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pethidine in a homebirth

Discussion in 'Assignments, Dissertations & Exams (Midwifery)' started by Kizzi, Sep 21, 2013.

  1. Kizzi

    Kizzi Well-Known Member

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    how does the midwife/women obtain pethidine for a homebirth. I assume they can give it under the midwives exemption, but because its outside the hospital is it specifically prescribed. when a homebirth is under way, does the midwife stop at the maternity unit and get a pre made prescription of it? or is it just the same as if given in hospital?
  2. Kizzi

    Kizzi Well-Known Member

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    and how are pethidine ampoules meant to be destroyed in the community?
  3. Penguin

    Penguin Well-Known Member

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    We don't use pethidine at my trust so I am unsure if it's different to other medications. But we discuss what mediciations she may or may want at the birth talk, and then if we can't bring them she will go to her GP to prescribe them if she feels she may need it.

    In the community our ampules are put into a portable sharps bin we carry.

    If unused they should be returned to a pharmacy (any pharmacy... some will even collect from your house)
  4. guest35852

    guest35852 Guest

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    In my trust if the woman thinks she is going to want pethidine she has to go to the GP and get it prescribed, then I think she keeps it at home. I'll have to double check that though, I haven't been to any home births yet
  5. 4specialstars

    4specialstars Well-Known Member Plus! Member

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  6. nickjh1984

    nickjh1984 Well-Known Member

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    That's the same as ours. I think that is how it has to be by law actually. I read about the use.of pethidine for homebirth somewhere. Try looking at the midwives exemptions or standards of medicine administration for midwives.
  7. moggy

    moggy Well-Known Member Plus! Member

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    For my homebirth I got a prescription from my GP and kept it in the fridge just in case I requested it...think the mw took it with her when she cleared up afterwards. X
    Kizzi likes this.
  8. Akua

    Akua SMNET's biggest procrastinator Staff Member Plus! Member

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    At my trust if a woman thinks she might want pethidine she has to get it prescribed by her GP and collect it herself in advance. It is for the security of the midwives in my area that this is done, as their cars are clearly marked as midwives and they carry identification, so if everyone knows that midwives carry drugs it isn't particularly safe. (This might just say a lot about where my placement is though as opposed to anything nationwide or whatever)
  9. Penguin

    Penguin Well-Known Member

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    Do they not carry entonox?
  10. Azalea

    Azalea RM Plus! Member

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    We carry entonox but not pethidine. The woman would need to obtain it via prescription from her gp.

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