Maternal-Newborn Risks and Benefits of Home Births Carson M. Michalowski Family Focused Nursing University of Oklahoma Fran and Earl Ziegler College of Nursing Maternal-newborn Risks and Benefits of Home Births Hmong Study Many Hmong families in Thailand do not use maternity services due to cultural beliefs and distrust in institutional processes. Culturally, pregnancy is viewed as a natural process where home support is the only care needed (Culhane-Pera, Sriphetcharawut, Thawsirichuchai, Yangyuenkun, & Kunstadter, 2015). Other contributing factors for choosing a home birth versus a hospital birth included cost, travel distance, time, and involuntary medical procedures (Culhane-Pera et al., 2015). Women and families …show more content…
Evidence-based education regarding healthcare practices, pregnancy risks, culturally-appropriate care, family-centered care, and maternity services in general could help improve the use of hospital care among the Hmong population in Thailand (Culhane-Pera et al., 2015). However, if home births are still preferred by the family, antenatal care services should be provided within the village. Closer care and education on safety for home births as well as other resources such as neonatal resuscitation training could help improve overall outcomes for the mother and family (Culhane-Pera et al., 2015). American Studies With technological advances, many United States women are turning to home births rather than hospital births. Avoiding unnecessary medical interventions, previous negative experiences, and mistrust of traditional providers are just some of the common reasons why mothers do not choose hospital births (Boutcher, Bennett, McFarlin, & Freeze, 2009). Home births provide an environment that feels familiar and safe and the mother has an increased sense of control. Even though home births have acceptable safety percentages, they are not well supported by the government, society, or insurance companies (Boutcher et al., 2009). In general, planned home births, have fewer medical or obstetrician interventions than hospital births. Some risks with home births include less access to
Every moment from the time a woman learns she is pregnant, the doctors visits, tests, and planning never quit. For the safety of the baby American women also take many precautions as far as diet and activity, but not in the same way the Hmong do. Though, American mothers appear just as fearful as Hmong women about their child's safety. Do to our advanced technology, mothers are very away of all the possible worst case scenarios that could go down during and after birth. They half to deal with that fear and uncertainty, but unlike the Hmong they don't do it alone. Mothers are surrounded with doctors and loved ones helping every step of the way. "I takes a village", is a very common phrase in America when talking about raising children. In America it's an inclusive effort, while it's very much a solo act for Hmong women. I think the bond between mother and child is one of, if not the, closest connection there is between two humans. It is for this reason I think the Hmong women give birth by themselves; because the experience is such an intimate and personal, one that only mother and child get experience it together.
I think the Hmong traditional give birth practice is very unsafe and dirty. The environment of giving birth is full with bacteria, germs and easily get infection for both mother and new born baby. However I find that the father burry the placenta after give birth is very unique and interesting. When Lisa was born, she was
This research consisted of key informants and general informants. These general informants were leaders in the community, granny midwives and African American and European American health care professionals. These general informants came from the clinics and hospitals where key informants were from. The key informants from each region were women who were either pregnant or had a baby within in a year preceding the study. (Marjorie Morgan, 1996)
However, Ricki Lane, the producer of the film, “The Business of being Born,” hopes that viewers will see that economically, births out of hospitals and at home is cheaper with a midwife, who will charge their patients only $4,000 for everything, including post-natal care. Whilst, a normal vaginal birth can cost up to $13,000, and a birth with multiple drugs involved, which typically leads to C-Section costs up to $35,000. However, with the American Medical association’s relationships with the hospitals and insurances, they are actually discouraging home births and midwifery, when the truth is that, statistically, it is safer and cheaper with home births and midwifes. It kind of makes you wonder just what exactly is on their agenda when it is a common practice to give births at home in both, developing and under developing countries, and has been for hundreds of years.
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.
In the past, in the United States the majority of women delivered at home with no anesthetics; women might have received assistance through a family doctor, including midwife care (Thomas, 2011). A radical change happened by the 1960s, when hospital childbirths had become the norm, the pain of the experience was reduced by epidural anesthesia controlled by a physician. Pregnant women received education on breastfeeding and other topics during their medical visits (Thomas, 2011).
In the 20th century, 95% of young women know about contraception and at least 88% will be able to give birth in a hospital or clinic. This
These social disadvantages directly relate to dispossession and are characterized by poverty and powerlessness, and are reflected in education, Racism and discrimination are directly associated with poorer health outcome which again links up with the dangers of c-section and even general vaginal birth (Pharmaceutical society of Australia, 2014). Aboriginal and Torres strait islander mothers find c-section birth to be more preferred as it doesn’t risk the mother and child, but this is not always the case (Baby Care, 2018). About 1 in 12 women get an infection, such as cellulitis, abdominal abscess, thrush, urinary tract and bladder infection after having a c-section birth (D. R. Wilson, 2018). Indigenous mothers are more likely to develop these infections. These infections could be easily being treated by the consumption of antibiotics. Communication between researchers is found to be highly effective, as more and more mothers in indigenous communities and other communities are being more aware and notified about the effects of c-section birth to the child and mother. The samples collected back up the researcher’s statements and provide the public about how this can be improved. Without communication between researchers, lack of knowledge would increase and so will the rate of c-section births in remote communities and private hospital. Lack of medical equipment would also increase in remote communities which will indeed result in an increased rate of deaths in indigenous
According to “Human Sexuality: Diversity in Contemporary America,” women and couples planning the birth of a child have decisions to make in variety of areas: place of birth, birth attendant(s), medication, preparedness classes, circumcision, breast feeding, etc. The “childbirth market” has responded to consumer concerns, so its’ important for prospective consumers to fully understand their options. With that being said, a woman has the choice to birth her child either at a hospital or at home. There are several differences when it comes to hospital births and non-hospital births.
There has been a long debate over which birthing method women should use today: natural versus medicalized. The World Health Organization defines natural birth as a vaginal birth without the use of any.. and medicalized birth as being .. However, medicalized births are becoming increasingly popular in the United States. The use of technology and medical interventions in the birthing process has increased despite the unchanged basic physiology of childbirth. One of the most common medical interventions in the birthing process is having a cesarean delivery. Despite the known risks of having a cesarean section performed, the rates of this procedure have increased much higher than the acceptable rate of 10-15% as recommended by the World Health Organization. This is due to the reason that cesarean sections are now being performed as a matter of convenience of the physician or at the request of the patient more often than being performed as a life-saving intervention. Thus making surgical and medicalized interventions a part of a common routine in the childbirth experience.
There could also be complications between homebirths and hospital births. There can also be advantages as well. A mother that chooses to carry out a homebirth has limited pain relief while
The birth place study (2011) suggests, that whether or not a woman gets her desired water birth can depend on where she has chosen to given birth. Water birth statistics for achieving water are as follows. 13% of prim gravidas’ who chose an obstetric unit, 39% for those who opted for an adjoined birth centre to an obstetric unit, freestanding birth centre achieved 54% and the home birth figure was 50%. Multigravida women have even less success in achieving the water birth they sought 7% for obstetric unit, 23% for an adjoined birth centre to an obstetric unit , 41% freestanding birth centre and 28% at home (Birthplace study, 2011). Gould (2007) suggests that midwives are less likely to offer a pool birth on the medicalised labour ward
According to the American College of Nurse-Midwives (ACNMb) (2015), home births account for 1.4% of all births in the U.S. In eight years the number of home births in the US increased by 41% (ACNM, 2015b). Providing home births falls within the scope of practice of midwives and is supported by the American College of Nurse-Midwives (ACNM, 2015b). A mother can have the option of a home birth as long as the home birth follows regulations set in place by the state and can provide a favorable safe environment for both mother and newborn (ACNM, 2015b). Both the American College of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP) state that the ultimate decision of having a home birth is a patient’s right, especially if she is medically well informed (Declercq, & Stotland, 2016).
Ethnic, Religious, & Cultural factors impact a woman’s experience during pregnancy and childbirth. In providing care for the pregnant woman that have differing cultural beliefs and practices, healthcare providers should be aware of patient’s beliefs and the influence they might have on the pregnancy and childbearing. It is the patient’s right to be cared for within the context of their cultural beliefs and it is the practitioner’s responsibility to influence health care to optimize the health of the pregnant patient. . If the healthcare & culture are not congruent the well being of the patient is at risk. Three particular cultural & ethnic groups whose views on pregnancy and childbearing differ from the “normal” western society’s views are
In the Vietnam MICS, all women with a live birth in the two years preceding the date of interview were asked a number of questions about antenatal health care. Information was collected about the types of providers, the numbers of ANC visits, the timing of the first ANC and the five basic components of the ANC package. These components were: blood pressure measured, urine tested, blood sample taken, tetanus injection received, and iron-folate supplements provided (22).