Crazy Quilt Prenatal Wellness Flashcards
1
Q
Cesarean rates
A
32% all birth are by cesarean
Recommended is 15%
2
Q
North Carolina state cesarean percentage
A
29.3%
3
Q
Birth by the numbers
A
Vaginal: 2642892
Cesarean: 1,284,339
PERCENT CESAREAN 32%
4
Q
3 models of maternity care in the US
A
- Technocratic
- Humanistic
- Holistic
5
Q
Technocratic model
A
- Separation of the mind and body
- The patient is viewed as an object
- “curing disease”
- Provider is responsible if something happens
- High value placed on science and technology
- Aggressive intervention - “mother nature” fails often
- Death is defeat or viewed as “failure”
- Profit driven systems
- Intolerance of other modalities or points of view
6
Q
Body as a machine (technocratic)
A
Underlying principle: Separation
Thinking: unimodal; left brain; linear
7
Q
Humanistic Model
A
- Mind Body connection
- The patient is a relational subject
- Connection between provider and patient
- Healing occurs outside in and inside out
- Balance between needs of institution and individual
- Information and decisions are shared
- Science and tech now are counterbalanced by humanism
- Focus on disease prevention
- Death is a realistic outcome
- Compassion driven care
- Open minded to other modalities
8
Q
The body as an organism (humanistic)
A
Underlying principle: balance and connection
Thinking: bimodal
9
Q
Holistic Model
A
- Oneness of body-mind-spirit
- Healing the whole person
- Essential unity of provider and client
- Healing from the inside out
- Individualized care
- Tech placed in service to the individual
- Long term focus on creating and maintaining health and well being
- Death is a step in the process of the cylce
- Healing is the focus
- Embrace multiple healing modalities
10
Q
Who are the providers?
A
Mother:
- Perinatologist (maternal-fetal medicine specialist) - clinical nurse specialist in maternity
- Obstetrician
- Family Physician
- FNP
- Certified Nurse-Midwife
- Certified midwife (lay or apprentice)
BABY:
- Neonatologist (neonatal NP)
- Pediatrician
- Family Physician
- FNP
- PNP
11
Q
Licensed Midwives
A
“Apprentice midwives” not licensed in NC to attend births
12
Q
Places of Birth: Hospital
A
Tertiary; level II; Level I
13
Q
Places of Birth
A
Home; centers outside of hospital
