Contemporary Maternity Nursing Objectives To describe maternity nurslings
Contemporary Maternity Nursing
Objectives • To describe maternity nursling's scope • To review the trends and issues in contemporary • • • nursing. To explore social issues in maternity nursing. To discuss ethical and sociopolitical issues. To review Healthy People 2010 goals as they relate to maternity care.
Nursing Care of Women and Infants • Advances • Still discrepancies – Access issues – Adolescent care – STI’s and AIDS – adversely affect reproduction
“Healthy People 2010” • Goals - www. health. gov/healthypeople – Increase healthy life and quality of life – Eliminate the health disparities • MCH – “Improve the health and well-being of women, infants, children and families” see box 1 -5
Millennium Development Goals • 2015 target of UN Summit 2000 – www. un. org/millenniumgols/goals. html • Empower women • Decrease child mortality • Improve maternal health, and more
Integrative Healthcare • Belief systems, values and desires • Patient input
Options • Alternative Healing Modalities – Alternative medical systems – Mind- body intervention – Therapies- biologically based – Manipulative and body-based – Energy therapies • Primary Care provider options
Choices • Education – parenting and childbirth • Room choices • Positioning • Analgesia • Discharge
Problems • Structure of US Health Care sytem • Medical errors • High cost • Access • Disparities
Terms • Antepartum- prenatal • Intrapartum- labor and delivery • Postpartum- first 6 weeks after delivery
Mother-infant Terminology • Infant mortality rate -#deaths/1, 000 live births • Maternal mortality rate – #deaths/100, 000 live births • Neonatal mortality rate - #deaths/1, 000 live births, first 28 days • Perinatal mortality rate- # stillbirths & neonatal deaths /1000 live births
• Birthrate- # of live births /1000 population • Fertility rate - # births/1000 women between ages 15 &44 years • Abortus- embryo/fetus removed or expelled at 20 wks or less • Stillbirth- infant, who at birth, demonstrates no signs of life
Other issues • LBW and Preterm • High risk pregnancy rate increase • High technology care
Childbirth Practices • Promotion of safe motherhood • Prenatal care- promote better pregnancy outcomes – Early risk assessment – Promoting healthy behaviors – Community based care
• Self management • Health Literacy • Breast feeding in workplace • International concerns
Nursing Trends • Nursing Specialization • Evidence-based Practice • Outcomes orientation to practice • Best Practices
Legal Issues and Standards of Practice • Procedure book – follow guidelines • Risk Management – minimize risk of injury and subsequent lawsuits • Ethical Issues • Nursing Research
• Sentinel event • Failure to rescue
Useful web sites for Maternal Child Health Http: //mchb. hrsa. gov Health and Wellbeing of Children in Rural Areas Women’s Health USA 2006 Child Health USA 2006 www. amchp. org Association of MCH Programs www. ncemh. org National Center for Education in MCH Georgetown University www. engenderhealth. org great resource for monitoring prenatal care, pp, infertility, and post abortion www. mchpolicy. org Maternal and Child Health Policy specializes in issues affecting children, incl. special health care and low income families
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