many other mothers into being anxious;experiencing worry, unease, or nervousness, typically about an imminent event or something with an uncertain outcome. Many first time moms are anxious about giving birth. It 's common being anxious during childbirth, it a norm for motherhood. Over the years the anxious has changed for childbirth.
This becomes difficult to manage when the midwife has several women and babies to care for, as well as having time to mentor students such as myself. Nurses and midwives take pride in their caring and compassionate traits. However, staffing levels may influence these important attributes. Each individual nurse is different and provides the best level of care possible, yet it is found that some nurses
Abortion is a symptom of social problem reality in society. The rise of abortion practices in society leads to the tendency of a shift in value where the phenomenon is regarded as something common. Abortion can happens when a fertilized egg or embryo is lost naturally. This is known as a spontaneous abortion or miscarriage and happens in about one in four known pregnancies. Many more occure within the first weeks of pregnancy, before a period is even missed.
After the sudden loss of my oldest brother in 2011, my life changed in the blink of an eye. While trying to overcome this heartbreaking experience was one of the most challenging things ever faced with, his death soon turned into a true inspiration to me. Not only do I cherish all the memories I was able to share with him over the years, I soon came to realization that tomorrow is not a promise to anyone and to live life to the fullest. With this being said, having the opportunity to have an impact on someone everyday whether through communication, actions and/or attitude to help heal is something very powerful to me. Nursing is a profession that allows individuals to open new doors to learn something new and making the best of everyday for each
Hook Let’s say the government chose what you wear, what you eat, how and when you sleep, what career you pursue and who you marry. Wouldn’t you deem this strict? Unfair? Stupid even? Why then do we believe that we or the government should have a say in a woman’s choice of aborting a fetus?
The word midwife cradles the definition “with woman”. Midwifery is a collaborative profession that prides its self on autonomy. This essay will explore midwifery within New Zealand focusing on the midwife and professional partnership. Voiced within this assignment is an understanding of the scope of midwifery practice. This paper delves into the roles of the Midwifery Council of New Zealand and the New Zealand College of Midwives and explains the functions they hold with regulation and support with midwifery care.
Literature review Abortion is a general term used to define the removal of a foetus from the uterus. According to Guidelines on Termination of Pregnancy in Malaysia (2012), termination of pregnancy refers to therapeutic abortion performed usually to preserve the mother’s life. There is on-going debate over legal, moral, religious and ethical issues of abortion. In resolving such issue, psychologist must be aware of the heavy legal, ethical and religious obligations associated with termination of pregnancy beyond clinical judgement. The best practice in making decisions in this type of issues involves finding a balance between risks and benefits (Guidelines on Termination of Pregnancy, 2012).