Many communities throughout the United States, contain large populations of religiously observant Jews. The intent of this research is to provide a comprehensive, descriptive guide to specific laws, customs, and practices of traditional, religious observant Jews for the culturally sensitive management of labor, delivery, and postpartum. Discussion includes intimacy issues between husband and wife, modesty issues, labor and birth customs and Sabbath observance, . Doctors and other health care professionals can tailor their practice by integrating their knowledge, and becoming culturally competent in regards to the Jewish culture to help facilitate a specific plan of care. In society today when the word intimacy is interchanged in a sentence, …show more content…
Although the woman of the Jewish cultural are the domineering ones in relation to sex, they still maintain prestige modesty. Tz 'ni 'ut is another term in reference to modesty in the Jewish culture. It means simple, plain, shy, and most important private. During my interview I learned these traits are what Jewish men look for in a companion. Modesty in the Jewish culture plays a role in relation to the way they dress, speak, act and live. Judaism rejects complete nudity in any area of their lives. Jewish faith believes those who recite prayer in the buff , are creating sin. They relate this in correlation with Adam and Eve, who, after committing the first sin realized they were naked and felt ashamed. (Lamn, 2013.) Jewish woman desires modesty in all forms ,especially in relation to their clothing. The typical Orthodox Jewish female wears garments that cover her elbows and knees. A lot of the woman cover their hair with a shawl, scarf or a kippa. With this being said, having a diverse knowledge in many cultures would allow for effective understanding when it came to taking care of a patient with these cultural beliefs. During the first three months of pregnancy, it is best that the couple not telling anyone of the pregnancy, even close family and friends. …show more content…
( Criton, 2014.) Being a labor an delivery nurse(L&D) myself, and modesty being such an important facet within the Jewish Community, it would be safe to say, that cultural competence in Jewish birthing rituals would be a must when laboring a patient of this belief. My goal as a labor nurse, is to skillfully, attentively, and appropriately monitor, observe, and respect my patient and their unborn fetus at all times while under my care. Since the Jewish culture diligently tries to maintain complete modesty as a nurse, I would offer my Jewish labor patients a long sleeve gown and surgical hat to cover their head.
Ensure the delivery area is clean, out of public view to maintain the mother’s dignity, covered in absorbent material to prevent contamination of blood and faeces and drape in vaginal area appropriately with towelling (Bledsoe, Porter & Cherry, 2013). Paramedics should take a set of baseline vital signs, while simultaneously preparing the rest of the required equipment (Saunders, 2012). QAS (2014) suggests preparing a maternity kit, blankets, towels, oxygen and a resuscitation area. They state that once breech is suspected and due to the increased risk of asphyxia during delivery, the preparation for neonatal resuscitation should be a priority. If time permits the paramedic team will wear sterile gloves, gown and face shield or goggles (Bledsoe, Porter & Cherry,
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.
There are many different cultures throughout the world. They each have their own distinct customs and beliefs relating to marriage, rites of passage, conflict resolutions, education etc... The most interesting aspect of each culture is how they incorporate their religious beliefs into the healthcare they receive. Some cultures are not affected by their religious beliefs when dealing with healthcare. They are not regulated in the terms of medical procedures and practices they can obtain from healthcare professionals. However, this is not true for every culture in this world. The Amish and Mennonite culture is depicted upon separating themselves from this world and living a plain life. These two cultures are heavily rooted in their religious beliefs and have tendencies not to stray away from those beliefs regardless of the possible benefits of modern technology. Amish and Mennonite culture may share some similarities, but they have some differences also. A culture’s religious beliefs will be the main determining factor in the healthcare they choose.
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).
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
Several barriers are present that dissuade many Amish women from receiving modern prenatal care due to their cultural and spiritual beliefs. Cost can be a major factor when it comes to modern prenatal treatment, as many Amish families could not afford it. Transportation is also a factor when it comes to prenatal treatment. The overwhelming majority of Amish transport is the horse-drawn carriage. Perhaps the largest barrier present is the cultural system of the Amish itself. The Amish are humble and modest, and as such, are loathe revealing their nudity, so much so that many women would not permit physical asse...
According to Leah Albers, Certified Nurse Midwife, three-quarters of all of the deliveries are performed with women in a supine position, or lying on their backs (Keen, DiFranco, Amis, & Albers, 2004). However, as evidenced throughout history women across all cultures have used both upright and “gravity-neutral” or supine positions to give birth to their babies. Before the introduction of the forceps in the 17th century, women were rarely shown to be giving birth in a supine position. Earlier in history women were encouraged to give birth guided by their own “inner wisdom” in a position that was most comfortable for them; a position which was rarely lying on their back (Keen et al., 2004). The majority of women today, especially in Western society, deliver their babies in supine positions because it is the most preferred position of the midwife or nurse and has been a tradition for many years (de Jonge, Teunissen, van Diem, Scheepers, & Lagro-Janssen, 2008). On the contrary, the use of supine positions rather than upright positions is not the most optimal modes of delivery for the mother and the baby. Thus, to change the clinical practice on labor and delivery units, it is the responsibility of the nurse to continue to seek evidence-based practice research and obtain knowledge through education to guide the mother through informed choice, in choosing a birthing position during the second stage of labor that is most comfortable to her and will yield the most optimal outcomes for herself and her baby.
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
A labor and delviery nurse has vast knowledge of the process and methods that are required for delivery and bring a new life into the world and is educated with the responsibilities of assiting the new born babies with their medical issues. Considering all the responsibilites needed to take on this career, such as assisting women with complications within the pregnancy, delivering a newborn and managing post birth issuses, the nurse must be professional in his or her work at all times. All people wishing to pursue the career of being a Labor and Delivery Nurse must also have good analytical skills, as part of there job to montior and analyze the mother and child (CollegeAtlas.org).
The large majority of female concerns are tremendously private and the action of childbearing and birth are of no exception. The average pregnancy is 280 days or about 9 months which holds true to the culture as well, but it is so strongly believed that it is Gods will that one becomes pregnant that in many cases it is unknown until positive physical changes have occurred (Jarvis, 2016; Kulig et al., 2008). Most often even if pregnancy is known, Mennonite women do not go for prenatal care until late in the pregnancy or if an issue is encountered. In a study of low-German speaking Mennonites from Mexico and Canada many women stated or agreed with the statement of one
The book “Human Nature and Jewish Thought” from the author Alan Mittleman is one of the bases used in the class Humanity 2.0 to try to reach an understanding about human nature. The book uses the comparison between Jewish tradition and lessons and the western thoughts to dig about the core of the human nature. In the chapter two of the book “Persons in the Image of God”, the author talks about the hybrid nature of the human, and our potential for both good and evil.
...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.
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...
Schub, T., Pravikoff, D. (2013). Jewish Patients: Providing Culturally Competent Care. Nursing reference center. Retrieved from http://web.b.ebscohost.com/nrc/detail?sid=11630b6a-4c3e-4f8b-8720-f72335626365%40sessionmgr111&vid=5&hid=112&bdata=JnNpdGU9bnJjLWxpdmU%3d#db=nrc&AN=T707443
Edith Wharton's The House of Mirth is an affront to the false social values of fashionable New York society. The heroine is Lily Bart, a woman who is destroyed by the very society that produces her. Lily is well-born but poor. The story traces the decline of Lily as she moves through a series of living residences, from houses to hotel lodgings. Lily lives in a New York society where appearances are all. Women have a decorative function in such an environment, and even her name, Lily, suggests she is a flower of femininity, i.e. an object of decoration as well as of desirability to the male element. We see this is very true once Lily's bloom fades, as it were, a time when she is cast aside by her peers no longer being useful as something to admire on the surface. The theme of the novel in this aspect is that identity based on mere appearance is not enough to sustain the human soul physically or metaphysically. Once she is no longer able to keep the "eye" of her peers, Lily finds herself with no identity and dies. This analysis will discuss the theme of the objectification of women in a male dominated society inherent throughout the novel.