Welcome to

Wong, et al. Maternal Child Nursing Care, 3/e

Chapter 1

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Chapter 1
Contemporary Maternity Nursing

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Contemporary Issues and Trends

Structure of health care delivery Integrative health care Child care practices

Certified nurse-midwives Certified midwives

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Contemporary Issues and Trends

Views of women Breastfeeding in the workplace Family leave Violence HIV/AIDS in pregnancy and the newborn International concerns
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Contemporary Issues and Trends

Healthy People 2010 goals Trends in fertility and birthrate Incidence of low birth weight (LBW) Infant mortality in the U.S. International trends in infant mortality Maternal mortality trends Involving consumers and promoting self-care
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Contemporary Issues and Trends

Efforts to reduce health disparities Health literacy High-technology care Community-based care Increase in high risk pregnancies High cost of health care Limited access to health care
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Trends in Nursing Practice

Nursing Interventions Classification (NIC) Evidence-based practice

AWHONN Evidence-based practice reviews

Cochrane Pregnancy & Childbirth Database Outcomes-oriented practice Best practices as a goal of care Clinical benchmarking A global perspective
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Standards of Practice and Legal Issues

Standards

ANA AWHONN ACNM NANN

Risk management

System of checks & balances to minimize risk of injury

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Ethical Issues in Perinatal Nursing

Reproductive technology Scarce resources Older-age pregnancies Third-party payers Induced ovulation & in vitro fertilization Multifetal pregnancy reduction

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Ethical Issues in Perinatal Nursing

Innovations and ethics

Intrauterine fetal surgery Fetoscopy Therapeutic insemination Genetic engineering Stem cell research Surgery for infertility Test babies Treatment of very-low-birth-weight (VLBW) babies
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Research in Perinatal Nursing

Ethical guidelines for nursing research

Must protect rights of human subjects Ensure that subjects are fully informed and aware of rights Sensitive to ethical issues in perinatal research

Analysis of benefits and risk ANA ethical guidelines in conduct, dissemination, and implementation of nursing research

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Key Points

Maternity nursing focuses on women and their infants and families during the childbearing cycle Nurses play an active role in shaping health care systems to be responsive to the needs of contemporary women

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Key Points

Childbirth practices have changed to become focused on family with alternatives for care The U.S. ranks 26th and Canada ranks 16th among industrialized nations in infant mortality rates Integrative medicine combines modern technology with ancient healing practices and encompasses the whole of body, mind, and spirit
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Key Points

Evidence-based practice, outcomes orientation, best practices, and clinical benchmarking are emphasized in current practice Healthy People 2010 provides goals for maternal and infant health Ethical concerns have multiplied with increasing use of technology and scientific advances

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