Suchergebnisse

Cover -- Endorsements -- Half Title -- Series Page -- Title Page -- Copyright Page -- Dedication -- Table of Contents -- List of contributors -- Series Foreword -- IPA in Health Committee -- Introduction -- 1. An incentive to use psychoanalytic psychosomatics in everyday medicine -- 2. At a Crossroads: The Psychoanalytic Model and the Medical Model -- 3. On Becoming a Parent: When the Psychoanalyst Meets the Front-Line Professionals Involved in the Perinatal Period -- 4. Cruel Fate -- 5. Day Hospital Intensive Care for Patients with Eating Disorders -- 6. Eating Disorders in Childhood and Adolescence: An Interdisciplinary Approach -- 7. Psychoanalysis and Psycho-oncology: How Each Specialty Enriches the Other -- 8. Psychodynamic Contributions to Palliative Care Patients and their Family Members -- 9. How a Lack of Human Connection May Lead to Dehumanization and Addiction -- 10. Psychoanalytic Approaches to the Skin Patient -- 11. The Balint Group: The Arc of the Enduring Bridge between Psychoanalysis and Medicine -- Index.

An official publication of the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN), Perinatal Nursing, Fourth Edition presents up-to-date information based on the most rigorous evidence and offers suggestions for best practices. This new edition of the authoritative, comprehensive text used by perinatal nurses worldwide features a wealth of new content to keep practice current. You'll reach for this highly practical resource for: expanded coverage of high-risk pregnancy, from bleeding in pregnancy to preterm labor and birth, diabetes, cardiac disease, pulmonary complications

Studies of traumatic stress, attachment, and neurobiology, confirm the importance of the mother and child bond for life-long health. Yet intergenerational cycles of childhood maltreatment and psychiatric vulnerability may endanger that bond to warrant a prevention approach. Trauma-informed care and interventions in maternity services may be needed

THIS ARTICLE STATES THAT NOWHER IS THE INABILITY OF THE SOVIET STATE TO UPHOLD ITS PART OF THE SOCIAL CONTRACT WITH ITS SITIZENS DEMONSTRATED MORE GRAPHICALLY AS IN HEALTH CARE. THE DUAL ILLNESS THAT PARALYZES THE SOVIET ECONOMY AND SOCIETY MATERIAL PVERTY AND EXHAUSTION ON ONE HAND AND THE TOTAL BREAKDOWN OF LABOR MORE ON THE OTHER-IS LEAVING DEEP SCARS ON SOVIET MEDICINE.

Nursing care management has become a popular method to integrate health care systems with goals of decreasing costs and improving quality. As high-risk pregnancies and newborn intensive care unit (NBICU) costs generate some of the highest costs in health care, care management has been a strategy introduced in perinatal medicine to accomplish the same goals. Consistent with other areas of nursing, perinatal care management currently has no agreed upon model of practice or method of evaluating how and whether the goals have been achieved. The purpose of this project was to evaluate various perinatal care management programs found in the literature. Electronic and manual searches of current data were performed locating 31 relevant articles. From these articles, nine met the inclusion criteria and were reviewed. While some care management programs were able to decrease costs and improve outcomes, other programs did not. There are possibly two reasons for the varied results in the literature. The first is that there are differences in program designs, decreasing the likelihood of identifying specific interventions that can make a difference. Second, thus far researchers have used ineffective study designs in evaluating care management programs. More research needs to be completed before a conclusion can be drawn whether perinatal care management can decrease costs while improving quality.

Abstract Promotion of healthy pregnancies has gained high priority in the Netherlands because of the relatively unfavorable perinatal outcomes compared to surrounding countries which was confirmed by two consecutive European reports on perinatal health. Additionally, large inequalities were observed within the Netherlands. Poor perinatal outcomes seemed to be more prevalent in deprived areas and were often associated with socio-economic and ethnic minority related risk factors such as low-income or less integration into society. Research revealed that in 85% of all cases mortality was preceded by perinatal morbidity (e.g. preterm birth, small-for-gestational age, suboptimal start or congenital anomalies), also known as Big 4 morbidities. In addition, it was demonstrated that non-medical risk factors (social and lifestyle risk factors) had an equally high impact of perinatal outcomes when compared to medical and obstetrical risk factors, and that the accumulation of these risk factors could even further harm the chances of a good pregnancy outcome. Non-medical risk factors and risk accumulation were especially observed in deprived areas. This information made perinatal mortality an important political and social issue, which led to many national and local initiatives in the Dutch antenatal healthcare field. In this thesis, the aim was threefold: 1) to evaluate initiatives that were implemented to improve perinatal morbidity and mortality rates in the Netherlands, 2) to investigate the influence of neighbourhood deprivation on perinatal outcomes, and 3) to investigate the contribution of (the assessment of ) non-medical risk factors. Our results were therefore presented and summarized in three parts.

The care of women and newborns with prenatal drug and alcohol exposure has been widely recognized as a significant health and social issue. There are wide variations in the values, beliefs, and knowledge regarding perinatal substance misuse in health and child welfare professionals and when contrasted to the field of sociology. Sociology and critical social theory provide an alternative to a traditional medical perspective by using a contextual lens through which to move beyond the "medicalization" of health and illness toward an understanding that considers the historical, political, and social interpretations of perinatal substance misuse. However, the medical and critical social perspectives are often seen as incommensurable. This discussion of the health issues related to perinatal substance misuse and the analysis from a critical social perspective are provided as an attempt to move communities away from rhetoric and toward development of effective, supportive interventions that meet the health and social needs of substance-using women and their children.

Introduction: Patient satisfaction has been identified as a major index in the assessment of quality of healthcare globally. Mothers judge the quality of perinatal care received based on their satisfaction with the services provided, thus influencing their utilization of the available health facilities. There is currently a dearth of literature on users' satisfaction of services rendered at the primary level of care, which is the first port of call to the health system aimed at serving majority of the populace.Objectives: The study was set out to investigate maternal satisfaction with perinatal care received in selected primary health centres in Ibadan.Methods: The study was a cross-sectional survey involving 66 women receiving postpartum care from five randomly selected primary health centres in Ibadan north-west local government using a 72-itemed questionnaire with p < 0.05.Findings: The majority of the respondents (98.5%) perceived the perinatal care they received as high quality, and 94% and 98% were satisfied with services and facilities used for their care, respectively. Identified causes of dissatisfaction included dirty hospital environment, inadequate water supply and hospital facilities, distance of hospital location, cost of materials, time wasting, inadequate staffing and poor attitude, and verbal and physical abuse. An association exists between maternal satisfaction with quality of care and future intention for subsequent utilization (χ2 = 13.306; p = 0.0001).Conclusion: The overall maternal satisfaction on the perinatal care provided was perceived as very good. However, few domains of dissatisfaction were identified that would need to be addressed by healthcare professionals and policymakers to sustain and improve utilization of orthodox health care services amongst mothers, thereby contributing to achieving the third Sustainable Development Goal.