JOGN nursing; journal of obstetric, gynecologic, and neonatal nursing最新文献

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 Consistency Chance and Ability Inventory, a self-report questionnaire, was completed by each subject. 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.

Effects of caffeine on reproduction in animals include fetal deaths, low birth weights, small litters, delayed bone development, and limb abnormalities. Few studies have examined the effects of caffeine on reproductive outcomes in humans. While some retrospective studies have found an association between high caffeine intake and fetal death, stillbirth, premature birth, and birth defects, others have not. Related research to date is reviewed, and the major sources of dietary caffeine and suggestions for decreasing caffeine intake through alternative food stuffs are provided.

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.

Respiratory problems account for most of the morbidity and mortality in the neonatal period. Etiology of respiratory difficulties and specific nursing assessments and interventions relevant to the neonate experiencing respiratory distress are discussed.

The four-day, 40-hour alternative work schedule was presented to professional nurses in the special care nursery at a hospital and medical center in Chicago, Illinois. Within a few months, every nurse in the unit, in addition to those newly recruited, elected to work the alternative schedule. The project was evaluated at 12 and 18 months, with encouraging results. The nurses perceived the 10-hour day as a major structural support enabling them to provide optimal patient care while coping with work-related stress.

Intraventricular hemorrhage is a major and common problem for the premature infant. The pathophysiology and etiology are not fully understood. Major etiologic and contributing factors are presented and nursing considerations are discussed.

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.

Hematologic problems in the early periods of postnatal life are common. Many complications of the common hematologic problems in the newborn, including death, might be prevented with astute nursing care. Frequently encountered blood disorders of the immediate newborn period, clinical manifestations, common treatments, and nursing management are presented.