Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Chapter 10 Promoting a Healthy Pregnancy Edited by Catherine Marin, MSN/Ed(c), WHCNP, RN
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Planning for Pregnancy Preconception Periconception Interconception Preconception counseling Identify conditions that could adversely affect pregnancy
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley The Healthy Body Menstrual and medical history Exposure to childhood illnesses Exposure to STIs (for example, chlymydia,gonorrhea, herpes) Exposures related to lifestyle choices (for e.g., monagamous relationship or multiple partners) Physical examination Laboratory evaluation (for e.g., CBC, UA, Blood Type, Rubella, VDRL/RPR, Hepatitis, HIV Genetic testing
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley The Healthy Mind Readiness for motherhood Psychological changes during pregnancy (Ambivalence, Acceptance, Preparation for motherhood) The healthy relationship Readiness for fatherhood Support for life changes
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Nutrition and Weight Gain Nutritional elements Calories Protein Water Minerals and vitamins Iron Folic acid
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Weight Gain Affected by: Physiological factors Social influences Inadequate diet Inadequate physical activity Management Daily food and fluid intake
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Factors That Affect Nutrition Eating disorders PICA- associated with anemia Anorexia nervosa, bulimia nervosa Cultural factors Vegetarian diets Food cravings and food aversions
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Exercise, Work, and Rest Exercise Muscle strengthening No rigorous aerobic activity Work Impact on pregnancy Maternity leave Rest
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Medications Safe versus teratogenic Always consult physician regarding ANY medication Over-the-counter Herbal and homeopathic preparations Prescription FDA pregnancy categories
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Common Discomforts Nausea and vomiting Ptyalism Fatigue Nasal congestion Backache Leukorrhea
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Common Discomforts (cont.) Urinary frequency Dyspepsia Flatulence Constipation/hemorrhoids Dental problems Leg cramps
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Common Discomforts (cont.) Dependent edema Varicosities Dyspareunia Nocturia Insomnia Round ligament pain
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Common Discomforts (cont.) Hyperventilation, shortness of breath Numbness/tingling in fingers Supine Hypotensive Syndrome
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Signs and Symptoms of Danger
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley First Trimester Severe, persistent vomiting Abdominal pain and vaginal bleeding Indicators of infection
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Second Trimester Maternal complications Preeclampsia Premature rupture of the membranes Preterm labor Fetal complications Decreased fundal height Absence of fetal movement after quickening
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Third Trimester Maternal complications Gestational diabetes Placenta previa Abruptio placentae Fetal complications Hypoxia
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Pregnancy Map Prenatal care map Timetable
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Childbirth Education Primary goal To promote a positive childbearing experience Topics Anatomy and physiology Comfort measures Labor and birth process Relaxation and pain management
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Childbirth Education—Methods Lamaze Empowerment Dispelling myths Controlled breathing, position, massage, relaxation Bradley Inward relaxation Normal breathing
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Other Methods Dick-Read HypnoBirthing LeBoyer method Odent method Birthing from within
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Finding Information on Childbirth Education Primary source—health care provider Online and at-home programs Parents need to ask questions about the class to determine if it fits their needs Factors related to personal values and beliefs
Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley The Birth Plan Written information that identifies labor and birth preferences The choices Choosing a provider Choosing a location