Clinic day, #2
My second clinic day. Busy, but not as crazy as last week. I had time to spend with each client, nice and relaxed.
One first time mom asked about what kinds of complications she may encounter with delivery and what our management would be, both in home and hospital. I went through each of the most common complications and our management. She wanted to know the particulars of each, and it didn't seem to bother her to talk about complications (some moms would rather not know). So I went through some common ones: prolonged labour, non-reassuring fetal heart tones, post-partum haemorrhage, shoulder dystocia, and neonatal resuscitation. I felt the need to assure her that she could call if she had questions - I had given her a lot of information to process in a short time, and I wanted to give her the freedom to call if a question came up.
I had an intake with a client who is already past the midpoint of pregnancy and is a teenager. She has been seen before in a walk in clinic but has had no care other than that, since she only told her mom 2 weeks ago. Very small girl, but has hidden the pregnancy very well. She also had never had a vaginal exam before, so I decided to postpone the usual pap and vaginal examination until next visit, as she seemed intimidated enough with me simply taking her blood pressure and simple palpation. I told her that we would do that next time, so she can be prepared for it. I am seeing her again in two weeks, since she has come into care late and we need to catch up on all there is to talk about! I find myself using language that a more educated person would use and I have to remember that she isn't out of high school yet...
Other than those, just the usual: happy, healthy moms!
One first time mom asked about what kinds of complications she may encounter with delivery and what our management would be, both in home and hospital. I went through each of the most common complications and our management. She wanted to know the particulars of each, and it didn't seem to bother her to talk about complications (some moms would rather not know). So I went through some common ones: prolonged labour, non-reassuring fetal heart tones, post-partum haemorrhage, shoulder dystocia, and neonatal resuscitation. I felt the need to assure her that she could call if she had questions - I had given her a lot of information to process in a short time, and I wanted to give her the freedom to call if a question came up.
I had an intake with a client who is already past the midpoint of pregnancy and is a teenager. She has been seen before in a walk in clinic but has had no care other than that, since she only told her mom 2 weeks ago. Very small girl, but has hidden the pregnancy very well. She also had never had a vaginal exam before, so I decided to postpone the usual pap and vaginal examination until next visit, as she seemed intimidated enough with me simply taking her blood pressure and simple palpation. I told her that we would do that next time, so she can be prepared for it. I am seeing her again in two weeks, since she has come into care late and we need to catch up on all there is to talk about! I find myself using language that a more educated person would use and I have to remember that she isn't out of high school yet...
Other than those, just the usual: happy, healthy moms!
posted by Stork at 4:03 PM
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