One of the first things I would want to discuss with Mary is developing a plan for her reproductive life. I know that most Amish families don’t practice contraception to limit family size, and as a nurse, I can help her plan for her future pregnancies. As a couple, they decide what family size is needed and I will discuss with them how contraception will work for them. Perhaps it is enough to have five children and reduce unwanted pregnancies, and they can choose to use contraception. I learned that they believed that contraceptive methods interfered with God’s will and that they wanted to avoid using high technology whenever possible. I need to learn if some natural methods are acceptable for them if they are recommended by their doctors based on their health condition so that I can assist them with the various natural methods and use them properly for effective family planning. There are different ways to try to get pregnant using natural methods, such as the calendar rhythm method, withdrawal, basal body temperature and cervical mucus or Billing’s ovulation method.
Another important issue to consider is the follow-up schedule and provision of medical services. The Amish family knows that their baby Melvin is having respiratory problems and their doctor has told them that if Melvin doesn’t improve within two days, he will need to be hospitalized. A regular attendance at prenatal care visits will help pregnant Amish women learn more about their pregnancies and develop a plan. It also helps reduce the risk of complications and defects. After delivery, follow-up tests are necessary to check the mother and newborn’s condition and any existing complications, and to help them manage their condition.
1. Discuss three Amish values, beliefs, or practices to consider when preparing to do prenatal education classes with Amish patients.
When teaching prenatal classes, it is important to be aware of some Amish beliefs and practices to provide them with the best possible care. By practicing cultural congruent nursing interventions, we can ensure that their needs are met. In the Amish culture, babies are viewed as a gift from God, and families are happy to receive them. The Amish view fertility as a gift from their families and communities. Most Amish couples do not use birth control to limit their family size, because they believe this would be interfering with God’s will. Therapeutic abortions, amniocentesis, and other invasive prenatal diagnostic tests are also unacceptable. Amish folk wisdom is integral to their prenatal practices, for example: walking under a clothesline will result in a stillbirth, and crawling through a window or under a table will cause an umbilical cord to be wrapped around the baby’s neck. When teaching a prenatal education class to Amish patients, be sure to emphasize the importance of contraception and natural and artificial methods
Most Amish couples do not use contraception because they believed that the use of contraception interfered with God’s will, but as a nurse, contraception helps reduce unwanted pregnancies and does not interfere with God’s intervention. You need to understand that. Second, for Amish patients, prenatal care begins in the first semester of the first pregnancy and long after the subsequent pregnancy if the mother is okay. The distance to the doctor and the cost of care can affect the number of prenatal visits and the timing of the start of prenatal care. Prenatal visits are usually scheduled every 8 weeks instead of 4 weeks during the first two semesters to reduce spending. Prenatal care time. The Amish prefer prenatal care that emphasizes the use of nurse midwives, lay midwives, home deliveries, and less reliance on high technology.
During childbirth, they are using herbal remedies to make the process easier. It is believed that these herbs can calm the uterus, quiet the nerves, ease pain, and make labor easier and on time. In addition, it is known to be effective against menstrual disorders, morning sickness, and hot flashes. The herbs included in this formula are red raspberry leaves, Butcher’s Broom Root, Black Cohosh Root, Dong Quai Root, and Squaw Vine Root.
As a nurse, it is important to stress the importance of consistent prenatal care and the provision of medical services during labor and delivery. Have them be reminded of their next antenatal visit and provide them with necessary vitamin supplements and medical services during the antenatal period. If they are unable to attend, home visits should be made to make services easily accessible and accessible to them. Make sure they are examined and consulted by a doctor to answer their questions and concerns, and to encourage them to use appropriate medical services as naturally as possible and what they need. The use of their herbal treatments during childbirth is also considered if it does not interfere with the medical benefits of other services and does not have harmful effects on both mother and baby.
Next, in terms of their values and beliefs, it is generally accepted that men are more present during childbirth and that most husbands choose to be involved. Delivery may be at home with a midwife, at the birthing center, or in a hospital. One aspect to also consider during labor and delivery is that Amish women who labor typically wear soft, pastel-colored robes. As a nurse, you should discuss with them that nurses tasked with labor and delivery can help Amish women’s husbands be present during the delivery room is wearing a hazmat suit that conforms to hospital protocol for him to deliver her wife can witness. You are allowed to wear your chosen gown, if it is clean and disinfected before using it to avoid getting an infection.
Overdijkink, S. B., Velu, A. V., Rosman, A. N., Van Beukering, M. D., Kok, M., & Steegers-Theunissen, R. P. (2018). The usability and effectiveness of mobile health technology-based lifestyle and medical intervention apps supporting health care during pregnancy. Systematic Review. JMIR mHealth and uHealth, 6(4), e8834.
Kojima, G., Liljas, A. E., & Iliffe, S. (2019). Frailty syndrome: implications and challenges for health care policy. Risk Management and Healthcare Policy, 12, 2.