The Philosophy of Maternity Nursing

Arranged by :
Sekar Ayudya Dwi Putri M (P1337420618014)
Eko Harmoko Nur P (P1337420618039)
Shinta Salsabila (P1337420618051)
Tajudin Hudaiby Nizar (P1337420618057)
Maulina Ayu Meidiastuti (P1337420618065)
Larasati Nugraheni (P1337420618070)
Novia Anggi Astuti (P1337420618074)
Roisul Fahmi Ilyas (P1337420618085)
 Definisi of maternity
• Maternity nursing is the provision of quality
and professional health services that identify,
focus and adapt to the physical and
psychosocial needs of mothers, families and
newborns that make the family a basic unit in
society that has important functions in giving
birth, raising children and mutually supporting
members his family.
 ETHICSIN NURSING PRACTICE
Ethics in nursing practice is a reflection of self, restraint
and special.
1. Code of Ethics
• Nursing ethics based on the American Nurses
Association (ANA):
• The obligations of each nurse.
• Professional ethical standards that cannot be
discussed.
• Understanding of nursing and its commitment to
society.
2. Ethical Principles
The nurse is a professional who is needed to
provide competent and ethical care.
• Some ethics related to patient care include:
• Right to make your own choices.
• Respect for others: the principle that all people are
equally important.
• Obligation to do well.
• Obligation not to make mistakes.
• Justice in treating everyone.
• Obligations to keep promises.
• The obligation to tell the truth.
• Perform the best actions for each individual.
3. Ethical Approach
• The right approach, focus on the right of
individuals to choose, the right to privacy,
knowing the truth and being free from injury.
• The benefit approach, based on this
approach, ethical actions are actions that give
better than worse.
4. Ethical Dilemma
• Ethical dilemmas are choices that have the
potential to undermine ethical principles
(Lagana & Duderstadt, 2004). In nursing it is
based on nurses' commitment to advocacy.
• The advocacy role of maternity nurses is more
in pregnant women than in fetuses but the
needs of mothers and fetuses are
interdependent (Lagana & Duderstadt, 2004).
5. Ethics in the Care of Newborns
• Ethics includes determining what is good, right
and fair (Pierce, 1998). The role of nurses in
the Neonatal Intensive Care Unit (NICU) is to
protect vulnerable babies and support and
respect the decisions of their parents.
• Three categories of babies treated at the NICU
according to Pierce (1998) are:
1) Babies with intensive care may have a poor
prognosis.
2) Babies with intensive care can have
meaningful results.
3) Babies with intensive care are not clear how
the results will be.
 CONCEPT OF NURSING BASIC MATERNITY

• Pregnancy care means broader care for

mothers, newborns and other family members
and emphasizes the importance of
interpersonal relationships.
• Maternity nursing is a philosophy of maternal
care, a normal physiological process that
makes a person find individual reactions in a
normal context.
1. Assumptions underlying maternity nurse care are as
follows:
a. All individuals have the right to be born healthy, therefore
every pregnant woman and fetus is entitled to quality
health services
b. Public attitudes towards sexuality, role relationships,
pregnancy and childbirth
c. Reproduction involves one or more other individuals and is
a normal psychophysiological process, where the people
involved can feel physical and emotional satisfaction.
d. The experience of pregnancy, childbirth, and child health
disorders is a family development task that can prevent a
crisis situation.
e. Physiological changes and adjustments experienced by the
mother and child during the birth process can go well.
f. Each reproductive outcome and experience of giving birth to
each individual will be influenced by their cultural heritage.
2. Critical Thinking
• Maternity and perinatal nurses must think in all aspects of
nursing practice to get the best results.
Three very important components in critical thinking include:
1) knowledge
2) the ability to change and adapt
3) the ability to make decisions.
• In nursing practice, nurses collect data from various sources
of notes, observations, interviews and questions, then the
data is grouped, analyzed, and makes plans for nursing care
that includes evaluation (Reeder, 1994).
3. Problem Approach
With the paradigm shift and taking into account the
current reproductive health situation, the government
adopted four policies.
a. Prioritize the interests of clients by paying attention to
reproductive rights, equality and gender justice.
b. Use the life cycle approach in dealing with reproductive
health issues.
c. Proactively expanding the reach of reproductive health
services.
d. Improving the quality of community life through
quality reproductive health services.
• At this time, there have been agreed upon four
priority components of reproductive health called
the Essential Health Reproductive Package
(PKRE), namely:
a. New Mother and Child Health.
b. Family Planning (KB).
c. Adolescent Reproductive Health (TRC).
d. Prevention and Management of Sexually
Transmitted Diseases (STDs), including HIV / AIDS.
4. Provision and utilization of maternal and newborn health
services
a. Provision of maternal and newborn health services in the
government sector.
• Midwives and nurses in the village who generally work at the
Polindes
• Supporting Puskesmas as a satellite
• At the Puskesmas level which has General Practitioners,
Midwives and nurses
• PONED includes administration of enteral par oxytocin,
antibiotics, sedativa and also includes postpartum services,
manual removal of the placenta, forceps or vacuum
extraction, prevention of hypothermia and resuscitation in
newborns.
• All Regency / City and Provincial Hospitals that have obstetric
and obstetricians can provide Comprehensive Emergency
Obstetric and Neonatal Services (PONEK).
b. Provision of maternal and newborn health
services by the public and private sectors.
• Posyandu which is managed by health cadres
provides antenatal services with the help of
midwives in the village.
• Private midwife facilities are available in
various villages and cities which also provide
childbirth assistance in patients' homes.
• 5. Factors that play a role in reducing maternal mortality
include:
• a. Good medical management
• b. Development of education and training programs in the
field of midwifery and maternity care that can provide
quality nursing care.
• c. Better facilities and hospital development
• d. Significant changes in the attitudes of doctors, nurses
and parents have contributed to the decline in MMR
• e. Prenatal care
• f. Development of maternal and child health programs