Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
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Nursing literature concerned with epidural anesthesia in obstetrics is scant and does not offer a synopsis of the pharmacology of local anesthetic agents employed in epidural block. A comprehensive review of the pharmacology and clinical uses of the common agents used in obstetrical epidural anesthesia is presented. Implications for nursing care are also described.
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Two methods of neonatal ostomy care, nonappliance and appliance, are discussed. Skin problems associated with stoma care, such as excoriation, fungal infections, and allergic reactions, are reviewed and a number of suggestions are made for the proper care of stomas in the newborn.
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The presence of Eisenmenger's syndrome places the pregnant patient at high risk for maternal and neonatal mortality. Since patients with Eisenmenger's syndrome generally survive until the fourth decade, some patients with this disease process will become pregnant. A discussion of cardiovascular changes that occur during pregnancy is presented with a description of the manifestations of Eisenmenger's syndrome. The literature on Eisenmenger's syndrome in pregnancy is reviewed and a therapeutic approach to the management of the pregnant patient with this disease is presented.
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Infant crying can be a problem because parents often receive conflicting advice about crying from relatives, friends, childrearing "experts," and health professionals. Nurses are in a unique position to counsel parents about this aspect of childrearing. Infant crying as a signal is discussed, and research related to infant crying is reviewed. Recommendations are given for nurses counseling parents about coping with infant crying.
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J Obstet Gynecol Neonatal Nurs · May 1983
Contraceptive use and perceptions of chance and ability of conceiving in women electing abortion.
A convenient sample of 32 women seeking abortion was studied to determine the relationship between a woman's use of birth control and her perception of her chance and ability of conceiving. Subjects were between the ages of 16 and 29 years, white, unmarried, and gravida one. ⋯ The data show a relationship between a woman's use of birth control and her perception of her chance and ability of conceiving. How nurses can assist women in making choices about contraceptive use is discussed.