Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
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The objective of this study was to understand the experience of a pregnant woman with needle phobia and examine its impact on her antepartum, intrapartum, and postpartum experience. A case study format was employed. ⋯ Three tasks during pregnancy were identified: seeking trusting relationships with health care providers; establishing and maintaining control and understanding; and coping with fear of needles, pain, and invasion. As frequent caregivers during childbearing, nurses with an understanding of needle phobia can help to establish trusting relationships with women with this phobia and support them and their families during childbearing and their encounters with needles.
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J Obstet Gynecol Neonatal Nurs · Sep 2005
ReviewSocial and professional support needs of families after perinatal loss.
Perinatal loss has been associated with depression, anxiety, obsessive-compulsive disorder, suicide, marital conflict, and post-traumatic stress disorder. Nurses may provide professional support through teaching, role modeling, encouragement, counseling, problem solving, and other interventions. Nurses also may encourage more effective social support by helping significant others to provide willing, well-intentioned action that will produce a positive response in the bereaved couple. Interventions to increase professional and social support after perinatal loss are described.
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J Obstet Gynecol Neonatal Nurs · Sep 2004
ReviewEmpowering older women: strategies to enhance their health and health care.
Older persons, especially older women, report that often their needs are not met in health care encounters. Lack of active participation by the patient is a major reason for this dissatisfaction. This article reviews research on older women's socialization that discourages them from challenging the status quo in interactions with others. It suggests ways that health care providers can empower female patients: They can encourage active participation during health care encounters, and they can help patients prepare for encounters so they can have their needs met.
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J Obstet Gynecol Neonatal Nurs · Mar 2004
ReviewBehavioral and physiological indicators of procedural and postoperative pain in high-risk infants.
Nurses play a critical role in the assessment and management of infant pain. In this article, infant pain assessment tools that are valid, reliable, clinically sensitive, and developmentally appropriate are discussed. ⋯ Behavioral and physiological indicators of pain, sleep-wake states, and infant development are discussed as important considerations in pain assessment. Recommendations for improving pain assessment practices are offered in conclusion.
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J Obstet Gynecol Neonatal Nurs · Nov 2003
ReviewAnalgesia and anesthesia during labor and birth: implications for mother and fetus.
Labor and birth, although viewed as a normal physiological process, can produce significant pain, requiring appropriate pain management. Systemic analgesia and regional analgesia/anesthesia have become less common, whereas the use of newer neuraxial techniques, with minimal motor blockade, have become more popular. ⋯ This article provides a review of the current systemic analgesics and regional and neuraxial analgesia/anesthesia techniques for pain management in labor and birth. Also addressed are implications for perinatal nurses who participate in pain management choices during labor and birth.