Response to jany

Prenatal care forms part of preventive healthcare that involves lifestyle recommendations, medical checkups, and health information on prenatal vitamins, physiological changes in pregnancy, and biological differences. Prenatal care addresses the psychophysiological and psychological effects and their implications on fetal growth and development both in utero and extra uterine (Wu et al., 2022). Prenatal care, however, aids in lowering the risks and fetal malformations associated with poor prenatal care. Literature postulates that fetuses born to women who lack prenatal care are likely to have low birth weight and increased neonatal mortality rates. Prenatal care comprises several components like health education and promotion, risk assessment and therapeutic intervention. Early detection and management of fetal and maternal complications ensure quality prenatal care.

        Health promotion in prenatal care includes enlightening women on the importance of good nutrition and its role in intrauterine fetal growth. Nutrition in pregnancy has an additional intake of meals with frequent snacking in between, intake of diets rich in iron and use of folic acid for the development of the neural tube, which forms the nervous system (Wu et al., 2022). Pregnant women should be educated on exclusive breastfeeding for the first six months of life and family planning methods post-delivery. Good hygiene, immunization matters and prevention of disease measures should be instituted. In risk assessment, women are screened for the development of maternal conditions like hypertensive disorders, gestational diabetes and cardiac diseases during pregnancy. Conversely, early identification of the conditions and timely interventions can be executed to address such conditions.

       Cultural competency is the vital provision of prenatal care as it helps shape the values of people of different ethnicities. Communication ensures effective delivery of healthcare services, including education on the needs of the patients. Cultural and religious beliefs are also involved in childbearing; girls and women must be enlightened on the same. Women ought to be empowered for the importance of hospital deliveries and skilled birth attendance. The issue of family dynamics should also be addressed, and women should be allowed to practice their autonomy rights. Some communities cite the man as the final decision maker, but that should be discouraged as it predisposes women to health risks. Healthcare professionals should allow conversations from both parties as this exhibits cultural competency (Schmidt et al., 2018).  

Amish Values, Practices to be Considered When Preparing Prenatal Education Classes for Amish Parents

          The Amish values and practices that need to be incorporated for prenatal teaching to Amish parents include the aspect of the family hood in times of challenges and fate (Anderson & Potts, 2020). According to Amish values, family events and occurrences are supported wholly in harmony. That way, the mother’s psychological health is ensured, as they are most likely to experience mental trauma as the primary caregivers.

          Community involvement is another value that must be incorporated, where its support can yield cohesiveness in managing the child. It’s in the community where referral systems can be sought or coordinated with other families with such congenital malformation. The community can also raise finances to cater for medical arrears as illnesses in Amish communities raise the alarm (Anderson & Potts, 2020). Amish practices of traditional remedies need to be scraped and the use of modern medicine implemented. Amish families lack insurance covers for medical expenses, so it’s advisable to include such teachings in the plan. In conclusion, social values and practices impact the utilization of some fetal and maternal health services. Access to harmless social practices is key in improving trust and fostering skilled deliveries with good outcomes.

References

Anderson, C., & Potts, L. (2020). The Amish health culture and culturally sensitive health services: An exhaustive narrative review. Social Science & Medicine, 265, 113466.

Schmidt, N. C., Fargnoli, V., Epiney, M., & Irion, O. (2018). Barriers to reproductive health care for migrant women in Geneva: a qualitative study. Reproductive health, 15(1), 1-10.

Wu, K. K., Lopez, C., & Nichols, M. (2022). Virtual Visits in Prenatal Care: An Integrative Review. Journal of Midwifery & Women’s Health, 67(1), 39-52.