ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00417.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACTA randomized, controlled trial was conducted to evaluate the effect of cabbage leaves on mothers' perceptions of breast engorgement and the influence of this treatment on breastfeeding practices. The subjects, 120 breastfeeding women 72 hours postpartum, were randomly allocated to an experimental group who received application of cabbage leaves to their breasts, or to a control group who received routine care. The experimental group tended to report less breast engorgement, but this trend was not statistically significant. At six weeks, women who received the cabbage leaf application were more likely to be breastfeeding exclusively, 76 and 58 percent (35/46 us 29/50;P =0.09), and their mean duration of exclusive breastfeeding was longer (36 us 30 days;P =0.04). The greater breastfeeding success in the experimental group may have been due to some beneficial effect of cabbage leaf application, or may have been secondary to reassurance and improved confidence and self‐esteem in these mother

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00418.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACTData on expectations and experiences of pain in labor are presented from a prospective study of over 700 women who gave birth in six maternity units in southeast England. Most women preferred to keep drug use to a minimum, even though they expected labor to be “quite” or “very” painful. The ideal of avoiding drugs was unrelated to education or social class. Women who preferred to avoid drugs were more likely to do so, and were more satisfied with the birth overall than women who used drugs. In general, women tended to get what they expected. Breathing and relaxation exercises were widely used, and were most successful for those who had expected them to be so. Anxiety about the pain of labor was a strong predictor of negative experiences during labor, lack of satisfaction with the birth, and poor emotional well‐being po

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00419.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACTA cohort study was designed to assess the effects of maternal squatting position for the second stage of labor on the evolution and progress of labor, and on maternal and fetal well‐being. Outcomes from 200 squatting births, randomly selected from a sample of 1000, were compared with 100 semirecumbent births, randomly selected from a sample of 300. Data collection was by chart review. The two groups were similar with respect to most antepartal, intrapartal, and socioeconomic variables likely to affect labor outcomes. The mean length of the second stage of labor was 23 minutes shorter in squatting primiparas and 13 minutes shorter in squatting multiparas than in semirecumbent women. Squatting women required significantly less labor stimulation by oxytocin during second stage (P = 0.0016), and they showed a trend toward fewer mechanically assisted deliveries. Significantly fewer and less severe perineal lacerations occurred, and fewer episiotomies were performed in the squatting group (P = 0.0001). No statistically significant differences were found between groups for third‐stage complications and infant complicati

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00420.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACTDespite widespread and increasing use of immersion in water during labor, birth, or both in many different countries, no reliable information is available about its advantages, hazards, and resource implications. We describe the development of immersion in water during labor and birth, the current use of this form of care in the United Kingdom, the research that has been conducted to date, and possible strategies for future research. Three approaches to research are suggested: a survey of existing practice, a randomized controlled trial, and a confidential register of serious adverse events.

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00421.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACTThe potential effects of work and activity on the processes and outcomes of pregnancy should be assessed when a woman's care plan is developed. Perinatal caregivers are limited by a narrow definition of work that encompasses only employment. This commentary expands the description of women's work during pregnancy, and proposes the addition of some activities not currently considered in most prenatal assessments, including home care responsibilities, the maintenance and development of intimate relationships, and the tasks identified with becoming a mother. All this has implications for research, clinical practice, and public and health policy.

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00422.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00423.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACTAt the Tenth Birth Conference in Boston, 1992, a randomized clinical trial of active management of labor that is being conducted at Brigham and Women's Hospital in Boston was described by principal investigator, Fredric Frigoletto, Jr., MD. The study of 1800 primiparous women will examine the effect of the active management protocol on the rate of cesarean section. Since the presentation generated such strong disagreement during the discussion that followed, a further examination of the benefits and risks of the method is presented in this two‐part roundtable. Part I comprises papers by Colm O'Herlihy, from National Maternity Hospital in Dublin where the active management of labor method originated, by Michael Klein, who moderated the Boston presentation and discussion, and by Henci Goer, who was an audience participant. Part II, to be published in the September issue, will contain papers by William Fraser, a Boston conference speaker who will discuss methodologic issues, by audience participant Karyn Kaufman presenting a midwife's perspective, by sociologist Barbara Katz Rothman, and by Marc J.N.C. Keirse, with a final commen

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00424.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00425.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00426.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY