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Session 12 The Current State of Maternity Care
Session 12
The Current State of Maternity Care
Reducing Infant Mortality
Current Trends in the United StatesRate of Induced Birth
Year Rate1989 9%1997 18%2001 20%2003 27%2006 Estimated to be as high as 40%
200% increase since 1989
Current Trends in the United States
Epidural Rates in 2005Race/Ethnicity RateWhite 71%Black 65%Hispanic 58%All Women 67%
Most women have epidurals
Current Trends in the United States
32% Cesarean Birth Rate
Current Trends in the United States
Current Trends in the United States
Current Trends in the United States
Perinatal Mortality Rate from 1940s to
2000s
Year Rate1940s 45.01950s 32.21960s 28.61970s 23.01980s 13.21990 9.21995 7.62000 7.02001 6.92002 6.92003 6.82004 6.72006 6.6
Current Trends in the United States
Prematurity? A Glimmer of hope?
•41% Induction•71% CEFM•65% AROM•76%-90% Pain meds•85% No Food•76% No Mobility
What to Expect?
60% Vaginal Birth
(2006 Listening to Mothers II)
What’s Behind This Trend?
Political and financial interests?
Cultural influences?
Legal and liability issues?
… on how you see birth.
Maternity care depends …
PhysiologicPsychologic
“Holistic”
Industrial/Mechanized
“Technocratic”
Physiological-Psychologic
Optimal health
Born the way nature intended
Industrial-Mechanized
Reliability
Predictability
Physiological-Psychologic
Wide
Inclusive
Industrial-Mechanized
Narrow
Selective
BreechPresentation
Physiological-Psychologic Industrial-Mechanized
What Can You Get?
Physiological-Psychologic
Risk is inherent to life
Parents presume risk
Industrial-Mechanized
Avoid risk at all costs
HCPs presume risk
Learning Tasks - 6 minutes
1. Think about the effects of current maternity care trends on women, families, babies and choices. Name two consequences of today’s current maternity care trends.
2. Think about your future clients. What kind of care will they likely receive?
PP IM
3. What maternity care providers are more likely to use the physiologic/pshychologic model?
Organizations working to Normalize Birth
THE END
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THANK YOU!
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