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Biomedical subjects

S H Fischman

Publications and source records attributed to S H Fischman.

15 recordsLinked to original sources

Sex-role attributes, gender, and postpartal perceptions of the marital relationship.

The relationships of sex-role attributes and gender to perceptions of changes in intimacy and in the overall marital relationship were examined, as was the quality of that relationship following the birth of an infant. For a sample of 165 couples, positive changes in intimacy and in the overall relationship following delivery were positively related to marital quality at four months postpartum. Of gender and sex-role attributes, only femininity contributed significantly to the prediction of overall change and quality. None of the variables predicted perceived change in intimacy.

Adult↗

Medical students' attitudes toward sexually active older persons.

There are widespread assumptions in the literature concerning general disapproval of sexual activity in older persons. However, research evidence in support of these assumptions is sparse. An experiment that focused on attitudes toward sexually active older persons was conducted with 140 freshmen medical students. Each student read a 200-word account of a 68-year-old man or woman temporarily living in a nursing home. By random assignment, half read that the person was sexually active; there was no mention of sexuality for the remaining students. Students evaluated the 68 year old on a rating scale of 0 to 9 for such characteristics as mental alertness and cheerfulness. Regardless of the 68-year-old person's gender, the students were significantly biased in favor of the sexually active person. Implications of these findings are discussed.

Adult↗

Female orgasmic experience: a subjective study.

Human female orgasm was studied by collecting and analyzing the subjective orgasmic histories of 30 women, ages 18 to 59 years. Virtually all of the 93% who reported they had experienced orgasm also reported some level of conscious control over whether or not they reached orgasm. Women differed widely as to preferred types of physical stimulation and/or mental activities to facilitate orgasm. Orgasms were experienced as centered in the clitoral and/or vaginal areas. Women over 40 were more likely to have experienced orgasm in more than one anatomic site than were women aged 18 to 29. Marital status, religion, occupation, educational level, experiences of pregnancy and childbirth, various reported characteristics of relationships with partners, and early sexual experience were not associated with where orgasm is experienced within the body or with other variables of adult orgasmic experience. The variation among women as to how orgasm is best reached, differences in where it is experienced within the body, and the reasons why an individual woman experiences orgasms differently over time remain poorly understood phenomena.

Adolescent↗

American nurse-midwifery practice in 1976-1977: reflections of 50 years of growth and development.

Nurse-Midwifery was introduced into the United States in 1925 as a means of meeting the maternal and infant care needs of specific rural and urban poor populations. Four studies of US nurse-midwives conducted between 1963 and 1977 describe recent changes and practice in the profession. Approximately 1,000 nurse-midwives employed in the US responded to a questionnaire in late 1976; about 650 of them were in clinical practice. Of those in practice, two-thirds had graduated as nurse-midwives during the prior six years. At least 90 per cent of them provided prenatal care and family planning, and 85 per cent managed labor and delivery and performed postpartum physical examinations. Working collaboratively with physicians, most nurse-midwives manage the care of prenatal patients with some complications. However, relatively few manage multiple gestation or breech deliveries. The 78 per cent of clinical nurse-midwives who provide gynecologic care to non-pregnant women are likely to diagnose gynecologic conditions and treat common problems such as vaginal infections, gonorrhea, condylomata, and lower urinary tract infections. Those who work in small communities are more likely to assume greater responsibility for complicated deliveries and for care of the newborn from birth through infancy. (Am J Puiblic Health 1980; 70:990-996.)

Female↗

Adolescent unwed motherhood: implications for a national family policy.

Out-of-wedlock pregnancies among adolescents from impoverished families and the decision of these girls to have their babies rather than to seek an abortion represent on adaptation to the circumstances of poverty. The authors content that a national family policy might help some of these girls avoid out-of-wedlock pregnancy and childbearing.

Abortion Applicants↗

Changes in sexual relationships in postpartum couples.

To assess perceived changes in intimacy and sexuality in postpartum couples, an Intimate Relationship Scale was developed, tested for reliability (alpha = 0.86), and administered by mail. Sixty-eight, middle-class couples responded at four months postpartum and 126 couples at 12 months postpartum. Data revealed declines in the frequency of and desire for sexual activity, especially for mothers, when compared to sexual activity before the infant's birth. At four months postpartum, most women reported physical discomfort with sexual intercourse, a decline in physical strength, dissatisfaction with bodily appearance, and fatigue which interfered with sex. Strategies and techniques to promote and maintain intimacy and sexuality in postpartum couples are suggested to assist their transition to parenthood and may positively influence parenting behaviors.

Adult↗

Teen pregnancies.

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Adolescent↗