摘要:

This study was undertaken to describe the most common symptoms experienced during pregnancy by couples with a history of infertility and to compare them with symptoms of expectant couples without a history of reproductive problems. The Symptomatology Inventory, a 42-item checklist of common pregnancy symptoms, was used. The 10 most frequent symptoms reported and their rank order were very similar for the women from both groups. Men from the two groups frequently reported similar symptoms, but differed on their rank order. This research provides evidence that in terms of pregnancy symptoms infertile and fertile couples are more alike than they are different.

ISSN:0893-2190    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

It is well documented that mother's milk is the best source of nutrition for the preterm infant. However, mothers of preterm infants face obstacles during the early stages of the breast-feeding experience. This study examined the experiences of 13 mothers whose preterm infants initiated suckling at the breast on day 14 or later after birth. Eight weeks after delivery, six infants were exclusively receiving mother's milk, four were receiving mother's milk and formula, and three infants had been weaned entirely from mother's milk. Some of the problems encountered by these mothers may have been averted with input from health professionals with special knowledge in breast-feeding the preterm infant. A clinical pathway for breast-feeding preterm infants is presented.

ISSN:0893-2190    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

As flexibility and change become the only constants in health care delivery, providers are seeking improved methods for delivering quality, cost-effective services. Perinatal care is no exception. Length of stay is decreasing for obstetric patients, and the challenges of providing quality care are great. Outcomes management uses outcomes measures to improve clinical and functional results while better utilizing resources. Critical pathways and variances from that pathway are analyzed for opportunities to improve care and quality. Quality indicators are then derived from the variance data. The women's services outcomes manager, a new role, identifies and resolves quality issues.

ISSN:0893-2190    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Sickle cell-related hemoglobinopathies present challenges for clinical management during pregnancy, labor, delivery, and the postpartum course because perinatal morbidity remains a significant practice concern. Nursing strategies that strive for synthesis of knowledge pertaining to pathophysiology, genetic counseling, life events that have affected the patient's health history, treatment modalities, and psychosocial needs may improve obstetric and neonatal outcomes. Clinical management strategies for the prenatal, intrapartum, and postpartum courses are provided. Nursing intervention strategies such as follow-up teaching, involvement of the partner and support network in aspects of care, and patient advocates, in conjunction with independent nursing practice activities involving emotional support and measures to alleviate symptoms associated with disease manifestations, are cornerstones in the contribution of nursing to the multidisciplinary care of the pregnant woman with sickle cell disease and trait.

ISSN:0893-2190    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

A study is presented utilizing the critical decision method to elicit knowledge from neonatal intensive care unit nurses regarding the assessment of infants at risk for necrotizing enterocolitis. Researchers were successful in eliciting knowledge not available in current nursing texts, including a framework for considering necrotizing enterocolitis and problem-solving strategies used by experienced nurses. Implications for nurse instruction and potential applications of this information are discussed.

ISSN:0893-2190    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Four methods of predicting a preterm infant's weight (upper mid-arm circumference, gestational age, tape measure nomogram, and guessing) were investigated to see which was the most accurate. The weights of 37 preterm neonates were initially guessed by an experienced clinician, then estimated by the other three approaches applied in a random order, and then confirmed through actual weighing. The correlations between the four estimated weights and the actual weights were .96, .84, .97, and .98, respectively. The tape measure nomogram method was the best overall approach for clinical use.

ISSN:0893-2190    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

All physiologic functions demonstrate cyclic activity. Infant development includes maturation of biorhythms. Two basic changes in biorhythm include establishment of circadian rhythm and daynight pattern. Biorhythms are driven by internal pacemakers yet are highly susceptible to environmental influences. Sleep-wake pattern and body temperature rhythm are two examples of infant biorhythms that demonstrate significant change with development. Biorhythm is the scientific basis for interventions (such as cycled lighting, feeding schedule, and caregiving pattern) aimed at improving the fit between infant and the environment.

ISSN:0893-2190    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0893-2190    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0893-2190    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0893-2190    

出版商:OVID    

年代:1995

数据来源: OVID