ROLE OF NURSE IN MIDWIFERY AND OBSTETRICAL CARE.pptx

role of nurse

1. ROLE OF NURSE IN MIDWIFERY AND OBSTETRICAL CARE 

2. Nurses Role In Adolesence Period C ounsellor Puberty changes : Maturation of sexual characteristics Menstrual cycle : Hormonal action in the menstruation cycle, physiological changes during the menstruation period. Regarding the menstrual care changing of the pad Perineal care during menstruation. action taken for prevention of infection such as hygienic measures Diet, exercise, recreation.

3. C ont.. Sex education : Regarding the harm of premarital sex, transmission of HIV, STDs and other communicable diseases through the unprotected sex, importance of sex education in the adolescence group to prevent the false perception of the sex. Pre- marrital counselling : In this counselling usually do regarding the marriage, changing role of the women after marriage, good sexual health, about the whole maternity cycle.

4. Teacher Menstrual hygiene Healthy practices Exercise and diet

5. Nurses Role In Antenatal Period Care giver Counsellor Teacher Health educator Advocator Clinician Communicator

6. Care Giver Nurse gives antenatal care - each trimester efficiently. H istory collection, physical examination and lab reports and identify the fetal wellbeing. Assess for any risk of pregnancy ,complication in pregnancy, delivery and the antenatal period. Give nursing measures according to the minor disorders Specified care should give to the mothers who are having the risk of pregnancy.

7. Clinician Assess the antenatal mothers during admission. Expected date of delivery Deriving history collection and physical examination from the mothers. Maintain adequate antenatal record including vital signs, fundal height, sugar testing etc in each of the antenatal visits Antenatal examination (abdominal and vaginal examination). Give proper care during the case of risk pregnancy.

8. Teacher Assisting pregnant mothers about the general information regarding pregnancy labor and the childbirth.

9. Health Educator   Antenatal care : Personal hygiene, rest, clothing, employment, travel, physical activity, sexual intercourse, dental care, diet etc. Educate the importance and essentials of nutrition and exercises during the antenatal period. Knowledge giving regarding the warning signs of the labor Childbirth education and parenthood education. Educate regarding the physiological changes during the pregnancy, minor disorders and coping with the discomforts during the pregnancy, emotional response in the pregnancy

10. Counsellor Provide counsel for emotional tension related to problem. Sexual relation with partner Changes in selfimage Nutritional counselling

11. Advocator Nurse has to support the antenatal mothers during all procedures and inform the mother about the benefits and harm. Communicator Nurse midwife act as a communicator in the antenatal period. She is the link between the couple and the doctor. She also communicates with the expectant mother regarding various aspects of motherhood.

12. Nurse Midwife Role In The Intranatal Period

13. Nurse Midwife Role In The Intranatal Period According to Benner 1984 the following 5 levels can be identified. NOVINCE : They are the beginners having no experiences with the care of the woman in labor. ADVANCED BEGINNER : Once students have had some actual experiences with clients under the guidance of instruction and perception they can begin to synthesis clinical findings. COMPETENT NURSES : Nurse who had a few years of full time nursing on a busy labor PROFICIENT NURSE : Nurse with many years of experiences are able to select the key components. EXPERT NURSE : As one who" with an enormous background of experiences.

14. Nurse Midwife Role In The Intranatal Period Caregiver Case manager Teacher Clinician Researcher Client advocate Change agent Communicator

15. Caregiver Nurse have to promote comfort measures and provide proper care during the labor. Proper positioning of the mother Give medications according to the physician order Assessing the fetal wellbeing in the intranatal period by using the fetal monitor machines accurately Adequate intranatal care such as assessment, enema giving, bladder care, skin preparation etc with the knowledge of the mother Prepare the mother for the labor and provide adequate psychological support for the mother. Provide the environment which is safe for the delivery of the fetus Proper newborn care.

16. Case manager Nurse has the role of providing treatment for the mothers such as labor conduction, monitoring the labor. In any risk labor adequate referral services as per the physician order The nurse will give the expert nursing measures in a professional way.

17. Teacher Teaches regarding the normal physiology of the labor and changes in the labor. Teaches regarding the pain measures to be taken during the contraction time. Teaches regarding the position and pushing effort of mother during the labor. Regarding the importance of the breast feeding and the kangaroo care for the newborn baby. Teaches regarding the father and the parent's role.

18. Clinician Assess the maternal and fetal well being by using proper nursing measures such as the review of the data, examination and reports. Monitor the mother and record each and every action in the partograph. Promote the measures necessary for the child birth. Documentation during the intranatal period. Proper communication between the family members and the physician.

19. Researcher During the intranatal period nurse can do research studies in order to improve the nursing measures during the intranatal period. Client Advocate In the intranatal period the nurse makes the mother regarding their decision in the complicated labor, risk fetus .

20. Change Agent She will provide all nursing measures approximately in the environment and the mothers to gain an effective care or improved care. Communicator Nurse conveys the information regarding the birth of the child. She also informs the family members regarding the immediate requirements after the birth of the child Protector Nurse helps to maintain a safe environment for the mother and the newborn to protect them from possible adverse effect of the treatment.

21. Role of Midwife Nurse In The Postnatal Period

22. Role of Midwife Nurse In The Postnatal Period Clinician Initiating a breast feeding and the new born care. Provide new born assessment and postnatal assessment Identifying any risk in the postnatal period Developing discharge planning and make teaching regarding the postnatal care such as the exercise, diet, feeding, hygiene, follow up, immunization.

23. Counselor Family planning Spacing of the pregnancy, temporary and permanent methods. Care of the newborn Immunization of the newborn

24. Teacher Importance of personal hygiene and perineal hygiene in prevention of the infection in the episiotomy wound. Importance of the breast feeding. Essential newborn care Early ambulation and the postnatal exercises Importance of the nutrition Teaching regarding the IUD cares for the spacing mothers.

25.   Care Giver The nurse has to provide the care, Post natal overall care Assess the wound healing Identify minor disorder and provide adequate nursing measures Evaluate the progress of the client Provide emotional support to the mothers

26. Preventer of Illness The primary focus of nurse is preventing of illness The nurse practices disease prevention in such a way by conducting antenatal, postnatal clinics for identification of any risks and promoting the health.

27. Conclusion Nurse has to perform her different and varied roles during different phases of childbearing. These roles will gain through her full experiences and this will helps her to provide better care for the mothers.