F06-1 Optimizing the Chance of Vaginal Birth - A Quality-Based Procedure
Authors: Doreen Day MHSc; Jane Wilkinson BSc, MD, FRCSC, CSPE; Lucy Gilmore RN, BScN, MScN
Presenters: Jane Wilkinson and Lucy Gilmore, Toronto ON
Purpose: To review the clinical recommendations for a Quality-Based Procedure related to Low-Risk Birth.
Learning Objectives:
- Understand the variation in caesarean section rates for the low-risk pregnant woman across hospitals in Ontario.
- Describe accepted best practices that promote vaginal birth.
- Identify how individual health care providers within the interprofessional team can help optimize the chance of a vaginal delivery for the low-risk pregnant woman.
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F06-2 Management of the Occiput Posterior Position in Labour
Author: Kim Campbell RM, RN, MN
Presenter: Kim Campbell, University of British Columbia, Vancouver BC
Purpose: Occiput posterior is the most common malposition in labour and is associated with an increase in intrapartum interventions. This presentation reviews the evidence for the prevention, diagnosis and management of occiput posterior position during labour.
Learning Objectives:
- Define and describe how to identify occiput posterior in labour.
- Describe the risks associated with occiput posterior position in labour.
- Describe the evidence for prevention, diagnosis and management of a fetus presenting in an occiput posterior position in labour.
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F06-3 Prevention of Bladder Injury and Promotion of Bladder Health during the Intrapartum and Postpartum Periods
Authors: Cynthia Mann RN, MN, MHA, IBCLC PNC(C); Teri-Lyn Holm-Laursen RN, BScN
Presenters: Cynthia Mann and Teri-Lyn Holm-Laursen, IWK Health Centre, Halifax NS
Purpose: To share what is currently known about bladder care and risk to bladder health during the intrapartum and postpartum periods. The nursing care and interventions that support bladder health and promote recovery after bladder distention injuries will be presented along with the change management strategies that accompanied this quality improvement initiative.
Learning Objectives:
- Understand the risk factors and actions that lead to bladder distention and voiding dysfunction.
- Describe bladder assessment and interventions that prevent bladder injury and promote healing after bladder distention.
- Identify tools to implement change in the management of bladder health during both the intrapartum and postpartum periods to avoid complications, including voiding dysfunction.