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 1st trimester2nd trimester3rd trimester Postpartum Or newborn

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

 Certified nurse-midwives  Certified midwives

Contemporary issues  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:  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  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  McGill 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…