In Australia, the maternity care is safest when compared with other countries. However, the rate of the caesarean section has increased in the past decades. Many of pregnancies complicated caesarean section cause more serious problem than natural birth, yet still many women perceive caesarean section to be more effective and safer than natural birthing. The role of these two models of care is to provide effective quality care to women, their babies and their families as well. National Maternity Action Plan (NMAP) was established in 2010 to provide guidance for both midwives and student midwives to work effectively with the women and give the best quality of care to them. In Australia there are two mainly separation options of the maternity care. This paper will explain the two diverse models of maternity care including obstetric care and caseload midwifery care given to the women and their babies. How this effects to the woman’s childbearing experience and midwifery practice will also be discussed in this essay.
The caseload midwifery care provides the continuity of care for women during the period of pregnancy, birth and the postnatal (Hodnett, 2008). In general, caseload midwives given the care to women with both in high and low risk of pregnancies. They also work in the hospital and as well as working in the community centre. The role of caseload midwives including attending births in women’s homes and as well as midwife led or obstetric units (Hartz et al., 2012). In addition, caseload model of midwifery is to facilitate the woman to be aware of how the midwife offering her with individualised care. Caseload Midwifery values women centred care and community based care. Women centred care refers to as allowing women to be inv...
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...Midwifery, 28(2), 146-49.
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Firstly, my name is Amal Abdi, I am seventeen years old and currently attend Bsix College where I am a full time student; working hard to gain my level three diploma in health and social care. This essay is going to identify my career aspirations and the skills required to fulfil my dream of becoming a midwife it will also highlight my values,practice and also my beliefs .
Johnson, K. C., & Daviss, B. A. (2005). Outcomes of planned home births with certified professional midwives: large prospective study in North America. Bmj, 330(7505), 1416.
We are here faced with the polar opposite extremes in birthing. Seemingly, if a woman has too little prenatal care and education regarding birthing (as in Africa) she may not have the access to a Cesarean when she truly needs it; and at the other end of the spectrum if a woman has enveloped herself in a system that relies too heavily on birthing technologies she may end up with an unnecessary Cesarean surgery. Other paradigms exist for birthing such as in Holland where every woman is provided with a midwife for her birth, and Brazil where the C-section rate tops 80 percent. Yet another microcosmic pocket of birth in the U.S. shows us that C-section rates can be achieved at below 2%.
...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.
Tannahill, A., Tannahill, C., & Downie, R. S. (1999) Health Promotion. Models and Values. Oxford University Press.
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.
The Business of Being Born is a documentary film produced by Ricki Lake that studies the contemporary experience of childbirth in the United States. The film explores the various childbirth methods such as midwives, natural birth, Cesarean section, and Hospital birth that include medication such as Epidurals and Pitocin. Analyzing the various childbirth methods allows people to become aware of the pros and cons of each method. It also brings attention to the decrease of natural birth and babies’ delivery by midwives in the United States. In the United States Midwives attend less than 8% of birth compare to 70% in Europe and Spain. Another issues regard this difference is countries that have a high percent of Midwives birth is they lose fewer women and babies compare to the United
For any mother the birth of a newborn child can be a challenging experience. As nurses it is part of our job to ensure their experience is positive. We can help do this by providing the information they will need to affective care for their newborn. This information includes topics such as, breastfeeding, jaundice, when to call your doctor and even how to put your baby to sleep. When the parents have an understanding of these topics before discharge it can largely reduce their natural anxiety accompanied with the transition to parenthood. Health teaching for new parents is seen as such an important aspect of care on post-partum floors it is actually a necessary component that needs to be covered before the hospital can discharge the patients. At the moment the strategies most hospitals use in Durham Region are Video’s and Parenting Booklets that are primarily based in the English Language. In such a culturally diverse region this becomes a barrier to providing the health teaching to patients who do not speak English as a first language (ESL). This reflection will explore the challenges I faced when providing health teaching to an ESL patient as well as the importance of health teaching in the post-partum area.
"The Role of a Nurse / Midwife." Irish Nursing Board, An Bord Altranais. N.p., n.d.
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.
Berk conveys that while doctors are present during some home births, most are attended “…by certified nurse-midwives who have degrees in nursing and additional training in childbirth management” (CITATION). There are risks associated with childbirth, regardless of the setting. For women who are healthy, have not experienced issues during their pregnancies, and have not experienced issues with previous pregnancies, and are attended by a medical professional, home births can be just as safe as hospital births. Homebirths can also be more relaxing because the mother can move about more freely and has more control over the birthing experience than generally permitted during a hospital birth. Complications can arise during home births just as they can during a hospital birth. Therefore, it is wise to have a plan in place for transportation to the hospital if needed. There are numerous advantages to home births which include freedom of movement, more control over the birthing experience, decreased unnecessary medical interventions, and faster recovery. Disadvantages to homebirths include that a doctor is not likely to be quickly
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
Introduction to Maternity & Pediatric Nursing, Fourth Edition; Gloria Leifer, MA, Copyright 2003, Elsevier Science (USA).
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