ISSN:0091-2182    

DOI:10.1016/0091-2182(85)90039-4

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

ABSTRACTThis is the second part of a paper on management of the postdate pregnancy. The first part, a comprehensive review of the literature, forms the foundation for this clinical research. Data from 175 consecutive deliveries with the Yale Nurse‐Midwifery Practice are presented, with specific emphasis on gestational age and infant outcome measures. Postdate pregnancy (exceeding 42 weeks' menstrual age) occurred in 10.3%, while the incidence of postmaturity was 1.7%. Certain complications such as fetal distress and meconium aspiration are significantly more common for the postdate infant, and it is more likely that the postdate gravida will have experienced prenatal bleeding and will need oxytocin stimulation in labor. A management protocol of fetal evaluation is proposed. At 41.5 weeks, daily fetal movement assessment is begun. At 42 weeks, a nipple stimulation contraction stress test and an ultrasonic biophysical profile are suggested. Routine labor induction on the basis of dates alone is discourage

ISSN:0091-2182    

DOI:10.1016/0091-2182(85)90040-0

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

ABSTRACTThis exploratory study investigated the parental decision‐making process leading to including children at birth, identified the critical components of this decision, and evaluated the effects on the mother and father of having the children present for birth. The sample included 32 parents (16 couples) who had had a sibling‐attended birth in the recently opened birthing room of a small community hospital. An open‐ended interview schedule was used. Recurrent themes reported by the parents included: 1) the family would have children present again at their next birth, 2) the child/ren's presence added to a feeling of family unity, and 3) the child/ren's presence was viewed as a small part of the larger positive feelings about the birth experience. Application of the findings will aid parents in making the decision as to whether or not to include children at birth and be useful in developing sibling attendance policies in birth set

ISSN:0091-2182    

DOI:10.1016/0091-2182(85)90041-2

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

ABSTRACTStatistics from a nurse‐midwifery service for adolescent girls demonstrate delivery outcomes for 947 patients that include lower birth weight rates than city, state, and national counterparts. Other statistics include a primary cesarean section rate of 6.8

ISSN:0091-2182    

DOI:10.1016/0091-2182(85)90042-4

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

ABSTRACTThe accuracy of Leopold's maneuvers in the assessment of fetal presentation and position was studied in 176 subjects. The maneuvers were performed by clinicians during the routine prenatal examination of women who were scheduled for an ultrasound immediately after their prenatal visit. The actual fetal presentation and position were determined during the sonographic examination. Clinicians were correct in their assessment of fetal presentation and position in 85.23% and 60.31% of determinations, respectively. However, only 53% of all malpresentations were assessed correctly. Clinicians with 1 or less than 5 years of experience had higher percentages of correct assessments than clinicians with 3 to 4 years of experience. Overall, the accuracy of the assessments was higher in late pregnancy. However, the percentage of malpresentations assessed correctly decreased near term. Assessments were less accurate for overweight women. Parity did not influence the accuracy of the assessments.

ISSN:0091-2182    

DOI:10.1016/0091-2182(85)90043-6

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

ABSTRACTThe purpose of this paper is to assess the costs of providing comprehensive prenatal care to teenagers. The actual costs of a comprehensive prenatal program are compared with the theoretical costs of routine prenatal services. Then, using two different approaches, the costs averted through reducing the incidence of low birth weight babies are estimated. The study concludes that the additional costs of providing comprehensive care are more than recovered with the costs saved by reducing the incidence of low birth weight babies.

ISSN:0091-2182    

DOI:10.1016/0091-2182(85)90044-8

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

ABSTRACTThe scultetus binder was used daily for many years in the surgical units of hospitals as an abdominal support dressing. It gained popularity in the obstetric unit in the management of postcesarean and grandmultiparous patients. This paper discusses the current role of the many‐tailed binder, and the method and rationale for its use in today's obstetric car

ISSN:0091-2182    

DOI:10.1016/0091-2182(85)90045-X

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(85)90048-5

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(85)90049-7

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(85)90052-7

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY