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Biomedical subjects

J A Lothian

Publications and source records attributed to J A Lothian.

4 recordsLinked to original sources
PubMed2001

Back to the future: trusting birth.

Research over the past 30 years provides support for once again trusting birth. This is a paradigm shift in thinking about birth and requires a dramatic change in the practice of nursing. Confidence in a woman's ability to give birth, the freedom to find comfort in response to pain, and the support of family, friends, and professionals facilitate normal, natural birth. Hospital policies and routine care practices that decrease confidence, restrict freedom and support, and separate mothers from their infants sabotage natural birth and breastfeeding. The goal of the perinatal nurse is to promote, protect, and support women's efforts to give birth naturally and breastfeed their children.

Attitude to Health↗
PubMed1993

Critical dimensions in perinatal education.

A commitment to family-centered care demands that perinatal education include the following critical dimensions: presenting information, enhancing coping strategies, fostering support systems, promoting informed decision making, and integrating consumer advocacy. Families must have accurate, current information about pregnancy, birth, infants, early parenting, and the health care system in which these vents occur. This information is the foundation, not the final product, of perinatal education. Families need appropriate and effective coping skills and a strong support network as they move through this stage of the life cycle. The ultimate goal, and perhaps the most critical dimension of perinatal education, is to promote informed decision making. Families need options and the opportunity to understand the implications and feasibility of alternative decisions in their lives. The perinatal educator acts as an advocate by providing information and support for the client, and in advocating for the client in the health care system.

Adaptation, Psychological↗
PubMedDate not supplied

It takes two to breastfeed. The baby's role in successful breastfeeding.

This article describes the influence of the baby on the process and duration of breastfeeding. A qualitative study of the experience of breastfeeding provided rich, contextual descriptions of breastfeeding in the lives of five families before and after the birth of their first babies. Knowledge, skill, and support of family and friends influenced breastfeeding duration, but only in the presence of baby satisfaction. The characteristics associated with baby satisfaction were competent sucking, "easiness," and stamina. Based on these findings, it appears that, to be successful, "it takes two to breastfeed." Breastfeeding education should include much more information on the contribution of the baby to the process of breastfeeding. Health care providers should be skilled in both infant breastfeeding assessment and interventions to facilitate successful breastfeeding.

Breast Feeding↗