Hi Robin - could you please send me the guidelines that teach for comprehensive physical examinations and any related tools. With thanks Barbara Hanrahan, Johannesburg
-----Original Message-----
From: Robyn Maude [CCDHB] [mailto:[log in to unmask]]
Sent: 04 June 2013 05:02 AM
To: [log in to unmask]
Subject: Re: Heart and lund assessments by midwives
Hi Susan,
This assessment and history taking are taught in undergraduate midwifery in NZ but I am not sure how many midwives actually incorporate it into their practice (maybe we should collaborate on a research study!!. I know some midwives who definately do incorporate this but many midwives do not see women until after the first trimester and (I think) beleive a GP has done this. I think it would be useful to highlight this aspect into the recertification programme consultation document out at the moment.
At Victoria University, the post graduate midwives doing the PG cert in midwifery (Complex Care) do a paper called Midwifery Assessment and Clinical Reasoning - here we definately teach IPPA, Review of Systems, Head to Toe assessment and systematic history and examination including practical sessions and peer review assessment (the nurses doing the similar PG paper undergo OSCE)
Cheers,
Robyn Maude PhD, MA (Midwifery), BN, RM, RN Associate Director of Midwifery - Mondays, Tuesdays and alternate Wednesdays Capital and Coast DHB, Private Bag 7902, Wellington South, New Zealand Office - Level 4 - Clinical Services Block
(04) 3855999 ext. 5298
0274793826
Senior Lecturer - Alternate Wednesdays, every Thursday and Friday Graduate School of Nursing, Midwifery and Health, Victoria University of Wellington, P O Box 7625, Newtown, Wellington 6242 Office - Level 7, Clinical Services Block, Wellington Regional Hospital
04 463 6137; [log in to unmask]
-----Original Message-----
From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Susan Crowther
Sent: Tuesday, 4 June 2013 11:29
To: [log in to unmask]
Subject: Heart and lund assessments by midwives
Hi All
I was wondering if anyone is doing heart and lung assessments, including history taking and auscultation as part of well women booking assessments?
We were doing this in central London in the 90s (C and W) in the teams and wondered if anyone has published or done any work on this?
I am just starting to do some work around this here in NZ and wanted some leads. UG students here at AUT uni (Auckland NZ) get taught how to do this as part of their women's health paper that I am co-organiser for. However there is concern/resistance amongst some mws in practice about adopting this skill.
My argument is that women (in the NZ system at least) often book directly with a mw and may not see a medical practitioner including a GP for all their childbearing. This of course is great and I am not wanting in any way to diminish this approach. However there is growing asthma, TB and rheumatic fever in the population and it would seem pertinent that heart and lung checks with referrals are a skill that mws could embrace. I myself do this examination for the women I book along with other relevant WH assessmemts. I prefer to be fully aware of the woman's health when I book her, say at 8 weeks, as she will be in my care until
6 weeks postnatal and perhaps for subsequent pregnancies. The assessment is a process of confirming all is well and able to adapt optimally to the physiological demands in the childbirth year. Women of course can choose not to be assessed!
I am happy to be corrected or challenged on this but wanted to open the dialogue.
Cheers
Susan Crowther
Senior Lecturer
AUT University, Dept of Midwifery
Room AE116H Centre for Midwifery & Women's Health Research School of Health Care Practice Faculty of Health and Environmental Sciences
Tel: 09 921 9999 ext. 7558 Mobile phone: 021 229 4858 Private Bag 92006 Auckland 1020, NZ www.aut.ac.nz www.authealth.ac.nz
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