maternity & women’s health care. maternity nursing focuses on the care of childbearing women...
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Maternity & Women’s Maternity & Women’s Health CAREHealth CARE
Maternity nursingMaternity nursing focuses on focuses on the care of childbearing women the care of childbearing women and their families through all and their families through all stages of pregnancy childbirth, stages of pregnancy childbirth, as well as the first 4 weeks after as well as the first 4 weeks after birthbirth
Perinatal Perinatal continuum carecontinuum care
12 – 24 months
single client
Pre-
conceptions1st trimester 2nd trimester 3rd trimester
PostpartumOr
newborn
A perinatal nurse today A perinatal nurse today may function as:may function as:
a nurturer, educator, a nurturer, educator, physical care provider, physical care provider, critical thinker, critical thinker, support person, support person, counselor, counselor, case manager, case manager, researchresearch
Nurse, Nurse practitioner, Nurse midwives
Certified nurse-midwivesCertified nurse-midwivesCertified midwivesCertified midwives
Contemporary issuesContemporary issues 1/6 (44,3 million) people have no health 1/6 (44,3 million) people have no health
insuranceinsurance 3,9% of all women had late or no prenatal care3,9% of all women had late or no prenatal care Cesarean birth (22,9%) & vaginal birth after Cesarean birth (22,9%) & vaginal birth after
CS CS one nurse care for both the mother and babyone nurse care for both the mother and baby To stay in the hospital for at least 48 h. after To stay in the hospital for at least 48 h. after
VB and & 72 h. – CSVB and & 72 h. – CS
Views of womenViews of women Breastfeeding in the workplaceBreastfeeding in the workplace
Since 1999Since 1999
Family LeaveFamily Leave The family & medical leave act of 1993The family & medical leave act of 1993
International concernsInternational concerns Mutilation, circumcisionMutilation, circumcision
Healthy People 2010 Healthy People 2010 Goals:Goals:
Fetal, infant, child deathFetal, infant, child death Maternal death and illnessMaternal death and illness Prenatal carePrenatal care Obstetric areasObstetric areas Risk factorsRisk factors Developmental disabilities and neural tube Developmental disabilities and neural tube
defectsdefects Prenatal substance exposurePrenatal substance exposure Breastfeeding, newborn screening, and Breastfeeding, newborn screening, and
service systemservice system
FamilyFamily A group of two or more persons, related by blood, A group of two or more persons, related by blood,
marriage, adoption, or emotional commitment who marriage, adoption, or emotional commitment who have a permanent relationship and who work have a permanent relationship and who work together to meet life goals and needstogether to meet life goals and needs
The nuclear familyThe nuclear family The binuclear familyThe binuclear family The extended familyThe extended family Single-parent familySingle-parent family Reconstituted (blended) familiesReconstituted (blended) families Homosexual familiesHomosexual families
Family Systems Family Systems TheoryTheory
Family Life CycleFamily Life Cycle Family Stress TheoryFamily Stress Theory McGill Model of NursingMcGill Model of Nursing Health Belief ModelHealth Belief Model Human Developmental EcologyHuman Developmental Ecology
Vulnerable Vulnerable populationpopulation
WomenWomen Adolescent girlAdolescent girl Minority womenMinority women Older womenOlder women Incarcerated womenIncarcerated women Migrant womenMigrant women
Cultural Cultural considerationconsideration
Traditional beliefsTraditional beliefs The language barriersThe language barriers Integrate folk & Western treatmentsIntegrate folk & Western treatments Dietary practicesDietary practices Enlist family caretakerEnlist family caretaker
CommunityCommunity In its broadest definition, refers to a In its broadest definition, refers to a
geographically defined area; its geographically defined area; its residents; their cultural, religious, and residents; their cultural, religious, and ethnic characteristics; and the activities ethnic characteristics; and the activities of functions through which the needs of of functions through which the needs of residents are met.residents are met.
The health of individuals or groups is The health of individuals or groups is inextricably linked to the health status of inextricably linked to the health status of each community.each community.
Community Community assessmentassessment
Is a complex although well-defined process Is a complex although well-defined process through which the unique characteristics of through which the unique characteristics of the populations and their special needs are the populations and their special needs are identified to plan and evaluate health services identified to plan and evaluate health services for the community as a whole. The desired for the community as a whole. The desired outcomes of this process is identification of outcomes of this process is identification of direct service as well as advocacy needs of direct service as well as advocacy needs of the target aggregate or group and improved the target aggregate or group and improved health for the community as a whole.health for the community as a whole.
Community health Community health assessmentassessment
PeoplePeople Demographics, biologic, social & Demographics, biologic, social &
cultural acquiredcultural acquired
EnvironmentEnvironment Physical, biologic/chemical, socialPhysical, biologic/chemical, social
Health care delivery systemHealth care delivery system Organizational, resources, servicesOrganizational, resources, services
Data collection & Data collection & sources of community sources of community
health datehealth date Critical indicators of perinatal health:Critical indicators of perinatal health:
Maternal mortality, infant mortality, low Maternal mortality, infant mortality, low birth weight, first trimester prenatal care, birth weight, first trimester prenatal care, rates for mammography, Pap smears…rates for mammography, Pap smears…
Walking surveyWalking survey Participant observationParticipant observation
Levels of Preventive Levels of Preventive CareCare
Primary preventionPrimary prevention Secondary preventionSecondary prevention Tertiary preventionTertiary prevention Primordial preventionPrimordial prevention
Perinatal Perinatal continuum carecontinuum care
Antenatal home careAntenatal home care ““Warm Lines”Warm Lines” First Home Care VisitFirst Home Care Visit
Personal safetyPersonal safety Client’s homeClient’s home Infection controlInfection control Nursing considerationNursing consideration
To be To be continued…continued…