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Presentation 1

Maggie Brown

on 17 October 2012

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Transcript of Childbirth

trends past and present Childbirth In 2010, a total of 3,999,386 births were registered in the United States Cesarean
1,309,182 Vaginal
2,680,947 Increases use of pitocin Invented in 1588 by Peter Chamberlen obstetric forceps by 1951 90% of births took place in hospitals where women labored alone From home to hospital Not stated - 9,257 skilled in assisting women by providing comfort measures
provided nourishment
soothed & comforted women Midwifery model of care Historically only women attended women during childbirth 1956 Dr. Fernand Lamaze developed the Pavlovian technique of painless childbirth named after him Electronic Fetal Monitors arrived in the 1960's & 1970's Lamaze Method of Controlling Pain relaxation techniques natural childbirth breathing techniques fathers acted as coaches Current Trends Doula Care Reduces the need for cesarean deliveries by 50% Reduces the length of labor by 25% Reduces requests for pain medication by 30% Reduces the need for oxytocin (pitocin) by 40% Reduces the need for forceps by 40% Reduces requests for epidural anesthesia by 60% Increases the incidence of breastfeeding at 6 weeks postpartum Decreases the incidence of depression and increases self-esteem at six weeks postpartum Increases satisfaction of mothers with partners at 6 weeks postpartum Epidural 50 - 70% of birthing women have epidurals for pain relief Can slow down labor Can increase the length of labor Certified Nurse-Midwife (CNM) Midwifes in the 21st Century Certified Professional Midwife (CPM) Certified Midwife (CM) Direct-entry Midwives 92% of Midwife attended births occur in hospitals is birth a medical, potentially dangerous event to be managed with medical protocols and procedures? or is birth a normal life milestone that sometimes requires medical intervention? The question remains:
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