ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1991.tb00082.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1991.tb00083.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1991.tb00084.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

ABSTRACT:A retrospective investigation examined patterns of use of prenatal care and pregnancy outcomes (low birthweight and preterm births) in 6176 pregnancies without antepartum medical complications. Prenatal care use patterns differed significantly by mother's age, marital status, race, education, method of payment, and gravidity. By controlling for these differences through a logistic regression procedure, results showed that prenatal care was associated with significant reductions in the number of infants who were delivered preterm or had low birthweight. Fewer very low‐birthweight (<1500 g) infants were among the preterm infants delivered to mothers with prenatal care compared with women who received no prenatal care. These data suggest that significant improvements in pregnancy outcomes are seen among women who use prenatal care, and these benefits occur in the absence of antepartum complication

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1991.tb00085.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1991.tb00086.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

ABSTRACT:This study examined the effects of two methods of teaching perineal massage on the rates of practice of perineal massage, of episiotomy, and of lacerations in primiparas at birth. Couples in 20 randomly selected sections of four prenatal class series received routine printed and verbal instruction and a 12‐minute video demonstration of perineal massage, or only the routine printed and verbal instruction. Women reported their practice rates in daily diary records, which were mailed to the researcher weekly. Hospital records provided delivery data. Of the 83 women, 23 (28%) practiced perineal massage: 16 (35.6%) in the experimental group, 7 (18.4%) controls. Even though the rate of practice almost doubled among experimental group women, the videotape instruction method was statistically nosignificant. Episiotomy and laceration rates were not affected by teaching method. More severe lacerations occurred among the experimental group; however, the control group had almost four times as many severe (21%) as minor (5.3%) lacerations. The experimental group had twice as many severe (28.9%) as minor (13.3%) lacerations. These results were also nosignifican

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1991.tb00087.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

ABSTRACT:During the last decade several programs were established to prevent the onset of preterm labor and facilitate its early identification and treatment. Although these prevention programs shared a similar goal, they varied in their primary outcome focus, target populations, study designs, and specific intervention components. Their initial reports were promising; however, subsequent evaluations of efforts in the United States produced mixed results. The current literature is suggestive of the benefits of programs to prevent preterm labor and delivery, but methodologic differences among them and deficiencies in the reported evaluations have rendered a final verdict equivocal. Many studies using historical or geographic controls found positive results, whereas randomized, controlled trials did not find a significant impact. Positive results were found in studies using low‐risk populations, but investigations of high‐risk patients noted little effect. Together with continued research on the factors that underlie the onset of labor, additional assessment of these programs and their individual intervention components appears to be necess

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1991.tb00088.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1991.tb00089.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1991.tb00090.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1991.tb00093.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY