Family- women's reproductive health (exam 1)

womens health continumm?

puberty-> reproductive years-> menopause

age of puberty onset?

10-14 yr

average reproductive years?

41 yr

age of menopause?

45-55 yr

female life expectancy?

80.2 years meaning that women are fertile for half of their lives

nursing philosophy?

-holistic approach: addressing physical, emotional and social factors influencing health

-health promotion: educating and empowering women wellness

-illness prevention: identifying risks and implementing strategies to prevent disease

-patient safety: ensure care to delivered safely and effectiveness

-compassionate and sensitive care: empathetic support that respects patient dignity and experiences

major contributors to maternal mortality?

-medical conditions: heart disease, HTN, hemorrhage, infection

-mental health conditions: postpartum depression

-delayed or inadequate care

-poor follow up after birth

when do the majority of maternal deaths occur?

43-365 days postpartum-> emphasis on postpartum care

disparities in women's health?

-limited access to care

-provider bias and discrimination

-chronic stress

-geographic barriers

-delayed in emergency care

caused by systems not individual failure

why are their more age related risk factors?

increased age-> chronic conditions-> increased complications-> increase for medical interventions

what are risks related to increase maternal age?

miscarriage, preeclampsia, preterm birth and chromosomal abnormalities

what are challenges in rural populations?

-scarcer maternity services

-provider shortages

-longer travel distances-> delays care and worsens outcomes

what is the role of a midwife?

-focus on physiological birth

-fewer interventions

-emphasis on patient care

what is the role of a physician?

-focus on safety and efficiency

-increased intervention rate

what are implicit bias

unconscious attitude affecting care decision

what is confirmation bias

seeing only what supports your assumptions

what is the issue with bias?

symptoms may be ignored and concerns are dismissed

how do we overcome bias on an individual level?

self reflection, active listening, cultural humility, therapeutic communication, use of standardized care

"whats wrong with them"-> "what happened to them"

what are the 4 pillars of family centered care?

-respect and dignity

-information sharing

-participation

-collaboration

pre-pregnancy/antepartum care?

-ensure access to contraceptives to allow for pregnancy planning

-provide through preconception care to optimize health before pregnancy

intrapartum care?

-deliver evidence based care during labor and delivery

-provide culturally competent healthcare and respects the patients value and preferences

postpartum care?

-guarantee appropriate and timely follow up care

-effectively manage comorbid health conditions

-provide guidance on interpregnancy spacing

-expand Medicaid coverage to one year postpartum to ensure continuity of care

policy and ethical landscape?

-patient autonomy

-right to privacy

-unbiased counseling and education

-accessible care

-right of refusal