Safe Birth Checklist Summary

The ANMC states that midwives should promote safe and effective practice. This competency standard involves: Applying knowledge, skills and attitudes to enable woman centred care, provide or support midwifery continuity of care and manage the midwifery care of women and their babies. Midwives providing continuity of care are able to provide safe and effective practice. They know there patients well from the woman’s blood test results to the woman’s birth plan. The midwife can provide safe and effective practice because she knows the woman best. Midwifery Continuity of care is associated with a reduction in the rate of a number of interventions, without compromising safety of care (Spiby &

Although the security of Australia is grateful, the social inclusion was disregarded. (In text) described the lack of interpreting services in Australian hospitals and an absence of personal and communal care impacted on their experiences giving birth. Frequently, normal births became confusing or difficult for the midwife to manage, and with a language barrier it can become exacerbated due to stress of the women. (In text) have researched in responses from the women’s culture can vary from healthcare to healthcare professionals, with younger women displaying preparedness to report and identify discrimination. They believe the problems lie within the health care, coupled with the inability of women who require attention, not within the healthcare system itself, but more likely individual social attitudes which are the women’s rights to be treated (in text). Stress, depression, hopelessness and feelings of hostility can play a part from the language barriers. Without understanding each other the midwife and women would not achieve a good professional relationship. Without the rapport, labour and birth is compromised by the frustrations on the midwife and women due to the language barrier. This compromised by the lack of verbal

Childbirth is one of the greatest privileges on the earth anyone could have and we, as women, should feel proud to be major contributors for it. Thus, a mother has to play a key role in aiding the healthcare workers to mitigate the health crisis associated with childbirth by performing her duties faithfully. One such associated health crisis is “Premature (preterm) birth” which occurs when the baby is born too early, before 37 weeks of gestational period (CDC, 2015). The rate of preterm birth ranges from 5% to 18% of babies born across 184 countries (WHO, 2015).

The timing of prenatal care of most Mexican-origin women is relatively late compared to the pregnancies from other races and a lot of Mexican pregnancies have not received ideal medical care. The cause would be that they are encountering language barrier. In the article “Prenatal Care Experiences and

Maternal mortality represents more than the loss of lives for individual women, as it also reflects the larger value and prioritization of women 's health and threatens the health and survival of families, young children, and even the communities in which they live (Royston and Armstrong, 1989). Maternal mortality is unacceptably high (WHO, 2015b). Globally, approximately 830 women die every day from pregnancy- or childbirth-related complications (ibid.). The causes of maternal mortality are predominately preventable and can be classified into three fundamental causes: (1) medical - consisting of direct medical problems and pre-existent/coexistent medical problems that are aggravated by pregnancy, (2) underlying - social and legal conditions, and (3) health systems laws and policies that address availability, accessibility, and quality of reproductive health services (PHP et al, 2011).

The author is a nurse in a level two trauma facility in a community of approximately fifty thousand people in Oregon. The community is a college-town surrounded by a large agricultural area. There is a minimal ethnic diversity within the community. The diversity present occurs mainly from internationally students and faculty from the college. There is a growing population of women who desire low interventional births in the community. The author has worked on the labor and delivery unit of the hospital for the last 14 years. The hospital is the only one in the area to offer trial of labor services to women who have previously undergone a cesarean section. The unit on average experiences around 1000 deliveries annually.

Cesarean section (C/S) births can occur in the hospital for several reasons. Some women choose to have elective C/S birth and others require C/S births out of infant or maternal safety, complications, or by necessity. This paper discusses both elective and emergency C/S deliveries and reviews both National Guideline policy and Carilion Clinic policies on C/S births. The problem statement is: in pregnant women (population), does C/S delivery following National or Carilion policies (IV: exposure vs. none-exposure) differ in terms of patient care and outcomes concerning maternal and neonatal health (DV)?

The Ottawa Charter emphasises the importance of global health promotion by identifying necessary conditions, sectors and resources involved in obtaining optimum community health. This is broken down into five strategies building healthy public policy, creating supportive environments for mother and child, strengthening community actions, developing personal skills, and reorienting health services (McMurray & Clendon, 2015). This essay will address optimum maternal health being ensured by the support of nurses and midwives to maintain healthy lives for both mother and child. Proceeding with a brief description of maternal health, followed by the role of the nurse/ midwife in response to the condition. This will be in relation to the five major

When I return to my New Mexican community as a midwife, I hope to influence practice through improving cultural competence in birth, improving health literacy in pregnancy/birth, and through increasing education and awareness of childbirth (natural childbirth, and other birthing options) and nutrition/exercise during pregnancy.

The provision of culturally appropriate care involves meeting the expectations of diverse groups of clients by identifying, respecting and promoting their individual cultural characteristics and practices. (Grewal:291) In the context of maternal health care, cultural safety has significant implications for health care accessibility for immigrant women, whose identities represent myriad cultures.

Medical and technological advances in maternal and neonatal care have significantly reduced maternal and infant mortality and medical interventions have become commonplace and arguably routine. Used appropriately, they can be lifesaving procedures. Routine use, without valid indication though, can transform childbirth from a natural physiologic process and family event into a medical or surgical procedure. Every intervention presents the possibility of unwanted effects and subsequent risks that can potentiate more interventions with their own inherent risks (McKinney, 2014).

That is almost thirty-five percent of all births. Along with all of the common issues, there are new ones arising. For example, in Afghanistan there has been an increase in sales of over-the-counter oxytocin which is an injectable hormone that can be used to stop postpartum bleeding and speed up labor but can be deadly if given incorrectly. Finally, after millions of deaths and little government action, the issue of maternal mortality is once and for all attracting attention. In July, at the G-8 summit of industrialized nations in Hokkaido, Japan, maternal deaths were acknowledged as an important obstacle to development for the first time. It paid off and there has been progress in multiple poor countries. For example, in Honduras maternal mortality rates dropped by about fifty percent after rural clinics were opened and thousands of midwives were trained. In the Indian states of Assam, Madhya Pradesh, and Orissa pregnant women were given financial assistance. In Sierra Leone there were even fines set if a woman didn’t give birth in a

In 2013, 289 000 women died during pregnancy and childbirth and it was estimated that everyday 800 women all over the world died from childbirth or childbirth-related problems (World Health Organization, 2014). Often, maternal mortality is found to occur more often in developing countries than developed countries. Maternal mortality refers women who died from the situation like during pregnancy, termination of pregnancy within 42 days, regardless of duration and place of pregnancy, from aggravation caused by the pregnancy or pregnancy management (Nwagha et al, 2010). Maternal mortality may be resulted from direct or indirect cause. Direct causes are from obstetric complications of pregnancy, labour, and puerperium, and interventions whereas indirect causes are from the worsening of current conditions by pregnancy or delivery (Givewell, 2009). This paper aims to examine the causes for maternal mortality in both developed and developing countries and will end with a proposal for government to ensure women are given reproductive health rights.

The aim of this research assignment is to demonstrate the ability to critically appraise two pieces of research evidence which relates to midwifery and use the evidence to make recommendations for change to improve the quality of care.

As the recommendation has been established as best practice this chapter will propose a clinical audit to review the extent to which the recommendation is applied in practice. Practitioners have a responsibility to continually improve their standards of care (Nursing and Midwifery Council, 2010). Clinical audits are a valuable tool for professionals to monitor their current practice and promote improvements in care (Benjamin, 2008).