DOCSLIB.ORG

Childbirth Education

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text

Load more

International Journal of Childbirth Education Open Focus The official publication of the International Childbirth Education Association VOLUME 31 NUMBER 3 JULY 2016 2016 October 13 ‐15 Core Conference October 11 & 12 Preconference workshops Renaissance Denver Stapleton Hotel 3801 Quebec Street | Denver, CO 80207 Free airport shuttle Reaching the Highest Peaks in Evidence‐Based Practice Join us for the 2016 Conference! Sessions this year will include information on: Learning Lab Skills Sessions Waterbirth Science and Safety Preconference Workshops: Somatic Trauma Resolution . Professional Childbirth Self – Care for the birth professional Educator Workshop Perinatal Mood and Anxiety Disorders . Birth Doula Workshop ICEA Member reception hosted by the President . Postpartum Doula Workshop . Early Lactation Care Workshop We are excited to feature these Internationally acclaimed childbirth activists and speakers: NEW THIS YEAR! “Tools For Success” Workshop: Part 1 Creating & Developing an Effective Curriculum Part 2 PowerPoint‐ Creativity, Productivity and Professionalism Barbara Harper RN CD CCE Jennie Joseph LM CPM Rep. Kelly Townsend Doula & member of AZ House of Representatives FREE Certificate For the first time ever Attendees who attend all Concurrent Session Speakers Include: general sessions with Jennie Nicette Jukelevics | Birdie Gunyon Meyer | Jeanne Green Joseph will receive a certificate Donna Walls | Connie Livingston | Tamela Hatcher | Lisa Wilson as a Maternal Child Health Jennifer Shryock | Colleen Weeks | Jana McCarthy Specialist – at no additional charge! International Journal of Childbirth Education The official publication of the VOLUME 31 NUMBER 3 JULY 2016 International Childbirth Education Association Indexed in the Cumulative Index to Nursing and Allied Health Literature (CINAHL) Managing Editor Debra Rose Wilson, PhD MSN RN IBCLC AHN-BC CHT Columns Associate Editor Elizabeth Smith, MPH ICCE IBCLC RLC The Editor’s Perspective – Making Change by Debra Rose Wilson, PhD MSN RN IBCLC AHN-BC CHT .................................................4 Assistant to the Editor Dana M. Dillard, MS PhDc Across the President’s Desk – Join the R.A.C.E. – Reaching the Highest Peaks Debbie Finken, MSc PhD in Evidence Based Practice Linda Gibson, PhD RN by Connie Livingston, RN BS FACCE LCCE ICCE .................................................................. 5 Book Review Editor Guest Editorial – Open Forum Issue Offers Something for Everyone William A. Wilson, MBA by Debra Henline Sullivan, PhD MSN RN CNE COI and Peer Reviewers Deborah Weatherspoon, PhD MSN CRNA COI ....................................................................6 Debbie Sullivan, PhD MSN RN CNE Deborah Weatherspoon, PhD MSN RN CRNA COI Features Joy Magness, In the Midst of Zika: The Role of Childbirth Professionals PhD APRN-BC Perinatal Nurse-BC by Christine Frazer, PhD CNS CNE, Leslie C. Hussey, PhD RN CNE, Maria A. Revell, PhD RN COI Karen S. Ward, PhD RN COI Bobbie Sue Whitworth, PhD MSN RNC, and Nicole Paleo, BSN BA RN C-EFM ................... 7 Marlis Bruyere, DHA M Ed BA B Ed Impact of Health Literacy Levels in Educating Pregnant Millennial Women Dana Dillard, MS PhDc Debbie Finken, MSc PhDc by Leslie C. Hussey, PhD RN CNE, Christine Frazer, PhD CNS CNE, Janice Harris, EDS MSN RN and Marion I. Kopulos, MSN RN-BC CPEN ........................................................................13 Courtney Nyange, DNP MSN RN Grace W. Moodt, DNP MSN RN Emotional Intelligence and the Childbirth Educator by Mary Morrison, BS, and Jeanne Morrison, PhD MSN RN ............................................... 19 Cover Photography Supporting Lesbian Couples During Pregnancy Photography by Axsys Design Bianca Hubble by Angela Pharris, ABD MSW, Justin Bucchio, PhD, Carmelita Dotson, ABD MSSW, www.axsysdesign.com and Wanda Davidson, PhD ................................................................................................ 23 Graphic Designer Pregnancy with Psoriasis: What New Parents Need to Know Laura Comer by Debra Sullivan, PhD MSN RN CNE COI, Deborah Weatherspoon, PhD MSN RN CRNA, and Christopher A. Weatherspoon, APRN MS FNP-BC ......................................................... 25 Articles herein express the opinion of the author. ICEA welcomes manuscripts, artwork, and photo- graphs, which will be returned upon request when In Practice accompanied by a self-addressed, stamped envelope. Copy deadlines are February 1, May 1, August 1, and Pregnancy and Cardiovascular Disease: Promoting Best Outcomes October 1. Articles, correspondence, and letters to the by Maria A. Revell, PhD MSN RN COI, Tasha L. Ceass, BS, editor should be addressed to the Managing Editor: [email protected] Marcia A. Pugh, DNP MBA HCM RN, and Melanie N. McGhee, MSN RN ACNP-C ..........29 The International Journal of Childbirth Education (ISSN:0887-8625) includes columns, announcements, Women’s Health Behaviors with Unintended Pregnancy and Births and peer-reviewed articles. This journal is published by Lee M. Stadtlander, PhD ................................................................................................ 34 quarterly and is the official publication of the Interna- tional Childbirth Education Association (ICEA), Inc. Expectant Fathers in Training: Effective Educational Approaches for The digital copy of the journal (pdf) is provided to Use by Childbirth Educators ICEA members. www.icea.org/content/guide-authors provides more detail for potential authors. by Patti P. Urso, PhD APRN ANP-BC FNP CNE ................................................................. 37 Advertising information (classified, display, or calendar) is available at www.icea.org. Advertising is Breast Cancer during the Childbearing Years subject to review. Acceptance of an advertisement by Debra Wise, BSN RN, and Deborah Weatherspoon, PhD MSN BSN RN CRNA COI ......40 does not imply ICEA endorsement of the product or the views expressed. Reducing Stress in Infants: Kangaroo Care The International Childbirth Education Associa- by Meredith Baker-Rush, MS CCC-SLP/L ...........................................................................44 tion, founded in 1960, unites individuals and groups who support family-centered maternity care (FCMC) and believe in freedom to make decisions based on knowledge of alternatives in family-centered mater- Book Reviews nity and newborn care. ICEA is a nonprofit, primarily Let’s Talk About It: Finding Peace with Death and Dying in Everyday Life volunteer organization that has no ties to the health care delivery system. ICEA memberships fees are $95 reviewed by Kathy Martin, PhD RN CNE ...........................................................................48 for individual members (IM). Information available Cut It Out: The C-Section Epidemic in America at www.icea.org, or write ICEA, 2501 Aerial Center Parkway, Suite 103, Morrisville, NC 27560 reviewed by Connie Livingston, RN BS FACCE LCCE ICCE .................................................49 © 2016 by ICEA, Inc. Articles may be reprinted only with written permission of ICEA. Volume 31 Number 3 July 2016 | International Journal of Childbirth Education | 3 The Editor’s Perspective Making Change by Debra Rose Wilson, PhD MSN RN IBCLC AHN-BC CHT It’s up to each of us to make a difference. Posi- The value represented at the tive social change is possible in your neighborhood or societal level is citizenship, a posi- throughout world. You already touch so many lives, tive investment in the community. and send out a ripple of change. And those you touch There is so much work to be transform the lives of others because of you and your done, and you are already doing influence. Set your intention to meet a need and make a so much. Reflect on what is im- difference using your skill and passion. portant to you and look for ways The Social Change Model of Leadership used in of making a difference. Commit Debra Rose Wilson many university community service programs of- to even more service to others. fers insight into those wishing to effect positive social Seek partnerships and shared goals that will help others. change. The model seems to apply particularly well Learn strategies and develop the capacities to make to care teams and educators in many settings. Social a difference. There is a growing movement of global change comes about through the symbiotic interactions citizens actively solving the world’s problems. Service of individuals, groups, and the larger society. There are to your professional organizations like ICEA or service core values associated with each of these perspectives to an in need population can change the world. Take that map well to practitioners and educators, all conve- action. Believe your actions will have an effect. Civic niently beginning with the letter “C.” responsibility is required from all, but even more so for those of us with special training or education. Make an The key individual values consist of: even bigger ripple. • Consciousness of self (awareness, reflection on values My special thanks to the guest editors Drs Deborah and goals) Weatherspoon and Debra Sullivan who are nurse educa- • Congruence (personal integrity, true presence) tors. They helped gather, review, and edit articles for • Commitment (serving others) this issue. Let us know what you think about the issue. The group values in the model include: Peace, • Collaboration (fostering collegiality) • Common purpose (shared goal), and Debra • Controversy with civility (mutual respect) [email protected]
Recommended publications
  • Update on Challenging Disorders of Pigmentation in Skin of Color Heather Woolery-Lloyd, M.D

    Update on Challenging Disorders of Pigmentation in Skin of Color Heather Woolery-Lloyd, M.D

    Update on Challenging Disorders of Pigmentation in Skin of Color Heather Woolery-Lloyd, M.D. Director of Ethnic Skin Care Voluntary Assistant Professor Miller/University of Miami School of Medicine Department of Dermatology and Cutaneous Surgery What Determines Skin Color? What Determines Skin Color? No significant difference in the number of melanocytes between the races 2000 epidermal melanocytes/mm2 on head and forearm 1000 epidermal melanocytes/mm2 on the rest of the body differences present at birth Jimbow K, Quevedo WC, Prota G, Fitzpatrick TB (1999) Biology of melanocytes. In I. M. Freedberg, A.Z. Eisen, K. Wolff,K.F. Austen, L.A. Goldsmith, S. I. Katz, T. B. Fitzpatrick (Eds.), Dermatology in General Medicine 5th ed., pp192-220, New York, NY: McGraw Hill Melanosomes in Black and White Skin Black White Szabo G, Gerald AB, Pathak MA, Fitzpatrick TB. Nature1969;222:1081-1082 Jimbow K, Quevedo WC, Prota G, Fitzpatrick TB (1999) Biology of melanocytes. In I. M. Freedberg, A.Z. Eisen, K. Wolff, K.F. Austen, L.A. Goldsmith, S. I. Katz, T. B. Fitzpatrick (Eds.), Dermatology in General Medicine 5th ed., pp192- 220, New York, NY: McGraw Hill Role of Melanin-Advantages Melanin absorbs and scatters energy from UV and visible light to protect epidermal cells from UV damage Disadvantages Inflammation or injury to the skin is almost immediately accompanied by alteration in pigmentation Hyperpigmentation Hypopigmentation Dyschromias Post-Inflammatory hyperpigmentation Acne Melasma Lichen Planus Pigmentosus Progressive Macular Hypomelanosis
  • Childbirth Education Booklet

    Childbirth Education Booklet

    Childbirth Education Contents Normal Discomforts of Pregnancy 2 Call Your Doctor 4 Late Pregnancy 5 Labor: Stage 1 6 Labor: Stages 2 & 3 8 Breastfeeding in the Hospital 9 Breathing Techniques 10 Birth Plans 10 Labor Positions 11 How Your Partner and Doula Can Help 13 Packing for the Hospital 15 Normal Discomforts of Pregnancy Fatigue Backache • Listen to your body, take naps, get extra rest • Maintain correct posture • Do pelvic tilt exercises while standing and on hands Stuffy Nose and knees • Warm compresses to nose • While on all fours, crawl forwards and backwards, • Cool mist humidifier in your home or rock, and do pelvic tilts bedroom at night • When picking up something lift with your legs to protect your back Shortness of Breath • Don’t stay that way, slow down and catch your breath • For prolonged standing, elevate 1 foot on a step stool • Sleep propped up with pillows or in recliner • Receive back massages • Maintain correct posture Dribble Urine • Moderate intensity exercising (walking, stationary • Do Kegel exercises – at least 50 a day bike, swim, flexibility moves) (do 10 every time you wash your hands) • How can you tell if you are dribbling urine or your Heartburn/Nausea water broke? Call your OB or midwife, and remember • Don’t eat 3 big meals a day, eat 5-6 smaller meals this acronym: • Drink 8 cups of water a day COAT. C=color, O=odor, A=amount, T=time. • Have dry crackers/cereal to nibble on–keep in purse and at bedside • Don’t let stomach become empty • Eat well balanced diet–vitamin B may help to decrease • Avoid
  • Melasma (1 of 8)

    Melasma (1 of 8)

    Melasma (1 of 8) 1 Patient presents w/ symmetric hyperpigmented macules, which can be confl uent or punctate suggestive of melasma 2 DIAGNOSIS No ALTERNATIVE Does clinical presentation DIAGNOSIS confirm melasma? Yes A Non-pharmacological therapy • Patient education • Camoufl age make-up • Sunscreen B Pharmacological therapy Monotherapy • Hydroquinone or • Tretinoin TREATMENT Responding to No treatment? See next page Yes Continue treatment © MIMSas required Not all products are available or approved for above use in all countries. Specifi c prescribing information may be found in the latest MIMS. B94 © MIMS 2019 Melasma (2 of 8) Patient unresponsive to initial therapy MELASMA A Non-pharmacological therapy • Patient education • Camoufl age make-up • Sunscreen B Pharmacological therapy Dual Combination erapy • Hydroquinone plus • Tretinoin or • Azelaic acid Responding to Yes Continue treatment treatment? as required No A Non-pharmacological therapy • Patient education • Camoufl age make-up • Sunscreen • Laser therapy • Dermabrasion B Pharmacological therapy Triple Combination erapy • Hydroquinone plus • Tretinoin plus • Topical steroid Chemical peels 1 MELASMA • Acquired hyperpigmentary skin disorder characterized by irregular light to dark brown macules occurring in the sun-exposed areas of the face, neck & arms - Occurs most commonly w/ pregnancy (chloasma) & w/ the use of contraceptive pills - Other factors implicated in the etiopathogenesis are photosensitizing medications, genetic factors, mild ovarian or thyroid dysfunction, & certain cosmetics • Most commonly aff ects Fitzpatrick skin phototypes III & IV • More common in women than in men • Rare before puberty & common in women during their reproductive years • Solar & ©ultraviolet exposure is the mostMIMS important factor in its development Not all products are available or approved for above use in all countries.
  • The Key to Increasing Breastfeeding Duration: Empowering the Healthcare Team

    The Key to Increasing Breastfeeding Duration: Empowering the Healthcare Team

    The Key to Increasing Breastfeeding Duration: Empowering the Healthcare Team By Kathryn A. Spiegel A Master’s Paper submitted to the faculty of the University of North Carolina at Chapel Hill In partial fulfillment of the requirements for the degree of Master of Public Health in the Public Health Leadership Program. Chapel Hill 2009 ___________________________ Advisor signature/printed name ________________________________ Second Reader Signature/printed name ________________________________ Date The Key to Increasing Breastfeeding Duration 2 Abstract Experts and scientists agree that human milk is the best nutrition for human babies, but are healthcare professionals (HCPs) seizing the opportunity to promote, protect, and support breastfeeding? Not only are HCPs influential to the breastfeeding dyad, they hold a responsibility to perform evidence-based interventions to lengthen the duration of breastfeeding due to the extensive health benefits for mother and baby. This paper examines current HCPs‘ education, practices, attitudes, and extraneous factors to surface any potential contributing factors that shed light on necessary actions. Recommendations to empower HCPs to provide consistent, evidence-based care for the breastfeeding dyad include: standardized curriculum in medical/nursing school, continued education for maternity and non-maternity settings, emphasis on skin-to-skin, enforcement of evidence-based policies, implementation of ‗Baby-Friendly USA‘ interventions, and development of peer support networks. Requisite resources such as lactation consultants as well as appropriate medication and breastfeeding clinical management references aid HCPs in providing best practices to increase breastfeeding duration. The Key to Increasing Breastfeeding Duration 3 The key to increasing breastfeeding duration: Empowering the healthcare team During the colonial era, mothers breastfed through their infants‘ second summer.
  • Frequency of Different Types of Facial Melanoses Referring to the Department of Dermatology and Venereology, Nepal Medical Colle

    Frequency of Different Types of Facial Melanoses Referring to the Department of Dermatology and Venereology, Nepal Medical Colle

    Amatya et al. BMC Dermatology (2020) 20:4 https://doi.org/10.1186/s12895-020-00100-3 RESEARCH ARTICLE Open Access Frequency of different types of facial melanoses referring to the Department of Dermatology and Venereology, Nepal Medical College and Teaching Hospital in 2019, and assessment of their effect on health-related quality of life Bibush Amatya* , Anil Kumar Jha and Shristi Shrestha Abstract Background: Abnormalities of facial pigmentation, or facial melanoses, are a common presenting complaint in Nepal and are the result of a diverse range of conditions. Objectives: The objective of this study was to determine the frequency, underlying cause and impact on quality of life of facial pigmentary disorders among patients visiting the Department of Dermatology and Venereology, Nepal Medical College and Teaching Hospital (NMCTH) over the course of one year. Methods: This was a cross-sectional study conducted at the Department of Dermatology and Venereology, NMCT H. We recruited patients with facial melanoses above 16 years of age who presented to the outpatient department. Clinical and demographic data were collected and all the enrolled participants completed the validated Nepali version of the Dermatology Life Quality Index (DLQI). Results: Between January 5, 2019 to January 4, 2020, a total of 485 patients were recruited in the study. The most common diagnoses were melasma (166 patients) and post acne hyperpigmentation (71 patients). Quality of life impairment was highest in patients having melasma with steroid induced rosacea-like dermatitis (DLQI = 13.54 ± 1.30), while it was lowest in participants with ephelides (2.45 ± 1.23). Conclusion: Facial melanoses are a common presenting complaint and lead to substantial impacts on quality of life.
  • The Birth Sisters Program: a Model of Hospital-Based Doula Support to Promote Health Equity

    The Birth Sisters Program: a Model of Hospital-Based Doula Support to Promote Health Equity

    The Birth Sisters Program: A Model of Hospital-Based Doula Support to Promote Health Equity Julie Mottl-Santiago, Kirsten Herr, Dona Rodrigues, Catherine Walker, Catherine Walker, Emily Feinberg Journal of Health Care for the Poor and Underserved, Volume 31, Number 1, February 2020, pp. 43-55 (Article) Published by Johns Hopkins University Press DOI: https://doi.org/10.1353/hpu.2020.0007 For additional information about this article https://muse.jhu.edu/article/747773 Access provided at 19 Feb 2020 19:43 GMT from University of California, Davis REPORT FROM THE FIELD Th e Birth Sisters Program: A Model of Hospital- Based Doula Support to Promote Health Equity Julie Mottl- Santiago, MPH, CNM Kirsten Herr, BA Dona Rodrigues, MPH, CNM Catherine Walker, MPH, CNM Emily Feinberg, ScD, CPNP Summary: Maternity care in the United States is characterized by racial and income disparities in maternal and infant outcomes. Th is article describes an innovative, hospital- based doula model serving a racially and ethnically diverse, low-income population. Th e program’s his- tory, program model, administration requirements, training, and evaluations are described. Key words: Doula, community health worker, maternal- child health services, low-income populations, obstetrics. acial and income disparities in maternity care outcomes in the United States are Rlarge and persistent. Non- Hispanic Black people and Hispanic people have higher rates of preterm birth,1,2 lower rates of engagement with prenatal care,3 lower rates of breastfeeding,4,5 and higher rates
  • The Effects of Alcohol in Newborns Efeitos Do Álcool No Recém-Nascido

    The Effects of Alcohol in Newborns Efeitos Do Álcool No Recém-Nascido

    REVIEW The effects of alcohol in newborns Efeitos do álcool no recém-nascido Maria dos Anjos Mesquita* ABSTRACT alcoólicas leva a prejuízos individuais, para a sua família e para The purpose of this article was to present a review of the effects toda a sociedade. Apesar disso, a dificuldade do seu diagnóstico e of alcohol consumption by pregnant mothers on their newborn. a inexperiência dos profissionais de saúde faz com que o espectro Definitions, prevalence, pathophysiology, clinical features, diagnostic dessas lesões seja pouco lembrado e até desconhecido. As lesões criteria, follow-up, treatment and prevention were discussed. A causadas pela ação do álcool no concepto são totalmente prevenidas search was performed in Medline, LILACS, and SciELO databases se a gestante não consumir bebidas alcoólicas durante a gestação. using the following terms: “fetus”, “newborn”, “pregnant woman”, Assim, é fundamental a detecção das mulheres consumidoras “alcohol”, “alcoholism”, “fetal alcohol syndrome”, and “alcohol- de álcool durante a gravidez e o desenvolvimento de programas related disorders”. Portuguese and English articles published from específicos de alerta sobre as consequências do álcool durante a 2000 to 2009 were reviewed. The effects of alcohol consumed by gestação e amamentação. pregnant women on newborns are extremely serious and occur frequently; it is a major issue in Public Health worldwide. Fetal alcohol Descritores: Bebidas alcoólicas/efeitos adversos; Feto; Recém-nascido; spectrum disorders cause harm to individuals, their families, and the Síndrome alcoólica fetal; Transtornos relacionados ao uso de álcool entire society. Nevertheless, diagnostic difficulties and inexperience of healthcare professionals result in such damage, being remembered rarely or even remaining uncovered.
  • Care During Pregnancy and Delivery ACCESSIBLE, QUALITY HEALTH CARE DURING PREGNANCY and DELIVERY

    Care During Pregnancy and Delivery ACCESSIBLE, QUALITY HEALTH CARE DURING PREGNANCY and DELIVERY

    Care during Pregnancy and Delivery ACCESSIBLE, QUALITY HEALTH CARE DURING PREGNANCY AND DELIVERY Why It’s Important Having a healthy pregnancy and access to quality birth facilities are the best ways to promote a healthy birth and have a thriving newborn. Getting early and regular prenatal care is vital. Prenatal care is the health care that women receive during their entire pregnancy. Prenatal care is more than doctor’s visits and ultrasounds; it is an opportunity to improve the overall well-being and health of the mom which directly affects the health of her baby. Prenatal visits give parents a chance to ask questions, discuss concerns, treat complications in a timely manner, and ensure that mom and baby are safe during pregnancy and delivery. Receiving quality prenatal care can have positive effects long after birth for both the mother and baby. When it is time for the mother to give birth, having access to safe, high quality birth facilities is critical. Early prenatal care, starting in the 1st trimester, is crucial to the health of mothers and babies. But more important than just initiating early prenatal care is receiving adequate prenatal care, having the appropriate number of prenatal care visits at the appropriate intervals throughout the pregnancy. Babies of mothers who do not get prenatal care are three times more likely to be born low birth weight and five times more likely to die than those born to mothers who do get care.1 In 2017 in Minnesota, only 77.1 percent of women received prenatal care within their first trimester of pregnancy.
  • Annualreport 2010

    Annualreport 2010

    AnnualReport 2010 Seth G.S. Medical College & King Edward Memorial Hospital Municipal Corporation of Greater Mumbai Convocation Ceremony of Use of smart board by 1st MBBS students Fellowship and Certificate Courses Automated chappati maker Clean KEM campaign Cardiac Ambulance Seth G.S. Medical College & King Edward Memorial Hospital Municipal Corporation of Greater Mumbai ANNUAL REPORT 2010 Concept (Front & Back cover) Dr. Sanjay Oak Director -Medical Education and Major Hospitals Professor of Pediatric Surgery Publisher Diamond Jubilee Society Trust Seth G.S. Medical College & KEM Hospital, Parel, Mumbai 400 012. Printer Urvi Compugraphics A2/248, Shah & Nahar Industrial Estate, S.J. Marg, Lower Parel (West), Mumbai 400 013. Tel.: 91 - 22 - 2494 5863 © Seth GS Medical College & KEM Hospital, 2011 Acknowledgements Smt. Shraddha Jadhav Hon. Mayor Smt. Shailaja Girkar Shri Subodh Kumar Deputy Mayor Municipal Commissioner Shri Sunil Prabhu Smt. Manisha Patankar-Mhaiskar Leader of the House Additional Municipal Commissioner (Western Suburbs) Shri Rajhans Singh Shri Aseem Gupta Leader of the Opposition Additional Municipal Commissioner (Eastern Suburbs) Shri Rahul Shewale Shri Mohan Adtani Chairman-Standing Committee Additional Municipal Commissioner (City) Smt. Ashwini Mate Shri Rajeev Jalota Chairman-Public Health Committee Additional Municipal Commissioner (Projects) Shri Parshuram (Chotu) Desai Shri Rajendra Vale Chairman-Works Committee (City) Deputy Municipal Commissioner (Estate & General Administration) Shri Anil Pawar Shri Sanjay (Nana) Ambole Chairperson - Ward Committee Municipal Councillor From the Director’s desk..... The twin institutes of the Seth GS Medical College & KEM Hospital were established in 1926 with a nationalistic spirit to cater to the “health care needs of the northern parts of the island” to be manned entirely by Indians.
  • Virginia Commonwealth University Volunteer Doula Program Training Manual Kathleen M

    Virginia Commonwealth University Volunteer Doula Program Training Manual Kathleen M

    Virginia Commonwealth University VCU Scholars Compass School of Nursing Publications School of Nursing 2015 Virginia Commonwealth University Volunteer Doula Program Training Manual Kathleen M. Bell Virginia Commonwealth University, [email protected] Susan L. Linder Virginia Commonwealth University, [email protected] Follow this and additional works at: http://scholarscompass.vcu.edu/nursing_pubs Part of the Maternal, Child Health and Neonatal Nursing Commons Copyright © 2015 The Authors Downloaded from http://scholarscompass.vcu.edu/nursing_pubs/16 This Curriculum Material is brought to you for free and open access by the School of Nursing at VCU Scholars Compass. It has been accepted for inclusion in School of Nursing Publications by an authorized administrator of VCU Scholars Compass. For more information, please contact [email protected]. Virginia Commonwealth University Volunteer Doula Program Training Manual “Empowerment, advocacy and support for one of life’s greatest journeys.” 1 Reflection and Discussion Why are you here? Why did you decide to do this doula training? What experiences do you have with birth, and how have they shaped your desire to participate in this program? What does it mean to be a doula with the VCU School of Nursing? What other reflections do you have? 2 Table of Contents 1. An overview of birth: Statistics and trends………………page 4-6 2. Birth workers and their roles………………...……………pages 7-10 3. You are a doula! Your birth-bag and preparation………..pages 11-14 4. Anatomy and Physiology of birth………………………...pages 15-18 5. Hormonal regulation of labor and birth…………………..pages 19-21 6. Pharmacologic management of labor…………………….pages 22-26 7.
  • Feeding Your Infant in the NICU

    Feeding Your Infant in the NICU

    Feeding Your Infant in the NICU CEAC 0055 April 2018 *This document was designed to support patients of the former RQHR. Table of Contents Ways Your baby may be fed in NICU 4-5 Nipple shields 6 Bottle Nipples 6 Oral Immune Therapy 6 S.I.N.C. 6 Cue based feeds 7 Baby feeding cues 8 Kangaroo Care (Skin to Skin ) 9 Human Breast Milk and Breastfeeding The benefits of human breast milk 10 When baby is not able to breastfeed Expressing breast milk 11 When to pump 11 How much breast milk should you be expressing 12 Hand expressing breast milk 13 Expressing breast milk using a pump 14 Ameda Platinum® Breast Pump Ameda Platinum® breast pump quick start guide 15 Set up and Assembly of the milk collection system 16 Pump diagram 17 Using the breast pump 18 Troubleshooting the breast pump 19 Storing expressed breast milk 20 Breastfeeding Learning to breastfeed 21 Feeding a sleepy baby 22 Breast compressions 22 Burping baby 22 Breastfeeding positions 23 Latching baby to breast 24 Nipple care 25 Management of nipple pain and trauma 25 1 Table of Contents Build up your milk supply 26 What can decrease your milk supply 26 If baby requires a special formula 26 Going Home How will you continue to breastfeed 27 Cleaning equipment at home 27 Storing breast milk after baby goes home 28 Thawing breast milk at home 28 Taking Care of Yourself Mom’s Nutrition 29-30 Rest 30 Keeping Breasts Healthy Sore Nipples 31 Engorged Breasts 32 Thrush 33 Plugged Ducts 34 Mastitis 35 Cleaning, Equipment, Preparing and Storing Milk Cleaning Breast pump kits at the hospital 36 Cleaning and sterilizing breast pump equipment at home 37 Cleaning and sterilizing bottles and equipment 38 Water to make formula at home 39 How to sterilize water 40 Preparing formula 40-41 Storing formula 42 Contacts & Resources 43-45 Breast pumping log 46-48 Photographs courtesy of RQHR Medical Media Services Department unless otherwise noted.
  • Nurses and Doulas: Complementary Roles to Provide Optimal Maternity Care Lois Eve Ballen and Ann J

    Nurses and Doulas: Complementary Roles to Provide Optimal Maternity Care Lois Eve Ballen and Ann J

    CLINICAL ISSUES Nurses and Doulas: Complementary Roles to Provide Optimal Maternity Care Lois Eve Ballen and Ann J . Fulcher Staff in maternity-care facilities are seeing an doulas and hospital staff. The purpose of this article increase in doulas, nonmedical childbirth assistants, is to clarify the positive effects of doula support in who are trained to provide continuous physical, emo- labor, clarify some misconceptions about the doula ’ s tional, and informational labor support. The long- role, and discuss ways that nurses and doulas can term medical and psychosocial benefi ts are well work effectively together. documented. In this article, misconceptions about the doula ’ s role are corrected, and suggestions are of- Benefi ts of Continuous Labor Support fered on ways to improve communication between health care providers and doulas. Together, nurses A growing and unambiguous body of literature and doulas can provide birthing women with a safe demonstrates medical benefi ts and an increase in pa- and satisfying birth. JOGNN, 35, 304-311; 2006. tient satisfaction with continuous labor support to DOI: 10.1111/J.1552-6909.2006.00041.x both mother and infant and the cost savings to be Keywords: Birth outcomes — Childbirth — gained by the use of doulas ( Abramson, Altfeld, & Complementary roles — confl ict — Doula — Evidenced- Teibloom-Mishkin, 2000; Hodnett, Gates, Hofmeyr, based practice — Labor support & Sakala, 2003; Sauls, 2002 ). The Cochrane Library published an updated systematic review on continuous Accepted: October 2005 labor support in 2003, concluding “ Women who had continuous intrapartum support were less likely to To the relief of some busy nurses, and the conster- have intrapartum analgesia, operative birth or to re- nation of others, trained childbirth assistants called port dissatisfaction with their childbirth experiences.