NUR 475 Maternity Ch 1, 3, 6 Latest updated
2021/2022
Chapter 1-21st Century Maternity Nursing
Maternity Nursing
Maternity Nursing- encompasses pre-conception, pregnancy, childbirth and the
first 6 weeks after birth.
◦ Care givers
◦ Nurses
◦ Nurse practitioners
◦ Nurse midwives
◦ Locations
◦ Offices
◦ Clinics
◦ Home
◦ hospitals
◦ HEALTH DISPARITIES
Health disparities refer to differences in the health status of different groups of
people. Some groups of people have higher rates of certain diseases, and more
deaths and suffering from them, compared to others.
◦ Linked to
◦ Biologic factors
◦ Environment
◦ Socioeconomic factors
◦ Health behaviors
Morbidity the unhealthy state of an individual within a population.
Mortality the number of people who died within a population.
INITIATIVES TO ELIMINATE DISPARITIES-
◦ Several groups-including-
◦ CDC, NIH, USDHHS
CONTEMPORARY ISSUES AND
TRENDS HEALTHY PEOPLE 2020
10-year national objectives -science based assessments for improving the health
of all Americans
,4 goals- (The goals of healthy people 2020 are based on assessment of major risks
to health and wellness, changes in public health priorities, and issues related to
the health preparedness and prevention of our nation.)
1. attaining high quality
, 2. achieving health equity
3. creating social and physical environments that promote good health
for all. 4.promoting quality of life, healthy development and healthy
behaviors across all life spans
33 related to maternal, infant, and child health BOX 1.2 pg. 3
◦ ie: reduce the rate of fetal and infant death, ie: reduce the occurrence of
fetal alcohol syndrome- *the only preventable birth defect
CONTEMPORARY ISSUES AND TRENDS CON’T
2030 agenda for sustainable development goals (SDG)
◦ 17 goals- also known as Global goals – replaced the MDG (BOX 1.3)
➢ Millennium Development Goals (MDG): 8 goals that were to be
achieved by 2015, responding to the main development
challenges in the world. However, these goals were replaced by
the Global goals
◦ Top 5- no poverty, zero hunger, good health and wellbeing, quality
education, gender equality
◦ Environment and eliminating poverty- all relevant to childbearing and
childrearing
INTEGRATIVE HEALTH CARE (Wholistic)
◦ Complementary and alternative therapies
INTERPROFESSIONAL EDUCATION
◦ Collaborative learning, interprofessional communication, SBAR
(situation- background-assessment-recommendation)**failure to
communicate is a major cause of errors.
PROBLEMS WITH US HEALTH CARE- DELIVERY SYSTEM
◦ Structure of the system- fragmented, inaccessible and expensive
◦ Reducing medical errors
• (3rd leading cause of death in the U.S)
◦ High cost of health care-
• (Higher prices, technology, greater obesity)
• (NP- only 21 states allow full practice)
◦ Limited access to care
• Most significant barrier- Inability to pay
• Lack of transportation, child care, insurance
◦ Health care reform- 2010 Patient care and affordable care act
, ◦ Accountable care organizations- a group of providers and agencies that are
accountable for
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