RESUMO
This is a qualitative descriptive study evaluating the maternal response after the woman has learned her pregnancy has a poor prognosis via telemedicine rather than in a traditional, face-to-face, consultation method. In general, telemedicine was positively viewed by the participants; however, the experience may be markedly improved by implementing several simple changes in the overall consultative process.
Assuntos
Satisfação do Paciente , Telemedicina , Revelação da Verdade , Adulto , Comunicação , Emoções , Feminino , Humanos , Visita a Consultório Médico , Relações Médico-Paciente , Gravidez , Gravidez de Alto Risco , Prognóstico , Pesquisa QualitativaRESUMO
1. The number of women who breastfeed their infants after returning to work is disappointingly low. Many women stop breastfeeding soon after they return to work because of lack of preparation and support. 2. Continued breastfeeding provides health and psychosocial benefits for both mother and infant. 3. The employer experiences a cost saving benefit by keeping the postpartum employee working and by keeping her infant healthy as a result of breastfeeding. 4. Occupational and environmental health nurses can help bridge the gap between the postpartum employee and her primary health care provider. One strategy is to develop a lactation program for the work setting as described in a stepwise approach.
Assuntos
Aleitamento Materno/estatística & dados numéricos , Enfermagem do Trabalho/métodos , Serviços de Saúde do Trabalhador/organização & administração , Mulheres Trabalhadoras/estatística & dados numéricos , Pré-Escolar , Feminino , Humanos , Lactente , Serviços de Saúde do Trabalhador/normas , Serviços de Saúde do Trabalhador/tendências , Política Organizacional , Desenvolvimento de Programas/métodos , Apoio Social , Estados Unidos , Local de TrabalhoRESUMO
Parents and healthcare providers are challenged to understand the mechanisms of, and predictors for preterm delivery. In addition to the epidemiologic implications, on a practical level, the ability to predict preterm delivery may help the neonatal team triage to assure bed availability, and to predict and provide appropriate staffing for new admissions. On an individual patient level, understanding the maternal history, including antenatal risk factors and relevant monitoring and testing, is an important foundation for subsequent neonatal care. A number of new diagnostic testing tools are being used in obstetric practice to enhance the ability to predict preterm delivery. The results of fetal fibronectin and ultrasound measurement of cervical length are increasingly used to triage obstetrical patients. Results of these tests may prompt transfer to a tertiary facility. Part 1 of this 2-part series will describe antenatal testing techniques used to predict preterm delivery (PTD), as well as highlight the emerging developments in maternal serum testing. Further, a recent treatment option for preterm labor, 17 alpha-hydroxyprogesterone caproate, will also be discussed.
Assuntos
Enfermagem Neonatal , Trabalho de Parto Prematuro/diagnóstico , Trabalho de Parto Prematuro/enfermagem , Feminino , Humanos , Valor Preditivo dos Testes , GravidezRESUMO
A number of new antenatal testing tools are being used in obstetric practice to evaluate the clinical picture of the fetus in utero. Results of these tests may prompt transfer to a tertiary facility for delivery or further antenatal monitoring. Part 2 of this 2-part series will describe antenatal testing methods used to determine fetal well-being, as well as highlight the emerging developments in the field of fetal surveillance. The ability to interpret antenatal testing results may help the neonatal team triage to assure bed availability, and predict and provide appropriate staffing for new admissions, and is an important foundation for subsequent neonatal risks and clinical care.