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Abdominal Palpation

Discussion in 'General Midwifery Discussions' started by love to smile, Feb 27, 2012.

  1. love to smile

    love to smile New Member

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    Hi There

    Any help will be greatly received!!

    I'm now a 3rd year student after starting back in January following 8 months out of practice for personal reasons and OMG i'm soooooo worried because I seem to feel like I do not know what I am feeling when doing an abdominal palpation.

    I tend just to have educated guesses :-$. Before I took time out I was average at them not completely confident but never this worried!!I have 1 year exactly until I qualify and keep thinking what if I never get this skill right how an earth can I work as a midwife :?

    I have told my mentors I have completely lost all my confidence relating to this and they are very supportive but just go along the lines of .... it will come in time practise makes perfect...but I don't have much time now do I??

    Any tips please :help:
  2. iolaus

    iolaus RM and Head of Clinical Practice Staff Member

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    sometimes even experienced midwives get them wrong
  3. Iris

    Iris RM Staff Member

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    Don't be too gentle, you won't feel anything if you aren't really firm I know this is difficult but imagine your mentor is not there to check and this woman is relying on you alone for this palpation but also accept that you won't get every one right, as Iolaus said, even experienced mws will ask for it to be checked, or will get it wrong. If women are quite large it is very difficult. Also remember in the early stages it is not that important to define position, all you have to document is fetal poles felt and locate the fh which is nearly always central, lie and presentation is only really important. When it is clinically significant, from around 34 -36 weeks and if you have doubt as a mw you can refer for a presentation clinic appointment.
  4. With woman

    With woman Active Member

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    Well, it will come back! I've just gone out to community after quite a while working in the hospital. All of a sudden I find that I have found my abdo palp skills again. Its wonderful! 40week bellies are hard to palpate!

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