A pregnant Maori woman, Mary Pierce considered calling up an ambulance at home as she was experiencing some major health issues. She is pregnant completing her 32 weeks, dealing with healthy stroke and no complications. As identified by Mary, she mentioned her symptoms to the paramedics that included bad headache, blindness in one eye, and sudden dizziness. For the purpose of this assignment, the version of midwifery has been selected for the purpose of this discipline. In context with this version, there is transfer of Mary from the department of A and E towards the antenatal ward, where currently I will be working. She is expecting to give birth to a healthy baby and on reaching the full term of her stroke. As a midwife, the role in this case is focused on standard of care for each and every antenatal women, while considering the Maori status of Mary and how the well- being of unborn baby can be monitored. With key focus on this case scenario, this assignment will evaluate the CPG in accordance with five key criteria, while addressing the key concepts for critically appraising the CPGs. Further ahead, there will be an underlying scope to apply CPG to the case scenario, identifying clinical influences, barriers and facilitators in the effectiveness and implementation of the CPG.
Locally adapted guidelines and a national policy have been placed appropriate for protecting the rights of each and every women, irrespective of their place of residence or socio- economic status, for the accessibility of Stroke Management 2010 services in good quality. There will be organization of care and services for ensuring the availability and acceptability of Stroke Management to each and every woman in the area of service, irrespective of ethnic, religious or social background. The system of health will be ensuring that each and every necessary drug or equipment for the provision of essential Stroke Management has been placed and the order should be maintaining good work. The key focus is on providing appropriate information to the women along with their partners and families, while providing evidence on healthy stroke, postnatal recovery, and childbirth that include caring of the child. Each and every decision has to be made in accordance with future pregnancies for the improvement of outcomes of stroke (Tetroe, 2000).