Presentation on theme: "Lisa Heelan, MSN, FNP-BC Family Health Promotion 1"— Presentation transcript:
1Lisa Heelan, MSN, FNP-BC Family Health Promotion 1 Maternity NursingLisa Heelan, MSN, FNP-BCFamily Health Promotion 1
2Learning 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
3Relate 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
4Birth 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
5Childbirth is the #1 reason for all hospitalizations
6100 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
13Prenatal CareEducationTreatment formedical conditionsor risk reductionRiskAssessmentEach component can contribute to reductions in perinatal illness, disability and death by identifying and mitigating potential complications
14Frequency of Prenatal Visits Every 4 weeks until 28 weeks gestationEvery 2 weeks until 36 weeks gestationWeekly until delivery
15Antepartal 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
16Nursing 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.
18Infants tend tohave lower birthweightsInfants have ahigher incidenceof preterm birth
19The Faces of Fetal Alcohol Syndrome Growth RetardationFacial AnomaliesMajor Cause ofmental retardation
20Even moderate alcoholintake is contraindicatedIncreased incidence of lowered birth weightSome neurologic effects such as Attention Deficit DisorderNo Safe level of drinking duringpregnancy has been identified
21Live Viruses (like rubella) should not be given to pregnant women Vaccines using killed viruses may be used
22Exercise during pregnancy 30 minutes daily and stop when fatiguedNo balance activitiesNo exercising in supine positionPulse rates < 140/min
23Nursing 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.
24The importance of support during labor---having a doula
26Types of Families Nuclear Cohabiting parent Married-parent Single-ParentChildless Married blendedExtended Gay & LesbianThe primary institution in society that preserves & transmitsculture.
27What basic information should be included in a Family Assessment?
28Family AssessmentName, age, sex and family relationship of all people residing in the householdFamily type, structure roles and valuesCultural associationsReligious affiliationsLanguageSupport network
29Friedman Family Assessment Model Identifying dataHistory of familyEnvironmental dataFamily structureFamily functionsFamily stress & coping
30Culture is not just something the client possesses; it is something that all humans possess. It is learned….
31EthnocentrismConviction that the values and beliefs of one’s own cultural group are the best ones or the only acceptable ones
32Are there cultural influences on childbearing and rearing?
45References 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
46Epstein, 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