ISSN:0091-2182    

DOI:10.1016/0091-2182(93)90087-W

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(93)90088-X

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(93)90089-Y

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(93)90090-4

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(93)90091-T

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACTNurse‐midwifery practice has been defined by the American College of Nurse‐Midwives (ACNM) as “the independent management of essentially normal newborns and women … occurring within a health care system which provides for medical consultation, collaborative management or referral….” As the health care delivery system in the United States becomes increasingly complex and reliant on new forms of technology, it has become necessary to clarify roles and responsibilities for the nurse‐midwife. In addition, mechanisms for acquiring new skills and for collaborating with physician colleagues must be well understood. A question frequently asked is where the boundaries of nurse‐midwifery practice end and those of medical practice begin. Although practice scenarios vary for individual nurse‐midwives and nurse‐midwifery services, recent statements approved by the ACNM Board of Directors discuss these issues in an attempt to clarify the potentially confusing areas of collaboration and skill acquisition. This article explores the areas of expanded nurse‐midwifery practice and collaborative management. Although individual clinical skills are not necessarily endorsed, a step‐by‐step approach that nurse‐midwives can use for incorporation of new skills is presented. The concepts discussed will be a valuable tool to nurse

ISSN:0091-2182    

DOI:10.1016/0091-2182(93)90092-U

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACTCircumcision is a practice that dates back to the Stone Age, when flint knives were used to perform this delicate task. Since that time, different implements and techniques for their use have been employed. In 1935, an instrument that reduced the incidence of hemorrhage and infection, which continued to complicate circumcisions, was first described in the medical literature of this country; for nearly 60 years, the Gomco clamp has met and exceeded expectations despite the emergence of other clamps and devices. This article addresses refinements that have evolved in the Gomco clamp technique. These refinements combine the highest degree of safety with the least trauma to the newborn. Step‐by‐step detailing of this surgical skill and implications for practitioners are explored in de

ISSN:0091-2182    

DOI:10.1016/0091-2182(93)90093-V

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACTIn the past few years, endometrial biopsy has become a procedure that can be performed on an outpatient basis, causing relatively minor discomfort to the client. It is frequently used as a method of dating the endometrium but has also become an important tool in screening for endometrial hyperplasia and carcinoma. It is also recommended by some as a part of the routine screening for women on hormone replacement therapy. This article presents the indications, contraindications, and technical procedure for performing endometrial biopsies in the office setting. In addition, complications and follow‐up care are discusse

ISSN:0091-2182    

DOI:10.1016/0091-2182(93)90094-W

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACTOver the last several years, there has been a steady increase in the number of women experiencing abnormal Papanicolaou test results. Whether the nurse‐midwife is per forming a colposcopic examination or making a referral, she or he needs to have a clear understanding of cervical pathophysiology, diagnostic modalities, and therapeutic management. This article provides the nurse‐midwife with a basic review of the cytologic and histologic findings of the cervix, a description of the colposcopy procedure, observations, terminology, and follow‐up treatment, and considerations for adding colposcopy to a nurse‐midwifery p

ISSN:0091-2182    

DOI:10.1016/0091-2182(93)90095-X

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACTNurse‐mid wives are sometimes required to intervene in the normal process of labor. Numerous clinical trials have investigated the use of prostaglandins for induction of labor. Research indicates the use of prostaglandins to be a safe and effective method of induction of labor with favorable results when compared with the more traditional use of oxytocin. Patient acceptance appears to be favorable because of the reduced need for restrictive and invasive methods of monitoring and administration that accompany intravenous oxytocin. Thus, the use of prostaglandins for induction of labor offers nurse‐midwives an attractive alternative to the use of oxytocin when induction is medically indicated. This article provides a description of the biochemical effects of prostaglandins on the uterus and cervix, development and clinical use of prostaglandin preparations, indications for use of induction, and potential for utilization in nurse‐midwifery pra

ISSN:0091-2182    

DOI:10.1016/0091-2182(93)90096-Y

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY