MATERNAL LAWS Flashcards
The strategy aims to achieve the following intermediate results
- Every pregnancy is wanted, planned and supported;
- Every pregnancy is adequately managed throughout its course;
- Every delivery is facility-based and managed by skilled birth attendants/skilled health professionals; and
- Every mother and newborn pair secures proper post-partum and newborn care with smooth transitions to the women’s health care package for the mother and child survival package for the newborn.
MNCHN Core Package of Services
- pre-pregnancy
- pregnancy
- delivery
- postpartum
- newborn care until the first week of life
- child care
Implementing Health Reforms to Rapidly
Reduce Maternal and Neonatal Mortality
Administrative Order 2008-0029
Guidelines Governing the Payment of Training Fees relative to the Attendance of Health Workers to Basic Emergency Obstetric and Newborn Care Skills Training Course at Duly Designated Training Centers
Department Order 2009-0084
Establishment of Basic Emergency Obstetric and Newborn Care Training Centers in Regional Hospitals and Medical Centers
Administrative Order 2011-0011
Guidelines in the Administration of Life Saving Drugs During Maternal Care Emergencies by Nurses and Midwives in Birthing Centers
Administrative Order 2015-0020
Guidelines on the Provision of Quality Antenatal Care in All Birthing Centers and Health Facilities Providing Maternity Care Services
Administrative Order 2016-0035
National Policy on the Prevention of Illegal and Unsafe Abortion and Management of Post-Abortion Complications
Administrative Order 2018-0003
List the ethical principles (Poll and Beck 2004)
-informed consent
-beneficence and nonmaleficence
-respect for human dignity
-justice and fairness
the birth of a disabled child when the parents would have chosen to end the pregnancy if they had been informed about the disability during pregnancy
wrongful birth
a claim that negligent prenatal testing on the part of a health care provider resulted in the birth of an unperfect child
Wrongful life
denotes a contraceptive measure that failed, allowing ar unwanted child to be conceived and born
Wrongful conception
list the ethical issues in Perinatal nursing
- Conception issues
- Abortion or pregnancy termination
- Fetal rights VS Mother’s rights
- Use of Fetal tissue for researcher
- Resuscitation/ Confidentiality issues
- Number of procedures or degree of pain
- Balance between modern technology and
quality of life
surgical procedure in which tissue from an aborted fetus is grafted into a patient to replace or improve defective tissue, especially to treat Parkinson’s disease or other neurological disorders
Fetal tissue transplantation
Childbirth Education Sample Outline for Weekly Expectant Parents Classes
how many lessons
8
Review of Physiologic Changes of Pregnancy and Fetal Growth
what lesson of childbirth education
Lesson 1
Personal Care During Pregnancy Nutrition, hygiene such as bathing, dental care, exercise, and rest
what lesson of childbirth education
Lesson 2
Emotional Changes During Pregnancy
what lesson of childbirth education
Lesson 3
Labor and Birth; The process of birth, exercises, and breathing techniques, and medication in labor
what lesson of childbirth education
Lesson 4
Plans for Birth; Birth settings available, supplies to take to birth settings, tour or film of a typical birth
what lesson of childbirth education
Lesson 5
The Postpartum Period
what lesson of childbirth education
Lesson 6
Infant Care - Nutrition and hygiene
what lesson of childbirth education
Lesson 7
Reproductive Life Planning
what lesson of childbirth education
Lesson 8
list some advantages of hospital birth
● A woman is encouraged to be prepared to con- trol the discomfort of labor through non medication measures such as controlled breathing although anesthesia such as an epidural is readily available.
● A woman is encouraged to be knowledgeable about the labor process and make decisions about procedures performed.
● A woman is encouraged to consider breastfeeding to aid uterine contraction and infant bonding after birth.
● Labor, birth, and immediate postpartum care can all be scheduled in a single room.
● A woman is attended by skilled professionals during labor and birth and the postpartal period.
● Emergency care and extended high-risk care are immediately available.
list some disadvantages of hospital birth
● Separation of the family for at least one night
● Mother may not feel as much in control of the childbirth experience as she may wish.
● Care may be fragmented, particularly if a woman’s physician is not present during the entire labor and birth, or if labor nurses change shifts in the middle of labor.
reclining chairs with a slide-away seat that allows a woman to assume a comfortable position during labor
Birthing chairs
childbirth facilities designed to remove childbirth from the acute care hospital setting while still providing enough medical resources for emergency care should a complication of labor or birth arise
Alternative birthing centers
what does ABCs stand for
Alternative birthing centers
list some advantages of ABCs
● A woman is encouraged to be prepared to control the discomfort of labor through non medication measures such as controlled breathing.
● A woman is encouraged to be knowledgeable about the labor process and to help care providers with decision making.
● A woman is encouraged to breastfeed to aid uterine contraction and infant bonding after birth.
● Family integrity can be maintained because family members may accompany a woman to the birthing center.
● A woman is attended by skilled professionals during labor and birth.
● Emergency care is immediately available.
● Extended high-risk care is easily arranged
list some disadvantages of ABCs
● Extended high-risk care is not immediately available.
● A woman may be fatigued after birth because of a brief health care setting stay.
● She must independently monitor her postpartal status because of a brief health care setting stay.
refers to women giving birth without any health care provider supervision
Free birthing (Unassisted birth)
list some advantages of home birth
● A woman is encouraged to become knowledgeable about the birth process and be an active participant in independently reducing the discomfort of labor.
● A woman has the greatest freedom for expressing her individuality.
● There is no separation of the family at birth.
list some disadvantages of home birth
● Adequate equipment other than first-line emergency equipment is unavailable.
● An abrupt change of goals is necessary if
hospitalization is required.
● The woman and support person may
become exhausted because of the
responsibility placed on them.
● Interference with the “taking-in phase” may
occur postpartally because a woman must
*take hold.”
● A woman must independently monitor her
postpartal status.
● birthing room is darkened
● soft music is played
● infant is handled gently and the cord is cut
late
● infant is placed immediately after birth into a
warm-water bath
Leboyer Method
The baby is born underwater and immediately brought to the surface for a first breath
Hydrotherapy and Water Birth
refers to gate control mechanisms in the substantia gelatinosa that are capable of halting an impulse at the level of the spinal cord so the impulse is never perceived at the brain level as pain
The gating theory of pain perception
effleurage,
massage, TENS (transcutaneous electrical
nerve stimulation)
Cutaneous stimulation
imagery, breathing
techniques
Mental stimulation
promotes uterine blood flow,
reduces anxiety and fear
Relaxation
based on the premise that pregnancy and childbirth are joyful, natural processes
BRADLEY (PARTNER-COACHED) METHOD
● Developed by Sheila Kitzinger in England during the 1950s
● It includes a program of conscious relaxation and levels of progressive breathing that encourage a woman to “flow with” rather than struggle against contractions
THE PSYCHOSEXUAL METHOD
● The premise is that fear leads to tension, which leads to pain.
● If a woman can prevent fear from occurring or can break the chain between fear and tension c tension and pain, then she can reduce the pain of labor contractions
The Dick-Read method
● The method is based on the theory that through stimulus-response conditioning, women can learn to use controlled breathing to reduce pain during labor.
● it focuses on preventing pain in labor (prophylaxis) by use of the mind (psyche)
Lamaze Method
Patient’s Bill of Rights
list them
- Considerate & respectful care, irrespective of socio-economic status.
- Information concerning his diagnosis, treatment and prognosis in terms the patient can understand.
- Informed consent prior to start of any procedure and or treatment.
- Refuse treatment / life-giving measures, to the extent permitted by law and to be informed of the medical consequence of his action.
- Right to privacy concerning his own medical care program.
- Expect that all communication and records pertaining to his care should be treated as confidential.
- The patient has the right that within its capacity, a hospital must make reasonable response to the request of patient for services.
- Obtain information as to any relationship of the hospital to other health care and to other health care and educational institutions in so far as his care is concerned.
- Be advised if the hospital proposes to engage on or perform human experimentation affecting his care or treatment
- Expect reasonable continuity of care
- Examine and receive an explanation of his bill regardless of source of payment.
- know what hospital rules and regulations apply to his conduct as a patient.
Patient’s Responsibilities
list them
- Know and exercise your rights as a patient responsibly and reasonably.
- Report to your doctor any unexpected changes) in your condition or symptoms.
- Ask questions when you do not understand what your doctor or other members of your health care team tell you about diagnosis or treatment and its cost.
- Provide complete and accurate information for insurance claims and work with the hospital’s Credit Billing and Collection staff to ensure payment settlement.
- Understand and accept the consequences of your informed consent If you refuse the treatment or advice of the healthcare provider, you must accept the consequences of such decision and relieve the healthcare provider of any liability as a result of the exercise of your right to self-determination
- Maintain a state of wellness and refrain from indulging in unhealthy lifestyle that has adverse impact on your health.
- Provide complete and accurate information about your health, including present condition, past illness(es), hospitalization(s), medication(s), natural products and vitamins, and any other matter that pertains to your health
- Provide complete and accurate information including your full name, address, home telephone number, date of birth, insurance provider, and employer, when it necessary.
- Provide complete and accurate information including your full name, address, home telephone number, date of birth, insurance provider, and employer, when it necessary.
- Provide your doctor or the hospital with a copy of your Advance Directive if you have one and want it to apply during your admission.
- Ask your doctor or nurse what to expect regarding pain and pain management plan. You should tell your doctor or nurse on any concerns about taking pain medication.
- Respect the physician’s decision to choose whom he/she will treat and his/her religious beliefs. Exercise transparency on all communications between you and your physician.
- Abide by all hospital rules and regulations.