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Hi please help me with my peer

Hi please help me with my peer review. Thank you. In your responses to your peers, provide them with specific feedback, constructive criticism, suggestions for improvement, and ideas for resources or support. Comment to a minimum of two peers. Remember that your feedback and support are important! It has to be one paragraph. Abstract As humans have grown and evolved, so have the culture and practices of giving birth. In the modern era we see the mass majority of women giving birth within a hospital space, with cesarean sections now being the most common way of delivery. Now we are beginning to see that this method can be extremely harmful to both mother and child and should only be used in emergencies. We are now seeing a switch in birthing techniques, with women going back to more natural births as the statistics show that it is healthier and, in many cases, safer than having their children in a hospital. In almost all cases, modern doctors look down on this act seeing it as primitive, when there should be a cultural shift in hospital spaces. The culture of non-adaptation spans into the care of minority women as well, seeing minority women dying and being harmed in greater numbers during delivery of their babies. Needing a complete overhaul of the culture within the hospital space, as their practices in birthing are becoming primitive and dangerous. Introduction The practice of having home births has been occurring since the creation of man, only in the past hundred years have people been choosing to have their children in hospitals. Vowing that it is safer and a healthier place to begin a child’s life, but as times progress when we see statistics that show having a child at home is a safer option. Because of this we are seeing a significant cultural, legal, and regulatory shift with women going back to their roots and having children at home. In the United States the number of women who are receiving caesarian sections are rapidly increasing over the years. According to the journal, Cesarean section one hundred years 1920-2020 (Antoine, C., & Young, B.K. (2021).) rates have slowly been increasing by 30-32% over the past 10 years. Citing that there are both benefits and consequences to the cesarean section. Many hospitals have been struggling to decrease their rates of cesarean sections over the years with no real impact. Comparatively we can look into more homeopathic birthing methods like planned home births and see a enormous decrease in the amount of caesarean sections being performed in that environment. All women in the United States are affected by unnecessary Cesarean sections. Many women who believe that the hospital is a safe place to give birth, must be properly informed and understand how hospital births work. Due to the treatment that they can encounter inside the hospital space, women have been choosing more homeopathic birthing methods. Many women in the United States are now choosing to have their births at home, as many of the hospital rules and regulation are suffocating to their birthing processes. As hospitals births are becoming outdated and barbaric, the lifelong tradition of women birthing in their homes is making a resurgence. (Rosenberg, K. R., & Trevathan, W. R. (2018).) In the United States the women who are most affected by Cesarean sections morbidity and mortality are mothers in the Black community. Being the most affected out of all other races by hospitals when it comes to an increased number of Cesareans (as well as having the highest statistics in birthing death and complications). The numbers have been slowly increasing over the years, but as more women in this community are turning to home births, birthing statistics will slowly improve in their community. As medical professionals we need to be aware of the racism that exists within the Gynecological and Obstetrician community, and make changes to better our care in this community.(Grimm, M., & Cornish, D. L. (2018)). The reasoning behind the suggested use of a cesarean section are the perceived safety of the operation, many doctors and nurses alike see cesarean section as a safer alternative to having a vaginal birth. Although, as data continues to be reviewed, the statistics show that this is not the case as cesarean sections carry a multitude of complications. Leaving medical staff with outdated methods and statistics when suggesting or practicing cesarean sections without emergency causations. Although with the rising number of cesareans, so have the rising number of mother and child morbidity and possible bereavement due to cesarean section complications. With the rate of Hispanic and Black women facing the possibility of cesarean section related death and complications, more than any other race in the United States. (Hanson, C., Samson, K., Anderson-Berry, A. L., Slotowski, R.A. & Su D. (2022).). With planned home births having a lowered statistics in cesarean sections and are highly suggested to women who have uncomplicated pregnancies. Although statistics show a lowered rate, gynecologists still suggest having children at in a birthing facility or hospital in fear of possible complications. Even though the statics show that there are enormous benefits to having planned home births in comparison showing rates of lowered mother and child complications and death. (Zielinski, R., Ackerson, K., & Low, L.K. (2015).) As the number of cesarean sections increase in the United States, so do the number of cesarean related morbidity and mortality occur to both mother and child, with a higher rate for ethnic women and children. While comparatively, the number of cesarean sections is lowered in cases of planned home births for all races and ethnicities. Can hospitals use more homeopathic methods to reduce these numbers and change the internal culture of suggested cesareans within medical spaces. Conclusion The problem of cesarean sections has been shown to be its frequent non- emergency usage and its use as an alternative birthing method; because of this we see that the statistics of mortality and morbidity due to cesarean sections are at a high rate. The studies examined showed that offering cesarean sections as alternative birthing solutions, combined with the refusal to introduce more natural birthing methods into the hospital space is a determent to women in the delivery room are the key problems that we face in the hospital space. (Gamble, J., Creedy, D.K., McCourt, C., Weaver, J., & Beake, S. (2007).) Many physicians and hospitals refuse to allow natural birthing methods in fear of legal ramifications. In many hospital spaces it is more beneficial to offer cesarean sections rather than having vaginal births, as they can charge more for the service. Although natural planned homebirths are only recommended for mothers and children who have experienced uncomplicated pregnancies and have no previous health issues. Otherwise, hospital births are highly recommended for women with complications, health issues (like obesity) and babies who can potentially have complications after birth. (Olsen, O., & Clausen, J.A. (2012).) The issues of the high rate of morbidity and mortality with women in the black community within hospital environments, including this community having a high rate of cesarean sections. Showing a drastic need for change within the medical space and how we handle delivery processes. This not only showed discrimination but the lack of care, and consideration shown within hospital spaces for the women who are delivering. (Davis, D.A. (2019).) In numerous studies they have offered many different methods that could possibly lower the high rates of cesarean sections. The easiest option being hospitals only using cesarean sections in emergency situations only, as well as prohibiting the use of cesarean sections being offered as alternative birthing methods. Other more nuanced methods include allowing women to give birth in natural positions like sitting and squatting and allowing women to walk around if needed during dilation. Allowing food and water to be administered to mothers in labor can be beneficial as many women go for hours without water or food leading to dehydration and strain. (Boucher, D., Bennett, C., McFarlin, B., & Freeze, R. (2009).) The problem of high cesarean rates in the United states can be easily combated with simple methods that are beneficial to both mother and child. Although the monetary value of hospitals allowing cesarean sections to continue is beneficial only to the medical business aspect of hospitals. The possible legal implications that hospitals can possibly be responsible for is unfeasible for a medical business, as it allows openings for possible lawsuits. In reality hospital spaces are hiring this rate, with disallowing women’s bodies to naturally give birth, and only using medical assistance when needed.

 
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