ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1987.tb01470.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1987.tb01471.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

ABSTRACT:Recognizing the need to assess the caring aspects of childbirth care, we developed a Labor and Delivery Satisfaction Index (LADSI) for use in clinical trials of options for delivery. Thirty‐eight items were constructed after extensive consultation with recent mothers and clinicians, and each was worded as a statement for ratings of agreement or disagreement on a six‐point scale. Fifty‐nine unselected women completed the index two days postpartum, and 35 of them completed it again at four to six weeks postpartum. Analysis of these data showed the LADSI to have stability over time with a correlation of 0.67 between test and retest, face validity to mothers and clinicians, construct validity by showing significantly different satisfaction scores among groups expected a priori to differ significantly, and enough internal consistency to use total scores (average item‐total correlations of 0.5), but not enough to use subcomponent scores (Cronbach's alpha = 0.35). On the basis of this study, differences of as little as 10 percent in the scores of different groups of women on the LADSI represent clinically important differences in levels of satisfaction with labor and d

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1987.tb01472.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1987.tb01473.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

ABSTRACT:An independent survey of family‐centered maternity care policies in the hospitals of a large Australian city was used to identify two groups of hospitals at the extreme ends of the range. A comparison of the two groups with respect to their use of induction of labor, oxytocin, and operative delivery could detect no differences between the

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1987.tb01474.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

ABSTRACT:A review of all postpartum early discharge program outcomes in the United States published between 1960 and 1985 indicates that discharge under 48 hours after delivery has generally been safe for mothers and infants. The levels and types of morbidities did not appear to differ from those experienced with longer hospital stays. Infant readmissions and overall morbidity rates were consistently higher than the number of maternal readmissions and morbidity. The major infant morbidity was hyperbilirubinemia. Differences in identification and treatment of this single problem accounted for much of the variation in infant readmission rates among programs.Expansion of postpartum early discharge based on these favorable results must proceed with caution. Nearly all reported outcomes were for programs with extensive prenatal preparation and postpartum follow‐up, serving relatively advantaged middle‐class populations. It is not clear that equally good outcomes would result from less intensive programs or those serving disadvantaged populations. More research is needed on the effectiveness of early discharge procedures, cost savings, and patient satisfact

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1987.tb01475.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

ABSTRACT:Battering during pregnancy is a major health problem affecting not only the pregnant woman but the unborn child. Battering frequently begins or escalates during pregnancy or the postpartum period. Interviews with 290 healthy pregnant women revealed that of the sample of black (22.4%), Latino (43.1%), and white (32.1%) pregnant women, 23 percent had been battered before or during the current pregnancy. Of these, 63.8 percent were unaware of resources available for battered women. Of those who were aware, the predominant resource cited was family. Perinatal caregivers can be instrumental in primary, secondary, and tertiary prevention of battering.

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1987.tb01476.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

ABSTRACT:A passenger safety curriculum was developed and implemented for expectant mothers and coaches attending Lamaze childbirth classes at a prepaid health plan. Women in the minimal and moderate intervention groups increased their safety belt use from 19.4 to 28.6% and 13.5 to 24.2%, respectively. Women in the control group and all the husbands or coaches did not show an increase. As adult mandatory safety belt legislation is enacted, additional efforts to promote safety belt use in adult family members are needed.

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1987.tb01477.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1987.tb01478.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1987.tb01479.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY