The goals of promotion of wellness and prevention of disease
are not news to the accoucheusery profession, who's primary winding job has always been to educate their client and provide check prenatal care. Nurse-midwives are registered nurses and they have undergone training in labor, delivery, and motherhood care. Risk assessment is an important part of midwifery, ranging from assessment of how to surpass educate the patient and providing adequate reading to the patient, to screening for complications and avoiding adverse birth outcomes (American College of Nurse Midwives, 1998, p. 10; Murphy, p. 67).
The importance of risk assessment for pregnancy, prior to labor, has been established, however, procedures for this assessment vary. Grimes, Mehl, McRae, and Peterson (1983) report results of their study of a p
For their study, Hamilton and Maresh investigated seven hospitals. In all units, the midwife took the initial history which was then reviewed by the obstetrician. For this study, a ex post facto case-notes-review by the authors was conducted. It was found that information collected included last(prenominal) obstetric, medical, and family history and details of the current pregnancy. Tests were also performed during the pregnancy.
All information was available to the midwifery and medical staff that were involved in the care of the patient. History (patient or family) of abnormalities or inheritable diseases, enatic age of 37 or over at delivery, blood-related relationship, and teratogenic drug exposure, were considered risk factors (pp. 10-11).
De Witt, P. M. (1993, September). The birth business. American Demographics, 44-49.
on with a review of the advantages and disadvantages, the birth attendant or midwife pull up stakes need to point out the different methods of assessment. handed-down methods that go under medical problems, including laboratory tests are valuable measures of conditions that will require higher levels of maintenance or prenatal care. On the other hand, phenomenological methods that inquire about the total woman, provide a more comprehensive profile, with information that can help determine which factors present risks and which can be alleviated during prenatal care. For example, feed and support factors may be risks that can be overcome, once they are identified.
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