Respond to the following posts in a state different than your own. Compare and contrast your findings with your classmates. Include 2 references each Response 1 Pregnancy-Related Mortality Maternal mortality is defined as the death of a women while she is pregnant or that occurs within 42 days of the termination of a pregnancy, from any cause related to or exacerbated by the pregnancy or its management (Jordan et al., 2019, p. 577). The United States is the only developed nation to have the rate of maternal mortality rise over recent years. Health disparities for infants are poorly addressed in this country and there are differences in the rates of infant mortality among the different races and ethnicities as well (Jordan et al., 2019, p. 315). This discussion will compare the rates of infant and maternal mortality in Texas to those of the rest of the nation and relate them to racial and other health disparities. The role of the advanced practice nurse (APRN) and prenatal care in adressing maternal and infant mortality will also be discussed. In 2017, the rate of infant mortality in the United States was 5.8 per 1,000 live births. The rate in Texas was 5.5 infant deaths per 1,000 live births (National Center for Health Statistics, 2020). This ranks Texas as having the 18th highest rate of infant mortality in the United States. The disparities in infant mortality rates (IMR) differ across racial lines as well as state lines. The highest IMR are among the non-hispanic African-American or Black population, and black infants are twice as likely as white infants to die before their first birthday (Owens-Young & Bell, 2020). The CDC found that both infant and maternal mortality rates were higher in African Americans than in Caucasians or any other races and this is most likely due to differences in socioeconomic conditions including access to health care, nutritious food, and safe housing (Jordan et al., 2019). Income inequality is also highest in the United States and it was found that this inequality was significantly related to black but not white pregnancy-related mortality (Vilda et al., 2019). As long as racial and ethnic differences cause disparities in socioeconomic status, these disparities will also exist when it comes to health outcomes. The role of the APRN with regard to pregnancy-related mortality should be to promote health in vulnerable populations, such as racial and ethnic minorities. This can be done by providing education about the importance of prenatal care. APRNs can also work in public health clinics that provide health care to socioeconomically disadvantaged populations in order to ensure that they have access to healthcare. Advanced practice nurses can also provide home visits to individuals that may not be able to physically commute to a standing clinic and ensure that healthcare is still being provided. By participating in some of these measures, the APRN can help to reduce the rate of pregnancy-related mortality. The IMR in Texas is close to the national average, but it is still higher than that of neighboring developed countries. This could be due to the higher number of minorities in the population, or the large amount of the population that is rural versus urban. Both of these factors can effect the socioeconomic status of the population and create health disparities. Differences in IMR among races may be due to cultural beliefs and the importance that is placed on prenatal care, but it has been shown that income and access to medical care are major factors creating health disparities. It is the duty of the APRN to promote health through providing proper prenatal care to disadvantaged populations and educating people on the importance of proper prenatal care. By making these changes, health disparities may be reduced, and the rate of pregnancy-related mortality may be improved. Response 2 According to an article by Martin and Montagne (2017), the United States has the highest maternal mortality rate than any other developed country and is the only country with a rising mortality rate. This is severely concerning. According to the Centers for Disease Control and Prevention (CDC), the rate of pregnancy related deaths increased from 7.2 deaths per 100,000 live births in 1987 to 16.9 deaths per 100,000 live births in 2016. In New Hampshire, the maternal death rate averaged to be about 22.8 deaths per 100,000 live births, while the national average was 29.6 deaths per 100,000 live births in 2019 (Americas Health Rankings, 2019). According to Americas Health Rankings (2019), the lowest maternal mortality rate in the country was 12.4 per 100,000 deaths in Alaska and the highest was Louisiana with 72 deaths per 100,000 births. New Hampshire does well with this by being below the national mean and well below the highest state. Black and American Indian/Alaska Native women have the highest morality rate, as well as women over the age of 40 and women with chronic illness. Infant deaths in the United States range from 3.6 deaths to 8.3 deaths per 100,000 live births per state (Centers for Disease Control and Prevention, 2018). I am lucky to say that the state I live in has the lowest infant death rate, which is New Hampshire at 3.6 deaths per 100,000 live births, with a total of 43 deaths in 2018. There are not many large hospitals in New Hampshire that focus on neonatal care. I know of two, Dartmouth Hitchcock in Lebanon with the Childrens Hospital at Dartmouth Hitchcock (CHaD) and Elliot Hospital. I work at Elliot Hospital and float to the neonatal intensive care unit very often. We see many transfers to our hospital from other local hospitals because they do not have the ability to care for infants that come out very sick. When it comes to advance practice registered nurses in the decrease of mortality rates for mothers and infants, I believe it begins with knowing ones personal scope and the scope of the facility a person works at. When we have mothers transferred to our hospital, it is almost always because the provider knows they will be unable to adequately care for the infant once it is born. This could save an infants life, before he or she is even born. I believe that knowing when a patient is at risk is extremely important, so that they can be in the right place when they do deliver. For example, at our NICU, we are unable to give nitric oxide to infants after meconium aspiration. When a provider believes that an infant will benefit from this, they are sent to Boston, Massachusetts, a completely different state, to get what they need. It is the role of the provider to understand what the patient needs, and to know they are unable to provide it. If the provider does not know this, then the patient is at risk for higher mortality rates. It is also the providers role to give evidence-based care, in a timely manner. It is important to be prepared for emergencies.
Why Choose Us
Top Quality and Well-Researched Papers
An important research paper due imminently? We have your back! Simply request help from an expert whose expertise is verified. We employ Bachelor's, Master's, and Ph.D. graduates with years of expertise in the industry of professional writing. Before they begin writing for us, we verify their credentials and conduct assessments to ensure they can consistently provide the highest quality content. Before submission, your research article will also be examined by the quality control team.
Professional and Experienced Academic Writers
We firmly believe that all of our clients deserve to excel in both their academic careers and, in the future, their professional life, and we are glad to assist them in achieving that goal. We have curated a team of subject-oriented academic writers who have been carefully selected to ensure that we deliver the best quality papers you can expect from a professional writer. Writing essays, completing extensive research, and performing complex calculations are all areas of expertise for every one of our specialists. They have a lot of experience in their industries. They are capable of completing any writing assignment within the allotted time limit. They enjoy what they do and are always striving to better their knowledge and abilities in research and writing. Contact us to hire our academic help services at the drop of a hat.
Free Unlimited Revisions
Our primary goal is to ensure our customers are delighted; therefore, we endeavor to offer an excellent service. Essaywriter4me's revision policy allows customers to receive free changes within ten days of the due date. You can request a free revision of your order if you believe we made a mistake. Log in to your personal account.
Prompt Delivery and 100% Money-Back-Guarantee
Are you having trouble completing your MBA project case studies and assignments? Due to a lack of time, are you unable to research? In need of a company that provides high-quality custom writing services at reasonable prices? Contact Essaywriter4me and get Take the help of a professional assignment help writer. The length, difficulty, and deadline all factor into how much time it takes to prepare and polish an essay. Completing technical assignments sometimes takes longer than expected. On the other hand, our writers and supervisors will do everything in their power to meet your deadlines. We can produce a finished article within four hours without sacrificing quality.
Original & Confidential
We check online first. Second, we examine our database of completed orders to ensure that you always receive original content. Every assignment is written from scratch by Essaywriter4me writers and double-checked with our plagiarism detection software. We never send pre-written essays or papers that include copied content. This originality report is available upon request, providing you full trust in the quality of our writing. We guarantee that all information provided or shared with us will remain confidential since we never share it with a third party. You are not concerned about what will happen to the data. PayPal and the bank protect your funds, so there is no risk of fraud or deception. Students love us due to our stringent confidentiality policies. Whatever occurs here is strictly confidential between you and us.
Customer Support 24/7
We have a team of dedicated customer care representatives eager to help you with the best-suited assignment help services, each of which is tailored to each client's unique needs. You can contact them via email, phone, or live chat if you need help with a particular subject. At Essaywriter4me, you'll have access to an expert 24 hours a day, seven days a week! Our expert writers are also available around the clock, no matter the time of the day or night. Choose between scheduling a tutoring session or getting immediate help when you need it most. We always have experts available to work around your schedule, no matter what time of day!
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
Our Services
No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.
Essays
Hire an assignment writing expert to get a well-written project before the deadline. Request "write my essay" today. Our academic writers have worked in this field for years; they are familiar with the most common formatting standards. These include but are not limited to MLA, APA, Harvard, and Chicago/Turabian formats.
Our writers are chosen from a pool of qualified candidates, with just the top two percent gaining employment with our paper writing service. This implies that every writer you hire will be eager to discuss your needs and construct a flawless paper that leaves you entirely satisfied. Start by placing an order, or contact customer service for additional information about our experts.
Admissions
Admission and Business Papers
Applying to college or university requires much effort and accountability. Every applicant should persuade the admissions committee with their reasons for pursuing a degree in a particular program. Please familiarize yourself with why an application essay writing service is an excellent choice for you.
Our admission essay writing service will help you effectively present yourself. It is hard to find legit online expert college application essay writers. At our service, we offer high-quality cooperation based on extensive experience and a strict confidentiality policy. The price per page varies depending on the writer's experience and the urgency of the job. Therefore, you can request, "Please write my application essay," and find the best available writer.
Editing
Editing and Proofreading
We are an award-winning group of talented editors and reviewers serving over 10 thousand clients in 100 countries. Exclusively for professors, lecturers, post-doctoral researchers, research students, and commercial clients, Essaywriter4me offers professional academic proofreading and English language editing services. Our objective is to address the increasing demand for English-language services among academics and business people worldwide.
We specialize in academic proofreading and English language editing for authors of dissertations, Doctoral dissertations, journal articles, books, journal articles, essays, and other professional documents, such as research projects, in the Social Sciences, the Sciences, and the Humanities.
Coursework
Revision Support
If you believe your paper needs some modification, you can request a review. Our specialist writers are familiar with all academic formats, including MLA, APA, CSE, and Chicago. We collaborate to improve your writing. If you didn't start your paper the night before, you've come to the proper place. Our academic revision service is available 24/7. Simply place your order now.