W1: Promoting Health of Childbearing ppl Flashcards
What are the 3 SDG’s put out by the UN?
reduce maternal mortality
end all preventable death under 5yrs
universal access to sexual + reproductive care, family planning, and education
What is reproductive rights?
basic right of all individuals to decide freely
right to attain the highest standard of sexual + reproductive health
free of discrimination, coercian, and violence
What is reproductive justice?
physical, mental, spiritual, political, economic, social well-being
economic, social, political power and resources to make healthy decsions regarding our reproduction
Critical Social Theory
understand root cause of inequities are historical & socio-politically situated
examine relationships of power and underlying structures in society that produce population inequities
Critical Race Theory
understanding race as a social construct, and that racis is a central feature of society embedded within systems and institutions
challenge race as a biological construct
analyze historical and sociopolitical structures contributing to racism
move away from pathologizing marginalized communties
What is intersectionality?
how systems (racism, homophobia, classism, sexism) overlap and interact to create an advantage/disadvantage for someone
What has contributed to anti-indigenous racism in the perinatal setting?
colonization
dominance of biomedical model
- lack of culturally appropriate care
- lack of traditional practices
isolated communties (feeling lonely delivering outside community)
Allostatic load
physiological effect of chronic/repeated exposure to stress
How does stress affect the body?
secretes cortisol, nonepinephrine & epinephrine
high amounts -> higher BP, high cholesterol, high HbA1C, waist-hip ratio
more wear and tear- aging faster biologically
Black women have higher rates of :
still births
pre-term births
c-section
Black are at increased risk of:
gestational diabetes
pre-eclampsia
placental abruption
LBW
small for gestational age
Type 1 Female Genital Mutilation
prepuce removed only
OR
prepuce removal & partial/total removal of the clitoris
Type 2 Female Genital Mutilation
removal of the clitoris & part/all of the labua minora
Type 3 Female Genital Mutilation
removal of part/all of labia minora
labia majora sewn together (covering urethera & vagina), leaving only a small hole for urine/period
Nursing Considerations for FGM
clear documentation on the extent of cutting
listening to how client refers to this, use the same terms
non-stigmatizing care
information given throughout pregnancy
ensure privacy during exams
provide rationale
inform why FGM requests cannot be legally met by HCP
Principle 1-5
a family centred approch to maternal & newborn care is optimal
pregnancy and birth are normal & healthy processes
early parent-infant attachment is criticl for newborns, child development, growth of healthy families
a family centred approch to maternal & newborn care applies to all care environments
a family centred approch to maternal & newborn care is research informed
Principles 6-10
a family centred approch to maternal & newborn care- holistic approach
a family centred approch to maternal & newborn care- collaboration among care providers
culturally appropriate care is important in multicultural society
indigenous people have distinctive needs during pregnancy
care as close to the home is ideal
Principles 11 - 15
individualized materanl and newborn care is recommended
women and their families require knowledge about their care
women annd famillies play integral role in decisonmaking
the attitudes and language of HCPs have impact on family’s experiences of maternal & newborn care
a family centred approch to maternal & newborn care respects reproductive ights
Principles 16-17
a family centred approch to maternal & newborn care functions within a system that allows ongoing evaluation
a family centred approch to maternal & newborn care best practices from gloval settings may offer valuable option for canadian considerationR
Focus of Trauma & Violence Informed Care
to increase attention on impact of violence on peoples lives and well-being
to reduce harm
to improve system responses for everyone
4 Principles for implementing TVIC approaches
1: understanf trauma + violence and their impact on peoples’s lives and behaviours
2: create emotionally & physically safe environments
3: foster oppurtunities for choice, collaboration, and conenction
4: provide strengths based and capacity building approach to support patient coping and resillience
Cultural Safety
highlights power imbalnce in healthcare relationships
Cultural Humility
process of self-reflection ro raise awareness of personal & systemic biases
SPEAK.UP acronym
Set limits
Practice & Prepare
Express Concerns
Apologize
Keep Improving
Uncover & Learn
Persuade Others
HBHC Program
-free
- for:
healthy pregnancy
positive infant-parent relationship
child growth & development
resources & programs
-services:
home visits
health teaching
feeding support
health promotin
referrals
service coordination
Perinatal Nurses
work with childbearing individuals & families from the preconception to postpartum period
pediatric nurses
care for childrens from birth - 18 years
