Rationale
There is an array of literature on female genital mutilation/circumcision (FGMC) with strong emphasis on its complications especially in pregnancy and childbirth (WHO, 2008; Khamsi, 2006; Momoh, 2005, Okunofa, 2002). On the contrary, no trial study has been conducted to improve the outcome and experiences of women with genital mutilation during pregnancy and childbirth (Balogun et al., 2013). Unavailability of these studies may be related to stigma and cultural beliefs which would have otherwise reduced the problem of ethically appropriate care in pregnancy (Balogun et al., 2013). In the most parts of Africa where FGMC is common, Nigeria (of particular interest to the author) has a prevalence rate of 25% (UNICEF, 2014). The
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It is for this reason that the author has taken a keen interest in the activities and responsibilities of professionals (and pregnant women) during normal labour and childbirth of the cohort. Based on practice and personal experiences in many health centers in Nigeria, normal birth has been associated with induction of labour (IOL), augmentation of labour, artificial rupture of membrane (ARM), episiotomy and an array of interventions in so far as the woman births a live baby and both are well after delivery. It would be worth it to explore the concept of normal birth as it applies to care of women in this group. This topic has also been partly informed by learning from the empowering midwifery as well as the evidence for social health modules. Both have inspired a new philosophy of advocacy for women to achieve the kind of birth they so desire based on best evidence with the hope that Nigeria can eventually share and adopt the same.
Aims and objectives
The broad aim of the study is to identify the kind of care offered to women with FGMC in labour and to determine if this care is accommodated by the boundaries and limits given in the concept of normal birth. With a critical review methodology, literatures around perinatal care of women with FGMC would be reviewed and critiqued. The objectives that would be covered include:
1. Do women with FGMC have any preference for the kind of care they receive during the perinatal period?
2. Does the
This essay demonstrates significant factors, a midwife and the women may face within Australian public hospitals. As a midwife the key skills are understanding of what supports and impacts the normal physiological process of labour and birth. This essay will discuss two influencing factors that have a negative effect on the normal progress of labour and birth. This will be seen, firstly by discussing the cultural and environmental impacts of labour and birth. Then, examining how the midwife may best support and facilitate the adverse effects of normal physiological process. This essay also discusses a positive labour and birth environment within the Australian standard model of care.
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
Within Victoria there are multiple models of maternity care available to women. An initial discussion with the woman’s treating GP during the early stages of her pregnancy is critical in her decision-making about which model of care she will choose and this key discussion is essential in allowing a woman to make the first of many informed decisions throughout her pregnancy. According to a survey conducted by Stevens et al. (2010) only 43% of women felt ‘they were not supported to maintain up-to-date knowledge on models of care, and most reported that model of care referrals were influenced by whether women had private health insurance coverage.’ Many elements of these models of care differ: from location of care, degree of caregiver continuity, rates of intervention and maternal and infant health, outcomes access to medical procedure, and philosophical orientation such as natural or medical (Stevens, Thompson, Kruske, Watson, & Miller, 2014). According to the World Health Organization (1985) and Commonwealth of Australia (2008) there is a recognition that ‘85% of pregnant women are capable of giving birth safely with minimal intervention with the remaining 15% at potential risk of medical complications’ (McIntyre & Francis, 2012).
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).
The writer explained there could be no concern for fetal or maternal health during the delivery although some obstetricians tended to induce labor in all diabetic mothers to protect babies and mothers. Moreover, labor progress was supposedly assessed by old-fashioned methods, which resulted in performing unnecessary obstetrical practices. Intervention was imposed in cases of inaccurately labeled slow or abnormal labors and failures to progress. It is common practice that a primary cesarean generally produces subsequent surgical deliveries. The author realized that cesareans were performed because of insufficient data on laboring women’s
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
Over the years birthing methods have changed a great deal. When technology wasn’t so advanced there was only one method of giving birth, vaginally non-medicated. However, in today’s society there are now more than one method of giving birth. In fact, there are three methods: Non-medicated vaginal delivery, medicated vaginal delivery and cesarean delivery, also known as c-section. In the cesarean delivery there is not much to prepare for before the operation, except maybe the procedure of the operation. A few things that will be discussed are: the process of cesarean delivery, reasons for this birthing method and a few reasons for why this birthing method is used. Also a question that many women have is whether or not they can vaginally
On the contrary, it is known to be harmful to girls and women in many ways. First and foremost, it is painful and traumatic. The removal of or damage to healthy, normal genital tissue interferes with the natural functioning of the body and causes several immediate long-term health consequences. For example, babies born to women who have undergone female genital mutilation suffer a higher rate of neonatal death compared with babies born to women who have not undergone the procedure.
The authors have done a thorough literature review and presented their findings by starting out with some important statistics about typical supportive care during the birth process, and elaborating on the last 50 years of research done on the types of pushing efforts and how they related to the outcomes of the births. It reflects on the role of midwives as being supportive of spontaneous pushing by the mother and the positive outcomes for those women and children. They did report on a recent meta-analysis which supported the use of spontaneous pushing and only recommended directed pushing in certain hazardous situations. The authors’ review of the current literature affirms their claim that there have been no studies done to analyze the role
Female genital mutilation (FGM) also known as female circumcision is a tradition passed down from generation to generation occurring all around the world affecting millions of women and young girls. FGM is controversial matter most prevalent in Africa (Ahanonu and Victor, 2014). To this day it’s estimated that about 28 African countries still practice this ritual including Nigeria (Ahanonu and Victor, 2014). In the past twenty years there has been a worldwide increased interest in FGM due to its multiplicity and lifelong effects. Some people believe FGM violates basic human rights where others believe this ritual is required to increase their chances of marriageability and that this practice is a transition from adolescents into adulthood
"I remember the blade. How it shone! There was a woman kneeling over me with the knife. I bit her; it was all I could do. Then three women came to hold me down. One of them sat on my chest. I bit her with all my might." These words reflect Banassiri Sylla’s account of her experience undergoing female circumcision, also known as female genital mutilation (FGM), at the young age of eight in the Ivory Coast. This disturbing description of her struggle makes it hard to understand why any culture could support such a practice. Yet, it is estimated that about 132 million women and girls in about thirty African countries have undergone the same, or at least similar, cultural
Woman-centred care requires a holistic approach and should encompass all a woman’s expectations from an emotional, physical, spiritual and cultural perspective (Fahy K 2012 & Australian College of Midwives (ACM) 2016). I believe that woman-centred care is of utmost importance in all aspects of midwifery care, and I am sure that many others in the profession would share my opinion. Simple principals of woman-centred care include but are not limited to: collaborative care between health professionals, continuity of care provider, care focused on the woman’s needs and expectations before those of the institution or health professionals and ensures the woman’s autonomy and ability to make informed decisions is supported and respected (Fahy K 2012 & ACM 2016). Unfortunately in some situations, woman-centred care is not always successfully implemented. A common example is when there is an indication for Electronic Fetal Monitoring (EFM), particularly in the intrapartum period
In certain societies and culture, Female Genital Mutilation (FGM) is a rite of passage and the young girls are aware of the procedure (Nawal, 2008, pp. 135-139). Furthermore, the societies and cultures who partake in this procedure as a rite of passage, religious reasons, so the girls will not be promiscuous before they get married, so the men’s penis does not fall off, and men in certain societies would prefer their wife to be circumcised (Mascia-Lees 2010, pp. 159). Even though certain societies and cultures have their reasoning for performing Female Genital Mutilation (FGM), FGM can cause medical, psychological, and pyscho-sexual consequences (Reyners, 2004, pp. 242-251). According to Reyners (2004) most of the girls and women who had Female Genital Mutilation (FGM) type three conducted, they tend to experience heavily affected reproductive and urological functioning. Furthermore, according to Reyners (2004) also recommended if any woman is pregnant and has had any form of Female Genital Mutilation (FGM) done, they should be monitored for their safety as well as the infants.
This essay will first describe partnership and how a midwife working in the continuity of care model develops and maintains it. Secondly, this essay will describe what a postnatal abdominal palpation is, why it is done and what the outcomes may be. It will also describe the anatomy and physiology of a uterus and involution. Lastly, a description of how the assessment is conducted and how during this partnership and cultural safety is maintained by the midwife.