Managing post dates pregnancy and OP labours


This workshop will focus on how midwives can best work with women who present with challenges: where the pregnancy has gone beyond the estimated due date, and/or where the baby is presenting in an occipito-posterior position. The evidence for current management of these scenarios will be explored along with methods of communicating useful and relevant information to women as a basis for informed decisions.

The "due date" is a fundamental marker in a woman's pregnancy. The care she receives will be anchored to this date, calculated by various methods and recorded as though it is a predictable milestone. The significance of this date is enormous: it can determine care options, determine women's choices, shape the style of care she will receive and impact on birth outcomes for women and their babies. Going "overdue" can carry significant risks of intervention and being "early" also predisposes the baby to medicalised care. For midwives, keeping birth normal often means working around the "due date" with women and care providers and developing a range of strategies and care plans that will work in a risk-averse world.

When babies present in the occipito-posterior position, labour is usually longer, more painful and tiring, with women frequently opting for epidurals as a "way out". This kind of labour, whilst hard and difficult for women, has its own rewards and enabling a mother to achieve a natural birth in this curcumstance requires patience, insight and skills from the midwives at her side. This is not a complicated labour, just a variation, and one that can be viewed as a unique opportunity to realise one's full potentials, both for the labouring woman and the midwife assisting her.

Aims:

This program aims to:

Post dates pregnancy:

  • Explore the concepts of “due date”, “post dates” and “post term” and their implications for women and midwives.
  • Examine the research evidence that supports and challenges these concepts.
  • Consider the practical strategies around expectant management and induction of labour

Occipito posterior labour:

  • To explore the issues of occipito-posterior labour and previous caesarean birth and their effects on labour.
  • To examine the culture of contemporary practice surrounding OP and VBAC labours.
  • To review current statistics and local practices around birth after caesarean.
  • To develop practical strategies for managing these kinds of labours.

Learner outcomes:

Through participation in this program, midwives will be able to:

Post dates pregnancy:

  • Describe the implications of constructing definite time frames for gestation
  • Identify strategies for use with women anxious about being “overdue”
  • Describe the difference between post dates and post term pregnancy
  • Examine the evidence provided by contemporary research and its implications for the management of pregnancy
  • Explore communication strategies to facilitate informed decision-making
  • Provide examples of best care for women who choose not to be induced.

Occipito-posterior labours:

  • Critically examine the information given to women
  • Collated a toolkit of practical labour support strategies
  • Developed effective communication skills to use with women and colleagues regarding OP labours.

Continuing Professional Development Points

Awarded 6 CPD points by the Australian College of Midwives.

Program:

FULL PROGRAM PDF

Facilitator:

 LYNNE STAFF


Cost:
$240 - Includes lunch, refreshments, workshop folders and notes.
Student discounts
available

 Registration: 

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Save $40!

Workshop numbers limited.

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