ISSN:0091-2182    

DOI:10.1016/0091-2182(82)90126-4

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

ABSTRACTHealth care costs are a major issue in the health care system today. One suggested method of containing costs is the efficient use of presently available facilities and health care personnel. Categories of hospital charges included in a normal hospital maternity stay are described. The mean hospital bill for CNM patients was $114 less than the mean hospital bill for the physician provider patients. These findings may indicate that the use of CNMs as primary care providers could reduce hospital maternity costs while meeting the consumer demand for safe, satisfying, and economical care.

ISSN:0091-2182    

DOI:10.1016/0091-2182(82)90127-6

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

ABSTRACTThe application of water externally to the body for therapeutic effects is a practice called hydrotherapy which dates back to ancient times. Immersing the body in water is an effective method of relieving pain, promoting muscular relaxation, and reducing psychological tension due to the hydrothermal and hydrokinetic properties of water. Using a warm bath to decrease the pain associated with labor and to enhance the process of a normal labor can be safely instituted by nurse‐midwives. The bath should feel comfortably warm, cover the body completely, and may continue for as long as the woman is comfortable. Bathing in no way compromises the fetus and thus appears to be an ideal analgesic for use during labo

ISSN:0091-2182    

DOI:10.1016/0091-2182(82)90128-8

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

ABSTRACTThe concept of self care education and participation are incorporated into a prenatal record. The client and the nurse‐midwife jointly define written needs and goals and record directly on the chart. When opened, the folded record reveals all data necessary to assess pregnancy status and plan care. The outer pages provide demographic data, histories, and physical examinations. Other unique features of the chart include graphs for visualization of fundal height and weight gain patterns and lists for potential and acute problems and need

ISSN:0091-2182    

DOI:10.1016/0091-2182(82)90129-X

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

ABSTRACTControversy exists concerning the role of nurse‐midwives in tertiary care centers. By tradition, preparation, and practice, nurse‐midwives have not sought to work in the areas of high‐risk obstetrics. However with the advent of modern technology and the prevailing economic and legal climate, many more women are finding themselves referred to high‐risk centers for obstetrical care. All of these factors contributed to the formation of the nurse‐midwifery service at the University of Miami, Jackson Memorial Hospital, Miami, Florida in January 1977. The service is described as it evolved over four and a half years. The success of the model led to the expansion of the philosophy and the development of the three principles of practice–independent management, comanagement, and collaborative management. The nurse‐midwives have performed 8,145 deliveries. Selected data is reviewed and the continued role of nurse‐midwives in perinatal cente

ISSN:0091-2182    

DOI:10.1016/0091-2182(82)90130-6

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

ABSTRACTThis paper focuses on today's midwife as she prepares to meet the challenges of childbearing parents tomorrow. Patterns of maternity care are changing throughout the world, and the professional midwife must adapt to the new demands placed on her by contemporary society. She must continually acquire new knowledge and skills and extend her sphere of practice with the overall goal of improving the care given to mothers and babies.

ISSN:0091-2182    

DOI:10.1016/0091-2182(82)90131-8

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

ABSTRACTThe historical trend away from out‐of‐hospital births and toward hospital births reflects an effort by physicians to retain control of maternity services. Physicians have sought to discourage nonhospital births by reducing consumer demand and by restricting midwifery and physician attendance at nonhospital births. Various strategies have been used to formally and informally restrict birth options. The impact of legislative and other restrictions on place of birth are discus

ISSN:0091-2182    

DOI:10.1016/0091-2182(82)90132-X

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(82)90133-1

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(82)90134-3

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(82)90138-0

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY