Presentation on theme: "Lisa Heelan, MSN, FNP-BC Family Health Promotion 1"— Presentation transcript:
1 Lisa Heelan, MSN, FNP-BC Family Health Promotion 1 Maternity NursingLisa Heelan, MSN, FNP-BCFamily Health Promotion 1
2 Learning ObjectivesEvaluate contemporary issues and trends in maternity nursingExamine the Healthy People 2010 goals related to maternal and newborn care & outcomesDescribe the main characteristics of contemporary family formsBe knowledgeable in the main components of what is needed in obtaining a family assessment
3 Relate the role of culture in caring for childbearing families Discuss cultural competence in relation to one’s own nursing practiceList the components of prenatal careInterpret the role & benefits of a doula
4 Birth in America 1900: 95% of all births took place at home 1939: 50% of all births at home1955: 95% of all births in the hospitalWolf, 2009
5 Childbirth is the #1 reason for all hospitalizations
6 100 babies born in Pennsylvania * 12 will be born preterm * 3 will die before reaching theirfirst birthday* 4 will be born with a birth defects* 8 will be born low birth weightMarch of Dimes
13 Prenatal CareEducationTreatment formedical conditionsor risk reductionRiskAssessmentEach component can contribute to reductions in perinatal illness, disability and death by identifying and mitigating potential complications
14 Frequency of Prenatal Visits Every 4 weeks until 28 weeks gestationEvery 2 weeks until 36 weeks gestationWeekly until delivery
15 Antepartal Nursing Interventions Being knowledgeable in the normal changes of pregnancyInstructing in signs & symptoms that indicate a problem may be developingProviding appropriate information for self care measuresReferring when necessary
16 Nursing in a Home Care Setting Can be used for women who have difficulty in accessing the healthcare systemMost often used for women with prenatal complications that can be managed without hospitalization.
19 The Faces of Fetal Alcohol Syndrome Growth RetardationFacial AnomaliesMajor Cause ofmental retardation
20 Even moderate alcoholintake is contraindicatedIncreased incidence of lowered birth weightSome neurologic effects such as Attention Deficit DisorderNo Safe level of drinking duringpregnancy has been identified
21 Live Viruses (like rubella) should not be given to pregnant women Vaccines using killed viruses may be used
22 Exercise during pregnancy 30 minutes daily and stop when fatiguedNo balance activitiesNo exercising in supine positionPulse rates < 140/min
23 Nursing Pearls of Wisdom At each prenatal visit, focus your teaching on changes or possible discomforts the woman might encounter during the coming month and the next trimester.
24 The importance of support during labor---having a doula
26 Types of Families Nuclear Cohabiting parent Married-parent Single-ParentChildless Married blendedExtended Gay & LesbianThe primary institution in society that preserves & transmitsculture.
27 What basic information should be included in a Family Assessment?
28 Family AssessmentName, age, sex and family relationship of all people residing in the householdFamily type, structure roles and valuesCultural associationsReligious affiliationsLanguageSupport network
29 Friedman Family Assessment Model Identifying dataHistory of familyEnvironmental dataFamily structureFamily functionsFamily stress & coping
30 Culture is not just something the client possesses; it is something that all humans possess. It is learned….
31 EthnocentrismConviction that the values and beliefs of one’s own cultural group are the best ones or the only acceptable ones
32 Are there cultural influences on childbearing and rearing?
45 References Center for Disease Control, US Department of Health and Human Services. (2010). Healthy People 2010,2nd edition Retrieved from2/16MICH.htm#TocDeclercq, E., Sakala, C., Corry, M., & Applebaum, S.(2006). Listening to mothers 11: Report of thesecond national US Survey of women’schildbearing experiences. Retrieved from
46 Epstein, R. (2010). Get me out: A history of childbirth. New York: W.W. Norton & CompanyFadiman, A. (1997). The spirit catches you and youfall down: A Hmong child, her American doctors &the collision of the cultures. New York: Farrar,Straus & GirouxLowdermilk, D. & Perry, S. (2007). Maternity & women’shealth care. (9th edition). St. Louis: Mosby ElsevierWolf, J. (2009). Deliver me from pain.Baltimore: The John Hopkins University Press