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Obstetrical nursing, also called perinatal nursing, is a nursing specialty that works with patients who are attempting to become pregnant, are currently pregnant, or have recently delivered. Obstetrical nurses help provide prenatal care and testing, care of patients experiencing pregnancy complications, care during labor and delivery, and care of patients following delivery. Obstetrical nurses work closely with obstetricians, midwives, and nurse practitioners. They also provide supervision of patient care technicians and surgical technologists.
Obstetrical nurses perform a number of tasks, like mammograms, administering medications through IV's, monitoring newborns, stress test evaluations, cardiac monitoring, vascular monitoring, and health assessments. Obstetrical nurses are required to possess specialized skills such as electronic fetal monitoring, nonstress tests, neonatal resuscitation, and medication administration by continuous intravenous drip.
The workload and daily routine of obstetrical nurses requires them to be detailed and organized, possess mental and physical strength and emotional stability, and to possess critical thinking skills. [1]
Common workplaces for obstetrical nurses are as follows:
In the U.S. and Canada, the professional nursing organization for obstetrical nurses is the Association of Women's Health, Obstetric and Neonatal Nursing (AWHONN).
Obstetrical nurses in the U.S. make an average of about US$148,000 annually plus benefits. It can vary depending on location. [3]
The gender ratio of obstetrical nurses is 3% male and 97% female. Furthermore, ethnicities are the following: White 66.2%, Black 10.5%, Hispanic 9.5%, Asian 9%, unknown 4.3% and American Indian and Alaska Native 0.5%. [4]
Obstetrical nurses typically start as registered nurses, which means that they first obtain a degree or nursing diploma. An internship in obstetrics suffices in order to start at an entry-level position. [5] The National Certification Corporation (NCC) offers certifications for obstetrical nurses. These include RNC-OB (Inpatient Obstetrics), a certification that allows graduate nurses who have completed a bachelor's degree in the US or Canada to expand into obstetrics. In order to gain an RNC-OB certificate, an online exam must be taken. [6] RNC-MNN (Maternal Newborn Nursing) is another online exam for certified registered nurses, who have completed their bachelor's degrees in Nursing, have gained experience in the area of newborn nursing and want to gain a certification/qualification in the area. They have a 90-day window to complete the actual exam. [7] Both tests cost approximately US$325. A third online certification is C-EFM (Electronic Fetal Monitoring). It is open to licensed registered nurses, nurse practitioners, nurse midwives, physicians, physician assistants, and paramedics, according to the US and Canada requirements. [8]
Bachelor's degrees in either nursing and/or midwifery are required to become an obstetrical or perinatal nurse in Australia. In Australia alone there are 32 different universities that offer nursing as an undergraduate degree, such as Australian Catholic university, Charles Darwin University and the University of Notre Dame in Australia. [9] Once completing their degree, they are required to complete their master's degree in nursing. Bachelor's degrees and jobs as licensed nurses/midwives are required in order to be accepted for the master's degree. There are 24 different universities in Australia that offer a master's degree in nursing, including Edith Cowan University, Monash University, James Cook University and University of Canberra. [10]
Obstetrics and gynaecology is the medical specialty that encompasses the two subspecialties of obstetrics and gynaecology. The specialization is an important part of care for women's health.
A home birth is a birth that takes place in a residence rather than in a hospital or a birthing center. They may be attended by a midwife, or lay attendant with experience in managing home births. Home birth was, until the advent of modern medicine, the de facto method of delivery. The term was coined in the middle of the 19th century as births began to take place in hospitals.
A neonatal intensive care unit (NICU), also known as an intensive care nursery (ICN), is an intensive care unit (ICU) specializing in the care of ill or premature newborn infants. The NICU is divided into several areas, including a critical care area for babies who require close monitoring and intervention, an intermediate care area for infants who are stable but still require specialized care, and a step down unit where babies who are ready to leave the hospital can receive additional care before being discharged.
Pediatric nursing is part of the nursing profession, specifically revolving around the care of neonates and children up to adolescence. The word, pediatrics, comes from the Greek words 'paedia' (child) and 'iatrike' (physician). 'Paediatrics' is the British/Australian spelling, while 'pediatrics' is the American spelling.
A nurse practitioner (NP) is an advanced practice registered nurse and a type of mid-level practitioner. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, prescribe medications and formulate treatment plans. NP training covers basic disease prevention, coordination of care, and health promotion.
In the United States, a Certified Nurse-Midwife (CNM) is a nurse midwife who exceeds the International Confederation of Midwives' essential competencies for a midwife and is also an advanced practice registered nurse, having completed registered nursing and midwifery education leading to practice as a nurse midwife and credentialing as a Certified Nurse-Midwife. CNMs provide care of women across their lifespan, including pregnancy and the postpartum period, and well woman care and birth control. Certified Nurse-Midwives are recognized by the International Confederation of Midwives as a type of midwife in the U.S.
Nursing credentials and certifications are the various credentials and certifications that a person must have to practice nursing legally. Nurses' postnominal letters reflect their credentials—that is, their achievements in nursing education, licensure, certification, and fellowship. The letters usually appear in the following order:
Critical care nursing is the field of nursing with a focus on the utmost care of the critically ill or unstable patients following extensive injury, surgery or life-threatening diseases. Critical care nurses can be found working in a wide variety of environments and specialties, such as general intensive care units, medical intensive care units, surgical intensive care units, trauma intensive care units, coronary care units, cardiothoracic intensive care units, burns unit, paediatrics and some trauma center emergency departments. These specialists generally take care of critically ill patients who require mechanical ventilation by way of endotracheal intubation and/or titratable vasoactive intravenous medications.
Neonatal nursing is a sub-specialty of nursing care for newborn infants up to 28 days after birth. The term neonatal comes from neo, "new", and natal, "pertaining to birth or origin". Neonatal nursing requires a high degree of skill, dedication and emotional strength as they care for newborn infants with a range of problems. These problems vary between prematurity, birth defects, infection, cardiac malformations and surgical issues. Neonatal nurses are a vital part of the neonatal care team and are required to know basic newborn resuscitation, be able to control the newborn's temperature and know how to initiate cardiopulmonary and pulse oximetry monitoring. Most neonatal nurses care for infants from the time of birth until they are discharged from the hospital.
Nurses in Canada practise in a wide variety of settings, with various levels of training and experience. They provide evidence-based care and educate their patients about health and disease.
Ruth Watson Lubic, CNM, EdD, FAAN, FACNM, is an American nurse-midwife and applied anthropologist who pioneered the role of nurse-midwives as primary care providers for women, particularly in maternity care. Lubic is considered to be one of the leaders of the nurse-midwifery movement in the United States.
The Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) is a 501(c)(3) nonprofit membership organization. The stated purpose of AWHONN is to promote the health of women and newborns.
The Journal of Obstetric, Gynecologic, & Neonatal Nursing is a peer-reviewed nursing journal in the fields of obstetric nursing, women's health nursing, and neonatal nursing. It is the official scientific publication of the Association of Women's Health, Obstetric and Neonatal Nurses.
In the United States, a registered nurse certified in neonatal intensive care (RNC-NIC) is a neonatal intensive care nurse who has earned nursing board certification. The certification is established by an exam that is one of the core certification exams offered by the National Certification Corporation (NCC).
The National Certification Corporation (NCC) was established for the development, administration, and evaluation of a program for certification in obstetric, gynecologic and neo-natal nursing specialties in the United States. Incorporated in 1975 and governed by a board of directors, NCC's certification program is accredited by the National Commission for Certifying Agencies (NCCA), the accreditation body of the Institute for Credentialing Excellence. By 2009, NCC had awarded over 95,000 certifications and certificates of added qualification.
Certified in Neonatal Pediatric Transport (C-NPT) is the designation in the USA for a paramedic, physician, respiratory therapist, neonatal nurse, nurse practitioner, nurse or physician assistant who has earned certification from the National Certification Corporation in neonatal and pediatric transport. This certificate of added qualification was rolled out in 2009. National Certification Corporation utilizes applied measurement professionals to administer its tests.
A neonatal nurse practitioner (NNP) is an advanced practice registered nurse (APRN) with at least 2 years experience as a bedside registered nurse in a Level III NICU, who is prepared to practice across the continuum, providing primary, acute, chronic, and critical care to neonates, infants, and toddlers through age 2. Primarily working in neonatal intensive care unit (NICU) settings, NNPs select and perform clinically indicated advanced diagnostic and therapeutic invasive procedures. In the United States, a board certified neonatal nurse practitioner (NNP-BC) is an APRN who has acquired Graduate education at the master's or doctoral level and has a board certification in neonatology. The National Association of Neonatal Nurse Practitioners (NANNP) is the national association that represents neonatal nurse practitioners in the United States. Certification is governed by the National Certification Corporation for Obstetrics, Gynecologic and Neonatal Nursing Specialties (NCC).
A midwife is a health professional who cares for mothers and newborns around childbirth, a specialization known as midwifery.
A nurse midwife is both a nurse and a midwife, having completed nursing and midwifery education leading to practice as a nurse midwife and sometimes credentialed in the specialty. Nurse midwives provide care of women across the lifespan, including during pregnancy and the postpartum period, and well woman care and birth control.
The American Board of Obstetrics and Gynecology is a non-profit organization that provides board certification for practicing obstetricians and gynecologists in the United States and Canada. It was founded in 1927, incorporated in 1930, and is based in Dallas, Texas. It is one of 24 medical boards recognized by the American Board of Medical Specialties. ABOG's mission is to define the standards, certify obstetricians and gynecologists, and facilitate continuous learning to advance knowledge, practice, and professionalism in women's health.