MATERNITY SERVICES GUIDELINE POSTPARTUM BLADDER CARE. Sandra Reading, Women s CAG Deputy Director
|
|
- Abel Arnold
- 8 years ago
- Views:
Transcription
1 MATERNITY SERVICES GUIDELINE POSTPARTUM BLADDER CARE Sandra Reading, APPROVING COMMITTEE(S) Women s CAG Date approved: Deputy Director EFFECTIVE FROM 9 th September 2013 DISTRIBUTION All staff in the maternity service Intranet RELATED DOCUMENTS Care of Women in Labour Guideline Postnatal Care Guideline STANDARDS OWNER AUTHOR/FURTHER INFORMATION SUPERCEDED DOCUMENTS 9 th September 2013 NICE (2006) Routine Postnatal Care of Women and their Babies. London: NICE. CNST Clinical Risk Management Standards for Maternity Services ( ) (Criterion 5.7) Sandra Reading, Women s CAG Deputy Director Mr. A. Antoniou, Consultant Obstetrician and Bladder Care in Labour and the Postnatal Period, Barts and the London NHS Trust, (February 2010) Bladder Care in the Antenatal, Intrapartum and Postpartum Period, Whipps Cross University Hospital NHS Trust (November 2010) Care of Urinary Bladder in Labour and following Delivery, Newham University Hospital NHS Trust (November 2011) REVIEW DUE September 2016 KEYWORDS Bladder, postnatal, urine, catheter Forms/AllItems.aspx?RootFolder=%2FBHFileshare%2 FShared%20Documents%2FAll%20Trust%2FLocal%2 INTRANET LOCATION(S) 0Policies%20and%20Procedures%2FWomen%27s%2 FBH%20Women%27s%20CAG%20new%20policies&I nitialtabid=ribbon%2edocument&visibilitycontext=w SSTabPersistence CONSULT ATION Barts Health Barts and the London unit (BLT) Women s CAG Quality, Safety and Assurance Committee Mr. M. Hogg - Consultant Obstetrician and Page 1 of 7
2 Newham University Hospital unit (NUH) Whipps Cross University Hospital (WX) External Partner(s) Mr. A. Antoniou - Consultant Obstetrician and Miss. S. Thamban - Consultant Obstetrician and Not applicable SCOPE OF APPLICATION AND EXEMPTIONS Included in policy: For the groups listed below, failure to follow the policy may result in investigation and management action which may include formal action in line with the Trust's disciplinary or capability procedures for Trust employees, and other action in relation to organisations contracted to the Trust, which may result in the termination of a contract, assignment, placement, secondment or honorary arrangement. All Trust staff, working within or for the maternity service in whatever capacity All agency staff, students midwives, student nurses and doctors in training working within the maternity service Exempted from policy: The following groups are exempt from this policy Non-maternity staff TABLE OF CONTENTS POSTPARTUM BLADDER CARE 3 1 INTRODUCTION 3 2 PROCESS 3 3 MONITORING THE EFFECTIVENESS OF THIS POLICY 6 Appendix 1: Change Log 6 Appendix 2 Impact assessments 7 Appendix 3 Additional guidance and information 7 Page 2 of 7
3 POSTPARTUM BLADDER CARE 1 INTRODUCTION 1.1 This guideline has been developed to optmise bladder health post delivery for all women, in order to reduce the risks of urinary retention which if undetected can lead to long term voiding problems, recurrent urinary tract infections and incontinence. 1.2 Within the first hours following delivery women should pass copious amounts of urine. This diureses rapidly reduced the plasma volume. Micturition following delivery may be difficult for some women and the bladder can be become over distended. If this is not dealt with promptly, over distension of the bladder can lead to long term bladder dysfuntion. Urinary retention with bladder distension should be avoided. Bladder sensation may be temporarily affected by childbirth and/or regional anaesthesia, so lack of sensation does not indicate that the bladder is not full. Multiple voids may also suggest a degree of urinary retention. Midwives should establish whether any woman is experiencing pain or difficulty passing urine postnatally. Over distention can cause permanent damage to the bladder muscle and function 2 PROCESS 2.1 Intermittent catheterisation is prefereable to indwelling catheters as it has been demonstrated to be associated with lower rates of urinary tract infection whilst encouraging normal bladder function. An aseptic has been shown to further reduce the risk of urinary tract infections (UTI s). 2.2 Women wih high risk conditions e.g. Pre-Eclampsia or Massive Postpartum Haemorrhage who remain on Delivery Suite will have an individualised care plan. 2.3 Operative delivery, prolonged labour, traumatic delivery, dense epidural/spinal anaesthesia may predispose to postpartum urinary retention, even minor perineal tears or an episiotomy can put women at increased risk. 2.4 Women who have had spinal/epidural analgesia or an operative vaginal delivery in theatre as a trial may be at increased risk of urine retention and should be offered an indwelling catheter to be kept in place for at least 12 hours following delivery to prevent asymptomatic bladder overfilling (allow reasonable amount of flexibility to suit the woman). 2.5 Encourage women to void after delivery. Women should have voided within 6 hours of last bladder emptying (spontanoues/catheterisation). The time and ideally the volume of the first void must be recorded in the maternal health record. Ideally this should be documented in the designated first urinary void section in the maternal postnatal notes (purple) or in the labour record (yellow notes). Page 3 of 7
4 2.6 A post void residual urine should be measure if retetnion is suspected. 2.7 If an indwelling catheter is in situ for over 48 hours, obstetric review is required prior to removal and catheter specimen urine (CSU) collected for microscopy, culture and sensitivities (MCS). 2.8 The time of removal of the indwelling catheter should be recorded in the maternal postnatal notes. 2.9 See Flow Chart 1 for management of urinary retention which should be instigated 6 hours post birth or catheter removal or if a woman reports passing small, frequent volumes of urine involuntarily. Page 4 of 7
5 Flowchart 1: Postnatal Management Plan for Urinary Retention Monitor by eliciting feedback from the mother and encourage adequate fluid intake and balanced diet to avoid constipation. No void after 6 hours of the birth or catheter removal or woman reports passing small, frequent volumes of urine involuntarily. Midwife to refer to member of the obstetric team Appropriately trained midwife, member of the obstetric team, or continence advisory nurse to confirm retention or residual volume with Ultra Sound Scan (USS) In-Out Catheter Measure residual volume and document. Send mid-stream urine (MSU) for MCS. Assess pain relief Inspect perineum if vaginal birth Measure volume of next void and record on fluid balance chart No void after 4 hours or abdominal discomfort or voiding volumes <150ml Catheterise with indwelling Foley Catheter Residual volume on catheterisation less than 500ml 24 hour Indwelling Foley Residual volume on catheterisation 500ml to 800ml 48 hour indwelling Foley Catheter REMOVE CATHETER MEASURE NEXT VOID AND SCAN BLADDER IN DAY TIME HOURS Residual urine remains high Refer to Continence Nurse for teaching of intermittent catheterisation Residual volume on catheterisation >800mls indwelling Foley Catheter until seen at Urology Nurse Outpatient trial without catheter (TWOC) appointment. Can be discharged home. Refer to UroGynaecology Clinic Refer to Obstetric team Page 5 of 7
6 3 MONITORING THE EFFECTIVENESS OF THIS POLICY Issue being monitored Monitoring method Responsibility Frequency Reviewed by and actions arising followed up by Recording of the time of the first void in the postnatal record. Audit of 400 of women who have delivered Postnatal Clinical Lead Midwives Quarterly Women s CAG Quality, Safety and Assurance Committee Appendix 1: - Change Log Substantive changes since previous version Change Log Postpartum Bladder Care Reason for Change Author & Group(s) approving change(s) New Policy Merger of 3 policies Consultant Obstetricians/Consultant Midwives/Supervisor of Midwives/CNST Guidelines Group. Page 6 of 7
7 Appendix 2 Impact assessments Equalities impact checklist - must be completed for all new policies equalities Organisational impact checklist - must be completed for all new policies Organisational impact assessment Appendix 3 Additional guidance and information NICE (2006) Routine Postnatal Care of Women and their Babies. London: Available at NICE. RCOG (2011) Operative Vaginal Deliveries Green Top Guidelines No. 26. London: RCOG Press. Available at Page 7 of 7
Gail Naylor, Director of Nursing & Midwifery. Safety and Quality Committee
Report to Trust Board of Directors Date of Meeting: 24 June 2014 Enclosure Number: 5 Title of Report: Author: Executive Lead: Responsible Sub- Committee (if appropriate): Executive Summary: Clinical Negligence
More informationNICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic.
Initial assessment and investigation of urinary incontinence bring together all NICE guidance, quality standards and other NICE information on a specific topic. are interactive and designed to be used
More informationPatient Information:
Patient Information: Care of an indwelling Urinary Catheter What is a Urinary Catheter? A catheter is a hollow, flexible tube designed to drain urine from the bladder. Following insertion into the bladder,
More informationCROSS HEALTH CARE BOUNDARIES MATERNITY CLINICAL GUIDELINE
CROSS HEALTH CARE BOUNDARIES MATERNITY CLINICAL GUIDELINE Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Obstetric Early Warning Score Guideline Implementation
More informationA PRINTED copy of this guideline may not be the most recent version. The OFFICIAL version is located on IHNET at the Policies & Procedures Home Page
A PRINTED copy of this guideline may not be the most recent version. The OFFICIAL version is located on IHNET at the Policies & Procedures Home Page IX0200: Prevention & Control of Catheter Associated
More informationBirth place decisions
Birth place decisions Information for women and partners on planning where to give birth Where can I give birth? What birth settings might be suitable for me? Who can I ask for help? Where can I find out
More informationPromoting recovery after sustaining a third and fourth degree tear
Promoting recovery after sustaining a third and fourth degree tear Women s Health Physiotherapy Patient Information Page 2 Promoting recovery after sustaining a third and fourth degree tears What has happened?
More informationTo decrease and/or prevent the incidence of catheter associated infections and other complications associated with IUC.
Patient Care Manual Standardized Procedure Number: PC-SP.115 Latest Revision Date: 01/27/2015 Effective Date: 10/10/2011 Standardized Procedure: Urethral Catheter (IUC), Adult, Discontinuance of FUNCTION
More informationVUMC Guidelines for Management of Indwelling Urinary Catheters. UC Access/ Maintenance
VUMC Guidelines for Management of Indwelling Urinary Catheters UC Insertion Preparation & Procedure Indications for insertion and continued use of indwelling urinary catheters include: Urinary retention
More informationCAUTI-The Challenge Continues IHA-Coalition for Care April 23, 2014 Presented by Linda Doerflein, BS, RN, CPHRM Director of Quality/Risk HealthSouth
CAUTI-The Challenge Continues IHA-Coalition for Care April 23, 2014 Presented by Linda Doerflein, BS, RN, CPHRM Director of Quality/Risk HealthSouth Deaconess Rehabilitation Hospital Did You Know?? The
More informationIndwelling urinary catheter. Information for patients and carers. RDaSH. Doncaster Community Integrated Services
Indwelling urinary catheter Information for patients and carers RDaSH Doncaster Community Integrated Services What is a catheter? A catheter is a hollow flexible tube designed to drain urine from the bladder.
More informationIntrapartum & Postpartum Bladder Management
Intrapartum & Postpartum Bladder Management Nothing to disclose Sharon K Knight, MD Overview Intrapartum & Postpartum Bladder Management Literature, available guide lines Fluid status, Avoid injury, UTI
More informationGwen Griffith Clinical Nurse Specialist Bolton NHS foundation Trust
Gwen Griffith Clinical Nurse Specialist Bolton NHS foundation Trust Overview Setting the Scene Beginning of the journey & specialist nurse role Why people with MS experience bladder problems MS and the
More informationPATIENT CARE MANUAL PROCEDURE
PATIENT CARE MANUAL PROCEDURE NUMBER VII-E-5 PAGE 1 OF 7 APPROVED BY: CATEGORY: Tri-site Nursing Policy and Procedures Review Committee Body Systems; Genitourinary 1.0 GOALS To influence patient care providers
More informationCaring for your perineum and pelvic floor after a 3rd or 4th degree tear
Caring for your perineum and pelvic floor after a 3rd or 4th degree tear Most women, up to nine in ten (90%), tear to some extent during childbirth. Most tears occur in the perineum, the area between the
More informationNational Hospital for Neurology and Neurosurgery
National Hospital for Neurology and Neurosurgery Botulinum toxin injections for the bladder Department of Uro-Neurology If you would like this document in another language or format, or require the services
More informationPeriurethral bulking agent for stress urinary incontinence (macroplastique)
PLEASE PRINT WHOLE FORM DOUBLE SIDED ON YELLOW PAPER Patient Information to be retained by patient affix patient label Who is this leaflet for? This leaflet provides information about having an injection
More informationWhy your weight matters during pregnancy and after birth
Information for you Published in November 2011 (next review date: 2015) Why your weight matters during pregnancy and after birth Most women who are overweight have a straightforward pregnancy and birth
More informationPREVENTION OF CATHETER ASSOCIATED URINARY TRACT INFECTIONS. (CAUTIs)
PREVENTION OF CATHETER ASSOCIATED URINARY TRACT INFECTIONS (CAUTIs) CAUTIs A UTI where an indwelling urinary catheter was in place for >2 calendar days on the date of event. OR If an indwelling urinary
More informationBowel and Bladder Dysfunction in MS. Tracy Walker, WOCN, MSCN, FNP C Nurse Practitioner MS Institute at Shepherd Center. Bladder Dysfunction
Bowel and Bladder Dysfunction in MS Tracy Walker, WOCN, MSCN, FNP C Nurse Practitioner MS Institute at Shepherd Center Bladder Dysfunction Approximately 75% of people with MS experience bladder problems
More informationNHS Professionals. CG8 Guidelines for Continence and Catheter Care. Introduction
NHS Professionals CG8 Guidelines for Continence and Catheter Care Introduction Continence has been defined as control of bladder and bowel function and continence care is the name given to the total care
More informationSTROKE CARE PLAN: BLADDER & BOWEL CONTINENCE
Urinary incontinence related to loss of ability to identify and respond to need to urinate; involuntary bladder contractions, increased nightly urine production, difficulty communication need to urinate
More informationMale Urinary Catheterisation & Catheter Care
Male Urinary Catheterisation & Catheter Care Mark Jones, Martin Steggall & Marsh Gelbart City University, London. Good practice Consent gain informed consent. Who can catheterise any Registered Nurse who
More informationTHE MANAGEMENT OF URINARY INCONTINENCE WITHIN A STROKE UNIT POPULATION REENA DHAMI STROKE CNS EPSOM & ST.HELIER UNIVERSITY HOSPITALS
THE MANAGEMENT OF URINARY INCONTINENCE WITHIN A STROKE UNIT POPULATION REENA DHAMI STROKE CNS EPSOM & ST.HELIER UNIVERSITY HOSPITALS Definition Urinary Incontinence is AN INABILITY TO HOLD URINE until
More informationonline version Understanding Indwelling Urinary Catheters and Drainage Systems Useful information When to call for help
When to call for help This will depend on the individual situation, but usually help should be sought if any of the following occurs: 1. The catheter does not start to drain, despite trying the problem
More informationTHE QUALITY OF MATERNITY SERVICES IN LONDON: A SUMMARY OF THE HEALTHCARE COMMISSION SURVEYS KEY MESSAGES FOR LONDON:
THE QUALITY OF MATERNITY SERVICES IN LONDON: A SUMMARY OF THE HEALTHCARE COMMISSION SURVEYS KEY MESSAGES FOR LONDON: London is different: the mobility and diversity of London s pregnant mothers together
More informationSECTION 12.1 URINARY CATHETERS
SECTION 12.1 URINARY CATHETERS Introduction Summary of Recommendations taken from Guidelines for the Prevention of Catheter-associated Urinary Tract Infection, Published on behalf of SARI by HSE Health
More informationBotox treatment for an overactive bladder in women. Information for patients Gynaecology
Botox treatment for an overactive bladder in women Information for patients Gynaecology What is bladder overactivity (OAB)? Bladder overactivity is a common condition, affecting around one in five people.
More informationExceptional People. Exceptional Care. Antenatal Appointment Schedule for Normal Healthy Women with Singleton Pregnancies
Exceptional People. Exceptional Care. Antenatal Appointment Schedule for Normal Healthy Women with Singleton Pregnancies First Antenatal Contact with the GP Obtain medical and obstetric history. Measure
More informationPrevention and Recognition of Obstetric Fistula Training Package. Module 8: Pre-repair Care and Referral for Women with Obstetric Fistula
Prevention and Recognition of Obstetric Fistula Training Package Module 8: Pre-repair Care and Referral for Women with Obstetric Fistula Early detection and treatment If a woman has recently survived a
More informationWomen s Health. The TVT procedure. Information for patients
Women s Health The TVT procedure Information for patients What is a TVT procedure? A TVT (Tension-free Vaginal Tape) procedure is an operation to help women with stress incontinence the leakage of urine
More informationSection H Bladder and Bowel
Section Bladder and Bowel Intent To gather information on the use of bowel and bladder appliances, the use of and response to urinary toileting programs, urinary and bowel continence, bowel training programs,
More informationHot Topics In Infection Control!
2015 SASKPIC Fall Conference Hot Topics In Infection Control! According to the Provincial ICCs that is Objectives Provide context for UTI prevention in Continuing Care settings Recommendations and tools
More informationGeneral and Objectives Clinical Skills for. Nursing Students in Maternity and Gynecology. Nursing Department
General and Objectives Clinical Skills for Nursing Students in Maternity and Gynecology Nursing Department Objectives and clinical skills of Antenatal unit Provide antenatal care to woman during normal
More informationGuide to Pregnancy and Birth Injury Claims
Being pregnant, especially for the first time can be a very daunting experience where you often have to put all of your faith in your midwife or doctor. The majority of pregnancies and births occur without
More informationOverview of Urinary Incontinence in the Long Term Care Setting
Overview of Urinary Incontinence in the Long Term Care Setting Management Strategies for the Nursing Assistant Ann M. Spenard RN, C, MSN Courtney Lyder ND, GNP Learning Objectives Describe common types
More informationInfection Prevention & Control Team. Your urinary catheter & how to care for it 0151 430 2452 / 0151 430 1384. Patient Information Leaflet
Contact details Infection prevention team - 0151 430 2452 This leaflet can be made available in alternative languages/formats on request. Infection Prevention & Control Team 0151 430 2452 / 0151 430 1384
More informationBladder and Bowel Assessment Ann Yates Director of Continence Services. 18/07/2008 Cardiff and Vale NHS Trust
Bladder and Bowel Assessment Ann Yates Director of Continence Services Types of continence problems Bladder Stress incontinence Urgency and urge Incontinence Mixed incontinence Obstructive incontinence
More informationInformation for men considering a male sling procedure
Information for men considering a male sling procedure Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationIndicate reason that HBHC (Parkyn) screen is not completed. Indicate Healthy Baby Healthy Children (HBHC or Parkyn) Screen completion status.
D0021 Generic Comment Hospital specific comment. N0030 N0029 HBHC Reason Not Completed Healthy Baby Healthy Children (HBHC) Screen Indicate reason that HBHC (Parkyn) screen is not completed. Indicate Healthy
More informationPostoperative. Voiding Dysfunction
Postoperative Voiding Trial Voiding Dysfunction Stephanie Pickett, MD Fellow Female Pelvic Medicine and Reconstructive Surgery Objectives Define postoperative voiding dysfunction Describe how to evaluate
More informationThe main surgical options for treating early stage cervical cancer are:
INFORMATION LEAFLET ON TOTAL LAPAROSCOPIC RADICAL HYSTERECTOMY (TLRH) FOR EARLY STAGE CERVICAL CANCER (TREATING EARLY STAGE CERVICAL CANCER BY RADICAL HYSTERECTOMY THROUGH KEYHOLE SURGERY) Aim of the leaflet
More informationSurgery for Stress Incontinence
Directorate of Women s Services Surgery for Stress Incontinence Tension Free Vaginal Tape Information for Patients Direct dial number Ward 40 0191 282 5640 Stress Incontinence Stress incontinence is a
More informationBladder Health Promotion
Bladder Health Promotion Community Awareness Presentation Content contributions provided by the Society of Urologic Nurses (SUNA) National Association for Continence (NAFC) Simon Foundation for Continence
More informationTrust Guideline for the use of the Modified Early Obstetric Warning Score (MEOWS) in detecting the seriously ill and deteriorating woman.
A clinical guideline recommended for use In: By: For: Key words: Written by: Supported by: Maternity Services. Obstetricians, Midwives and Midwifery Care Assistants. All women receiving care from maternity
More informationClinical Negligence Scheme for Trusts. Maternity Risk Management Standards Report of Assessment
Clinical Negligence Scheme for Trusts Maternity Risk Management Standards Report of Assessment Clinical Negligence Scheme for Trusts Maternity Risk Management Standards Report of Assessment at Level 2
More informationTransobturator tape sling Female sling system
Transobturator tape sling Female sling system Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationBLADDER CONTROL DURING PREGNANCY AND AFTER THE BIRTH OF YOUR BABY
BLADDER CONTROL DURING PREGNANCY AND AFTER THE BIRTH OF YOUR BABY Information Leaflet Your Health. Our Priority. Page 2 of 8 Contents Stress incontinence... 3 Pelvic floor exercises... 3 Urgency and frequency...
More informationLocation: Clinical Practice Manual
Subject: Area: Classification: Relevant to: Bladder Management Clinical Practice All Clinical Staff Implementation Date: March 2001 Review Date: March 2004 Responsible for Review: Approved by: Distribution:
More informationINEQUALITIES SENSITIVE PRACTICE INITIATIVE MATERNITY PATHWAYS
INEQUALITIES SENSITIVE PRACTICE INITIATIVE MATERNITY PATHWAYS Women Who Misuse Drugs Standard of Care Antenatal Care 1. Any health or social care professional who is already engaged in supporting women
More informationDiabetes in Pregnancy: Management in Labour
1. Purpose The standard management of labour applies to women with diabetes, and includes the following special considerations: Timing of birth. Refer to guideline: Diabetes Mellitus - Management of Pre-existing
More informationURINARY INCONTINENCE CASE PRESENTATION #1. Urinary Incontinence - History 2014/10/07. Structure of the Female Lower Urinary Tract
Bladder pressure 2014/10/07 Structure of the Female Lower Urinary Tract Ureter URINARY INCONTINENCE Clinical Clerkship Lecture Series Outer peritoneal coat Detrusor smooth muscle Mucosa Trigone Proximal
More informationTone Up Your Pelvic Floor. A regular pelvic floor exercise ( Kegel ) routine can prevent symptoms before, during, and after childbirth.
Will Breastfeeding Affect Incontinence and Pelvic Symptoms? Yes, often for as long as you re nursing. Many breastfeeding women are unaware that a natural drop in estrogen which persists for as long as
More informationHaving a tension-free vaginal tape (TVT) operation for stress urinary incontinence
Having a tension-free vaginal tape (TVT) operation for stress urinary incontinence This leaflet explains more about tension-free vaginal tape (TVT) including the benefits, risks and any alternatives, and
More informationTop Tips for Involving Fathers in Maternity Care
Compared with past generations, society s expectations are increasingly for fathers to play a full role throughout pregnancy, labour, childbirth and in the postnatal period. Most expectant mothers want
More informationConsumer summary Minimally invasive techniques for the relief of stress urinary incontinence
ASERNIP S Australian Safety and Efficacy Register of New Interventional Procedures Surgical Consumer summary Minimally invasive techniques for the relief of stress urinary incontinence (Adapted from the
More informationBladder and Bowel Control
Bladder and Bowel Control Dr Sue Woodward Lecturer, Florence Nightingale School of Nursing and Midwifery 2 Why do we need to understand anatomy? Normal physiology Normal adult bladder capacity = 450-500mls
More informationInformation for you Abortion care
Information for you Abortion care Published in February 2012 This information is for you if you are considering having an abortion. It tells you: how you can access abortion services the care you can expect
More informationSaint Mary s Hospital. Gynaecology Service Warrell Unit. Overactive Bladder. Information for Patients
Saint Mary s Hospital Gynaecology Service Warrell Unit Overactive Bladder Information for Patients What is Overactive Bladder (OAB)? OAB is a condition that causes you to need to pass urine more often
More informationClinical Practice Guideline
Clinical Practice Guideline STEM CELL COLLECTION GUIDELINES FOR HEALTHCARE PROFESSIONALS Author Version Philippa Cox V2 Version Date March 2016 Implementation Date March 2016 Review Date March 2019 File
More informationCARE PROCESS STEP EXPECTATIONS RATIONALE
URINARY INCONTINENCE CARE PROCESS STEP EXPECTATIONS RATIONALE ASSESSMENT/PROBLEM RECOGNITION 1. Did the staff and physician seek and document risk factors for urinary incontinence and any history of urinary
More informationInformation for Expectant Mothers. Regional Anaesthesia for Pain Relief in Labour
Information for Expectant Mothers Regional Anaesthesia for Pain Relief in Labour Ready reference guide Anaesthesia refers to the elimination of pain; analgesia is one component of anaesthesia and is a
More informationAntenatal perineal massage. Information for women
Antenatal perineal massage Information for women Research has shown that antenatal perineal massage from approximately 35 weeks gestation reduces the likelihood of perineal trauma that needs stitching.
More informationPROTOCOL INCONTINENCE, URINARY/FECAL Effective Date: August 4, 2010
Number: PROT0106 Submitted by: WOC Issuing Department: PATIENT CARE SERVICES Approved By: (Signature on File) Reviewed by: Date: WOC Nursing Service 7/27/10 Med Surg CPT 8/10 Date: 08/2010 Supersedes:
More informationVersion: 2.0. Effective From: 31/10/2013
Policy No: OP51 Version: 2.0 Name of Policy: Policy for Bladder, Bowel and Continence Care Effective From: 31/10/2013 Date Ratified 08/03/2013 Ratified Nursing and Midwifery Professional Forum Review Date
More informationTwins and Multiples. Monochorionic diamniotic twins, Monochorionic monoamniotic triplets or Higher order multiples. Oxford University Hospitals
Oxford University Hospitals NHS Trust Twins and Multiples Monochorionic diamniotic twins, Monochorionic monoamniotic triplets or Higher order multiples How common are multiple pregnancies? Women who are
More informationGloucestershire Hospitals
Gloucestershire Hospitals NHS Foundation Trust TRUST NON CLINICAL POLICY MATERNITY SERVICES HEALTH RECORDS B0556 Any hard copy of this document is only assured to be accurate on the date printed. The most
More informationAntenatal perineal massage
Oxford University Hospitals NHS Trust Antenatal perineal massage Information for women Research has shown that massaging your perineum from approximately 34 weeks into your pregnancy reduces the chance
More informationPROCEDURE FOR THE ASSESSMENT OF ADULTS AND CHILDREN WITH BLADDER OR BOWEL DYSFUNCTION
PROCEDURE FOR THE ASSESSMENT OF ADULTS AND CHILDREN WITH BLADDER OR BOWEL DYSFUNCTION First Issued Issue Version One Purpose of Issue/Description of Change Planned Review Date Procedure for the effective
More informationMaternity Renal Pelvis Dilation (RPD)
Maternity Renal Pelvis Dilation (RPD) Fetal Medicine Unit Your baby has been found to have more fluid in its kidneys than normal. This leaflet will explain what this means for your baby. First of all,
More informationWorcestershire Obstetric Warning (WOW) Chart
This guidance does not override the individual responsibility of health professionals to make appropriate decision according to the circumstances of the individual patient in consultation with the patient
More informationPATIENT URINARY CATHETER PASSPORT
n PATIENT URINARY CATHETER PASSPORT A guide on how to look after your Catheter NHS Hertfordshire Patient Experience Team Charter House Parkway Welwyn Garden City Hertfordshire AL8 6JL Telephone: 01707
More informationLISTENING TO YOUR BABY S HEARTBEAT DURING LABOUR (FETAL HEART MONITORING)
LISTENING TO YOUR BABY S HEARTBEAT DURING LABOUR (FETAL HEART MONITORING) Information Leaflet Your Health. Our Priority. Page 2 of 7 Introduction This leaflet will give you information on how Midwives
More informationObstetric Anaesthesia
Obstetric Anaesthesia Annual Review 2012 Contents Foreword 3 Introduction 4 Maternity unit 5 What we offer 6 Workforce 7 Activity measures 10 Quality measures 11 Governance 16 Other activities 20 Future
More informationNocturnal Enuresis Clinical Management Tool (CMT)
Nocturnal Enuresis Clinical Management Tool (CMT) This tool and additional educational resources can be found at www.stopbedwetting.org Zinc Code: DN/360/2010/UKe(1)a Date of Preparation of website: August
More informationWomen, Children and Sexual Health Division Maternity Services. Guideline: Anti D- Prophylaxis
Women, Children and Sexual Health Division Maternity Services Guideline: Anti D- Prophylaxis 1. Introduction The National Institute for Clinical Excellence recommend routine antenatal anti-d prophylaxis
More informationDrinking fluids and how they affect your bladder
Drinking fluids and how they affect your bladder Contact us Patient Advice and Liaison Service (PALS) To make comments or raise concerns about the Trust s services, please contact PALS. Ask a member of
More informationMaternity - Clinical Risk Management Program
Maternity - Clinical Risk Management Document Number PD2009_003 Publication date 15-Jan-2009 Ministry of Health, NSW 73 Miller Street North Sydney NSW 2060 Locked Mail Bag 961 North Sydney NSW 2059 Telephone
More informationBladder Health Promotion
Bladder Health Promotion Community Awareness Presentation endorsed by the Society of Urologic Nurses (SUNA) National Association for Continence( NAFC) Simon Foundation for Continence This presentation
More informationNocturnal Enuresis Clinical Management Tool (CMT)
Nocturnal Enuresis Clinical Management Tool (CMT) Nocturnal Enuresis Clinical Management Tool Why this management tool? 1. The aim of this tool is to use a simple questionnaire and non-invasive screening,
More informationGuideline for staff involvement and responsibility with cord blood collection for stem cells (GL811)
Guideline for staff involvement and responsibility with cord blood collection for stem cells (GL811) Approval Approval Group Job Title, Chair of Committee Date Maternity & Children s Services Clinical
More informationTowards better births
Inspecting Informing Improving Towards better births A review of maternity services in England Service review July 2008 Commission for Healthcare Audit and Inspection This document may be reproduced in
More informationEvidence Based Guidelines for
Evidence Based Guidelines for Midwifery-Led Care in Labour Positions for Labour and Birth Practice Points There are significant advantages to assuming an upright position in labour and birth (Lawrence
More informationSECTION H: BLADDER AND BOWEL. H0100: Appliances. Item Rationale Health-related Quality of Life. Planning for Care
SECTION H: BLADDER AND BOWEL Intent: The intent of the items in this section is to gather information on the use of bowel and bladder appliances, the use of and response to urinary toileting programs,
More informationCase Based Urology Learning Program
Case Based Urology Learning Program Resident s Corner: UROLOGY Case Number 21 CBULP 2011 068 Case Based Urology Learning Program Editor: Associate Editors: Manager: Case Contributors: Steven C. Campbell,
More informationFemale Urinary Disorders and Pelvic Organ Prolapse
Female Urinary Disorders and Pelvic Organ Prolapse Richard S. Bercik, M.D. Director, Division of Urogynecology & Reconstruction Pelvic Surgery Department of Obstetrics, Gynecology & Reproductive Sciences
More informationVAGINAL MESH FAQ. How do you decide who should get mesh as part of their repair?
VAGINAL MESH FAQ How do you decide who should get mesh as part of their repair? Each patient with pelvic organ prolapse (POP) is considered individually. In younger women, women with an uncomplicated prolapse
More informationBotox (Botulinum Toxin) injections into the bladder
York Teaching Hospital NHS Foundation Trust Botox (Botulinum Toxin) injections into the bladder Information for patients, relatives and carers Department of Urology York Teaching Hospital NHS Foundation
More informationCare of the Catheterised Patient and Urinalysis
Care of the Catheterised Patient and Urinalysis Male Pelvic Anatomy Female Pelvic Anatomy What does a urinary catheter do? Urinary Catheters Urinary Catheters Urinary Catheters Why do patients have catheters?
More informationPain Management for Labour & Delivery
Pain Management for Labour & Delivery Departments of Anesthesia, Obstetrics, and Obstetrical Nursing December 2008 This pamphlet has been prepared to provide you, members of your family, and others who
More informationUrgency and urge incontinence for patients with Multiple Sclerosis Patient Information Leaflet
Urgency and urge incontinence for patients with Multiple Sclerosis Patient Information Leaflet Shining a light on the future 2 Introduction The aim of this leaflet is to provide you with information about
More informationPain Relief Options for Labor. Providing You with Quality Care, Information and Support
Pain Relief Options for Labor Providing You with Quality Care, Information and Support What can I expect during my labor and delivery? As a patient in the Labor and Delivery Suite at Lucile Packard Children
More informationInformation for Patients
Notes Information for Patients Sling procedure for urinary stress incontinence Aysha Qureshi Version 1, June 2010 Review date June 2013 Date of publication: June 2010 Ref: RUH GYN/002 Royal United Hospital
More informationMale Urethral Catheterisation Education Package
Male Urethral Catheterisation Education Package TABLE OF CONTENTS 1. Accountability 2. Introduction 3. Types of Catheters 4. Guidelines for catheter selection 5. Patient Preparation 6. Equipment 7. Procedure
More informationANTENATAL BOOKING, ANTENATAL CARE AND INFORMATION - CLINICAL GUIDELINE
ANTENATAL BOOKING, ANTENATAL CARE AND INFORMATION - CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline This guideline gives guidance to midwives on: how to book a pregnant woman, instigate the appropriate
More informationWho Is Involved in Your Care?
Patient Education Page 3 Pregnancy and Giving Birth Who Is Involved in Your Care? Our goal is to surround you and your family with a safe environment for the birth of your baby. We look forward to providing
More informationObtaining Valid Consent to Participate in Perinatal Research Where Consent is Time Critical
Obtaining Valid Consent to Participate in Perinatal Research Where Consent is Time Critical February 2016 Obtaining Valid Consent to Participate in Perinatal Research Where Consent is Time Critical This
More informationUrinary Continence Management after a. Stroke. Liz Mackey, CNC Stroke Clinical Coordinator Western Health
Urinary Continence Management after a Stroke Liz Mackey, CNC Stroke Clinical Coordinator Western Health Royal Women s Hospital Innervation of the Bladder Neuromuscular coordination for control of both
More informationBladder and Bowel Problems Associated with Multiple Sclerosis
Bladder and Bowel Problems Associated with Multiple Sclerosis Bladder Dysfunction Bladder dysfunction is one of the most common symptoms associated with Multiple Sclerosis Surveys have indicated that 60-90%
More informationColposuspension for Stress Incontinence
Colposuspension for Stress Incontinence Patient information Leaflet BSUG Patient Information Sheet Disclaimer This patient information sheet was put together by members of the BSUG Governance Committee
More information