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Chapter 1

Contemporary Maternity Nursing and Women’s Health Care

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

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Contemporary Issues and Trends       Problems with U.. 2004 by Mosby. health care system High cost Limited access Status of nursing Integrative health care Childbirth practices Mosby items and derived items © 2007.S. Slide 2 . an affiliate of Elsevier Inc. Inc.

2004 by Mosby. Inc.Contemporary Issues and Trends     Certified nurse-midwives Family leave International concerns Health of women Mosby items and derived items © 2007.. Slide 3 . an affiliate of Elsevier Inc.

S. 2004 by Mosby. International infant mortality trends Maternal mortality trends Mosby items and derived items © 2007. Inc. an affiliate of Elsevier Inc.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. Slide 4 ..

Slide 5 . an affiliate of Elsevier Inc.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. Inc.. 2004 by Mosby.

Inc.. an affiliate of Elsevier Inc. Slide 6 . 2004 by Mosby.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.

. Inc.Standards of Practice and Legal Issues  Standards     ANA AWHONN ACNM NANN Mosby items and derived items © 2007. 2004 by Mosby. 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. Slide 8 . 2004 by Mosby. an affiliate of Elsevier Inc. Inc.

. Slide 9 . 2004 by Mosby. Inc.Ethical Issues in Perinatal Nursing and Women’s 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. an affiliate of Elsevier Inc.

Inc. Slide 10 . 2004 by Mosby. an affiliate of Elsevier Inc..Ethical Issues in Perinatal Nursing and Women’s 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.

Research in Perinatal Nursing and Women’s 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. Slide 11 . dissemination. Inc. 2004 by Mosby.. and implementation of nursing research Mosby items and derived items © 2007. an affiliate of Elsevier Inc.

an affiliate of Elsevier Inc.. 2004 by Mosby. Inc. psychologic.Key Points    Maternity nursing focuses on women and their infants and families during the childbearing cycle Women’s health nursing focuses on the special physical. Slide 12 . 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.

Slide 13 .. and violence. affect women’s health Mosby items and derived items © 2007.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. an affiliate of Elsevier Inc. Inc. aging. 2004 by Mosby.

an affiliate of Elsevier Inc. Inc. ranks 27th among industrialized nations in infant mortality rates Evidence-based practice and outcomes orientation emphasized Mosby items and derived items © 2007..S.Key Points   Canada ranks 24th and the U. Slide 14 . 2004 by Mosby.

. spirit Risk management and sentinel events can improve quality of care Mosby items and derived items © 2007. Inc. mind.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. Slide 15 . an affiliate of Elsevier Inc. 2004 by Mosby.