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Current trends in midwifery &; obstetrical nursing

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

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Current trends in midwifery &; obstetrical nursing

  2. 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. 2ABHILASHA VERMA
  3. 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 3ABHILASHA VERMA
  4. 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. 4ABHILASHA VERMA
  5. 5. 3. Post partum butterfly. 5ABHILASHA VERMA 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. 6. 4. Transvaginal Bakri Balloon replacement. Non-surgical option, an intrauterine device indicated to reduce or control PPH temporarily when conservative treatment is warranted. 6ABHILASHA VERMA
  7. 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 . 7ABHILASHA VERMA
  8. 8. Wireless Fetal Monitoring Using Smart Phone. • Intermittent monitoring Novii Wireless Fetal Heart Rate. • Continuous monitoring Wearable device provide continuous fetal monitoring 8ABHILASHA VERMA
  9. 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). 9ABHILASHA VERMA
  10. 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) 10ABHILASHA VERMA
  11. 11. III- To Reduce Preterm Births 11ABHILASHA VERMA
  12. 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- 12ABHILASHA VERMA
  13. 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) 13ABHILASHA VERMA
  14. 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. 14ABHILASHA VERMA
  15. 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 15ABHILASHA VERMA
  16. 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 16ABHILASHA VERMA
  17. 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 17ABHILASHA VERMA
  18. 18. • Using VR to distract from the pain is completely drug-free, and research has proven effectiveness of VR during labor. 18ABHILASHA VERMA
  19. 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. 19ABHILASHA VERMA
  20. 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. 20ABHILASHA VERMA
  21. 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. 21ABHILASHA VERMA
  22. 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. 22ABHILASHA VERMA
  23. 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. ABHILASHA VERMA 23