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Biomedical subjects

C W Pearce

Publications and source records attributed to C W Pearce.

At least 19 recordsLinked to original sources
PubMed2001

Screening for abuse: barriers and opportunities.

Domestic abuse is the leading cause of injuries and death among women of childbearing age in the United States. The broad purpose of this research is to discover how pregnant women's psychological and behavioral responses to abuse affect birth outcomes. To select a diverse sample of women, we identified 8 prenatal care sites and completed the human subjects approval process with each. Rates of screening for abuse range from all but 12 women over a 2-1/2-year period at one site to no screening for abuse at another site. In this article, we will review pertinent literature and discuss the supports and barriers we observed when implementing an abuse screening program using the Abuse Assessment Screen, a well-tested and valid clinical instrument. Suggestions will be made for improving the screening rates at those sites where screening is absent or inconsistent.

Attitude of Health Personnel↗
PubMed1998

Seeking a healthy baby: Hispanic women's views of pregnancy and prenatal care.

The goal of this study was to develop a grounded theory of pregnancy and prenatal care for a cohort of Hispanic women residing in an industrial city in the Northeast. Twenty-one women, of predominantly Puerto Rican and Dominican heritage, participated in in-depth interviews lasting 30-50 minutes in which they shared their views of pregnancies and prenatal care including cultural influences on pregnancy, social support, initiation of prenatal care, and interest and participation in perinatal education. The core category, seeking a healthy baby, emerged from the data using a constant comparison analysis method. The women enhanced their chances of achieving the goal of having a healthy baby three ways: (1) caring for self by having a positive attitude, viewing pregnancy as normal, seeking education, eating healthily, balancing activity and rest, having good habits, and initiating and continuing prenatal care; (2) receiving support from their network in the form of receiving advice, listening to problems and concerns, and providing housing, babysitting, financial aid, and transportation; and (3) accepting care from providers in Western and folk medicine.

Adolescent↗
PubMed1996

Comprehensive interdisciplinary care: making a difference in pregnancy outcomes for Hispanic women.

Hispanic women constitute one of the fastest growing and most diverse groups in the United States, representing many countries of origin and cultural practices. The purpose of this evaluation study, using an ex post facto design, was to examine well-being during pregnancy and pregnancy outcomes for a cohort of 113 Hispanic women receiving perinatal care at the clinic of a community hospital in an old industrial city in the Northeast. The received adequacy of prenatal care for the study sample women was very high. The low-birthweight rate was lower than for the study hospital, the study city, the state, and the entire United States. The results of this study demonstrate the favorable effects of a comprehensive, interdisciplinary, and culturally sensitive model of prenatal care on these women's well-being and birth outcomes. Findings also support the need for an outreach program targeted at hard-to-reach women in the inadequate, received-care group and women with later initiation of care.

Adolescent↗