sociology and public health of pregnancy Flashcards

1
Q

What model helps to understand society in social sciences when analysing health and illness is in terms of medical versus social model

A

health and illness model

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2
Q

pregnancy is only safe in retrospect”;

A

medical model

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3
Q

“childbirth is in principle a normal physiological event, which only need (medical) intervention in a ‘few’ cases”.

A

social model

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4
Q

Medicalisation

A

Defining a problem in medical terms usually an illness or disorder, or using a medical intervention to treat it

IVF is a medical solution to a social problem
adoption is a social solution to a social problem

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5
Q

Medical model - pathological in nature- obesity is a disease. Solution - medical cure needed ( gastric bands and diet pill)
Social model - due to society and individual behaviour. Solution - individual getting motivated ( healthy diet and exercise) and social solutions such as sugar tax and advertising ban on energy drinks.

what common problem is this trying to summarise

A

obesity

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6
Q

what model is this

doctor centred 
objective 
male 
body mid dualism 
pregnancy - only normal 
risk selection not possible 
stats 
biomedical focus 
outcome - aims a life - health mother and baby
A

medical model

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7
Q

what model is this

woman 
subjective 
female 
holistic 
birth - normal physiological process
risk selection possible 
psycho -social focus 
individual 
outcome - aims at life , healthy mother and baby and satisfaction of individual needs
A

Social /midwifery model

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8
Q

Medical model is split into 3 methods
Practical working level - focus on what people do
ideological level - using experiences describes a particular birth or antenatal visit
assertions made which cannot be proven
whats the third

A

analytical level - contrasting views of women health and related health issues

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9
Q

why is understanding the social medical model important

A

understanding which model someone adheres to helps to understand their perspectives view

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10
Q

there is a continuum - can it be rigid or static

A

no

medical stresses risk element claims can give positive outcome

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11
Q

risks are identified and control through what

A

medical surveillance and treatment

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12
Q

what is public health

A

The science and art of preventing disease and prolonging life and promoting health through organised efforts of society

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13
Q

3 domains of public health

A

health protection
service quality
health improvements

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14
Q

what is the leading cause of infant death under 1 year in the uk

A

perinatal - complications starting at 22 weeks and lasting through 7 days of birth

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15
Q

how much does smoking increase the risk of infant mortality

A

40%

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16
Q

what is smoking associated with

A
premature birth
low brith weight 
problem of ENT 
respiratory 
obesity 
diabetes
17
Q

Confidential Enquiry into Maternal and Child Health

CEMACH (now CMACE)

A

focuses on perinatal ( before birth) death

18
Q

obesity is a preconception risk factor and has impacts on the mother foetus and children what are they

A

women
- increase risk of miscarriage
gestational diabetes
lower breastfeeding rates

Foetus
stillbirth risk increased
metabolic abnormalities
developmental abnormaliteis

Children
increased risk of obesity
diabetes

19
Q
Income deprivation 
Employment deprivation 
Education, skills and training deprivation 
Health deprivation and disability 
Crime 
Barriers to housing and services
Living environment deprivation 

these are the 7 domains of what

A

deprivation

20
Q

how many couples find pregnancy a challenge

A

1 in 7 couples