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.
Cesarean section (C/S) births can occur in the hospital for several reasons. Some women choose to have elective C/S birth and others require C/S births out of infant or maternal safety, complications, or by necessity. This paper discusses both elective and emergency C/S deliveries and reviews both National Guideline policy and Carilion Clinic policies on C/S births. The problem statement is: in pregnant women (population), does C/S delivery following National or Carilion policies (IV: exposure vs. none-exposure) differ in terms of patient care and outcomes concerning maternal and neonatal health (DV)?
A commonly known procedure when it comes to hospital births are epidurals. An epidural is an injection of a drug between the “epidural space” which causes
North America’s childbirth conditions and practice have been revolutionized throughout time. Today, many aspects of childbirth are carefully inspected to create, in their opinion, the healthiest environment for the women and child. The vast majority of Americans birthing environment takes place at a “hospital, birthing-centers, and homes,” while “planned home births” are fewer then 1% of birth (347). When having a planned at home birth, a birthing center will bring all the required equipment to your
Caesarean delivery is the method by which a baby is born through an incision in the abdominal wall and uterus. Statistics show that 166,081 caesarean deliveries were carried out within NHS hospitals in England during 2013/2014, of which 50% were elective. This represents a 2.5% rise over the previous year, continuing the trend of increasing elective caesarean rates (Health & Social Care Information Centre, 2015). Indications for a caesarean section (CS) can include foetal distress, previous CS, breech presentation, abnormal progress during labour, etc. (Vacca, 2013).
One of the most heavily performed surgeries on pregnant women is the caesarean section, also known as c-section, however many women are unaware of the complications, risks, and benefits to such an intense procedure. Most don’t even know that it is considered a major surgery. Many women are having caesarean sections in today’s society due to health risks to the mother and child and the mother’s personal choices, the number of surgeries performed yearly have been increasing steadily. We will explore this rising trend and see what the pros and cons are to this surgery and why it is occurring at a more rapid rate than ever before.
Many people question which method is the best way to deliver a baby, hospital birth or homebirth? Considering the risk and interventions associated with both births that have plagued people’s minds for years. The increase rate of birth defects, including the physical and emotional damage contributed to the mother and the baby before and after pregnancy, have left people minds with a moot. Growing into a continuous debate, hospitals and professional providers have struggled to find an answer to the question which method is safer and will provide fewer risk and interventions. Nonetheless, this topic is relevant because of women wanting a safer birth method for their baby; and although some women can handle pain tolerance, others cannot, which
New moms endure stress in attending to a newborn, but after such an intense labor it is crucial to make caring for themselves a priority. Mothers deliver their babies vaginally or through a Cesarean section, although similarities are present in caring for both, differences do arise. During childbirth they undergo excruciating circumstances no matter which form of delivery they experience. Vaginal birth is described as the “natural” from of delivery in which the baby enters the world through the vagina. A Cesarean section, also known as C-section, is defined as a surgical procedure to deliver the baby through an incision made on the abdomen. Incisions made during delivery are dependent on how the baby was born. Returning to normal after
In the United States, the most common birthing position is the lithotomy position, which allows the obstetrician to have a better vantage point of the perineal area should a complication occur during delivery. Often times, the preference of delivery position is placed on the obstetrician rather than the pregnant woman herself. The woman 's choice not being taken into consideration is one issue, however another important issue is that some birthing positions may increase the chance of sustaining perineal lacerations. A perineal
C-Sections are the most common surgery in the U.S. and account for about one third of all U.S. births today. Since the 1990s, the C-Section rate has risen sixty percent (Shute: “Doctors Urge….”). The risk of a C-Section to a mother include but are not limited to: weakened uterus, bladder injuries, and/or blood
The lack of resources in maternity departments continues to make C-sections popular in Brazilian hospitals. The don’t have the medical equipment or enough beds to perform vaginal births (Brazil Introduces New Caesarean Birth Rules, 2015). The SUS do not allow women to schedule their delivery in advance, which makes finding a hospital to deliver a stressful situation. Expecting mothers with risky pregnancies can face challenges finding a secure bed, which unfortunately contributes to maternal mortality and morbidity. Women can die or experience negative impacts post-pregnancy (Diniz, S., & Chacham, A., 2004, p102). A Brazilian obstetrician told BBC, “the best way to guarantee yourself a bed in a good hospital is to book a caesarean” (Brazil Introduces New Caesarean Birth Rules, 2015).
In the time of labour your birth may fail to progress and this may cause you to have an emergency c-section: Fetal distress for example if the baby is having breathing difficulties a c-section will be performed in order to get the baby out of the uterus as soon as possible. Placenta previa is when the placenta is partially or fully blocking the cervix opening not allowing the baby to pass through the vagina opening. Cesarean surgery will start with a incision in your abdomen, then cutting underlying body tissue till the doctor reaches your uterus. The doctor will reach in and pull out your baby, after Cesarean surgery you will be stitched up which will take 30-45 min and will delay immediate contact with you and your
At a point in history, Homebirths and Midwives were prevalent when delivering. However; the use of these two methods plateaued as many people were concerned with the health of the infants and the mothers. The ultimate goal of delivery is the safety and protection of both the mother and the child. For a time, and still to this day, women turned to hospitals to ensure that safety. However, as a new wave of feminism has empowered mothers to take control of the natural birthing process, more and more women are reverting back to the home birth method. Though homebirth goes smoothly for most mothers, there is always the potential for complications that many mothers are not prepared to handle.
Over the years birthing methods have changed a great deal. When technology wasn’t so advanced there was only one method of giving birth, vaginally non-medicated. However, in today’s society there are now more than one method of giving birth. In fact, there are three methods: Non-medicated vaginal delivery, medicated vaginal delivery and cesarean delivery, also known as c-section. In the cesarean delivery there is not much to prepare for before the operation, except maybe the procedure of the operation. A few things that will be discussed are: the process of cesarean delivery, reasons for this birthing method and a few reasons for why this birthing method is used. Also a question that many women have is whether or not they can vaginally