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Australian Midwifery最新文献

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How safe is primiparous birth in a birth centre? 在生育中心分娩的安全性如何?
Pub Date : 2005-08-01 DOI: 10.1016/S1448-8272(05)80001-X
Kathleen Fahy (Editor)
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引用次数: 0
A retrospective cohort study comparing the clinical outcomes of a birth centre and labour ward in the same hospital 一项回顾性队列研究,比较同一医院分娩中心和产房的临床结果
Pub Date : 2005-08-01 DOI: 10.1016/S1448-8272(05)80005-7
MPH, BA, RM, RN Maureen Ryan , DrPH, FAFPHM Christine Roberts

To compare clinical outcomes of women attending a birth centre with similar women choosing labour ward birth, we conducted a retrospective cohort study. The 720 birth centre women were more likely to be older, more highly educated and of English-speaking-background than the 2963 labour ward women. Labour was more likely to commence spontaneously in the birth centre group and forceps and caesarean section births were also less likely to occur in this group. A greater proportion of infants of birth centre mothers had higher birth weights when categorised > 75th to 100th percentile. Any form of resuscitation was required less frequently in the birth centre group. Intervention rates in the birth centre were lower than those in the labour ward without any evidence of adverse infant outcomes.

为了比较在分娩中心分娩的妇女与选择产房分娩的妇女的临床结果,我们进行了一项回顾性队列研究。与2963名分娩病房的妇女相比,720名分娩中心的妇女年龄更大,受教育程度更高,有英语背景。在分娩中心组,分娩更有可能自发开始,而在这一组中,产钳和剖腹产分娩的可能性也更小。在分类中,分娩中心母亲的婴儿出生体重较高的比例更高;75到100个百分位数。分娩中心组需要任何形式的复苏的频率较低。分娩中心的干预率低于分娩病房,没有任何婴儿不良结局的证据。
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引用次数: 19
The ethical nature of the mother-midwife relationship: a feminist perspective 妇产关系的伦理本质:女权主义视角
Pub Date : 2005-08-01 DOI: 10.1016/S1448-8272(05)80009-4
PhD Faye E Thompson
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引用次数: 3
Pub Date : 2005-08-01 DOI: 10.1016/S1448-8272(05)80002-1
Dr Della Forster (Midwifery Consultant)
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引用次数: 0
The risks associated with post term pregnancy: a literature review 与足月妊娠相关的风险:文献综述
Pub Date : 2005-08-01 DOI: 10.1016/S1448-8272(05)80004-5
RN Juliana Brennan, M Mid Grad Dip Midwifery

The purpose of this paper is to conduct a critical literature review of the risks associated with induction of labour and a conservative approach to post term pregnancy. The main aim was to establish whether a conservative approach to post term pregnancy is associated with increased rates of perinatal mortality and morbidity, and whether induction of labour reduces these rates. Electronic databases and texts were examined. The findings were that the rates of caesarean section, instrumental birth, use of analgesia, incidence of fetal heart rate abnormality, meconium aspiration syndrome and fetal size were similar in both approaches to care. It appears that perinatal mortality rates increase in post term pregnancy yet the literature varies as to when this increase becomes significant. Induction of labour after 41 weeks gestation reduces the rates of perinatal mortality, however, the amount to which mortality rates are decreased by performing induction of labour at this gestation also varies within the literature. Therefore, it is difficult to given concise dates about when induction of labour should be recommended. Women should be informed of the risks associated with both approaches to care, and based on the review findings, they should be offered induction of labour between 291 days and 294 days, or between 41+4 and 41+7 weeks gestation. However, their preference for either approach should be respected.

本文的目的是进行一个关键的文献综述与引产相关的风险和一个保守的方法,以足月后妊娠。主要目的是确定对足月后妊娠采取保守方法是否与围产期死亡率和发病率增加有关,以及引产是否能降低这些比率。审查了电子数据库和文本。结果发现,两种方法的剖宫产率、器械分娩率、镇痛药的使用、胎儿心率异常、胎吸综合征和胎儿大小的发生率相似。似乎围产期死亡率在足月妊娠后增加,但文献对于这种增加何时变得显著有所不同。妊娠41周后引产降低了围产期死亡率,但是,在该妊娠期进行引产降低死亡率的程度在文献中也有所不同。因此,很难给出确切的引产日期。应告知妇女这两种护理方法的相关风险,并根据审查结果,应在妊娠291天至294天,或妊娠41+4周至41+7周期间为她们引产。但是,应该尊重他们对任何一种方法的偏好。
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引用次数: 1
Exploring current midwifery practice in Thailand 探索泰国目前的助产实践
Pub Date : 2005-08-01 DOI: 10.1016/S1448-8272(05)80007-0
PhD Streerut Thadakant
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引用次数: 0
A new look and feel for the Australian Midwifery Journal 《澳大利亚助产学杂志》的新面貌和感觉
Pub Date : 2005-05-01 DOI: 10.1016/S1448-8272(05)80012-4
Kathleen Fahy (Editor), Caroline Homer (Deputy Editor)
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引用次数: 1
A critical examination of clinical teaching in undergraduate nurse education 对本科护理教育临床教学的批判性考察
Pub Date : 2005-05-01 DOI: 10.1016/S1448-8272(05)80019-7
Lisa McKenna PhD
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引用次数: 2
Women's experiences of being in high-risk antenatal care day stay and hospital admission 妇女在高危产前护理日间住院和住院的经历
Pub Date : 2005-05-01 DOI: 10.1016/S1448-8272(05)80014-8
M Colleen Stainton RN BSc MN DNS , Maria Lohan RN CM , Lyn Woodhart RN CM, MN

For women with complicated pregnancies, pregnancy day stay units and contemporary in-hospital care are less restrictive on their lives and mobility than the traditional antenatal bed rest models of the past. A study, replicating previous work, was undertaken to provide a framework for care of women in these contemporary models of care. A longitudinal phenomenological inquiry during the antenatal period of their complicated pregnancy revealed that waiting is central to the women's experience regardless of model of care. Women with complicated pregnancies are embedded in their own anxiety and surrounded by the anxiety of others. Variation between the two contemporary models of care occurred within three dimensions of the experience — impact on well-being, relationship changes, and disruption to life.

对于妊娠复杂的妇女,与过去传统的产前卧床休息模式相比,妊娠日间住院单位和现代住院护理对她们的生活和活动的限制较少。进行了一项重复以前工作的研究,以便在这些当代护理模式中为照顾妇女提供一个框架。一项纵向现象学调查期间,他们的复杂怀孕的产前期显示,等待是核心的妇女的经验,无论模式的护理。怀孕过程复杂的女性陷入了自己的焦虑之中,并被他人的焦虑所包围。两种当代护理模式之间的差异发生在体验的三个维度上——对幸福感的影响、关系的改变和对生活的破坏。
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引用次数: 10
The mother's health study: A randomised controlled trial of the impact of social support on maternal morbidity in the year after birth 母亲健康研究:一项社会支持对出生后一年内产妇发病率影响的随机对照试验
Pub Date : 2005-05-01 DOI: 10.1016/S1448-8272(05)80017-3
F Bogossian PhD
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引用次数: 0
期刊
Australian Midwifery
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