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Protecting the reproductive health of the family.

Problems of ecology do not affect nations individually. Similarly, scientists must participate in seeking solutions to ecologic problems regardless of State borders. The sophistication of certain demographic indices, primarily those of infant and maternal mortality and of population reproduction, is a barometer of a nation's socioeconomic status and the quality of medical care. Solutions to practical problems in the field of public health are based on scientific research conducted on various problems. A task of urgent priority in Russia is to solve the problems of maintaining health, particularly reproductive, and preventing health disorders. It is the generation of the 1980s and 1990s that faces the basic difficulties of reestablishing the Russian State. We offer for our colleagues' discussion the basic directions of scientific research planned in the Russian Federation to find points of contact with respect to this problem within the framework of possible cooperation.

Adult↗
PubMedDate not supplied

Ethics in reproductive health care: a midwifery perspective.

Knowledge and technologic advancements have created a myriad of new screening, diagnostic, and treatment options for women of reproductive age. These new options often raise ethical issues as the women, their health care professionals, and society adapt to the benefits while coping with the pressures and burdens these options create. Threats to accomplishing the good that midwifery strives to contribute to health care for the benefit of women are identified from the perspective of the midwife's instrumental and expressive roles. Suggestions are presented for resolving ethical dilemmas that may occur in the selection and implementation of health care options. A distinction is made between midwifery practice at the microlevel, which achieves the good through direct interaction with the woman, and the institutional macrolevel that promotes accomplishing the good in reproductive health care through policy developmental and management decisions.

Beneficence↗
PubMed1999

Intergenerational concepts of adolescent sexuality: implications for community-based reproductive health care with Haitian immigrants.

Intergenerational conflict occurs when immigrant parents hold different values from those of their more rapidly acculturating offspring. These conflicts frequently involve disparate views related to sex roles and reproduction. A community-based study of 19 immigrant Haitian parent-adolescent pairs in South Florida compared their attitudes and values about sexuality and reproduction. Data were obtained through focused, open-ended interviews. Content analysis procedures at the level of words and phrases facilitated the categorization of responses. Data revealed considerable differences between parents and adolescents about the sources and types of information learned about reproduction and contraception, when such information is learned, and expectations regarding premarital sexual intercourse. Both parents and adolescents lacked accurate biomedical information about contraception, placed responsibility for contraceptive use primarily on the female partner, considered reproduction a natural rather than a medical event, and believed parents have the major responsibility for educating children about reproduction and contraception. Implications for culturally-appropriate health care center on increasing the role of the public health nurse in health education, minimizing intergenerational and intercultural conflict, and engaging the Haitian immigrant community in the promotion of reproductive health.

Adolescent↗