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Biomedical subjects

L Cronenwett

Publications and source records attributed to L Cronenwett.

10 recordsLinked to original sources

Patient, visitor, and nurse evaluations of visitation for adult postanesthesia care unit patients.

Although PACU visitation for children is sometimes encouraged, most families of adult postoperative patients continue to be excluded from PACUs in this country. At an academic medical center, an open visitation policy for adult postoperative patients was evaluated by eliciting patient, visitor, and nurse evaluations of visitation for adult patients from 181 families. Commonly cited reasons for restricting PACU visitation were not identified as problems by the vast majority of respondents. Even when some aspect of a PACU visit was disturbing, patients and families expressed a desire for visitation. The results of this evaluation of a change in practice led to permanent implementation of an open visitation policy in this PACU.

Adult↗

Single daily bottle use in the early weeks postpartum and breast-feeding outcomes.

A prospective study of breast-feeding mothers was undertaken to determine the effects of limited bottle use and infant temperament on breast-feeding outcomes. White, married, primigravida women who were committed prenatally to breast-feeding for at least 6 weeks (n = 121) were randomly assigned to one of two groups: a planned bottle group that would offer one bottle daily between the second and sixth weeks postpartum and a total breast-feeding group that would avoid bottles during the same period. Group assignment had no effect on the occurrence of breast-feeding problems, on mothers' achievement of 90% of their prenatal breast-feeding duration goals, or on weeks to weaning across the study period. At 6 months postpartum, 59% of the planned bottle group and 69% of the total breast-feeding group were still breast-feeding. No main or interactive effects of infant temperament on breast-feeding outcomes were found.

Adult↗

Nursing care for the emerging family: promoting paternal behavior.

In the last decade, nursing care related to childbirth has expanded from a narrow emphasis on the physical health needs of the mother and infant to a broader focus on more family-related, socioemotional needs. One prominent feature of this family-centered approach is the recent movement toward designing services to promote the formation of the mother-infant attachment bond. It is argued in this paper, however, that to achieve a truly family-centered practice, nursing must make a comparable commitment to understanding and meeting the needs of the father in the emerging family. Evidence is reviewed that suggests the father's potential contribution to the infant's overall development has been misperceived or devalued and that the father's ability and willingness to assume a more active role in the infant's care may have been underestimated. Questions for future research that would lead to a better understanding of the father's role in the emerging family are raised.

Child Development↗

Breastfeeding and employment.

Breastfeeding problems, outcomes, and satisfaction of married, well-educated first-time mothers who returned to work within six months postpartum were compared to those of mothers with the same characteristics who stayed at home. Mothers who planned to work after giving birth anticipated and experienced shorter durations of breastfeeding than did those who planned to remain at home. Breastfeeding experiences and satisfaction among working mothers differed little from the experiences and satisfaction of their nonworking counterparts; however, employment prior to two months postpartum exerted some negative effects on breastfeeding outcomes.

Adaptation, Psychological↗

Newborn behavioral performance in colic and noncolic infants.

The specific purpose of this investigation was to examine the newborn performance of colic and noncolic infants on the Brazelton Neonatal Behavior Assessment Scale (BNBAS). The sample was composed of 119 firstborn infants from healthy, married, white couples. Data were collected prenatally, during the perinatal period, and postnatally from birth through four months of infant age. A total of 38 infants (32%) were believed to have colic. Colicky infants differed significantly from noncolicky infants on one of the seven item clusters, labeled the BNBAS Orientation cluster (p less than .05).

Acoustic Stimulation↗

Models of helping and coping in childbirth.

How professionals help clients is hypothesized to depend on whether clients assume responsibility for either problems or solutions. This paper outlines four possible models of helping and coping (based on the four possible combinations of client responsibility for problems and solutions) and applies them to understanding current practices in childbirth. Each of the models is shown to govern one or more forms of help presently offered to childbearing clients. Future research is proposed to assess why different practitioners prefer different models, and whether certain models are more effective than others in maintaining parent and infant health.

Attitude of Health Personnel↗