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Current Issues in Maternal

Learning Outcomes:. Define key terms associated with contemporary issues, trends and statistics in maternal/child nursing.Describe the changes in healthcare delivery system for the pregnant client. Discuss the professional options available in the maternal/child nursing. Discuss the impact health

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Current Issues in Maternal

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    1. Current Issues in Maternal/Newborn Nursing Nursing 2208 Maternal/Newborn Nursing Tamara Dennis

    2. Learning Outcomes: Define key terms associated with contemporary issues, trends and statistics in maternal/child nursing. Describe the changes in healthcare delivery system for the pregnant client. Discuss the professional options available in the maternal/child nursing. Discuss the impact healthcare reform has upon maternal/child nursing. Identify resources available for information supporting care of the maternal/infant client.

    3. Key Terms Best practice: a program or service that has been recognized for excellence. Clinical benchmarking: standards based on results achieved by others. Healthy people 2000 & 2010: a public health program of the united states government with goals for a ten year period. Outcomes oriented care: measures effectiveness of care against benchmarks of standards. Standard of care: level of practice that a reasonably prudent nurse would provide.

    4. Professional options…... Role of today’s maternal-newborn nurse Clinical Nurse Specialist Nurse Practitioner/Perinatal Nurse Practitioner Certified Nurse Midwife Lay midwifery

    5. Evolving Trends and Issues in Maternal-Newborn Nursing How is Maternal-Newborn Nursing changing? Then and Now…… What are the career options? Legal/Ethical issues. Statistically speaking…..?

    6. A Little History…… 1906 - First program for prenatal nursing care established. 1908 – child birth classes started by the American Red Cross. 1958 – Edward Hon reported on the recording of the fetal ECG from the maternal abdomen (first monitor’s late 1960s). 1963 – Social Security Act amended to include comprehensive maternal/infant care for low income clients and high risk clients. 1965 – Supreme Court ruled married people have the right to use contraceptives. 1969 – NAACOG founded. 1972 WIC started. 1974 – NAACOG publishes the first standards of care for obstetric, neonatal and gynecologic nurses. 1978 – first test tube baby 1993 – Family and Medical Leave Act enacted.

    7. Changes in practice in the last two decades…... Development of family-centered care The role of consumerism Birthing alternatives Technologic advances “Best” practices

    8. Health care reform…... Issues of cost and access to health care Political Issues Impact on maternal-newborn care

    9. Healthcare issues for childbearing families…. Advanced technology versus “natural” Legal issues Special ethical issues Nursing implications

    10. Statistically speaking…. Birth rate: number of live births per 1000 population in one year. Fertility rate: number of births per 1000 women between the ages 15 and 44(inclusive) per year. Infant mortality rate: number of deaths of infants younger than 1 year of age per 1000 live births. Neonatal Mortality: number of deaths of infants younger than 28 days of age per 1000 live births. Maternal Mortality: number of maternal deaths from births and complications of pregnancy, childbirth, and puerperium (period of 42 days following childbirth) per 100,000 live births.

    11. Nursing Implications Determine populations at risk Assess the relationship between specific factors Help establish databases for specific client populations Determine the levels of care needed by particular client population…………..

    12. …..Implications Evaluate the success of specific nursing interventions Determine priorities in case loads Estimate staffing and equipment needs of hospital units and clinics

    13. The Continuum of Care

    14. Resources American Academy of Pediatrics www.aap.org American Nurses Association www.ana.org The Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) www.awhonn.org Baby-Friendly USA www.babyfriendlyusa.org

    15. Questions?

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