Care practice #3: continuous labor support

This updated edition of Care Practice Paper #3 presents the evidence for the benefits of continuous support in labor. The role of the doula is explained. Women are encouraged to plan for continuous support during labor and to consider including a woman experienced with childbirth among their labor support team.     

Care practice #4: no routine interventions

This updated edition of Care Practice Paper #4 presents the evidence for risks of routinely intervening in normal physiologic labor and birth. The authors review evidence related to the routine use of restrictions on oral intake, intravenous lines, continuous electronic fetal monitoring, artificial rupture of membranes, pharmacologic augmentation of labor, epidural analgesia, and episiotomy. Medical indications for each intervention are listed. Women are encouraged to avoid routine interventions in labor unless interventions are medically indicated.     

Care practice #1: labor begins on its own

This updated edition of Care Practice Paper #1 presents the evidence for the benefits of allowing labor to begin on its own. The physiology of normal labor is contrasted with medical induction methods, and the potential harms of elective induction are reviewed. Women are encouraged to avoid induction of labor unless there is a medical reason.     

Care practice #2: freedom of movement throughout labor

This updated edition of Care Practice Paper #2 presents the evidence for the benefits of allowing freedom of movement in labor. Physiologic and anatomical principles that support the benefits of movement are explained. The authors review common obstacles to movement in labor, including the routine use of interventions that inhibit women's ability to walk or change position. Women are encouraged to plan to be active in labor and to select care providers and birth settings that provide the full range of options for using movement in labor.     

Care practice #6: no separation of mother and baby, with unlimited opportunities for breastfeeding

This updated edition of Care Practice Paper #6 presents the evidence for the benefits of keeping mothers and babies together after birth. The normal physiology of the postpartum and early newborn periods is explained. The author reviews the influence of early and frequent skin-to-skin contact and rooming-in on breastfeeding and early attachment. Women are encouraged to choose a birth setting that does not routinely separate mothers and babies and to plan for early and frequent skin-to-skin contact and rooming-in.     

#5: Non-Supine (e.g., Upright or Side-Lying) Positions for Birth

In this position paper—one of six care practice papers published by Lamaze International and reprinted here with permission—the benefit of non-supine positions for birth is discussed and presented as an evidence-based practice that helps promote, protect, and support normal birth. The paper is written for childbearing women and their families. Upright and gravity-neutral positions facilitate rotation and descent of the baby and result in reduced duration of second stage, a reduction in episiotomies, and fewer abnormal fetal heart rate patterns. The accompanying commentary—written by a leading proponent of maternity care—supports these benefits. Lamaze International recommends that laboring women not push until they feel an urge to do so, and that they choose positions for birth that are most comfortable for them.     

Pastoral Care: Unique or Universal?

The nature, development and current position of Pastoral Care in England are considered. Attention is drawn to both the strengths and problems of Pastoral Care, and the problematic dimensions are underlined by the comparison of Pastoral Care in England and Western Australia. The question raised in the paper's title is addressed through a comparison with guidance in Canada. The writer suggests that, though this comparison suggests broad underlying principles to affective education, it also shows that Pastoral Care has some unique qualities which could be profitably used as models. It is stressed that Pastoral Care is best understood in a broad international context.     

Child Care for Children in Poverty: Opportunity or Inequity?

Data from a nationally representative survey of child care centers and a 5-site, observational study of centers were used to examine the quality of care provided to children from low-income families. Comparisons were made to a national sample of centers; among Head Start, public school-sponsored, and other community-based subsidized centers; and among centers that served families from differing socioeconomic groups. The quality of care in centers that served predominantly low-income children was adequate, but highly variable, with structural indices exhibiting higher quality than observations of global quality and of staff-child interactions. When compared to Head Start and public school-sponsored centers, the community-based centers had smaller groups and fewer children per teacher for preschoolers, but also had less well educated and compensated staff. Centers that predominantly served children from upper-income families provided the highest quality of care across multiple indices, and those that predominantly served children from middle-income families almost uniformly provided the poorest quality of care. The centers that served children from low-income families did not differ significantly in quality from the upper-income centers on most indices. However, the teachers in these programs were observed to be less sensitive and more harsh than teachers in the centers that served more advantaged families. The implications of the findings for research and policy are discussed.     

Field theory and educational practice: Bourdieu and the pedagogic qualities of local field positions in educational contexts

Bourdieu’s version of field theory has had an impressive impact on the ways that sociologists of education conceptualize educational practices. These accounts tend to focus on the varying levels of ontological complicity established between students’ cultural dispositions and educational institutions. In this paper, the wisdom of these accounts is acknowledged but it is also suggested that Bourdieu’s field theory does not go far enough to detail the ways that positions in local educational fields embody pedagogic qualities and action trajectories. Drawing on insights from social psychology and relational sociology, a field theory for local educational action is outlined that more adequately accounts for the ways that students and educators directly experience and act upon curricular and pedagogic qualities in educational settings. An empirical example is then offered of the authors’ claims within the context of curricular tracking/streaming, and the article concludes by considering the practical and political consequences of this theoretical shift.     

In practice: Student government: Friend or foe?

One of the most important and obvious, yet often neglected, places where leadership development can take place is student government. Here, a university president and a student body president tell the story of their unusual collaboration, which brought concepts from continuous quality improvement into the university and, in particular, into student government.     

Drawing near and pushing away: critical positioning in multimodal composition

As the tools and modes of literate practice continually emerge, so too must our critical approaches to understanding their expression. While media production has been praised for its potential to provide youth a voice to challenge dominant narratives, various questions remain as to what happens at the multimodal levels of composition in terms of critical engagement. This study uses mediated discourse analysis to examine adolescent students’ use of multimodal resources for purposes of critical positioning in ways unique to the multimodal dimensions of composing radio and video documentaries. Research findings reveal students’ active use of multimodal resources to both draw audiences near as well as push them away for purposes of pleasure, analysis, and critique. Implications for research and teaching include attention to the movement of shifting social positions as critical social practice.     

Care or scare: the safety of youth in congregate care in New York City

OBJECTIVE: This qualitative study examined stakeholders' perceptions of the safety of youth ages 12 and older living in congregate care facilities within the New York City foster care system. The study explored the youth's physical safety, the safety of their personal belongings, the physical conditions of congregate care settings, and the relationship between staff quality and youth safety. METHOD: The study involved interviews with family court judges, representatives of private child welfare agencies, attorneys who represent children in foster care, social workers, representatives of advocacy and other relevant organizations in New York City, and former foster youth who had been placed in congregate care settings. RESULTS: Safety in congregate care environments was an issue of significant concern. Threats to the youth's safety were found to emanate from peer-on-peer violence, stealing of personal belongings, inappropriate staff conduct, and the poor physical conditions of facilities. Youth's sense of safety was strongly linked to staff quality, including staff ability to relate effectively to youth and to maintain control of congregate care environments. CONCLUSIONS: Existing regulations in New York State appear to have had little effect in ensuring the safety of youth in many group and residential care facilities. Steps to improve safety outcomes for youth in these settings are proposed.     

关于职业院校推行工学结合和校企合作人才培养模式的实践与思考

发展职业教育有许多理论和实践问题需要研究和探讨.其中,积极推行工学结合的人才培养模式,推动职业学校与企业合作办学,形成前校后厂（场）、校企统一的办学实体是职业学校共同面临的新课题.本文拟结合我院实际,谈几点意见.     

Healthy Birth Practice #3: Bring a Loved One,Friend, or Doula for Continuous Support

All women should be allowed and encouraged to bring a loved one, friend, or doula to their birth without financial or cultural barriers. Continuous labor support offers benefits to mothers and their babies with no known harm. This article is an updated evidence-based review of the “Lamaze International Care Practices that Promote Normal Birth, Care Practice #3: Continuous Labor Support,” published in The Journal of Perinatal Education, 16(3), 2007.     

Relative effectiveness of reading practice or word-level instruction in supplemental tutoring: how text matters

In this quasi-experimental study, which is part of a series of investigations on supplemental reading tutoring variations, the relative effectiveness of more intense decoding instruction or text reading practice was examined. Fifty-seven first-grade students scoring in the lowest quartile for reading skills received either classroom reading instruction or one of two treatments: tutoring in word study with text reading practice, or word study tutoring alone. Individual instruction was provided by trained paraprofessional tutors. At the end of first grade, treatment students significantly outperformed their nontutored peers on measures of reading accuracy, reading comprehension, reading efficiency, passage reading fluency, and spelling. Differential treatment effects on passage reading fluency are examined, taking into consideration pretest skill levels and text reading practice characteristics.     

Belief change towards self-directed learning in student teachers: immersion in practice or reflection on action

Although belief change in student teachers constitutes a more important aim in programmes of teacher education than knowledge transmission per se, it is by no means clear what prompts a meaningful transition from existing — and often implicit — beliefs to professionally oriented frameworks for teaching. Reflection-oriented learning by student teachers has been put forward as the major route towards helping them to grow in their practice teaching, and to actively involve them in changing and (re)constructing their own knowledge base for teaching. However, practice teaching often severely challenges these constructed beliefs, and so reflection subsequently loses its claim to be a guide to future action. In this study, the dynamic interchange between reflection and immersion into practice teaching is related to the process of belief change, with student teachers engaging in self-directed teaching methods. It challenges long-held assumptions by indicating that reflection after practice may be a more professionally fruitful way of effecting belief change than reflectively preparing student teachers before they enter their practice teaching, with beliefs which are not grounded in their own teaching experience.