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