Maternity care used to be and still is at some facilities segregated into three departments; intrapartum, postpartum and nursery. This care is often called “transitional” care, and has been described as “rigid and inflexible” (Waller-Wise, 2012). During my obstetrics rotation, the transition to family centered care was observed.
Patient A.B. was a 26 year old female who had delivered her baby girl at 0502, approximately two hours before I assumed care of the patient with my preceptor. This was her third pregnancy and all were a cesarean delivery. Gestational age at time of delivery was forty weeks and one day. Mom was group B strep negative and required no antibiotics, blood loss was approximately 400ml and baby had Apgar score of eight and nine. The patient had a very detailed birth plan which included some details such as; staying with her baby, breastfeeding, and providing
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result in separation of moms and babies. In Mississippi 81 percent of infants are separated from their mothers after birth. In Munroe Regional Medical Center, the facility tried to adopt the couplet model in 2012 but under opposition from the area physicians the transition has been put on hold for now. According to Prophecy Healthcare, with organizations like American Women’s Health, Obstetric, and Neonatal Nurses (AWHONN), the American Academy of Pediatrics (AAP), and the American College of Gynecologists (ACOG) supporting the adoption of the couplet care model, I believe that the national standard of traditional maternal care will transition to the couplet care model. The atmosphere of the maturity level is going to change “ the postpartum rooms will be mother/baby suites, the labor and delivery rooms will be the Birth place, and the nursery will be known as the baby lounge” (Schreiner,
Education regarding unit or group thinking is to be encouraged and reinforced. The fact that newborn Rosarie will be entering the home poses unique challenges that will require all members of the family to work together. Maria, Jamie, and Alice must be educated on the signs and symptoms of respiratory distress in the newborn and interventions that must be initiated when distress occurs. The nurse responsible for this teaching must require both verbalization and return demonstration of skills learned to ensure proper reception of the information. Once skills are developed by the adults within the home, the remaining children should then be educated on the signs and symptoms as well and actively participate in care. Involving the entire family will bring a cohesive thinking, and allow the family to work as a unit. A marriage counseling referral should as be provided to Maria and Jamie in order for them to work out their existing issues improving their likelihood of a successful marriage. Routine “check in’s” (phone calls, visits, etc.) should be in place for the family both by social services and pediatricians. In addition, community outreach programs (food banks, cultural organizations, etc.) are designed to support families like the Perez’s, nurses working within the community should tell these families about these resources
This birthing plan is often documented in the patient’s medical record which aids the health care staff during the birthing event. Documentation and discussion of these events is often necessary to ensure all the needs of the family are met. Too often all the potential needs are not discussed and the opportunity to meet the needs of the new family is missed. These missed opportunities can result in emotional and religious conflicts within the family unit and toward the health care staff. For the nurse leader these missed opportunities in care could result in unfavorable patient satisfaction scores and reports within and outside the institution which necessitates follow up. The most important missed opportunity is how this affects the family unit itself. Depending on the missed opportunity the family unit may be affected for years based on questions not asked or decisions made with poor information. Some cultures must bury the placenta after birth and if this was not discussed and the placenta discarded the religious implications could be devastating for this family. Application of Henderson’s need theory guides the nurse in the educational plan for the patient-family unit to ensure all basic needs are covered and questions related to those needs are posed in advanced of the birthing
The child that I tested will be referred to as K.L. I tested her on April 14th 2016. K.L. is 2 years old, with her exact age being 2 years 9 months and 14 days. I called and asked her mother if she would mind dropping K.L. off with me for a few hours so I could perform the test, and then pick her back up after the test was complete. This test more accurate when the caregiver is not present. K.L. has a step sister and a baby brother on the way. She has always been in the daycare setting, because her grandmother is a provider. K.L. was delivered full term via planned cesarean section due to her mother’s small pelvis. There was no complications during this pregnancy. K.L. weighted 8 lbs. 4 oz. and was 20 ½ inches long at birth, now weighting in at ...
Prenatal care is an essential aspect of a pregnancy in terms of child development. Depending on whether the mother received adequate prenatal care, there could be problems with the child 's development (Santrock, 2016). Prenatal care might differ depending on the era of pregnancy. For example, a 21st century 's mother might more access to information due to technology as opposed to a 16th or 17th century 's mother. Could this have played a role in the type of prenatal care each mother engaged in during her pregnancy period? Another reason could be a difference in cultural beliefs which might influence a mother 's prenatal behavior.
Under a dispersed model of care if I was a 63-year old experiencing chest pain, and I did not have a regular provider, I would be able to go directly to the cardiac surgeon at the medical school. The dispersed model of care is the traditional health care organization model in the United States (Bodenheimer & Grumbach, 2012). The dispersed model does not have strict organization like the regionalized model does, and people can go to a specialist of their choice without seeing their provider first (Bodenheimer & Grumbach, 2012). There are also overlapping roles, as primary care providers are taking on secondary care functions by providing inpatient care on top of their primary care functions that they are supposed to be fulfilling (Bodenheimer
In 1995 Floyd published an assessment of options and experiences with home births in the United Kingdom, discovering that home birth improved the experience and well-being of women, babies, and midwives. 226 midwives were asked their opinion on at home birth, 70% of them were favorable towards home birth, however “financial security, liability concerns, and lack of support from other maternity care providers (physicians and nurse-midwife peers) were barriers that affected the choice of practicing in an at home setting.” Home birth nurse-midwives are “looked” down on by hospital personnel, because of the higher risk of lawsuits than those who deliver in a hospital setting. The article finished off by stating “out-of-hospital maternity care will also improve preparation for practice in rural and remote settings, or during disaster conditions, and may be critical to the provision of essential health care services.” Which is a great point the authors put into this article.
It is no secret that the current healthcare reformation is a contentious matter that promises to transform the way Americans view an already complex healthcare system. The newly insured population is expected to increase by an estimated 32 million while facing an expected shortage of up to 44,000 primary care physicians within the next 12 years (Doherty, 2010). Amidst these already overwhelming challenges, healthcare systems are becoming increasingly scrutinized to identify a way to improve cost containment and patient access (Curits & Netten, 2007). “Growing awareness of the importance of health promotion and disease prevention, the increased complexity of community-based care, and the need to use scarce human healthcare resources, especially family physicians, far more efficiently and effectively, have resulted in increased emphasis on primary healthcare renewal…” (Bailey, Jones & Way, 2006, p. 381). The key to a successful healthcare reformation is interdisciplinary collaboration between Family Nurse Practitioners (FNPs) and physicians. The purpose of this paper is to review the established role of the FNP, appreciate the anticipated paradigm shift in healthcare between FNPs and primary care physicians, and recognize the potential associated benefits and complications that may ensue.
Sorensen, J., & Abbott, E. (2004). The Maternity and Infancy Revolution. Maternal & Child Health Jounal, 8(3), 107-110. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=14089739&site=ehost-live
In the world of midwifery, women in particular are the main focus of primary care. In addition, it is about being with the women, in partnership with the women and delivering women centered care. In the perspective of midwives, it is important that women view midwives as the supporters of their journey rather than midwives doing their jobs. (Carolan & Hodnett, 2007). Midwives are the primary providers of maternity care. They have the role and responsibility to deliver continual care throughout a women's naivety and ensures that the women receive optimal care and support. Over the time of pregnancy and beyond, women and midwives have the time to create trust and develop a sense of bonding with one another. Antepartum, intrapartum, and postpartum
The nursing profession offers a wide variety of choices for career opportunities. There are also a wide variety of jobs and specialties for nurses. It is estimated there are approximately 3,129,452 Registered Nurses in the United States, and 92,113 in Georgia. The expected projected job growth in 2014-2024 is 16% for all registered nurses. Labor and Delivery nurses are registered nurses who provide care to women and their newborns during various stages of pregnancy and childbirth. According to the Bureau of Labor Statistics, the nursing shortage is predicted to be 1.2 million between 2014 and 2022. The career path of a Labor and Delivery nurse is demanding but a gratifying choice.
...o find a balance between interventional and non-interventional birth. With this being said, I also understand that there are strict policies and protocols set in place, which I must abide to as a healthcare provider, in any birth setting. Unfortunately, these guidelines can be abused. Christiane Northrup, MD, a well recognized and respected obstetrician-gynecologist has gone as far as to tell her own daughters that they should not give birth in a hospital setting, with the safest place being home (Block, 2007, p. xxiii). Although I am not entirely against hospital births, I am a firm believe that normal, healthy pregnancies should be fully permissible to all midwives. However, high-risk pregnancies and births must remain the responsibility of skilled obstetricians. My heart’s desire is to do what is ultimately in the best interest of the mother, and her unborn child.
Pairman,S., Tracy, S., Thorogood, C., & Pincombe, J. (2013). Theoretical frameworks for midwifery practice. Midwifery: Preparation for practice.(2nd ed, pp. 313-336). Chatswood, N.S.W. : Elsevier Australia
Ward, S. L., & Hisley, S. M. (2009). Maternal-Child Nursing Care: Optimizing Outcomes for Mothers, Children, and Families. Philadelphia, PA: F.A. Davis.
Kaakinen, J. R., Gedaly-Duff, V., Coehlo, D. P., & Harmon Hanson, S. M. (2010). Family Health Care Nursing: Theory, Practice and Research. (4th ed.). Philadelphia, PA: F.A. Davis .
Nurse Family Partnership presented at: University of Washington School of Nursing. Kazloric J, RN, Manager for NFP. November 6, 2013.