Case Study: Trusted Pregnancy Care Center

Christine Le, an accountant living in Flushing, New York, gave birth to a healthy baby “Nathan” on January 29th, 2010. She found out that she was pregnant with her first child when her period was late. She had the routine prenatal care starting at 12 weeks and delivered at 40 weeks in a hospital with the present of her husband, Robert, and the in-laws. To insure her baby was healthy, Christine underwent several prenatal diagnostic methods like amniocentesis to examine for genetic defects. Another method was ultrasound; its purpose is to assess fetal age, multiple pregnancies, size and shape of the fetus. Christine underwent numerous lab tests to ensure that there are no complications (Berk, pg.43). Lab tests like a complete blood count that screens

Provide full antenatal care including the screening tests in the hospital, community and at home.

One important health disparity is the lack of prenatal care amongst women in socially disadvantaged populations. These predominately include women of minorities, women who have a low income, and the location these women live in. This health disparity is important to address because research has shown that women who receive prenatal care are more likely to conceive babies of a healthy birth weight and have low infant mortality rates than those women who do not receive this prenatal care ("Putting Women 's Health Disparities on the Map," 2009). Therefore, health disparities amongst women in need of prenatal care have lead to preventable infant mortalities amongst women in vulnerable populations. Three reasons why this health disparity is important to address include the following: health disparities in prenatal care lead to lack of access to prenatal care to women in vulnerable populations, there are increased adverse health outcomes for both the infant and mother, and there are excess medical expenses that could otherwise have been prevented. Because “prematurity is the leading cause of newborn death in the United States” (“Healthy Mothers and Healthy babies,” 2013), finding and developing a solution will be extremely beneficial and needs to begin with addressing prenatal care.

Within Victoria there are multiple models of maternity care available to women. An initial discussion with the woman’s treating GP during the early stages of her pregnancy is critical in her decision-making about which model of care she will choose and this key discussion is essential in allowing a woman to make the first of many informed decisions throughout her pregnancy. According to a survey conducted by Stevens et al. (2010) only 43% of women felt ‘they were not supported to maintain up-to-date knowledge on models of care, and most reported that model of care referrals were influenced by whether women had private health insurance coverage.’ Many elements of these models of care differ: from location of care, degree of caregiver continuity, rates of intervention and maternal and infant health, outcomes access to medical procedure, and philosophical orientation such as natural or medical (Stevens, Thompson, Kruske, Watson, & Miller, 2014). According to the World Health Organization (1985) and Commonwealth of Australia (2008) there is a recognition that ‘85% of pregnant women are capable of giving birth safely with minimal intervention with the remaining 15% at potential risk of medical complications’ (McIntyre & Francis, 2012).

Planned Parenthood is a health care provider that focuses on supplying women and men of all ages and backgrounds with health care and sex education. This includes, but is not limited to, contraception, testing and treatment for sexually transmitted diseases, screenings for cancers, sexual education courses, and, most notably, abortions. Planned Parenthood finds itself at the center of much controversy specifically for its role in terminating pregnancies, as well as providing students with sex education instead of abstinence only programs. This controversy has led to debates over whether Planned Parenthood should receive federal and state funding, and whether its clinics should be closed altogether.

Case Title: The case title for my case brief is Webster v. Reproductive Health Services, 492 U.S. 490 (1987).

Since this demographic faces many internal and external barriers, services have arisen in the DC area to provide aid. On a broader level, programs like WIC and Medicaid provide appropriate food and medical care to this population. However, on the local level, organizations such as Mary’s Center, the Community of Hope, and the Developing Families Centers have provided numerous minorities with health and prenatal care (Bowser). Out of these organizations, the Community of Hope and the Developing Families Center specifically target low income and pregnant African Americans.

As part of an ongoing effort to improve access to healthcare in rural areas, WeCARE Family Clinic are proposing the start-up of our new family medicine practice in Plains, Georgia. The business will be owned and managed by myself, Dr. Ieshia O. Roberts, MD as a sole proprietorship. I will be responsible for ensuring the general health of my patients and creating a viable and profitable medical practice. Throughout the year, my staff and I will work closely with advisors from Phoebe-Sumter Medical Center to get the clinic on a sound financial and operational footing, using this medical clinic business plan as a guiding management tool.

From the results, it is evident that the interventions were effective in increasing ANC coverage and improving other pregnancy related issues that emerged as a result of lack of or insufficient ANC. They addressed the common problems that affected the utilization of ANC, these included: maternal knowledge, accessibility to health care facilities and financial difficulties. Accordingly, as doctors and future practitioners, it is imperative that as we provide maternal and antenatal care, we structure the health care services we provide around the patient and cater to a patient's individual preferences, needs and concerns. We are advised to accommodate the patient as much as we can, which means providing them with care that is specific to them

I chose to forgo using the premedical committee services available at my undergraduate institution for various reasons. Firstly, I felt that the benefits of using such services were lacking. I found that the only advantage of using the services was that it provided a ranking of my grade point average (GPA) compared to other pre-med applicants at Oregon State University who are applying in the same application cycle. Seeing as medical schools holistically evaluate all of their applicants and there is no way to accurately compare one school’s program to another, the benefit of a GPA ranking is dismal at best. Furthermore, I could achieve the same result requesting letters from specific recommenders who know me more personally and I could easily

The Hand of Hope Pregnancy Resource Center (HOH) is a pregnancy resource center located in the triangle area. HOH has two centers, one located in Fuquay Varina, NC and the other located in Raleigh, NC. The Raleigh location center is not called Hand of Hope but rather Your Choice Pregnancy Center. HOH truly gives the preborn a chance to live. Since HOH is a Christian based organization, the company believes that life starts at the moment of conception. Because of this, HOH uses the moment of each client finds out they are pregnant to truly assess the positive factors of choosing life for the child. HOH offers a variety of services to a woman and male experiencing the gift of life. These services include but do not limit to: free pregnancy screening and tests, ultrasounds, life

One day the editor of The Herald Tribune, Jim Bellows, requests Sheehy to speak with him in his office. He wanted her to know how he liked all the “gritty stuff in the middle of all the fluff,” and that she should “keep it up.” Due to Bellows’ all clear she was able to explore more news-based stories over fluff (Sheehy, 3-9). She had heard rumors on how New York City’s maternity clinics had a high risk of infant mortality, and with newfound freedom she launched an investigative piece on the issue. At the time of her piece she was heavily pregnant that allowed her the perfect cover into the clinics. The story unearthed how horrible the practices were on poor women at these free maternity clinics. After the story published clinics were cleaned

an amniocentesis. For some women, this is an option, for others, this is a must due to previous

Any pregnant woman struggling with the decision of what to do about an unplanned pregnancy can experience many conflicting emotions. These decisions are no doubt life changing and the ultimate struggle is whether she is making the right or wrong

The client, Aries is a 17-year-old, single, aboriginal female currently attending high school. She lives with her mother, and 4 older siblings; 2 brothers and 2 sisters. This is her first prenatal visit. She is currently 12 weeks pregnant, was not using contraception and did not