Overview of CBS & Practices related to CB PART 3 Flashcards
BIRTH AND CULTURE
- Traditional home birth
- Support during childbirth
- Cultural expression of labor pain
- Birth positions
- Cultural meaning attached to gender
tends to view birth as an achievement for both the mother and medical staff.
Western culture
Preparing for a natural childbirth does not always ensure the desired outcome.
TRUE
All cultures have an approach to birth rooted in a tradition of home birth.
TRUE
Poor communities have often relied on
“granny” midwives and palteras for delivery
Women who have a belief in the normality of labor and delivery may arrive at the hospital in
Advance labor
The need to travel long distances to the hospital can contribute to..for some American Indian women.
late arrival or out-of-hospital delivery
What country is that when talking about pregnancy and childbirth is taboo, and male elders or husbands often make decisions about seeking professional healthcare during difficult labor.
Liberia
Integrating cultural beliefs into….may improve client satisfaction and health outcomes, particularly in indigenous populations.
Westerm health care
may have strict cultural and religious practices regarding modesty and who can view the woman’s body during labor
Orthodox Jewish, Islamic, Chinese, and Asian Indian women
is similar for all individuals, but perception and expression of pain are influenced by cultural, social, and other factors.
Pain threshold
is a highly personal experience, influenced by cultural learning and individual factors.
Pain
Of how a woman should act in labor influence how a woman experiences and expresses labor pain
Cultural attitudes towards birth and
expectations
Women from different cultures have different coping strategies for pain during labor, such as vocalizing pain or massaging the thighs and abdomen.
True
“Typical” birth positions for women of diverse cultures have been reported anecdotally in the literature, such as the….
seated position in a birth chair for Mexican American women
and the squatting position for Laotian Hmong women.
In the past,..were preferred as the first-born child in the US due to inheritance patterns, family name, and societal norms.
Males
Modern societies prefer a…but son preference may persist due to cultural beliefs in some developing countries.
Gender mix
Asian culture traditionally prefers
Male firstborn
CULTURE AND THE POSTPARTUM PERIOD
- POSTPARTUM DEPRESSION (PPD)
- Hot/cold theory
- POSTPARTUM DIETARY PRESCRIPTIONS AND ACTIVITY LEVELS
- Postpartum rituals
- CULTURAL INFLUENCES ON BREASTFEEDING AND WEANING PRACTICES
- CULTURAL ISSUES RELATED TO INTIMATE PARTNER VIOLENCE DURING PREGNANCY
Rate of women can develop PPD
1 out of 7
Reporting of post-partum depression is
Highly antagonized
How other cultures view post-partum depression:
○ Spirit possession
○ Sign of weakness
can be substituted by heat lamps, heat packs, and anesthetic topical agents.
Perineal ice packs and sitz bath
for healing
Heat lamps
can be substituted to room temperature water, warm tea, coffee, or broth depending on the patient’s choice.
Routine ice water distribution to postpartum mothers
Dietary for Postpartum: what to eat
○ Plenty of water
○ Protein such as milk, cheese, meat Healthy fats such as avocado
○ Fiber-rich carbohydrate such whole grains, seat potatoes cereals and beans
Dietary for postpartum: what to avoid
○ Cold foods and drinks
○ Caffeine
○ Alcohol
Breast-feeding and weaning can be affected by a variety of values and beliefs related to:
○ Societal trends
○ Religious beliefs
○ The mother’s work activities
○ Ethnic cultural beliefs
○ Social support
○ Access
to breast-feeding
○ Healthcare provider’s personal beliefs and experiences regarding breastfeeding and/or weaning practices
Numerous transcultural factors influence the prevalence of and response to
Domestic violence
Abuse shared by abused women (physical and emotional):
○ Poor lifestyle health practices
○ Delayed prenatal care
○ Lack of support
is a leading cause of pregnancy associated death and commonly is a result of intimate partner violence (IPV
Homicide
Physical abuse during pregnancy:
○ Abused women are less likely to seek health care.
○ Has greater risk of delivering a LBW (low birth weight) infant.
○ Physical and sexual abuse predicts poor health during pregnancy and the postpartum period
Hispanic women who are at high risk of IPV both during and after their pregnancy include:
● No longer romantically involved with their children’s future
● Less-educated women
● Women who reported that they or their spouses used substances (i.e., alcohol or illicit drugs)
● Women who reported that their pregnancy was unplanned
AFRICAN AMERICAN PREGNANT WOMEN: The risk of wife abuse appears to increase when:
○ The woman has a higher educational status than her partner
○ When the man is unemployed or has trouble keeping a job
Stereotypical view that violence among African Americans is
Normal
AMERICAN INDIAN PREGNANT WOMEN ● Problems that have fostered violence in American Indian cultures:
○ Cultural
disintegration, Poverty, Isolation and Racism
○ Alcoholism Cruelty to women and children continues to be viewed by American Indians as a social disgrace
