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Maternal, Child Health and Neonatal Nursing Commons

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Articles 1 - 30 of 569

Full-Text Articles in Maternal, Child Health and Neonatal Nursing

The Relationship Of Age, Ethnicity, Parity, And Awareness Of The Midwife’S Role In Selection Of Pregnancy Care Provider In Childbearing Age Women, Marquida Morgan Mar 2019

The Relationship Of Age, Ethnicity, Parity, And Awareness Of The Midwife’S Role In Selection Of Pregnancy Care Provider In Childbearing Age Women, Marquida Morgan

Grace Peterson Nursing Research Colloquium

Abstract

Background: Birthing centers inside hospitals may offer women the choice of a pregnancy care provider. Mothers can choose either a physician or a midwife. The rise of birthing centers is parallel to the rise in the demand for midwives. It is essential for the continuous growth of midwives to examine the maternal selection process of pregnancy care providers.

Objectives: The object of the descriptive survey study was examining age, ethnicity, parity, and the awareness of the midwife’s role influence on a woman’s selection of pregnancy care provider. This information would provide midwives with a framework to understand ...


Pediatric Primary Care Concussion Evaluation And Management, Kaitlyn Layman Aug 2018

Pediatric Primary Care Concussion Evaluation And Management, Kaitlyn Layman

Graduate Student Projects and Scholarship

Concussions are an important and timely subject, especially within the pediatric population, as they are the most involved in extracurricular contact sports and are susceptible to concussions and their sequelae. The researcher performed a quasi-experimental pilot study in a pediatric primary care office where the researcher educated 15 providers on the HEADS UP concussion screening tool and management approach. The researcher gave providers pre- and post-intervention surveys to determine if providers’ comfort and knowledge regarding assessing and managing concussions within the pediatric primary care setting changed. Four providers participated in the study. The researcher conducted a chart review two months ...


Maternal Mortality In Non-Hispanic Black Women, Amelia Major Aug 2018

Maternal Mortality In Non-Hispanic Black Women, Amelia Major

Grace Peterson Nursing Research Colloquium

Background: The United States has the highest maternal mortality among all developed countries, among these mothers, non-Hispanic black women are three times more likely than women of any other racial group to die from pregnancy-related causes.

Purpose: To investigate racial disparities among pregnant women who die from pregnancy related causes (maternal mortality) and determine possible interventions to improve outcomes.

Methods: An integrative literature review was conducted to analyze peer-reviewed articles published from 2007 to 2018; a computerized search of literature was performed using Cumulative Index to Nursing and Health Literature (CINAHL), Proquest Nursing and Allied Health Sources, PubMed and PsycINFO ...


Common Components Of Fetal Alcohol Spectrum Disorder Prevention Intervention Programs: A Review Of Literature, Ross Siemering Aug 2018

Common Components Of Fetal Alcohol Spectrum Disorder Prevention Intervention Programs: A Review Of Literature, Ross Siemering

Grace Peterson Nursing Research Colloquium

Abstract

Background: Fetal alcohol spectrum disorders (FASD) are the most common yet completely preventable cause of mental disability in the western world.

Objective: The purpose of this integrative literature review is to examine and identify the common elements among varying interventions for FASD prevention that have demonstrated effectiveness for reducing the risk of FASD to better understand what defining features may contribute to the efficacy of the interventions.

Methods: An integrative literature review was conducted. The databases searched included: CINAHL, PubMed, Cochrane Library, and Science Direct. Articles were then reviewed to determine if they were appropriate for inclusion based upon ...


Developmental Interventions Used For Premature Infants In The Nicu, Macy Swanager Aug 2018

Developmental Interventions Used For Premature Infants In The Nicu, Macy Swanager

Grace Peterson Nursing Research Colloquium

Developmental Interventions Used for Premature Infants in the NICU: An Integrative

Literature Review

Macy Swanager

Research Advisor: Kim Amer, PhD, RN

Abstract

Background: Various developmental interventions have been used to promote premature infants’ health in the NICU, but there has been limited research on which of these interventions leads to the best outcomes in reducing stress-based symptoms in the premature infant.

Objectives: The purpose of this integrative literature review was to assess the current trends in developmental intervention strategies that are being used in the NICU that result in positive outcomes in premature infants.

Method: An integrative literature review was ...


Determining Risk Factors To Decrease Maternal Mortality Related To Chronic Hypertension: An Integrative Literature Review, Chelsea Stellmach Aug 2018

Determining Risk Factors To Decrease Maternal Mortality Related To Chronic Hypertension: An Integrative Literature Review, Chelsea Stellmach

Grace Peterson Nursing Research Colloquium

Background: Maternal mortality ratio (MMR) in the United States in 2015 was 26.4, higher than many other developed countries. Maternal deaths due to hypertensive disorders of pregnancy are on the rise, including chronic hypertension. Chronic hypertension is defined as blood pressure greater than or equal to 140/90 mmHg before pregnancy or during the first 20 weeks of gestation. This condition occurs in up to 5% of pregnancies which are more likely to result in adverse maternal outcomes. Nearly 40% of maternal deaths are preventable, especially those related to chronic diseases.

Objectives: The purpose of the integrative literature review ...


Postpartum Hemorrhage: A Change Strategy, Alison Landis Aug 2018

Postpartum Hemorrhage: A Change Strategy, Alison Landis

Master's Projects and Capstones

Problem: Postpartum hemorrhage (PPH) is one of the leading causes of severe maternal morbidity and mortality. It is unpredictable and can occur with or without identified risk factors. A postpartum hemorrhage can happen rapidly, therefore it is important for the team to be trained and prepared to recognize and respond quickly to the situation, by quantifying blood loss at deliveries.

Context:The California Maternal Quality Care Collaborative (CMQCC) has created a toolkit to better prepare maternal child health teams for readiness, recognition, response, and reporting when a hemorrhage occurs. This program was rolled out on the unit in 2015 resulting ...


Improving The Timing Of Antibiotic Administration In High-Risk Neonates, Jed Comuelo Aug 2018

Improving The Timing Of Antibiotic Administration In High-Risk Neonates, Jed Comuelo

Master's Projects and Capstones

Improving the Timing of Antibiotic Administration in High-Risk Neonates

Abstract

Problem: The rapid nurse turnover and improper use of the golden hour flowsheet are some of the factors that affect the timing of antibiotic administration. A review of 38 patient charts was done and only shows 20% received antibiotics within 1 hour.

Context: This microsystem is a 22-bed neonatal intensive care unit with an average of 900 admissions per year. The team is composed of doctors, nurses, respiratory therapist, and pharmacists. The budget needed for this project consists of the overtime pay needed to compensate nurses for attending additional staff ...


An Exploration Of Nicu Nursing Staff Perspective On The Change From Pod To Private Room Patient Care, Julie Nickles Jul 2018

An Exploration Of Nicu Nursing Staff Perspective On The Change From Pod To Private Room Patient Care, Julie Nickles

Dissertations

Neonatal Intensive Care Units (NICU) are designed to care for critically ill newborns who require constant care. The design of the NICU may have an impact on not only the patient and their family but also the nursing staff. Historically neonatal intensive care have employed a cohort model of care. In this model multiple infants are in the same room or pod. With success of single room maternity care, the increased need for changes in neonatal care became apparent. Today, new parents desire extended contact with their extremely preterm and often very sick infant. This trend has led a standard ...


Optimizing The Involvement Of Women With Opioid Use Disorder In The Care Of Their Infants Experiencing Neonatal Abstinence Syndrome, Rebecca Boedeker Jul 2018

Optimizing The Involvement Of Women With Opioid Use Disorder In The Care Of Their Infants Experiencing Neonatal Abstinence Syndrome, Rebecca Boedeker

Dissertations

The incidence of opioid use disorder (OUD) has grown to epidemic proportions. Infants exposed to opioids inutero are likely to experience withdrawal symptoms during the hours and days immediately following birth, known as Neonatal Abstinence Syndrome (NAS). Research indicates maximizing non-pharmacologic, supportive management decreases Neonatal Intensive Care Unit (NICU) admissions, the length of stay, and the severity of NAS. The purpose of this project is to evaluate the effects of an antepartum consult designed to prepare mothers with OUD to participate in this nonpharmacologic care. The Women and Infants Substance Help (WISH) Center delivers prenatal care for women with OUD ...


Aligning With Patient-Centered Medical Home Standards: Depression Screening In Women's Health, Charity Galgani Jul 2018

Aligning With Patient-Centered Medical Home Standards: Depression Screening In Women's Health, Charity Galgani

Dissertations

Problem: The Patient Centered Medical Home (PCMH) model of care improves health care quality and patient experience of care, and decreases costs. Depression screening is a requirement for becoming a PCMH. The purpose of this quality initiative was to obtain baseline data to describe depression screening rates among female adult patients receiving women’s health care within a Midwestern public health department seeking PCMH recognition.

Methods: The study utilized a descriptive, observational design and was guided by the Plan-Do-Study-Act framework. A retrospective medical record review was used to assess the rate of depression screening utilizing the PHQ-2 and PHQ-9 tools ...


Alternatives In Magnesium Sulfate Treatment Courses: An Investigation Of Physician Prescribing Behaviors, Erin Williams Jul 2018

Alternatives In Magnesium Sulfate Treatment Courses: An Investigation Of Physician Prescribing Behaviors, Erin Williams

Dissertations

Problem: The gold standard for managing preeclampsia in the postpartum patient is 24- hours of magnesium sulfate as this is the time the patient is most susceptible to experiencing a seizure (American College of Obstetricians & Gynecologists, 2013). However, these patients are at an increased risk for experiencing adverse health outcomes, as well as interruptions in maternal-infant bonding due to the mother requiring a higher level of care. Methods: A one group pretest-posttest design was conducted to gain a better understanding of the current practice while also assessing the willingness of physicians to change prescribing behavior after receiving the research-based education ...


Journey Interrupted: A Phenomenological Exploration Of Miscarriage, Marit A. Watson, Vanessa D. Jewell, Sarah L. Smith Jul 2018

Journey Interrupted: A Phenomenological Exploration Of Miscarriage, Marit A. Watson, Vanessa D. Jewell, Sarah L. Smith

The Open Journal of Occupational Therapy

Background: Miscarriage is a significant life event that impacts occupational performance, identity, and competence and that influences perceptions of motherhood. Because of the lack of social rituals often attributed to the death of a loved one, miscarriages may result in disenfranchised grief, which impedes coping.

Methods: This phenomenological study explored the impact of miscarriage on relationships, perceptions of motherhood, and the meaning of occupation in the context of grief. Data was collected through semi-structured interviews (N = 4) and completion of a brief demographic questionnaire. The interviews were digitally recorded, transcribed verbatim, and reviewed to ensure accuracy. Using inductive thematic analysis ...


Adaptation Of An Existing Measure To Assess Professionals’ Attitudes Regarding The Importance Of Involving Fathers In Interventions With Families, Christine Gervais, Sophie Meunier, Francine Demontigny, Diane Dubeau Jun 2018

Adaptation Of An Existing Measure To Assess Professionals’ Attitudes Regarding The Importance Of Involving Fathers In Interventions With Families, Christine Gervais, Sophie Meunier, Francine Demontigny, Diane Dubeau

Science of Nursing and Health Practices - Science infirmière et pratiques en santé

Introduction. Despite greater father participation in child care/rearing nowadays and the challenge of involving fathers in nursing interventions, no instrument exists to measure professional attitudes toward father involvement in family interventions. Objectives. The aim of this study was to adapt an existing measure that assesses nurse attitudes regarding the importance of including families in nursing care into a measure that assesses professionals’ attitudes towards the importance of involving fathers in interventions with families. Method. The Professionals’ Attitudes towards Father Involvement (PAFI) scale was adapted from the Families’ Importance in Nursing Care – Nurse Attitudes (FINC-NA) scale. A total of 297 ...


An Assessment Of Maternal Mortality In Papua New Guinea: An Explanatory Sequential Mixed Methods Approach, Jennifer Litau May 2018

An Assessment Of Maternal Mortality In Papua New Guinea: An Explanatory Sequential Mixed Methods Approach, Jennifer Litau

Adventist Human-Subject Researchers Association

Research into the serious manifestation of maternal mortality in Papua New Guinea is essential for formative knowledge and intervention. Explanatory sequential mixed methods approach employed first involved SPSS analyses of Gulf Provincial Hospital’s obstetric data revealing high rates of home deliveries by mothers. Interviews in high incidence communities provided explanations and mortality experiences.


Preterm Labor Assessment Toolkit Implementation, Mandi Wilkins May 2018

Preterm Labor Assessment Toolkit Implementation, Mandi Wilkins

DNP Scholarly Projects

ABSTRACT

PRETERM LABOR ASSESSMENT TOOLKIT IMPLEMENTATION

Mandi Mae Wilkins

Every year 10% of babies in the United States are born premature. Prematurity is the leading cause of infant mortality. Standardized preterm labor (PTL) assessment protocols reduced preterm birth rates, decreased costs, and resulted in more timely diagnoses and prevented the overtreatment of pregnant women who were not experiencing true preterm labor. At a Midwestern, Level II trauma hospital with regional neonatal intensive care unit and 700 annual deliveries, a Preterm Labor Assessment Toolkit (PLAT) was implemented and pre- and post-data garnered. The toolkit contained a provider algorithm and an order ...


Retrospective Analysis Of Obstetric Sepsis Screening, Holly A. Champagne May 2018

Retrospective Analysis Of Obstetric Sepsis Screening, Holly A. Champagne

Doctoral Projects

This project was designed to evaluate outcomes following implementation of routine screening for sepsis in the obstetric population. A retrospective analysis of the electronic medical record of 204 women who met sepsis criteria using obstetric-adjusted systemic inflammatory response syndrome (SIRS) criteria and a source of infection was the method used. Outcomes were evaluated for neonates born to the women who developed sepsis during labor. The incidence of sepsis was 0.401 per1,000 and included those with antepartum, intrapartum, or postpartum admissions. The setting was a tertiary center with 5,075 deliveries over the study period. There were 92 (45 ...


Obstetric Nurses’ Perceived Barriers To Immediate Skin To Skin Contact After Cesarean Birth, Joelene Sarmiento Balatero May 2018

Obstetric Nurses’ Perceived Barriers To Immediate Skin To Skin Contact After Cesarean Birth, Joelene Sarmiento Balatero

Doctoral Projects

Despite the strong evidence supporting immediate skin to skin contact (SSC) after birth, research suggests that patients who undergo cesarean births do not have the same opportunities for SSC as patients who undergo vaginal births. There are limited studies regarding provider attitudes surrounding the practice of immediate SSC after cesarean birth. The aim of this research was to understand obstetric nurses’ perceived barriers to immediate SSC after cesarean section.

An exploratory qualitative design was used for the project. The semi-structured, open-ended interviews were conducted via video conferencing. Conventional content analysis methods were used to analyze the data, which yielded the ...


Perceptions Of Pediatric Nurses And Parents Of Hospitalized Children Engaged In Shared Decision Making., Lisa English Long May 2018

Perceptions Of Pediatric Nurses And Parents Of Hospitalized Children Engaged In Shared Decision Making., Lisa English Long

Electronic Theses and Dissertations

Achievement of optimal quality in today’s healthcare environment practices means that clinical practices must be based on evidence. Evidence-based practice (EBP) is the integration of research findings, clinician expertise, and patient-centeredness that includes a focus on preferences and values (Melnyk & Fineout-Overholt, 2015). An area within EBP needing increased attention is the aspect of patient preferences and values. The process of Shared Decision Making (SDM) incorporates assessment of preferences and values within a process in which where patients, families and healthcare professionals collaborate to make decisions regarding patient care. The purpose of this study was to describe perceptions of parents and nurses in a pediatric inpatient setting about SDM and to adapt an existing SDM tool for use in the pediatric clinical setting. Areas of focus include: (1) critical review of SDM literature focusing on care of acutely ill children; (2) adaptation of existing reliable and valid SDM physician and adult patient -focused tools to a pediatric nurse and parent-focused SDM tools, and (3) a mixed methods approach assessing parent and nurse perceptions of SDM in an acute care facility and interview sessions with nurses to share thoughts and suggestions on use of shared decision making in the pediatric ...


Empower: A Community-Based Approach To Improve Care For Women And Newborns Affected By Perinatal Substance Use Disorder, Linda Jablonski, Susan Marie Halpin May 2018

Empower: A Community-Based Approach To Improve Care For Women And Newborns Affected By Perinatal Substance Use Disorder, Linda Jablonski, Susan Marie Halpin

National Network of Libraries of Medicine New England Region (NNLM NER) Repository

New England has the second highest rate of prenatal opioid exposure in the country. This population of women and children is particularly vulnerable and requires a comprehensive, multidisciplinary approach in order to overcome barriers to care and support good outcomes. This webinar will describe how one rural community collaborated to create a screening, referral and support program called EMPOWER (Engaging Mothers for Positive Outcomes with Early Referrals). Learn how this innovative approach helps support women and improve outcomes by identifying and addressing barriers to care for patients, health care providers and their community.

Learning Objectives

Participants will:

  1. Recognize how prenatal ...


Nurses' Breastfeeding Knowledge And Confidence After Education Session, Anna Caroline Tillman May 2018

Nurses' Breastfeeding Knowledge And Confidence After Education Session, Anna Caroline Tillman

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background: Education is an essential part of the nursing profession. Nurses should be teaching their patients every day, ensuring they understand the most reliable evidence-based practices. In breastfeeding education, however, there is a lack of education to expectant mothers on common breastfeeding methods, how to overcome common barriers, and general breastfeeding knowledge. If nurses can be effectively educated in breastfeeding knowledge and build their confidence in teaching their patients, then mothers will receive more thorough and helpful breastfeeding education. The hope in educating both nurses and mothers is to increase breastfeeding exclusivity rates to meet Healthy People2020 goals.

Objective: The ...


Maternal Obesity And Fetal Macrosomia: An Integrative Review Of The Literature Regarding Interventions, Charity Stalcup Apr 2018

Maternal Obesity And Fetal Macrosomia: An Integrative Review Of The Literature Regarding Interventions, Charity Stalcup

Senior Honors Theses

Research suggests pre-pregnancy obesity is associated with an increased risk of macrosomia in the newborn. Since women are expected to gain weight during pregnancy, the standard recommendation of weight loss for obesity is not ideal for this population. In this systematic review of the literature regarding interventions for maternal obesity to reduce fetal macrosomia, 149 articles were screened using three different databases to identify recent randomized controlled trials related to this topic. A total of 11 full text articles were analyzed and included in the review. The articles addressed nutritional, lifestyle, and pharmacological interventions. The results indicated there is currently ...


Maternal Infant Bonding, Alexis Summers, Brooklyn Bange Apr 2018

Maternal Infant Bonding, Alexis Summers, Brooklyn Bange

John Heinrichs Scholarly and Creative Activities Day (SACAD)

Objective: To determine if the maternal voice can be used as an effective measure to increase neonates oxygen saturation (O2 sats) and heart rate. Design: Quantitative Quasi-Experimental Setting: Neonatal infants located in an intensive care unit in a tertiary hospital in Southcentral Kansas. Participants: A total of 30 neonates will be monitored with a condition linked to being born prematurely anytime between 27-37 weeks in stable condition. Methods: Neonate physiological effects will be evaluated by a 5-minute maternal voice recording. Results/Conclusions: Pending data collection and analysis


High Maternal Dietary Glycemic Index And Sugar Consumption And Their Association With Birth Defects And Pregnancy Complications, Nicole Thornton Apr 2018

High Maternal Dietary Glycemic Index And Sugar Consumption And Their Association With Birth Defects And Pregnancy Complications, Nicole Thornton

Carroll College Student Undergraduate Research Festival

Objective: The purpose of this systematic review was to look at existing peer reviewed articles regarding high maternal dietary glycemic index (DGI) and/or sugar consumption (including glucose, fructose, and sucrose) and the risk for birth defects or pregnancy complications.

Methods: PubMed was the primary database used to search for relevant articles. Other related articles were found in the reference sections of the articles screened in the original search.

Results: Nine case-control and cohort studies were used in this review. Five of the six case-control studies found a significant risk between high maternal DGI and/or sugar intake and birth ...


Attachment In Breastfeeding Versus Formula Feeding, Karlee Kent, Grace Wilkins, Hailey Peterson Apr 2018

Attachment In Breastfeeding Versus Formula Feeding, Karlee Kent, Grace Wilkins, Hailey Peterson

Carroll College Student Undergraduate Research Festival

According to John Bowlby, infants are born with an innate need to maintain a close proximity to a primary caregiver “to protect an individual against physical and psychological threats and alleviate distress” (Bowlby, 2008, as cited in Amani, 2016, p. 510). Bowlby defines attachment as “the emotional bond between infant and caregiver, who is typically the mother” (Bowlby, 2008, as cited in Amani, 2016, p. 506). One way infants foster attachment to their caregiver is through their feeding process, such as breastfeeding or formula feeding. According to Hockenberry and Wilson (2015), “the most outstanding psychological benefit of breastfeeding is the ...


The Relationship Between Birthing Positions And Perineal Trauma, Natashia Dutton, Monica Suek Apr 2018

The Relationship Between Birthing Positions And Perineal Trauma, Natashia Dutton, Monica Suek

Carroll College Student Undergraduate Research Festival

Perineal trauma is a prevalent problem during child birth with around 53% to 79% of vaginal deliveries resulting in perineal trauma (The American College of Obstetricians and Gynecologists, 2016). Perineal trauma is damage to the genitalia during childbirth. According to the Mayo Clinic, “perineal lacerations or tears occur when the baby's head is coming through the vaginal opening and is too large for the vagina to stretch around” (2015). Perineal trauma can make recovery from labor longer and may make it difficult for new mother to take care of their newborns. During the birthing process, woman can be in ...


The Youngest Victims Of The Opioid Epidemic, Katelyn E. Miller, Abby Reed Apr 2018

The Youngest Victims Of The Opioid Epidemic, Katelyn E. Miller, Abby Reed

The Research and Scholarship Symposium

When babies are born to opioid-addicted mothers, they often develop Neonatal Abstinence Syndrome (NAS). NAS is characterized by symptoms associated with abrupt opioid withdrawal (“Neonatal Abstinence”, 2015). By preventing NAS in babies before they are born and properly caring for a baby with NAS after birth, we will aim to decrease the incidence of this condition and as its harmful effects in the lives of babies. In Ohio, there are many neonates suffering from NAS. The rates for babies born with NAS have quadrupled since 2011 when 2.2 out of every 1000 babies had NAS to 2015, where 12 ...


The Effect Of Kinship Foster Care Compared To Non-Kinship Foster Care On Resiliency, Heidi M. Vizino, Alyssa B. Bergthold Apr 2018

The Effect Of Kinship Foster Care Compared To Non-Kinship Foster Care On Resiliency, Heidi M. Vizino, Alyssa B. Bergthold

The Research and Scholarship Symposium

An estimated 40% to 60% of children in foster care have clinically significant emotional or behavioral problems (US Public Health Service, 2000). Children in foster care experience a range of complex psychosocial issues due to a loss of stability in a foundational biological family unit. Research shows that placement type may have an impact on a child’s socioemotional resiliency and level of access to needed mental health services (Lynch, 2011; Smithgall, Yang, & Weiner 2013; Winokur, 2014). The purpose of this literature review was to evaluate the effect of foster home placement type, specifically kinship foster care compared to non-kinship foster care ...


Nursing Interventions For Neonatal Abstinence Syndrome, Sierra Harris Apr 2018

Nursing Interventions For Neonatal Abstinence Syndrome, Sierra Harris

Scholars Week

This project serves to explore evidence for three nursing interventions aimed at neonatal abstinence syndrome including: breastfeeding, kangaroo care, and rooming-in. Many nursing interventions and policies are aimed at treating the symptoms despite limited research supporting their effectiveness. Further investigation into these interventions and policies regarding neonatal abstinence syndrome needs to be addressed in order to improve the quality of care for affected neonates and decrease the stigma surrounding neonatal abstinence syndrome.


Perceptions Of Chinese Women Coming To The United States To Give Birth: Birth Tourism, Juanita Childs Jaramillo Apr 2018

Perceptions Of Chinese Women Coming To The United States To Give Birth: Birth Tourism, Juanita Childs Jaramillo

Doctoral Projects

Birth experiences and perceptions vary greatly among different cultures. There has been an increase in Chinese women who specifically come to the United States (US) to give birth to their child and return back to their native country after being cleared at the postpartum checkup. This practice is known as birth tourism. The aim of this study is to explore the perceptions of childbirth and postpartum experiences among Chinese birth tourists. Twelve women self-identifying as Chinese, between the ages of twenty-four and thirty-eight, who came to the US to give birth to their child, and who were able to read ...