HDFS 2010 Lecture 6: HDFS 2010 Lecture #6

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-Medical Assistance -
Cesarean Section (C-Section):
-surgical birth
-fetus can be removed quickly
-rates and reasons for c-section vary
lower rates in poorer countries
higher rates in richer countries
1/3 of births in the US
-less trauma for the newborn but slower recovery for the mother
-subsequent cesarean deliveries may be necessary or VABC (vaginal brith after
cesarean)
-Reasons:
placenta previa
preeclampsia
failure to process
cephalopelvic disproportion
multiple gestation
previous c/s
other maternal or obstetric indication
health of infant
malpresentation/breech presentation
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Document Summary

Medical assistance : cesarean section (c-section): Rates and reasons for c-section vary: lower rates in poorer countries, higher rates in richer countries, 1/3 of births in the us. Less trauma for the newborn but slower recovery for the mother. Subsequent cesarean deliveries may be necessary or vabc (vaginal brith after cesarean) Reasons: placenta previa, preeclampsia, failure to process, cephalopelvic disproportion, multiple gestation, previous c/s, other maternal or obstetric indication, health of infant, malpresentation/breech presentation, cord prolapse, shoulder dystocia or head dystocia, abruption, other emergent, sti/std. Traditional and modern birthing practices : doula. Woman who helps with labor, delivery, breast-feeding, and newborn care. Associated with decreased labor length, use of labor-inducing drugs, use of pain medication by mother during labor, the rate of cesarean sections, lessens postpartum depression. Certi ed nurse midwife (cnm: must work under direction of physician, thus, more likely to do delivery in hospitals. Newborn survival : infant mortality has decreased due to better medical care (nicu)

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