ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1992.tb00362.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

ABSTRACT:Studies demonstrated that support during labor and birth has a positive impact on childbirth outcomes, and that women reported they received little supportive care from nurses during parturition. This study piloted a work sampling method that was adapted to determine the proportion of time the average intrapartum nurse at a Toronto teaching hospital spends in supportive care activities. Supportive care was operationally defined within four categories of activities: emotional support, physical comfort measures, instruction/information, and advocacy. Work sampling was an effective method of measuring support as a specific aspect of direct intrapartum care. The proportion of time that nurses spent in supportive versus all other activities was 9.9 percent (95% confidence interval 7.5% and 12%), based on a sample of 616 random observations of 18 nurses. Findings are discussed in terms of the social and political factors that affect the meaning and value of the supportive activities of work by obstetric nurses.

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1992.tb00363.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1992.tb00364.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

ABSTRACT:Videotapes of women during the second stage of labor and their caregivers were examined in this descriptive study to determine how caregivers performed sterile vaginal examinations. Conversational analysis techniques were used to analyze the data. Results showed that the examinations were performed in a ritualistic manner by all caregivers, and the way the ritual was enacted repeatedly demonstrated the power of the caregivers over the women. The most common reason for performing the procedure, to help the woman push better, seems to be specific to the second stage of labor and is not described in the literature. The authors offer suggestions for better use of the examination, and recommend that it be performed far less frequently than is common.

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1992.tb00365.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1992.tb00366.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1992.tb00367.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

ABSTRACT:The recent trend of later childbearing among primiparous women is examined with attention to its possible motivations and how they might relate to maternal and infant outcomes. The influence of psychological factors is examined in the context of the inconsistencies in the obstetric literature regarding the risk factors associated with advancing maternal age. An interplay of psychological and biologic factors in determining the outcome of pregnancy and adaptation to motherhood in elderly primiparous women is proposed in terms of the compensatory as opposed to cumulative effect of psychological factors. The adoption of a broad perspective in the study of the experience of later motherhood is recommended as the direction for future research.

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1992.tb00368.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1992.tb00369.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1992.tb00370.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1992.tb00371.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY