Birthing Options In Hospitals: A Case Study

The following is a case study focusing on the assessment and examination of a female patient presenting with symptoms of abdominal pain and vaginal bleeding during pregnancy to an emergency gynaecology and pregnancy assessment clinic. Names have been changed to maintain anonymity in line with the Nursing and Midwifery Council (NMC) (2015).

Every year about 15 million babies are born prematurely (“Preterm Birth”). About one million of those babies die every year (“Preterm Birth”). Those babies are cared for by neonatal nurses. Lori Loan, a neonatal nurse, once said “For parents, having a baby is one of the best times of their life.” (“Neonatal Nurses”). The Nurses do everything they can to help out the doctors and the families of the babies. This is why neonatal nurses are important, and why I want to be one.

In the United States alone,“ The pregnancy-related mortality ratios were 17.8 and 15.9 deaths per 100,000 live births in 2011 and 2012”(CDC 1). In 2011-2012 pregnancy-related deaths were caused by, “non-cardiovascular diseases, infection/sepsis, hemorrhage, cardiomyopathy, thrombotic pulmonary embolism..”.(HHS 1). These aren’t even all of the possibilities of what might happen, but majority of them can be helped with the correct medical attention. During childbirth, it is important to not only make sure that the baby is okay, but also the mother. A hospital is an ideal place to be if something might occur and there is a chance something will happen during childbirth. If the mother was not at the hospital during birth and there was a complication there would have to be time wasted to get her to the hospital. Additionally, it would also take time to get the mother the correct medical attention and supplies she needs. It is important to keep the mother healthy before the birth as well as throughout so that in turn the baby has a higher chance of being healthy.

One of the most important jobs to the women of the Middle Ages is often left forgotten and unmentioned. Without these people, there would not have been enough people to populate the villages and castles of Medieval times, or even enough to build such structures. Without someone ensuring that most births are successful, the population would not have been big enough for society to develop manorialism, or enough citizens become knights, or to fight in the Crusades, or to form guilds and towns, or even enough people to consider the Middle Ages a significant part of history, Midwives were an essential part of Medieval society, in many ways. A midwife is a person who assists a woman in childbirth, who, in the

I believe that by applying myself with hard-work and commitment to the realisation of my goals, I will be able to achieve my potential and become an excellent midwife.

In the last ten years, more and more women are going the home-birthing route because it is safer and more natural. This can be seen as a mini revolt against the stigmatized and dehumanized view of mothers and birth. Using a midwife and having a home birth allows for the body to naturally go into labor, a labor that could last hours or even days. The female body is designed to naturally produce oxytocin, a hormone that causes labor. In this process, a mother goes through contractions where the baby is turning around so they are facing head first. The mother has complete control over her body and the position in which she chooses to give birth. There are no drugs used in a home birthing and the mother can feel every ounce of pain. Not only are they letting their bodies handle the process naturally, but they are also able to form an unbreakable bond with their baby. This can also be seen as a revolt against the modern technologies and views on women. In the hospitals, mothers do not produce oxytocin at the right times or right levels, and their babies do not get this hormone when feeding on breast milk. This causes a lack in mother to baby bonding. In a home birth, the baby receives the hormone through the breast milk because there was no interference in the birthing process. The mother and child form a different and more passionate relationship going this route as opposed to the hospital route.

Nursing Diagnosis: Knowledge deficit about health care resources and childbirth related to recent move and being a first time

homelessness, in this paper I will be talking about a program that has been created and planned

A midwife assisted homebirth is proven to be more secure than one at a hospital. As stated in the CMAJ article, Outcomes of planned home birth,” Women in the planned home-birth group were significantly less likely than those who planned a midwife-attended hospital birth to have obstetric interventions or adverse maternal outcomes”. The CMAJ articles presents numbers from previous study from January of 2000, spanning over four years, showing that midwife assisted births are less likely to have complications. However, one reason that the homebirth numbers are lower, are that midwives will only work with low-risk mothers. Due to midwives only working with low-risk mothers, the likeliness of complications during childbirth is decreased.

Shah addresses the reader with caring motives and understanding of how physically demanding and life-changing pregnancy can be. ‘’I am acutely aware that even women with healthy pregnancies can develop life-threatening hemorrhage, fetal distress, or other unanticipated emergencies during labor.’’

Starr County Memorial Hospital provides quality healthcare and services for the overall wellbeing of individuals in the community. No one individual is denied care because of their race, religion, sex, age, nationality, economic status, and insurance status. Starr County Memorial Hospital gives back to the community by providing health education in preventive medicine. The organizational structure at Starr County Memorial Hospital follows the chain of command, beginning with the charge nurse and ending with the board of hospital. Problems that arise are presented in writing within 3 days of the alleged situation. Written complaints are usually taken to the immediate

Childbirth hospital care had many needs of improvement. In the 50’s  there was not many technology and medical field in childbirth. Notwithstanding, there were a lot of errors that needed to be improved and research on labor.Overtime they had more research “developed programs to prepare women for childbirth that included relaxation, patterned breathing, hypnosis, and water immersion”(Childbirth Change). Also,the medical field of childbirth developed an anesthesia that was improved in the 60’s for mothers during labor so the agony will be less. Now there are many resources to not feel any anguish“ epidural or spinal anesthesia, labor inductions, cesarean sections, even the placement of IV lines are a source of additional revenue for both the hospital and the practitioners involved”(Childbirth Change). Childbirth medical field has overcome many errors and have improved overtime. That now many mothers are not as anxious as of

- Gave patient 100mg of Docusate PO (bid). Timing of this medication is 30 minutes after the Tylenol 3 as a caution to this medication is to wait 30 minutes between medications.

The current generations of people living in the United States are accustomed to hospital births. Hospital births have become very popular in the last century, with very little home births happening. “Are hospitals the safest place for healthy women to have babies?” is an article by Dr. Neel Shah, an obstetrician, that addresses the increasing danger of hospital births. This article is intended to persuade the reader and convince them that hospital births have become riskier for healthy women than in the past. The author uses evidence, such as facts and statistics, and reasoning to persuade the reader into believing that hospital births are not the best option for childbirth.