recent trends, new developments, telenursing,new technologies, current practices.

1. CURRENT TRENDS IN
MIDWIFERY & OBSTETRICAL
NURSING
PRESENTED BY
Abhilasha Verma
Lecturer
Jhalawar Nursing College
B.Sc.NURSING PART- IV
MIDWIFERY & OBSTERICAL
NURSING
UNIT-1

2. GOALS TO BE ACHIEVED 2020
 Reduce the rate of Maternal mortality.
 Reduce the rate of fetal and infant death.
 Reduce preterm birth.
 Reduce cesarean births among low risk women.
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3. I. To Reduce The Rate Of Maternal Mortality.
New trends are-
1. The WHO near-miss approach.
2. Maternal Waiting home.
Three delays….
• Delay in seeking appropriate medical help
• Delay in reaching an appropriate facility.
• Delay in receiving adequate care.
Normal Morbidity
Severe
morbidity NEAR MISS Death
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4. WHO Criteria For Maternal Waiting
Home
• Parity 0 or >6
• History of perinatal death.
• History of operative or complicated delivery.
• Height < 150 cm.
• Hypertension.
• Diabetes & Anemia.
• Hydraminos.
• Preeclampsia toxemia.
• Non-cephalic presentation.
• Multiple pregnancy.
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5. 3. Post partum butterfly.
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It is a device designed to treat PPH through uterine
compression (Cunningham et al., 2017). It is less invasive
and less tiring than traditional Bimanual compression.

6. 4. Transvaginal Bakri Balloon replacement.
Non-surgical option, an intrauterine device indicated to
reduce or control PPH temporarily when conservative
treatment is warranted.
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7. II-To Reduce the rate of fetal and infant death
New trends-
 Wireless fetal monitoring using smart phone.
 Non invasive prenatal testing (Cell-free DNA
screening).
Vaginal seeding .
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8. Wireless Fetal Monitoring Using Smart Phone.
• Intermittent monitoring
Novii Wireless Fetal Heart
Rate.
• Continuous monitoring
Wearable device provide
continuous fetal monitoring
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9. Non-invasive Prenatal Testing (NIPT).
• Trisomy 21 (Down syndrome), trisomy 18 (Edwards syndrome), trisomy 13
(Patau syndrome) and monosomy X (Turner syndrome)
( Caramins & Chopra, 2014).
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10. Vaginal Seeding,
• Vaginal seeding refers to the practice of inoculating a cotton
gauze or a cotton swab with vaginal fluids to transfer the
vaginal normal flora to the mouth, nose, or skin of a the body
for newborn infant have been born by -C-section. To reduces
the risk of developing allergy, asthma, autoimmune disorders.
• Increase in the rate of cesarean delivery, increase in the
frequency of, atopic disease, and risk of autoimmune
disorders,(eczema, asthma and rhino conjunctivitis, obesity ,
diabetes and others) (Nierenberg, 2016)
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11. III- To Reduce Preterm Births
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12. New Trends Are
1. Maternal progesterone
supplementation.
2. Cerclage.
3. Treatment of intra-
uterine infection.
4. Prevent exposure to
cigarette smoking.
5. Improvement of
maternal nutrition.
6. Lifestyle modification to
ameliorate maternal
stress.
• Omega-3 fatty acid)
• (Research has confirmed
that adding Omega-3 to the
diet of pregnant women has
a positive effect on visual
and cognitive development
of the baby.
• Studies have also shown
that higher consumption of
omega-3 may reduce the
risk of allergies in infants
(National Institute of
Health, 2018).
WHO approach To reduce
preterm-
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13. New Technology in Maternity &
Newborn Health Nursing.
 Robotic Gynecological Surgery.
 The Vita HEAT during labour .
 Virtual reality( VR) relieve Labor Pains.
 Clearblue Digital pregnancy test.
 My Peri Tens device .
 A contraceptive computer chip (by Remote control)
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14. 1. Robotic Gynecological Surgery
 Robotics is a new field in surgery especially in
complex operations where movement is critical
(Shazly, et al., 2015).
 Capable of taking a patient's vitals, medical history
and updating medical records.
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15.  The robotic nurse plays an essential role in a successful
robotic surgery. As part of the robotic surgical team, Each
one of the robotic nursing team “nurse coordinator, scrub-
nurse and circulating-nurse” has a certain job description to
ensure maximum patient's safety and robotic surgical
efficiency.
 Well-structured training programs should be offered to the
robotic nurse to be well prepared.
Uses
 Hysterectomy & tubal ligations.
 Removal of fibroid tumors & Myomectomy.
 Removal of ovarian cysts & ovarian tumors.
 Infertility surgery
 Endometriosis surgery
 Genital Prolapse surgery
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16.  The Vita HEAT is a portable system that moves with
the woman throughout entire labour and delivery
process.
 Portable, under-body system delivers warmth and
helps improve women satisfaction &comfort. Also,
use as non-pharmacology pain relieve.
The Vita HEAT during labor
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17. • Virtual reality (VR) is one of the newest non-
pharmacological labor pain management
(Frey et al., 2018).
• VR is a new the technology can help patients learn
pain management skills like breathing exercises,
meditation, and visualization.
Virtual Reality(VR) Eases Labor
Pains
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18. • Using VR to distract from the pain is completely
drug-free, and research has proven effectiveness of
VR during labor.
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19. 3.My Peri Tens device
• Kegel exerciser and muscle stimulator for women to
strengthen pelvic floor and post-partum complications
• Pelvic floor trainers: helps women prevent bladder leaks,
urges to urinate, urinary incontinence, and other pelvic floor
issues.
• Better bladder control: Regain and maintain bladder control
women of all ages and sizes can avoid bladder leaks.
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20. Clearblue Digital pregnancy test
• Clearblue Digital Pregnancy Test is a highly effective and
advanced digital pregnancy test. It is more than 99% accurate
at detecting fertility (Johnson et al., 2015).
• the first one-step home ovulation test, enabling women to
measure their surge in Luteinising Hormone (LH) to determine
their most fertile days.
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21. Remote control
A contraceptive computer chip
 A contraceptive computer chip that can be controlled
by remote control has been developed
(Dave Lee, 2018).
 The chip is implanted under a woman's skin, releasing a
small dose of levonorgestrel, releasing the 30 mcg dose
into the body for 16 year. daily.
 Safe, effective, long-term birth control.
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22. TELEMEDICINE / TELENURSING
Distribution of health services via electronic
information and telecommunication during high-risk
pregnancy including:
● Electronic medical record (EMR) consultations:
● Genetic counseling:
● Videoconferencing:
● Virtual rounding: Being at an inpatient’s bedside
across the state through mobile device technology.
● Tele-nursing via interactive video discussions.
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23. OTHER TRENDS
1. Vital statistics
2. Community based care
3. Shorter hospital stay
4. Patient involvement and self care
5. Stress management
6. Planned parenthood
7. Social support groups.
8. Age specified sexual education.
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24. THANK YOU
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