Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
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The complexities of current societal trends impose a daunting challenge to providers of maternal child health services. Demographers, anthropologists, sociologists, policy makers, and health care providers struggle to grasp the multiple issues in an effort to create useful strategies for the 21st century. ⋯ Legislative and policy efforts have focused new and much-needed attention on women as recipients and providers of health care. The realities of mothers in the work force, the epidemic of adolescent pregnancy, the swelling ranks of women and children in poverty, the increasing number of women with acquired immune deficiency syndrome, the new advances in reproductive technology, and the effect of population and immigration trends greatly influence the childbearing client of the future and create enormous pressures for critical problem solving.
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J Obstet Gynecol Neonatal Nurs · Feb 1994
ReviewChildbearing, reproductive control, aging women, and health care: the projected ethical debates.
Of the many social trends that will have an impact on the ethical debates surrounding women's health in the 21st century, three are discussed: the shifting demographics of age and race in the United States; the fundamental change in the health care system to a community-based, preventive model; and the equal voice of women in the government. Using these trends as a framework, this article hypothesizes the ethical debates that will occur in the 21st century concerning such issues as fetal viability, abortion, contraception, infertility, genetic engineering, aggressive versus nonaggressive treatment of aging women, scarce resources, menopause, organ transplants, sexism in biomedical research, fertility in postmenopausal women, birthing centers, fetal surgery, and fetal therapy.
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J Obstet Gynecol Neonatal Nurs · Feb 1994
Comparative StudySelf-administered versus nurse-administered epidural analgesia after cesarean section.
To compare two methods of administering analgesia by the epidural route after cesarean sections. ⋯ Subjects in self-administered group required less pain medication than subjects in nurse-administered group.