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You are here:Home arrow Mother and Baby Friendly Care arrow 2 Mother friendly care: labour to the puerperium
2 Mother friendly care: labour to the puerperium

Objectives

When you have completed this unit you should be able to:

  • Define and give mother friendly care during labour, delivery and the puerperium.
  • Explain why routine shaving and enemas are no longer needed.
  • Understand why most women can walk around, take a shower or eat and drink during labour.
  • Give the reasons for a labour companion.
  • List the advantages of a ‘natural childbirth’.
  • Explain why an episiotomy is usually not necessary.
  • Define the Better Births Initiative.
  • Prevent separating mother and infant after delivery.
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Item Title
2-1 What is mother friendly care during labour, delivery and the puerperium?
2-2 What are the principles of mother friendly care during labour, delivery and the puerperium?
2-3 How can a woman be helped to play an important part in her own care?
2-4 What staff behaviour is not considered as mother friendly?
2-5 Should all women be given an enema during labour?
2-6 Should a woman be shaved before delivery?
2-7 Should a woman bath or shower during labour?
2-8 Should women be allowed to drink water during labour?
2-9 Should women be starved during labour?
2-10 Should women be allowed to eat and drink before a general anaesthetic?
2-11 Is it safe to walk around during labour?
2-12 Should a woman remain in her own clothes during labour?
2-13 Is it helpful to have a companion during labour?
2-14 Who should be the labour companion?
2-15 What is the roll of a labour companion?
2-16 Is fetal heart monitoring essential in a normal labour?
2-17 Should all women be offered pain relief in labour?
2-18 Should early artificial rupture of the membranes be encouraged?
2-19 What is ‘natural childbirth’?
2-20 What are the advantages of natural childbirth?
2-21 Is it better if a doctor delivers all infants?
2-22 Should all women be delivered in hospital?
2-23 Can women be safely delivered at home?
2-24 Should every delivery be conducted by a trained birth assistant?
2-25 Should the father be present at the delivery?
2-26 Should children be allowed to watch a delivery?
2-27 Must a woman lie on her back during delivery?
2-28 Is a routine episiotomy needed by all primiparous women?
2-29 Is it better to do an episiotomy than allow the perineum to tear?
2-30 Should women be allowed to choose a caesarean section?
2-31 What should be done if a woman requests a caesarean section where there are no good clinical indications?
2-32 What may be the emotional effects of an unplanned caesarean section?
2-33 What are the advantages and disadvantages of an induction of labour if there are no medical indications?
2-34 How can a woman’s dignity be protected during delivery?
2-35 How should women be encouraged during delivery?
2-36 How can changes in labour and delivery practice be made?
2-37 What is the better births initiative?
2-38 When should the infant be given to the mother?
2-39 What should the mother be encouraged to do once she is given her infant?
2-40 When should the routine procedures be done on the newborn infant?
2-41 Should the infant stay with the mother?
2-42 How can the mother play an active role in preventing a postpartum haemorrhage?
2-43 What are ‘baby blues’ or ‘postnatal blues’?
2-44 What is postnatal depression?
2-45 What are the features of postnatal depression?
2-46 Which women are at an increased risk of postnatal depression?
2-47 How may maternal postnatal depression affect the infant?
2-48 How can women be screened for postnatal depression?
Case study 1
Case study 2
 
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