Crazy Quilt Prenatal Wellness Flashcards

1
Q

Cesarean rates

A

32% all birth are by cesarean

Recommended is 15%

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2
Q

North Carolina state cesarean percentage

A

29.3%

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3
Q

Birth by the numbers

A

Vaginal: 2642892
Cesarean: 1,284,339
PERCENT CESAREAN 32%

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4
Q

3 models of maternity care in the US

A
  • Technocratic
  • Humanistic
  • Holistic
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5
Q

Technocratic model

A
  • Separation of the mind and body
  • The patient is viewed as an object
  • “curing disease”
  • Provider is responsible if something happens
  • High value placed on science and technology
  • Aggressive intervention - “mother nature” fails often
  • Death is defeat or viewed as “failure”
  • Profit driven systems
  • Intolerance of other modalities or points of view
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6
Q

Body as a machine (technocratic)

A

Underlying principle: Separation

Thinking: unimodal; left brain; linear

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7
Q

Humanistic Model

A
  • Mind Body connection
  • The patient is a relational subject
  • Connection between provider and patient
  • Healing occurs outside in and inside out
  • Balance between needs of institution and individual
  • Information and decisions are shared
  • Science and tech now are counterbalanced by humanism
  • Focus on disease prevention
  • Death is a realistic outcome
  • Compassion driven care
  • Open minded to other modalities
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8
Q

The body as an organism (humanistic)

A

Underlying principle: balance and connection

Thinking: bimodal

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9
Q

Holistic Model

A
  • Oneness of body-mind-spirit
  • Healing the whole person
  • Essential unity of provider and client
  • Healing from the inside out
  • Individualized care
  • Tech placed in service to the individual
  • Long term focus on creating and maintaining health and well being
  • Death is a step in the process of the cylce
  • Healing is the focus
  • Embrace multiple healing modalities
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10
Q

Who are the providers?

A

Mother:

  • Perinatologist (maternal-fetal medicine specialist) - clinical nurse specialist in maternity
  • Obstetrician
  • Family Physician
  • FNP
  • Certified Nurse-Midwife
  • Certified midwife (lay or apprentice)

BABY:

  • Neonatologist (neonatal NP)
  • Pediatrician
  • Family Physician
  • FNP
  • PNP
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11
Q

Licensed Midwives

A

“Apprentice midwives” not licensed in NC to attend births

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12
Q

Places of Birth: Hospital

A

Tertiary; level II; Level I

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13
Q

Places of Birth

A

Home; centers outside of hospital

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