Diploma Access to Nursing and Midwifery-89818

Table of Contents

Task 1: 3

Task 2: 5

Report: 5

Formal mail: 5

Article summary: 6

Reference List 7

Task 1:

Article 1 is based on issues related to free birth.

Key points

  • To understand the issues that relates to free birth
  • To know about the procedures of birth and the analysis of risk
  • To know about the concerned ideas and the way free birth can be reduced

Free birth, the term defines the situation, when child birth took place in house without the presence of any qualified persons like doctors or registered nurse or registered midwives. This practice has some rules and regulations announced by the government. Therefore it has some legal and illegal issues. The text is based on the risk of giving free birth and all the issues regarded to this topic. Free birth is also known as unassisted birth. This is actually child birth without getting help of any professional (Embo et al., 2015). But at the same time, this should be keep in mind  that, the term free birthing should not be confused with natural birth or the issues of child birth which is attended by self employed often known as an midwife who are on the other hand independent. Free birth is considered as legal until and unless it is attended by an unqualified person. An unqualified person is not a registered doctor or a midwife. But the person can take full responsibility by herself or can take the help of any relative or partner or any friend as a support (Katvan and Bartal, 2010).  The person also takes the help of midwives. NMC recommends strongly, before taking the decision a woman should be concerned about the pros and cons of the free birth practice with a sufficiently educated and qualified person, who actually know all the effects of this practice.  Actually the free birth without the help of any qualified person is illegal according to the Nursing and Midwifery Order 2001, Part 9 Article 44.  Article number 45 says any person other than any registered medical practitioner or registered midwife could not assist any woman in child birth until and unless there is an emergency or in case of supported training (Gitsels-van der Wal et al., 2015). The unqualified person gives the same care as in case of qualified one but they are not the registered person like a doctor. They may present at the time of child birth but they must not suppose to assist the woman in this situation. In this case if anybody suspects any person doing illegal act should inform the registered midwives or the doctor or line manager for immediate support. Notification of all the births in UK is a legal requirement. All births should be notified within 36 hours of rests and the person who was present at the time of birth should be present at the time of notification. Along with this all the birth cases should be registered within 42 days. If any woman decided to have a free birth then a midwife should respect her decision and after the birth she should adhere the code like the Midwives rules and standards (NMC 2012), performance and ethics for nurses and midwives (NMC 2008) and standards of conduct. If midwife is called to attend a woman for delivery and for any reason the birth has not occurred then midwife should discuss this with the woman and document that (Ghafele and Gibert, 2014) .

 The second article is based on the cases related to free birth.

Key points

  • Understanding the issue of unregistered childbirth
  • Analyzing the situation of unregistered midwifes in UK
  • The understanding of difficult situation relating to childbirth in UK

In the article 2 it is seen that the major understanding has been the fact of unregistered birth. This has happened over the year along with the issue of lack of assistance. This has given the problem at times along with the unregistered nurse or midwifes. However, this idea has been under outlaw as the issue has been faced by people like Sarah. This has been one of the major issues in UK as due to lack of unassisted childbirth. This is one of the health risk that has been found in UK which creates the major problem for the scenario. The analysis further moves to understand the risk that may be there in free birth or unregistered birth. This is harmful both for the mother and the child. The analysis of the article is to delve in the matters and to make the mothers aware of the issues. This makes the article comprehensive as the analysis of the team that is required in any birth. The analysis of the article is to make the mother aware and to follow the instruction for the safety of the baby.

The languages used in these two sections are differed in terms of its format as the “free birth” topic describes the rules and regulations and the risks related to the free birth practice. It covers the role of registered midwives, registered nurses and the doctor’s presence during the child birth. But in the second section the guidelines of NICE for the administration of IV fluid has been said. The second part mainly includes the clinical principles and protocols for the right administration of the IV fluid.

Task 2: Forms of writing



NICE or National Institute of Health and Care Excellence, has issued a guideline for the administration of IV fluid or intravenous fluid to the patient.


Intravenous or IV fluid administration is a common therapy administered to the thousands people on a regular basis. Its administration should be done in a proper way. If patients are given the IV fluid in a wrong proportion then the situation can be worsen. Therefore it becomes necessary to train the nursing stuffs and midwives in a proper way for the administration procedure.

In acute hospitals the training becomes mandatory and after that the necessity are met.

There is “5R”s which says the proper way of IV fluid therapy. If the midwives follow the rule then some situation can be avoided like, giving too much, too little or wrong IV fluid to the patient.


-The 5 Rs includes resuscitation, routine maintenance, replacement, redistribution, reassessment; these 5 things should be kept in mind when administering the IV fluid.

-There should be an IV fluid management plan which includes all the details about electrolytes prescription of the patients.

-the patients who are receiving IV fluid regularly monitored on regular basis.

-all the report of patients regarding the fluid therapy should be recorded regularly.

-NICE has produced a leaflet containing the questions about the guideline for the patients and their family.


All the nursing stuffs and midwives should be properly trained to ultimately fill the team of champion

Formal mail:

To – name

Subject- Guidelines relating to IV fluid

This is to inform you that we are a concern that deals with the study and the training process of midwives. With respect to this I would like to mention that as per the NICE guidelines we need to follow the rules and regulation of IV fluid.

This is to bring your attention that follow the instruction as has been produced by the guidelines to offer best efficiency being an organization. This is our responsibility to follow the guidelines to produce our best service in the industry.

                                                            Thanks and regards



Article summary:

The text is based on the therapy of intravenous or IV fluid and the related guidelines provided by NICE. This treatment is the most common one which has taken by most of the patient each year (Stewart, Sidebotham and Davis, 2012). Though this is a common treatment but the nurses and the registered health professionals sometime don’t have the proper training to meet this requirement i.e. managing this complex therapy. In case of professional development proper training should be provided to the nurses and the health care professionals. The IV fluid therapy has some negative as well as some beneficial portion (Stone, 2012) . As IV fluids are nothing but some kind of drugs therefore administering process should be done by the experts or this may lead to the severe complications (Torjesen, 2013). Every one in five cases there always a complication case just because of IV fluid therapy. Therefore to reduce this kind of error NICE has called for the doctors and nurses to get proper educate them. As a result of error acute kidney injury or AKI can be occurred as a result of receiving little IV fluid. The NICE guidelines mainly enable the nursing staffs to prescribe, administer and monitor the IV fluid therapy. The five “R”s which are mainly involved in the therapy of IV fluid are as follows, Resuscitation, Routine maintenance, Replacement, Redistribution and Reassessment. Memorizing and recognizing these five principles one can manage IV fluid therapy safely. A quality standard for NHS has been developed by the NICE on the IV fluid therapy (Van der Gucht and Lewis, 2015). The principles and protocols of IV fluid therapy includes the assessment and managing of patients’ electrolyte and fluid; skilled, trained and  experienced health professional should administer the IV fluid; at the time of  administering one should keep in mind about the five “R”s;


Reference List

Embo, M., Driessen, E., Valcke, M. and van der Vleuten, C. (2015). Relationship between reflection ability and clinical performance: A cross-sectional and retrospective-longitudinal correlational cohort study in midwifery. Midwifery, 31(1), pp.90-94.

Ghafele, R. and Gibert, B. (2014). A Counterfactual Impact Analysis of Fair Use Policy on Copyright Related Industries in Singapore. Laws, 3(2), pp.327-352.

Gitsels-van der Wal, J., Martin, L., Manniën, J., Verhoeven, P., Hutton, E. and Reinders, H. (2015). Antenatal counselling for congenital anomaly tests: Pregnant Muslim Moroccan women׳s preferences. Midwifery, 31(3), pp.e50-e57.

Katvan, E. and Bartal, N. (2010). The midwives ordinance of Palestine, 1929: historical perspectives and current lessons. Nursing Inquiry, 17(2), pp.165-172.

Stewart, S., Sidebotham, M. and Davis, D. (2012). International networking: connecting midwives through social media. International Nursing Review, 59(3), pp.431-434.

Stone, N. (2012). Making physiological birth possible: Birth at a free-standing birth centre in Berlin.Midwifery, 28(5), pp.568-575.

Torjesen, I. (2013). Patients are at risk because doctors don’t know how much IV fluid they need, NICE says. BMJ, 347(dec09 22), pp.f7396-f7396.

Van der Gucht, N. and Lewis, K. (2015). Women׳s experiences of coping with pain during childbirth: A critical review of qualitative research. Midwifery, 31(3), pp.349-358.