Women's satisfaction with antenatal care: Comparing women in Sweden and Australia

BackgroundSatisfaction with antenatal care could differ depending on the organisation and the context of care.AimTo compare antenatal care in Australia and Sweden, to identify deficiencies in the content of antenatal care and what aspects contributed most in dissatisfaction with antenatal care.MethodsA longitudinal survey of 123 Australian and 386 Swedish women recruited during one year in regional hospitals in Sweden and Australia. Data collected by three questionnaires.ResultsWomen in Australia had more antenatal visits, less continuity of midwife caregiver but were more satisfied with antenatal education and the emotional aspects of antenatal care. Although the overall satisfaction was high, deficiencies were found in more than half of the studied variables in the content of care. Women in Sweden were more dissatisfied with information about labour and birth (OR 3.1; 1.8–5.3) and information about the time following birth (OR 3.8; 2.2–6.3), but more satisfied with the involvement of the father (OR 0.3; 0.2–0.6). Factors that contributed most to dissatisfaction with antenatal care overall were deficiency in information about pregnancy related issues (OR 3.4; 1.3–8.7) and not being taken seriously by the midwife (OR 4.1; 1.6–10.1).ConclusionSatisfaction with antenatal care was high in both groups of women. Australian women were more satisfied than the Swedish women with the emotional aspects of care. Deficiencies were found in more than half of the variables measured relating to the specific aspects of care. Lack of information and not being treated seriously were important factors for not being satisfied.     

Does antenatal education affect labour and birth? A structured review of the literature

ObjectiveTo undertake a structured review of the literature to determine the effect of antenatal education on labour and birth, particularly normal birth.MethodOvid Medline, CINAHL, Cochrane and Web of Knowledge databases were searched to identify research articles published in English from 2000 to 2012, using specified search terms in a variety of combinations. All articles included in this structured review were assessed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).FindingsThe labour and birthing effects on women attending antenatal education may include less false labour admissions, more partner involvement, less anxiety but more labour interventions.ConclusionThis literature review has identified that antenatal education may have some positive effects on women's labour and birth including less false labour admissions, less anxiety and more partner involvement. There may also be some negative effects. Several studies found increased labour and birth interventions such as induction of labour and epidural use. There is contradictory evidence on the effect of antenatal education on mode of birth. More research is required to explore the impact of antenatal education on women's birthing outcomes.     

North Central Sociological Association: Members Perspectives—Past and Present

Abstract

Recollections of past officers provide the basis for a history of the North Central Sociological Association (NCSA). Foci include the early environment, school participation, and forces behind its growth and current character. Contemporary issues of big school domination and image are examined through data on current numbers, school affiliations, and convention participation. The latter part of the paper, based on a 1976 NCSA membership survey, compares criticisms of American Sociological Association national meetings with those of North Central, summarizing the asserts and deficits of each. Conclusions are drawn about the identifying characteristics and functions of a regional association given the image it assumes and its organizational goals.     

The new labor market: Immigrants and wages after IRCA

We examine the effect of the Immigration Reform and Control Act (IRCA) on migrants' wages using data gathered in 39 Mexican communities and their U.S. destination areas. We examine changes in the determinants of wages before and after the passage of IRCA, as well as the effects of its massive legalization program. Migrants' wages deteriorated steadily between 1970 and 1995, but IRCA did not foment discrimination against Mexican workers per se. Rather, it appears to have encouraged greater discrimination against undocumented migrants, with employers passing the costs and risks of unauthorized hiring on to the workers. Although available data do not permit us to eliminate competing explanations entirely, limited controls suggest that the post-IRCA wage penalty against undocumented migrants did not stem from an expansion of the immigrant labor supply, an increase in the use of labor subcontracting, or a deterioration of the U.S. labor market.     

Max-stable processes for modeling extremes observed in space and time

Max-stable processes have proved to be useful for the statistical modeling of spatial extremes. For statistical inference it is often assumed that there is no temporal dependence; i.e., that the observations at spatial locations are independent in time. In a first approach we construct max-stable space–time processes as limits of rescaled pointwise maxima of independent Gaussian processes, where the space–time covariance functions satisfy weak regularity conditions. This leads to so-called Brown–Resnick processes. In a second approach, we extend Smith’s storm profile model to a space–time setting. We provide explicit expressions for the bivariate distribution functions, which are equal under appropriate choice of the parameters. We also show how the space–time covariance function of the underlying Gaussian process can be interpreted in terms of the tail dependence function in the limiting max-stable space–time process.