ISSN:0091-2182    

DOI:10.1016/0091-2182(79)90185-X

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(79)90186-1

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

摘要:

ABSTRACTUse of fetal electronic monitoring is examined as an example of the incursion of technology into the childbearing experience. Such technology is rapidly introduced and widely applied even though randomized clinical trials have failed to justify its generalized use. Some families have reacted by turning away from traditional in‐hospital maternity care. To meet their needs, an out‐of‐hospital childbearing center has been opened with an emphasis on the psychologic aspects of childbearing and a minimum of technologic intervention. Experience has shown that high‐quality, safe maternity care can be provided in this

ISSN:0091-2182    

DOI:10.1016/0091-2182(79)90187-3

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

摘要:

ABSTRACTBy tradition—and definition—nurse‐midwives have managed “normal” mothers and babies. Settings for nurse‐midwives have included community hospitals, maternity centers, and home. For many years, the “normal” category has included the majority of childbearing women. High‐risk patients were the exception, requiring physician management. With advances in perinatal medicine, the ability to identify threats to mother or fetus, risk factors, has led to increasing numbers of women being labeled “at risk.” There is impetus to close small obstetrical services and concentrate care in perinatal centers with sophisticated technological capabilities to handle pregnancies at risk.Nurse‐midwives must reevaluate “normal” in light of perinatal advances and their own capabilities. Nurse‐midwives have assumed management of adolescent mothers, previous infertility, nutritional anemia, and pregnant women over 35 years of age. These women are clearly at risk; however, the benefits of nurse‐midwifery care override the label. These complicated obstetrical cases are complicated in the area of strength for nurse‐midwives. Counseling, education, nutrition, family involvement, continuity, and close surveillance are specific attributes of nurse‐midwifery. There are numerous other examples. In selected complicated obstetrics, the nurse‐midwife is theindicatedhealth care professional. To limit his/her practice to “normal” is to deny appropriate care to hundreds of at risk pregnancies.This article addresses the nurse‐midwife's role in complicated obstetrics, suggests appropriate patients, and proposes a method for making that determination. As a member of the health care team, the role of the nurse‐midwife in medical education and the development of perinatal

ISSN:0091-2182    

DOI:10.1016/0091-2182(79)90188-5

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

摘要:

ABSTRACTIn a retrospective study of 210 women whose deliveries took place at 2 hospitals, the relationship of minor and major perineal lacerations to 30 separate factors is analyzed. Third and fourth degree perineal lacerations are found to be strongly related to low parity, low age, use of forceps, and episiotomies, and weakly related to normal pre‐pregnant weight, weight gain over 30 pounds, anemia, long second stage, and epidural and pudendal anesthesia. First and second degree lacerations related to greater age, multiparity, prepregnant obesity, low weight gain, short second stage, large infant weight, and absence of anesthesia, forceps, and episiotomies. Analysis of the interactions of related variables and a comprehensive review of the literature are presente

ISSN:0091-2182    

DOI:10.1016/0091-2182(79)90189-7

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(79)90190-3

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

摘要:

ABSTRACTA systematic process of theory and lab experience designed to prepare nurse‐midwife students for their first clinical experience is described. The initial history and interview is used to illustrate the process. Focus is on the 4 major areas of competence to be developed. A sequence of observational, class, and lab activities is presented, which includes audio or videotaping followed by review and critique. Equipment required, faculty and student time expenditures, and results obtained are discusse

ISSN:0091-2182    

DOI:10.1016/0091-2182(79)90191-5

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(79)90192-7

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(79)90193-9

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(79)90194-0

出版商:Blackwell Publishing Ltd    

年代:1979

数据来源: WILEY