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Medicalization of pregnancy and childbirth
Essays on infant mortality rate in USA
Essays on infant mortality rate in USA
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The United States boasts one of the highest infant mortality rates in the developed world, ranking 56 next to bordering countries such as Bosnia and Lativa (CIA, 2017). In addition, Infant mortality rates and poor pregnancy outcomes in the United States ranks akin to third world countries (CIA, 2017), suggesting how the medicalization of pregnancy (and the culture and economy it has generated) has attributed to poor pregnancy outcomes in a first world nation (Fordyce, 2013). Birth culture has always been subjective to its geographic location, even Canada whose birthing outcomes are only slightly higher than the United States implements a higher use of Midwives, home-births, and boast a vibrant birthing culture (Luxen, 2015). For America; however, the process is considerably sterile. Most pregnant women are seen by their medical physician who specializes in obstetrics, or a nurse midwife, whom they see throughout their pregnancy. …show more content…
It is the most common surgical operation performed in the United States (Menacker & Hamilton, 2010) in addition to being the most common procedure performed for non-emergent purposes (Likis, 2012). Most cesarean deliveries are performed because a pregnancy is taking too long or as a result of Pitocin, a medication used to induce labor naturally (Likis, 2012). But why? In terms of monetary gain, physicians and hospitals are paid more for cesarean deliveries than natural birth (Childbirth Connection, 2012). They are also time effective for staff who need to proceed with additional birthing mother (Likis, 2012). However, birth is not a time-efficient process and the cost of inducing labor or performing unwarranted cesarean sections come with considerable cost. The following outcomes have been proven side effects of cesarean
Cook, Selig, Wedge, and Gohn-Baube (1999) stated that an essential part of the country’s public health agenda is to improve access to prenatal care, particularly for economically disadvantaged women. I agree with this statement because access to care is very important for the outcome of a healthy mother and child. Improving access to prenatal care for disadvantaged women will not only save lives but also lighten the high financial, social, and emotional costs of caring for low weight babies. Some of the barriers that these women face are mainly structural where the availability of care is limited; the cost of care is a financial burden; and the time to seek care is problematic due to being single mothers working more than one job (Lia-Hoagberb, 1990). Additionally, there is the issue of prenatal care being delivered differently depending on one’s race. A study found that White mothers delivering ve...
Birth is a normal, physiological process, in which a woman’s body naturally prepares to expel the fetus within. It has occurred since the beginning of time. Unfortunately, childbirth has gradually evolved into what it is today - a highly managed whirlwind of unwarranted interventions. Jennifer Block, a journalist with over twelve years experience, has devoted herself to raising awareness regarding the authenticity of the Americanized standard of care in obstetrics, while guiding others to discover the truth behind the medical approach to birth in this country. In her book, Pushed: The Painful Truth About Childbirth and Modern Maternity Care, Jennifer Block brings forth startling truths concerning this country’s management of birth.
The disparities may be attributed to the amount of prenatal care that pregnant women of different ethnicities receive. In 1996, 81.8% of all women in the nation received prenatal care in the first trimester--the m...
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.
In recent years, the number of home births in the U.S. has increased. Although fewer than 1% of births in the United States occur at home, the rate is much higher in other countries, such as 30% in the Netherlands (Ecker and Minkoff, 2011). Internationally, a majority of births take place in the home, with up to 80-95% in certain Asian and African countries (Fullerton et al., 2007). Unfortunately, the topic of home birth is divided between midwives and obstetricians. Based on the provider’s training, some midwives are prone to recommend home births, while obstetricians are against it. A majority of the debate concerns the importance of transportation from home to a birth center or hospital during birth, as well
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
According to the U.S. Department of Health and Human Services [Office on Women’s Health] (2009), “Babies of mothers who do not get prenatal care are three times more likely to have a low birthweight and five times more likely to die than those born to mothers who do get care” (p. 1). Prenatal care in the U.S. began as a preventive measure against preeclampsia, which at the time included program visits by physicians who conducted physicals, history, and risk assessments. Over the years, prenatal care has changed its focus to low birthweight and other preventive illnesses in an attempt to reduce the rate of infant mortality. Increased use of prenatal care has shown a decline in the rates of birthweight-related mortality and other preventable medical diseases such as post-partum depression and infant injuries.
Talashek, M. L., Alba, M. L., & Patel, A. (2006). Untangling the Health Disparities of Pregnancy. Journal of Pediatric Nurses. 11:14 - 27
Induction of labor comes with many risks. According to Moore & Low (2012), when patients opt to induce their labor,
Throughout the modern days, the way of giving birth has changed in many ways. Back in the days, there weren 't many options for women to decide where to give birth. The only option they had was home birth. Over the centuries the way of delivering a baby has changed from a midwife to a more professional person. Today women have the option to give birth at home, a hospital, birth centers, and water birth. The most common place where women mostly give birth is in a hospital.
The elimination of elective delivery before 39 weeks of pregnancy without a clear medical indication was one noteworthy improvement as a result of the National Summit. Unnecessary elective deliveries place both mothers and babies at increased risk for complications and are not endorsed by American College of Obstetricians and Gynecologists, American Academy of Pediatrics, March of Dimes, or the Joint Commission (Chassin, 2013). According to Chassin (2013) the elimination of overuse could possibly be the most cost-effective way to improve the quality
For thousands of years, women have delivered babies vaginally. Sometimes complications arose, and because there were no other options for delivery, the baby, the mother, or both died in the process of childbirth. Cesarean sections (C-sections) have become more commonplace in the United States with one
The timing of prenatal care of most Mexican-origin women is relatively late compared to the pregnant from other races and a lot of Mexican pregnant have not received ideal medical care. Because they encounter complex barriers. Sherradel and Barrera point out lack of English language proficiency, and low educational levels affected the women's utilization of care, the quality of care received. “Many providers and other staff did not speak Spanish or have translators available.” (Sheeradenl 344) Second, Medical prenatal care was not considered by all of the women to be the most important part of pregnancy care. Moreover, some women expressed anxiety about some medical procedures. In Betancourt’s article, he also studies on the barriers of prenatal services for Mexican immigrant women. Most women have experienced terrible prenatal process and some of them have received an abortion because of lack of knowledge about sexual and reproductive health and structural barriers. Both of them
Pregnancy is a beautiful part of life for most women. When thinking of pregnancy amongst different cultures, one might think that all women go through similar experiences. When deciding what culture to compare, I selected Norway, which is considered one of the best places to give birth in the world. My other choice is Democratic Republic of Congo, which is considered one of the most challenging locations in the world to give birth. In this paper, I will discuss the difference between the one of the highest rated and one of the lowest rated countries to cope with pregnancy and the entire experience of birth.
Maternal health aims in achieving the highest quality of life for women throughout their childbearing years. Maternal mortality rate, according to our book, is the death of a woman during pregnancy and/or 48 hours post-pregnancy. Based on our book, the U.S. maternal mortality rate is 9.1 deaths per 100,000 live births. Consequently, the U.S. falls behind compared to other industrialized nations. In fact, the surprising information was that black women were four times more likely to die from pregnancy than their white female counterparts. This is troublesome for our community because 3.0 percent of mothers in El Paso did not receive any prenatal care, according to the Healthy Paso del Norte Report in 2013. Health disparities like these can and should be prevented. I believe women should have access to health care, including preconception and prenatal health care. Furthermore, this would decreases preterm births and low-birth-weight babies. In addition, this would reduce long-term and several health complications throughout future pregnancies, infancy and child