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OverviewThe key findings and recommendations of the Confidential Enquiries summarized in a clear, simple and accessible way, emphasizing the implications for clinical practice. Within Adverse Outcomes in Maternity Care there is a reference to the HELPERR mnemonic devised by the Advanced Life Support in Obstetrics (ALSO)(page 106). The reference is meant to inform the reader of the benefits of using mnemonics in emergency care, but also to direct readers to further reading. A more comprehensive table suggested by ALSO is shown below: Table 6.2 HELPERR Mnemonic A. Help 1. Call for Help B. Episiotomy 1. Evaluate for episiotomy C. Legs 1. Position legs using McRoberts Manoeuvre for 30-60 seconds D. Pressure applied over suprapubic area 1. Oblique downward and anterior pressure for 30-60 sec E. Enter 1. Position hands a. Two fingers on the posterior aspect of the anterior shoulder b. Two fingers on the anterior aspect of the posterior shoulder 2. Rubin Manoeuvre: Rotate counter-clockwise for 30-60s 3. Wood-Screw Manoeuvre: Rotate clockwise for 30-60 sec F. Remove the posterior arm G. Roll the patients to hands and knees If this does not succeed, proceed to the Enter manoeuvre again, but with the woman in the all fours position Avoid A. Fundal pressure B. Excessive traction C. Twisting or bending neck Erratum. The sentence on page 107 should read: The use of the 'HELPER' mnemonic (Table 6.2) may be a good method in ensuring a co-ordinated multi-disciplinary response to vaginal breech deliveries shoulder dystocia. This sentence should be placed at the end of the section on shoulder dystocia (page 105) Full Product DetailsAuthor: Grace Edwards (Consultant Midwife in Public Health, Liverpool Women's Hospital, Liverpool)Publisher: Elsevier Health Sciences Imprint: Books for Midwives Dimensions: Width: 13.80cm , Height: 0.40cm , Length: 21.60cm Weight: 0.240kg ISBN: 9780750687898ISBN 10: 0750687894 Pages: 160 Publication Date: 03 June 2004 Audience: Professional and scholarly , Professional & Vocational Format: Paperback Publisher's Status: Active Availability: Manufactured on demand  We will order this item for you from a manufactured on demand supplier. Table of ContentsChapter 1 Introduction Local national and international trends in perinatal and infant mortality History of the Confidential Enquiries Work of CESDI, CEMD, and CNST Past programmes of the confidential Enquiries Future programmes. Chapter 2 Introduction Antenatal care Trends in stillbirths within England Wales and Northern Ireland The antenatal stillbirth Confidential Enquiries Suboptimal factors Recommendations Paediatric Post mortems Chapter 3 Introduction Intrapartum care The intrapartum Confidential Enquiries. Suboptimal factors Recommendations Chapter 4 Introduction Neonatal care Survival rates of premature babies Project 27 - 28 Confidential Enquiries Suboptimal factors Recommendations Chapter 5 Introduction Rare adverse advents in maternity care Ruptured uterus Shoulder dystocia Breech birth Home birth Suboptimal factors Recommendations Chapter 6 Introduction Sudden Unexplained deaths in Infancy SUDI Confidential Enquiries Suboptimal factors Recommendations Chapter 7 Introduction Confidential Enquiries into maternal deaths Recurrent themes Suboptimal factors Recommendations Chapter 8 Introduction Changing practice Clinical negligence scheme for trusts Clinical governance Organisational change Changing practice Chapter 9 Conclusion Summary and statisticsReviewsAuthor InformationTab Content 6Author Website:Countries AvailableAll regions |
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