Maternity & Women’s

Health CARE
 Maternity nursing focuses on
the care of childbearing women
and their families through all
stages of pregnancy childbirth,
as well as the first 4 weeks after
birth
 Perinatal continuum
care
12 – 24
months
single client

Pre Postpartum
- 1st trimester 2nd trimester 3rd trimester Or
conceptions newborn
A perinatal nurse today may
function as:
 a nurturer, educator,
 physical care provider,


critical thinker,
 support person,

 counselor,

 case manager,

 research

Nurse, Nurse practitioner, Nurse midwives

 Certified nurse-midwives
 Certified midwives
 Contemporary issues
 1/6 (44,3 million) people have no health
insurance
 3,9% of all women had late or no prenatal care
 Cesarean birth (22,9%) & vaginal birth after
CS
 one nurse care for both the mother and baby

To stay in the hospital for at least 48 h. after
VB and & 72 h. – CS
 Views of women
 Breastfeeding in the workplace
 Since 1999
 Family Leave
 The family & medical leave act of 1993
 International concerns
 Mutilation, circumcision
 Healthy People 2010
Goals:
 Fetal, infant, child death

Maternal death and illness

Prenatal care
 Obstetric areas
 Risk factors
 Developmental disabilities and neural tube
defects

Prenatal substance exposure
 Breastfeeding, newborn screening, and
service system
 Family
 A group of two or more persons, related by blood,
marriage, adoption, or emotional commitment who
have a permanent relationship and who work
together to meet life goals and needs


The nuclear family

The binuclear family

The extended family

Single-parent family

Reconstituted (blended) families

Homosexual families
Family Systems Theory
 Family Life Cycle
 Family Stress Theory
 McGill Model of Nursing
 Health Belief Model
 Human Developmental Ecology
Vulnerable population
 Women
 Adolescent girl
 Minority women
 Older women
 Incarcerated women
 Migrant women
Cultural consideration
 Traditional beliefs
 The language barriers
 Integrate folk & Western treatments
 Dietary practices
 Enlist family caretaker
 Community
 In its broadest definition, refers to a
geographically defined area; its
residents; their cultural, religious, and
ethnic characteristics; and the activities
of functions through which the needs of
residents are met.
 The health of individuals or groups is
inextricably linked to the health status of
each community.
Community assessment
Is a complex although well-defined process
through which the unique characteristics of
the populations and their special needs are
identified to plan and evaluate health services
for the community as a whole. The desired
outcomes of this process is identification of
direct service as well as advocacy needs of
the target aggregate or group and improved
health for the community as a whole.
Community health
assessment
 People
 Demographics, biologic, social &
cultural acquired
 Environment
 Physical, biologic/chemical, social
 Health care delivery system
 Organizational, resources, services
Data collection & sources
of community health date
 Critical indicators of perinatal health:
 Maternal mortality, infant mortality, low
birth weight, first trimester prenatal care,
rates for mammography, Pap smears…

 Walking survey
 Participant observation
Levels of Preventive
Care
 Primary prevention
 Secondary prevention
 Tertiary prevention
 Primordial prevention
Perinatal continuum
care
 Antenatal home care
 “Warm Lines”
 First Home Care Visit
 Personal safety
 Client’s home
 Infection control
 Nursing consideration
 To be
continued…