{"title":"Infant gender and sibling dyad influences on maternal separation anxiety.","authors":"M S Pitzer, E Hock","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this longitudinal study was to compare maternal separation anxiety by gender of infants and sibling dyad in 40 employed, second-time mothers. Subjects completed two parallel measures of separation anxiety, the Maternal Separation Anxiety. Scale (MSAS) and the Interview-Based Rating Scales (IBRS). The mothers completed the MSAS when the first infant was born and again 2 years later when their second infant was 7 months old (mean age). Following completion of the MSAS (for the second child), the mothers were interviewed and rated on their separation concerns (IBRS) related to both children. No gender differences were noted when t-tests were computed on mothers' MSAS mean scores, but the IBRS revealed that mothers of second-born sons were significantly more anxious about separation (t = 2.01, p < .05) than were mothers of second-born daughters. One-way General Linear Model comparisons of both measures, for the four sibling dyads, revealed significant differences related to the dyad composition. Mothers of girl/girl dyads were significantly more anxious about separation as measured by the MSAS. On the IBRS, mothers of boy/boy dyads were significantly more anxious and mothers of boy/girl dyads were significantly less anxious when compared to mothers of the other dyads.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"20 2","pages":"65-80"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12462067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Maternal adaptation during pregnancy among adult early, middle, and late childbearers: similarities and differences.","authors":"M M Gottesman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Women 20-24 (n = 10), 25-29 (n = 13), and 30 and over (n = 18) were interviewed and their responses compared on six variables: maternal-fetal relationship, quality of the marital relationship, preparation for motherhood, attitude towards the pregnancy, maternal role conceptualization, and motivation for motherhood. Later childbearing was significantly related to three variables: motivation for motherhood, maternal-fetal relationship, and maternal role conceptualization. Women 25-29 years old were more similar to women 30 years and older than to younger women. The data suggest that young adult women 20-24 years old may experience more difficulty in prenatal adjustment to the maternal role than those 25 and older. Data also suggest the need to reconsider the traditional age-comparative split of the 20s versus the 30s.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"20 2","pages":"93-110"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12462069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessing the validity of the dimensions of prenatal attachment.","authors":"M E Müller, S Ferketich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Prenatal attachment has been considered a multidimensional construct. The Maternal-Fetal Attachment Scale (MFAS) was developed to measure prenatal attachment. Five subscales were incorporated into the MFAS to represent the dimensions. The purpose of this study was to examine the validity of the dimensions of prenatal attachment as represented by the MFAS subscales. A content analysis of parental remarks about the fetus was conducted. The categories generated from this analysis did not correspond to the MFAS subscales. Therefore, while the results support prenatal attachment as multidimensional, they did not support the specific dimensions represented by the MFAS.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"20 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12639995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A comparison between adolescent and adult women on prenatal anxiety and self-confidence.","authors":"E F Pond, V H Kemp","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to investigate anxiety and self-confidence in adolescent and adult pregnant women. Thirty-five adolescents, ages 13 to 16, and 58 adult women, ages 21 to 33, participated in this study. The majority of the sample was black and unmarried, and all attended a low-risk prenatal clinic for a first pregnancy. Spielberger's State-Trait Anxiety Inventory (STAI) and Pharis' Self-Confidence Scale were administered during the women's second trimester of pregnancy. Results indicated significant negative correlations for both state and trait anxiety during pregnancy and self-confidence for all women, but no significant differences in anxiety and self-confidence between the two groups. Results indicate the need for nurses to develop and implement plans for decreasing anxiety and enhancing self-confidence of all pregnant women.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"20 1","pages":"11-20"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12639996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Preliminary findings: a maximum oral feeding time for premature infants, the relationship to physiological indicators.","authors":"A S Hill","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Oxygen saturation (SaO2) values, pulse rate and respiratory rate (RR) were monitored using a pulse oximeter during feeding sessions for 21 preterm infants (mean postconceptual age 35.61 weeks) at 3-minute intervals. The purpose of the study was to determine if there is a maximum stressful nippling time span within the context of the prescribed amounts of formula taken and to determine and verify the relationship between: (a) nipple feeding and clinical stress reactions to these variables, (b) the amount of formula taken in the first 3 minutes and (SaO2) values, PR, and RR; and (c) the birthweight of the infant and the length of time from birth to the initial nipple feed. Although the repeated analysis of variance failed to show a significant change (p > .05) from baseline in SaO2, PR, and RR, correlational analysis showed a significant relationship between the amount of formula taken in the first 3 minutes of feeding and the respiratory rate (r = .69, p = .001). Since no significant declines were detected across time in the physiological measures, a maximum stressful nippling time was not established from these data. As expected, a significant relationship between birthweight and the length of time from birth to the initial nipple feed was revealed (p < .05).</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"20 2","pages":"81-92"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12462068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Caregiver contacts experienced by premature infants in the neonatal intensive care unit.","authors":"N P Werner, A E Conway","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This descriptive study explored the type, frequency, and duration of contacts experienced by 11 mechanically-ventilated infants, born between 23 and 29 weeks gestation. A no-concealment, no-intervention, continuous observation method was utilized. Parameters recorded were: type of contact, type of caregiver, and contact duration. A total of 645 contacts were made over 1210 minutes of observation; 64.5% were indirect and 35.5% were direct. Treatment-oriented procedures accounted for 27.4% of contacts, while 63.7% were incidental. Nurses provided 82.6% of all contacts. The frequency of indirect contacts was negatively related to gestational age. The total duration of direct contacts over 1100 minutes of observation was 186.8 minutes. Nurses are challenged to coordinate necessary care with comfort measures and to decrease the frequency of disruptive contacts with premature infants.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"19 1","pages":"21-43"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13289735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pre-operative preparation: effects on immediate pre-operative behavior, post-operative behavior and recovery in children having same-day surgery.","authors":"C K Schmidt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study explored whether preoperative preparation affects the immediate preoperative behavior, post-operative behavior, and recovery in children undergoing same-day surgery. An experimental design was utilized. Three hypotheses were tested: that children who receive pre-operative preparation will (1) display fewer intra-operative and post-operative complications; (2) use lesser amounts and less frequent administration of pain medications post-operatively; and (3) exhibit fewer behavioral problems during pre-, intra-, and post-operative periods than children who do not receive such preparation. Sixty children, ages 2-10 years, were observed at a community hospital's same-day surgery facility, with subjects randomly selected. Subjects were directly observed during the pre-, intra-, and immediate post-operative periods. Parents of each child completed a questionnaire within 7-10 days post-operatively, describing demographics, type of pre-operative preparation, and post-operative recovery and behavior. Subjects were retrospectively divided into groups according to their type of pre-operative preparation. Data were analyzed with multiple Pearson Correlation coefficients, ANOVA using General Linear Models, and Scheffe's test. There was only one significant difference: the group which played with hospital equipment showed less negative behavior changes at home (p less than .05).</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"19 4","pages":"321-30"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13291809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Creative intervention strategies in the management of perinatal loss.","authors":"B D Harr, J E Thistlethwaite","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The personal grief experienced by a mother who has lost her child is profound. Coping with the sadness and incomprehensibility of the loss predisposes her to feelings of increased vulnerability and isolation. As the woman externalizes her internal experience of grief, she is better able to manage and deal with the situational crises that surround and emerge from the pregnancy loss. This article presents a number of creative, non-traditional approaches that can be utilized to bring about wholeness and well-being in the mother as she shares her loss story.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"19 2","pages":"135-42"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13291273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Women's preparation for the childbirth experience.","authors":"M C Mackey","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As part of a larger study on women's views of the childbirth experience, this study focused on women's preparation for childbirth. Sixty-one Lamaze-prepared, married multigravidae described their preparations for childbirth during intensive, tape-recorded interviews conducted at 36 to 38 weeks gestation. Qualitative data analysis indicated that women focused their descriptions of their past and expected childbirth experiences on the importance of the quality of their own performance in managing labor and delivery. Women described the ideal childbirth experience as a fast, short labor (84%) and one which they managed well (74%). They focused their review of past childbirth experiences on how well they had controlled their own behavior and evaluated their past performance as (a) managing well, 39%; (b) having difficulty, 31%, or (c) managing poorly, 30%. The majority of women (95%) reported that being informed about labor and delivery was generally helpful. They described information as valuable because it decreased fear which increased relaxation and decreased tension, which in turn increased their chances of managing labor well. Although women wanted to do a good job in managing labor, 59% were confident they would perform well and 41% were uncertain. The study results should help nurses recognize if women under their care also have the need to do a good job in managing labor and delivery and suggest ways for nurses to support women in their efforts, their successes, and their failures in meeting their labor management goals.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"19 2","pages":"143-73"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13291274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Reva Rubin Inaugural Lectureship. Looking toward the year 2000: implications for maternal and child health nursing.","authors":"L Josten","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The document Promoting Health/Preventing Disease: Year 2000 Objectives for the Nation has as one of its five broad national goals, to \"Reduce infant mortality to no more than 7 deaths per 1,000 live births.\" Many factors influence whether this nation will be able to achieve this and the other objectives contained in this document that pertain to mothers and children. The most critical variable to achieving these outcomes is the public will to commit the resources necessary to adequately address the problems that impede achievement of these desired ends. Factors in this country's macro socioeconomic environment will both contribute to expanding the need for resources and influence the willingness of our country to devote resources to the endeavor of promoting health and preventing disease by the year 2000. Many of these same macro socioeconomic factors contribute to the current reshaping of the health care delivery system. As a result of all these factors the health care delivery system is experiencing a great deal of turbulence. As with individuals, when a system is experiencing turbulence the opportunities to influence that system are increased. In addition to describing the interrelationships of these factors, this paper addresses opportunities that exist for maternal-child nurses to influence the changing system. The desired outcome would be to increase the probability that mothers and children get their fair share of national public and private resources.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"19 2","pages":"83-92"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13291275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}