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At least 127 records · Page 7Linked to original sources
PubMed1986

Adolescent obstetrics.

Adolescent pregnancies are associated with a poorer outcome. These adverse outcomes may be correctable to some extent through social programs. When special efforts are made to meet the needs of a special group, better outcomes are noted. The adolescent is at greater risk for preeclampsia. Correction of this risk is doubtful until the etiology of preeclampsia is discovered. This condition gives the adolescent a greater risk of prematurity and low birthweight in her infant. Most of the other medical risks that have been noted seem to be minimally affected by age.

Abortion, Induced↗
PubMed1996

Obstetrics service utilisation by the community in Lebowa, northern Transvaal.

A cross sectional cluster survey was done in all health wards of Lebowa in May 1992. The study was based on a recall of antenatal, intrapartum and postnatal experience during the last pregnancy of 2940 mothers. Only mothers who delivered within 12 months before the date of interview were included. Antenatal coverage was high at 93.5%, the proportion of health facility deliveries was 74.6% while 26.3% of all births occurred at home. Inaccessibility of maternity services, lack of money, negative staff attitudes and lack of privacy were the common reasons given for preference of home delivery. Mothers who delivered at home were more likely to be of higher parity and unbooked than their counterparts who delivered in a health facility. Postnatal coverage was 50.7% with a 25.4% rate of utilisation of a method of childspacing. The proportion of births attended to by trained personnel needs to be increased.

Birth Intervals↗
PubMed1997

A Mom & Me program.

For the postpartum patient and her newborn, the hospitalization period continues to decrease while educational needs are unchanged. This leads to high stress and a limited ability for patients to absorb needed information for safe care after discharge. The program described below shows how one home care agency combined the skills of the in-hospital nursing staff and home care staff to develop an in-home educational program for this population.

Community Health Nursing↗
PubMed1987

A comparison of postpartum early and traditional discharge groups.

Women from a health maintenance organization who chose early postpartum discharge from the hospital were compared with women who chose a traditional stay. Subjects were mailed a questionnaire; 84% (n = 183) were returned. The survey instrument was designed to measure demographic, family, and birth-related characteristics; postpartum values and beliefs; early discharge program awareness; and postpartum care satisfaction. Findings revealed that the early discharge group had fewer primiparas, more rooming-in mothers, more bottle-feeding mothers, more deliveries between midnight and 6:00 AM, more deliveries at one hospital, more mothers who relied on themselves rather than others for their discharge decision, and more mothers who learned about early discharge from printed information rather than from clinic staff. Mothers in the late discharge group placed more value on rest and sleep, a quiet atmosphere, attention from others, and having a knowledgeable person available. Implications for hospitals and staff education are discussed in light of complete study findings.

Attitude to Health↗
PubMedDate not supplied

Opening students' eyes. The process of selecting a research instrument.

The selection of a research instrument to collect data is crucial to the success of a study. This choice can be one of the most time-consuming and challenging tasks in the research process. If they have not been involved in conducting a research study themselves, nursing students are unaware of the intricacies involved in the decision-making process for selection of an instrument. The author describes a teaching strategy to help nursing students appreciate the many components involved in this critical and challenging step in the research process. The example used is from the author's research program on postpartum depression, which describes step by step the author's decision-making process for selection of an instrument.

Data Collection↗
PubMedDate not supplied

Nurse-managed postpartum home care.

In 1989, Professional Nurse Associates, Inc., and Kaiser Permanente of Ohio collaborated to provide a home-centered postpartum recovery program to meet the postdelivery health-care needs of mothers, neonates, and families after a shortened hospital stay. This article reviews the history, process, and outcomes of that joint effort. The authors describe outcomes in terms of type and frequency of nursing diagnoses found on home visits, readmission rates, cost savings, and consumer satisfaction.

Adolescent↗
PubMedDate not supplied

Transition to motherhood.

OBJECTIVE: To synthesize the results of nine qualitative studies related to the transition to motherhood, using Noblit and Hare's method of meta-synthesis development. DATA SOURCES: CINAHL, MEDLINE, PsycINFO, Sociological Abstracts, and Dissertation Abstracts, using the keywords transition, adaptation, motherhood, and mother. STUDY SELECTION: Studies were evaluated for inclusion related to study focus and comparability of findings. Nine studies were included in the final sample, four using a grounded theory methodology and five using either a phenomenologic or phenomenologic/hermeneutic method. DATA EXTRACTION: A series of overlapping, repeating steps as outlined by Noblit and Hare were followed in conducting this meta-synthesis. Detailed tables of metaphors, themes, concepts, and phrases from each study were constructed and studies were compared by means of reciprocal translations. DATA SYNTHESIS: Two processes inherent in maternal transition emerged: engagement and growth and transformation. In addition, five thematic categories signifying areas of disruption present in the maternal transition and 13 underlying themes were revealed. CONCLUSIONS: To facilitate maternal transition, nurses must remain sensitive to the maternal insecurity of primiparae and encourage their maximum maternal engagement, particularly during periods of forced mother-infant separation such as the newborn's admission to the intensive-care unit. In addition, prenatal discussion of realistic expectations for the transitional period, ongoing support through the first 6 months postpartum, and the use of role models should be integrated into postpartum support programs to assist mothers in negotiating typical areas of disruption during maternal transition.

Adaptation, Psychological↗