Your Name Diane Burns Your Discipline Family Trainee (Spina Bifida Coalition of Cincinnati Program Manager) Name of Clinic/Type of Clinic Fetal Care Center Provider(s) Observed Beatrix Wong, MS, LGC, Erin E. Hillman, MSW, LSW, Jody Petru, BSN, RN, Sammy M. Tabbah, MD, Jamie K. Capal, MD, Howard M. Saal, MD, FACMG, DonnaMaria E. Cortezzo, MD Observed Provider(s) Discipline Genetic Counselor, Social Work, Nursing, Maternal Fetal Medicine, Neurosurgery, Geneticist, Neonatology/Palliative Care Date/Time Observation 2/6/2018 9:45 AM – 12:30 PM, 3:30 PM – 5:00 PM team meeting My observation in the Fetal Care Center was intended to follow one family (Family A) through their day of appointments, starting with the Genetic Counselor, Social Worker, …show more content…
Although understandably overwhelmed, Family B appeared to comprehend the information reviewed by each specialist, reinforced by the MRI and ultrasound images shared, as each provider used the teach back method to evaluate the parents’ understanding and repeatedly asked if they had any questions. A folder of contact information for each specialist was offered that also included FAQ sheets on all medical diagnoses. Each of the physicians encouraged the parents to contact them with additional questions they might have following the meeting. As a parent, I think it would be helpful to also have contact information for a support group or family mentor who has a child with a similar diagnosis to address any concerns about quality of life for the child and family across the …show more content…
Lim, Surgical Director of the clinic, met with Family A prior to their team meeting scheduled for 4:30 PM. He entered the conference room alone and informed the team that the meeting was cancelled as the family had decided to terminate. I spoke with Drs. Cortezzo and Tabbah about the frequency of this outcome at the Fetal Care Center. Dr. Tabbah estimated that only about 3-5% of the patients seen here make the decision to terminate. The supposition is that they have come to the clinic for more aggressive treatment for the fetus and most terminations occur after the initial diagnosis by an obstetrician or community-based
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Introduction: Myelomeningocele , commonly known as Spina Bifida, is a birth defect in which the spinal cord does not develop properly due to incomplete closure of the neural tube at 28 days of gestation. The overlying bones and skin are incompletely formed and the underdeveloped area of the spinal cord is exposed on the surface of the back. It is the most common multicomplex birth defect affecting the central nervous system that results in permanent disability . With advances in treatment modalities, technologies and scientific breakthroughs, persons with spina bifida in the US are living well into adulthood. Myelomeningocele management includes life -long comprehensive neurologic, urologic, musculoskeletal , skin and habiliation management.
Measuring quality is a core activity in the process of quality assurance in health care. It aimed at identifying the gap between the actual performance and the desired standards as well as exploring areas for improvement or enhancement. (20) Such initial step should be followed by providing feedback to healthcare workers, training and supporting staff to undertake actions leading to a high quality hospital care.(20,22) Health care for children with CP delivered through a multidisciplinary team and requires effective interaction between parents, healthcare providers and community agencies with continuous assessment of the child's health and function and wellbeing of the family. Children with developmental disabilities are most likely to experience
This picture is describing the beautiful relationship between a child and mother. Smile on mother’s face shows how happy she is to hold her child in her arms. This picture is a close up and focusing on the facial expressions. Looking at the baby I perceive that he is feeling relaxed and safe in his mother’s lap.
For the color of the babies room I’d go with one soild color all around the room. I would do light colors such as a light purple, light blue, light gray, or a tan color. I wouldn’t have any bright colors because babys need to be able to sleep at any time of day and bright colors would be a distraction. I would have also have minimal bright colors in the room only because when the child is sleeping in the crib I don’t want them to be destracted while trying to sleep. As for toys I would have different shapes and size toys, soft and hard, fuzzy and squshy just to stimulat the babies thinking.
Joseph is a seven month -old infant, he is always smiling every time that I saw him. Joseph currently lives with his father, mother and older sister. Joseph was born premature by four weeks with the best care in the world joseph is slightly death in his left ear. Joseph now weights the size of an average seven-month-old infant. But prior to birth the doctors determine that he would be below the average weight at birth.
The career of a prenatal sonography technician can be very rewarding for those who decide to pursue it. Having a satisfaction of helping out a pregnant women through her journey. This may include performing ultrasounds to let the parents to be know what is the gender of the baby which for them is such an exciting
The doctor aborts the baby by ripping it apart with suction or stabbing it in the back of the head and the deed is done. No more baby. In the first scenario, the doctor used the absence of the heartbeat to determine death, indicating that while the heart was beating the victim was still alive.
For my first assigned patient, I was unable to watch the birth. However; the nursing staff at SRMC worked very hard to find another individual that wouldn’t mind having a student nurse in the labor and delivery. I was glad, I finally was able to watch a delivery and have a better understanding of the ways the operating room (OR) and OB work together to delivery a baby. Student will discuss in detail the type of delivery the patient had, any medical interventions done, how the patient progressed throughout the labor, the roles of the support person and specific cares and procedures done for newborn directly after delivery and for the hours after delivery. During my OB follow through, I was able observe a caesarean procedure on the patient.
It is vital that a woman receives prenatal care also known as preconception care prior to pregnancy. Regular checkups and conversations with her doctor is a part of prenatal care. Once a woman realizes she is pregnant it is essential for her to consume the proper nutrients. This is to ensure the fetus grows and receive wholesome nutrients to develop a proper birth weight.
Amniocentesis is a relatively safe procedure with minimal risk to the patient. With sterile technique, chorioamnionitis is seen in less than 0.1% of cases. Other infrequent complications include transient vaginal spotting or leakage of amniotic fluid. Patients should be counseled that if leakage occurs, it usually occurs within 48 hours and that fetal survival is greater than 90% in these cases. Pregnancy loss is the most serious and feared risk to an amniocentesis.
Efficacy And Safety Of Post-Cesarean Section Incisional Infiltration With Lidocaine Alone Versus Lidocaine And Epinephrine In Reducing Postoperative Pain: A Randomized Controlled double-blinded Clinical Trial Ahmed A. Tharwat (MD)*, Amr H. Yehia (MD, MRCOG)*, Karim A. Wahba(MD, MRCOG)*, Abd-ElRahman G. Ali (MSc.) ** * Department of Obstetrics and Gynecology Ain Shams University Maternity Hospital * * Department of Obstetrics and Gynecology Misr Al-Gededa Military Hospital Correspondence :
It is carried out by professionals. To end a pregnancy you have to take a pill. You do not have to give birth if you terminate the pregnancy before 24 weeks, you will just have a period. It is an unknown fact weather taking the abortion tablets hurts the embryo or foetus but no one remembers being inside their mothers uterus. The more people understand abortion the more reasons there are not to judge people for it.