391). (De Sevo, M. & Semeraro, 2010, p. 11) the implications being that the overmedicalization of the labor and delivery process has been well intrenchend in nursing culture and may influence increased rather than decreased medical intervention use for women, even when they would not necessarily have needed it. The challenge to nursing is then to begin to support a reduction in the use of epidural anesthesia as a result of the fact that this comfort measure has been over utilized despite its long list of known complications, some minor and short lived and some very serious. One of the issues that needs serious address in the nursing context with regard to the use of epidural anesthesia is the procedural policies associated with additional medical intervention required with epidural placement. Nurses need to be advocates for changing some of these mandatory intervention implementation care plans. Some examples important examples are mandatory urinary catheterization, and severe limitations of movement, and other less medical comfort measures during labor once an epidural is placed. In a great example of this need for advocacy is offered by Stremler, Halpern, Weston, Yee & Hodnett,
Given the potential beneifits of hands-and-knees positioning, it may be especially important to examine its use for women laboring with an epidural given that use of epidural is associated with persistent malrotation, longer second stage, use of oxytocin, and instrumental delivery & #8230;Because these deleterious outcomes may be related to pelvic floor laxity and less efficient descent and rotation through the birth canal, increasing mobility and optimizing relationships between the maternal pelvis and fetal head through the use of hands-and-knees may be beneficial (2009, p. 391).
These researchers contend that movement restrictions and other mandatory medical interventions used concurrently with epidural anesthesia should be challenged. Increasing the options available to those who chose...
elective or emergency childbirth, a choice between general and local anesthesia is often called for. Cognizing the surroundings helps the birthing process. Therefore, a local anesthetic administered via an intrathecal spinal injection or through a catheter in the epidural space will prove an advantage. Ratcliffe and Evans at John Radcliffe Hospital in Oxford, England attempted tested this advantage on more than 90 elective Cesarean parturients. (Ratcliffe & Evans, 1993)
For example, in these procedures it is often difficult to open the patient's mouth wide enough for laryngoscopy and intubation, thus creating the possibility that cardiopulmonary changes may be present and the "probability o lesions in oesophagus, bowel, kindneys, skin and joints." This information would not be known if not for this study and its reported findings. The study's conclusion is that the use of thoracic epidural anesthesia to sevoflurane
United States, medical pain control through the use of regional anesthetics such as epidural blocks or spinal anesthesia is the most popular from of child delivery (Childbirth). Doctors favor the epidural block because medication does not enter the mother's circulatory system, thus it does not cross the placenta and enter the bloodstream of the fetus. There are also many forms of non-medical pain control (Giving birth naturally: Techniques to
Conclusion: The changes in the age demographic of the U.S. As well as the need to reduce overall spending in health care are significant reasons why advanced practice and specialty provision practitioner's skill sets and demands have changed. It is for this reason as well as for patient efficacy that such a subspecialty should be offered at a postgraduate level to AAs. These advanced practice alternative providers can be successfully and
Public Health The rate of Caesarian sections has skyrocketed in recent decades in the United States, placing it far ahead of other industrialized nations. Historical overview of C-section rates in the U.S. Breakdown of C-section rates by race and access to insurance Why is this a public health issue? Higher morbidity and mortality rate for C-sections. Poor and minority women (and their families) affected at greater rates. One of the costs driving up healthcare in the United
Many women have today started to complain about their bitter experiences, and this has led to the creation of a birthing room at the hospital. The room is made to look more like a warm and cozy room at home, rather than a cold medically equipped room at a hospital. Since birthing is a warm and beautiful experience, most women do feel that they must be provided with an
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