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Articles 331 - 359 of 359

Full-Text Articles in Medicine and Health Sciences

Factors And Health Promoting Behaviors That Influence Maternal And Infant Outcomes In Older Pregnant Thai Women, Supawadee Thaewpia Phd, Msn, Rn Apr 2012

Factors And Health Promoting Behaviors That Influence Maternal And Infant Outcomes In Older Pregnant Thai Women, Supawadee Thaewpia Phd, Msn, Rn

Dissertations

This dissertation summarizes research conducted in partial fulfillment of the program requirements for the Doctor of Philosophy in Nursing degree from the Hahn school of Nursing and Health Sciences, University of San Diego. The results of the dissertation research are organized as three discrete papers. Article one is entitled; "Reliability and Validity of Thai Translations of Instruments Measuring Psychosocial Factors and Health Promoting Behaviors among Older Pregnant Thai Women." This article describes the dissertation research study in which the selected instruments were piloted at an antenatal clinic in Thailand. The article determines the instruments' ability to examine perceived benefits, perceived …

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Fatigue In Postpartum Women, Diane Gardner Nov 2011

Fatigue In Postpartum Women, Diane Gardner

Diane Huber

Childbirth and the responsibilities of parenting after birth require a great deal of energy. Fatigue in postpartum women is a concern for maternal-child nurses because of the impact on the health and parenting ability of the mother. To determine fatigue levels and types, 35 women who vaginally delivered were surveyed at 2 days, 2 weeks, and 6 weeks postpartum. This sample was found to be mildly fatigued, with situational and/or psychological fatigue. Nurses can intervene by assessing postpartum fatigue and using teaching/counseling methods for knowledge preparation and for clients at risk.

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Excellence In Nursing: An Adolescent Parenting Program, Diane Gardner Nov 2011

Excellence In Nursing: An Adolescent Parenting Program, Diane Gardner

Diane Huber

No abstract provided.

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Early- And Late-Onset Group B Streptococcal Infections: Overview And Case Studies, Rebecca Siewert, D. Holida Nov 2011

Early- And Late-Onset Group B Streptococcal Infections: Overview And Case Studies, Rebecca Siewert, D. Holida

Rebecca Siewert

Infants that are admitted and cared for in the neonatal intensive care unit are at risk for sepsis. Group B Streptococcus (GBS) is the most common cause of neonatal sepsis and meningitis. Group B Streptococcus is classified into early- and late-onset sepsis. With early onset, infants develop symptoms within 7 days of birth. With late onset, they develop symptoms between 7 days and 3 months of life. Prompt identification and treatment of suspected septic infants are crucial. Infants who develop early- or late-onset GBS sepsis are at risk for sequelae ranging from normal physiologic outcome to devastating long-term conditions and …

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Psychometric Properties Of The Beginning Breastfeeding Survey, Pamela Mulder Oct 2011

Psychometric Properties Of The Beginning Breastfeeding Survey, Pamela Mulder

Pamela J. Mulder

The Beginning Breastfeeding Survey is a reliable and valid measure of breastfeeding effectiveness during the postpartum hospitalization. Providing an accurate assessment of a mother's perception of breastfeeding effectiveness, the Beginning Breastfeeding Survey will guide targeted interventions to increase breastfeeding effectiveness and duration.

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The Beginning Breastfeeding Survey: Measuring Mothers' Perceptions Of Breastfeeding Effectiveness During The Postpartum Hospitalization, Pamela Mulder, T. Johnson Oct 2011

The Beginning Breastfeeding Survey: Measuring Mothers' Perceptions Of Breastfeeding Effectiveness During The Postpartum Hospitalization, Pamela Mulder, T. Johnson

Pamela J. Mulder

No current breastfeeding assessment tool assesses the mother's perception of breastfeeding effectiveness during the early postpartum. Psychometric analysis of a new tool, the Beginning Breastfeeding Survey (BBS), in a multi-racial sample of 131 women revealed a coefficient alpha of .90. Factor analysis yielded three factors, (a) Maternal Breastfeeding Competence and Emotional Satisfaction, (b) Maternal Discomfort and Anxiety, and (c) Infant Breastfeeding Skill and Emotional Satisfaction. The BBS demonstrated discriminant validity in known group analyses and convergent validity with breastfeeding self-efficacy and postpartum fatigue. Future research will focus on improving the internal consistency reliability of the BBS and examining its ability …

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Fetal Alcohol Syndrome: A Review And Case Presentation, E. Lindor, Ann Mccarthy, M. Mcrae Oct 2011

Fetal Alcohol Syndrome: A Review And Case Presentation, E. Lindor, Ann Mccarthy, M. Mcrae

Ann Marie McCarthy

No abstract provided.

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Candidate Genes For Nonsyndromic Cleft Lip And Palate And Maternal Cigarette Smoking And Alcohol Consumption: Evaluation Of Genotype-Environment Interactions From A Population-Based Case-Control Study Of Orofacial Clefts, P. Romitti, A. Lidral, R. Munger, Sandra Daack-Hirsch, T. Burns, J. Murray Oct 2011

Candidate Genes For Nonsyndromic Cleft Lip And Palate And Maternal Cigarette Smoking And Alcohol Consumption: Evaluation Of Genotype-Environment Interactions From A Population-Based Case-Control Study Of Orofacial Clefts, P. Romitti, A. Lidral, R. Munger, Sandra Daack-Hirsch, T. Burns, J. Murray

Sandra Daack-Hirsch

Previous studies suggest that the relationship between genes and nonsyndromic cleft lip +/- cleft palate (CLP) or cleft palate only (CP) may be modified by the environment. Using data from a population-based case-control study, we examined allelic variants for three genes, i.e., transforming growth factor alpha (TGFA), transforming growth factor beta 3 (TGFB3), and Msh (Drosophila) homeobox homolog 1 (MSX1), and their interactions with two exposures during pregnancy (maternal cigarette smoking and alcohol consumption) as risk factors for CLP and CP. For each cleft phenotype, risk estimates associated with most allelic variants tended to be near unity. Risk estimates for …

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Maternal Alcohol Use And Risk Of Orofacial Cleft Birth Defects, R. Munger, P. Romitti, Sandra Daack-Hirsch, T. Burns, J. Murray, J. Hanson Oct 2011

Maternal Alcohol Use And Risk Of Orofacial Cleft Birth Defects, R. Munger, P. Romitti, Sandra Daack-Hirsch, T. Burns, J. Murray, J. Hanson

Sandra Daack-Hirsch

Maternal alcohol use during pregnancy is a known cause of birth defects associated with the fetal alcohol syndrome, but its role in more common, isolated, craniofacial birth defects is not well understood. A population-based, case-control study of orofacial clefts was conducted in Iowa using births during 1987-1991. Cases were identified by the Iowa Birth Defects Registry and classified as having a cleft lip with or without cleft palate (CLP) or cleft palate only (CP) and whether the cleft was isolated or occurred with other birth defects. Controls were selected from normal Iowa births. Maternal alcohol use during pregnancy was classified …

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Cord Blood Collection In Pregnant Women For Stem Cell Research, Irene Carr Phd May 2011

Cord Blood Collection In Pregnant Women For Stem Cell Research, Irene Carr Phd

Dissertations

Umbilical cord blood (UCB) stem cells form commonly banked types of human tissue. Confusion remains about sources of stem cells and their use. Birth is a once in a lifetime opportunity with 74 million births per year in the world and four million occur in the United States. Cord blood contains hematopoietic stem cells and pluripotent mesenchymal cells (Moise, 2005). There is a surge of interest in the clinical use and research investigation of umbilical cord blood for transplantation and regenerative medicine. Clinicians need increased awareness and education of options for private versus public donation and banking of cord blood …

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Gestational Diabetes, Depression, And The Impact On Maternal Child Health Outcomes, Mary Alice Byrn Jan 2011

Gestational Diabetes, Depression, And The Impact On Maternal Child Health Outcomes, Mary Alice Byrn

Dissertations

Antenatal depression occurs in about 20% of all pregnancies and gestational diabetes occurs in up to 14% of all pregnancies. Although there is sufficient information on (1) depression during pregnancy and (2) depression and diabetes, there is little information about depression and gestational diabetes. This comparative, longitudinal research study was done to better understand the relationship between gestational diabetes and depression. The study aims were the following: (1) to determine whether women with gestational diabetes had more depression than women without gestational diabetes, (2) to determine whether factors predictive of depression in pregnant women with gestational diabetes were different from …

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Barriers And Facilitators To Prenatal Care For Pregnant Latina Women In Cobb County, Georgia, Carol Holtz, Annette Bairan Jun 2010

Barriers And Facilitators To Prenatal Care For Pregnant Latina Women In Cobb County, Georgia, Carol Holtz, Annette Bairan

Journal of Global Initiatives: Policy, Pedagogy, Perspective

This research study seeks to identify factors that serve as barriers and/or facilitators to prenatal care for Latina women and to provide data to assist health care providers, health care agencies, and policy makers in developing programs that maximize access to prenatal care for Latina women. In addition, other groups may also find this data useful, such as scholars in Latin American studies, immigration, cultural diversity, minority health care, and health care in general. The research questions consist of the following: (1) What do indigent pregnant (or recently delivered) Latina women believe about prenatal care? (2) What are the barriers …

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A Critical Appraisal Of Guidelines For Antenatal Care: Components Of Care And Priorities In Prenatal Education, Lisa Hanson, Leona Vandevusse, Joyce Roberts, Amanda Forristal Nov 2009

A Critical Appraisal Of Guidelines For Antenatal Care: Components Of Care And Priorities In Prenatal Education, Lisa Hanson, Leona Vandevusse, Joyce Roberts, Amanda Forristal

College of Nursing Faculty Research and Publications

There are a variety of published prenatal care (PNC) guidelines that claim a scientific basis for the information included. Four sets of PNC guidelines published between 2005 and 2009 were examined and critiqued. The recommendations for assessment procedures, laboratory testing, and education/counseling topics were analyzed within and between these guidelines. The PNC components were synthesized to provide an organized, comprehensive appendix that can guide providers of antepartum care. The appendix may be used to locate which guidelines addressed which topics to assist practitioners to identify evidence sources. The suggested timing for introducing and reinforcing specific topics is also presented in …

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Associations Among Health Literacy Levels And Health Outcomes In Pregnant Women With Pregestational And Gestational Diabetes In An Urban Setting, Rosemary Ann Mclaughlin May 2009

Associations Among Health Literacy Levels And Health Outcomes In Pregnant Women With Pregestational And Gestational Diabetes In An Urban Setting, Rosemary Ann Mclaughlin

Theses and Dissertations (ETD)

Purpose/Objectives: Poor health literacy is a problem for over 45% of American adults and is associated with a variety of adverse health outcomes. Low health literacy has been associated with poor prenatal care utilization and a higher likelihood of poorer glycemic control. Poor glycemic control can lead to poor birth outcomes for both the mother and infant. Health literacy levels of pregnant women with diabetes can influence these outcomes and need to be known early in the pregnancy. Interventions can influence tighter glycemic control and lessen the impact of diabetes for the mother and infant. Therefore, the purpose of this …

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Paripartum Cardiomyopathy: Implications For Nps, Jeffrey A. Goss, A. Elaine Bond, Renea L. Beckstrand, Lynn C. Callister May 2008

Paripartum Cardiomyopathy: Implications For Nps, Jeffrey A. Goss, A. Elaine Bond, Renea L. Beckstrand, Lynn C. Callister

Faculty Publications

Peripartum cardiomyopathy (PPCM), the fifth leading cause of death in pregnancy, is often overlooked or misdiagnosed because of vague symptoms and a lack of specific criteria for diagnosis. The authors performed a literature review of articles published between January 2000 and November 2007, and found that early diagnosis via echocardiography and interventions with specific treatment modalities can reduce mortality. Dobutamine stress testing may be prognostic for left ventricular (LV) dysfunction. Standard heart failure (HF) drug regimens, heart transplantation, and mechanical assist devices are viable treatment modalities, depending on individual needs. Subsequent pregnancies must be followed closely. The authors recommend that …

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Risks And Protective Factors Associated With Symptoms Of Depression In Low-Income African American And Caucasian Women During Pregnancy, Darlene Elizabeth Jesse Dec 2006

Risks And Protective Factors Associated With Symptoms Of Depression In Low-Income African American And Caucasian Women During Pregnancy, Darlene Elizabeth Jesse

D. Elizabeth Jesse

No abstract provided.

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The Role Of The Nurse Practitioner In Health Promotion During Pregnancy, Sarah Elizabeth Hendrix Jul 2006

The Role Of The Nurse Practitioner In Health Promotion During Pregnancy, Sarah Elizabeth Hendrix

MSN Research Projects

Health promotion is fundamental to nurse practitioner practice. To be effective in health promotion, the nurse practitioner must have a clear understanding of the nature of behavioral change, the individual issues each client brings to a particular behavior, and have expertise in health promotion. The nurse practitioner must possess specific skills to facilitate the client’s movement along the continuum of health behavior change. Health promotion that enhances prenatal care has been described and established by evidence-based research and professional practice guidelines. The purpose of this evidence-based research project was to develop a current nurse practitioner knowledgebase regarding the role of …

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Basal Body Temperature Assessment: Is It Useful To Couples Seeking Pregnancy?, Mary Lee Barron, Richard Fehring Sep 2005

Basal Body Temperature Assessment: Is It Useful To Couples Seeking Pregnancy?, Mary Lee Barron, Richard Fehring

College of Nursing Faculty Research and Publications

Advanced practice nurses in primary care settings are often asked to give appropriate advice to couples seeking pregnancy. This article examines the issue of basal body temperature (BBT), a time-honored way to establish the presence of ovulatory cycles, and asks if BBT is an outdated recommendation. The article also reviews the benefits and limitations of recommending BBT to couples seeking pregnancy in light of recent fecundity research.

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State Mandated Prenatal Human Immunodeficiency Virus Screening At A Large Community Hospital, William Cusick, Julie G. Stewart, Michael Parry, Gavin Mcleod, Gerald Rakos, Chris Sullivan, John Rodis Jan 2003

State Mandated Prenatal Human Immunodeficiency Virus Screening At A Large Community Hospital, William Cusick, Julie G. Stewart, Michael Parry, Gavin Mcleod, Gerald Rakos, Chris Sullivan, John Rodis

Nursing Faculty Publications

Purpose: To describe the initial experience of state mandated prenatal HIV screening at a large community hospital.
Methods: HIV screening was provided to all pregnant women as of October 1, 1999. All HIV-positive women identified received aggressive antiretroviral therapy to reduce the likelihood for vertical transmission. Neonates were screened for HIV at zero, six, and 12 months of age.
Results: Seven pregnant women (0.3%) and two additional family members tested positive for HIV. All seven infants born to the identified HIV-positive women have tested negative for infection. We estimated that six of nine cases of HIV infection identified would have …

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Prenatal Maternal Attachment: The Lived Experience, Regina Ann Leva-Giroux Dnsc May 2002

Prenatal Maternal Attachment: The Lived Experience, Regina Ann Leva-Giroux Dnsc

Dissertations

Prenatal maternal attachment and the practice of health promoting behaviors during pregnancy are considered universal phenomena to women. Yet, the understanding of these phenomena from the lived experiences of pregnant women has not been well researched. The purpose of this phenomenological study was to describe the experience of maternal attachment to the unborn child and how that attachment might relate to the practice of these behaviors during pregnancy. The participants in this study were ten English speaking women, college educated, professionally employed, who were pregnant for the first time. Unstructured interviews were conducted with the participants at 14–16 weeks and …

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การเปลี่ยนแปลงของระดับแอลฟา-ฟีโตโปรตีนและ ฮอร์โมนฮิวแมน คลอริโอนิค โกนาโดโทรปิน ของสตรีมีครรภ์และน้ําหนักทารกแรกเกิด (The Change Of Alpha-Fetoprotein (Afp) And Human Chorionic Gonadotropin (Hcg) Hormone Levels In Pregnant Women And Their Newborn Birth Weight), กัลยาณี ตันนศฤงฆาร, เบญจภรณ์ ประภักดี, สมชาย อิสระวาณิชย์, อนุสรณ์ รังสิโยธิน, วีนัส อุดมประเสริฐกุล, เริงศักดิ์ บุญบรรดาลชัย, สุชาดา มะโนทัย, อากฤษฎ์ บุญสงวน, สมร ตันธนสุทธิวงศ์, หทัยพร ชุมมณีกุล May 2001

การเปลี่ยนแปลงของระดับแอลฟา-ฟีโตโปรตีนและ ฮอร์โมนฮิวแมน คลอริโอนิค โกนาโดโทรปิน ของสตรีมีครรภ์และน้ําหนักทารกแรกเกิด (The Change Of Alpha-Fetoprotein (Afp) And Human Chorionic Gonadotropin (Hcg) Hormone Levels In Pregnant Women And Their Newborn Birth Weight), กัลยาณี ตันนศฤงฆาร, เบญจภรณ์ ประภักดี, สมชาย อิสระวาณิชย์, อนุสรณ์ รังสิโยธิน, วีนัส อุดมประเสริฐกุล, เริงศักดิ์ บุญบรรดาลชัย, สุชาดา มะโนทัย, อากฤษฎ์ บุญสงวน, สมร ตันธนสุทธิวงศ์, หทัยพร ชุมมณีกุล

Journal of Nursing Science Chulalongkorn University (วารสารพยาบาลศาสตร์)

ศึกษาระดับแอลฟา-ฟีโตโปรตีน (AFP) และฮอร์โมนฮิวแมน คลอริโอนิค โกนาโดโทรปิน (HCG) ในสตรีมีครรภ์ที่เข้ารับการตรวจครรภ์ที่โรงพยาบาลสมุทรปราการ โดยทำการเจาะเลือดที่ช่วงอายุครรภ์ \nระหว่าง 14-18, 22-26 และ 30-34 สัปดาห์ ตามลําดับ พบว่าระดับ AFP มีค่า 61.42 ± 41.81 IU/ml (74.32 ± 50.59 ng/ml), 208.54 ± 72.62 IU/ml (252.33 ± 87.87 ng/ml) และ 260.41 ± 96.08 IU/ml (315.10 ± 116.26 ng/ml) ตามลำดับ และระดับฮอร์โมน HCG มีค่า 35,533.35 ± 200000.45 mIU/ml(3,826.59 ± 2153.85 ng/ml), 24,150.62 ±13191.36 mIU/ml (2,600.78 ± 1420.58 ng/ml) และ 351917.35 ± 22697.51 mIU/ml (3,867.94 ± 2444.29 ng/ml) ตามลำดับ ส่วนน้ำหนัก เฉลี่ยของทารกแรกเกิดมีค่า 3,121.74 + 363.64 กรัม

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Pagophagia And Hemoglobin Levels In Pregnant Women, Contessa Ward Aug 2000

Pagophagia And Hemoglobin Levels In Pregnant Women, Contessa Ward

MSN Research Projects

Pica is a behavior characterized by the compulsive, persistent ingestion of non-food substances. It is a longstanding practice that has far-reaching implications for prevention and treatment. Pagophagia, or the excessive, compulsive consumption of ice, is a subcategory of pica. Although pica has been documented for centuries, there are limited studies regarding pagophagia and its effects in pregnant women. A comparative descriptive study was conducted to determine whether pagophagia is related to hemoglobin levels during pregnancy. Becker's Health Belief Model was utilized as the theoretical framework. Data were gathered by means of retrospective chart audit. The hypothesis was there would be …

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Labour And Birth Information Needs Of First Time Mothers In Malawi And Satisfaction With Information Received, Address M. Malata Jan 1997

Labour And Birth Information Needs Of First Time Mothers In Malawi And Satisfaction With Information Received, Address M. Malata

Theses: Doctorates and Masters

Giving labour and birth information to first time mothers is one of the challenges facing the midwives in Malawi. There are many underlying health and soeioeconomic problems facing the people of Malawi particularly mothers in the child bearing age because of inadequate human and material resources in the health sector. This thesis presents findings of a study carried out in Malawi to explore labour and birth information given to first time mothers at hospitals and in the communities. Maternal satisfaction with the information received was determined. In addition labour and birth information needs of first time mothers in Malawi were …

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A Correlative Study Of An At-Risk Population And Low Birth Weight/Infant Mortality In A Northeast Oklahoma City Community, Estacia D. Thrower May 1996

A Correlative Study Of An At-Risk Population And Low Birth Weight/Infant Mortality In A Northeast Oklahoma City Community, Estacia D. Thrower

McCabe Thesis Collection

Studies show that numerous and complex variables influence pregnancy outcomes and infant mortality rates. These variables include demographic, medical, physical, environmental, behavioral, and attitudinal factors and prenatal care. Improving the health of mothers and infants is a national challenge. In 1987, more than 3.8 million infants were born in the United States. Of these, 38,408 died before their first birthday. Although the infant mortality rate is at an all-time low, the pace of progress has slowed. According to Dr. Robert Deppen of the Oklahoma State Health Department, "In 1992, Oklahoma ranked 29th in the United States for infant mortality and …

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Prevalence Of Asymptomatic Chlamydia In Pregnancy, Cynthia Mcalpin Aug 1993

Prevalence Of Asymptomatic Chlamydia In Pregnancy, Cynthia Mcalpin

MSN Research Projects

Chlamydia has become the most prevalent sexually transmitted disease in the United States. Most infected women are asymptomatic carriers of the infection. Chlamydia is not a reportable disease in the State of Mississippi. Therefore, no data are available regarding the magnitude of infection in Northeast Mississippi. The purpose of this study was to identify asymptomatic chlamydial infections in pregnant women attending a midwifery clinic in Northeast Mississippi. The Neuman Systems Model identifying levels of prevention was utilized as the theoretical framework. The research questions guiding the study were what percentage of pregnant women are asymptomatic and what are the clinical, …

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Being Pregnant And Using Drugs: A Retrospective Phenomenological Inquiry, Merry A. Armstrong Dnsc, Msn Apr 1992

Being Pregnant And Using Drugs: A Retrospective Phenomenological Inquiry, Merry A. Armstrong Dnsc, Msn

Dissertations

Qualitative methodology was employed to conduct a phenomenological inquiry describing the structure of the experience of being pregnant and using drugs. The purpose of the study was to explore the nature of women's experience and perception of the interaction, relationship, and intersection of contextual phenomena of lifestyle, pregnancy, and substance abuse. Data gathering and analysis was accomplished using guidelines provided by Spiegelberg and Van Manen. Eleven mothers voluntarily participating in a recovery program described their prior experience of being addicted and pregnant during 2 conversations with the researcher. Through transcript analysis of the first audio-taped interview, major and minor themes …

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Problems And Coping Styles Of Antepartal Patients Being Treated For Risk Of Preterm Labor, Janet Wiehrs Rogers Apr 1991

Problems And Coping Styles Of Antepartal Patients Being Treated For Risk Of Preterm Labor, Janet Wiehrs Rogers

Nursing Theses & Dissertations

The purpose of this study was to identify the range of problems and coping strategies as perceived by antepartal patients experiencing medical treatment to decrease risk of preterm labor. In this qualitative, interpretive study problems and coping strategies were identified through semi-structured interviews with a convenience sample of seven antepartal patients. Using content analysis of interview data, identified problems were categorized, and for each problem, coping strategies were identified and grouped using the categories of the Jalowiec Coping Scale. Major categories of problems were: bedrest, role change, finances, uncomfortable emotions, and reactions of families and friends. Supportant, palliative, and confrontive …

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Pregnancy Outcome In Military And Civilian Women, Karen Messersmith Heroman Dnsc Jan 1989

Pregnancy Outcome In Military And Civilian Women, Karen Messersmith Heroman Dnsc

Dissertations

Low birth weight and prematurity account for much of the morbidity and mortality in the neonatal period as well as for much of the cost in newborn care. The purpose of this investigation was to determine if two groups of pregnant women, military enlisted and civilian dependents, differed in selected risk factors (smoking, alcohol consumption, weight gain, prenatal care, work patterns, life stress, and social support) or in pregnancy outcome (infant birth weight and gestational age). The House (1981) theory of stress, social support, and health served as the framework for this study. Since little has been published on pregnancy …

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Pregravid Weight, Prenatal Weight Gain And Maternal Age As Risk Factors In Pregnancy-Induced Hypertension Development, Maryellen C. Remich Apr 1986

Pregravid Weight, Prenatal Weight Gain And Maternal Age As Risk Factors In Pregnancy-Induced Hypertension Development, Maryellen C. Remich

Nursing Theses & Dissertations

This study examined whether the factors of pregravid weight, total prenatal weight gain at twenty-eight weeks and maternal age correlated with the development of pregnancy-induced hypertension in the third trimester. An ex post facto chart review of low risk primigravidas attending a public health maternity clinic was performed. A multiple regression correlation procedure demonstrated no significant correlation between the variables. Significant results of Chi-sguare tests of independence were demonstrated between low maternal age and pregnancy-induced hypertension development and between the failure of the mean arterial pressure to decrease in the second trimester and the development of pregnancy-induced hypertension in the …

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