ISSN:0091-2182    

DOI:10.1016/0091-2182(95)00041-H

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

ABSTRACTPrenatal and intrapartum care provided to 1,181 women, all meeting risk requirements for nurse‐midwifery care, by certified nurse‐midwives (n= 471) and obstetricians (n= 710) are compared using indicators of physical and of educational/psychosocial components of maternity care. Data are from clinical records and questionnaires completed by the women. Bivariate analyses show that the two provider groups differ on some, but not all, processes of care. When the woman's evolving health status, personal characteristics, and preferences are controlled, there are significant differences that confirm two models of care. The nurse‐midwifery approach emphasizes educational/ psychosocial care and restrained, individualized use of technology. The obstetrics approach emphasizes more routine use of state‐of‐the‐art technology. This study contributes new information to substantiate different models but also shows that both provider groups use elements of both. The difference in emphasis should encourage collaborative practice, given the shared basis for maternity care, whether it is provided by certified nurse‐midwives or

ISSN:0091-2182    

DOI:10.1016/0091-2182(95)00053-M

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

ABSTRACTThe purpose of this qualitative research study was to discover the experience of the woman cared for by a nurse‐midwife. Six variously situated and ethnically diverse women were interviewed about their experience with nurse‐midwifery care. Using Colaizzi's phenomenological method, the data were analyzed extracting 151 significant statements that were clustered into nine themes. A picture of the essential structure of the women's experience of nurse‐midwifery care unfolded and was returned to them for their comments and confirmation. Women talked about a relationship built on respect, trust, and alliance. It was the nurse‐midwife herself, her qualities and behaviors, her concern and caring, and her respect for women that laid the foundation for how the women in this study perceived the experience. Repeatedly, women articulated the respect for their time, their families, their fears, and their need for information. Ultimately, it was this respect from the nurse‐midwife that empowered the women to determine and direct t

ISSN:0091-2182    

DOI:10.1016/0091-2182(95)00046-M

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

ABSTRACTWomen who gain excessive weight during pregnancy are at risk for postpartum weight retention and long‐term obesity. Familiarity with current research related to postpartum weight loss can aid the nurse‐midwife in providing sound, clinical advice to women at risk for postpartum weight retention. This article provides a review of current literature and research studies related to postpartum weight loss, weight retention, and weight gain. An overview of gestational weight gain and fetal growth, recommendations of the Institute of Medicine, complications of maternal obesity, postpartum weight‐loss patterns, and factors that affect postpartum weight loss are disc

ISSN:0091-2182    

DOI:10.1016/0091-2182(95)00049-P

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

ABSTRACTThe nurse‐midwife may be called upon to counsel the victim of a sexual assault many months or years after the crime. It is important to assess which of these women need referral to a licensed therapist and which can benefit from empathy and skilled counseling techniques that nurse‐midwives can add to their repertoire of expert

ISSN:0091-2182    

DOI:10.1016/0091-2182(95)00044-K

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

ABSTRACTThis paper presents the results of a survey that was conducted between November 1992 and March 1993. Its target group consisted of midwives in the United States who began their careers as lay midwives and later decided to become certified nurse‐midwives (CNMs). Questions address their demographic and socioeconomic characteristics to compile a profile that can be compared with other midwife populations. The survey elicited information regarding what motivated the decisions to change status and how these decisions have made an impact upon respondents' personal lives, family life styles, and income; identified how becoming a nurse‐midwife changed the respondents' work in regard to their own community, the clientele they serve, and their style and site of practice, and how the change in identity affected their self‐perceptions as midwives as well as their relationship to the health care system, the legal system, and the established midwifery system; it investigated how respondents viewed their preparation for midwifery and how they felt about the relationship of nursing to midwifery; and, it addressed how these midwives related to, were influenced by, and influenced the two major professional midwifery associations in the United States, the Midwives Alliance of North America and the American College of Nurse‐Midwives. The results showed that, overall, the respondents valued their lay midwifery background, felt positive about their CNM educational programs, and showed a preference for direct entry and apprenticeship programs in which the RN is not a prere

ISSN:0091-2182    

DOI:10.1016/0091-2182(95)00045-L

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

ABSTRACTThis article introduces midwifery in Germany to the North American midwife. The development of the midwifery profession since the 12th century is presented. Some regulations that govern midwifery practice today were initiated by the clergy, city government, and physicians during past centuries. Present‐day midwifery training and professional opportunities are described. The organization and peculiarities of the German health care system and some effects of German reunification that are relevant to midwifery practice are also discussed. Midwives work in several areas and are regulated by federal and state laws which support and secure their practice. The promotion of midwifery interests frequently encounters resistance by obstetricians. There is a longstanding conflict related to an overlap of skills and services that both professions claim as their own. In recent years, more women have demanded and used midwifery services. In 1992, 811,774 deliveries were performed by midwives in 1,176 German hospitals with varying styles of labor management. This variety ranged from university hospitals, which emphasized modern technologies, to institutions that supported a comprehensive midwifery approach. The author challenges the classical practice of midwifery and contrasts it with a delivery that incorporates several features in a comprehensive approac

ISSN:0091-2182    

DOI:10.1016/0091-2182(95)00043-J

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(95)90000-4

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(95)90001-2

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(95)90002-0

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY