decrease in children born with certain genetic abnormalities such as down

Decrease in children born with certain genetic

This preview shows page 34 - 37 out of 44 pages.

decrease in children born with certain genetic abnormalities such as down syndrome Maternal Mortality: ­ 650 women die in US every yr due to preg ­ during pregnancy and a year after birth ­ from a complication of preg ­ 21 maternal deaths/100,000 live births ­ in TX 95 women died in 2010, compared to 44.5 mortality rate for heart disease Infant Mortality: ­ death in first yr ­ US 6/1000 ­ significant race disparity, tied to birth rate ­ TX 64% in first 27 days ­ Leading causes: ­ congenital malformation ­ disorders due to short gestation ­ sids ­ complications of preg/placenta 11/10/15
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Childbirth: in 2012 about 4,000,000 babies born everyday Childbirth in 2010: ­ avg. age at first birth for women = 25.4 yrs ­ slight increase over past years ­ preterm birth rate (<37 wks) was 11.99% (declining), early preterm (<34 wks) was 3.5% ­ 32.4% C­section, only 1.2% of births at home ­ mainly hospital births Vaginal birth: ­ three stages ­ contractions (begin at abt 3cm dilation) ­ birth (dilation abt 10cm) ­ placenta ­ water breaking only happens about 10% of births ­ more often happens during birth ­ Braxton hicks contractions ­ Pain control: ­ non­medical: homebirth, water birth, meditation, etc (Business of Being Born) ­ medical: epidural analgesia ­ episiotomy: ­ small incision made on perineum to enlarge vaginal opening Cesarean Section (C­section) ­ incisions made through mother’s abdomen and uterus and to deliver one or more babies ­ recommended when vaginal delivery might pose a risk to a woman ­ breech baby = feet first ­ major abdominal surgery: ­ surgical complications ­ maternal rehospitalization more common ­ costs are double ­ reasons for: ­ birth complications (large baby, previous c­section, breech, retrieving early) ­ inducing labor ­ doctor convenience ­ parental convenience Average stats: ­ b/w 6­9 lbs ­ double in weight by 4 months Kangaroo care: naked baby to naked parent's chest ­ benefits: reduced infant mortality (70% to 30% Bogota Colombia) ­ stabilizes baby heart rate, breathing, and temperature ­ more sleep & less crying ­ improves bonding and confidence of caregivers
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Feeding: ­ no solid foods before 4 mos of age (6 mos if possible) ­ only breastmilk or formula Breastfeeding: ­ recommended for first yr of baby’s life (77% of mother’s attempt; 13% exclusively breastfeed through 6mos) ­ “free” ­ healthier? ­ immunity boost 1st 6 wks may be key ­ promotes skin to skin contact ­ feedback system ­ iq boost? ­ helps shrink uterus back to size ­ may lower risk of breast cancer ­ can be emotionally and physically exhausting ­ 18­40 oz/day (birth­6mos) ­ take a class ­ partner should be involved ­ your work situation will greatly affect your ability to breastfeed 11/12/15 Breastfeeding: ­ babies who were breastfed were more likely to be reported to have asthma ­ higher economic status = more likely to breastfeed ­ has time to take off work and care for baby than go straight back to work Formula v Breastmilk: ­ not a lot of science to support that breastmilk is better than formula ­ formula:
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