Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
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J Obstet Gynecol Neonatal Nurs · Jul 1985
Comparative StudyAnesthesia, analgesia for vaginal childbirth. Differences in maternal perceptions.
An exploratory study of 77 primiparous women during the first 48 hours postpartum tested for differences between those who had received epidural anesthesia, those who had received analgesia during labor with local or pudendal block for delivery, and those who had received no analgesia and either no anesthesia or local or pudendal block for delivery. No group differences were found in self-esteem, feelings about the childbirth experience at the time of delivery, or maternal perception of her infant as compared to her perception of an average infant. Those receiving epidural anesthesia had less positive feelings about the childbirth experience at the time of the interview, but they described their views of their infants at birth more positively and with more identifying remarks than either of the other two groups. No differences were found in self-esteem, feelings about the childbirth experience at time of delivery or at the time of interview, or maternal perception of the newborn compared to that of an average infant by those who attended childbirth classes and those who did not.
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J Obstet Gynecol Neonatal Nurs · May 1985
An exploratory study of antenatal preparation for cesarean birth.
An exploratory study was designed to develop and test an antenatal education program of cesarean birth information. Eighty-one pregnant women and their husbands received the educational program. ⋯ Findings indicated that the educational program met most of the information needs of the study participants. Both mothers and fathers exhibited adaptive and ineffective responses to the cesarean, although the responses were more positive than previous studies have reported.
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J Obstet Gynecol Neonatal Nurs · Jan 1985
Comparative StudyExpectation and experience in alternative and conventional birth.
A study was conducted to determine if differences exist between the clients of two types of health-care services with regard to the childbirth experience. Nurse-midwife-attended and physician-attended births were compared in terms of the birthing woman's expected and actual participation in her own birthing experience. ⋯ Also, women attended by nurse-midwives viewed themselves and their partners as the most important individuals for contributing to the satisfaction of the experience while women attended by physicians more often viewed the infant as most important. Differences between the study groups were also found regarding the perceived importance of the birth attendant and the staff nurse.
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J Obstet Gynecol Neonatal Nurs · Jul 1984
Correlates of dysmenorrhea. A challenge to past stereotypes.
A study was conducted to explore the relationship of demographic variables, gynecologic history variables, and menstrual attitudes to three measures of dysmenorrhea derived from the Menstrual Distress Questionnaire. One hundred ninety-three women, 18 to 35 years old, from five neighborhoods in a large, metropolitan city comprised the sample population. ⋯ Further precision in defining dysmenorrhea and a comprehensive, health-oriented approach to dealing with menstrual distress is indicated. Recommendations about the nurse's role in counseling dysmenorrheic women and promoting more positive menstrual attitudes are discussed.
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This article presents a perspective aimed at helping nurses achieve family-centered cesarean births that meet the needs of health-care consumers. It begins by discussing the concept of loss as it relates to cesarean births along with the need for parents to receive support in order to achieve acceptance of the experience. Parents' needs to have control over their birthing experience are then reviewed and the choices concerning type of anesthetic and the father's presence during the cesarean delivery are discussed in some detail. The impact of the birthing experience on readiness for discharge and long-term effects are briefly discussed and finally, a list of possible choices and suggestions aimed specifically at helping nurses are also presented.