ISSN:0091-2182    

DOI:10.1016/0091-2182(86)90146-1

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

ABSTRACTThe use of episiotomy has been widespread in the United States since the 1920s. Obstetric textbooks cite several justifications for its use; the presumed maternal benefits are maintenance of pelvic floor integrity and prevention of lacerations. Despite its frequent use, surprisingly few studies of episiotomy have been undertaken to evaluate its actual effectiveness. Most of these studies were done before the era of active participation in birth by the laboring woman which, along with methodologic problems, severely restricts their value to practitioners today. Additional well‐designed studies are sorely needed, not only of episiotomy itself but of other techniques such as antenatal perineal massage, which are recommended as alternatives but remain unteste

ISSN:0091-2182    

DOI:10.1016/0091-2182(86)90147-3

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

ABSTRACTIn a prospective randomized study, women who practiced perineal massage during the last 6 weeks of pregnancy (n= 10) were compared with a control group (n= 10). The experimental group was comprised of healthy parous and nulliparous women. Control subjects were matched for parity, fetal weight, gestational age, and maternal age. Chi‐square analysis for independence was significant (χ2= 9.89p<.01). This study supported the hypothesis that women who practice perineal massage at least four times per week will have a lower incidence of episiotomy and lacerations than those who do n

ISSN:0091-2182    

DOI:10.1016/0091-2182(86)90148-5

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

ABSTRACTThe physiology of placental separation, descent, and expulsion is reviewed as a basis for management of third stage. Traditional and active pharmacologic management are described, including techniques for expulsion of the placenta and membranes. The relationship of complications to third stage management decisions is discussed.

ISSN:0091-2182    

DOI:10.1016/0091-2182(86)90149-7

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

ABSTRACTCertified nurse‐midwives were surveyed to determine to what extent important health promotion and disease prevention (HP/DP) behaviors were part of their lifestyles (n= 132, 59% response). The survey also assessed beliefs about HP/DP practices, the extent to which HP/DP is incorporated into daily patient care activities, confidence in abilities to provide patient education, and outcome expectations of HP/DP efforts.Respondents were involved in nurse‐midwifery practice either in educational institutions, hospitals, clinics, health departments, private settings, or health maintenance organizations. Most of the respondents are good health role models who perceive themselves as important providers of HP/DP services. They routinely provide a broad range of HP/DP education to their patients. Although they indicated confidence in their abilities to educate patients about needed lifestyle changes, they reported an overall lack of confidence that their patients actually would make behavioral changes to reduce health ri

ISSN:0091-2182    

DOI:10.1016/0091-2182(86)90150-3

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(86)90151-5

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

ABSTRACTThe 1984 bill to separate midwifery from nursing practice in New York State is commented upon from the point of view of the arguments in favor of separation and the differing opinions of the author. It is suggested that such separation might appear to be motivated by other than a concern for the improvement of maternity care. Various facets of the bill are discussed in relation to the ACNM's decision to seek separate statutes.

ISSN:0091-2182    

DOI:10.1016/0091-2182(86)90152-7

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

ABSTRACTThis article is a descriptive narrative of one program's effort to provide an improved clinical experience for students in the physical assessment module. It also includes a retrospective analysis of the: 1) population served, 2) health problems identified, and 3) adequacy of students' collection of Pap smear samples.

ISSN:0091-2182    

DOI:10.1016/0091-2182(86)90153-9

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

ABSTRACTGram staining is a rapid, easily learned laboratory technique. Although commonly used in other clinical areas, Gram staining has not been in standard nurse‐midwifery practice. The advantages of such a procedure, particularly as augmentation to wet mounts, suggest that adoption of Gram staining may be of great use in the clinical are

ISSN:0091-2182    

DOI:10.1016/0091-2182(86)90154-0

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(86)90155-2

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY