ISSN:0091-2182    

DOI:10.1016/0091-2182(89)90121-3

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACTThe purpose of this study is to examine the usefulness of two existing obstetric risk assessment instruments in predicting intrapartum complications at term. One tool, although not designed to predict problems in labor, is widely used in general populations. The other tool was specifically designed for use in a free‐standing birth center. Neither instrument performed well when applied to a sample of 699 clinic patients at term. This inability to identify those who will need hospital care reinforces the necessity for effective referral and transport mechanism

ISSN:0091-2182    

DOI:10.1016/0091-2182(89)90122-5

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACTThe effect of exercise on pressure developed by the circumvaginal muscles (CVM) in postpartum women was studied. The CVM assessment system described earlier by Dougherty, Abrams, and McKey used an intravaginal balloon device (IVBD) developed from an impression and model of the vagina. The system (IVBD, pressure transducer and strip chart recorder) provided permanent CVM pressure tracings with high test‐re‐test reliability (n = 16;r= .85) for maximum pressure (MP).The hypothesis in the research reported here was that exercise with and without an IVBD, when compared to no exercise, would result in significantly higher MP and pressure over time (POT). Forty‐five healthy PP volunteers were randomly assigned to a 10‐minute per day home training program, for six weeks. The baseline and six‐week assessments consisted of CVM pressure tracings during contraction. Dependent variables were MP (highest pressure attained) and POT (area under the pressure curve).Although no significant differences were found between the home training groups, greater improvement was found in the exercise groups. Variability within subjects partly accounts for the results. Pressure changes before and after pregnancy and before and after CVM exercise are demonstrated in a case study. The findings support the use of CVM exercise in the p

ISSN:0091-2182    

DOI:10.1016/0091-2182(89)90123-7

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACTMonthly semi‐structured interviews with 61 breastfeeding mothers over the duration of their nursing experience and in‐depth interviews with nine additional mothers were conducted. At six months postpartum, 66% of the nursing mothers still experienced leaking breasts, and most mothers expressed negative feeling about leaking. Attempts to manage or control leaking milk were sometimes successful, but the unpredictability of leaking often undermined mothers' confidence and ability to stop or conceal leaking milk. To minimize leaking, mothers frequently used pressure on the nipples and consciously diverted their thoughts or used simple word commands to halt the let‐down reflex. For those mothers who leaked for the duration of their nursing experience, coming to terms with leaking was an important part of their breastfeeding experience. Suggestions for further research and implications for practice are inc

ISSN:0091-2182    

DOI:10.1016/0091-2182(89)90124-9

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACTThis article presents the purposes and methods of the first Needs Assessment Survey of all nurse‐midwives who have been certified by the ACNM. A detailed summary of the general results of the survey is provided, and includes the perceptions of respondents about the ACNM organizational structure, goals, leadership, and services. Analyses of differences in response based on such variables as membership status, minority status, years since certification, level of educational preparation, work setting, and region of residence are also presented. The article concludes with a discussion of the implications for the nurse‐midwifery profession. Part 2 will appear inJNM3

ISSN:0091-2182    

DOI:10.1016/0091-2182(89)90125-0

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

CASE PRESENTATIONMrs. Jane Purple comes to the clinic for her first prenatal visit at 10 weeks' gestation. She is 22‐years‐old and has been married to Paul for 3 years. This is their first pregnancy. Laboratory results include: Pap test Class I, wet smear Trichomonas, chlamydia‐zyme positive, gonorrhea culture negative. How would you manage this patient's sexually transmitted diseases? Include your instructions and follow‐u

ISSN:0091-2182    

DOI:10.1016/0091-2182(89)90126-2

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(89)90127-4

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACTTraining and service delivery in maternal and child health are high priorities for Angola's national health system. Maternal and infant mortality are very high, and there is a severe shortage of physicians. Most reproductive health care is provided by nurses and midwives. Appropriate education, resources, and support can assist these professionals in their struggle to improve mother and infant outcomes.A teacher training seminar for experienced nurses and midwives was carried out in Luanda, Angola in the summer of 1988. Content focused on family planning, sexually transmitted diseases, and human sexuality. Teaching methodology emphasized participation, active learning, group work, and practice teaching sessions. The steps involved in the training process are described—including needs assessment, planning, implementation, and evaluation of the semina

ISSN:0091-2182    

DOI:10.1016/0091-2182(89)90128-6

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACTThis article describes the experiences of 11 staffcnms practicing in an inner‐city hospital serving low‐income women. A history of the conflicts between theob/gynDepartment and the Midwifery Service at Boston City Hospital is presented, as well as an overview of events in 1987‐88 that resulted in the unanimous resignation of the staffcnms and the closing of the service. Discussion of the issues is presented, as well as implications for midwifery pra

ISSN:0091-2182    

DOI:10.1016/0091-2182(89)90129-8

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(89)90130-4

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY