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essay on delayed cord clamping
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“The imperative of implementing delayed cord clamping to improve maternal and neonatal outcomes” is an article written by Nicola Holvey, who is a student midwife at the university of West London Wexham Park hospital. The article was published in 2014 by the British Journal of Midwifery. In the article Holvey argues why delayed cord clamping of neonates should be implemented as a standard practice in hospitals. This article is a well written, informative article that outlines the positive effects of delayed cord clamping with supportive research that contributes to Holvey’s argument.
Delayed cord clamping is a heavily debated practice among physicians and obstetrical staff around the world. Once a baby is born they remain attached
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Holvey explains that the reason physicians have chosen not to make delayed cord clamping part of their standard practice is because in certain scenarios, delayed cord clamping may not be the best option. When a baby is born there are certain characteristics of the labor and birth process that may interfere with the ability to perform delayed cord clamping. In the event that the baby needs immediate intervention to become stable the baby must be moved to a designated resuscitation area where medical professionals can gain access to certain types of equipment. In this situation the cord would be clamped immediately. Holvey states that the main reason physicians do not practice delayed cord clamping is because there is not enough research done about the risks it poses to infants and the mothers. In the event of an emergency, the time it takes for the extra blood to pass to the baby may be crucial. Early in the article Holvey answers the question she presents to the reader in the beginning, she gets to the point of her article early on which intrigues the
Umbilical cord blood banking has been a new topic for the media and public. Science has shown there are copious benefits and a few drawbacks with the use of cord blood. One of these drawbacks is the cost of cord blood banking. If insurance companies were to be mandated to cover cord blood banking, then more people could reap in the benefits of having cord blood stored.
Neonatal nursing is a field of nursing designed especially for both newborns and infants up to 28 days old. The term neonatal comes from neo, "new", and natal, "pertaining to birth or origin”. Neonatal nurses are a vital part of the neonatal care team. These are trained professionals who concentrate on ensuring that the newborn infants under their care are able to survive whatever potential life threatening event they encounter. They treat infants that are born with a variety of life threatening issues that include instances of prematurity, congenital birth defects, surgery related problems, cardiac malformations, severe burns, or acute infection. Neonatal care in hospitals was always done by the nursing staff but it did not officially become a specialized medical field until well into 1960s. This was due to the numerous advancements in both medical care training and related technology that allowed for the improved treatment and survival rate of premature babies. According to the March of Dimes, one of every thirteen babies born in the United States annually suffers from low birth weight. This is a leading cause in 65% of infant deaths. Therefore, nurses play a very important role in providing round the clock care for these infants, those born with birth defects or other life threatening illness. In addition, these nurses also tend to healthy babies while their mothers recover from the birthing process. Prior to the advent of this specialized nursing field at risk newborn infants were mostly cared for by obstetricians and midwives who had limited resources to help them survive (Meeks 3).
The focus of this paper is to discuss the different characteristics of the two most effective methods of child births: Natural births and Cesarean section (C-section). Child birth includes labor and delivery; the entire process of passage from the womb, to the birth canal, to the outside world. Natural birth is a method of child birth in which medical interventions are minimal and the mother usually practices relaxation and breathing techniques to minimize pain during delivery. Cesarean section (c-section) is a method of birth which involves delivery through incisions in the abdominal walls and uterus. Natural births and C-sections both pose documented medical risks to the mother’s health including infections and other medical mishaps (Rowe- Murray 2002).
Put yourself in Mendoza’s position, you have been carrying your bundle of joy for 19 weeks, talking, singing, and bonding with your baby. Planning out the rest of your life, centering on your baby when suddenly, it comes to a tragic end. You no longer feel your baby twist, kick, and hiccup. You are suddenly robbed of that warm feeling. The feeling that trounces any horrible morning sickness and back pain. As if the pain of losing a child is not enough, you are bleeding, and there is no doctor available to perform the dilations and evacuations (D&E) procedure before decay begins. Labor induced delivery is suggested where you might possibly die or suffer severe damages, you are in both physical pain from bleeding, and mental pain from losing your child. How would you react? Would you ask for a D&E? Or would you induce labor and wait a few days to deliver a lifeless
...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.
Since neonatal nursing is my special interest and field, I chose to write about the health care options which are available to parents having children in different hospitals throughout the world. With the state of the art technological advances in the neonatal units, there are so many options available for the care of newborn babies. I reviewed the neonatal units in Australia, Saudi Arabia, New York, Tokyo, Ireland, and California, and I have learned what It takes to run a neonatal intensive care unit all around the world.
A premature baby is born before 36 or 37 weeks of a female 's pregnancy. Premature infants are born too soon and do not have the capacity to survive on their own. Their organs are immature. These newborn children have a tendency to be underweight and needing earnest consideration. Being an premature child can be the essential enemy of all babies. The rate of untimely children have ascended tremendously. Somewhere around 8 and 10 percent of them have been birthed in the United States (“"National Prematurity Awareness Month.”). Dealing with an premature infant is extremely milestone in life, because of their confusions and uncommon needs required.
The nurse immediately started to intervene by turning the patient onto their left side. This intervention did not work; therefore the nurse turned the patient onto her right side and applied 10L of oxygen to the patient via a facemask. Also, the nurse opened her fluids wide. After turning the patient from side to side the fetal heart rate returned to normal. This initial decel lasted four minutes and had a nadir (lowest point) of 85bpm. As this was happening the physician and two residents came into the room, because the fetal heart monitor alarms at their station as well. Once the fetal heart rate was back to normal the physician asked the nurse to continue monitoring the patient closely. The fetal heart rate remained stable for about thirty minutes until 8:20am when the heart rate began to have late decels. A late decel is defined as “A late decel is defined as “a gradual (onset to nadir >30 seconds) decrease in FHR, with the onset, nadir, and recovery of the deceleration occurring after the beginning, peak, and ending of the contraction, respectively” (Miller, 2012). The nurse began to intervene again by turning the patient, applying an oxygen mask at 10L, and opening the fluids to run wide. This time the nadir reached 50bpm and the physician knew he needed to act fast. At 8:34 the physician artificially ruptured the patient’s membranes and applied a fetal scalp electrode. “This
...s. Most women are fortunate and have an outcome of a full term, healthy baby, however, there are some women that are not so fortunate and have preterm births. With this said, all women, when contemplating pregnancy, should be aware of all the risks and possible complications that can arise and also the preventions that can be taken.
Premature birth is when an infant is born 37 weeks before appointed due date. Premature babies are not completely developed and not ready for the outside world. Cases of premature birth can either be slight and not noticeable or completely severe. My brother was born two months premature and had to stay in the hospital for a month attached to machines and IVs. My mother was not able to take her first child home and have a complete certainty that her newborn baby will even be alive. I chose this topic because I am very fortunate for having a strong and healthy eighteen year old brother, even though he was premature. I have gained a strong curiosity towards the effect of prematurity; how some are greatly affected and why some women go into labor premature. I want this research to let me know that I’m not taking my brother for granted. Due to my brother being premature, he is quite shorter compared to most people. My brother and I also have the same birthday. This allows us to pretend we are twins. His effect of being premature is not noticeable because he did not obtain a severe condition. With this research paper, I hope to gain knowledge and acknowledgment towards the people affected due to premature birth.
Reddy, U. M., Zhang, J., Sun, L., Chen, Z., Raju, T. N., & Laughon, K. (2012). Neonatal mortality by attempted route of delivery in early preterm birth. American Journal of Obstetrics & Gynecology, 207(2). doi:10.1016/j.ajog.2012.06.023
Cord clamping takes place after birth, during the third stage of pregnancy. Once the infant is born , the umbilical cord, which is still supplying nutrient rich blood to the fetus from the mother, must be clamped and cut. This is followed by the delivery of the placenta, which completes the third stage of pregnancy, and thus the cycle is complete. Time is something that can be argued by health professionals all around . Neither physicians nor midwives can scientifically say what is the optimal time for cord clamping because each pregnancy and thus each birth is different and unique . Universal protocol does not necessarily apply during the birthing process. However, majority is something that can be considered and is what this study will look at. Taking a look at the comparisons of delayed cord clamping and the historically accepted practice of quick c...
Cord clamping is a procedure where a baby’s umbilical cord is clamped and cut. This procedure clamps off the baby’s arteries and vein contained within the cord, which can immediately halt circulation depending on when the clamps are applied. Cord clamping might be done prior, during, immediately after or hours after birth. When cord severance is performed a plastic clamp is also applied to the remaining cord to prevent blood loss from the baby. I chose this topic because it is very interesting to see the differences between early cord clamping and the delayed cord clamping process. There are a few differences that I have found when doing my research on how delayed cord clamping can benefit the baby.
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.
A lot of pregnancies have led to maternal mortality and maternal morbidity. This area of concern is often situated with MFM subspecialists, in order to reduce the rate of maternal mortality and maternal morbidity (Haywood, B., 2012). The Society for Maternal-fetal Medicine also strives to improve maternal and child birth outcomes by standards of prevention, diagnosis and treatment through research, education and training. (Schubert, K. & Cavarocchi, N., 2012) In order for MFM subspecialists to help reduce the rate of maternal deaths, they must receive adequate training and education, including research, which is very essential for treatment. The main focus of the MFM subspecialist is early diagnosis of fetal abnormalities, pathogenesis, and early diagnosis and treatment of pre-eclampsia and fetal growth restriction. In ...