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Blackwell Publishing Ltd (2,657)
Nursing Care for the Relinquishing Mother (1980)
DEVANEY, SUSAN WUEST ; LAVERY, SHARON FARRELL
Journal of obstetric, gynecologic and neonatal nursing 9 (1980), S. 0
Notes: Unmarried adolescents with unplanned pregnancies face, along with the usual physiologic and psychologic changes, parental force and/or peer pressure to leave home and live elsewhere and a decision about the relinquishment of the infant. An important figure during the prenatal and immediate postpartum periods is the nurse. Nursing care required by relinquishing mothers is outlined and recommendations are given.
The Marital Sexual Relationship During Pregnancy (1980)
SWANSON, JACKIE
Notes: Physical and psychological changes during pregnancy which affect sexual relationships are discussed. Some of these changes can cause a rift between husband and wife; however, the nurse can play a key role in helping couples successfully adjust to a changing sexual relationship. Recommendations for counseling pregnant couples are given.
Part IV: Preparation for Breastfeeding and Early Optimal Functioning (1980)
Notes: Understanding the importance of breast milk in optimal nutrition and protection for the newborn and developing infant is basic to nursing support of the breastfeeding mother. Add to this motivational information a thorough understanding of the practical aspects of preparing for and maintaining breastfeeding, and the nurse is well-equipped to help the mother reach for the most positive and successful breastfeeding experience possible for herself and her infant. Continuing the series begun in the July-August issue, "The Biological Specificity of Breast Milk" and "Preparation for Breastfeeding and Early Optimal Functioning" are presented below. The series will conclude in the next issue with "Self-care for Continued Breastfeeding" and "Some Breastfeeding Problem and Solutions."The principles and techniques of prenatal assessment and preparation of the breasts for breastfeeding are discussed. A section on teaching self care skills during the early postnatal period follows and includes the importance of early attachment, guidelines for initial feeding, and tips on positioning and suckling patterns. A discussion of nutrition during lactation concludes Part IV.
Postpartum Sexuality (1980)
INGLIS, TONI
Notes: The physiological and psychological changes that accrue during pregnancy and childbirth and that may effect the postpartum marital relationship are discussed. Then they are related to recommendations for counseling.
Contraception and Adolescent Pregnancy (1980)
BURBACH, CINDY A.
Notes: To identify reasons for increasing numbers of pregnant adolescents, questionnaires were distributed to teenagers with unplanned pregnancies to determine the level of their knowledge of contraception. Findings revealed that 94% of the subjects had an adequate knowledge of availability, while only 43% had an adequate overall knowledge of contraception. Subjects reported many misconceptions about contraceptives and a general lack of motivation concerning contraceptive use.
Part I: Development and Eighteen Months' Statistics (1980)
FAXEL, ANN MARIE H.
Notes: The birthing room concept (BRC) at Phoenix Memorial includes personal involvement in birth plans; labor and delivery in the same bed; no separation of infant and family; discharge within 12 to 24 hours after the birth; unlimited sibling, family, and friend visitation; and the option of having family, friends, and children, in addition to the coach, attend the birth. In Part I, BRC development via medical and nursing channels, the physical remodeling, descriptive data on consumers, and morbidity and transfer statistics are detailed. In Part II, results of a consumer questionnaire are presented: why consumers chose the birthing room, overall consumer satisfaction, home births averted, impact of children's presence at birth, value of the Visiting Nurse Service, and changes consumers would make to enhance future births. Data for the two papers were collected during separate but overlapping time periods. No correlations were made as the data were initially collected for separate purposes. (See, also, separate abstract for each article.)Development of a birthing room concept and its implementation at Phoenix Memorial Hospital is described, and one-and-a-half years of birthing room experience is presented through a review of birthing room records. Descriptive data on 196 mothers and infants are summarized. A 21% maternal problem rate is reported, along with a 17% infant problem rate. Intrapartum in-hospital transfers out of the birthing room program occurred in 5% of the total birthing room families. The problems encountered and the reasons for the transfers are explorach.
Bacterial Colonization in Neonates with Sibling Visitation (1980)
UMPHENOUR, JO HELEN
Notes: The effect of postpartum sibling visitation on the incidence of bacterial colonization in neonates was investigated in a 25-bed ob/gyn unit at a military hospital. The visitation policy allowed siblings to visit with the infant at the mother's bedside, and siblings were allowed unrestricted contact with the infant after handwashing with an iodine scrub preparation. Data comparison revealed bacterial colonization on discharge in 70% of 214 control infants (admitted prior to sibling visitation program) and 67% of 182 study infants. It was concluded that postpartum sibling visitation did not increase the incidence of bacterial colonization in neonates.
Early Mother-Infant Contact and Infant Temperature Stabilization (1980)
BRITTON, GERALDINE R.
Notes: Thirty-four healthy mother-infant dyads were divided into two groups to determine the eJecl of postdelivery skin-to-skin contact on infant temperature stabilization. Nineteen control infants were placed in heated cribs, while 15 study infants were given immediate and extended physical contact with their mothers. Axillary and rectal temperatures were measured five minutes after birth and one hour after the infants left the delivery room. The results indicate that separating normal newborns from their mothers for the purpose of stabilizing temperature may not be necessary.