Women's care, a New Model for Maternity Care - 2011 proposal

Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011

Women

’s

Ca

rePresently, there is a

huge shift in maternity care in the US.

Women Want More Options, a New Model for Women’s Care by Heatherlee Nguyen


Women Want More OptionsA New Model for Women’s Care

Proposed by: Heather Lee Nguyen


Women

’s

Ca

reMore than four million babies are born in the US each year, and the details of how, when, and where they arrive are always shifting.

-BabyCenter.com, 2009


Maternity Care in the US

Many expectant parents switch providers mid-pregnancy... but WHY?


Expectant Parents Survey(300+ responded)

Page 02

“I was told what would happen not asked”

“I felt like just a number”“It was an

uncomfortable, cold environment and

a long wait”

“No place for my kids to play”

“I didn’t feel I was getting

educatedabout my

body or birth”“They brushed off

my desired birth plan”

Team Mom (Heatherlee Nguyen) • Redesigning Women’s Care • Spring 2011 Page 02

“I was told what would happen not asked”

“They brushed off

my desired birth plan”

SERVICE SURROUNDINGS

SUPPORT

Page 03

What’s Important to Women?


PERSONAL RELATIONSHIPS

ENVIRONMENTALCOMFORT

SELF-EFFICACY

SUPPORT


PERSONAL RELATIONSHIPS *SERVICE*


“(The) provider knew me personally, not just (as) another patient.The relationship that developed

gave me confidence in their ability to do their job well.”

http://www.birthcenters.org/birth-center-faq/what-people-say.php


Two Separate Models of Care

Midwifery or“Humanistic” Techno-medical

Pre-historic 1920s - present


According to this model, the emotions of a woman have a very real impact on the well-being of the baby. The importance of

companionship and encouragement is emphasized.

“Only with trust, faith, and support can the woman allow the birth experience to enlighten and empower her.” - Claudia Lowe

Midwife means “with woman”


Self-Efficacy

*Self-efficacy is directly related to health behavior.

Self-efficacy pertains to a sense of control over one’s environment and behavior. According to Social Cognitive Theory (SCT; Bandura, 1997), a personal sense of control

facilitates a change of health behavior.


DIY (Do It Yourself)

WEIGH STATIONSURINE SAMPLESBELLY MEASURE

GIVES WOMAN CONTROL OVER HER BODY

SAVES TIME

MORE PERSONAL ATTENTION


Birth is not only about making babies. Birth is about making mothers - strong, competent,

capable mothers who trust themselves and know their inner strength.

- Barbara Katz Rothman


GIVE WOMEN/FAMILIESMORE OPTIONS - INFORM THEM AND THEN ALLOW

THEM TO CHOOSE

Paperwork is done digitally

Large wall of providers from both models of care shown

visually on screen, each witha sound bit about who they

are (education, personal interests, practice interests,

hobbies, etc.)

Multiple headphone stations

Kids’ interactive play area

Educational sound bits looped(digital/tactile library)

A

B

C

D

E


AB

C

D

E


EDUCATE PATIENTSAND ENABLE

HOME ACCESS


ENVIRONMENTAL COMFORT*LABOR/DELIVERY ROOMS*


Comfort plays a central role in our lives.

*

EACH WOMAN HAS THEIR OWN DEFINITION OF COMFORT


The midwifery model of care is female-centered. Within it, birth is something that women do - not something that happens to them. The

birthing woman is the central agent. The essential oneness of mind and body and the power of women is recognized.

The techno-medical model of care is a product of the industrial revolution. By the 1920’s the US and Canada had become the first societies to do away with midwifery, only to find out some decades

later that women still wanted midwives and to learn about the options available for them through their labor and birth.

Reworded from Ina May Gaskin (the nation’s leading midwife) Ina May’s Guide to Childbirth


WHO ARE WE SERVING?3 CORE PROFILES


Home Birth enthusiasts

Laura and Paul have had two home water births. They feel birth is a natural process, not a medical emergency. They feel most comfortable in a home-like setting. After moving to a different state they found out their insurance would not cover home births and that they would have to deliver in a hospital setting. What would their room look like?

FAMILY A


Birth Center enthusiasts

Gia and Christopher birthed their previous children in a free standing birth center. They enjoy a relaxing, soothing environment and feel most comfortable with multiple options in which to give birth. Their

preferred midwife has since transferred to a hospital. What would their room look like?

FAMILY B


Hospital Birth enthusiastsMegan and Jameson prefer hospital settings. They feel they are more clean and capable of handling tough situations.

They want to be near surgeons because of two previous C-sections. What would their room look like?

FAMILY C


Mothers have healthier births when relaxed andcomfortable, therefore

it is best to offer differentstyled L&D rooms.

FAMILY A: will get a “homey” environment

FAMILY B: will get a “spa-like” environment

FAMILY C: will get a “sterile” hospital setting

ALL ROOMS:balcony (view), birthing tubbirthing ball, ceiling rope,couches, library, bassinet

COMMON AREAS:kids area, family theater, full kitchen, sunny garden

all with easy access within a circular design.


SUPPORT CHANGE AND CHOICE IN BIRTHING POSITION

“If we wish to obtain an idea of the natural position we must look to the woman who is governed by instinct, not by prudery; and it is only among the savage races that we shall find her at the present day. In this

purely animal function instinct will guide the woman more correctly than the

varying customs of the times.” -George Engelmann, Labor Among Primitive Peoples


Pages 227-229 Ina May’s Guide to Childbirth


Pages 227-229 Ina May’s Guide to Childbirth

Moving Forward...

Your mission at Allina Hospitals and Clinics is to remain innovativeand continue being a leader in collaborative efforts of health care.

Now is the time to join in the conversation about reinventing Women’s Care.


Let’s work together to pioneer this huge shif t in women’s care.

THANK YOU!

[email protected] 612 - 715 - 6007

Women's care, a New Model for Maternity Care - 2011 proposal

Health & Medicine

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