For accessibility – click here to download a Microsoft Word version of this scenario
Sofia
Sofia is 20 and lives with Karl aged 25. They have been living in England for 2 years since they left Poland. Sofia works as a hairdresser with long days as the salon opens later 2 evenings a week and Saturdays. Karl works in a bar in town, again working long hours as they are both saving money to return to Poland next year. They want to buy a house but at present rent a flat. It is very noisy and they do not get along with their neighbours as when they need to sleep their dogs and children keep them awake. Sofia has just found out she is 8 weeks pregnant and she is very upset as this was unplanned and Karl is very angry with her and has refused to lose any pay today to attend the antenatal “booking” visit and is threatening to leave her. She is clearly very worried about his attitude to her and the baby and she knows only her friends from the salon here in England.
- What benefits may Sofia claim as she is self-employed?
- What specific health and safety issues should the midwife advise Sofia about whilst pregnant in view of her job?
- Using a PISCES model think of one thing that may affect each of the following in relation to Sofia’s wellbeing in the postnatal period when you meet her?
PHYSICAL
INTELLECTUAL
SOCIAL
CULTURAL
EMOTIONAL
SPIRITUAL
- Using the latest NICE Guidelines identify what are the key things the midwife needed to ask when Sofia “booked” with her community midwife?
- What other multi-disciplinary agencies could the community midwife encourage Sofia to contact to support her if Karl does leave her?