NR 434-Transcultural Perspectives In Childbearing Discussion

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Read chapter 5 of the class textbook and review the attached PowerPoint presentation. Once done answer and/or develop the following answers;

1. Madge is an intake nurse at high-acuity labor and delivery unit. She is taking down information about a family’s birth plan and notice that the mother is accompanied by only another woman. Write three paragraphs on the following issues;
a. Include cultural assessment technique to explore the family composition without offending the woman present.
b. Discuss the potential challenges lesbian couples may have in childbearing.

c. What are current policies like regarding who is allowed in the labor and delivery in the labor and delivery room? How might these
look in the future?

Many women and families are attempting to preserve their own valued patterns of experiencing childbirth.

Cultural Belief Systems and Practices #2

Advanced medical technology has become common in childbirth; not necessarily leading to healthier newborns and mothers.

Women in the United States have a higher risk of dying from pregnancy-related complications than those in 40 other countries.

Health disparities in the United States play a role in increased:

Maternal morbidity

Maternal mortality

Question #1

Is the following statement true or false?

In contemporary Western society, an increase in the number of women in the work force, advances in reproductive technology, self-care, alternative therapies, the explosion of health information available on the Internet, and the influx of immigrants and refugees have dramatically affected pregnancy and birth practices.

Answer to Question #1

True

Rationale: Pregnancy and childbirth practices in contemporary Western society have seen dramatic changes over the past three decades. An increase in the number of women in the work force, advances in reproductive technology, self-care, alternative therapies, the explosion of health information available to consumers on the Internet, and the influx of immigrants and refugees are but a few of the trends that require nurses to examine and rethink how they can better care for their clients.

Fertility Control and Culture #1

Fertility depends on:

Likelihood of sterility

Probability of conceiving

Intrauterine mortality

Duration of a postpartum period

Fertility Control and Culture #2

Cultural and social variables influencing fertility :

Reproductive health

Residence patterns

Diet

Religion

History of abortion

History of venereal disease

Regulation of birth intervals

Fertility Control and Culture #3

Societal factors influencing reproductive rights and population control:

Contraceptive methods: fertility controls versus natural methods

Refugees and reproductive health: barriers to reproductive health

Religion and fertility control: beliefs

Cultural influences on fertility control: misconceptions

Pregnancy and Culture #1

Pregnancy is a special transition period often influenced by customs and beliefs that dictate:

Activity

Behavior

Prescriptive beliefs, phrased positively, describe what should be done to have a healthy baby.

Restrictive beliefs, phrased negatively, limit choices and behaviors; practices/behaviors that the mother should not do in order to have a healthy baby.

Pregnancy and Culture #2

Customs and beliefs:

Nursing care during pregnancy

Biologic variations: knowledge of certain biologic variations resulting from genetic and environmental backgrounds

Example: genetic disorders, diabetes

Cultural variations

Pregnancy and Culture #3

Cultural variations

Alternative lifestyle choices: pursuing careers, same- sex parenting

Nontraditional support systems: perception of the need for care

Cultural beliefs related to:

Parental activity

Food taboos/cravings during pregnancy

Examples: same-sex couples, supernatural consequences, pica

Pregnancy and Culture #4

Cultural variations (cont.)

Cultural issues impacting prenatal care

Cultural interpretation of obstetric testing

Cultural preparation for childbirth

Question #2

Is the following statement true or false? Transcultural Perspectives In Childbearing Discussion