摘要:

ABSTRACTA randomized multicenter study of home uterine activity monitoring using the “Term Guard,” is widely cited in support of the Term Guard monitoring system. Critical appraisal of the data in the six reports of the study showed that all reports scored poorly on avoidance of allocation, exclusion, and assessment bias. In all of them the numbers of women for whom outcomes were reported were different, and none provided information on infant outcomes. Comparison of analyses and subanalyses showed inconsistencies that defied the laws of arithmetic. Reanalysis of the data, as well as could be done from the available information, showed that use of the Term Guard system was compatible with both an increase and a decrease in the frequency of preterm delivery (95% CI +2.2% to 16.5%). It is concluded that the reports of the multicenter study contain such high potential for bias and so many internal inconsistencies that they should be dismissed entirely. (BIRTH 20:3, September 1

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00434.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACTThis study assessed the associations between attendance at childbirth preparation classes and the health behaviors, birth events, satisfaction with care, and later emotional well‐being of women having their first child. A postal survey was conducted of a population‐based cohort of 1193 women who gave birth in two weeks in 1989 in Victoria, Australia. The response was 71.4 percent (79011107). Classes were attended by 245 (83.9%) of 292 primiparous women. Those who did not attend were significantly more likely to be under age 25 years, not to have completed secondary education, to be single, to have a low family income and no health insurance, and to be public hospital clinic patients. Differences between women who attended classes and those who did not, with respect to measures of pain and to the use of procedures, interventions, and pain relief, were rare and minor. No differences occurred between the groups in their satisfaction with the provision of information through pregnancy, birth, and the postnatal period. Only one of five measures of satisfaction with cure was less favorable in nonattenders. Attenders were not more confident about looking after their infants at home or less likely to be depressed eight months after birth. Significant differences occurred between the groups on four health behaviors: cigarette smoking, missed antenatal appointments, breastfeeding, and alcohol consumption during pregnancy. Attendance at childbirth preparation classes in Victoria is not associated with differences in birth events, satisfaction with care, or emotional well‐being among women having their first child. (BIRTH 20:3, September

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00435.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.tb00436.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACTThis study describes the accuracy of Leopold maneuvers as a screening procedure for fetal malpresentation. The frequency of fetal malpresentation ranges from 15 percent at 32 weeks to 4 percent at term. We prospectively determined fetal presentation by performing Leopold maneuvers on 150 women, followed by a fetal ultrasound examination for comparison. Experienced certified nurse‐midwives performed the maneuvers with high sensitivity (88%), specificity (94%), positive predictive value (74%), and negative predictive value (97%) in a population with a 17 percent frequency of fetal malpresentation. We conclude that the maneuvers used by experienced clinicians can be effective as a screening tool for fetal malpresentation, particularly in settings where ultrasound may not be readily available. (BIRTH 20:3, September 199

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00437.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACTIt is not currently known whether sufficiently precise data on a previous pregnancy, labor and delivery, and early infancy can be obtained retrospectively. We conducted a telephone survey in 1991 of women who delivered babies between 1984 and 1986 at two teaching hospitals in Nashville, Tennessee, to assess how well mothers recall information on factors predictive of an adverse birth outcome. The survey yielded 102 usable responses that were compared with hospital records for mothers and infants. Overall, 89 percent agreement was found between women's responses and their charts. Respondents were not reluctant to answer potentially sensitive questions, and their technical knowledge was typically better for their own health than about some prenatal diagnostic procedures and their infants' health. We found no difference in recall accuracy according to whether mothers experienced some adversity with the index pregnancy. Accurate perinatal information can generally be obtained with a recall period as high as four to six years. (BIRTH 20:3, September 1993)

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00438.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACTTwenty postpartal women were shown videotapes of their second stage labors and simultaneously interviewed. During separate interviews, their 25 caregivers were also shown the videotapes and interviewed. The interviews were analyzed for major themes, one of which was sharing information during labor. Although women and caregivers appeared to agree about what information laboring women require and how it should be given, caregiver perceptions of the quality of their information giving were more positive than mothers' perceptions. Many women wanted more informational support, especially in alleviating unvoiced fears about their baby's health. (BIRTH 20:3, September 1993)

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00439.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACTThis article describes the plan and implementation for converting from traditional obstetric nursing to a mother‐baby care delivery system in a level 2 hospital in upstate New York. It identifies the pitfalls, problems, and process to follow for the successful implementation of mother‐baby nursing. (BIRTH 20:3, September 1

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00440.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.tb00441.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.tb00442.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.tb00443.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY