Wednesday, August 20, 2008
Introducing Rosalind
Hi All,
My name is Rosalind, I have been a Midwife now for 2 years and enjoying every minute of it.....well, most of the time :-)..
I live on a rural property no too far away from Nelson, and tend to look after women who also reside in this area. My caseload is fairly full at present, coming up to spring time I suppose.
One lady who I have come to look after, and who doesn't live too far away from me either, is Diana. She is a 26 year old Gravida 2, Para 0, currently at 14 weeks gestation. I met with herself and her partner Dave at the booking appointment last week..They seem like neat people. Totally in to living off the land, and enjoying a natural lifestyle, something I like too.
Part of my initial assessment was establishing a relationship with them, and working out their wishes for their pregnancy. They appear to be a very "close" couple and care for each others well being. That's why I call it "their" pregnancy. Afterall, it is their baby, and Diana appears to involve Dave in her decision making.
I have recieved Diana's booking blood results back. HHmmm....haemoglobin 110g/L and Ferritin 9ug/L..... I am aware that this family are vegans, and pretty much live off their own produce, which is great, however she does not consume dairy products.
They also have a son called Peter.
My concerns...
-Is Diana still breastfeeding Peter? Dave mentioned "all that breastfeeding". Also, how old is Peter?
-How involved is Diana in handling of animals on the farm? Such as newborn lambs?
-Does she have allergies?, paticularly to bee stings, as they have a few hives on site.
-Diana's overall responsibility on the farm, now that she is pregnant.
-Vegan diet. Such as Iron and ferritin status, her individual nutritional requirements, including calcium and vitamin D.
-Her physical appearance. Diana appears tired, pale and lethargic. She's quite a petite lady, with peeling nails, and white spots all over the nail beds.
I won't phone her to discuss these results, I'd like to see her and Dave, and discuss options face to face. I'd also like to give her some easy to read info. about diet and recipe suggestions, and most of all, explain these blood results to both of them. 4 ears are better than 2! I'll phone them later today, as I am in clinic till around 5pm.
My name is Rosalind, I have been a Midwife now for 2 years and enjoying every minute of it.....well, most of the time :-)..
I live on a rural property no too far away from Nelson, and tend to look after women who also reside in this area. My caseload is fairly full at present, coming up to spring time I suppose.
One lady who I have come to look after, and who doesn't live too far away from me either, is Diana. She is a 26 year old Gravida 2, Para 0, currently at 14 weeks gestation. I met with herself and her partner Dave at the booking appointment last week..They seem like neat people. Totally in to living off the land, and enjoying a natural lifestyle, something I like too.
Part of my initial assessment was establishing a relationship with them, and working out their wishes for their pregnancy. They appear to be a very "close" couple and care for each others well being. That's why I call it "their" pregnancy. Afterall, it is their baby, and Diana appears to involve Dave in her decision making.
I have recieved Diana's booking blood results back. HHmmm....haemoglobin 110g/L and Ferritin 9ug/L..... I am aware that this family are vegans, and pretty much live off their own produce, which is great, however she does not consume dairy products.
They also have a son called Peter.
My concerns...
-Is Diana still breastfeeding Peter? Dave mentioned "all that breastfeeding". Also, how old is Peter?
-How involved is Diana in handling of animals on the farm? Such as newborn lambs?
-Does she have allergies?, paticularly to bee stings, as they have a few hives on site.
-Diana's overall responsibility on the farm, now that she is pregnant.
-Vegan diet. Such as Iron and ferritin status, her individual nutritional requirements, including calcium and vitamin D.
-Her physical appearance. Diana appears tired, pale and lethargic. She's quite a petite lady, with peeling nails, and white spots all over the nail beds.
I won't phone her to discuss these results, I'd like to see her and Dave, and discuss options face to face. I'd also like to give her some easy to read info. about diet and recipe suggestions, and most of all, explain these blood results to both of them. 4 ears are better than 2! I'll phone them later today, as I am in clinic till around 5pm.
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