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Medicalization of pregnancy and childbirth
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Title of proposed dissertation
‘Group antenatal care as an intervention to improve Eastern European immigrant mothers’ physical and mental health during pregnancy and the postnatal period’
This title was generated using PICo, which is a commonly used mnemonic in qualitative research (Curtin University, 2016).
Population: Eastern European immigrant mothers
Interest: Physical and mental health during pregnancy and the postnatal period
Context: Group antenatal care
Aims and objectives of the study
This paper will focus on immigrant mothers from the Accession Eight (A8) countries that joined the European Union (EU) in 2004; namely, Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Slovakia and Slovenia. The enlargements of the EU
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In contrast. women from the A8 countries are coming from countries with highly medicalised maternity care, also these women do not carry the burden of being undocumented immigrants or asylum seekers. Their needs should be thoroughly understood in order to be able to provide high quality maternity care. The other reason to propose an intervention that focuses directly on a particular minority group of women is that previous studies have indicated that the benefits of prenatal care are not evenly distributed throughout the social strata and interventions targeted at the general population often do not reach minorities and have limited effects on their health (Van Zwicht et al., 2016). This suggests that an alternative care model is required to addresses some of the factors that contribute to adverse birth outcomes and poorer health reported in immigrant groups (Centre for Maternal and Child Enquiries, 2011).
How this fits in with the rest of your programme of study/midwifery practice within clinical area?
As previously mentioned, several studies have recognised that immigrant mothers have poorer physical and mental health (Centre for Maternal and Child Enquiries, 2011). Group antenatal care has been documented as an antenatal care model that improves public health and reduces health inequalities. It promotes women’s self-efficacy, choice and family-centred care (Gaudion et al., 2011). These resonate with the government’s Maternity Matters policy’s goals (Department of Health, 2007).
Literature and sources of information reviewed and that you intend to use for your
Pairman,S., Tracy, S., Thorogood, C., & Pincombe, J. (2013). Theoretical frameworks for midwifery practice. Midwifery: Preparation for practice.(2nd ed, pp. 313-336). Chatswood, N.S.W. : Elsevier Australia
For thousands of years people have left their home country in search of a land of milk and honey. Immigrants today still equate the country they are immigrating to with the Promised Land or the land of milk and honey. While many times this Promised Land dream comes true, other times the reality is much different than the dream. Immigration is not always a perfect journey. There are many reasons why families immigrate and there are perception differences about immigration and the New World that create difficulties and often separate generations in the immigrating family. Anzia Yezierska creates an immigration story based on a Jewish family that is less than ideal. Yezierska’s text is a powerful example of the turmoil that is created in the family as a result of the conflict between the Old World and the New World.
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...
During this time, people normally resort to cultural practices and values, traditions and family support to deal with the challenges of coping with the pregnancy, having a baby, becoming a parent, and looking after the baby. Traditions and cultural prescriptions give a sense of orientation, of belonging, and help define "what to do." Some of these patterns and care practices are impossible to maintain in the new culture, or they may lose their meaning in the new social context. Common for grandmothers to move into nuclear family homes during last weeks of pregnancy and for weeks following delivery (sometimes coming from great distances). Grandmother or other female family members assume domestic roles and assist pregnant women and new mother in health maintenance and restoration. Prenatal care has very broad meaning to Mexican American women, including informal home care from family members (Lipson,
Maternity care used to be and still is at some facilities segregated into three departments; intrapartum, postpartum and nursery. This care is often called “transitional” care, and has been described as “rigid and inflexible” (Waller-Wise, 2012). During my obstetrics rotation, the transition to family centered care was observed.
Environmental justice can influence the population’s health. This environmental justice is relevant to nursing, because awareness brings changes and can save and improve many lives. When a person in a hospital or in a community setting is affected by a health problem, the entire community is at risk, knowing the population is lack of knowledge and have limited access to understand health care system. Therefore, a solution to eliminating cultural disparities is optimal for immigrant communities. In conformity with the Journal of Transcultural Nursing journal, nurses need to follow 12 steps to have a successful result when integrating cultural competence in the health care environment: social justice, critical reflection, knowledge of cultures, culturally competent practice, cultural competence in the health care systems and organizations, patient advocacy and empowerment, multicultural workforce, education and training in culturally competent care, cross-cultural communication, cross-cultural leadership, policy development, a...
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...
Firstly to justify why countries limit their immigrations, there should be knowledge of the different types of immigrants as there are different reasons to leave from one country and move into another. In the last 30 years, the number of international immigrants has been estimated 191 million worldwide, two times as before. As ...
The Web. The Web. 29 Mar. 2014. The 'Standard' of the 'Standard'. Lucero, Nissa B., et al. "Prevalence Of Postpartum Depression Among Hispanic Immigrant Women.
Childbirth is biological, psychological, and natural activities by which the human species grow into its family cycle and childbirth also have a sexual tradition. Beyond the emotions and the various phases that it creates, childbirth has specific criteria to be met on both man and woman. Their union must be founded on the reciprocal love, the biological and psychological maturation, and a developed sense of responsibility. Because of this, a pregnancy occurred early in life is becoming a situation full of social, economical and psychological difficulties. The birth’s pain is weighted quickly on the young and premature couple. In the United States, teen’s pregnancies from ages 15 -19 remain one of the highest situations in the modern world. It has had little chance of success because many teens are still becoming parents and this problem is constantly increasing in the Latino/ Hispanic community. Immigration, peer pressures, dropout rate, cultural difference, and economic disadvantages are main reasons behind the majority teen’s pregnancies in this community. After I explain why it’s important to reduce teen’s pregnancy rates, I will suggest some challenging yet feasible solutions to break the cycle of unplanned pregnancies.
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
The United States is one of the most culturally, ethnically, racially, and linguistically diverse countries in the world, so it is essential that all service provider know a range of strategies in order to enhance their relationships with families from a variety of cultural and linguistic backgrounds. It is helpful for those seeking to work as service providers to develop a common foundation of knowledge and practical strategies to address the needs of the families they serve, especially when the families' cultural background are different from their own. The textbook Knowing and Serving Diverse Families is designed for service providers who are providing early mediation services to families of diverse cultures. It includes ideas and suggestions for fostering cultural appreciation and sensitivity. The strength of the textbook is that it is easy to read and understand, and it offers realistic, common sense strategies to those of us seeking to get a better understanding about diversity. The material in the book encourages the reader to engage in self-reflection in regards to their role and how families might perceive it. It also racially breaks down ethnic diversity amongst American families. The purpose is so that we can work effectively with diverse, multi-need audiences, by knowing effective program planning for diverse people. The authors believe "that individuals are best served by professionals who understand the family, social milieu, and personal dynamics of their individual customer, patient or student" (Hildebrand et al. 5).
The Hispanic family structure can differ greatly from many of our traditional American families. They often have a large number of family members and all of them can be included in the health care decisions. As a nurse it is important to have an understanding and respect for the culture and work to accommodate as much as possible. The family has a much deeper meaning to the Hispanic culture; they look at their family as a sense of identity and security. There is an intense family bond. This bond, however, is not easily obtained for people who are not members of the family. friends that are brought into the family environment are trusted at a much slower speed. When Hispanics speak about their families they include great-grandparents,
There are many different areas to consider when preparing for and having a newborn. Whether the pregnancy was planned or unplanned or the couple is married or not, a newborn baby brings new responsibilities. Having a baby also forces people to make adjustments both financially and within the family. Parents also express concerns and expectations when having a newborn comma especially when it is their first; including what roles each parent and family member should play, how much confidence they have in their parenting skills, and how much financial strain would be placed on the family once the newborn has arrived. The newest issue in today’s society is the fact that many women are delaying childbirth and having more children in their later years of life.
A national Dignity Survey conducted in 2013 reveals that majority of women are satisfied with the quality of care they experienced during childbirth, however, women who gave birth in the hospital reported less respectful approach than those using birth centres or delivering in home settings. Furthermore, survey exposed that midwives struggle to define dignity in relation to privacy and try to emphasize human rights values in their practice when facing many challenges (Prochaska, 2013). According to Morad et al (2013), these challenges are excessive use of medication and technology in labour, retaking woman’s autonomy and institutionalised approach. Community settings are seen as less institutionalised, more supportive and promote dignified approach (MacLellan,