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101.
Hazel Keedle Virginia Schmied Elaine Burns Hannah Grace Dahlen 《Women and birth : journal of the Australian College of Midwives》2018,31(1):69-79
Background
Vaginal birth after caesarean can be a safe and satisfying option for many women who have had a previous caesarean, yet rates of vaginal birth after caesarean remain low in the majority of countries. Exploring women’s experiences of vaginal birth after caesarean can improve health practitioners’ understanding of the factors that facilitate or hinder women in the journey to have a vaginal birth after caesarean.Methods
This paper reports on a meta-ethnographic review of 20 research papers exploring women’s experience of vaginal birth after caesarean in a variety of birth locations. Meta-ethnography utilises a seven-stage process to synthesise qualitative research.Results
The overarching theme was ‘the journey from pain to power’. The theme ‘the hurt me’ describes the previous caesarean experience and resulting feelings. Women experience a journey of ‘peaks and troughs’ moving from their previous caesarean to their vaginal birth after caesarean. Achieving a vaginal birth after caesarean was seen in the theme ‘the powerful me,’ and the resultant benefits are described in the theme ‘the ongoing journey’.Conclusion
Women undergo a journey from their previous caesarean with different positive and negative experiences as they move towards their goal of achieving a vaginal birth after caesarean. This ‘journey from pain to power’ is strongly influenced by both negative and positive support provided by health care practitioners. Positive support from a health care professional is more common in confident practitioners and continuity of care with a midwife. 相似文献102.
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105.
Stephanie Baker Collins Sheila Neysmith Elaine Porter Marge Reitsma-Street 《Community, Work & Family》2009,12(1):21-37
This paper reports on a research project that uses the concept of provisioning as a starting place in understanding the activities women in marginalized communities undertake to provide for themselves and members of their households and neighborhoods. This project explores the household and collective provisioning undertaken by women who are all part of formal community organizations in Canada. The work women do is explored from the dimension of women's relationships of responsibility. This vantage point uncovers a complex web of activity including paid employment, voluntary work, care work, exchanges of goods and services, community work, and self-provisioning. In addition, the provisioning strategies that women use when public resources are scarce are explored. In the face of significant cutbacks in public provision of goods and services, women are engaging in a complex network of activities in order to compensate through private provisioning for resources that are no longer available through public provisioning. The policy context in which these strategies are pursued is explored as well as the way in which risky policies produce risky coping strategies. 相似文献
106.
Barbara H. Fiese Brenda Davis Koester Elaine Waxman 《Journal of Family and Economic Issues》2014,35(3):423-431
In 2009, over 33 million different people used food pantries to supplement their basic food needs. Food pantries are increasingly called upon to provide non-food items. What is unknown is how going without basic household products affects families. This exploratory study aimed to identify personal household products food pantry clients are most likely to find essential for basic living, the consequences for going without, and strategies to procure basic products. Twenty-five food pantry clients were interviewed. Three classes of products were identified: survival, keep the household together, and “make do” products. Consequences of going without basic products include stress, personal degradation, and engaging in illegal activities. Program recommendations include distribution planning and incorporating an awareness of different family coping strategies. 相似文献
107.
Moral Schemas in Articulation and Intuition: How Religious People Evaluate Human Reproductive Genetic Technologies
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Elaine Howard Ecklund Jared L. Peifer Virginia White Esther Chan 《Sociological Forum》2017,32(2):277-297
As new and more effective human reproductive genetic technologies (RGTs) rapidly develop, religious voices remain an important part of public discussion about the moral standing of such technologies. Here, we compare how individuals from different religious traditions evaluate disease RGTs (detecting genetic diseases in vitro) when compared to enhancement RGTs, allowing parents to select features of a child. Findings are gleaned from analysis of 270 interviews with individuals from 23 Christian, Muslim, and Jewish religious organizations, with supporting data from a national survey of more than 10,000 Americans. We find that respondents engage in clearly defined discursive moral reasoning to evaluate the propriety of disease RGTs while moral intuitions manifest themselves in responses to enhancement RGTs. We argue that schemas provide resources for moral discourses while also shaping moral intuitions expressed through emotions. Our results have implications for how religious people respond to new technologies when their institutional and denominational structures do not have readily discernable moral frameworks to guide responses. 相似文献
108.
Sue V. Kildea Yu Gao Margaret Rolfe Jacqueline Boyle Sally Tracy Lesley M. Barclay 《Women and birth : journal of the Australian College of Midwives》2017,30(5):398-405
Objective
To identify the risk factors for preterm birth, low birthweight and small for gestational age babies among remote-dwelling Aboriginal women.Methods
The study included 713 singleton births from two large remote Aboriginal communities in Northern Territory, Australia in 2004–2006 (retrospective cohort) and 2009–2011 (prospective cohort). Demographic, pregnancy characteristics, labour and birth outcomes were described. Multivariate logistic regression analysis was conducted and adjusted odds ratios were reported.Results
The preterm birth rate was 19.4%, low birthweight rate was 17.4% and small for gestational age rate was 16.3%. Risk factors for preterm birth were teenage motherhood, previous preterm birth, smoker status not recorded, inadequate antenatal visits, having pregnancy-induced hypertension, antepartum haemorrhage or placental complications. After adjusting for gender and birth gestation, the only significant risk factor for low birthweight was first time mother. The only significant risk factor for small for gestational age baby was women having their first baby.Conclusions
Rates of these events are high and have changed little over time. Some risk factors are modifiable and treatable but need early, high quality, culturally responsive women centred care delivered in the remote communities themselves. A different approach is recommended. 相似文献109.
110.
Cress ME Buchner DM Prohaska T Rimmer J Brown M Macera C Dipietro L Chodzko-Zajko W 《Journal of aging and physical activity》2005,13(1):61-74
Physical activity offers one of the greatest opportunities for people to extend years of active independent life and reduce functional limitations. The article identifies key practices for promoting physical activity in older adults, with a focus on those with chronic disease or low fitness and those with low levels of physical activity. Key practices identified: (a) A multidimensional activity program that includes endurance, strength, balance, and flexibility training is optimal for health and functional benefits; (b) principles of behavior change including social support, self-efficacy, active choices, health contracts, assurances of safety, and positive reinforcement enhance adherence; (c) manage risk by beginning at low intensity but gradually increasing to moderate physical activity, which has a better risk:benefit ratio and should be the goal for older adults; (d) an emergency procedure plan is prudent for community-based programs; and (e) monitoring aerobic intensity is important for progression and motivation. Selected content review of physical activity programming from major organizations and institutions is provided. 相似文献