REDUCING RISK IN PREGNANCY2 A quality improvement suggestion There should be good communication that exists between pregnant women and the nurses. Women ought to be given time to make the right and informed decision on the method of delivery. They could only be allowed to change their decision when they develop a problem that cannot be evaded. For instance, when they are forced to deliver on surgery and they had chosen to deliver normally. Information and additional needs regarding delivery should be delivered to the pregnant women before they deliver. This information is important in ensuring they are informed to avoid some risks that may occur in future (Lorenc, Sowden, and Renton, 2012) Some of the problems that occur when delivering include, prolong labor that leads to excessive bleeding that may end up giving birth to still babies and ectopic pregnancy that leads to termination of pregnancy. People who consume alcohol have high risks of developing poor pregnancy that may lead to termination of these pregnancies (Adler and Stewart, 2010).Pregnant women therefore are advised to practice healthy lifestyle free from smoking and consumption of excessive alcohol. Pregnant women who are thinking of traveling should first discuss it with medical experts to know how to behave when they are abroad. Such considerations include vaccination and travel insurance (Kohn, Corrigan, Donaldson, 2012).This is important in ensuring that risks do not occur when they have traveled. They should be given proper diets and nutrition to enable the growing child has the necessary nutrients. The pregnant women need to avoid some foods such as uncooked or undercooked prepared meals, raw or partially cooked meat and taking ripened soft cheese (Rehkopf, Jencks and Glymour, 2010).
REDUCING RISK IN PREGNANCY3 All women who encounter any sort of risk in pregnancy need to have booked consultation in advance for checkup before they deliver. The responsible midwife need to make follow up to these women until they deliver. Where there is any complication that cannot be handled at that particular moment, the midwife ought to refer the pregnant women elsewhere where they will meet specialists to handle their case (Rich, 2015).Before the woman deliver she should choose the appropriate place of delivery and the method of delivery. In case of any emergencies, a woman could be rushed to the specific place of delivery and avoid any hustle during such a moment. When a place is not selected, it may cause many problems searching the required place, which may lead to prolonged labor that can be fatal (Raw, Aizlewood and Britain, 2011).An information booklet is required by the pregnant women to provide the required information so as to make appropriate decision. Some factors need to be considered when undertaking risks assessment. These include factors such as previous difficulties in delivery, recurrent miscarriage, gestation diabetes, still birth and rhesus factor or any other significant blood group antibodies. Women who have these problems need to have a formulated plan in antenatal clinic planned together with the respective midwife (King, Lester, 2011).This information should be discussed well between the pregnant woman and the doctor or the midwife. Some few days before the delivery, the woman should be monitored very closely and any kind of risk reduced (Robbins, Stanley, 2010).
REDUCING RISK IN PREGNANCY4 References Adler, N. E. and Stewart, J. (2010) ‘Health disparities across the lifespan: meaning, methods, and mechanisms’. Annals of the New York Academy of Sciences, 1186(1), pp. 5-23 Lorenc, T., Sowden, A. and Renton, A. (2012) ‘Crime, fear of crime, environment, and mental health and wellbeing:mapping review of theories and causal pathways’. Health & Place, 18(4), pp. 757-65 Raw, G. J., Aizlewood and Britain, G. (2011)Building regulation, health and safety: A report concerning the influence on the health and safety of building users of fabric and services controlled or controllable by regulation of buildings. Construction Research Communications. Building Research Establishment, London: CRC Ltd Rehkopf, D. H., Jencks, C. and Glymour, M. M. (2010) ‘The association of earnings with health in middle age: do self-reported earnings for the previous year tell the whole story?’. Social Science and Medicine, 71(3), pp. 431-9 Kohn L.T., Corrigan J., Donaldson (2012) M.S. & Institute of Medicine (U.S.),Committee on Quality of Health Carein America. (2000).To err is human: Building a saferhealth system.Washington, DC: National Academy Press. Rich, L.V. (2015).How We Think About Medication Errors(3rded): A model and a Charge for Nurses. London piublisher
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REDUCING RISK IN PREGNANCY5 Robbins, Stanley (2010).Robbins and Cotran pathologic basis of disease (8th ed.).Philadelphia: Saunders/Elsevier. Pp. 90-110 King, Lester (2011).Transformations in American Medicine (5thed): From Benjamin Rush to William Osler. Baltimore: Johns Hopkins. Pp. 27-88.