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231.

Background

In Australia, the provision of homebirth services by unregulated birthworkers (doulas, ex-registered midwives, traditional midwives and lay workers) has increased. Accessing a homebirth with a registered midwife via mainstream services is limited. Concern is growing that new legislation aimed at prohibiting unregulated birthworkers practice may result in homebirth going underground.

Aim

To explore the role, practice and training of unregulated birthworkers in Australian and establish what they would do if legislation prohibited their practice.

Methods

This study used a mixed methods sequential exploratory design to explore the practice, training and role of unregulated birthworkers in Australia. In phase one, four unregulated birthworkers were interviewed in-depth and the findings informed the development of a survey in phase two. This was distributed nationally through two consumer websites, social media, Facebook and email. Data from both phases were integrated.

Findings

Unregulated birthworkers in Australia provide homebirth services to women with high and low-risk pregnancies when this choice is unavailable or unacceptable within mainstream services. They operate covertly to protect their practice and avoid the scrutiny of authorities. Unregulated birthworkers can be experienced and trained in childbirth care and practice, much like a midwife working within a holistic paradigm of care.

Conclusion

Unregulated birthworkers believe they provide women with the homebirth service they want but cannot access. Mainstream service providers need to listen to consumer criticisms, as women seek answers outside the system. Change is needed to improve and align services with women’s expectations of homebirth.  相似文献   
232.
The fertility opportunity hypothesis suggests that individuals and couples adjust family size in response to their perception that economic opportunity is increasing (or diminishing.) A sense that opportunities are expanding encourages a relatively high, even rising, family size target. On the contrary, the perception that opportunities and resources will fall short of satisfying the aspirations of oneself or family lead to lowering family size targets. The literature suggests that family size target translates into completed family size on the order of 85 to 90 percent. The economic collapse of former Asian tigers in late summer, 1997, offered a chance to test the hypothesis prospectively. In, 1998, an author (Abernethy) predicted that fertility rates in the nine Asian tiger economies would fall during the 1997-1999 interval at a faster rate than had been observed in immediately preceding two-year intervals. This paper reports the results of tests of the hypothesis with respect to the Asian tigers and several other country clusters for which no particular prediction was made. Preliminary findings appear to support the fertility opportunity hypothesis.  相似文献   
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Problem or backgroundMilk kinship has religious and practical importance to Muslim families that is not well understood in Western cultures. The relationship occurs when an infant receives the milk of a woman other than the biological mother, creating familial relationships between the child and the woman whose milk is received. As milk siblings, her children and the recipient infant must never marry each other. Midwives in Western countries may encounter this in relation to human milk banking.AimThis review provides a context for respectfully assisting families with their decision making when they are offered banked milk.MethodsA database search was conducted and other publications were found manually.Review/findingsMilk siblingship can be religious or secular. In Islam similar prohibitions on marriage exist to those for blood relations. The mothers therefore have to be known to each other to prevent an inappropriate marriage. This relationship has been a barrier to use of human milk banks by Muslim families as milk from several mothers is usually pooled. Nevertheless, donor milk has been used for premature neonates in two Islamic countries, applying the religious requirements. Recent interpretations by some Islamic scholars permitting milk banking may be acceptable to some families, but others will heed other rulings.Conclusion/implicationsNICU staff may encounter difficulties in providing banked human milk to infants from Muslim families. Different rulings exist and Muslim families in Western countries come from a variety of traditions. Sensitivity is required to explore these issues with families.  相似文献   
238.
Objectives. Although the Fetcher Bill Hypothesis, which is that legislators introduce bills in order to extort campaign contributions from organized interests, has been given new prominence by suggestions that it can provide a general explanation of the composition of legislative agendas and the structure of interest communities, tests of the hypothesis are narrow, rare, and indirect. We provide an alternative test to more directly assesses its core implications. Methods. We test the hypothesis using single‐year and pooled‐regression analyses of 1995, 1997, and 1999 data on lobby registrations by organized interests in the American states—a venue providing substantial variation in legislative activity, the density of lobbying organizations, and the campaign finance systems that are presumed to drive rent seeking. Results. The tests provide little evidence that policy agendas induce lobby registrations. Conclusions. These results indicate that the Fetcher Bill Hypothesis cannot provide a sufficient account of the composition of either legislative agendas or lobbying communities.  相似文献   
239.
This study investigated the role of parent–adolescent relationships in mediating the association between family‐related negative life events and adolescent depressive symptoms and problem behaviors among 1,696 eleventh graders from the United States (n=201), China (n=502), Korea (n=497), and Czech Republic (n=496). Results indicated that perceived parental involvement and parent–adolescent conflict mediated the link between family‐related life events and adolescent depressed mood. The path from family‐related life events to adolescent problem behaviors was mediated by perceived parental involvement, parent–adolescent conflict, and perceived parental sanctions of adolescent misconduct. With the exception of minor cross‐cultural differences in the magnitude of associations among variables, this study revealed considerable similarity in the association of family factors with adolescent internalizing and externalizing symptomatology. The findings contribute to the growing literature on culture‐general developmental processes.  相似文献   
240.
By 4–5 years of age children can make gender‐congruent inferences about toys. Not only do they respond differentially to gender labels attached to toys, even without such labels they make inferences about toy choice that reflect an awareness of and identification with their gender in‐group. However it is unclear how far inferences about toy choice extend to other aspects of a child's social identity. The present study explored the influence of both gender and ethnicity on children's judgements on toy choice for themselves and others. Eighty‐four children in three age groups (5, 6–7, 8–9 yrs) were shown photographs of unfamiliar toys and unfamiliar children from three ethnic groups (white, black, Asian) and were asked to rate how much they and these children would like each toy. Boys consistently predicted that Asian children would like the toys less than other ethnic groups. Ethnicity influenced inferences from 6–7 years old where children predicted that white, black and Asian peers would like the toys differently from each other. Children at 8–9 years old predicted that Asian peers would like the toys less than both white and black peers. Analysis of differences between children's own liking and predictions for same‐ and opposite‐sex others revealed that they were gendercentric. That is, children predicted that a same‐sex child would like a toy more similarly to themselves compared to an opposite‐sex child. Analysis between white and Asian children's own liking and predictions for same‐ and other‐ethnic others found that only 6–7‐year‐olds made ethnocentric inferences. That is, same‐ethnic peers’ liking was rated more similar to children's own compared to that of other‐ethnic peers. Findings are discussed in light of cognitive developmental theories and previous work on the development of perspective‐taking skills.  相似文献   
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