Wow i have written all those down they are a fab way of remembering. Thanks

It would depend on the hospital you train at.. Cause my answer would be something like ..

'Local policy states that for Millie to have a water birth she needs to fulfill certain criteria. Firstly Millie's pregnancy needs to have been completely low risk with no history, personally or medically that would contraindicate a water birth. This is backed up by the NICE intrapartum guidelines (year?) which states... blah blah blah...'

'Once it has been established that Millie is a suitable client for a water birth and is in the water local policies suggest continuous support once in active labour.. blah blah.. monitoring water temperature and Millie's temperature every ?? which is also back by NICE intrapartum guidelines (year?) which states... Blah Blah.. '

Hahaha.. Can you tell I've never looked at water birth and the issues surround it?! But that's how I would set out a question like that anyways!

__________________
Duel X

2nd year student midwife

She has to be 4/5 cm before she can go in the pool, have a hb of 9.5+ and an uncomplicated pregnancy, but she cannot go in until in active labour. She can only have paracetamol, kepake, Entonox, if she's had opiates it must be 3 hours after that she gets in the pool.
Actions are to auscultate fh every 15 mins, bp 4 hourly pulse, 30 mins, don't really do VE's but they would probably do one after 4 hours/or if contractions waned off, just support and scoop poo lol, and out of the pool for placenta, although I've seen one just keep holding/breastfeeding the baby in the water against her skin and 10 mins later she pushed placenta into water, informed choice and all that, it was up to her and good for her for defying our wishy washy guidelines and protocols on waterbirth x

__________________


Have you just been offered a place? If so and you want a mentor please post in post this forum (also post here if you would like a mentee)

Get out of the pool for delivering the placenta? Really? Is that policy at your trust? The 2 pool births I have seen delivered the placenta in the pool?

__________________
Duel X

2nd year student midwife

Yes it appears to be, sometimes though our policies are so wishy washy its untrue, but yes women are told to get out of the pool for 3rd stage due to 1:300billion (or something) risk of fluid embolism (not amniotic, but I can't think of the correct term).

__________________


Have you just been offered a place? If so and you want a mentor please post in post this forum (also post here if you would like a mentee)

why does she have to be 4-5cm? some women use the pool as pain relief from an early stage, and then decide to stay there until the delivery.

I am not sure, but I believe prior to established labour the water can actually slow the progress of labour.

Or it may just be their protocol. One of my local trusts states (protocol) women must be at least 4cms dilated on entering the pool.

__________________
Lead administrator
Head of student services


Have you just been offered a place? If so and you want a mentor please post in post this forum (also post here if you would like a mentee)

Water embolism... the trust policy i know sounds the same as yours...

__________________
Josie
StudentMidwife.NET Co-founder & Director

Yeah those policies, they're great aren't they? It makes me laugh when you ask and then they come out with-well they're only guidelines you know!!! mmmmmm

__________________


Have you just been offered a place? If so and you want a mentor please post in post this forum (also post here if you would like a mentee)

Am loving this Duel thanks!

Anyone else got any others? I find it the easiest way to remember stuff and the wierder the nmemonic better!

__________________
Josie
StudentMidwife.NET Co-founder & Director