Chapter 1

Contemporary Maternity Nursing and Womens Health Care

Mosby items and derived items 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

Slide 1

Contemporary Issues and Trends

Problems with U.S. health care system High cost Limited access Status of nursing Integrative health care Childbirth practices

Mosby items and derived items 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

Slide 2

Contemporary Issues and Trends

Certified nurse-midwives Family leave International concerns Health of women

Mosby items and derived items 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

Slide 3

Contemporary Issues and Trends

Healthy People 2010 Goals Trends in fertility and birth rate Number of low-birth-weight infants Infant mortality in the U.S. International infant mortality trends Maternal mortality trends

Mosby items and derived items 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

Slide 4

Contemporary Issues and Trends

Involving consumers and promoting self-care Efforts to reduce health disparities Health literacy Emphasis on high-technology care Community-based care Increase in high risk pregnancies

Mosby items and derived items 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

Slide 5

Trends in Nursing Practice

Nursing Interventions Classification (NIC) Evidence-based practice

Cochrane Pregnancy & Childbirth Database

Joanna Briggs Institute Outcomes-oriented practice Global perspective Millennium development goals

Mosby items and derived items 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

Slide 6

Standards of Practice and Legal Issues

Standards

ANA AWHONN ACNM NANN

Mosby items and derived items 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

Slide 7

Standards of Practice and Legal Issues

Risk management

System of checks & balances to minimize risk for injury

Sentinel events Failure to rescue

Mosby items and derived items 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

Slide 8

Ethical Issues in Perinatal Nursing and Womens Health Care

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

Mosby items and derived items 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

Slide 9

Ethical Issues in Perinatal Nursing and Womens Health Care

Innovations and ethics

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

Mosby items and derived items 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

Slide 10

Research in Perinatal Nursing and Womens Health Care

Guidelines for ethical nursing research

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

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

Mosby items and derived items 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

Slide 11

Key Points

Maternity nursing focuses on women and their infants and families during the childbearing cycle Womens health nursing focuses on the special physical, psychologic, and social needs of women throughout their life spans Nurses caring for women can play an active role in shaping health care systems

Mosby items and derived items 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

Slide 12

Key Points

Childbirth practices have become more focused on the family and alternatives Home care cost-effective alternative site Healthy People 2010 sets goals for maternal and infant health Variety of factors, including race, aging, and violence, affect womens health

Mosby items and derived items 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

Slide 13

Key Points

Canada ranks 24th and the U.S. ranks 27th among industrialized nations in infant mortality rates Evidence-based practice and outcomes orientation emphasized

Mosby items and derived items 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

Slide 14

Key Points

Ethical concerns have multiplied with increased use of technology and scientific advances Research plays vital role in establishing scientific base for care Integrative medicine: body, mind, spirit Risk management and sentinel events can improve quality of care

Mosby items and derived items 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

Slide 15