PubMed Health⌕ Search

Biomedical subjects

P Simkin

Publications and source records attributed to P Simkin.

At least 19 recordsLinked to original sources
PubMed2001

Pregnant women's perceptions of their nurse's role during labor and delivery.

BACKGROUND: Little has been studied about pregnant women's perceptions of their nurse's role during labor and delivery. The objective of this study was to determine nulliparous pregnant women's expectations of their nurse's role during labor and delivery as expressed during the last trimester of pregnancy. METHOD: Nulliparous women in childbirth classes were asked on a questionnaire, "What do you think your nurse's role will be during labor and delivery? You may list as many things as you wish." RESULTS: Fifty-seven completed surveys were collected. The women listed a total of 174 items. Approximately 29 percent of the nursing tasks listed by the nulliparous women were related to providing them with physical comfort and emotional support, 24 percent related to providing informational support, almost 21 percent were related to providing technical nursing care, and 21 percent related to monitoring of the baby, mother, or labor progress; approximately 5 percent related to indirect care (outside the room). CONCLUSION: The expectations of women in our study were in contrast with findings from two previous work sampling studies, in which nurses provided much less time giving women physical comfort, emotional support, and informational support than would have been expected by women in our study. Fulfilling women's expectations about childbirth can increase women's satisfaction with their birth experiences. Further studies can help maternity caregivers learn more about women's expectations.

Delivery, Obstetric↗
PubMed1999

Epidural update.

Explore the source record for details and available documents.

Analgesia, Epidural↗
PubMed1999

The posterior tibial tendon and the tarsal sinus in rheumatoid flat foot: magnetic resonance imaging of 40 feet.

OBJECTIVE: To investigate the role of the posterior tibial tendon in the flat foot deformity of rheumatoid arthritis (RA). METHODS: Eleven patients with hyperpronated feet and 9 without hyperpronation underwent magnetic resonance imaging (MRI) of the feet and ankles. Radial oblique double echo images provided cross sectional views of the posterior tibial tendon as it coursed behind and under the medial malleolus and inserted beneath the midfoot. RESULTS: Complete tears (Type III) of the posterior tibial tendon were seen in one patient with hyperpronation and in one without hyperpronation. However, partial tears (Types I and II) of the posterior tibial tendon were common, and when Type I-III posterior tibial tendon tears were grouped together, they were seen in 68% of flat feet and in 43% of feet that were not flat. Abnormalities of the tarsal sinus, including cortical erosions and replacement of the normal fat signal with intermediate signal soft tissue, were seen in 74% of flat feet and in 5% of feet that were not flat. CONCLUSION: Posterior tibial tendon tears are common in RA flat feet, but are usually incomplete and are not solely responsible for the flat foot deformity.

Ankle Joint↗
PubMed1996

Thymic uptake of iodine-131 in the anterior mediastinum.

Two thyroidectomized patients with a history of differentiated thyroid carcinoma are presented who had nonmetastatic mediastinal 131I uptake following therapeutic doses of 131I. Chest CT scans in both patients demonstrated an anterior mediastinal mass. Surgical excision in one patient and a percutaneous CT-guided fine needle aspiration biopsy in the other disclosed normal thymus tissue. Iodine-131 uptake in the anterior mediastinum in patients thyroidectomized for follicular or papillary thyroid carcinoma may represent the thymus.

Adenocarcinoma, Follicular↗
PubMed1995

Reducing pain and enhancing progress in labor: a guide to nonpharmacologic methods for maternity caregivers.

Many simple, effective, low-cost methods to relieve labor pain can be initiated by nurses, midwives, or physicians with the potential benefits of improved labor progress, reduction in use of riskier medications, patient satisfaction, and lower costs. These nonpharmacologic methods are categorized by the mechanisms through which they reduce pain or improve labor progress: diminishing the painful stimulus at the source; providing alternate stimuli to inhibit pain awareness; and reducing the woman's negative reaction to the pain. This is a review of numerous pain relief techniques and a guide for maternity caregivers.

Baths↗
PubMed1994

Epidural epidemic.

Explore the source record for details and available documents.

Anesthesia, Epidural↗
PubMed1992

Just another day in a woman's life? Part II: Nature and consistency of women's long-term memories of their first birth experiences.

Twenty women who attended the author's natural childbirth classes between 1968 and 1974 were the informants in this study of long-term memories of their first childbirths. The data from each informant consisted of 1) a labor and birth questionnaire, including an open-ended account of her labor, written shortly after her baby was born; 2) a similar questionnaire and account written in 1988 and 1989; and 3) a transcribed interview during which her memories and perceptions were discussed and any discrepancies between the questionnaires were explored. The questionnaires were compared for consistency of recall, and the interviews consulted for further clarification. Specific memories were excerpted, compared, classified, tabulated, and summarized. Findings were that, years later, women's memories are generally accurate, and many are strikingly vivid, especially of onset of labor; rupture of the membranes; arrival at the hospital; actions of doctors, nurses, and partners; particular interventions; the birth; and first contact with the baby. Most memory lapses or confusion were minor. Evidence of a halo effect was observed as well.

Adaptation, Psychological↗
PubMed1991

Just another day in a woman's life? Women's long-term perceptions of their first birth experience. Part I.

This study explored and analyzed the long-term impact of the birth experience on a group of 20 women from the natural childbirth culture of the late 1960s and early 1970s. The data consisted of 1) a structured labor and birth questionnaire and an unstructured account of their experiences written shortly after their babies were born; 2) a similar questionnaire and account written 15 to 20 years later; and 3) a transcribed one- to one-and-a-half-hour interview during which each woman's memories and perceptions were discussed. Women reported that their memories were vivid and deeply felt. Those with highest long-term satisfaction ratings thought that they accomplished something important, that they were in control, and that the birth experience contributed to their self-confidence and self-esteem. They had positive memories of their doctors' and nurses' words and actions. These positive associations were not reported among women with lower satisfaction ratings.

Adult↗
PubMed1989

Childbearing in social context.

Understanding of the childbearing customs of a society is enhanced by a knowledge of the social, political, economic and intellectual climate of the time. This paper presents an analysis of some significant trends in maternity care during this century and the context in which they took place. Differences between the public sector and the medical profession are specifically addressed.

Anesthesia, Obstetrical↗