The Women 's Place At Texas 's Children 's Hospital

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.

“If a sweeping pestilence struck down as many women in a community as are taken in childbirth we would immediately be aroused,” claimed Beatrice E. Tucker, Director and Associate Obstetrician of The Chicago Maternity Center. Beatrice was determined to helped needed women, in a needed community, in Chicago. (Tucker, Beatrice E., and Harry B. Benaron, 1) The Chicago Maternity Center was founded in 1895, by Dr. Joseph DeLee. However, it was led and directed by Dr. Beatrice Tucker, accompanied by her partner Dr. Harry Benaron. The center was opened from 1932 until 1973. The center provided free obstetrical care for poor women while at the same time helping doctors train for the latest methods to as well provide safe delivery for these women (Simpson, 1). The center wasn’t such a famous hospital or clinic as the time. It also wasn’t located by means of a medical school, such as the University of Chicago. Instead, the Chicago Maternity Center was located at 1334 South Newberry Street, centered at Chicago’s West Side. The reason for this was because, when Beatrice Tucker became the Chicago Maternity Center’s leader, the community was trapped as a desperate poor immigrant working class (Simpson, 1). Therefore, the center had two purposes. The first, was to care for and treat poor women, in childbirth, right at their homes. Second, was to teach doctors, medical students, and nurses “the science and art of obstetrics” (Tucker, Beatrice E., and Harry B. Benaron, 1). Through these

As a nurse at Texas Children’s Hospital, one of the most well-known children’s hospitals in the nation, I have had the opportunity to care for patients and their families from around the world. I have learned how important cultural and social factors are in regards to a patient’s well-being and compliance with both medications and appointments.

I have chosen The Woman's Hospital of Texas for my LTT1 task. It was founded in 1976 in Houston, TX. The Woman’s Hospital of Texas is affiliated by the Hospital Corporation of America (HCA), which offers health services for women and newborns. The Woman’s Hospital of Texas has been one of the state’s foremost care providers for women and newborns for more than 30 years with over 650 board-certified physicians. The hospital also received a High-Performing ranking in gynecology in the U.S. News & World Report's (2008) annual survey with an overall ranking of #40 in Texas, recognized in Gulf Coast and ranked #13 in Houston metro area.

In the novel, “All Fall Down” by Ally Carter, the themes included believing in yourself and feminism. The theme to believe in yourself was evident in the book when Grace would not back down from searching for the scarred man. Furthermore, despite people calling her crazy and saying that her mother’s death was an accident, she still continued to find evidence to prove people wrong and to bring the killer to justice. When people were disagreeing with her on page 111, she said, “But I do know. I know what, and I know who, and I know that I was right that night in the Iranian embassy.” Because she believed in herself and took action for what she believed in, she was able to find out more than she could have ever known if she were to conform with

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

Mothers who have brought into this world a blessing have been preparing themselves for a big change in their life. They have been learning and educating themselves about how to be a good mother. Many mothers find it really hard to transition from being an independent woman without children to becoming a mother (Corrigan, Kwasky, & Groh, 2015). Adapting to motherhood can be a drastic change, and usually creates challenges that lead to feeling overwhelmed (Leger & Letourneau, 2015). When a newly mother begins experiencing stress or becomes emotional then there can be a possibility that they can encounter Postpartum Depression (Leger et al., 2015). Postpartum depression can be seen and experienced in many different ways, it all varies on every mother (Corrigan et al., 2015). Many different mental health issues can be seen including baby blues, postpartum depression, postpartum obsessive-compulsive disorder, and the most serious, postpartum psychosis (Tam & Leslie, 2001).

One of the reasons our particular volunteering will be relevant to nursing is that we will be helping to spread information about pregnancy to those who might be unaware of the opportunities and possibilities available to them. Through this volunteering, we are helping to educate soon-to-be mothers on ways that they can avoid an abortion – saving the child’s life and comforting the mother during an emotionally stressful time. As nurses, we will

Fastenal’s five strengths include: scale, scope, customization, bundling, and aggregation. With over 2,600 stores in North America, Fastenal can budget its expenses to maximize savings. Fastenal also maximizes savings by selling products from fifteen different product lines. Fastenal places a high value in its ability to customize its products as well as bundle its services to exceed the needs of its customers. Fastenal helps corporate clients reduce their expenses by offering to aggregate multiple orders into one large order.

70 to 80 percent of women who have given birth experience what is know as “Baby blues,” (Piotrowski & Benson, 2015). These are mild symptoms of depression and usually go away within two weeks after giving birth. However, the symptoms of unspecified depressive disorder with peripartum onset also known as postpartum depression (PPD) can be more intense and last significantly longer than the “baby blues.” According to the DSM-5 (American Psychiatric Association [APA] 2013), postpartum depression occurs during pregnancy or in the 4 weeks following delivery. Postpartum depression has symptoms that cause clinically significant distress or impairment in the new mothers life and can include the inability to take care of the newborn or herself. The

Postpartum depression (PPD) affects about eighty-five percent of new mothers and persists as long as a year after childbirth (Texas Medical Association, 2015). In spite of the scope of this problem and the benefits of screening women, it’s not standard procedure (New York State Department Of Health, 2016). This policy brief was written for healthcare providers that treat new mothers at risk for PPD with the goal of improving screening and the number of women receiving appropriate treatment. The recommendations address measures to improve early identification and follow-up care for women found to have PPD.

Postpartum psychiatric disorders are generally divided into 3 different categories: postpartum blues, postpartum psychosis and postpartum depression. Postpartum blues are very common. Symptoms are characterized by crying, confusion, mood swings, and anxiety. These symptoms manifest early after birth but don’t last very long. Another one is postpartum psychosis which is more severe. Symptoms appear within four weeks and include delusions, hallucinations and gross impairment in functioning. Postpartum depression begins in or extends into the postpartum period (Ohara, 2004). According to Health Facty, there are 10 symptoms of postpartum depression; sadness, mood swings, feeling overwhelmed, crying spells, problems with memory and concentration, change in sleep cycle, altered patterns of eating, loss of libido, social withdrawal, and an enduring sense of exhaustion. Symptoms must last longer than one moth to be diagnosed as postpartum depression.

This is the beginning of the mother’s involvement with the midwife. This is an opportunity for both parties to establish a personal relationship, partnership. This is where education exchange can occur, recognition of responsibilities, options and choices are determined which are supported and discussed with the mother and her supporters. (Pairman, 2010, pg. 431-432)

Thank you for allowing me to speak on the behalf of the school nurses in regards to elimination of one full time nurse due to a decrease in enrollment. There are a few points that I would like to discuss.

Prenatal care is widely accepted as an important element in improving pregnancy outcome. (Gorrie, McKinney, Murray, 1998). Prenatal care is defined as care of a pregnant woman during the time in the maternity cycle that begins with conception and ends with the onset of labor. A medical, surgical, gynecologic, obstretic, social and family history is taken (Mosby's Medical, Nursing, and Allied Health Dictionary, 1998). It is important for a pregnant woman as well as our society to know that everything that you do has an effect on your baby. Because so many women opt not to receive the benefits of prenatal care, our society sees the ramification, which include a variety of complications primarily