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Session 12 The Current State of Maternity Care

Session 12 The Current State of Maternity Care. Reducing Infant Mortality. Current Trends in the United States. Rate of Induced Birth. 200% increase since 1989. Current Trends in the United States. Epidural Rates in 2005. Most women have epidurals. Current Trends in the United States.

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Session 12 The Current State of Maternity Care

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  1. Session 12 The Current State of Maternity Care

  2. Reducing Infant Mortality

  3. Current Trends in the United States • Rate of Induced Birth 200% increase since 1989

  4. Current Trends in the United States • Epidural Rates in 2005 Most women have epidurals

  5. Current Trends in the United States 32% Cesarean Birth Rate

  6. Current Trends in the United States

  7. Current Trends in the United States

  8. Current Trends in the United States

  9. Perinatal Mortality Rate from 1940s to 2000s

  10. Current Trends in the United States Prematurity? A Glimmer of hope?

  11. What to Expect? • 41% Induction • 71% CEFM • 65% AROM • 76%-90% Pain meds • 85% No Food • 76% No Mobility 60% Vaginal Birth (2006 Listening to Mothers II)

  12. What’s Behind This Trend? Political and financial interests? Cultural influences? Legal and liability issues?

  13. Maternity care depends … … on how you see birth.

  14. Physiologic Psychologic “Holistic” Industrial/ Mechanized “Technocratic”

  15. Physiological-Psychologic Optimal health Born the way nature intended Industrial-Mechanized Reliability Predictability

  16. Breech Presentation Physiological-Psychologic Wide Inclusive Industrial-Mechanized Narrow Selective

  17. What Can You Get? Physiological-Psychologic Industrial-Mechanized

  18. Physiological-Psychologic Risk is inherent to life Parents presume risk Industrial-Mechanized Avoid risk at all costs HCPs presume risk

  19. Learning Tasks - 6 minutes Think about the effects of current maternity care trends on women, families, babies and choices. Name two consequences of today’s current maternity care trends. 2. Think about your future clients. What kind of care will they likely receive? PP IM 3. What maternity care providers are more likely to use the physiologic/pshychologic model?

  20. Organizations working to Normalize Birth

  21. THE END Please fill out your evaluation for Session 12 THANK YOU!

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