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porject in care task 1 and 2

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Page 2 Introductions Page 3 Tasks 1 (P1, M1, P2 & M2) Page 7 Tasks 2 (P3, P4, P4, M3, M4 & D1) Page 18 Bibliographies This assessment is about home births. There are 10 parts broke down into 2 tasks. The first task has 4 parts to it, which are P1, P2, M1 and M2. The second task has 6 parts, which are P3, P4, P5, M3, M4 and D1. With this assessment I am hoping to find out why home births are not an option discussed at the first anti-natal appointment. Task 1 part 1 (P1) Identify a research topic and carry out a literature search. My chosen topic is home births. I thought long and hard about what subject I wanted my project to be based on. I searched the Internet for some ideas and once I had a vague idea I looked in some books and medical journals. I also spoke to a local midwife that I know before I made my final decision. Task 1 part 2 (M1) Justify the choice of topic and hypothesis. My hypothesis is, why are home births no longer encouraged? Through out history women all over the world have safely given birth without a midwife. As a society we should accept that sometimes things do go wrong. I chose home births for my subject, as I'm very interested in the subject. Due to a fear of hospitals I wanted to have a home birth with all four of my pregnancies but due to varying circumstances I was unable to do so. With my fear of hospitals when I found out I was pregnant for the first time I spoke to members of my family who'd had babies both in hospital and at home and I decided that I would like a home birth myself. When I went for my first anti-natal check up at my local hospital I told the doctor that I would like a home birth but was told because it was my first pregnancy it would not be possible. ...read more.


The other problem with both these studies is they are both other people's work and are also not new studies. Again my bias is that because I am a keen supporter of home births I am looking for anything that shows a hospital births in a negative way. Task 2 part 2 (P4) Discuss the findings of the research in relation to the original hypothesis. Chart 3 This chart represents the number of home births in 1979. 1= women booked for home births. 2= women booked for hospital but birthed at home. 3= not booked for either but birthed at home. 4= place unknown. Chart 4 This chart represents home births in 2004. 1= home births. 2= hospital births. My original hypothesis was why are home births no longer encouraged? Both these charts show the difference in home births over the last 26 + years. In 1979 91% of babies were born at home compared to only 2% in 2004. Task 2 part 3 (M3) Analyse the findings of the research in relation to the original hypothesis. All women have the right to a home birth and it should be both an option and encouraged. A home birth is also more financially beneficial. I went to my local antenatal clinic and spoke to two midwives there and asked them for their views on home births. The first midwife told me "I am a keen supporter of home births but due to a short supply of midwives in the community I very rarely get the opportunity to encourage women to opt for them. I am also a keen supporter of water births and held fund raising events for a local hospital to have the floor strengthened so it could have the existing one re-opened. (Midwife 1) "I am a newly qualified midwife of 3 years but have only attended 2 home births. I can honestly say that both the home births that I attended were without a doubt the best two births I have attended." ...read more.


Sometimes the studies that are done have their results skewed by including figures on unplanned home births, some of whom will include very high risk mothers who unexpectedly had a birth at home or young mothers with concealed pregnancies. It is also important to look at research done on births in modern, industrialised countries like ours, which have an effective health service. Studies from the Netherlands for example, where there has been a high number of home births for many years, are very useful in giving us high quality, high volume statistics. This sort of research shows very convincingly that home is a great place to be. A National Childbirth Trust study in the United Kingdom done in 2001 showed that if you book a home birth you halve your chances of needing to have a Caesarean, ventouse, or forceps delivery and significantly that you are less likely to have a bad tear or need an episiotomy. The benefits are not just for you though: babies who are born at home are less likely to have infections after birth and are much more likely to breastfeed successfully. The numbers of babies in this country who die at birth or who are injured at birth are, thank goodness, very low but there are sufficient numbers to show categorically that you do not increase any risk to your baby by choosing a home birth. In fact, the figures are so compelling that the Royal College of Obstetricians, the Royal College of Midwives, the Royal College of General Practitioners and the Department of Health all agree that ALL low risk mothers-to-be should be told that home birth means better births and healthier mothers and babies." (the good birth) Bibliographies Alexander, L., 2006. Nursing & Midwifery Uncovered. 2nd Ed. Richmond: Trotman Green, S., 2002. Research Methods. Cheltenham: Nelson Thornes Ltd. Langley, P, 1994. Doing Social Research. Lancashire: Causeway Press Ltd. Manning, V., 2006. Health Promotion In Midwifery. 2nd Ed. London: Hodder Arnold http://www.drfoster.co.uk/localservices/birth/bg06_homebirthasp?hid=452 file://e:\homebirthsofferedtoallpregnantwomenspecialreportsguardianunlimited http://www.thegoodbirth.co.uk/home_birth http://www.nct.org.uk/media/pressrelease?prid=41 http:///www.publications.parliament.uk/pa/cm2002203/cmselect/cmhealth/796/796we ?? ?? ?? ?? 18 ...read more.

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