ISSN:0091-2182    

DOI:10.1016/0091-2182(95)91596-6

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(95)90049-7

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

ABSTRACTAsthma is common among women of childbearing and childrearing age. As a primary health care provider, the certified nurse‐midwife is often called upon to play a direct role in diagnosis and collaborative co‐management. This article reviews the pathogenesis of asthma and its natural history during pregnancy. Patient symptoms and findings on physical examination are described in depth, enabling clinicians to detect subtle presentations and avoid common pitfalls. A section on pulmonary function tests and other laboratory tools provides a foundation for objective monitoring of pulmonary function. Environmental control measures and pharmacologic therapies are described in detail. An algorithm for treatment strategies allows certified nurse‐midwives to play an active role in co‐management of their asthmatic patients, while a section on patient education highlights the essential teaching points her clients will require. Specific issues regarding antenatal fetal well‐being and intrapartal management are discussed. With a sound knowledge base, and through their expertise in client education and counseling, the certified nurse‐midwife is in a special position to optimize care for women

ISSN:0091-2182    

DOI:10.1016/0091-2182(95)00030-N

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

ABSTRACTThe need to identify a reliable ovulation predictor has received attention by the scientific community in recent years. For couples practicing natural family planning, a more precise identification of the fertile phase would be a welcome adjunct to their method. A home ovarian monitor invented by Professor J. B. Brown of Melbourne, Australia, enables couples to measure the principal urinary metabolite of ovarian estrogen and progesterone. The charted results reveal the hormonal pattern of the menstrual cycle and thus identify the beginning, peak, and end of the fertile period. A study involving 21 couples was conducted with the purpose of assessing overall acceptability, including ease of use, motivation, and client satisfaction. At the completion of the study, 12 couples indicated a high degree of motivation and satisfaction with the monitor. None reported difficulty with the test procedure. Increased confidence in natural family planning was cited as the most positive evaluation and the time required to perform the test, as the most negative.

ISSN:0091-2182    

DOI:10.1016/0091-2182(95)00018-F

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

ABSTRACTAttending to how family members behave in relation to their emotional involvement with each other, as it is demonstrated in the family's structural, functional, communicational, and developmental patterns orfit, is essential to truly understanding the behavior of individual clients. Family assessment is important to certified nurse‐midwives working with childbearing and childrearing women. Assessing families can help certified nurse‐midwives to promote women's health and to assist with skill development for subsequent generations of women, children, and families. This paper is an overview of basic concepts of family assessment, with particular emphasis on clinical application of family theory. The focus is on assessing fit and on skills that the certified nurse‐midwife can use for family assessment in daily clinical pra

ISSN:0091-2182    

DOI:10.1016/0091-2182(95)00022-C

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

ABSTRACTThis paper chronicles the events that took place between April 1994 and February 1995 specific to setting the standard for professional midwifery in the United States through the credentialing of midwives (other than nurse‐midwives) by the American College of Nurse‐Midwives (ACNM). A collection of documents that record the actions of ACNM leaders and the views of ACNM members related to this issue is also provided. The ACNM Board of Directors has determined that any non‐nurse who is a graduate of an ACNM Division of Accreditation accredited midwifery program and has passed an ACNM Certification Council (ACC) national midwifery examination will be called an ACC Certified Mi

ISSN:0091-2182    

DOI:10.1016/0091-2182(95)00028-I

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

ABSTRACTThe American College of Nurse‐Midwives' Division of Accreditation criteria for accreditating direct‐entry midwifery education call for programs to require baccalaureate degrees for entry or award them at conclusion of the program and require faculty to be midwives certified by the ACNM Certification Council. Neither criteria can be met by any existing direct‐entry program. The authors argue against these criteria, based in part on familiarity with the Seattle Midwifery School. The paper describes the development of the Seattle Midwifery School, summarizes reasons for and against requiring degrees for midwifery education, argues against excluding faculty of existing direct‐entry schools who are not certified by the ACNM Certification Council, notes other efforts to develop credentials for direct‐entry midwives, and concludes that professional direct‐entry midwifery must be based on widely respected, rigorous nationa

ISSN:0091-2182    

DOI:10.1016/0091-2182(95)00023-D

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(95)90051-9

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(95)90052-7

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(95)90053-5

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY