Monday, December 9, 2019

The Provision of Medicare Services-Free-Samples for Students

Question: Identify and Explore how Jehovah's Witness Woman has Potential Impact on the woman and her unborn baby accessing maternity care and receiving quality Prenatal Care. Answer: Midwifery The healthcare sector is one of the most sensitive areas of concern as far as healthy living of every individual is concerned. However, there is a collision of approaches of the provision of Medicare services emanating from the fact that patients are endowed with particular right regarding the choice of medication. The Medicare providers do not have much power to object their patients preferences hence calling on for harmony creation to find a long lasting solution whereby none of the parties will be feeling unconsidered. In particular, the midwifery department proves critical due to the complications underlying the sector. Arguing along that line, Jehovah witness women do not condone the blood transfusion, an activity that could lead to serious health problems. Medically, blood transfusion is very important in saving ones life and enhancing fast recovery. In this case, assessing the impacts of the refusal of blood transfusion by pregnant Jehovah witness woman and her unborn baby wil l be important in gaining the in-depth understanding of the subject. Denial of blood transfusion in a situation of antepartum hemorrhage by the pregnant woman could predict prolonged labor pains during delivery. Actually, during prenatal care, there is a tendency of a pregnant woman to experience antepartum hemorrhage (Hubbard, Waters Yazer, 2015). Labor pains are directly related to the level of hemoglobin the pregnant woman has during delivery. Actually, with a small degree of hemoglobin, blood-pumping nature of the heart to evoke expansion and contraction of vaginal canal will be reduced. Antepartum hemorrhage commonly occurs in the early week of pregnancy. It is worth noting that during such time, the pregnant woman is in dire need of extra blood through a process called blood transfusion. Loss of blood may be internal as well as vaginal. Also, the refusal of the pregnant woman during prenatal care can lead to the formation of the unhealthy fetus. The unborn child might contract sickle cell anemia due to lack of essential blood elements before bi rth (Hubbard et al., 2015). Since the fetus receives food and other key elements of growth through blood, failure to accept blood transfusion will cause abnormal growth of the fetus. Hendriks, Zwart, Brit, Brand and van Roosmalen (2013) posit that inability to receive blood on time from the mother can lead to internal disease infections that could damage the reproductive system to the extent of paving the way for infertility. In fact, hemorrhage may occur during prenatal care due to sexual intercourse. The different weight of the fetus may also prove disastrous hence leading to blood loss (Kidson?Gerber et al., 2016). Hemorrhage implies that some internal organs of the pregnant woman have been injured. In that case, blood transfusion more so installation of white blood cells that take care of immunity and infection, as well as platelets that facilitate coagulation of blood to aid in clotting, is necessary. Injured nature of the reproductive system of the pregnant woman will undoubtedly lead to infertility hence rendering her infertile. Lack of blood transfusion may lead to contracting of anemia by the pregnant woman during postpartum hemorrhage. The implication is that the woman will continue facing challenges regarding blood loss even after giving birth. The situation worsens particularly when cesarean delivery is detected. Undergoing Cesarean implies that a lot of blood will be lost hence putting the mother at risk of dying due to delivery failure (Kim, Lee Kim, 2015). The standard delivery also might call for blood transfusion. Although the child born might be safe after childbirth, there are cases where placental fragments are left inside the uterus. Removal of placental fragments paves the way for hemorrhage hence proving blood transfusion necessary to save the mother from contracting anemia. In conclusion, blood transfusion is essential for the well-being of the unborn child and the mother. White blood cells, platelets, and the plasma are important blood element critical to healthy pregnancy and delivery. Jehovah witness women should consider blood transfusion to evade unnecessary maternal complications. References Hendriks, J., Zwart, J. J., Brit, E., Brand, A., van Roosmalen, J. (2013). The clinical benefit of blood transfusion: a hypothetical experiment based on a nationwide survey of severe maternal morbidity.Vox sanguinis,104(3), 234-239. Hubbard, R., Waters, J. H., Yazer, M. H. (2015). Heterogeneity in Blood Product Acceptance Among Antenatal Patients of the Jehovah's Witness Faith.Obstetrics Gynecology,126(5), 974-977. Kidson?Gerber, G., Kerridge, I., Farmer, S., Stewart, C. L., Savoia, H., Challis, D. (2016). Caring for pregnant women for whom transfusion is not an option. A national review to assist in patient care.Australian and New Zealand Journal of Obstetrics and Gynaecology,56(2), 127-136. Kim, T. H., Lee, H. H., Kim, J. M. (2015). Recommendations for postpartum hemorrhage in women who decline blood transfusion.Acta obstetricia et gynecologica Scandinavica,94(7), 786-786.

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