ISSN:0091-2182    

DOI:10.1016/0091-2182(84)90164-2

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

ABSTRACTThis report is a ten‐year review (1973–1982) of nurse‐midwifery practice at Grady Memorial Hospital, Atlanta, Georgia. In this tertiary‐level university‐affiliated hospital for the indigent, two models of care were established: comprehensive and episodic. Selected patient characteristics, different aspects of management of care, and several outcome measures are described for both models of care. Changes in management of care document the adaptation by nurse‐midwives to advanced technology and pressures for nonintervention in obs

ISSN:0091-2182    

DOI:10.1016/0091-2182(84)90165-4

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

ABSTRACTInduction of labor is often necessary in patients with premature rupture of membranes. While the effect of oxytocin to stimulate labor is well established, it is potentially hazardous to both the mother and infant. In this study, castor oil was evaluated as a method to induce labor in uncomplicated patients at term gestation with premature rupture of membranes. A total of 196 patients with premature rupture of membranes was studied retrospectively. Of 107 patients who received castor oil, 75% went into labor as compared to 58% of 89 control patients who went into labor spontaneously (P<0.02). On the basis of these results, it is concluded that castor oil, which is more economical and convenient than oxytocin, can be used safely and effectively to stimulate labor.

ISSN:0091-2182    

DOI:10.1016/0091-2182(84)90166-6

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

ABSTRACTA review of the literature reveals that new siblinghood is a crisis that has been studied very little. Positive effects have been acknowledged regarding the preparation of an older child for the birth of a sibling. These suggest that those who work with young families can utilize opportunities to intervene in this situational and maturational crisis to promote healthy adaptation. The program carried out by School of Nursing faculty and students at the University of Wisconsin‐Milwaukee prepares preschool children for the arrival of a new baby and gives families information and skills to promote a positive resolution of the crisi

ISSN:0091-2182    

DOI:10.1016/0091-2182(84)90167-8

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

ABSTRACTTwelve CNMs from private nurse‐midwifery practices in NYC were interviewed for this retrospective study that looks at factors that should be considered when establishing a private nurse‐midwifery practice. This study focuses on four processes: 1) commitment to the goal of establishing a private nurse‐midwifery service; 2) choosing a “birth setting;” 3) evolution of a partnership or evolution of a solo practice; and 4) negotiation for physici

ISSN:0091-2182    

DOI:10.1016/0091-2182(84)90168-X

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

ABSTRACTThe interaction of oral contraceptive agents with vitamin B6, folacin, vitamin B12, and vitamin C is described, with an emphasis on the effect of vitamin metabolism on steroid ingestion. A thorough nutritional assessment and patient education program are discussed.

ISSN:0091-2182    

DOI:10.1016/0091-2182(84)90169-1

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

ABSTRACTBiological effects of ultrasound occur by one of four major mechanisms: heat, cavitation, microstreaming, and radiation force. These effects have been described in the laboratory (in vitro) but not in the clinical situation (in vivo). The issue of safety has been addressed repeatedly by the American Institute of Ultrasound in Medicine (AIUM), and threshold limits have been set for diagnostic ultrasound. Ultrasound instruments fall below the AIUM threshold intensities. Long‐term effects of diagnostic ultrasound are reviewed; no effects have been discovered. Further research is recommended. The issues of routine ultrasound on normal patients versus indicated ultrasound is explored and clarified. At this point, routine ultrasound cannot be recommended. However, indicated ultrasound, especially in a high‐risk population, has proven benefits including a reduction of perinatal mortality. A comparison is made between electronic fetal monitoring and diagnostic ultrasound. At present, no biological effects have been demonstrated from Doppler ultrasound. Recommendations are made in order to assure optimal management. Judging from some of the articles and statements in both the popular and clinical press, there is a large amount of bias and emotion over the National Institutes of Health (NIH) consensus statement on “the use of diagnostic ultrasound imaging in pregnancy.” Little attention is seemingly paid to the actual text of the report and the scientific literature on which it is based. The NIH statement lists the acceptable indications for the use of ultrasound. However, it does not recommend the routine use of ultrasound in pregnancy, which has led some authors to raise questions about the use of ultrasound in general and has led to concern among patients and practitioners. This paper clarifies some of the issues relating to the safety and use of ultrasound so that a more enlightened discussion can occur. In addition, it reviews some of the laboratory (in vitro) data on ultrasound effects, compares some of the in vitro data with the clinical (in vivo) data, and discusses the issues of output or intensity thresholds, bioiogical effects, routine ultrasound, indicated ultrasound, other forms of ultrasound such as electronic fetal monitoring, and informed

ISSN:0091-2182    

DOI:10.1016/0091-2182(84)90170-8

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(84)90171-X

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

ABSTRACTThe article recounts the experience of an American nurse‐midwife working for the Ministry of Health of Mozambique. The development and current state of the MCH program are described. The role of the foreign health professional (cooperante) in this process is explored, with reference to nurse‐midwifery education, supervision, and work with traditional birth attenda

ISSN:0091-2182    

DOI:10.1016/0091-2182(84)90172-1

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(84)90173-3

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY