Wednesday, December 4, 2019

Midwifery Care for Social and Psychological- MyAssignmenthelp.com

Question: Discuss about theMidwifery Carefor Social, Physical and Psychological. Answer: Midwifery care refers to the healthcare and support provided by midwives to the expectant mothers. It entails care during the pregnancy period, which is just before birth, the postpartum period and the care for the newborn babies. The process monitors the mothers holistic wellbeing in terms of social, physical and psychological during the childbearing cycle. The mother is provided with prenatal care, counseling, and education individually all with the aim of preventing health problems (Iserin, 2013). Midwifery care is important as it helps to detect any abnormal condition in the expectant mother hence preventing health complications during pregnancy. It also helps the expectant mother to seek medical assistance if necessary and setting up of emergency measures in instances whereby medical help is absent. Therefore, the essay will discuss the role midwives play to improve the health outcome for women with the cardiac disease during their pregnancy. Cardiac disease refers to the conditions which affect the heart whereby there are fatty deposits in the blood vessels; arteries leading to the patient being exposed to high chances of having blood clots. Pregnant mothers who have such a condition may be very sickly during the pregnancy period and their emotional requirements will be high, their needs may also be diverse showing potential complications. In this case, the midwifery care should entail aspects of cardiology and the midwives should be sensitive to the expectant mothers emotions to provide them with the emotional care needed due to their health conditions, this is imperative in order to improve their health condition Expectant mothers with cardiac disease should be taken care of by a multidisciplinary team comprising of a cardiac nurse, neonatologist, cardiologist, hematologist, and a specialized midwife and if pre-conception counseling has not been done, the wide wife should get a referral. The expectant mothers cardiac health should undergo frequent check, assessing the heart rhythm and the auscultation of both the heart and lungs. Midwifery assessment is important such as evaluating of drugs and their dosage during the antenatal period (Reimold Rutherford, 2014). During labor here should be the careful administration of the drugs that stop premature labor, this drugs should be friendly to the health condition and proper timing and mode of delivery should be taken into consideration. A close level of midwifery care is also important after birth. In conclusion, women with the heart conditions must get good preconception health care before getting pregnant as it may help prevent the death of some of them who may not be fit to give birth. Surgical correction of any problem discovered before pregnancy may also be helpful in terms of better outcome. It is also important for pregnant women with heart conditions to undergo auscultation of the lungs and heart because such conditions worsen during pregnancy and a referral to a more specialized practitioner may be helpful. These mothers are also advised to get pregnant at an early age. However, women to get pregnant at a later age should consider psychological support and midwifery that is evidenced-based. References Iserin L (2011) Management of pregnancy in women with congenital heart disease. Heart 85(5):493-494 Lee R (2015) Thromboembolism in pregnancy: a continuing conundrum. Annals of Internal Medicine 43(10):749-750 Reimold S, Rutherford J (2013) Valvular heart disease in pregnancy. The New England Journal of Medicine 349(1):52-60 Weiss B, Hess O (2010) Pulmosry vascular disease and pregnancy: current controversies, management and perspectives. European Heart journal 21,104-05

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