{"title":"Affects and cognitions of mothers and fathers of preterm infants.","authors":"J K Casteel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This descriptive study examined the feelings and thoughts of mothers and fathers of preterm infants. Responses were solicited while the infant was in a special care nursery as well as in the home. Mothers and fathers responses between the hospital and the home setting were compared as were maternal and paternal responses. General systems theory was the conceptual orientation of this study. This framework provided a perspective on the generation and analysis of affective and cognitive responses of parents following the birth of a premature infant. An open-ended, semi-structured interview was conducted in the special care nursery when the infant was 5 days old. A second interview was conducted when the preterm infant had been home for 5 days. The 18 mother-father dyads wer interviewed twice as dyadic units. The dyads were married and shared the same domicile, spoke and understood English, and resided within eighty miles of the special care nursery. There were 11 males and 7 females in the infant sample, with a mean gestational age of 34.9 weeks and a mean birthweight of 2281.7. The interviews were content analyzed and responses of the parent dyads categorized into meaningful sets within an a priori construct of affects and cognitions. A z-statistic was used to examine differences in the proportion of responses. The affective category was comprised of both positive and negative responses. Positive responses were amazement, confidence, love, and well-being. Negative responses were anxiety, fear, helplessness, and sadness. The cognitive category was comprised of three kinds of responses: protection, provision, and attachment.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"19 3","pages":"211-20"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13291803","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":"Children at home on mechanical assistive devices and their families: a retrospective study.","authors":"P D Williams, A R Williams, C Griggs","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Few assessments have been done of the influence of caregiver and family interactions on the developmental status of children discharged on mechanical assistive devices. The ages of the 25 children in this study ranged from 2-30 months. Seven were on apnea monitors at the time of the home interviews, and 18 had been off the monitors for 18 months or more. Mothers were administered six questionnaires: Family Adaptability and Cohesion Evaluation Scales (FACES III), Duke-UNC Functional Social Support Questionnaire, Families Coping Strategies (FCOPES), Self-Esteem Scale, Home Observation for Measurement of the Environment, and the Receptive-Expressive Emergent Language Scale (REEL). Results on the FACES III revealed that families were not rigid in adaptability; 61% were chaotic, and 33% were balanced. On the cohesion scale, 25% were disengaged, 30% were enmeshed, and 45% were balanced. On the FCOPES, and it's subscales, 36-40% of the respondents scored below the established norms. Social support was strongly correlated with Cohesion and Adaptability (r = .47, .67), HOME scores correlated with Self-Esteem (r = .47) and FCOPES Reframe scale (r = .45), and REEL scores correlated with Social Support (r = .47, .52). Path-analysis revealed two paths: help-seeking behaviors of the mother and the child-mother interactions.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"19 4","pages":"297-311"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12890798","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":"Maturation of responses elicited by a vibroacoustic stimulus in a group of high-risk fetuses.","authors":"B S Kisilevsky, D W Muir, J A Low","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The study was designed to characterize the changes in fetal heart rate (FHR) and movement responses in a group of high-risk fetuses to address the question of differential responding as a function of risk status. The study included 36 women admitted to hospital with threatened preterm labour (e.g., contractions, bleeding, premature rupture of membranes) with singleton pregnancies between 23 and 34:6 weeks gestational age. Each fetus received three vibration and three no-stimulus control trials, intermixed and randomly presented. Vibration trials consisted of a 2.5-second (s) application of the tip of a battery-powered, hand-held commercial vibrator to the maternal abdomen over the site of the fetal head while the FHR was recorded continuously and movements were scored from a cross section of the infant's abdomen viewed with a real-time ultrasound scanner. FHR within 20 s and movements within 5 s of trial onset were scored blind as to vibration or control trial. Repeated measures ANOVA demonstrated that fetuses responded to vibration with FHR accelerations from 29 weeks and movements from 26 weeks. Although movements increased with increasing gestational age, the mean peak FHR acceleration showed no significant increase from 29 to 32 weeks. From 29 weeks, the latency to response was 5 s and the peak of the acceleration occurred at about 10 to 12 s. At 26-28 weeks, a small but reliable cardiac deceleration occurred at about 5 s after stimulus onset. These preliminary findings suggest a maturation of fetal sensitivity to vibroacoustic stimulation which is similar for groups of low-risk and high-risk fetuses. However, the variability in outcome--from preterm newborn death to \"healthy\" term delivery--in the high-risk group suggests that the sample may be heterogeneous.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"19 3","pages":"239-50"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13291804","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 of adolescent and adult mothers on factors affecting maternal role attainment.","authors":"V H Kemp, D E Sibley, E F Pond","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of the study was to investigate relationships among maternal age, maternal prenatal attachment, perception of birth experience, and maternal role attainment. The sample consisted of Black and Caucasian low-income women. Twenty adolescents, 16 years and younger, and 32 adult pregnant women, 21 years and older, completed Cranley's (1981) Prenatal Attachment Tool in their second or third trimester of pregnancy. In the postpartum period while the mothers and infants were hospitalized, they were videotaped and the Maternal-Infant Adaptation Scale (MIAS) (Price, 1983) was used to evaluate maternal role attainment. The mothers also completed a questionnaire describing their experiences with pregnancy, labor and delivery, and their preparation for motherhood. Using t-tests, there were no significant differences in the means of the two groups on the prenatal attachment tool or the MIAS.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"19 1","pages":"63-75"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13289737","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":"Parental perceptions of newborn pharmacologic paralysis.","authors":"M E Rudek","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This is a descriptive exploratory study of 9 parent-dyads who experienced pharmacologic paralysis of their newborn within a prior 6-month period. Perceptual responses included feelings, values, and needs related to the pharmacologic paralysis therapy. Newborns receiving pharmacologic paralysis had direct dependence to the caretaker for mechanical ventilation, precise monitoring of physiological parameters, and extensive life support due to altered sensory-motor function and breathing. The appearance of the immobile newborn and the protocols for the administration of paralyzing agents, which eliminate excessive stimulation and handling, were suspected of impacting parental interaction. The convenience sample of parents was representative of three newborn critical care units. Open-ended, retrospective interviews were completed in either the parents' home or in a private room of the critical care complex. Physiologic complications precluded use of a prospective interview technique. Chart reviews and a background questionnaire provided demographic data. Data collection consisted of a parent-directed interview. Data were subjected to content analysis and descriptive statistics. The mother's and father's responses were coded separately. The identified common perceptual themes within the pharmacologic paralysis experience were empathy, normalcy, acceptance, and sedative association. Ancillary experiences include the perinatal period and newborn illness. Analysis of ancillary experiences revealed continued themes of empathy and normalcy as well as guilt, separation, shock and anxiety, and uncertainty. Nurses may provide parents whose ill newborn undergoes pharmacologic paralysis a supportive team approach and guidance within a framework of their feelings, values, and needs.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"19 3","pages":"221-37"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13305968","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":"Mothers' perceptions of a postpartum support group.","authors":"D V Abriola","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A descriptive study was conducted to identify: (1) factors that contributed to continuation of a postpartum support group as perceived by mothers who attended the group and (2) how the group was helpful as perceived by mothers who attended. Twelve mothers who attended at least one postpartum support group meeting participated in an open-ended interview about the support group process and function. Data were content analyzed. Specific factors that contributed to the continuation of the group were identified by the mothers. Factors were: (a) support and reassurance received; (b) group leader(s) knowledge, experience, and dedication; (c) needs of the mothers were met; and (d) provided networking with other mothers. Mothers perceived the support group as helpful as it: (a) offered information and support; (b) provided the opportunity to network about similar problems; (c) helped with the transition to motherhood; and (d) offered the opportunity for mothers to see other children of ages similar to their own. Findings may be helpful to perinatal nurses involved in planning postpartum follow-up visits or a postpartum support group. Use of the information described in this study could help nurses recognize needs and concerns of postpartum women.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"19 2","pages":"113-34"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13291272","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 Florence H. Erickson Inaugural Lectureship. Reflections on children's play.","authors":"I I Riddle","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This keynote address discusses sociopolitical policy related to the health care of children in the United States. It summarizes several seminal studies on the play of children. The role of the nurse is emphasized to reduce threats to children through therapeutic play.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"19 4","pages":"271-9"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13291806","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":"Content analysis of 186 descriptive case studies of hospitalized children.","authors":"C M Barnes, A G Bandak, C I Beardslee","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>One hundred eighty-six single case studies of sick infants, children, and adolescents were analyzed to provide a substantial descriptive data base of children's responses to illness, hospitalization, and treatment over a span of more than 20 years. Units of theory of coping behavior are identified as a first phase for adding new knowledge to the field of pediatric nursing. Indicators of the significance of the data base are included.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"19 4","pages":"281-96"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13291807","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 experiences of body change during normal pregnancy.","authors":"P Richardson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>During semi-structured interviews, pregnant women described and evaluated weight, appetite, activity and mood experiences. The data provided by 63 women who had normal pregnancy outcomes were coded and distributed according to (a) the time during pregnancy at which experiences were reported, and (b) whether body experiences were changing or stable, satisfactory or worrisome, and, for changing body experiences, whether the change was a gain or loss. Log-linear statistical procedures were used to analyze the 436 descriptions and evaluations. Study findings indicate that pregnancy is characterized by frequent and usually satisfactory body changes, and that body experiences vary in meaningful ways over the months of pregnancy.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"19 2","pages":"93-111"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13291801","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-infant bonding in homeless adolescents and their infants.","authors":"O J Rich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Adolescent pregnancy is a major problem in our society today. A special subset of adolescents who are becoming mothers are those who are homeless--those who have no dependable, on-going place to live. These homeless teen mothers are a special at-risk group in terms of mothering. The focus of this study is to study maternal-infant bonding in a subset of homeless adolescents who are becoming mothers. This is a longitudinal, descriptive study for which the overall research questions are: What is the process of maternal-infant bonding in homeless teens during the first year of the infant's life? What are the mother-infant interactions around the feeding experience during this first year of life? Mother-infant pairs (N = 19), who are clients in a residential home, are videotaped (videotaped segments, N = 30) during the feeding situation. Time/event periods for data gathering according to the infant's age are: 1-3 weeks; 6-8 weeks; 4 months; 6 months; 8 months; 10 months; 12 months. Content analysis of the tapes used Barnard's Nursing Child Assessment Feeding Scale (NCAFS), a 73-item binary scale divided into 6 subscales. A descriptive profile of the clients on admission to the program includes measures of empathy, self-esteem, depression, social support, and social network. The findings are compared with the NCAFS norms for homeless teen mothers.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"19 3","pages":"195-210"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13291802","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}