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The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.
The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.
The main aim of this practical Handbookis to strengthen counselling and communication skills of skilled attendants (SAs) and other health providers, helping them to effectively discuss with women, families and communities the key issues surrounding pregnancy, childbirth, postpartum, postnatal and post-abortion care. Counselling for Maternal and Newborn Health Careis divided into three main sections. Part 1 is an introduction which describes the aims and objectives and the general layout of the Handbook. Part 2 describes the counselling process and outlines the six key steps to effective counselling. It explores the counselling context and factors that influence this context including the socio-economic, gender, and cultural environment. A series of guiding principles is introduced and specific counselling skills are outlined. Part 3 focuses on different maternal and newborn health topics, including general care in the home during pregnancy; birth and emergency planning; danger signs in pregnancy; post-abortion care; support during labor; postnatal care of the mother and newborn; family planning counselling; breastfeeding; women with HIV/AIDS; death and bereavement; women and violence; linking with the community. Each Session contains specific aims and objectives, clearly outlining the skills that will be developed and corresponding learning outcomes. Practical activities have been designed to encourage reflection, provoke discussions, build skills and ensure the local relevance of information. There is a review at the end of each session to ensure the SAs have understood the key points before they progress to subsequent sessions.
The midwife's role is examined in the community and family-health context in this handbook on effective maternal and newborn care for midwives and other healthcare providers. The skills, competencies, and knowledge required to make informed decisions about neo- and postnatal care are covered, including anatomy and the physiology of reproduction, high-risk pregnancies, and labor and birth. Theoretical and practical issues illuminate a midwife's role in the prevention of illness in mothers and babies, with attention to the unique challenges of midwifery in developing nations. Insights from current research studies and critical questions about midwife practice will help those new to health care understand the unique challenges of this form of health-service delivery.
Intended to provide evidence-based recommendations to guide health care professionals in the management of women during pregnancy, childbirth and postpartum, and newborns, and the post abortion, including management of endemic deseases like malaria, HIV/AIDS, TB and anaemia. This edition has been updated to include recommendations from recently approved WHO guidelines relevant to maternal and perinatal health. These include pre-eclampsia & eclampsia; postpartum haemorrhage; postnatal care for the mother and baby; newborn resuscitation; prevention of mother-to- child transmission of HIV; HIV and infant feeding; malaria in pregnancy, interventions to improve preterm birth outcomes, tobacco use and second-hand exposure in pregnancy, post-partum depression, post-partum family planning and post abortion care.
A better way to learn maternal and newborn nursing! This unique presentation provides tightly focused maternal-newborn coverage in a highly structured text
Discusses HOW things happen with concise descriptions of normal physiologic changes in pregnancy, disease processes, and procedures. Explains WHY things happen with special sections highlighting the physiology of pregnancy, the pathophysiology of diseases, and the evidence base for procedures and interventions. Provides prioritized, step-by-step lists of nursing interventions. Promotes patient education by explaining complex health-care information in language patients will understand. Presents verbatim nurse-patient interactions to use as models for your own approach to asking questions and talking with patients. Highlights potentially life-threatening issues and the appropriate interventions with "Alerts" throughout the text. Provides a wealth of valuable tools and resources, including... "Why is this Important," rationales for important topics. "Tips," non-clinical, but important information and suggestions. "Patient Education," tips for helping patients to understand their health status. "Offering Support," compassionate care advice. "Best Practice," advice from expert practitioners. Common mnemonics, tricks to help you remember what to do and when. Die-cut cervical dilation guide for quick reference.
This guide provides a full range of updated, evidence-based norms and standards that will enable health care providers to give high quality care during pregnancy, delivery and in the postpartum period, considering the needs of the mother and her newborn baby. All recommendations are for skilled attendants working at the primary level of health care, either at the facility or in the community. They apply to all women attending antenatal care, in delivery, postpartum or post abortion care, or who come for emergency care, and to all newborns at birth and during the first week of life (or later) for routine and emergency care. This guide is a guide for clinical decision-making. It facilitates the collection; analysis, classification and use of relevant information by suggesting key questions, essential observations and/or examinations, and recommending appropriate research-based interventions. It promotes the early detection of complications and the initiation of early and appropriate treatment, including time referral, if necessary. Correct use of this guide should help reduce high maternal and perinatal mortality and morbidity rates prevalent in many parts of the developing world, thereby making pregnancy and childbirth safer.
Explains how to assess, plan, provide, and evaluate care for pregnancy, delivery, recovery, abnormal conditions, and newborn care. Features more than 65 of the most common and high-risk care plans for nursing care using the nursing process approach, this text includes NIC interventions, discussions on collaborative problems, key nursing activities, signs and symptoms, and diagnostic studies. --From publisher description.
"This reference manual is intended for use by skilled providers (including midwives doctors and nurses) who care for womans experiencing normal pregnancies, births, and postpartum periods, as well as their normal newborns, in low-resource settings."