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A model for empowering women in decision making
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*Women plan for good outcomes
PROBLEM: Define the problem *Women plan for good outcomes *Find it difficult to consider the unexpected *Labour does not always go to plan *Leaves them vulnerable with a sense of being out of control Problem: Define the problem
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PROBLEM: Women feel out of control
You need an ultrasound! You need an induction! You need a cesarean! You need an episiotomy! You need bedrest! You need a vaginal exam! You need your waters broken! You need support! You need to have the baby now! Problem: Women feel out of control
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I need to feel EMPOWERED!!!
PROBLE: Women feel out of control I need to feel EMPOWERED!!! Problem: Women feel out of control
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Teach them a simple tool that is…
PROBLEM: Women feel out of control HOW CAN YOU HELP? Teach them a simple tool that is… memorable easy to use adaptable to different situations
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M P O W E R inute – have we got one? lans – what were they?
PROBLEM: Women feel out of control M P O W E R inute – have we got one? lans – what were they? ptions – what are they now? ait – how long for? valuate – pros and cons? each a decision! Copyright 2005 All Rights Reserved
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M P O W E R Amniotic fluid too low inute – have we got one?
PROBLEM: Women feel out of control M P O W E R inute – have we got one? valuate – pros and cons? ait – how long for? lans – what were they? each a decision! ptions – what are they now? CASE STUDY 1 Amniotic fluid too low Doctor recommends an induction the following day. Client asked doctor how long he was comfortable waiting – was advised that he was happy to wait another week provided she have regular checkups to measure fluid levels every 2-3 days. Client went into spontaneous labor 4 days later and had a normal vaginal birth.
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M P O W E R Doctor warns: labor too slow! inute – have we got one?
PROBLEM: Women feel out of control M P O W E R CASE STUDY 2 inute – have we got one? Doctor warns: labor too slow! lans – what were they? Caregiver recommends speeding up birth with oxytocics. Client reviewed her original plans – a drug free birth. She asked the caregiver how he felt about using alternatives and explored several ideas. Caregiver was comfortable waiting a further 4 hours and then reviewing again. Client chose the shower for privacy after eating and drinking Labor progressed smoothly after this and her baby was born 3 hours later. ptions – what are they now? ait – how long for? valuate – pros and cons? each a decision!
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M P O W E R Fears for yellow baby inute – have we got one?
PROBLEM: Women feel out of control M P O W E R inute – have we got one? valuate – pros and cons? ait – how long for? lans – what were they? each a decision! ptions – what are they now? CASE STUDY 3 Fears for yellow baby Doctor recommends the use of phototherapy and extra fluids. Client discussed options with doctor and, after reviewing them, decided to go ahead with phototherapy. She arranged for the baby to be given the treatment at her bedside and was able to maintain breastfeeding. The baby’s bilirubin levels reverted to normal within 24 hours and mother and baby were discharged.
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M.POWER There are no right or wrong answers
PROBLEM: Women feel out of control M.POWER There are no right or wrong answers Each decision becomes the right one for the mother Takes an assertive approach to decision making Involves the caregiver Woman Centered
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