Introduction To Maternity Nursing

Maternity & Women’s Health CARE

 Maternity nursing focuses on the care of childbearing women and their families through all stages of pregnancy childbirth, as well as the first 4 weeks after birth

Perinatal continuum care 12 – 24 months single client

Pre conceptions

1st trimester

2nd trimester 3rd trimester

Postpartum Or newborn

A perinatal nurse today may function as: a nurturer, educator,  physical care provider,  critical thinker,  support person,  counselor,  case manager,  research Nurse, Nurse practitioner, Nurse midwives 

 Certified nurse-midwives  Certified midwives

Contemporary issues 

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1/6 (44,3 million) people have no health insurance 3,9% of all women had late or no prenatal care Cesarean birth (22,9%) & vaginal birth after CS one nurse care for both the mother and baby To stay in the hospital for at least 48 h. after VB and & 72 h. – CS

Views of women  Breastfeeding in the workplace  Since 1999

 Family Leave  The family & medical leave act of 1993

 International concerns  Mutilation, circumcision

Healthy People 2010 Goals:

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Fetal, infant, child death Maternal death and illness Prenatal care Obstetric areas Risk factors Developmental disabilities and neural tube defects Prenatal substance exposure Breastfeeding, newborn screening, and service system

Family  A group of two or more persons, related by blood, marriage, adoption, or emotional commitment who have a permanent relationship and who work together to meet life goals and needs 

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The nuclear family The binuclear family The extended family Single-parent family Reconstituted (blended) families Homosexual families

Family Systems Theory     

Family Life Cycle Family Stress Theory McGill Model of Nursing Health Belief Model Human Developmental Ecology

Vulnerable population      

Women Adolescent girl Minority women Older women Incarcerated women Migrant women

Cultural consideration     

Traditional beliefs The language barriers Integrate folk & Western treatments Dietary practices Enlist family caretaker

Community  In its broadest definition, refers to a geographically defined area; its residents; their cultural, religious, and ethnic characteristics; and the activities of functions through which the needs of residents are met.  The health of individuals or groups is inextricably linked to the health status of each community.

Community assessment

Is a complex although well-defined process through which the unique characteristics of the populations and their special needs are identified to plan and evaluate health services for the community as a whole. The desired outcomes of this process is identification of direct service as well as advocacy needs of the target aggregate or group and improved health for the community as a whole.

Community health assessment  People  Demographics, biologic, social & cultural acquired

 Environment  Physical, biologic/chemical, social

 Health care delivery system  Organizational, resources, services

Data collection & sources of community health date  Critical indicators of perinatal health:  Maternal mortality, infant mortality, low birth weight, first trimester prenatal care, rates for mammography, Pap smears…

 Walking survey  Participant observation

Levels of Preventive Care  Primary prevention  Secondary prevention  Tertiary prevention  Primordial prevention

Perinatal continuum care  Antenatal home care  “Warm Lines”  First Home Care Visit  Personal safety  Client’s home  Infection control  Nursing consideration

To be continued…