Amish view pregnancy and childbirth as normal biological functions of the female body, however; due to their cultural beliefs they will not seek out prenatal care until late in their pregnancy, if no problems arise. Women who are primiparous, giving birth for the first time, will generally seek prenatal care at around four months, while those who are multiparous, those who have given birth multiple times, generally seek prenatal care during the third trimester. Amish women typically do not outright reject the use of modern medical technology and practices if it can assist in the pregnancy, however; they must determine which practices coincide with their cultural and spiritual belief system. Many Amish women will seek the advice and care from modern medical professionals as well as family and friends, such as taking prenatal vitamins as well as herbal remedies (Campanella et all, 1993). Amish women tend to adhere to a “regular” diet of fresh fruits, vegetables and protein. However, many women do believe in the necessity of increasing their intake of dairy, especially milk during their pregnancy (Kulig et all, 2004).
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...
... middle of paper ...
...heir diet during their pregnancy to treat all types of ailments. It is important to rule out any side effects, drug interactions or harm if any associated during pregnancy.
Five Nursing Diagnoses
1. Ineffective Childbearing Process R/T Inconsistent and lack of prenatal health visits AEB Insufficient transportation and most Amish women do not seek medical treatment until second trimester or third trimester.
2. Risk for Constipation R/T effects of prenatal iron supplements
3. Risk for ineffective Self-Health Management R/T Health beliefs and Cultural influences.
4. Ineffective Health Maintenance R/T Insufficient resources and finances AEB Most Amish do not have health insurance and cannot afford healthcare.
5. Decisional Conflict R/T Cultural, religious and family beliefs AEB Amish typically do not believe in preventative medicine (Prenatal testing and immunizations).
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