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11.

Problem

Preparation of psychological well-being is an important component of antenatal education for childbirth, but few courses focus on this component.

Background

The psychosocial health of pregnant women is known to affect perinatal outcomes. Psychosocial stress in women has been associated with increased obstetric interventions and has been shown to affect the health of both mother and child.

Aim

To explore the efficacy of an eight-week Mindfulness-Based Childbirth and Parenting programme on reducing prenatal stress, depression, mindfulness, and childbirth self-efficacy.

Methods

In this prospective and randomized controlled trial study, 104 women between 13 and 28 weeks gestation were enrolled and assigned randomly into two groups. Participants in the experimental group received mindfulness-based programme and practice-at-home with audio recordings. The comparison group received traditional education classes. Psychological health was assessed at baseline, post-intervention, and 36-week gestation.

Findings

Significant differences were seen in both groups in terms of changes over time in stress, depression, childbirth self-efficacy, and mindfulness, as compared with baseline. In gestation week 36, stress scores were slightly higher and childbirth self-efficacy and mindfulness scores were lower for both groups, but all scores were relatively better in the experimental than in the comparison group.

Conclusions

Perinatal mental health problems affect mothers, their infants, and society. The eight-week mindfulness programme effectively reduced self-perceived stress and depression and increased childbirth self-efficacy and mindfulness. Future research is needed to explore the potential benefits, mechanisms, and effects on maternal and infant birth outcomes of mindfulness.  相似文献   
12.
The process of resettlement as a refugee often involves adapting to, and reconciling with, a new social reality. The complexities associated with acculturation across age, gender and family dynamics are navigated within greater social contexts that may encourage or hinder the processes of adjustment and settlement. This paper addresses the recent New Zealand Refugee Resettlement Strategy in light of contemporary theoretical developments with regard to the segmented assimilation thesis and the forms of social capital that, when available, may be mobilised to help refugee-background individuals, families and communities to forge new routes for participation and belonging. In particular, we examine the strategy and its five main goals of self-sufficiency, participation, health and well-being, education and housing as these relate to the possibilities and tensions at play in the wider acculturation experiences of New Zealand's diverse refugee populations.  相似文献   
13.
14.
Marriage, divorce, and legal change: new evidence from England and Wales   总被引:1,自引:0,他引:1  
In this article, we explain the evolution of divorce rates in England and Wales over the post-war period. Following the approach of the predominantly North American literature in this area, we focus on the liberalization of divorce law and socioeconomic factors as determinants of the divorce rate. In line with the development of the literature, we find that the introduction of liberalized, no-fault divorce law had a significant effect on the divorce rate in England and Wales. The finding that the law affects the divorce rate is consistent with the view that marriage is characterized by indivisibilities that inhibit Coasian bargaining.  相似文献   
15.
This paper develops a theory of vertical and horizontal product differentiation to explain observed price-cost margin differentials for goods that differ in quality. The difference in price-cost margins between the high- and low-quality goods is shown to depend positively on consumers' average valuation for incremental increases in quality and positively on the distance to each competitor's closest rival. These predictions are largely supported using an extensive station-level data set of premium and regular unleaded gasoline prices from the Los Angeles Basin area from 1992–1995.  相似文献   
16.
This paper extends the one-way heteroskedasticity score test of Holly and Gardiol (2000, In: Krishnakumar, J, Ronchetti, E (Eds.), Panel Data Econometrics: Future Directions, North-Holland, Amsterdam, pp. 199–211) to two conditional Lagrange Multiplier (LM) tests of heteroskedasticity under contiguous alternatives within the two-way error components model framework. In each case, the derivation of Rao's efficient score statistics for testing heteroskedasticity is first obtained. Then, based on a specific set of assumptions, the asymptotic distribution of the score under contiguous alternatives is established. Finally, the expression for the score test statistic in the presence of heteroskedasticity and related asymptotic local powers of these score test statistics are derived and discussed.  相似文献   
17.
18.
JM Mogg  PE Bigham 《Omega》1978,6(2):183-187
The problem treated is that of multi-stage scheduling as affected by the interdependence of successive stages. An algorithm is developed which incorporates startup delays as analytical functions of cycle times and production rates at adjacent stages. This is accomplished in part by imposing integer multiple restrictions on the relationship between the cycle times at adjacent stages. Total cost is then minimized for a given set of integer multiples.  相似文献   
19.
This paper describes two statistical measures that can be applied to the analysis of the results in a discriminant analysis. These measures, similar to R2 and R2 in multiple regression, assess the “goodness of fit” of the model or the degree of separation established by the discriminant functions among the groups in the sample and in the population.  相似文献   
20.
The living arrangements of young people in New Zealand are diverse and often complex. In this article we report the range of care and living arrangements of 209 15-year-old New Zealanders, 47 of whom identified as Māori. These young people were participants in the second generation of a cohort study. Data were collected from their parents via a life history calendar and analysed for variety and consistency of care arrangements, household membership and transitions. Few participants had a consistent pattern of parental care arrangements and most had experienced multiple changes in household composition and frequent changes of address. We conclude that the whānau/family lives of many young New Zealanders are complex and dynamic. These observations contrast with the conventional notions of family life that form the basis for New Zealand’s family policies. We argue that social policies and services impacting on young people need to reflect the lived reality of young people if they are to meet young people’s needs.  相似文献   
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