By Helen Baston; Jennifer Hall
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This chapter will focus on factors that impact on both the woman’s health and that of her developing baby. Issues that relate speciﬁcally to emotional wellbeing and mental health will be considered in Chapter 6. Health in pregnancy One rationale for achieving a healthy lifestyle during pregnancy is to maximize the likelihood of having a healthy baby and to avoid inadvertently harming the baby by being unaware of potentially hazardous behaviour. Women need information so that 39 Midwifery Essentials Antenatal Activity Activity Find out what information is available for women regarding health in pregnancy, in your locality.
35 Midwifery Essentials Antenatal Resources Department of Health: http://www. htm. uk/. homebirth. uk/. uk. pdf. pdf. uk/questions/smokingand-pregnancy/. uk/. References Bardy AH, Seppala T, Lillsunde P, et al: Objectively measured tobacco exposure during pregnancy: neonatal eﬀects and relation to maternal smoking, British Journal of Obstetrics and Gynaecology 100(8):721–726, 1993. Conﬁdential Enquiry into Maternal Deaths (CEMD): Why mothers die 1997–1999. The ﬁfth report of the conﬁdential enquiry into maternal deaths in the United Kingdom, London, 2001, RCOG.
Use the jigsaw model to explore the issues raised in each scenario. Scenario 1 Mary is a 43-year-old mother of two grownup children who discovers she is pregnant. She is recently divorced and is seeing a man she does not intend staying with. She is unsure about whether to continue with her pregnancy and goes to the GP for advice. He refers her to the community midwife for a home booking visit. Practice point Further questions speciﬁc to Scenario 1 include: 1. Has the GP asked Mary if she wants to continue with the pregnancy?
Antenatal by Helen Baston; Jennifer Hall