ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1996.tb00491.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

ABSTRACT:Background: Although many studies have evaluated the outcomes of childbirth education, few have seriously considered the content of the classes or considered any curriculum other than Lamaze. This study contrasts the perspectives of Lamaze and Bradley childbirth classes toward the medical model of birth.Methods: Four full series of Lamaze and four full series of Bradley classes were observed, and 31 women enrolled in the classes were interviewed.Results: Bradley classes were more likely than Lamaze classes to criticize aspects of the conventional hospital birth experience, such as routine electronic fetal monitoring and episiotomy, and to accept the validity of alternatives, such as home birth. Bradley classes were also more explicit in encouraging women to question or resist the judgment of their physician. Women enrolled in Lamaze classes experienced more medical intervention during childbirth than women enrolled in Bradley classes, and the latter seemed to attract women opposed to medical intervention.Conclusion: Although not generalizable, these results provide greater insight into the contrasting perspectives to which birthing women are exposed in childbirth education classes and the process through which these perspectives are communicated.

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1996.tb00492.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1996.tb00493.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1996.tb00494.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1996.tb00495.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

ABSTRACT:Background: Giving birth to a stillborn child is a tragedy. The aim of this study is to investigate the meeting of mothers with their stillborn children and the women's experiences of support during and after the delivery.Methods: In a nationwide study in Sweden, data from 636 women who gave birth to a stillborn or live baby were collected by means of an anonymous postal questionnaire in 1994.Results: Among the 314 women who gave birth to a stillborn child, nearly every mother had seen her child, and 80 percent had caressed her baby. More than 90 percent of the mothers stated that the medical staff showed respect, and about 80 percent of the mothers stated that staff exhibited tenderness toward their dead children. The mother's assessment of respect and tenderness to her child by medical staff was almost identical between stillbirths and live births. Nearly 70 percent of the women reported that the hospital had good routines to support mothers of stillborn children. Feelings of sadness and having been deeply hurt or angered by the medical staff's behavior were reported by 37 percent of the women. A difficult balance is still to be achieved between women being forced to encounter the baby when not yet ready versus others who wish the staff had given more encouragement. The value of properly taken photographs is described.Conclusions: Treating stillbirth as a nonevent has been largely, if not entirely, abandoned in Sweden. Most mothers of a stillborn child experience that the medical staff treat their dead children appropriately.

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1996.tb00496.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1996.tb00497.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

ABSTRACT:Background: Depression after the birth of a baby is a common cause of maternal morbidity, and its prevalence in Australia is 10 to 15 percent at 6 to 9 months postpartum. This study assesses the prediction of postnatal depression at 6 weeks postpartum,Method: Women at 24 weeks' gestation or less were invited to complete a Modified Antenatal Screening Questionnaire (MASQ) that identified women more vulnerable to becoming depressed after childbirth. Of these 249 women, 144 (58%) screened more vulnerable, and were randomly allocated to receive either a supportive intervention to reduce postnatal depression or to receive no intervention. At 6 weeks postpartum the women completed the Edinburgh Postnatal Depression Scale (EPDS) to assess their mood after the birth.Results: No difference occurred at 6 weeks postpartum between the MASQ vulneruble group (return rate 64/68) and the MASQ less vulnerable group (return rate 44/51) in the frequency of those who screened as potential candidates for major depression using the EPDS. For major depression the MASQ's sensitivity was 73 percent, specificity 43 percent, positive predictive value 17 percent, and negative predictive value 91 percent; for minor depression its sensitivity was 81, 48, 34, and 89 percent, respectively. The MASQ was able to predict minor depression. More women in the vulnerable group scored at increased risk of minor depression on the EPDS at 6 weeks postpartum.Conclusion: Further studies are needed to extend this work and develop a screening test with higher specificity and greater positive predictive value.

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1996.tb00498.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

ABSTRACT:Background:Despite abundant research on psychosocial factors related to childbirth, no studies have focused on the specific phenomenon of a precipitate labor: A descriptive exploratory study was conducted to investigate this experience.Method:Semistructured interviews were conducted in 1992 with 11 women 3 to 4 months after they gave birth. Transcribed interviews were then analyzed using latent content analysis.Results:The experience of precipitate labor was categorized in terms of physical experience (perception of labor length and contractions), psychological experience (relationship of how women perceived birth to their prenatal expectations, and emotional trajectory of disbeliex alarm panic, and relief), and external factors (support persons and hospital system).Conclusions:Understanding the experience of precipitate labor is essential before caregivers can offer appropriate support to clients. Perinatal caregivers gain valuable insight into a woman's experience by comprehending the speed, intensity, and emotional impact specific to precipitate labor: (BIRTH 23:4, Decembel; 1996)

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1996.tb00499.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

ABSTRACT:Compelling research supports the newborn infant's capacity for pain. Yet, pain is frequently underestimated and undertreated. This is a result of limited understanding of pain pathway development, immediate and long‐term consequences, measurement tools and approaches, and safety and efficacy of pain‐relieving interventions, This paper reviews recent research in relation to management of pain in the newborn, and presents implications for practice and future resea

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1996.tb00500.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY