MIDWIFERY CASESTUDY GUIDELINES

GUIDELINES

1. Choose a client who is between 28-32 weeks gestation and follow up to six weeks postnatally
2. Tutor/ nurse must confirm and sign against your client
3. Home visits must be contacted i.e 3 antenatally and 3 postnatally
4. A tutor will mark and guide you in each and every step you make
5. Case studies must be written in two exercise books- 1 rough copy for corrections and one fair
copy for corrected work. Both books must be presented for awarding of marks
6. Ghost clients will lead to immediate nullification of the case study and disciplinary action

HOW TO CARRY OUT THE STUDY/ CONTENTS

1. COVER PAGE
2. DEMOGRAPHIC DATA including the contacts of the client and informant
3. PLACE OF FIRST CONTACT
4. REASONS FOR SELECTING THE CLIENT
5. OBJECTIVES OF CASE STUDY
6. THE CLIENT HISTORY
 Current history
 Medical history
 Family history
 Obstetric history
 Gynaecological history
 Family planning history
 Social economic history
7. PHYSICAL EXAMINATION-
a. Objectives of physical examination
b. Vital signs- height, weight, BP, Temp, Pulse
c. Head to toe examination- be keen to include obstetric specific areas- anaemia, abdomen,
pelvis, oedema, DVT, varicose veins
8. REVIEW OF PREVIOUS VISITS before you met the client
1 First visit- services offered, results of ANC profile
2 Second visit- services offered ETC
9. SERVICES YOU OFFERED DURING THE VISIT OF FIRST CONTACT IN THE CLINIC
10. LITERATURE REVIEW OF THE CONDITION
 11. FIRST ANC HOME VISIT- familiarization visit
12. SECOND ANC HOME VISIT
13. THIRD ANC HOME VISIT
14. REPORT ON LABOUR
a. Admission date and reason for admission
b. What was done on admission- history, physical exam, vaginal examination
c. Management of first stage
d. Recognition and general management of second stage
e. Delivery process
f. Immediate management of the neonate
g. Active Management of third stage
h. Examination of the placenta- procedure and findings
i. First examination of the neonate- objectives, procedure and findings
j. Summary of labour
k. Management of fourth stage of labour and discharge health messages
NB- attach a photocopy of partograph
15. FIRST POSTNATAL HOME VISIT
16. SECOND POSTNATAL VISIT
17. TERMINATION OF THE CASE STUDY AT SIX WEEKS- THE TUTOR/NURSE MUST BE PRESENT TO
VERIFY AND EVALUATE YOUR CASE STUDY DURING TERMINATION PHASE- Must examine the
mother and the baby
18. SUMMARY OF YOUR CASE STUDY
19. CHALLENGES ENCOUNTERED
20. ACHIEVEMENTS YOU GAINED
21. RECOMMENDATIONS AND CONCLUSIONS
22. REFERENCES
NOTE:
 BEFORE ANY HOME VISIT- identify the relevant topics on which you will teach your
client and formulate a lesson plan. The tutor MUST evaluate your lesson plan before
you proceed for the visit
 AFTER EACH HOME VISIT- write a report entailing what you did and present to the
tutor before proceeding to the next visit
 In case of complicated pregnancy including C/S , a student must explore in details the
specific complication- i.e chief complaints, tests done, diagnosis, management of the
mother, theory about the condition (DEFINITION, CAUSES/ PREDISPOSING FACTORS,
SIGNS/SYMPTOMS, DIAGNOSIS, MANAGEMENT, EFFECTS ON THE
BABY/MOTHER/PREGNANCY, COMPLICATIONS)
 Refer to FANC booklet provided, Myles Text book for Midwives, nursing council
manual and nursing council brown book

Prepared by Sindani Geofrey

 KENYA MEDICAL TRAINING COLLEGE- KITALE CAMPUS

KENYA REGISTERED COMMUNITY HEALTH NURSING: MIDIWIFERY

STUDENT NAME: ………………………………………………. REG. NO……………………………………………..

CLASS……………………………………………………………………… INDEX NO……………………………………..

MINIMUM REQUIREMENTS

ANTENATAL MANAGEMENT  FORCEPS DELIVERY- witness

 NORMAL PREGNANCIES – 15 THEATRE SCRUBING – 2

 HIGH RISK PREGNANCIES – 5
POST NATAL
 HEALTH MESSSAGES – 5
 EXAMINATIONS-10
LABOUR-
 HEALTH EDUCATION- 5
 ADMISSIONS- 5
NEWBORN UNIT INTERVENTIONS – 5 EACH
 VAGINAL EXAMINATIONS- 5
 NORMAL DELIVERIES - 28
 ABNORMAL LABOUR- 5
 PARTOGRAPHS- 10 ASSESMENTS
 TEARS/EPISIOTOMIES REPAIR-5
 MANAGEMENT OF A PREGNANT
WOMAN
 ADMINISTRATION OF BCG VACCINE
INSTRUMENTAL DELIVERIES  MANAGEMENT OF A WOMAN IN
LABOUR
 VACUUM EXTRACTION- witness
 MANAGEMENT OF BABY AT RIS