CHIROPRACTIC AND PREGNANCY 215

Course overview

Hour 1 *Utilize a more comprehensive knowledge of primitive birth practices and outcomes in a clinical consultation setting with a prenatal patient. *Integrate a deeper understanding of the contextual nature of women's attitudes toward childbirth in the 17th Century as a continuum between more primitive and modern birth. *Describe the key environmental factors that negatively impacted childbirth outcomes in the 16-20th Centuries. *Describe the impact of the lithotomy position on birth outcomes. *Analyze the significance of the puerperal fever epidemic of the 19th Century and its iatrogenic origins. Hour 2 *Describe the state of obstetrical practice and performance in the late 19th and early 20th Century. *Describe the state of midwifery practice and performance in the late 19th and early 20th Century. *Communicate the three elements of the DeLee protocols and how they each impacted childbirth outcomes in the early 20th Century. *Analyze the current state of maternity care in the United States in the context of the industrialized world. *Utilize the information concerning the history of the emergence of universally medicalized childbirth to empower patients to advocate for their optimal birth experience. Hour 3 *Describe the three primary tangents from indigenous birth experiences that the development of agrarian and industrial societies generated. *Describe the origins of the early pioneers of natural childbirth in America in the 1940's-1970's. *Communicate the relationship between economic and industrial considerations and the development of universal obstetric intervention in childbirth in the U.S. *Analyze the concept of "pasmo" as it relates to the effect of the external environment on a laboring woman. *Communicate the current evidence comparing home and hospital births in terms of safety and efficacy.