Contemporary Maternal-Newborn Care

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Grantly Dick-Read

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introduced the concept of preparing the mother and father for childbirth and allowing the father to participate in labor and the birth

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Arnold Gesell

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Supported the practice of rooming-in so that newborns could remain in the hospital rooms with their mothers

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John Bowlby

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Described the tragic effects of maternal deprivation on children

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family-centered care

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Advanced in the late 1950's by the Fam;ily-Centered Maternity Care Program established at St. Mary's Hospital in Indiana. Based on conceptthat a hospital could provide professional services to mothers, fathers and infants in a home like environment that would enhance the integrity of the family unit.

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The Sheppard-Towner Act of 1921

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First federal legislation to provide funds for state programs in maternal and child care. This act was in force until 1929.

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Maternity and Infant Care Projects

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1964, were begun by the Public Health Service of the DOH, Education, and Welfare. These projects were started in 56 geographic areas where maternal and infant mortality rates were much higher than the national average.

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WIC (Women, Infants, and Children)

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a supplemental food program, was established in 1975 to provide food and nutrition counseling to low-income families.

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Certified Nurse-Midwife (CNM)

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Educated in the 2 disciplines of nrsg & midwifery and possesses evidence of certification according to the requirements of the American College of Nurse-Midwives. Trained to mange independently the care of women at low risk for complications during pregnancy and birth and the care of normal newborns.

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Biopsychosocial Approach

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Recognizes the influence of the prenatal environment and the quality of parenting on the growth and development of the child

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Perinatology

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medically specialty concerned with the diagnosis and tx of high-risk conditions of the pregnant woman and her fetus.

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Neonatology

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Is the specialty that focuses on the management of high-risk conditions of the newborn.

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Ultrasound

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examination is used to assess fetal status. High-frequency sound waves are directed into the maternal abdomen to identify fetal and maternal structures.

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Amniocentesis

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Amniotic fluid is removed from the amniotic sac for analysis. Amniotic fluid analysis provides information about the fetus's genetic makeup, well-being, sex and maturity.

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Chorionic Villus Sampling

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Used very early in pregnancy to obtain a sample of tissue (chorionic villi) from the edge of the placenta. Testing may then be completed for genetic studies.

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Electronic fetal monitoring

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is attached to the pregnant woman or the fetus to measure the FHR. Can be used to determine fetus's ability to withstand the stress of labor before it begins

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Intrauterine Surgery

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surgical attempt to correct fetal problems while the fetus is still in the uterus

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Infertility Procedures

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Artificial insemination, in vitro fertilization & embryo transplants are techniques use to treat infertility.