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Biomedical subjects

E M Carty

Publications and source records attributed to E M Carty.

8 recordsLinked to original sources
PubMed2006

Effects of an intervention aimed at reducing night waking and signaling in 6- to 12-month-old infants.

This quasi-experimental one-group pre- and posttest pilot study evaluated an intervention aimed at reducing night waking and signaling for infants between 6 and 12 months of age. Thirty-nine healthy infants and their parents were recruited. Thirty-five infants completed the intervention and data collection. Both parents participated in a group teaching session with telephone follow-up for 2 weeks. Actigraphy and sleep diary data were collected at baseline and 6 and 16 weeks postintervention. We hypothesized a decrease in length and number of infant waking and crying periods and an increase in longest night sleep and nap time. Following the intervention, infants had significantly reduced length of night crying and number of wakes and longer night sleep periods. The intervention warrants evaluation with a randomized controlled design.

Adult↗
PubMed1996

Women's perceptions of fatigue during pregnancy and postpartum: the impact of length of hospital stay.

Women's experiences during late pregnancy and the early postpartum period were examined relative to time of discharge from the hospital. Women who were discharged in 3 days or sooner were compared to women who were discharged after 3 days or sooner were compared to women who were discharged after 3 days, with respect to fatigue. A rest and activity questionnaire was completed by the women in the third trimester of pregnancy, in postpartum Week 1, and in postpartum Week 4. Few differences were found with respect to hours slept, number of sleep interruptions, perceptions of tiredness, and impact of tiredness on daily life; tiredness was a major aspect of women's experience, regardless of how long they stayed in hospital. The information will help nurses preparing women for their late pregnancy and postpartum experiences and will ease the concern of those who believe women will be more tired if they leave hospital soon after birth.

Adult↗
PubMed1993

Managing the early discharge experience: taking control.

The purpose of this study was to understand women's experiences in an early discharge programme. Using grounded theory, the investigator collected, coded, compared and contrasted data gathered in unstructured interviews with eight women. The women managed their early discharge experience, first, by taking control of their antenatal and intrapartal care once they were accepted into the programme and, later, by taking control of their postpartum recovery and their infants' care. Taking control was influenced by the women's beliefs about family and home; their personalities, e.g. their ability to accept help; and their available support. Their beliefs, personalities and available support were central to their motivation to participate in the early discharge programme and to their perception of a successful experience. The women used a number of strategies to take control. These strategies emerged during organizing antepartal requirements, meeting their own expectations during labour and birth, and learning to trust their abilities to manage self-care and parenting postpartum. The women anticipated their increased family involvement, family integration and participation in decision-making. They did not, however, anticipate their increased feelings of confidence and competence. Taking control has implications for health professionals who are working with childbearing women experiencing early discharge.

Adaptation, Psychological↗
PubMed1990

A randomized, controlled evaluation of early postpartum hospital discharge.

At approximately 37 weeks' gestation, 131 women were randomly assigned to one of three postpartum hospital discharge times: 12 to 24 hours, 25 to 48 hours, and 4 days. Depending on group assignment, the women received from one to five home visits by a maternity nurse clinician during the first 10 days postpartum. The results indicated the maternal and infant morbidity were low regardless of discharge time, although sample sizes were too small to detect significant differences in the outcomes. More early discharge mothers were breastfeeding without supplement at 1 month than were mothers in the long stay group. Mothers in the two early discharge groups were significantly more satisfied with their care than were those who remained longer. Those hospitalized longer scored higher on measures of depression and lower on scores of confidence at selected time periods.

Adult↗
PubMedDate not supplied

Birth planning. A reality-based script for building confidence.

Birth plans are based on the individual needs of the couple as they prepare for labor, birth, and the integration of a new member into the family. In this paper, it is recommended that birth plans be developed with the family in their home around 28 weeks' gestation. The plan is then used to guide the participants in a structured birth rehearsal as a yardstick with which to review the childbearing experience and as a framework to evaluate the care provided.

Delivery, Obstetric↗
PubMedDate not supplied

Comprehensive health promotion for the pregnant woman who is disabled. The role of the midwife.

Increasing numbers of women with physical or sensory disabilities are choosing to bear children. Research and experience seem to indicate serious shortcomings in assisting disabled primiparas toward confident, healthy, and safe childbearing and childcaring. Guidelines are suggested for appropriate referral or direct provision of education and counselling services for such clients during prepregnancy, pregnancy, labor and delivery, and the postpartum period. Useful resources are identified to assist the nurse-midwife in her role.

Activities of Daily Living↗