Research Paper: Making Sure Mother and Baby Are Safe and Health at Delivery Time

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[. . .] What are the clinical implications of this research? Weisman notes that since rates of Cesarean Delivery are on the rise in the West (U.S., UK, Canada, and Mexico) and in Europe and parts of Asia, based on the survey referenced above, there are greater risks in Cesarean deliveries. Why? Because without strong mother-child bonding children can suffer later in life.

Midwives Should be Trained to Work with Mentally Challenged Expectant Mothers

An article in the Journal of Psychiatric and Mental Health Nursing posits that very few midwives have received training or meaningful education regarding the mental health of the women they work with who are delivering babies. The authors surveyed midwives across 19 maternity sites in the state of Victoria, Australia and learned that most midwives "lack mental health skills and knowledge" and hence they lack self-confidence and feel uncomfortable around expectant mothers in the midst of mental illness (McCauley, et al., 2011). Part of the reason that the authors chose this topic to research is that psychiatric disorders "have the highest prevalence in women during the childbearing year," and in fact the peak prevalence "for depression" is when a woman is between 25 and 44 years of age (McCauley, 787). For women suffering from schizophrenia, are known to not inform their doctor until they are six to eight weeks pregnant, and if they continue to take medications for schizophrenia (antipsychotic medications) that can negatively impact the unborn child, McCauley explains.

So what is the solution, according to this article? They surveyed 160 midwives (most of whom were female) and 60% of them had "negative responses" toward the expectant mothers who were mentally ill in some form (McCauley, 791). The bottom line, given the lack of training by midwives, is simple: it is "essential that all midwives have appropriate mental health knowledge and skills" so that the well-being of the pregnant mother is protected and secured (McCauley, 794).

Screening for Domestic Violence

Just as important to the nursing field as having midwives understand mental health problems is the fact that all healthcare professionals involved in maternal and child health nursing should cognizant of domestic violence vis-a-vis the expectant mother. In this peer-reviewed article the main point is that nurses need to be knowledgeable about how to screen expectant mothers to see if they have been (or are) victims of domestic violence (Hooker, 2012). The children are at risk, and it seems obvious that expectant mothers should be screened, but Hooker reports that "screening in the health care setting remains controversial" (213). The answer to this issue is the development of "appropriate and ongoing training, education and specific resources" for nurses that are employed in the maternal field. In other words, the idea of screening (for the health and psychological well being of the mother and baby) should not be controversial. And healthcare educational institutions should be training nurses for the screening they should be conducting.

In conclusion, all four of these peer-reviewed articles present commonsense approaches to understanding issues that can have negative outcomes for mothers and their babies. But is simply understanding the problem enough? No, but it is a start that should launch the alert nurse or student nurse into deeper research. Postpartum depression is not a new problem but it is an ongoing problem, and midwives' failure to be trained in mental illness is also not new but it cries out for training. In the same framework, mothers who suffer domestic violence do not open up new doors, but the need to screen them is new. And the first article points out that there should perhaps be a more accurate way to tell how far along a pregnant women is, so that it can be determined the degree of risk for her baby.

Works Cited

Hooker, L., Ward, B., and Verrinder, G. (2012). Domestic violence screening in maternal and child health nursing practice: A scoping review. Contemporary Nurse, 42(3), 198-215.

Kirby, R.S., and Wingate, M.S. (2010). Late Preterm Birth and Neonatal Outcome: Is 37 Weeks'

Gestation a Threshold Level or a Road Market on the Highway of Perinatal Risk? Birth, 37(2)

169-171.

McCauley, K., Elsom, S., Muir-Cochrane, E., and Lyneham, J. (2011). Midwives and assessment of perinatal mental health. Journal of Psychiatric and Mental Health Nursing, 18(9), 786-

Weisman, O., Granat, A.,… [END OF PREVIEW]

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APA Format

Making Sure Mother and Baby Are Safe and Health at Delivery Time.  (2014, April 15).  Retrieved July 24, 2019, from https://www.essaytown.com/subjects/paper/making-sure-mother-baby-safe-health/1878312

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"Making Sure Mother and Baby Are Safe and Health at Delivery Time."  15 April 2014.  Web.  24 July 2019. <https://www.essaytown.com/subjects/paper/making-sure-mother-baby-safe-health/1878312>.

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"Making Sure Mother and Baby Are Safe and Health at Delivery Time."  Essaytown.com.  April 15, 2014.  Accessed July 24, 2019.
https://www.essaytown.com/subjects/paper/making-sure-mother-baby-safe-health/1878312.