Testing :smile emoticon.

Testing :smile emoticon.

Smilies

So Very Posh has automatic smilies for me to play with. I’ve always wanted to do that.

Write a better weblog

A List Apart: How to Write a Better Weblog provides advice on how to write a better weblog. The purpose of my weblog is for my benefit, and a readership is a bonus but not my objective. This should be apparent in the frequency and content.

Primary Facility

L*'s birth yesterday was great for wetting my feet again and getting used to the Birthing Unit.
L* was in labour with her second baby. On visiting her at home she was found by B* to be 3 cm dilated with a very soft cervix and contractions were regular and lasting for more than 60 seconds. I hadn't met L* previously, but she was happy for me to be there.

We drove into the hospital and set things up for when L* arrived. I have quite a learning curve ahead in getting oriented to the processes of a different unit to where I am used to working.

On a subsequent examination baby was still high, and B* did an artificial rupture of membranes. When she said the head was still high I offered to apply fundal pressure. A small amount of clear fluid leaked.

The intensity of contractions slightly increased and L* was wanting to try entonox. This provided some relief. L* was upright and walking throughout first stage.

B* determined second stage commencing from L*'s uncontrollable urge to push. Her pushing was not as effective as it could have been. L* was standing, leaning into the raised bed. So a change of location to the toilet was suggested. Pushing in this position was very effective and after about 4 contractions the baby's head started to stretch the perineum.

It was certainly awkward having the birth in the confined space of the toilet, but cleaning up afterwards was much easier.

Itching

ITCHING

Pruritus - the symptom of itching

Anderson, K.N. & Anderson, L.E. (1998). Mosby's pocket dictionary of medicine, nursing, and allied health. Missouri, USA: Mosby.

Pruritis gravidarum - unique to pregnancy as the result of elevated oestrogen and progesterone levels. Onset in the third trimester. No lesions on the skin.

Candida - fungal skin infection in skin folds, under the arms and breeasts.Round, blotchy areas of redness

Toxemic rash of pregnancy - Red, elevated itching hives on the skin of the abdomen, but unrelated to pre-eclampsia.

Papular dermatitis of pregnancy - eruption of highly itchy hives over the entire skin surface. Lesions 3 - 5mm in diameter and do not occur in clusters.

Pruritic urticarial papules - Late in the first pregnancy, itchy pimply skin eruption presenting with oedema and redness on the abdomen and in stretch marks. Not harmful and will disappear postpartum.

Herpes gestationis - Onset signalled by fever, hot and cold sensations, malaise, nausea, headache and itching. Lesions start as a red rash on the abdomen and usually disappear by 6 months after birth.

Pruigo gestationis - Benign lesions which appear as raw, itchy, non-blistering papules on the arms and legs during the second half of pregnancy.

Frye, A. (1998). Holistic Midwifery: Care during pregnancy. Oregon: Labrys Press.

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DATE: 11/14/2004 12:11:00 am

Biblioscape - Reference Management Software

Biblioscape - Reference Management Software, and the Express version is free and fits on a floppy.

I think I need a

I think I need a new header. I have to work on the ViP Creations layout, so I might redo this header as well.

NessieBoard is back up. I

NessieBoard is back up. I ended up reinstalling it because of the permission reset by Aletia.

A Goddess is You Vivaciously

A Goddess is You

Vivaciously Alluring Notable who Encourages Seriously Serene Admiration sounds just about right