回顾母婴护理-母婴护理-护理学-25.ppt

Review of Maternal-Infant Nursing 徐丽华 上海交通大学护理学院 2006－4－27 Trends in Maternal-Infant Nursing Care Development standard of care, certification, advanced practice nurses Home Health care for postpartum women, discharge from Hops. 12-24 hours after delivery, high risk infants discharge home earlier than before Consumer involved in the childbearing care: Child birth class, sibling present, breast-feeding, birthing environment (LDR, LDRP), father’s involvement, parents leave option for family with newborn Maternal Nursing concerns areas Prenatal care Low birth weight Mother and infant with HIV infection Adolescent pregnancy Drug and substance abuse during pregnancy Social/family stress and impacts to pregnant women and family Use and care for pregnant women Special Issues in Women’s Health Violence Sexual Transmitted Diseases: HIV/AIDS 86% of pediatric AIDS cases are transmitted through vertical transmission of HIV Substance abuse Other diseases: Heart diseases, cancer, osteoporosis, eating disorders The Menstrual Cycle Ovarian Cycle: 1. Follicular phase: stimulated with FSH to promote the development of follicles Estrogen-follicle mature-negative feedback to hypothalamus and anterior pituitary gland – inhibiting FSH secretion 2. Ovulation: increase in body temperature (progesterone secretion), fern pattern of the cervical mucus, spinnbarkeit “elasticity of the ovulatory”due to secretion of the estrogen The Menstrual Cycle 3.Luteal Phase: Corpus luteum and anterior pituitary gland will secret luteinizing hormones (the decrease in Estrogen and progesterone – positive feedback to Hypothalamus and anterior pituitary- stimulating the secretion of FSH 4. Premenstrual phase: Decline in estrogen and progesterone The Menstrual Cycle Endometrial Cycle: Proliferative phase Secretary phase Menstrual phase Question FSH stimulates which processes in the menstrual Cycle? Thinking of endometrium Maturation of follicle Decrease in basal body temperature Increase in