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19th century health and social care services
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In the Early 1900s, health care was very limited to rural women. Adequate care and practice for childbirth was never heard of and often times performed by family members or even neighbors. It was said to be lucky if a child lived through the birth and even luckier if the child lived through their first birthday. Mary Breckenridge, born in 1881 was privileged with a good childhood and education in the United States and Europe. Her family traveled consistently with her father as a States Ambassador to Russia, which gave her a lot of experience to many different cultures. Renowned private tutors taught Mary and that is how she received most of her education as a child. Growing up Breckenridge dreamed of having a career and family, which was very untraditional in this time period. Women in …show more content…
She decided to tackle the health problems of a small area of few roads and no physicians, called Leslie County in Eastern Kentucky. Here she tested to her health care plans, thinking that if she succeed here, she could succeed anywhere. Horse backing around Leslie County, she asked residents about health care needs and local lay-midwives about birth practices. The results from her surveys revealed that these nursing mothers were lacking prenatal care and that they were giving birth to large quantities of children often by invasive practice. Breckinridge analyzed this information, and developed a plan to help lower maternal mortality rates and improve health care for pregnant and nursing mothers as well as adequate nursing practice. She returned to London, to finish her education at The British Hospital for Mothers and Babies where she became certified as an English Mid-wife (Bullough, V.L.). “She then visited Scotland to observe the work of a community midwifery system serving poor, rural areas; its decentralized structure served as a model for the Frontier Nursing Service (Gina
In the early eighteenth century, many people relied on the midwives, instead of doctors, for solutions to their health related issues. During the introduction, it states, “Martha and her peers were not only handling most of the deliveries, they
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
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...
People in these Montana prairies had an isolated life where “Every generation relearns the rules its fathers have forgotten”, cursed nature when it threatens their livelihood, yet realized that “This land owes you nothing” [p. 60]. This was a time and region where the difference between what was expected of men and women was paramount. Children grew up working hard, knowing their place in their society and grew up quickly as a result. Being somewhat of a tomboy, Blunt could handle farm equipment and chores as well as her brother, yet was still expected to learn how to cook, clean and care for the men. As with previous generations, it was expected that she follow a planned path to becoming a rancher’s wife. But Judy Blunt always felt there was something more to this hard, bleak life and began a long journey towards breaking clean from the constraints of her upbringing.
Childbirth was the leading cause of death among young women. Approximately 20% of women died in childbirth because of poor medical care. Women who were poor had a lifespan of about 40 years (Trueman, “Medieval Women”). A caesarean section was normally only performed if the mother was dead or dying as it was in...
...nities: toward eliminating rural health disparities. Online Journal Of Rural Nursing & Health Care, 10(1), 4-6.
Born as Mary Jane McLeod on July 10th, 1875, in Maysville, South Carolina. Mary went on to be a leading educator and civil rights activist. Mary grew up in extreme poverty. She was one of 17 children to be born to a couple of former slaves. Just about everyone in her family worked so that they could effort ends meet. Jobs they dabbled in included picking cotton and toiling in the fields. Mary was the only child in her family to go to school and receive an education. She attended a school for African American children that was opened by a local missionary. She traveled miles each day, she generally walked to school and back and she did her best to help her family as well as try and share her newfound knowledge with them.
During the early twentieth century, the rate of unwanted childbirth was very high. Women in poor neighborhoods lived their lives in an almost constant state of pregnancy. Margaret Sanger recognized the need for women to be able to control their childbearing. She believed that unintentional childbearing caused many problems. She felt it led to poverty, abuse, crime, alcoholism, and joblessness. She saw the effect it had on the women’s emotional states and decided to make a difference. She provided women with the means and the knowledge to control their offspring. She gave them hope.
Mona Counts works in the village of Mt. Morris, Pennsylvania. It is a medically underserved area and a HPSA (health professional shortage area). The town has an extremely poor economic base and majority of Mona’s patient population are poverty level. Mona is not worried about the money and will tell a patient to come in for a check up, regardless of whether or not they have health care. One patient said, “she is old-fashioned, she talks to you and tells you what you nee...
Wood, Ann Douglas. "'The Fashionable Diseases': Women's Complaints and Their Treatment in Nineteenth-Century America." Women and Health in America. Madison, WI: University of Wisconsin Press, Ltd., 1984.
Modern medicine still does not alert women to fatal or painful birth defects such as Walker-Warburg syndrome, until late second or early third trimester—or, in less clinical terms, only after months of anticipation from the excited expectant parent(s), friends, and family. Indeed, one of the greatest services that the film provides is showing that these cases are the majority of those who seek late-term abortion. The testimonials of couples who, in addition to spending money on nurseries and baby toys, have traveled great distances to do what they feel is right for their unborn child, are emotionally harrowing. (One of the clinics also offers memorial services for their clients, openly acknowledging the sad fact that the first time one of these mothers holds her baby is also the
Monique was the midwife and practitioner of her small village of Nampossela. She helped mothers fight child malnutrition and illness, and did pregnancy consultations, including birth. She was one of a kind, extraordinary at that, and became so popular in her village and surrounding villages that she had women from six different villages coming to her, totaling up to a hundred and forty prenatal consultations a month and birthing more than ten babies (Page 199). Monique opened the clinic early each day, and would stay late into the evenings to care to her pregnant patients. The conditions of the birthing house were horrific. “The structure’s cement venner was chipped and failing, revealing mud brick. A corner of the corrugated tin roof gaped” (Page 6). Covering a majority of the birthing room “was an immense concrete block that served as the delivery table” (Page 6), and adjacent to that was a “plastic tub for the afterbirth, a medical kit in a tin box, and a frayed birth ledger” (Page 7). Giving birth in Mali in the twentieth century was light years away from the luxurious childbirth in the States. All Monique had was “simple tools, clean hands, and a sharp mind. If a woman needed an IV, or a Cesarean section, or a fetal monitor, it was not an option” (Page 89). Medication was not offered to ease the pain and induce labor, a
"The Role of a Nurse / Midwife." Irish Nursing Board, An Bord Altranais. N.p., n.d.
The Midwifery Council of New Zealand (2010) states that “the midwife works in partnership with women, on her own professional responsibility, to give women the necessary support, care and advice during pregnancy, labour and the postpartum period up to six weeks, to facilitate births and to provide care for the newborn”. A midwife is responsible for providing women-centred care for all of her patients. Her women should have the opportunity to make informed decisions about their care and treatment. Good communication between the midwife and women is essential to providing evidence-based information tailored to the woman 's needs (National Institute for Health and Care Excellence, 2010). In addition, it is the midwife’s responsibility to maintain appropriate levels of competence through ongoing training. As midwifery education continues to develop in New Zealand it is important not only to gain a midwifery qualification, but to remain up to date with research evidence to inform their practice. The Midwifery Council requires midwives to engage in a certain amount of continuing education every three years, which includes opportunities from short courses through to postgraduate certificates, diplomas, master’s degrees and doctorates (NZCOM,
The cause could be due to less advanced medicine in the pre 1850s, than in the post 1950s (Randolph, 2009). In the journal The Evolution of the U.S Healthcare System, it states that it wasn’t until the early 1800s that physicians began to think that germs might cause and spread diseases. This indicates that their medical understanding was still fairly low. Between 1885 and 1922, there was a growth not only in medical technology but also in academic medicine (Devine, 2017). Therefore, the previous statements explains why both post 1950 males and females had a higher chance of survivorship (figure 1), lower mortality (figure 2) and higher life expectancy (figure 3). Pre 1850 females had the lowest life expectancy especially between the ages of 20 and 40. Between those ages are when women generally have babies due to the “fertility window” (Bellieni, 2016). In the 1850s, most births took place at home which lead to prolonged births with excessive bleeding and infection which often lead to death (Middendorf, 2017). Based on Figure 1 and 2, post 1950 females had the highest chance of survivorship and the highest individual life expectancy. By the early twentieth century, more hospitals were built, doctors had more authority, and there were advancements in medical sciences related to diseases, improving the quality of childbirth (Randolph, 2009). In 1965, the Supreme Court of the United States gave women the right to private use of contraceptives (Chesler, 1992) decreasing death during childbirth. Overall, pre 1850 maless and females had the lowest chances of survivorship and lowest life expectancy which then changed in the post 1950s due to medical advances causing their chances of survivorship and life expectancy to rise and mortality rate to