Postpartum Care Service Experience Model: a Case of Postpartum Home Visiting Services
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Womens Perception of Their Childbirth Expereinces: an Integrated Literature Review
University of Central Florida STARS Honors Undergraduate Theses UCF Theses and Dissertations 2019 Womens Perception of Their Childbirth Expereinces: An Integrated Literature Review Nancy M. Farmer University of Central Florida Part of the Maternal, Child Health and Neonatal Nursing Commons Find similar works at: https://stars.library.ucf.edu/honorstheses University of Central Florida Libraries http://library.ucf.edu This Open Access is brought to you for free and open access by the UCF Theses and Dissertations at STARS. It has been accepted for inclusion in Honors Undergraduate Theses by an authorized administrator of STARS. For more information, please contact [email protected]. Recommended Citation Farmer, Nancy M., "Womens Perception of Their Childbirth Expereinces: An Integrated Literature Review" (2019). Honors Undergraduate Theses. 565. https://stars.library.ucf.edu/honorstheses/565 WOMEN’S PERCEPTION OF THEIR CHILDBIRTH EXPERIENCES: AN INTEGRATIVE REVIEW OF THE LITERATURE by NANCY M. FARMER A thesis submitted in partial fulfillment of the requirements for the Honors in the Major Program in Nursing in the College of Nursing and in The Burnett Honors College at the University of Central Florida: Orlando, Florida Summer Term 2019 Thesis Chair: Angeline Bushy, PhD, RN, FAAN © 2019 Nancy Farmer ii Abstract Pregnancy and childbirth are a unique and sacred time in many womens’ lives and the process of giving birth often leaves women and families in a vulnerable position. This integrated literature review examined birthing experiences from the maternal perspective and focused on the short-term and long- term implications of negatively perceived maternal experiences. While there are several international studies, only a few have published studies from the United States. -
Medicaid Payment Initiatives to Improve Maternal and Birth Outcomes
April 2019 Advising Congress on Medicaid and CHIP Policy Medicaid Payment Initiatives to Improve Maternal and Birth Outcomes Pregnant women in the United States experience delivery via cesarean and early elective deliveries at higher rates than medically recommended for positive outcomes (ACOG 2019, WHO 2015). Delivery via cesarean or induction may be desirable for complicated births, but when not medically indicated, such procedures pose health risks for both the woman and child, and may increase the length of a hospital stay and admissions to neonatal intensive care units, thereby increasing the cost of care (NCSL 2018, Ashton 2010, Kamath et al. 2009). The use of unnecessary interventions during delivery has significant implications for Medicaid, which is the nation’s largest payer of maternity care, paying for nearly half of all births (NGA 2014). State Medicaid programs are implementing payment initiatives to reduce unnecessary or potentially harmful procedures, such as non-medically indicated cesarean sections and early elective deliveries, as well as to improve access to prenatal and postpartum care. In this brief, we look at how state Medicaid programs are using payment incentives to improve maternal and birth outcomes. The brief first describes practices in maternity care that are known to influence maternal and birth outcomes. It then describes Medicaid payment models such as bundled payments, blended payments for delivery, pay for performance, and medical homes.1 The federal government, the states, and other stakeholders are undertaking many other initiatives to improve maternal and neonatal outcomes that are not payment based, but these are beyond the scope of this brief. -
Postpartum Care of Taiwanese and Chinese Immigrant Women
City University of New York (CUNY) CUNY Academic Works All Dissertations, Theses, and Capstone Projects Dissertations, Theses, and Capstone Projects 2-2017 Retelling an Old Wife’s Tale: Postpartum Care of Taiwanese and Chinese Immigrant Women Kuan-Yi Chen The Graduate Center, City University of New York How does access to this work benefit ou?y Let us know! More information about this work at: https://academicworks.cuny.edu/gc_etds/1872 Discover additional works at: https://academicworks.cuny.edu This work is made publicly available by the City University of New York (CUNY). Contact: [email protected] RETELLING AN OLD WIFE’S TALE: POSTPARTUM CARE OF TAIWANESE AND CHINESE IMMIGRANT WOMEN by KUAN-YI CHEN A dissertation submitted to the Graduate Faculty in Sociology in partial fulfillment of the requirements for the degree of Doctor of Philosophy, The City University of New York 2017 © 2017 Kuan-Yi Chen All Rights Reserved ii Retelling an old wife’s tale: Postpartum care of Taiwanese and Chinese immigrant women by Kuan-Yi Chen This manuscript has been read and accepted for the Graduate Faculty in Sociology in satisfaction of the dissertation requirement for the degree of Doctor of Philosophy ______________________ _____________________________________ Date Barbara Katz Rothman Chair of Examining Committee ______________________ _____________________________________ Date Philip Kasinitz Executive Officer Supervisory Committee: Barbara Katz Rothman Margaret M. Chin Robert Courtney Smith THE CITY UNIVERSITY OF NEW YORK iii ABSTRACT Retelling an old wife’s tale: Postpartum care of Taiwanese and Chinese immigrant women by Kuan-Yi Chen Advisor: Barbara Katz Rothman The focus of this dissertation is the Chinese postpartum tradition zuoyuezi, often translated into English as doing-the-month. -
Programming Strategies for Postpartum Family Planning
Programming strategies for Postpartum Family Planning Programming Strategies for Postpartum Family Planning WHO Library Cataloguing-in-Publication Data Programming strategies for postpartum family planning. 1.Family planning services. 2.Counseling. 3.Postpartum period. 4.Pregnancy, Unplanned. 5.Contraception. 6.National health programs. I.World Health Organization. ISBN 978 92 4 150649 6 (NLM classification: WA 550) © World Health Organization 2013 All rights reserved. Publications of the World Health Organization are available on the WHO web site (www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: [email protected]). Requests for permission to reproduce or translate WHO publications –whether for sale or for non-commercial distribution– should be addressed to WHO Press through the WHO web site (www.who.int/about/licensing/ copyright_form/en/index.html). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. -
Postpartum Care Basics: Transition from Maternity to Well- Woman Care
Postpartum Care Basics: Transition from Maternity to Well- Woman Care GENERAL POSTPARTUM/INTERCONCEPTION CARE . American Academy of Family Physicians. Preconception Care (Position Paper). American College of Nurse Midwives. ACNM Library (Position Statements, Briefs, and Fact Sheets). Association of Women Health, Obstetric and Neonatal Nurses. Postpartum Discharge Education Program. Council on Patient Safety in Women's Health Care. Postpartum Care Basics: From Birth to the Comprehensive Postpartum Visit Patient Safety Bundle. Lu MC, et al. Preconception Care Between Pregnancies: The Content of Internatal Care. Maternal and Child Health Journal. 2006;10(Suppl 1):107-122. doi:10.1007/s10995-006- 0118-7. March of Dimes. Optimizing Postpartum Care. Committee Opinion No. 666. American College of Obstetricians and Gynecologists. Obstet Gynecol 2016; 127:e187-92. Smith, GN, Saade, G. SMFM White Paper: Pregnancy as a Window to Future Health. Society for Maternal-Fetal Medicine. CHRONIC DISEASE MANAGEMENT . Emergent therapy for acute-onset, severe hypertension during pregnancy and the postpartum period. Committee Opinion No. 692. American College of Obstetricians and Gynecologists. Obstet Gynecol 2017:129:e90–5. Gestational Diabetes Mellitus. Practice Bulletin No. 190. American College of Obstetricians and Gynecologists. Obstet Gynecol. 2018. Feb;131(2):e49-e64. The JAMA Network. Hypertension Guidelines. Preeclampsia Foundation. REPRODUCTIVE LIFE PLANNING/CONTRACEPTION USE . Adolescents and long-acting reversible contraception: implants and intrauterine devices. Committee Opinion No. 539. American College of Obstetricians and Gynecologists. Obstet Gynecol 2012;120:983–8. Besider. CHOICE for Youth and Sexuality. All resources used with permission from the respective developing organization. March 2018 Postpartum Care Basics: Transition from Maternity to Well- Woman Care . -
Traditional Birthing Practices in a Multi-Cultural Society: Effects on Women’S Sense of Well-Being, Support and Breastfeeding Self-Efficacy
TRADITIONAL BIRTHING PRACTICES IN A MULTI-CULTURAL SOCIETY: EFFECTS ON WOMEN’S SENSE OF WELL-BEING, SUPPORT AND BREASTFEEDING SELF-EFFICACY ELIANA NASER Master in Healthcare Management, (Sydney), B.HS, Nursing (Sydney), Advanced Diploma in Critical Care Nursing (Singapore) A THESIS SUBMITTED FOR THE DEGREE OF DOCTOR OF PHILOSOPHY (NURSING) ALICE LEE CENTRE FOR NURSING STUDIES NATIONAL UNIVERSITY OF SINGAPORE 2012 i Acknowledgements I would like to acknowledge the supervision and support provided by Professor Debra Creedy, Dr Piyanee Yobas, and Dr Sandra Mackey. They willingly gave invaluable guidance and constructive criticism in relation to this research. To my parents, husband, and siblings, I thank them for their understanding, patience, interest, and endless support and love. Finally, I am indebted to all the women who so willingly gave of their time to share their experiences of birth and without whom this study would not have been possible. Statement of Originality This work has not been previously submitted for a degree or diploma in any university. To the best of my knowledge and belief, this thesis contains no material previously published or written by another person except where due reference is made in the thesis itself. Eliana Naser ii Table of Contents Acknowledgements .......................................................................................... ii Statement of Originality .................................................................................. ii Table of Contents .......................................................................................... -
Contemporary Birth: a Global Overview
Review Article ISSN: 2574 -1241 DOI: 10.26717/BJSTR.2019.20.003467 Contemporary Birth: A Global Overview Robbie E Davis-Floyd* Department of Anthropology, USA *Corresponding author: Robbie E Davis-Floyd, Department of Anthropology, USA ARTICLE INFO Abstract Received: July 18, 2019 From the beginnings of our species, birth was exclusively the work of women as they labored to push their babies from the private inner world of their wombs into the larger Published: August 13, 2019 world of society and culture. Yet today, increasing numbers of women around the world have their babies pulled through the “birth canal” with forceps or vacuum extractors, or cut Citation: Robbie E Davis-Floyd. Con- temporary Birth: A Global Overview. Biomed J Sci & Tech Res 20(3)-2019. agency.from their This wombs article via describes cesarean the section. cultural The overlays medical thatdefinition are common of birth tois birththe emergence practices BJSTR. MS.ID.003467. everywhere.of a fetus from a womb-a definition that ignores all issues of women’s involvement and Birth, Culture and Women’s Status Although childbirth is a universal fact of human physiology, the The Effects of Place of Birth social nature of birth and its importance for survival ensure that this biological and intensely personal process will carry a heavy cultural overlay, resulting in wide variation in childbirth practices: Brigitte Jordan’s (1993 & 1978) comparative study of birthing where, how, with whom, and even when a woman gives birth are systems in Holland, Sweden, the United States, and Mexico’s cultural variations in birth. Her biocultural approach used the increasingly culturally determined. -
Postpartum Care: What to Expect After a Vaginal Birth Pregnancy Changes Your Body in More Ways Than You May Have Guessed, and It Doesn't Stop When the Baby Is Born
Postpartum care: What to expect after a vaginal birth Pregnancy changes your body in more ways than you may have guessed, and it doesn't stop when the baby is born. Postpartum care involves managing sore breasts, skin changes, hair loss and more. Here's what to expect after a vaginal delivery. Vaginal soreness If you had an episiotomy or vaginal tear during delivery, the wound may hurt for a few weeks — especially when you walk or sit. Extensive tears may take longer to heal. In the meantime, you can help promote healing: . Soothe the wound. Use an ice pack, or wrap ice in a washcloth. Chilled witch hazel pads may help, too. Witch hazel is the main ingredient in many hemorrhoid pads. You can find witch hazel pads in most pharmacies. Keep the wound clean. Use a squirt bottle filled with water to rinse the tissue between the vaginal opening and anus (perineum) after using the toilet. Soak in a warm tub. Take the sting out of urination. Squat rather than sit to use the toilet. Pour warm water over your vulva as you're urinating. Prevent pain and stretching during bowel movements. Hold a clean pad firmly against the wound and press upward while you bear down. This will help relieve pressure on the wound. Sit down carefully. To keep your bottom from stretching, squeeze your buttocks together as you sit down. If sitting is uncomfortable, use a doughnut-shaped pillow to ease the pressure. Do your Kegels. These exercises help tone the pelvic floor muscles. Simply tighten your pelvic muscles as if you're stopping your stream of urine. -
Study Protocol
____________________________________________________ The Botswana Combination Prevention Project (BCPP) Evaluation Protocol (Protocol #1) ____________________________________________________ Research Design and Impact Evaluation Version 7.0 January 16, 2019 Collaborating Institutions: Botswana–Harvard AIDS Institute Partnership (BHP) Botswana Ministry of Health (MOH) Harvard T.H. Chan School of Public Health U.S. Centers for Disease Control and Prevention (CDC) Funded by: The United States President’s Emergency Plan for AIDS Relief (PEPFAR) through the Centers for Disease Control and Prevention (CDC) i. PRINCIPAL INVESTIGATORS Myron Essex, DVM, PhD Lasker Professor of Health Sciences Harvard T.H. Chan School of Public Health FXB 402, 651 Huntington Avenue Boston, MA 02115-6017 Email: [email protected] Phone: +1-617-432-0975 Fax: +1-617-739-8348 Joseph Makhema, MBChB, FRCP Chief Executive Officer Botswana Harvard AIDS Institute Private Bag BO320 Gaborone, Botswana Email: [email protected] Phone: +267-390-2671 Fax: +267-390-1284 Shahin Lockman, MD, MS Associate Professor of Medicine; Associate Professor in the Department of Immunology and Infectious Diseases Harvard T.H. Chan School of Public Health FXB 406a, 651 Huntington Avenue Boston, MA 02115 Email: [email protected] Phone: +1-617-771-8780 Fax: +1-617-739-8348 Eric Tchetgen Tchetgen, PhD Professor of Biostatistics and Epidemiologic Methods Departments of Biostatistics and Epidemiology Kresge, Room 822 677 Huntington Avenue Boston, MA 02115 Email: [email protected] Phone: 617-432-5970 Fax: 617-432-1884 Molly Pretorius Holme, MS Senior Research Manager Department of Immunology and Infectious Diseases Harvard T.H. Chan School of Public Health BCPP Evaluation Protocol Version 7.0 | January 16, 2019 2 FXB 406a, 651 Huntington Avenue Boston, MA 02115 Email: [email protected] Phone: +1-617-432-4377 Fax: +1-617-739-8348 ii. -
Postpartum Visit and Contraception Study
Postpartum Visit and Contraception Study Arden Handler, DrPH, Rachel Caskey, MD, Kristin Rankin, PhD, Sadia Haider, MD, MPH University of Illinois School of Public Health Prepared for the Illinois Department of Healthcare and Family Services Project Dates: May 16th, 2014 to January 31st, 2015 Project Director: Katrina Stumbras, MPH Research Assistants: Vida Henderson, PharmD, MPH, Molly Murphy, MPH, Elizabeth Berkeley, Micaella Verro, Amy Solsman A special thank you to Tierra Williams, Sonya Dhanvanthari, and April Parks for their assistance with this project. This document was developed under grant CFDA 93.767 from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. However these contents do not necessarily represent the policy of the U.S. Department of Health and Human Services, and you should not assume endorsement by the Federal Government. Postpartum Visit and Contraception Executive Summary Background Researchers at the University of Illinois School of Public Health undertook a multi-part effort to: identify and summarize the research related to what is known about the postpartum visit, strategies for increasing its use, as well as strategies for increasing uptake of postpartum contraception; to determine women’s and providers’ perspectives on alternative approaches to the delivery of postpartum care and contraception; and, to specifically explore the role of the Well-Baby Visit (WBV) in the early postpartum period as a time for women to discuss reproductive life planning and family planning needs. This work was funded by the Illinois Department of Healthcare and Family Services through its CHIPRA initiative. Why is this research important? Unintended pregnancy is highly prevalent in the US and is associated with increased risk of adverse reproductive and perinatal outcomes. -
Resources on Strategies to Improve Postpartum Care Among Medicaid and CHIP Populations
TECHNICAL ASSISTANCE RESOURCE February 2015 Resources on Strategies to Improve Postpartum Care Among Medicaid and CHIP Populations Introduction Using Quality Improvement Strategies in Postpartum Care To support states participating in the Postpartum Care Action Learning Series, the Centers for Medicare & Medicaid Services (CMS) developed a resource for The Centers for Medicaid and CHIP Services (CMCS) has established the Maternal and Infant Health Initiative strategies that may be effective in increasing the to improve the postpartum visit rate by 10 percentage postpartum care visit rate and improving the content of points in at least 20 states over 3 years (among other the visit among states’ Medicaid and CHIP populations. goals). The Improving Postpartum Care Action Learning The information presented in this resource reflects Series is one of the Initiative’s projects, in which 11 states materials gathered from the peer-reviewed literature; are using quality improvement (QI) strategies to identify reports from state Medicaid programs and Medicaid changes and test them in a Plan, Do, Study, Act cycle. By managed care organizations (MCOs); and materials for employing the QI process in a variety of settings, the series providers and patients produced by health plans, MCOs, will increase knowledge about how to improve the and other organizations. postpartum care visit rate and also inform state policies to support CMCS in achieving its goals. While not exhaustive, the resource includes a range of evidence-based strategies, best practices, and advice to providers. The materials cover approaches to increasing the number of women who make and keep a postpartum • Table 2—Drivers and change ideas to increase visit and to improving the measurement process in clinical postpartum visits for Medicaid and CHIP settings. -
Global Maternity & Multiple Births Billing Guidelines
Global Maternity & Multiple Births Billing Guidelines Quick Reference Guide Global Maternity Global maternity care includes pregnancy-related antepartum care, admission to labor and delivery, management of labor including fetal monitoring, delivery, and uncomplicated postpartum care until six weeks postpartum. A global charge should be billed for maternity claims when all maternity-related services, as outlined in Blue Cross and Blue Shield of North Carolina’s (BCBSNC’s) corporate medical policy “Guidelines for Global Maternity Reimbursement,” are provided by the same physician or physicians practicing at the same location. The number of antepartum visits may vary from patient to patient. If global maternity care is provided, all maternity related visits and delivery should be billed under the global maternity code. Individual E&M codes should not be billed to report maternity-related E&M visits. Prenatal care is considered an integral part of the global reimbursement and will not be paid separately The Current Procedural Terminology® (CPT) manual identifies the following CPT codes as global maternity services: 59400 - Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartu m care 59510 - Routine obstetric care including antepartum care, cesarean delivery and postpartum care 59610 - Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartu m care, after previous cesarean delivery 59618 - Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal deliver y after previous cesarean delivery Billing tips: An initial visit, confirming the pregnancy, is not a part of global maternity care services (verification of benefits will determine appropriate member liability).