Cesarean delivery in a past pregnancy continues to generate a critical problem in decision making for both women and their caregivers. For women who have had a previous cesarean section, have three possibilities for their next method of birth. They can go into labor and have a vaginal birth, which is known as (VBAC), or they can go into labor and unfortunately need another cesarean. The other option is an elective repeat cesarean (ERC). Choosing the method of birth is an important and a very personal decision, therefore it should be discussed with family and with the health care provider who can help you learn what the risks may be. The health care provider has to take into account many factors in their decision-making process. Trial of labor after cesarean (TOLAC) should be a possibility for most women with a prior cesarean but regardless of the approach to delivery, a …show more content…
Shared decision making is extremely important. A narrative analysis was done, asking women with a prior cesarean to indicate the mode of birth that they were planning to have and to explain their choice. Many women relied completely on their healthcare provider for their medical advice. For others, emotions factored considerably. Fear and anxiety led to many worries because these women were aware that problems could arise, regardless of their decision. The women who decided on the ERC did not feel that they should take the risk, they feared uterine rupture. Women with placenta previa had no other choice but to have another cesarean. Placenta previa is when the placenta covers the opening of the mother’s cervix, which “can have serious adverse consequences for both mother and baby, including an increased risk of maternal and neonatal mortality” (Gurol-Urganci et al.,
Pam Jenkins is a 36 year-old woman that is 30 weeks into her third pregnancy. Since her pregnancy began, Pam has gained 20 pounds. Although Pam has reduced the amount that she smokes, she continues to smoke 5 cigarettes per day, which may cause some issues with her worry of another preterm birth. Another factor that could also cause complications is her delayed prenatal vitamin use. After logging her dietary intake within a 24 hour period into SuperTracker, I will be making recommendations on how she can alter her diet and lifestyle to ensure that Pam receives the nutrients she needs for herself and for her baby.
Abortion, like any other medical procedure, carries some risks. When one considers, however, that “the risk of death associated with childbirth is about 10 times as high as that associated with abortion” (“Know the Facts”), the threat of abortion suddenly does not seem as perilous. Additionally, contrary to popular misconception, abortion does not contribute to future infertility or development of breast cancer. It is therefore safer and more prudent to have an abortion than an unwanted pregnancy.
The reason why society advances is because of the innovations put forth by innovators. Therefore, it can be said that innovators are the reason why society advances. Bertrand Russell highlights three reasons why society is reluctant to the changes put forth by innovators. These are, “…the instinct of conventionality…the feeling of insecurity…that vested interests are bound up with old beliefs…” these ideas are all present in the play, Julius Caesar (Bertrand Russell 1). Russell states a number of facts about the way society views innovators and the statues quo, and Julius Caesar, written by William Shakespeare many centuries before Russell was born, demonstrates that his philosophy applies to all generations, before, present, and after his time period.
When pregnant, many expecting mothers are faced with a very tough decision, the decision to have an epidural during labor or to have a natural birth. Both methods have negative and positive aspects. This topic has such conflicting views that about 50% of women decide to get an epidural when going into labor and the other 50% of women choose the alternative: natural childbirth. It is important for an expecting mother to look into both options thoroughly to ensure they make the best choice for both themselves and for their child. With all of the speculations circulating about both options, it is hard for mothers to see the truth about both epidurals and natural childbirth.
Another thing to take into consideration is the physical health risks during and after an abortion. As Ring-Cassidy and Gentles(2003) said “Abortion is never with out risks”(p. 89), this tells us that you can never be sure your going to come out completely fine when you go in for an aborti...
The Citizens of America do not realize the freedoms they have in the birthing process. Instead of knowing all the paths women can choose from in the United States most believe the only option is in the hospital. It is not common knowledge that the midwife can be the best choice for most healthy able women bearing children. This circumstance is reinforced by more than one factor. Historically, midwives have been exiled by the medical elite during the turn of the twentieth century. Another aspect that can be taken into account is that the birthing process is generational, meaning the tradition is passed down through the mother to her own daughter. These two factors play a major role in continuing the popular birthing norms of America. These reasons cause most people to lose interest when advocates of midwives try to convey their message. Through the examination of American birth models, the focus will be on the following: the historical context of the midwife up to modern day assumptions, the comparison and contrast of American practices in relation to the other countries of the world, and the financial break down and services a mother would receive in from an OB/GYN versus a midwife. These three factors will be used to fully exemplify the importance and necessity a midwife has on a birth, advocate for the knowledge of midwifery to the common public, and call for more American women to take advantage of such a powerful opportunity by educating themselves on what options they have when they become pregnant
The debate concerning abortion still exists and is causing a lot of controversy. One of the biggest is an issue concerning mother’s who are experiencing health compilations during p...
The method used to study the hypothesis was by having 328 women completed five surveys up to 72 hours postpartum. They were between the ages of 18-42. Out of the group 68.6% were married or living with a partner and 43.3% had a job. The average number of years the women spent in school was 8.8yrs. More than half (59.2%), did not complete high school and only 2% (6) completed higher education. From the group, 19.2% of them had a miscarriage before. More than half (51.5%) had already had a baby before, and 22.1% had a high risk pregnancy. These surveys included the peritraumatic dissociative experience questionnaire (PDEQ), the socio-demographic and obstetrical questionnaire, the pain numeric rating scale, the Trauma History Questionnaire, and the SCID-I for traumatic events. The female participants were recruited from two maternity facilities which were located in Recife, Brazil. Participation for this experiment was voluntary and the participants were informed that if they did not wish to take part in the experiment their future care would not be affected. Out of the women asked to participated 30 refused and 328 took part in the examination. The requirements for women to participate were: 18yrs or older, up to 72 hours postpartum, and the baby was alive at the time of the interview. Women who were under treatment for a psychiatric disorder were excluded. Between July 2010 and November 2010, data was collected.
The topic of abortion has been discussed in many ways including positive and negative ways in the United States, an understanding of why women seek abortion has been missing from the discussion. Approximately 1.21 million women per year have abortions, individuals do not publicly talk about their abortion experiences
I went through several stages of labor and its difficulty, after which I was transferred to ICU where I
Bergman, J., & Bergman, N. (2013). Whose choice? Advocating birthing practices according to baby's biological needs. Journal of Perinatal Education, 22(1), 8-13. doi:10.1891/1058-1243.22.1.8
Electronic Fetal Monitoring Technology has had a very prominent influence on electronic fetal monitoring since its appearance in the 1960’s and 1970’s. For many years, fetal monitoring was simply done by listening to a fetal heartbeat through a stethoscope. Dramatic changes in the heartbeat, such as a long period or a drop in the rate or intensity, could be detected,. Now, not only is the electronic fetal monitor used on the outside of the womb by strapping electrodes to the mother’s abdomen but electrodes can also be inserted during the first stage of labor and placed directly on the baby ’s head.
Vered, N., Nadir, E., & Feldman, M. (2012). Late better than early elective term cesarean section. Acta Paediatrica, 101, 1054-1057. doi:10.1111/j.1651-2227.2012.02772.x
Over the years birthing methods have changed a great deal. When technology wasn’t so advanced there was only one method of giving birth, vaginally non-medicated. However, in today’s society there are now more than one method of giving birth. In fact, there are three methods: Non-medicated vaginal delivery, medicated vaginal delivery and cesarean delivery, also known as c-section. In the cesarean delivery there is not much to prepare for before the operation, except maybe the procedure of the operation. A few things that will be discussed are: the process of cesarean delivery, reasons for this birthing method and a few reasons for why this birthing method is used. Also a question that many women have is whether or not they can vaginally deliver after a cesarean delivery, as well as the risks and benefits if it. Delivering a child by a c-section also has a few advantages and disadvantages for both the mother and child; this will also be discussed in more depth a bit later.
An obstetrician is one thing, and a gynecologist is another. The job is combined together, but the two branches can be worked separately. An obstetrician is a physician who focuses and is trained in the management of pregnancy, labor, and pueperium (the period following childbirth). A physician who has specialized and trained in the health of the female reproductive system is a gynecologist. The reason the jobs are combined is because they’re both all about women. Obstetricians and Gynecologists are physicians who provide general medical care to women. They equip medical care associated with pregnancy or childbirth, and they diagnose, treat, and help prevent diseases, especially those affecting the female