One of the patients in the Midwifery Department was a girl under 16 years old. This particular patient came with significant problems of health related, social, family, and economic character – the patient came from a poor family and low income of her parents did not allow her to nourish in the appropriate way during her pregnancy.
The patient did not have any stable social background – from her words it was established that she did not have many friends at school and that a lot of time was spend on the street walking with adolescents who were older than she was.
After the admission the patient’s general health was examined, she was given preclinical and clinical diagnosis, as well as prognosis and therapeutic approach. A range of medication was prescribed in order to maintain the normal and balanced development of the fetus and provide the necessary nourishment for both.
A range of interventions were taken to establish preclinical and clinical maternal-fetal balance in order to complete the birth either by extracting the baby by caesarean section or by the low, vaginal path. A set of tests were taken in order to deal with the local genital pelvic compliance and great discernment fetal conditions.
The patient was provided by the service of the doctors and midwives who were considered to be the most qualified in the health care setting because in such difficult cases both outcome for the mother and for the baby is determined by experience of the obstetric team, correct evaluation of the case, and also a range of features which are related to the process of parturition.
Obstetricians were available for the patient all the time in order to assess the risk to which the mother and the baby are exposed and take the necessary actions. They also used numerous diagnosis methods in order to perform some interventions which were aimed at prevention by application of rational methods.
All the interventions were made taking into account the age of the patient and also lack of psychological preparation to the pregnancy, the process of giving birth to a baby and taking care about it (Braila et al., 2012).
Such time spending resulted in her pregnancy, and the reaction of her family was negative – difficult relations became even worse after her parents got to know about the coming of the baby.
Despite the fact that a team of doctors were available for the patient all the time, a lot of work was performed by the registered nurses. The work required demonstrating advanced knowledge of numerous aspects which are related to human sciences and also diagnostic reassigning skills.
The patient was monitored nearly all the time in order to differentiate between any findings of normal, abnormal conditions and their variations. It was also one of the duties of the registered nurse to asses all health care problems of the patient using only data available (it was given by the patient and her previous health care records which were not stable as well).
One more duty was to make …