Labor And Delivery Should Be Enforced

Throughout my time on the Mother Baby Care Unit, I have faced many instances in which I have been able to reflect on both my patients and the care that I was providing them. One situation in particular that I found myself critically reflecting upon involved a new mother who was feeling slightly stressed about being discharged as her newborn son would not be going home with her. For confidentiality reasons, this patient will be given the pseudonym of Kayla for the remainder of this reflection.

Giving birth to a baby is the most amazing and miraculous experiences for parents and their loved ones. Every woman’s birth story is different and full of joy. Furthermore, the process from the moment a woman knows that she’s pregnant to being in the delivering room is very critical to both her and the newborn baby. Prenatal care is extremely important and it can impact greatly the quality of life of the baby. In this paper, the topic of giving birth will be discussed thoroughly by describing the stories of two mothers who gave birth in different decades and see how their prenatal cares are different from each other with correlation of the advancement of modern medicine between four decades.

Providing an effective care and support to the patient and for their babies during labour

The theory I selected to apply to the above situation is the Birth Territory theory. This theory was created from empirical data collected by the authors who serve as both midwives and researchers. It has a critical post-structural feminist undertone and elaborates on the ideas of Michel Foucault. The Birth Territory theory predicts and elaborates on the relationships between jurisdiction (use of authority and influence), terrain (the birthing environment), and personal emotional and physiological experience by the mother. This nurse-midwifery theory was chosen because both of the major concepts directly correlate with the incident and are critical aspects of labor and delivery situations. MAYBE ELABORATE A diagram of the Birth Territory theory can be seen in Appendix A.

When culturally competent nurses interact with other cultures, they observe how members of the culture communicate, watching for verbal and non-verbal cues. Eye contact is important to identify. For some cultures direct eye contact is not polite. Touch for some cultures is prohibited. If needed, nurses should explain the reason for touching the patient before proceeding. In some cultures males cannot be caregivers of females. Silence doesn’t always mean miscommunication or patient apathy. For some cultures is a positive non-verbal cue or a sign of respect or agreement. Space and distance is very important when providing care. Patients can place themselves close or far from the nurse based on their culture. Healthcare beliefs also vary from cultures. Some cultures are compliant with cares while others may not be very cooperative. Based on these observations, nurses can plan their plan of care based on the patient’s needs (Maier-Lorentz, 2008 Journal Of Cultural Diversity). Nurses also need to observe pain non-verbal cues, food preferences, family arrangements and general norms and interactions.

In American culture it’s shown in movies and TV shows, during birth the woman is usually screaming in pain. On a personal level, from all the pregnant people I have talked to about their labor, only one or two would say it wasn’t “that bad.” In the Hmong culture the women essential stand in their house crouched down delivering her baby into her hands, all without saying a single word all alone. American’s make noise they don’t care; it’s socially acceptable to do so. Women typically do not give birth alone; there is at least a doctor and nurse present. Foua’s culture believed making noise besides prayer could ruin the pregnancy and she was to birth alone. The book only states her husband could assist her by bringing her water, but wasn’t allowed to look at her. With all of the things that could go medically wrong during birth and do in a hospital, being home alone and a medical issue occurring is very terrifying to me.“The Hmong have a phrase, hais cuaj txub kaum txub, which means “to speak of all kinds of things.” It is often used at the beginning of an oral narrative as a way of reminding the listeners that the world is full of things that may not seem to be connected but actually

For hundred of years, women have wrestled with their womanhood, bodies, and what it means to be a woman in our society. Being a woman comes with a wonderful and empowering responsibility--giving birth. What sets us aside from other countries is that the process and expectations of giving birth has changed in our society; coming from midwifery, as it has always been since the early times, to hospitals where it is now expected to give birth at. Midwifery was a common practice in delivering babies in

JCAHO (2011) also stated that patients and their families needed to be educated about pain and how the patients’ pain is going to be managed. Every patient perceives and exhibits pain in a different manner and if nurses do not assess the patient thoroughly they can miss it. For instance, Engebretson et al. (2006) acknowledged that, patients manifest pain in different ways and this resulted in nurses performing an inadequate assessment of their patients’ pain. Also, Engebretson et al. recognized that patients often conceal their pain because they do not want to be viewed by staff as complainers or addicts, and if patients decide to speak up the nurses frequently view their patients’ statements from their own cultural, moral and ethical belief system and not their patients which leaves the patients’ pain untreated.

A study ‘Experiences of childbirth by mothers at the tertiary hospital in Limpopo Province’ was conducted (Maputle & Nolte 2008), and experiences of the mothers during childbirth revealed the major concept ‘woman-centered care’. ‘Woman-centered care’ emerged as a

Culture plays a large role in the types of breastfeeding support the women of Somalia use. There is a lack of professional breastfeeding specialists as well as educational resources, which results in the lack of breastfeeding support (Waweru & Moloney, 2008). According to Pieh-Holder (2011), pregnant and lactating women do not have access to professional nutrition education and as a result will depend on individuals around them within their communities, such as grandmothers and traditional healers for advice on feeding and care for their infants (p. 196-201).

Providing continuous physical and emotional support during labour can reducing maternal fear, stress, and anxiety and protect physiological birth (Steen, 2012). Research shows that fear and anxiety during labour and birth can be detrimental to physiological birth. An environment that women feel unsafe in may stimulate a surge of neuro-hormones that can influence both fetal and maternal physiology, causing irregularity of contractions, fetal distress and subsequent medical inteverntions (Fahy & Parratt, 2006). Conversly, maintaining an environment where women feel safe, protected and supported can facilitate favourable physiological performance (Fahy & Parratt, 2006). Midwives can do this by giving women one-on-one continuous support and placing her at the centre of care throughout childbirth (Steen, 2012). As observed in practice, by constantly reassuring the woman about her progress, her baby’s health and addressing any of her concerns, the midwife can provide a calm and relaxing environment that is conducive to the labouring woman (Buckley, 2015; Steen, 2012). The midwife worked with the woman, encouraging her throughout labour and birth by telling her that she was doing extremely well. The midwife also breathed in-tune with the woman while giving her a back massage, inducing a sense of comfort. The atmosphere was calm and this contributed to the woman garnering confidence in her ability to avoid medical pain relief. Downe (2008) noted that the positive impact of

During labor and delivery, for many Chinese women, family support is preferred over pain medications (Sullivan, 2012). For the delivery of the first child, the father of the baby is not present, instead the woman’s mother is there

Childbirth is a beautiful thing. After the hours of labor, there is nothing more special than having the newly mother able to hold her child the minute after it’s born. It makes the pain that you had just experienced go away because all that matters in the world is that newborn child in your arms. During labor, every woman has her own experience but one common experience is the pain. According to Kitzinger (1978) “Labor pain can have negative or positive meaning, depending on whether the child is wanted, the interaction of the laboring woman with those attending her, her sense of ease or dis-ease in the environment provided for birth, her relationship with the father of her child and her attitude to her body throughout the reproductive

Any infant enters the world completely relying on their mother, whether it’s to provide security, comfort, or their first meal. Breastfeeding, although pretty self-explanatory, is the act of a woman feeding a baby with milk from her breast. It is recommended that a baby be breastfed for the first time within an hour of their birth and exclusively breastfed for the first six months of life (Belsky, 2012). However, there is a stigma attached to breastfeeding in some areas of the world, especially the United States, so a common alternative is formula. There are many benefits not only the infant can gain from being breastfed, but also benefits the mother can obtain from providing this nutrition for her child. This paper will discuss

Central Idea: Pain management is an important aspect of childbirth that women need to educate themselves on so they can make an informed decision when choosing which method they will use.