Life After Accreta Essay

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.

Summary: This article describes how emotionally and physically challenging stillbirth can be to its victims. Stillbirth which is “the birth of an infant that has died in the womb after having survived through at least the first 28 weeks of pregnancy”, is not only challenging for the mother of the baby, but it affects the whole family as well. Per to this article, stillbirth affects about 1 in 200 pregnancy and that’s in the U.S only, because

Sara is a 40yo, G9 P5035, who was seen for an ultrasound evaluation and consultation for AMA. She overall denies any major-medical disorders. She does have a history of 8 other pregnancies; 5 of which were term uncomplicated deliveries. She has had 3 spontaneous pregnancy losses but they have been scattered in between her 5 term deliveries. She therefore is grand multiparous and would be at an increased risk for postpartum hemorrhage. Overall currently at this time she has no complaints.

The study identifies several studies that focus on variables, but none that fulfil the whole sample criteria. Finding a gap in previous research is justification for the study (Polit & Tatano Beck, 2006). The literature review states studies that cite that operative delivery is associated with bonding difficulties (Rowe- Murray & Fisher, 2001), vaginally delivered women had more positive perceptions (Fawcett et al.,2007), women who had a high level of obstetric intervention were more likely to have trauma symptoms (Creedy et al., 2001), and birth experience affects postpartum development (Stadmayr et al., 2004). To summarise the cited literature, women that have a caesarean section or instrumental delivery are more likely to suffer from feelings of ill health and difficulty in parental transition. This is a limitation of the research. As these are proven factors, including them in the criteria for participant selection could discredit the study as they are already well known implications without the phenomena of prolonged labour. In addition to this, the same researchers had previously devised a case referent study investigating negative birth experiences following prolonged labour (Nysted et al., 2005). This is not disclosed or referred to within this study. A study should describe how it enhances existing knowledge (Holloway & Wheeler, 2002). As the findings of

“Postpartum depression affects 10% to 20% of women after delivery, regardless of maternal age, race, parity, socioeconomic status, or level of education”.( Consise) Postpartum depression is a major depression episode that occurs after childbirth affecting not only the mother but also the child and family members. After the delivery of the placenta extending for about six weeks this is considered as as the postpartum period. This a critical period for the mother and new born physiological and psychological because the woman’s body is returning to a non-pregnant state in which hormones, sleep parttters, emotions and relationship are changing. Therefore, up to 80% of mothers experience the "baby blues during the first week in which

Davidson stated in her 2012 book A Nurse’s Guide to Women’s Mental Health that “It is estimated that 50-80 percent of women suffers from some form of baby blues after birth”. (pg.175)

6. Was adequate trust established with the participants? Was there an open dialogue with a conversational approach to data collection? Data collection was obtained from multiples resources like questionnaires in news papers and magazines, cross sectional study over a year period after the birth, longitudinal studies from the third trimester until 4 to 6 week post-partum, the author also investigated the prevalence and predictor of psychological trauma after the cesarean delivery.

The phenomenon of interest (birth trauma and what it means to women) was clearly identified in the report. In the introduction the authors stated that women’s perception of birth trauma is quite different from the perception of the same phenomenon by health care providers. She also uses a term “in the eyes of the beholder” to emphasize that for every woman this phenomenon is unique. It is stated that PTSD after childbirth is quite prevalent and several studies support this fact. However, research is regarding the understanding of the birth trauma phenomenon from the woman’s experience lacking. The problem statement was worded clearly and directly and I wasn’t ambivalent about what problem will be discussed in the remainder of the article.

For this interview project paper, I chose childbirth as my topic because it is related to the field that I want to pursue in my future career and I wanted to explore more about it. Having said that, I was given an opportunity to create my own questions that were correlated with childbirth and its relations to the domains of human development. I had the opportunity to interview a woman in her early adulthood, who recently gave birth to their second child here in Rockville, Maryland. After one hour of interviewing her over the phone, I was able to developed my thesis, introduction, supporting details, and conclusion for my paper based on my interviewee’s responses and experience about childbirth.

Elated one minute, depressed the next is one common scenario observable in mothers who recently delivered a baby. Women manifest mood swings or “baby blues” in the few days after childbirth. It is an identified psychological postpartum complication in new mothers. According to BC Reproductive Mental Health Program (2011), eighty percent (80 %) of women report to be experiencing postpartum blues within 3-5 days after giving birth. During this time frame, rapid mood swings, feeling of helplessness, disturbed sleep pattern or difficulty to sleep, and crying for no reason are common signs which are considered normal on women having the postpartum blues. This is a transient phenomenon which self-resolves within 10-14 days with no medical intervention required (Rai, S., Pathak, A., & Sharma, I., 2015). Although its etiology remains unidentified to date, biochemical, psychological, social and, cultural factors are not excluded as contributors to this condition.

Giving birth comes with a wide variety of changes including physical, emotion and social. There are very high levels of sex hormones in circulation which cause increased ligament, joint and muscle laxity (Norman). Many women lose their social contacts due to upcoming life changes, must take time off work, and must stop previous hobbies (Norman). Relationship factors, hormone changes, sleep deprivation and support deeply effect a woman’s self-esteem and confidence during and after pregnancy (Norman).

Dawn Kingston (assistant professor of Faculty of Nursing) studied a s survey done by ‘6,400’ mothers and how their experiences before they got pregnant, during pregnancy, and after delivery. With her research she offered first time views

“And plenty of people throughout the world today find a way to educate themselves without restoring to a system of compulsory secondary schools that all too often resemble prisons.” John Gatto’s words generate the idea that in order for public education to see change, their has to be individuals, but also the overall American public to embrace and contribute to the goals of public education. He also provides an insight that public education resembles prisons that are targeting minorities. Public education is defined as a system, where learning is an option, that benefits those who can’t afford the expense of private education. However, many American citizens are disgusted by the racial inequality that is taking place within public schools.

I am drawn to the field of social work because it will allow me to hear the stories of people from all walks of life, and be able to put my passion for social justice and overall belief of human dignity and worth into a career that challenges me to alter my perspective on individuals and society as a whole. I plan on entering a field that I know will not be easy, but I feel that it is my calling, and I can’t imagine myself doing anything else. I am fully aware that social work is a career that has a high burnout rate and that it is highly underappreciated, but I want to be able to have an impact on all of the people that I will serve, by advocating for them, but also helping them advocate for themselves. I have wanted to become a social

For any brand to have brand equity, sustainability and overall success, the factors and platforms that it builds itself upon are of vital importance to achieve those goals. Uber is a brand that has an objective of building itself in a developing country with demanding consumers. In order for it to do so successfully it needs to clearly define itself with regards to the following concepts of a brand platforms, Brand Vision, Brand Mission, Brand Values, Brand Personality and lastly the Brand tone of voice. All these platforms transition into each other, this essay will explain each platform and incorporate each of them to how Uber can use them effectively in order for it to be profitable.