ISSN:0091-2182    

DOI:10.1016/0091-2182(91)90056-U

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

ABSTRACTThis nonexperimental, descriptive correlational study was conducted to determine whether a significant difference exists between the results of an electronically monitored nonstress test (NST) and those of auscultation for single fetal heart rate acceleration, the auscultated acceleration test (AAT). Of 130 NSTs, both the NST and the AAT were reactive in 105 cases and both were nonreactive in seven cases. Eighteen nonreactive AATs went on to have reactive NSTs (72.00% false‐positive rate). There were no reactive AATs that went on to have nonreactive NSTs (0% false‐negative rate). Various recommendations are made for future research in an attempt to decrease the false‐positive rate. The McNemar's test for data analysis used in previous research indicated that there was a significant difference between the two tests. However, the sensitivity (100%) and specificity (85.37%) of the AAT indicate that the test is valid in predicting the results of the NST and thus appears to be a valid screening tool for fetal well‐being and may be a reliable alternative to

ISSN:0091-2182    

DOI:10.1016/0091-2182(91)90057-V

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

ABSTRACTThis study examined outcome data from two nurse‐midwifery operated home birth services in Texas. All clients who planned a home birth within the two services during 1987 comprised the population. Analyses revealed that women choosing home birth with these nurse‐midwives were more frequently married, usually white, and more educated when compared with the overall U.S. childbearing population. Analgesia, episiotomy, and cesarean delivery were all found at lower rates than is reported when birth occurs in a hospital setting; complications occurred less frequently or at similar rates to those reported in the home birth literature and national statistics. Research, educational, and clinical implications of the study are discus

ISSN:0091-2182    

DOI:10.1016/0091-2182(91)90058-W

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

ABSTRACTThis article is a retrospective descriptive analysis of the first 1,000 births conducted by the Nurse‐Midwifery Group of Fresno County, California, over the period from 1980 to 1985. The multiethnic patient population was of mixed obstetric risk. Nurse‐midwifery care was offered within the context of a comprehensive maternity care program in close collaboration with a perinatal health care team Patient care outcomes were quite favorable when compared with county and state statistics. A perinatal mortality rate of 7.0/1,000 was observed. The incidence of low birth weight infants (5.7%) and the cesarean section rate (7.7%) were also lower than county and state statistics. These data add to the growing body of literature that suggests that nurse‐midwifery care, within the structure of collaborative practice, can be effective and advantageous. The nurse‐midwifery service made a contribution to access to perinatal care for the residents of this co

ISSN:0091-2182    

DOI:10.1016/0091-2182(91)90059-X

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

ABSTRACTThe barriers that prevent women from obtaining prenatal care were studied in a multiethnic, primarily indigent urban population. Two thousand nine hundred eighty‐seven women were delivered at the University of Miami/Jackson Memorial Medical Center from January 15 to April 10, 1988. Of these women, 227 (7.6%) did not access any prenatal care. These women formed the study group. The results indicated that the main barriers were systematic (35.5%), patient‐related (35.5%), and financial (29%). Ethnic group, marital status, and education influenced access to prenatal care, whereas age did not appear to do so. Although low birth weight rates were higher in the study group, it was apparent that cultural behavior influenced birth weight, whether or not prenatal care was obtai

ISSN:0091-2182    

DOI:10.1016/0091-2182(91)90060-3

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

ABSTRACTThe Inventory of Functional Status–Antepartum Period (IFSAP) includes six subscales measuring the extent to which a pregnant woman continues her usual household, social and community, childcare, personal care, occupational, and educational activities. Content validity was established at 94.4%. Reliability testing used a sample of 192 pregnant women. Internal consistency reliability using average correlations for the subscale item to subscale total scores ranged from .57 to .87. Subscale to total IFSAP score correlations ranged from .53 to .90. Test–retest reliability used a subsample of 21 pregnant women. The coefficients ranged from .27 to .93. Initial construct validity testing was accomplished by examination of subscale correlations, by comparing IFSAP scores for pregnant women who had no children with those who had children, and by comparing women who had complications and/or restrictions with women who experienced no complications or restrictions. The IFSAP may be used in research and clinical practice to assess functional status during pregna

ISSN:0091-2182    

DOI:10.1016/0091-2182(91)90061-S

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(91)90062-T

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(91)90063-U

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(91)90064-V

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(91)90067-Y

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY