Maternal-Newborn Cultural Issues Affecting Intrapartum and Neonatal CareFollowing this module, the health practitioner will have an enhanced competency to work with childbearing families from various cultural backgrounds.ImmigrationCulture and ChildbirthSlide 5Maternal AspectsFetal AspectsHow Complications Affect mother and babyRISK FACTORSHealth CareStereotyping vs. GeneralizationsSpecific Cultural Behaviors Affecting Childbirth Options and the NeonateAsian CultureSlide 14Slide 15Slide 16African AmericanAfrican American CultureAfrican AmericanSlide 20Slide 21Native American IndianNative American Indian Berries for nutrition and medicineSlide 24Hispanic (primarily Mexican) CultureHispanicSlide 27Muslim CultureMuslimsSlide 30Slide 31BibliographyBibliography ContinuedChildbirth OptionsMaternal-Newborn Cultural Maternal-Newborn Cultural Issues Affecting Intrapartum Issues Affecting Intrapartum and Neonatal Careand Neonatal CareBy Patricia M. Dillon RN, MALaGuardia Community CollegeFollowing this module, the health practitioner will have an enhanced Following this module, the health practitioner will have an enhanced competency to work with childbearing families from various cultural competency to work with childbearing families from various cultural backgrounds.backgrounds.OBJECTIVES:OBJECTIVES:Recognize the need to assess and validate the cultural beliefs and Recognize the need to assess and validate the cultural beliefs and traditions of patients associated with the different ethnic groups.traditions of patients associated with the different ethnic groups.Identify the need to examine one’s own beliefs and values in an Identify the need to examine one’s own beliefs and values in an attempt to remain non-judgmental when caring for multicultural attempt to remain non-judgmental when caring for multicultural clients. clients. Distinguish the difference between the terms generalization and Distinguish the difference between the terms generalization and stereotype.stereotype. List examples of cultural beliefs and traditions in identified ethnic List examples of cultural beliefs and traditions in identified ethnic groups that could affect maternal health and birthing options. groups that could affect maternal health and birthing options. List examples of cultural beliefs and traditions in identified ethnic List examples of cultural beliefs and traditions in identified ethnic groups that could negatively affect fetal/neonatal well being.groups that could negatively affect fetal/neonatal well being.Discuss interventions to promote positive outcomes following the Discuss interventions to promote positive outcomes following the pregnant family's experiences with the childbirth and the health pregnant family's experiences with the childbirth and the health delivery system.delivery system.ImmigrationImmigrationImmigration and diversity have always been at Immigration and diversity have always been at the core part of American history. These continue the core part of American history. These continue in momentum in the present and will continue to in momentum in the present and will continue to exist into our future. exist into our future. ““To address their patients’ individual needs To address their patients’ individual needs effectively, health care practitioners must effectively, health care practitioners must acknowledge the need for a substantially broader acknowledge the need for a substantially broader base of information and understanding (1998 base of information and understanding (1998 Conference Proceedings –The Growing Diversity of Conference Proceedings –The Growing Diversity of American Society).American Society).Practitioners have to be prepared for the possible Practitioners have to be prepared for the possible “risk” problems that may occur in immigrants and “risk” problems that may occur in immigrants and their children.their children.Culture and ChildbirthCulture and ChildbirthThe meaning of childbirth is unique to each The meaning of childbirth is unique to each culture. culture. Cultural beliefs and traditions often play a Cultural beliefs and traditions often play a major role in childbirth.major role in childbirth. Many of these traditions may be harmless Many of these traditions may be harmless and some may be beneficial, but others can and some may be beneficial, but others can be damaging to both mother and infant.be damaging to both mother and infant.Childbirth is experienced very differently by Childbirth is experienced very differently by each woman and man.each woman and man.It is personal and unique, influenced by:It is personal and unique, influenced by:1) cultural beliefs1) cultural beliefs2) traditional practices2) traditional practices3) age 3) age 4) education4) education5) gender5) gender6) and other variables (stress, 6) and other variables (stress, personality, parity and spiritual beliefs).personality, parity and spiritual beliefs).Changing demographics and the continuous Changing demographics and the continuous influx of immigrants has led to a growing influx of immigrants has led to a growing national awareness of differences and rising national awareness of differences and rising issues surrounding culture, ethnicity, race, issues surrounding culture, ethnicity, race, age, gender, and sexual orientation in the age, gender, and sexual orientation in the United States.United States.Maternal AspectsMaternal AspectsGlobally, more than 500>000 maternal deaths take Globally, more than 500>000 maternal deaths take place yearly, with the majority occurring in place yearly, with the majority occurring in developing countries, but with the arrival of more developing countries, but with the arrival of more and more immigrants, the potential risks increase and more immigrants, the potential risks increase even here in the US. even here in the US. The major complications that result in most The major complications that result in most maternal deaths everywhere are:maternal deaths everywhere are:1) hemorrhage1) hemorrhage2) sepsis2) sepsis3) pregnancy induced hypertension (PIH) 3) pregnancy induced hypertension (PIH) 4) dysfunctional labor4) dysfunctional labor5) abortion5) abortionFetal AspectsFetal AspectsMaternal complications ultimately affect the fetus/neonate as Maternal complications ultimately affect the fetus/neonate as well causing about 8.1 million infants (about well