Maternity Womens Health CARE Maternity nursing focuses on

Maternity & Women’s Health CARE

§ Maternity nursing focuses on the care of childbearing women and their families through all stages of pregnancy childbirth, as well as the first 4 weeks after birth

Perinatal continuum care 12 – 24 months single client Pre conceptions 1 st trimester 2 nd trimester 3 rd trimester Postpartum Or newborn

A perinatal nurse today may function as: a nurturer, educator, v physical care provider, v critical thinker, v support person, v counselor, v case manager, v research Nurse, Nurse practitioner, Nurse midwives v

§ Certified nurse-midwives § Certified midwives

Contemporary issues v v v 1/6 (44, 3 million) people have no health insurance 3, 9% of all women had late or no prenatal care Cesarean birth (22, 9%) & vaginal birth after CS one nurse care for both the mother and baby To stay in the hospital for at least 48 h. after VB and & 72 h. – CS

Views of women § Breastfeeding in the workplace § Since 1999 § Family Leave § The family & medical leave act of 1993 § International concerns § Mutilation, circumcision

Healthy People 2010 Goals: v v v v Fetal, infant, child death Maternal death and illness Prenatal care Obstetric areas Risk factors Developmental disabilities and neural tube defects Prenatal substance exposure Breastfeeding, newborn screening, and service system

Family § A group of two or more persons, related by blood, marriage, adoption, or emotional commitment who have a permanent relationship and who work together to meet life goals and needs v v v The nuclear family The binuclear family The extended family Single-parent family Reconstituted (blended) families Homosexual families

Family Systems Theory § § § Family Life Cycle Family Stress Theory Mc. Gill Model of Nursing Health Belief Model Human Developmental Ecology

Vulnerable population § § § Women Adolescent girl Minority women Older women Incarcerated women Migrant women

Cultural consideration § § § Traditional beliefs The language barriers Integrate folk & Western treatments Dietary practices Enlist family caretaker

Community § In its broadest definition, refers to a geographically defined area; its residents; their cultural, religious, and ethnic characteristics; and the activities of functions through which the needs of residents are met. § The health of individuals or groups is inextricably linked to the health status of each community.

Community assessment Is a complex although well-defined process through which the unique characteristics of the populations and their special needs are identified to plan and evaluate health services for the community as a whole. The desired outcomes of this process is identification of direct service as well as advocacy needs of the target aggregate or group and improved health for the community as a whole.

Community health assessment § People § Demographics, biologic, social & cultural acquired § Environment § Physical, biologic/chemical, social § Health care delivery system § Organizational, resources, services

Data collection & sources of community health date § Critical indicators of perinatal health: § Maternal mortality, infant mortality, low birth weight, first trimester prenatal care, rates for mammography, Pap smears… § Walking survey § Participant observation

Levels of Preventive Care § Primary prevention § Secondary prevention § Tertiary prevention § Primordial prevention

Perinatal continuum care § § § Antenatal home care “Warm Lines” First Home Care Visit § Personal safety § Client’s home § Infection control § Nursing consideration

To be continued…