Maternal and Child Health Interview Analysis
By: Brittany Thomas
HCA415: Community & Public Health
Instructor: Javier Zarate
August 23, 2015
Introduction
The health of all Americans is a significant public issue in today’s society. Particularly, at concern is the health of women and children. “Infants, children, and teenagers are a demographically important group that forms a large percentage (nearly one-quarter of the total population) of the United States” (sec 5.1). Children’s health is a significant factor that is reflective of the nation’s overall health and well-being, and indicates future outcomes. It is highly important to detect and treat any health conditions early on, in order to prevent the health conditions
…show more content…
By implementing community services and providing the essential services, we can promote healthy living and decrease the rates of mortality among women, children and infants.
Maternal Health “Maternal health refers to the health of women during pregnancy, childbirth, and the postpartum period” (sec. 5.2). Mothers play significant roles in the outcome of infants. It is important to remember that the health of a mother is significantly important, even before the woman becomes pregnant. Maintaining an adequate diet, and performing regular physical activities is essential in maintaining a healthy life. Poor health conditions lead to higher risk of chronic diseases and ultimately complicates pregnancies. Data shows that “287,000 women died due to pregnancy or childbirth-related complications in 2010” (Data, statistics and epidemiology, n.d., p. 1). It appears that the trend has decreased in 2013, compared to the results that were reported in 1990. Deaths that occurred typically occurred in low-resource settings, but were typically caused by “hemorrhage, hypertension, infections, and indirect causes, mostly due to interaction between pre-existing medical conditions and pregnancy” (Maternal mortality, n.d., para. 1). A majority of these situations could have been prevented.
Child Health In 2012, “6.6 million children under-five died” (Data, statistics and
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.
This can be defined as heath care that is received while pregnant, and can be seen through a few of the many ways to obtain care: going for regular monthly checkups, taking prenatal vitamins, eating properly and healthily to obtain the nutrients needed (U.S Women’s Health Department, 2012). A healthy pregnancy increases the chances for a healthy newborn, and according to the U.S Women’s Health Department (2012), “babies of mothers who do not get prenatal care are three times more likely to have a low birth weight and five times more likely to die than those born to mothers who do get care”. When taking care of the body and focusing on prenatal care, doctors are able to catch health problems in the baby earlier and health problems in the mother that can later affect the baby, and through proper prenatal care, it allows these issues to be treated early (U.S Women’s Health Department, 2012). In previous years and centuries, because prenatal care was not widely recognized, and future mothers did not recognize the importance of proper care of the fetus, the number of newborns born with birth defects or irregular vital signs was significantly higher than in today’s
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.
Death and illnesses among women, infant, and child are preventable. In pregnancy, existing health risks can distinguish or prevent any future health problems for women and their children. According to U.S. Department of Health and Human Services (2016), some high-risk factors that may consider are the following: hypertension, heart disease, diabetes, depression, genetic conditions, sexually transmitted diseases, tobacco and alcohol abuse, inadequate nutrition and unhealthy weight. By having this government Healthy 2020 initiative, factors that can affect the pregnancy and childbirth such as poverty,
Childbirth is one of the greatest privileges on the earth anyone could have and we, as women, should feel proud to be major contributors for it. Thus, a mother has to play a key role in aiding the healthcare workers to mitigate the health crisis associated with childbirth by performing her duties faithfully. One such associated health crisis is “Premature (preterm) birth” which occurs when the baby is born too early, before 37 weeks of gestational period (CDC, 2015). The rate of preterm birth ranges from 5% to 18% of babies born across 184 countries (WHO, 2015).
According to Healthy People 2020, "Improving the well-being of mothers, infants, and children, is an important public health goal for the United States. Their well-being determines the health of the next generation and can help predict future public health challenges for families, communities, and the health care system" (Healthy People 2020, 2015). Infant mortality is defined as the death of an infant before his or her first birthday, while fetal mortality is defined as the intrauterine death of a fetus at any gestational age (MMRW, 2013 and MacDorman, Kirmeyer & Wilson, 2012). In the United States an estimated 13,000 fetal deaths occurred ≥ 28 weeks gestation making up 28% of all perinatal deaths in 2006, the latest year with available national data (Lee,
Maternal mortality represents more than the loss of lives for individual women, as it also reflects the larger value and prioritization of women 's health and threatens the health and survival of families, young children, and even the communities in which they live (Royston and Armstrong, 1989). Maternal mortality is unacceptably high (WHO, 2015b). Globally, approximately 830 women die every day from pregnancy- or childbirth-related complications (ibid.). The causes of maternal mortality are predominately preventable and can be classified into three fundamental causes: (1) medical - consisting of direct medical problems and pre-existent/coexistent medical problems that are aggravated by pregnancy, (2) underlying - social and legal conditions, and (3) health systems laws and policies that address availability, accessibility, and quality of reproductive health services (PHP et al, 2011).
Infant mortality is of significance as it is used as a quality measure to assess the overall health status of a community (Arizona Health Matters, 2016). An indicator that can be directly linked to the rate of infant mortality is that of prenatal care as this has been identified to be the best preventative measure in regards to the prevention of infant mortality (Arizona Health Matters, 2016). Women who do not receive
Economic growth has much improved the infant mortality rate though better healthcare facilities and living conditions. Japan has fallen to one of the world’s lowest infant mortality levels at 3.6 per 1,000 live births in 2006 (Saigusa, 2006). Infant mortality is largely affected by the health of the mother, which makes pre-natal health imperative in keeping infant mortality rates low. Since Japan offers health care to all, access to prenatal care is easier to get therefore making mothers healthier and help in finding complications earlier in the pregnancy.
Centre for Maternal and Child Enquiries (CMACE) (2011) Saving mothers’ lives; reviewing maternal deaths to make motherhood safer: 2006-2008. BJOG 18(1): 1-203. London. Blackwell Synergy.
The fifth goal is to increase maternal health in countries with a focus on reducing the maternal mortality rate by three-fourths and universal access to reproductive health both by 2015. Despite a 43% reduction in maternal deaths since 1990, there are still a large number of women who die during childbirth from preventable causes such as hemorrhaging (United Nations, 2015, p. 38).
According to the World Health Organization, maternal health refers to the health of women during pregnancy, childbirth and the postpartum period. Determinants of maternal health vary greatly among countries. It is
In 2013, 289 000 women died during pregnancy and childbirth and it was estimated that everyday 800 women all over the world died from childbirth or childbirth-related problems (World Health Organization, 2014). Often, maternal mortality is found to occur more often in developing countries than developed countries. Maternal mortality refers women who died from the situation like during pregnancy, termination of pregnancy within 42 days, regardless of duration and place of pregnancy, from aggravation caused by the pregnancy or pregnancy management (Nwagha et al, 2010). Maternal mortality may be resulted from direct or indirect cause. Direct causes are from obstetric complications of pregnancy, labour, and puerperium, and interventions whereas indirect causes are from the worsening of current conditions by pregnancy or delivery (Givewell, 2009). This paper aims to examine the causes for maternal mortality in both developed and developing countries and will end with a proposal for government to ensure women are given reproductive health rights.
Prenatal care is widely accepted as an important element in improving pregnancy outcome. (Gorrie, McKinney, Murray, 1998). Prenatal care is defined as care of a pregnant woman during the time in the maternity cycle that begins with conception and ends with the onset of labor. A medical, surgical, gynecologic, obstretic, social and family history is taken (Mosby's Medical, Nursing, and Allied Health Dictionary, 1998). It is important for a pregnant woman as well as our society to know that everything that you do has an effect on your baby. Because so many women opt not to receive the benefits of prenatal care, our society sees the ramification, which include a variety of complications primarily
From taking this class, I have gained significant understanding of biological determinants of women’s health. Learning about the number of unique biological risks women face is important to understand for me because I am a woman and this risks are likely to pertain to me as well. One of topic of biological aspect of women’s health we covered in class were risks factors associated with pregnancy, its complication and pregnancy itself. Understanding about maternal death and number of causes such as hemorrhage, sepsis, hypertensive, and abortion