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Nursing management during labor and birth
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Childbirth without Fear
My clinical experience was at deaconess hospital in Oklahoma City. My experience during childbearing clinical last spring was a memorable one. It was an eye-opener for me being not just a nursing student, but also a woman who would one day experience what the women I witnessed their delivery went through. I was opportune to witness four natural births and was able to take care of the women after delivery. There was great support during labor and delivery for the new mom from the partner, doctor, nurses, and even we the nursing students that were present. All of the women who had their babies had to have epidural to stop the pain they were going through during labor. There were frequent assessments done on the moms to be during labor and after delivery. The babies that were born were all well taken care of. Their airway and temperature were the priorities of the nurses. Patient satisfaction was also one of their priorities.
The model of care I observed were the education that was provided for the women about different positions they could take to relief labor pain or to give them comfort, and the doctor being able to give the patients a sense of control of their health. The health care team made sure that they involve the family members, especially the partners of the new moms in their health care. Overall, the model of care I observed was patient-centered care. The agency’s priorities were the safety of the new mom, the health, and the safety of the baby. The agency watched out for the new mom’s bleeding, vital signs, and when they have a tear, the nurses assessed it and took care of it in order to prevent infection. I did not see any variations in the client’s expectations. The client’s expectation were...
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... for patients to choose what they want. All the healthcare need to do is to educate the patients, let them choose, and if they choose the wrong thing, then the consequences should be told to them.
Childbirth without fear is a great book that should be read by all nursing students, nurses, aspiring mothers, and expecting fathers and mothers because it gives insight to childbearing, eliminates fear, and increases ones faith in childbearing. As a nursing student who is aspiring to work with women in the health care field, this book is an eye-opener for me.
Reference
Dick-Read, G. (2013). Childbirth without Fear: The Principles and Practice of Natural Birth. London, GB. Pinter & Martin Ltd (kindle version).
Davidson, M., London, M., Ladaewig, P. (2012). Old’s Maternal-Newborn Nursing & Women Health across life span. (9th Ed.). Upper saddle river, NJ: Pearson Education.
Sorensen, J., & Abbott, E. (2004). The Maternity and Infancy Revolution. Maternal & Child Health Jounal, 8(3), 107-110. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=14089739&site=ehost-live
Touhy, T. A., & Jett, K. (2012). Toward healthy aging: Human needs & nursing response (8th ed.). St. Louis, MO: Elsevier/Mosby.
Matteson, S., Smith, J., (2011). Core Curriculum for Maternal Newborn Nursing. St. Louis, MO: Saunders/Elsevier
Medcohealth. Women and Aging: Our lives due change (2002). Retrieved November 18, 2002 from the World Wide Web: http://www.medcohealth.com
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).
...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.
Houde, S., & Melillo, K. (2009). Caring for an aging population. Journal Of Gerontological Nursing, 35(12), 9-13. doi:10.3928/00989134-20091103-04
A Lamaze class is a class for expecting parents to find out information about childbirth. The purpose of these courses is to give childbearing mothers more confidence in their capacity to give birth. In addition, it teaches them how to deal with the pain, the process of labor, breathing techniques, and how to provide comfort (Mothers Advocate, 2009). This method was developed by a French doctor named Dr. Fernand Lamaze, he constructed a method of pain relief, derived from Pavlov’s principles. He formed the type of psych prophylactic method during his surveillance in the Soviet Union (Lothian, 2009). These classes focus on the participants and their Lamaze partners, and teaching the, dynamic relaxation techniques and breathing to ease the anxiety of labor and birth. Usually these classes are conducted over six to eight weeks (Mothers Advocate, 2009). Ultimately, Lamaze classes attempt to replace their negative presumption pertaining to pregnancy and the birth process with optimistic, learned responses and managing skills. Additionally, Lamaze classes focus on breastfeeding and the importance of it.
Darby, S. Marr, J. Crump, A Scurfield, M (1999) Older People, Nursing & Mental Health. Oxford: Buterworth-Heinemann.
There is often debate regarding the topic of home birth vs. hospital birth. The debates may be fueled by common misconceptions due to the medicalization of birth. Even though there is extensive evidence based research on the safe outcomes of home and natural birth, many people still refute the concept. The outcomes for women delivering at home attended by certified
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.
"7 Tips For Having A Natural Childbirth." Fit Pregnancy. N.p., n.d. Web. 25 Nov. 2013. .
The hospital room holds all the usual scenery: rooms lining featureless walls, carts full of foreign devices and competent looking nurses ready to help whatever the need be. The side rails of the bed smell of plastic. The room is enveloped with the smell of plastic. A large bed protrudes from the wall. It moves from one stage to the next, with the labor, so that when you come to the "bearing" down stage, the stirrups can be put in place. The side rails of the bed provide more comfort than the hand of your coach, during each contraction. The mattress of the bed is truly uncomfortable for a woman in so much pain. The eager faces of your friends and family staring at your half naked body seem to be acceptabl...
Kick, Ella. "Overview: Health Care and the Aging Population: What Are Today's Challenges?" The Online Journal of Issues in Nursing. N.p., n.d. Web.
This week’s clinical experience has been unlike any other. I went onto the unit knowing that I needed to be more independent and found myself to be both scared and intimidated. However, having the patients I did made my first mother baby clinical an exciting experience. I was able to create connections between what I saw on the unit and the theory we learned in lectures. In addition, I was able to see tricks other nurses on the unit have when providing care, and where others went wrong. Being aware of this enabled me to see the areas of mother baby nursing I understood and areas I need to further research to become a better nurse.