FW: New member testing

[Franciska Ferreira]

Hi Everyone,

I’m a new subscriber and just would like to test my email.

I have a question for you all, I’m keen to know what issues, if any, you might have with providing baths for labour and delivery from an infection control or risk management perspective?

Kind Regards

Franciska Ferreira
INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT Burnside War Memorial Hospital
120 Kensington Road, Toorak Gardens, SA 5056
t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

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[Michael Wishart]

Hi Franciska

The only issues I have had with water baths and maternity are in regard to cleaning the baths after use, and the use of spas or baths with plumbing under the bath that returns water to the bath. Each time the bath is used it needs to be fully cleaned before the next patient uses it. With a spa, if the plumbing retains fluid (and other stuff…) after you empty the bath, when it is turned on again this fluid (and other stuff) can be pumped back into the bath. Thus any bath with plumbing which retains fluid and can be pumped back into the bath needs to be flushed with an appropriate cleaner (eg spa cleaning product) after every use (even if the spa jets are not used). I had previously recommended that baths with spa capability in maternity units were replaced by plain baths because of the difficulties in ensuring compliance with this.

Aside from the above, items used in the bath by patients (eg supports) need also to be cleaned between uses. You need to ensure there is a clear process and responsibility for cleaning both the bath and any other items used in the bath between each patient. This includes any reusable gloves or other reusable protective equipment staff may wear that may be splashed with fluid.

Cheers
Michael

Michael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside,Qld4032
t: (07) 3326 3068 | f: (07) 3607 2226
e:Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email

—–Original Message—–

Hi Everyone,

I’m a new subscriber and just would like to test my email.

I have a question for you all, I’m keen to know what issues, if any, you might have with providing baths for labour and delivery from an infection control or risk management perspective?

Kind Regards

Franciska Ferreira
INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT Burnside War Memorial Hospital
120 Kensington Road, Toorak Gardens, SA 5056
t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

This email is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this email is strictly prohibited. If you receive this email in error, could you please notify us by return email and delete it and any attachments from your system. Even though this message is scanned no representation is made that this email or any attachments are free of viruses or other defects. Virus scanning is recommended and is the responsibility of the recipient.

______________________________________________________________________
This email has been scanned by the Symantec Email Security.cloud service.
For more information please visit http://www.symanteccloud.com ______________________________________________________________________

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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[Maree Sommerville]

Franciska,

We have a procedure on baths but our women do not deliver in the bath.
It is not our hospital policy to allow water-births. The baths are only
for pain relief in the first stage of labour.

Some of the factors that would determine the exit from the bath are
meconium stained liquor, blood staining in the water, imminent onset of
2nd stage.

If delivery is imminent and exit from the bath cannot be achieved
safely, the water is drained before the foetal head is on view. Our
procedure does discuss delivery in the bath but in terms of delivering
safely when the midwife has not anticipated the beginning of second
stage or if second stage is precipitated.

The cleaning of the bath is in accordance with our routine cleaning of
patient care areas (bathrooms) and is no different to cleaning the
shower of a woman in labour, who is trying to achieve pain relief in
this context.

I would have a number of issues related to delivering in a bath

* Occupational exposure risk to staff

o While most of our women have been tested in pregnancy for blood
borne viruses, it cannot be guaranteed at the time of birthing.

* Cleaning of bath in what is essentially a very large blood and
body fluid spill.

* Cleaning of hoses for water and drainage (particularly where
inflatable baths are used).

o In these baths, a warm temperature needs to be maintained, thus
water needs to be extracted and topped up.

I was watching the TV show on midwives when a baby delivered in water.
Bath was inflatable

o Midwife wore short gloves and no protective eyewear.

o Cord was cut in bath and blood went everywhere

o The women did loose blood in the bath

o She may have opened her bowels also

o The bath had a liner but holes are possible

o Nitrous oxide tubing was in the water.

There may be other issues related to water, slip issues, staff clothing
getting wet. Other members of this forum may wish to comment.

Maree Sommerville

Infection Control Coordinator

Mercy Hospital for Women

—–Original Message—–
Behalf Of Franciska Ferreira

Hi Everyone,

I’m a new subscriber and just would like to test my email.

I have a question for you all, I’m keen to know what issues, if any, you
might have with providing baths for labour and delivery from an
infection control or risk management perspective?

Kind Regards

Franciska Ferreira

INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT Burnside War
Memorial Hospital

120 Kensington Road, Toorak Gardens, SA 5056

t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

This email is intended only for the use of the individual or entity
named above and may contain information that is confidential and
privileged. If you are not the intended recipient, you are hereby
notified that any dissemination, distribution or copying of this email
is strictly prohibited. If you receive this email in error, could you
please notify us by return email and delete it and any attachments from
your system. Even though this message is scanned no representation is
made that this email or any attachments are free of viruses or other
defects. Virus scanning is recommended and is the responsibility of the
recipient.

______________________________________________________________________

This email has been scanned by the Symantec Email Security.cloud
service.

For more information please visit http://www.symanteccloud.com

______________________________________________________________________

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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