ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00172.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACTThis randomized, controlled trial compared women's satisfaction with care at an in‐hospital birth center with standard obstetric care in Stockholm. Subjects were 1230 women with an expected date of birth between October 1989 and February 1992, who expressed interest in birth center care, and who were medically low risk. The intervention was the random allocation of maternity care at the birth center or standard obstetric care. Birth center women expressed greater satisfaction with antenatal, intrapartum, and postpartum care, especially psychological aspects of care. Of these women, 63 percent thought that the antenatal care had raised their self‐esteem, versus 18 percent of the control group. Eighty‐nine percent of the experimental group would prefer birth center care for any future birth, and 46 percent of the control group would prefer standard care. Birth center care successfully meets the needs of women who are interested in natural childbirth and active involvement in their own care, and are concerned about the psychological aspects of

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00173.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACTThis retrospective study was designed to determine the influence of nurses' care during labor and delivery on the cesarean birth rate of healthy, nulliparous women. Labor and delivery nurses in a large, nonprofit hospital were grouped according to the cesarean birth rates of their healthy, nulliparous patients in spontaneous labor. Large differences in cesarean birth rates between nurses in the lowest quintile (near 4.9%) and the highest quintile (near 19%) were not explained by differences in maternal age and gravidity, attendance of mother at childbirth class, insurance status, reliance on public assistance, physician who attended labor, use of epidural anesthesia, augmentation of labor, dilation when the nurse assumed care, infant weight, or gestational age. In multivariate analysis, the elapsed time between when the nurse assumed care and birth was significantly shorter for patients of nurses in the lowest quintile of cesarean birth rate (4.4 hrs) compared with patients of nurses in the highest quintile (5.6 hrs). The former were also less likely to have forceps used to assist vaginal delivery than the latter (13% vs 26%). Nurses in the lowest quintile of cesarean birth rates were more likely to use a form to record psychosocial data than nurses in the highest quintile (35% vs 15%). The study suggests that nurses' care during labor is an important factor influencing cesarean birth rates.

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00174.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACTTwo studies of women's birth experience emphasized the difficulty in evaluating satisfaction with the event. The first study used a quantitative, direct measure of satisfaction in which 91 postpartum women rated their satisfaction with labor and delivery overall and with different aspects of the experience. The second was a qualitative study that examined conceptual issues of women's satisfaction with childbirth using semistructured interviews with nine postpartum women. Content analysis was used to identify themes and categories that contributed to understanding why some women are satisfied and others dissatisfied with the birth experience. Both studies found support for a discrepancy theory of satisfaction. This paper discusses methodologic issues involved in measuring satisfaction with childbirth.

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00175.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACTA grounded theory study examined the breastfeeding experiences of a small group of educated, low‐income, minority women. In‐depth interviews were used to collect data. The five themes that emerged as primary descriptors of the experience were against all odds, personal motivation, support, attachment, and telling the world. These themes help to identify the factors that enhanced successful breastfeeding among this select sample of women, and demonstrate that the perception of successful breastfeeding can have an empowering effect on wo

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00176.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACTIncreasing numbers of lesbians are choosing to bear children. Inadequate information about these women's childbearing concerns, together with discrimination and insensitivity to their needs, places these couples at risk for receiving less than optimal health care. Lesbians who desire children are faced with numerous psychosocial problems that should be addressed by open and sensitive caregivers. Providing care to a lesbian couple demonstrated the ways in which their needs were similar to and different from those of heterosexual couples.

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00177.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00178.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00179.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00180.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0730-7659    

DOI:10.1111/j.1523-536X.1993.tb00181.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY