SMNET - StudentMidwife.NET

  1. Please Register!
    SMNET is an education based community supporting student midwives and those thinking about a career in midwifery. If you are a student, applying to become a student or are considering midwifery as a job then you have come to the right place. Register for free now to receive support, access educational information and to participate in discussion and debate.

COTW SMNET Catch of the week 13/2/12

Discussion in 'Catch Of The Day' started by iolaus, Feb 13, 2012.

Page 1 of 9

  1. iolaus Education Moderator

    Message Count:
    9,372
    Likes Received:
    164
    Book Reviews:
    1
    SMNET Staff Past Quiz Winner
    or anyone who's not sure - these are real situations designed to help you get an idea of what other people would do in this situation, to help you evaluate the care you'd provide, to get other ideas if you are in the situation in the future - and to make you realise just how much there is to learn in midwifery and just when you think you have it sussed something will happen to make you realise that nature has ways of taking us all by surprise, no matter how experienced you are. The women and their families have very kindly agreed for their experiences to be shared online, or the experiences are already detailed and shared with the public, and in accordance with the NMC all are completely anonymous.

    Some of these situations will be lovely normal births, others will end up in theatre or have a nice birth with complications afterwards, as in real life not all pregnancies will have a happy ending. There are various settings so don’t forget where you are (can’t transfer to theatre from a homebirth without ringing an ambulance etc). Intermixed with the intrapartum cases there will be antenatal or postnatal scenarios thrown in as midwifery is not all about the birth.

    Each event will last for 1 week, with me setting the scenario on the Monday and unfolding a bit more each day until Sunday when I conclude it, ready for the next. However if I am around and basic questions are asked (such as why I did something or what something means) then I’ll answer them earlier.

    Join in, make comments - be they practical suggestions of what could have been done, a 'OMG I'd never have done that', a 'why did that happen?', 'similar thing happened to me', or a 'I haven't got a clue - hope mum and baby were ok'. The more people and comments who are part of this the more fun and interactive it becomes

     Jenny is a G3 P2 who is pregnant with DCDA twins, she has had two previous uncomplicated SVDs at term in the past, and is keen on a vaginal birth with the twins. She is having shared care between obstetricians and midwives
    iolaus, Feb 13, 2012
    #1

  2. 6KidsRock Member

    Message Count:
    168
    Likes Received:
    10
    Book Reviews:
    0
    I know nothing as not yet a student but will have a go anyway. To start since they are DCDA you don't have the problem of the shared placenta detaching before twin two is delivered? I would want to palpate and see what position they are both in. If both are head down and she has had a fairly uncomplicated pregnancy I would like her to try vaginally especially since she has had two babies vaginally before
    6KidsRock, Feb 13, 2012
    #2

  3. soapbox26 Member

    Message Count:
    660
    Likes Received:
    24
    Book Reviews:
    0
    Subscribing! Is she showing early labour signs yet?
    soapbox26, Feb 13, 2012
    #3

  4. DeterminedJode Member

    Message Count:
    239
    Likes Received:
    0
    Book Reviews:
    0
    subscribing with great interest! has she had signs of labour... or is she being induced?
    DeterminedJode, Feb 13, 2012
    #4

  5. Mum of three Member

    Message Count:
    758
    Likes Received:
    9
    Book Reviews:
    0
    I think as far as I know that these type of twins are usually less likely to have complications as they have their own placenta. How many weeks is she at the moment? Hopefully all being well and babies in a good position and placentas clear of the cervix, she can try for a vaginal delivery again. Do obs/tests appropriate for her gestational appt.
    Mum of three, Feb 13, 2012
    #5

  6. Quite-a-catch Member

    Message Count:
    934
    Likes Received:
    0
    Book Reviews:
    0
    How many weeks is she at present?
    Quite-a-catch, Feb 13, 2012
    #6

  7. dawni3 Active Member

    Message Count:
    1,351
    Likes Received:
    17
    Book Reviews:
    0
    How many weeks is she? Is she in labour?

    If an antenatal appt, review last scan, ask about FMs & any PV loss. BP & urinalysis. On placement I worked with the twin midwife and she didn't palpate, measure or listen in as they were having regular scans. Not sure if that's the same everywhere though.
    dawni3, Feb 13, 2012
    #7

  8. elfprincess Member

    Message Count:
    70
    Likes Received:
    1
    Book Reviews:
    0
    subscribing with interest...i hope she gets the birth she wants.
    elfprincess, Feb 13, 2012
    #8

  9. Fleurlur Active Member

    Message Count:
    1,705
    Likes Received:
    7
    Book Reviews:
    0
    Past Quiz Winner
    Subscribing!
    Fleurlur, Feb 13, 2012
    #9

  10. Redpiggy Well-Known Member

    Message Count:
    1,986
    Likes Received:
    158
    Book Reviews:
    0
    Past Quiz Winner
    Just to add, although they have separate placentas, they may have fused together as they got larger.
    Seen/heard of a couple of vaginal twin births at my unit, the oneI was involved in antenatally, was DCDA, and the top twin was transverse and the presenting twin cephalic, she went into theatre for twin two and had a scan in between to check presentation of number 2.
    Redpiggy, Feb 13, 2012
    #10
Page 1 of 9

Share This Page