In this paper we discuss about a labouring women named Mary Doe who is experiencing prolonged labour, she is a singleton pregnancy and having irregular contractions. Poor progress in labour is very common and has many associated complications following it. Unfortunately poor progress is the leading cause for procedures such as c-sections, instrumental deliveries, artificial rupture of membranes, and use of epidural analgesia. Despite this there are strategies that midwives can provide to enhance progress in prolonged labour. These strategies include different postures/ positions, hydration, ambulation in the first stage, water immersion and continuous support by a midwife. This paper discusses potential outcomes Mary Doe may face due to prolonged labour and midwifery strategies to enhance labour progress. BODY ONE NORM/ SATISFACTORY PROGRESS The criteria that determines normal or satisfactory progress of labour is based on many factors. It can be described as: the powers (indicating uterine activity), the passenger (which is the fetus) and the passage (the pelvis) (Selman & Joh...
The Bishop score is a pelvic scoring system developed to make it easier to determine whether a multiparous woman was a suitable candidate for induction of pregnancy. Although the information in the Bishop score was known by many obstetricians for many years, Edward H. bishop is credited because he pulled the pieces together and formed an organized system accompanied by research and statistics to back up his findings. His paper is called the “Pelvic Scoring for Elective Induction”. In this paper, Bishop describes basic minimal requirements that must be met before any patient can be considered for elective induction of labor (1964).
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.
In doing this project the literature drawn from is largely non-scholarly for the reason that I am prevailing upon the reader to think outside the box about birth. Most of the “scholarly” research that is available was written by doctors or nurses/nurse midwives who were trained in the medical model of birth. Since part of my premise is that the high rate of Cesarean sections is caused in part by viewing birth as a medical and therefore pathological event, and in part for its emergence as a capitalistic industry, it was then necessary to find literature written by people who have expertise in birthing though not from the traditional obstetrical/medical school approach.
"7 Tips For Having A Natural Childbirth." Fit Pregnancy. N.p., n.d. Web. 25 Nov. 2013. .
The use of epidurals is so common today that many perinatal professionals are calling the 1990s the age of the epidural epidemic. Believed by many in the medical profession to be safe and effective, the epidural seems now to be regarded as a veritable panacea for dealing with the pain of childbirth. It is true that most women experience pain during the course of labor. This pain can be intense and very real, even for those who have prepared for it. But pain is only one of many possible sensations and experiences that characterize the experience of giving birth. Barbara Katz Rothman, a sociologist who studies birth in America, writes that in the medical management of childbirth, the experience of the mother is viewed by physicians as pain: pain experienced and pain to be avoided.1 Having experienced childbirth ourselves, we have great compassion for women in painful labors. However, we also feel a responsibility to mothers and their babies to explore issues concerning the use of epidural anesthesia in labor issues that are seldom discussed prenatally.
The history in a family can influence many generations. Certain families have stereotypes about them based on family history. This is a real world situation; the movie The Pregnancy Project, stereotypes about teen pregnancy where shown, and how they affect people. In the Pregnancy Project, the use of Gabi’s background influenced people’s reactions because her family has a history of teen pregnancy.
Throughout history mankind has come up with some wonderful inventions and innovations, but out of all the creations by far the most beautiful and precious is human birth. I first developed an interest in nursing and in particular midwifery years ago. I believe it is a great service within the health profession because of the privileged position to assist in human childbirth. The word midwife means with woman. Centuries before obstetricians delivered babies, midwifes assisted women in having at home births. But it was only formally established as a profession in the early 1900’s. A nurse-midwife is a registered nurse that specializes in midwifery. The job of midwife is to assist in family planning and birth control advice, provide general gynecological services (such as pap smears and breast exams), aid women in childbirth, and help women by providing prenatal and postpartum care. Nurse-midwives are required to have a Master’s of Science in Nursing (MSN) degree and pass the American College of Nurse Midwifery (ACNM) board examination to obtain certification.
A description can never be as vivid as an event that has been experienced. An experience can never be as defining as an event that has left you changed. Under the intensity of childbirth, you're more likely to remember details that would otherwise go unnoticed. All the scenes come together to leave a permanent imprint on the mind's eye.
For one woman, this vision of childbirth is not the norm. Ana Rhodes is a midwife, and she is one of the only birth attendants available to...
The process of human development is very complex. It is a continual process, providing gradual development for the fetus. Some of the most important factors to fetal development such as blood flow, heart beats, muscle development, and brain activity can all be determined within the first seven weeks of pregnancy (Baby Developme...
Worldwide, the rate of cesarean section is increasing. According to the CDC, in 2012 the rate of cesarean sections comprised 32.8% of all births in the United States (CDC, 2013). Between 1996-2009 the cesarean section rate has risen 60% in the U.S (CDC, 2013). According to the World Health Organization (WHO), more than 50% of the 137 countries studies had cesarean section rates higher than 15% (WHO, 2010). The current goal of U.S. 2020 Healthy People is to reduce the rate of cesarean section to a target of 23.9%, which is almost 10% lower than the current rate (Healthy People 2020, 2013). According to a study conducted by Gonzales, Tapia, Fort, and Betran (2013), the appropriate percentage of performed cesarean sections is unclear, and is dependent on the circumstances of each individual birth (p. 643). Though often a life-saving procedure when necessary, the risks and complications associated with cesarean delivery are a cause for alarm due to the documented rate increase of this procedure across the globe. Many studies have revealed that cesarean deliveries increase the incidence of maternal hemorrhage and mortality and neonatal respiratory distress when compared to vaginal deliveries. As a result, current research suggests that efforts to reduce the rate of non-medically indicated cesarean sections should be made, and that comprehensive patient education should be provided when considering an elective cesarean delivery over a planned vaginal delivery.
Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., & Wilson, D. (2013). Labor and Birth Processes. In Maternal Child Nursing Care (5th ed., p. 351). Elsevier-Health Sciences Division.
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.
Preterm birth is defined as ‘any neonate whose birth occurs before the thirty seventh week of gestation’1 and represents approximately eight percent of all pregnancies1-4. It is eminent that these preterm infants are at risk of physical and neurological delay, with prolonged hospitalisation and an increased risk of long-term morbidity evident in prior literature3, 5-13. Innovative healthcare over the past thirty years has reduced mortality significantly14, with the survival rate of preterm infants having increased from twenty five percent in 1980 to seventy three percent in 200715. Despite, this drop in mortality long-term morbidity continues to remain within these surviving infants sparking a cause for concern15, 16.
“ Being a Motherhood is a choice you make every day, to put someone else's happiness and well-being ahead of your own, to teach the hard lessons, to do the right thing even when you're not sure what the right thing is...and to forgive yourself, over and over again, for doing everything wrong.” MMMMM. Being mother is one of the most blessed and the most challenging job in the world. Giving birth to a new life and making it walk through the new world holding its hands showing a good trail makes a mother victorious in her life. In this modern world women’s attitude against pregnancy and being a mother is changing accordingly. There occurs so many miscarriages and maternal death during the pregnancy. A woman should be physically, and more over mentally set to have a baby in her womb. Considering the biological fitness of health it’s said that safer age to be get pregnant is in between 20 to 29. Early pregnancy in the teenage age of 13 to 20 and the delayed motherhood age after 35 is challenging to the health of mother as well as the birth of the child causing currently social issues India.