OB standard

Jamela Chiu and Pauline Chu 2nur2 Ma’am Estrada

Comparing western and Philippine standards and issues regarding maternal and child health care

A. Advanced Nurse Roles
Nurses are the ones primarily doing the health assessment and they expand their roles by not just being an educator or a following physician’s order. They also know how to look and assess a person and have a diagnosis which can help them determine the mother’s need. They can find signs that can lead them to modify their plan and make the most appropriate care management for them. They can order lab results and are also trained to read diagnostic test results and participate in research studies.
They collaborate with other health care teams to formulate a care plan and they motivate the patients to cooperate.

B. Ethical & Legal issues
Laws and bills:
Philippines, being a conservative country, has laws that ensure the rights of the fetus and even though bills (eg. RH BILL) are being proposed to be the solution for the problems in our country, we are still tentative and looking at it very carefully. The Filipino people believe that these bills can still have some reformations and that it will be less immoral and more ethical.
Western countries are more liberated that the Philippines, thus they have laws regarding the maternal and child health care (eg. Legal abortions).

Ethical Issues in Reproduction
Involve conflicts in which a woman behaves in a way that may cause harm to her or the fetus. Conflicts occur when the mother’s needs, behaviors or wishes may injure the fetus

Infertility Treatment
Perinatal technology has found was for previously infertile couples to bear children. But ethical concerns include the high cost and overall low success of some infertility treatments. Other ethical concerns focused on the fate of unused embryos- should it be kept for later use or for genetic research.

Surrogate parenting
It’s when a woman agrees to bear an infant for another woman. Conception may take place outside the body using ova and sperm from the couple then implanted on the surrogate mother. An issue closely related to surrogate parenting is the use of donor gametes or unused embryos from another infertile couple.

Fetal Injury
If a mother’s action cause injury to her fetus, whether she should be restrained or prosecuted had legal and ethical implications. Some courts issue jail sentences and in other case, some women are forced to undergo cesarean to prevent further injury to the fetus. However, forcing a woman to undergo a procedure because she is pregnant is attacking on a lot of rights that this woman have. This approach also raises the question of how much control can the government do over a pregnant woman.

Sources:
Villegas, B.M., (2014, May 10). Abortion should be forever illegal. Manila Bulletin. Retrieved from: http://www.mb.com.ph/abortion-should-be-forever-illegal/
Lagrada, L.P., Lavado, R.F., Tan, L.M., Ulep, V.G.T., (2010, August). Who provides good quality prenatal care in the Philippines. Philippine institute for development studies. Retrieved from: http://dirp3.pids.gov.ph/ris/dps/pidsdps1018.pdf
Alave, K.L. (2012, June 18). Maternal mortality rate rose in 2011, says DOH. The Philippine Inquirer. Retrieved from: http://m.inquirer.net/newsinfo/?id=214829
Cabigon, J., Hussain, R., Juarez, F., Singh, S., (2005). The Incidence Of Induced Abortion In The Philippines: Current Level And Recent Trends. International Family Planning Perspectives. Retrieved from: http://dx.doi.org/10.1363/3114005
Rah, D. (2013, March 14). Is abortion Taboo or human rights?. The Kurdish Globe. Retrieved from: http://www.highbeam.com/doc/1G1-322964136.html?refid=bibme_hf
Tulali, C., (2010, June 11). Philippine Policies on Maternal, Newborn, and Child Health and Nutrition. Retrieved from: http://www.scribd.com/doc/32891500/Philippine-Government-Policies-on-Maternal-Newborn-and-Child-Health-and-Nutrition
Jaffe, F.S. (1968). A strategy for implementing family planning services in the United States. American Journal of Public Health and the Nations Health.58(4). Retrieved from: http://dx.doi.org/10.2105/AJPH.58.4.713
Bednash, G., Worthington, S., Wysocki, S., (2009). Nurse practitioner education: keeping the academic pipeline open to meet family planning needs in the United States. Contraception. 80(5). Retrieved from: http://dx.doi.org/10.1016/j.contraception.2009.07.010
Chiu, Y. (2012). Fight for Reproductive Health Bill grows in the Philippines. The Lancet. 380(9837). retrieved from: http://dx.doi.org/10.1016/S0140-6736(12)61162-3 http://budgetngbayan.com/summary-of-allocations/ McKinney, E.S., Murray, S.S., (2014). Foundations of maternal-newborn and women’s health nursing (6th). USA: Elsevier Inc.