You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your responses must be substantive and not just agreeing with someone’s work. You need to add by explaining more, refuting a point or correcting a point. a minimum of 150 words and one reference with in text citation, one reference for each respond.
Discussion 1 (Geanny)
Module 2 Discussion
Prenatal Care Areas
In a culturally congruent environment, there are critically important factors should be considered and addressed when implementing interventions to provide culturally-appropriate pre-natal care for families, communities, and society. Breastfeeding and pre-term labor and birth will critically accommodate the concern of health promotion in prenatal care. According to the researchers, considerations of cultural factors in prenatal care provide an effective arena for effective articulation on improving access to skilled maternity care; providing high-quality, respectful care; and community participation (Jones et al. 2017). Thus, an effective discussion on the factors and areas such as health promotion and therapeutic interventions is necessary to build a robust prenatal care education and training for Amish families for an effective and cultural-appropriate environment.
Breastfeeding is crucial to an infant with essential calories, vitamins, minerals, and other nutrients for optimal growth, health, and development. In the Amish case, effective breastfeeding and breast milk are critical for the pre-term child’s growth and development. Breastfeeding is beneficial to both a mother and her infant and also offers an important opportunity for the pair to bond. For example, the families should accommodate strategies such as using breast milk only for six months after birth, then slowly introducing solid foods while still breastfeeding until age one year. Accommodating health promotion in breastfeeding and pre-term labor and birth will be critically accommodating the concern of health promotion in prenatal care (NIH, 2022). The areas for addressing significant articulations steps of managing preterm-birth that occurs in families. Breastfeeding is a crucial area of discussion as t provide effective articulation to feeding and health management of the mother and child in Amish family. Additionally, the understanding concept of preterm birth causes a comprehensive articulation for the Amish families is a critical area that needs address in the prenatal care discussion.
Similarly, the Amish elementary school needs to accommodate fundamental cultural consideration in prenatal care for premature births including family dynamics, provider doctors when handling such prenatal care interventions, religious beliefs and values and communication styles Family dynamics is one fundamental consideration that requires the effective address to ensure a culturally-congruent platform for prenatal care and interventions for the Amis Family in the case scenario. Notably, the family dynamics describe patterns of interactions among relatives, accommodating roles and relationships, and the various factors that shape their interactions. Fundamentally, family factors are critical in managing emotional, physical, and economic support, they are one of the primary sources of relationship security or stress and issues such as prenatal care and premature care education like in Mary’s family. Noteworthy, considering families’ relationship and interactions style with healthcare and community including reserved and open family such topics such as pregnancy require a significant platform for family dynamic awareness to establish a culturally competent and congruent environment for discussion. Furthermore, considerations of the gender of the provider in prenatal care education and services are another fundamental consideration. Notably, some family members prefer providers of the same gender to those of different gender, while other families are more comfortable with different genders. Therefore, cultural awareness in prenatal care discussion is one fundamental area that needs to accommodate family dynamics, providers’ gender, communication, and religious and cultural beliefs for effective and quality care delivery.
Jones, E., Lattof, S.R. & Coast, E. (2017). Interventions to provide culturally-appropriate maternity care services: factors affecting implementation. BMC Pregnancy Childbirth 17, 267 (2017). https://doi.org/10.1186/s12884-017-1449-7
Discussion 2 (Adiana)
Amish Values and Culture
I would encourage Mary to establish a reproductive birth control strategy. The majority of Amish families have not adopted any birth control measures. They should agree as a couple on the desired size of their family. Then I will explain to them various birth control measures. They believe that birth control interventions obstruct God’s will about childbearing and are unwilling to adopt high technology measures. I will inquire from them if they can apply natural family planning measures based on their physician’s advice. Mary and her husband can apply natural calendar-based safe and unsafe days and withdrawal methods and check the ovulation cycle.
The second area to deliberate with Mary is adhering to the follow-up program and seeking medical attention. I understand that Amish families’ view about health and ailments is different. They engage traditional health caregivers and also non-traditional caregivers. That is why the physician advised baby Melvin hospitalization if his condition did not improve within two days. Mary needs to know that if Amish women are consistent with prenatal care programs, it will curb certain complications and congenital disabilities.
It is also paramount to adhere to follow-up programs for both the mother and the baby to address complications. I will engage Mary and her spouse to confirm if they can consent to their baby’s hospitalization and that it requires medical attention, which involves the use of high technology and use of drugs in treating the baby (Rohr et al., 2019). The medical practitioners are willing to be considerate about providing care relevant to Amish culture. The majority of Amish families have not secured insurance health policies, but their family members and the community at large can cater for their expenses.
It is prudent as a health care practitioner to conduct a prenatal class intervention that is culturally congruent with Amish beliefs. The Amish culture believes babies are a gift from God, so they do not engage in birth control measures. The Amish believe fertility is a gift, so they do not engage in family planning measures since they do not want to hamper God’s will about reproduction. The culture does not consent to therapeutic abortions and also prenatal testing. It is crucial to highlight the advantages of birth control measures and the various natural and available artificial ways of birth control measures. They should know that birth control measures assist in curbing unwanted pregnancies but not God’s divine will. As a medical practitioner, I will let them know the various natural birth control measures they can use, such as calendar-based safe and unsafe days, withdrawal methods, and checking the ovulation cycle. A medical practitioner can assess to give the best advice on which birth control pills best fit an individual.
Amish patients usually begin prenatal care in the first trimester if it is a first-time pregnancy. Still, for subsequent pregnancies, prenatal care begins later in scenarios with no complications. The determining factor in the number of prenatal visits and when to begin them is the expenses to be incurred and how far the health facility is located. The frequency of prenatal visits is reduced to reduce the expenditure on prenatal visits.
Amish culture prefers prenatal care that engages the services of lay or nurse-midwives and home delivery, and they do not like involving advanced technology. During childbirth, they use herbal treatment, which they believe eases uterus and nerve pain and alleviates labor pains (Farar et al., 2018). Some herbs they use are red raspberry Leaves, Butcher’s Broom Roots, and squaw vine root.
Coherent prenatal care is paramount to pregnant women, and one should seek medical attention during delivery. The medical practitioner needs to inform them about the future prenatal visit and when they should receive the appropriate prenatal care and vitamin supplements. It is always good to inform healthcare providers if they cannot make it to the health facility so that a home visit can be organized. The use of herbal treatment is okay as long as it has no negative effects on the mother and the child and does not interfere with medication administration.
Amish culture believes that men prefer to be involved during the delivery procedure. The delivery procedure can take place at home or in a health facility. Amish women, while giving birth, usually have a special soft-colored gown. Nurses can be assigned to accompany Amish husbands in the delivery rooms. The special gown they wear should be clean and disinfected.
Rohr, J. M., Spears, K. L., Geske, J., Khandalavala, B., & Lacey, M. J. (2019). Utilization of health care resources by the Amish of a rural county in Nebraska. Journal of community health, 44(6), 1090-1097.