Childbirth Case Discussion
Childbirth Case Discussion
Childbirth Case Discussion
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Question Description
Hello Group E,
This week the article “Childbirth traditions and cultural perceptions of safety in Nepal: Critical spaces to ensure the survival of mothers and newborns in remote mountain villages” by Sabitra Kaphle, et al was given us to reflect our thoughts. The key facts of the article were concerns about safety and risk during childbirth are critical for both the pregnant women and healthcare providers, preference of many women in rural settings of Nepal to give birth in family settings with locally available help following their cultural belief. They believed that giving birth to a child in cowshed will provide spiritual protection to both the mother and the child. These practices are a reason for infection and other associated risks factors for mortality and morbidities.Exclusion of socio cultural concepts of childbirth in medical policy, pregnant women as powerful actors who decide their place of delivery which plays an important role in dealing with risks during the childbirth.
I have come up with three ethical issues and would like to discuss these with you.
Ethical issue 1: The rightful maternal health services aren’t delivered to the deserved pregnant women in rural Nepal. These pregnant women are also not involved in building and improving their healthcare services. In addition to that, policy makers/healthcare providers did not consider their socio cultural and spiritual believes while formulating policies. One strong reason for not availing these services. Relevant Ethical concept: Human Rights
Ethical issue 2: The autonomy of the women in deciding pregnancy and its outcome is not always preserved. Often it is forced by husband, mother in laws and other family members. In this study, mother in laws set an example and the daughter in law is forced by her circumstances and belief also to follow her foot steps. Relevant Ethical concept: Autonomy
Ethical issue 3: The health of pregnant women is at risk, while medical care can be made available to these women by inclusion of locally based primary maternity care. But the service is not provided to those women and it is affecting the outcome of their pregnancy. Relevant Ethical concept: Beneficence
Actor with Decision-Making Authority: Healthcare Providers, Policy makers
Available Course of Action:
Provision of locally based maternity care to increase the acceptance of healthcare services by the pregnant women
Inclusion of socio cultural and spiritual aspects of the area to increase the coverage of maternal health services.
Childbirth Case Discussion
Provision of inclusion of locally influential people of the community (especially with pregnant women) to create awareness about hygienic deliveries at institutional level and to increase the acceptance of the healthcare services.
These (above mentoned) are ethical concept which according to me are important while deciding or formulating any policy. The above mentioned course of action if taken by the healthcare providers/policy makers, will increase the acceptance of the healthcare services and hence will greatly reduce the mortality and morbidity of maternal and child health. I understand that Nepal has a long way to go but it is not unachievable. What according to you can play an important role in reduction of maternity related morbidity and mortality in rural Nepal? Do you think that the points (course of action) mentioned by me are important and can play a significant role in the reduction of maternal mortality and morbidity, if taken care of by the healthcare providers?
The above is the leader discussion you have to response to it
Your job : The remaining students (I’m one of them) in the discussion group will then have until the end of the week to leave at least one comment in response to the discussion leader’s. Remaining group members must comment at least once to discuss ethical considerations of the courses of action proposed by the discussion leader. Students are welcome to respond to any of the material presented by the discussion leader but must also contribute something to the discussion of ethical arguments for and against the proposed courses of action. Alternatively, students may propose a different course of action and discuss why it might be preferable, ethically speaking. The purpose of discussion is to work together to formulate a course of action that best resolves the ethical concerns in the case. All group members may contribute to the discussion and leave multiple comments, depending on how frequently they review the forum as the discussion progresses. Remaining group members must post their comments by 11:59 pm THURSDAY Eastern US time. Please find the article attached
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
- Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
- Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
- One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
- I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
- Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
- In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
- Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
- Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
- Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
- Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
- I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
- I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
- As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
- It is best to paraphrase content and cite your source.
LopesWrite Policy
- For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
- Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
- Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
- Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
- The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
- Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
- If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
- I do not accept assignments that are two or more weeks late unless we have worked out an extension.
- As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
- Communication is so very important. There are multiple ways to communicate with me:
- Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
- Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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