North Carolina Birth And Wellness Case Study

Discuss disparities related to ethnic and cultural groups relative to low birth weight infants and preterm births. Describe the impact of extremely low birth weight babies on the family and on the community (short-term and long-term, including economic considerations, on-going care considerations, and co-morbidities associated with prematurity). Identify at least one support service within your community for preterm infants and their family. Provide the link for your colleagues to view. Does the service adequately address needs of this population? Explain your answer.

#Use scatterplot to determine whether there is any relationship between mother's age and the maternity length

Infant mortality rate constitutes the death of a baby before their first birthday. Mortality rates around the world differ tremendously with America leading the first world countries at an alarming rate of 6.1 deaths per 1,000 births. Conversely, Finland and Japan secure the last, most desirable position, with deaths totaling 2.3 per 1,000 births, as of 2010. (Ovaska-Few, 2015) In 2014, over 23,000 babies died in the United States. (CDC, 2016) Exploring the mortality rates in America brings light to a dire need for additional interventions and research as to why this developing nation has the highest rate of infant deaths before the age of 1 year old. African Americans face the worst outcomes of infant death compared to whites, Latino, and their Native American peers in North Carolina. (Ovaska-Few, 2015) This paper will explore why African American are the leading race for infant mortality and the steps that health communities need to take to address this devastating occurrence.

“Compared with European Americans, African American infants experience disproportionately high rates of low birth weight (LBW) and preterm delivery and are more than twice as likely to die during their 1st year of life”(Giscombé, C. L., & Lobel, M., 2005). The infant mortality rate for African Americans is 13.7 deaths per 1000 live births, more than twice the rate (5.7) for White Americans in the U.S. (Kung, Hoyert, Xu, & Murphy, 2008). A lot of the racial disparity in infant mortality can be explained by low birthweight and preterm delivery, which are also disproportionately and often experienced by African Americans (Martin et al., 2007).

Healthy People 2020 initiative began in 1979 is a joint initiative of the Department of Health, Human Services, and other federal agencies to create a pubic health prevention framework identifying the most significant and preventable threats to health and facilitating methods and guidelines to avoid or minimize risks of these.

Annika the Doula is a full-service doula agency that is located in Northeast, Minneapolis. Annika the Doula is serving the Twin Cities metro area. Their doula services include 2 prenatal visits, unlimited prenatal phone, text and e-mail support, continuous emotional, physical and informational support during the client’s labor, 1-2 postpartum visits, and placenta encapsulation. Annika is a DONA-certified birth doula.

Doulas of Orlando is a birth doula agency that is located in Orlando, Florida. Doulas of Orlando is working for the best birth experience. Their services include doula packages, childbirth education, and placenta encapsulation. Doulas of Orlando offers maternity classes, maternity and birth photography, and 3D/4D ultrasounds. Their doula is M. Luna Jauregui, CD(DONA), CLC. M. Luna Jauregui, CD(DONA), CLC is bilingual, speaking both English and Spanish. Her qualifications as a doula include Certified Birth and Postpartum Doula via DONA international, Rebozo Certified under Instructor Gena Kirby, Sacred Bengkung belly binding certification, and more. M. Luna Jauregui, CD(DONA), CLC has been a Healthy Children Certified Lactation Counselor in

Birth Hands Doula Service is a full-service doula agency that is located in Greensboro, North Carolina. Birth Hands Doula Service serves the Piedmont area of North Carolina including Greensboro, Burlington, Hillsborough, Chapel Hill, and Durham. Their goal is to render a well rounded, woman-centered care throughout the entire pregnancy, birth, and early postpartum. This care constitutes education, advocacy, emotional, and physical support for the women, the parents, their families, and their desired support team. Their services include labor and birth support, birth plan consultation, birth partner support, recording the client’s birth story, blessingway or baby shower celebration, and postpartum support services. The doula of Birth Hands

Peaceful Beginnings Birth Services is a full-service doula agency that is located in Sacramento, California. Peaceful Beginnings Birth Services provides birth doula services, Birthing From Within® classes, and postpartum doula services. This doula agency offers prenatal visits, labor support, and breastfeeding and postpartum support. The doula of Peaceful Beginnings Birth Services, Chelsea Fredlund is a DONA International and Birthing From Within Certified Birth Doula.

rovide a brief synopsis of the case study that includes a historical overview of the organization

Healthy People 2020 is a promotion to help raise public awareness by providing measureable objectives and goals for individuals to obtain higher qualities of lives, decrease premature deaths, and promote a higher quality of life (US Department of Health and Human Services, 2014). Healthy People 2020 has monitored its progress for over three decades between communities over the nation to understand where prevention measures are needed most. Fielding, Teutsch, & Koh (2012) projected that Healthy People 2020 will project a greater emphasis on social needs when it comes to health care disparities and will focus on education and income across the reform. One strength I noticed, when navigating through U.S. Department of Health and Human Services

Where did the impetus for change seem to come from in this case? What was the significant of that implementation?

Throughout her childhood and adulthood she was exposed to many cultures due to the moving. She was mostly exposed to military life but when she lived in Camp Pendleton North Carolina she talked about how her husband's squadron felt more like family to her than what she was exposed to in her childhood. From the many cultures she got to see she really valued having large dinners with her husband's squadron and kids. During these dinners she valued listening to people's stories about where they came from and what they have seen while being in the military. Language had a small role, when she was a child her grandfather would speak greek but once she moved back home it was english only. Since her father did not approve she was not allowed to use

Tiny Tree Birth Services is a birth doula agency that is located in Temple, Texas. Tiny Tree Birth Services is assisting families in the entire Central Texas area, including Temple, Waco, Killeen, Fort Hood, and the Austin area. Their business hours are from 8:00 AM to 6:00 PM, from Monday to Thursday. Every Friday, they are open from 8:00 AM to 5:00 PM. Tiny Tree Birth Services can be booked for appointments each Saturday. This birth doula agency offers birth support, postpartum support, and placenta encapsulation. Tiny Tree Birth Services also provides childbirth education classes as well as breastfeeding and newborn care classes. Debra Brui is their birth and postpartum doula. Debra Brui is a StillBirthday Doula, Certified Doula through

Next, a non-hospital birth usually has midwifery or Doula. Midwifery is a profession in which providers take care of pregnant women during her labor and birth and during the postpartum period. Assisting the mother with the child after it is born. According to “Human Sexuality: Diversity in Contemporary America,” midwives attends the majority of births. Midwives are qualified for routine deliveries and minor medical emergencies; often operating as part of a medical term. As Cara Muhlhahn, a certified nurse midwife stated in “Business of Being Born,” she would rather be in the home of the patient so she would feel comfortable. And most women who have midwives are comfortable because they are in the privacy of their own home giving birth to their child and they feel empowered instead of the powerless vibe in a hospital. A Doula, on the other hand, does not have to make clinical decisions. Doulas offer emotional support and manage pain using massage, acupressure, and birthing positions; making it easier for the mother to cope with her complications. According to “Mothering the Mother: How a Doula Can Help You Have a Shorter, Easier and Healthier Birth,” a Doula is a Greek word that literally means a woman who has experience that can help other women. Klaus Kennell and others who have researched the effects of the doula's presence during childbirth have come to define the term as a woman with experience in childbirth who will give the laboring mother emotional, physical and