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Biomedical subjects

K L Hangsleben

Publications and source records attributed to K L Hangsleben.

5 recordsLinked to original sources
PubMedDate not supplied

VBAC program in a nurse-midwifery service. Five years of experience.

Vaginal birth after cesarean (VBAC) is well documented by research studies to be safe and, in many cases, better for women with a previous cesarean birth than a repeat cesarean. The article describes one nurse-midwifery service's policies and procedures for helping women to prepare for and have a trial of labor. During the intrapartal period women with a uterine scar are managed similar to those without a scar except for closer monitoring, lab studies, and intravenous heparin lock. An obstetrician is always in the hospital and available for consultation. Of 53 women attempting VBAC, 83% had a vaginal birth. Those with a previous cesarean for failure to progress had the lowest vaginal birth after cesarean rate of 65%. Maternal and newborn morbidity was low. The authors conclude that nurse-midwifery management of vaginal birth after cesarean candidates is safe and very successful when appropriate physician consultation and hospital services are readily available.

Cesarean Section↗
PubMedDate not supplied

Transition to fatherhood. An exploratory study.

An exploratory study of the transition to fatherhood for 50 first-time fathers is described. Subjects completed questionnaires within three weeks of their infant's birth and again three to five weeks postpartum on the topics of infant feeding, lifestyle changes, depression, fathering activities with their own father and those planned with their own child, marital adjustment, and infant feeding. Subjects showed no evidence of depression, were maritally well adjusted, were very involved in infant care, had experienced many lifestyle changes, and planned to continue to be very involved with their child.

Adaptation, Psychological↗