Limited choice of birth attendants (most physicians and nurse-midwives choose not to attend home births in many communities, only lay midwives are available ).The foot of the bed can be detached or rolled away to reveal foot supports or stirrups. The beds have receptacles for various fittings, such as a “squat bar,” which facilitates squatting during second-stage labor. The fully functional birthing bed has wood trim that hides its utilitarian purpose ( Figure 6-1). The appearance of the birthing room is more homelike than institutional. She is then transferred to the postpartum unit for continuing care. The woman labors, delivers, and recovers all in the same room. A more common setting for hospital maternity care is the birthing room, often called a labor-delivery-recovery (LDR) room. After the recovery period, she is transferred to the postpartum unit. The woman who chooses a hospital birth may have a “traditional” setting, in which she labors, delivers, and recovers in separate rooms. Most women give birth in the hospital, whereas others choose freestanding birth facilities or their own home with a nurse-midwife or lay midwife in attendance. New York: Penguin Books.ĭepending on facilities available in the area and the risks for complications, a woman can choose among three settings in which to deliver her child. Maternal and child nursing care (4th ed.). Louis: Mosby Perry, S.E., Hockenberry, M.J., Lowdermilk, D.L., & Wilson, D. Maternity and women’s health care (9th ed.). San Francisco: University of California, San Francisco, School of Nursing Lowdermilk, D.L., & Perry, S.E., (2007). Family members may not convey taboo topics accurately.ĭata from Lipson, J.G., & Dibble, S.L. N OTE: Use professional translators whenever possible. The practices of these cultural groups may vary depending on the amount of time they have been in the United States and the degree to which they have assimilated into the culture. Table 6-1 lists common traditional birth practices of selected cultures. The United States is a multicultural society. Women of most cultures prefer the presence of a support person at all times during labor and delivery, and that can include the father or family as well as professional staff. Patient and cultural preferences require flexibility on the part of the nurse. In a multicultural environment, nothing is routine. The needs of the woman giving birth may be influenced by her cultural background, which may be very different from that of the nurse but must be understood and respected. This chapter provides information concerning the birth process and the nursing responsibilities during labor and delivery. Recent changes in the management of labor and delivery include practices related to induction and augmentation of labor, fetal monitoring techniques, maternal positions, types of analgesia offered, and assistive devices such as vacuum extraction. The privacy and rights of the mother must be protected, the policies and procedures of the institution must be considered, and the nurse must be familiar with the scope of practice set out by the state board of nursing. The bedside nurse in the labor and delivery unit bridges the gap between sophisticated technology and the individual patient’s needs, providing a positive outcome both physically and psychologically. The details of this experience are often remembered for a long time by each family participant. In addition, labor and delivery are often a family affair, with fathers, grandparents, and others closely involved. The nursing care is unique because every nursing intervention involves the welfare of two patients and the use of skills from medical-surgical and pediatric nursing, psychosocial and communication skills, and specific skills involved in obstetric care. 144)Ĭhildbirth is a normal physiological process that involves the health of the mother and a fetus who will become part of our next generation. Describe the care of the newborn immediately after birth.Īmnioinfusion (ăm-nē-ō-ĭn-FYŪ-zhŭn, p. Determine appropriate nursing care for the intrapartum patient, including the woman in false labor and the woman having a vaginal birth after cesarean (VBAC).ġ0. Explain how false labor differs from true labor.ĩ. Explain common nursing responsibilities during the labor and birth.Ĩ. Explain the normal processes of childbirth: premonitory signs, mechanisms of birth, and stages and phases of labor.ħ. Describe how the four Ps of labor interrelate to result in the birth of an infant.Ħ. Describe the four components (“four Ps”) of the birth process: powers, passage, passenger, and psyche.ĥ. Compare the advantages and disadvantages for each type of childbearing setting: hospital, freestanding birth center, and home.Ĥ. Discuss specific cultural beliefs the nurse may encounter when providing care to a woman in labor.ģ.
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