Teaching and learning birth: "help all to know"

This guest editorial explores the idea that our worldview, regardless of education, influences our childbirth practices, sometimes interfering with achieving the goals of our discipline. Over time, we have lost our ability to support women through the process of childbirth so that they emerge as strong, healthy women. The high road ahead is to teach everyone, including ourselves, that we need to provide optimal, evidence-based care. Pursuing this path will take courage and commitment.     

Safe,Healthy Birth: What Every Pregnant Woman Needs to Know

In spite of technology and medical science''s ability to manage complex health problems, the current maternity care environment has increased risks for healthy women and their babies. It comes as a surprise to most women that standard maternity care does not reflect best scientific evidence. In this column, evidence-based maternity care practices are discussed with an emphasis on the practices that increase safety for mother and baby, and what pregnant women need to know in order to have safe, healthy births is described.     

Risk,Safety, and Choice in Childbirth

In this column, the author explores current understandings of risk and safety in pregnancy and childbirth. An emphasis on risk management places the provider and hospital in control of women’s decisions related to pregnancy and birth and may make pregnancy and birth less safe for mothers and babies. Accepting that no life is risk free, women can let go of fear and make choices that take into account real, not imagined, or exaggerated risk and, in doing so, increase safety for themselves and their babies. The focus of maternity care becomes enhancing safety through evidence-based practice rather than managing risk.     

Continuing Education Module Top 10: Tips on Teaching Lamaze Classes

Lamaze classes should help women think differently about birth, dispel myths, and ultimately make informed decisions that are right for them. In the current maternity care environment, this is a monumental task. In this column, the authors discuss 10 teaching tips that serve as a guide for teaching childbirth classes and ultimately facilitate learning.     

产妇社区健康指导与效果评价

目的探讨社区产妇健康指导的效果。方法将在我院正常分娩的106例产妇作为实验组,以家庭访视的形式进入社区,采用讲授、示范、视听等方式进行健康指导,及时收集反馈信息,进行效果评价。将另一段时间正常分娩的101例产妇作为对照组,按照常规方法给予保健指导。结果实验组相关知识掌握率达95.3%,母乳喂养率达98%,对护理服务满意率达99%,与对照组比较差异具有统计学意义(p<0.05)。结论采用以家庭访视为主要形式的社区产后健康指导,既能满足产妇及家属各方面的需求,又能提升产妇的自我保健能力及家属对我们的信赖度。     

A cross‐disciplinary literature review: Examining trust on virtual teams

Effective and efficient teams communicate, collaborate, and perform, even if these teams are not co‐located. Although much is known about enabling effectiveness on face‐to‐face teams, considerably less is known about similarly enabling effectiveness on virtual teams. Yet the use of virtual teams is common and will likely become more commonplace as organizations continue to update and use increasingly sophisticated technology. Cohort and individual trust between team members is a significant component on most effective teams, virtual or face‐to‐face. This paper examines research on virtual teams and trust across disciplines, including management, e‐learning, business communication, decision making, human resource management, psychology, and IT, to identify major characteristics that increase our knowledge of how to establish and maintain trust in the virtual environment and on virtual teams.     

保育、教学与养育的融合

在北欧国家,特别是丹麦,大多数儿童都能接受托幼机构的教育,因而他们能与其他儿童和教师一起共享社会生活。本文对丹麦有关保育是儿童健康和发展的手段,而教学是儿童学习的媒介这一常见的观念进行解构。这一观念把保育(在日托中心进行)和学习(在学校进行)看作是一对矛盾,使得丹麦早期教育处于一种浪漫的儿童中心地位。保育、教学和养育应该彼此融合。教师的作用主要体现在支持儿童自身的实验、调查以及儿童的社会性互动和游戏。     

Jack Thomas,Our Third Baby,Enters the World!

Without the confidence and support of the medical team, this mother’s first birth was difficult and unsatisfying. She was able to give birth naturally, in the care of a midwife, with her second baby. With confidence in her ability to give birth and the wisdom that comes with experience, she is able to give birth naturally with her third baby in spite of being induced.     

What once was old is new again

Through seminars and continuing educational opportunities, recently certified Lamaze childbirth educators beginning their teaching careers have learned of the changes in birth practices over the past 50 years. However, they may not have heard the personal stories about the locations and conditions in which Lamaze educators first taught. In this column, five childbirth educators share their memories of the birthing climate, teaching strategies, class populations, and other aspects of Lamaze childbirth education 50 years ago and how the "old ways" compare with today's classes. Their stories not only provide an important, historical perspective to build on the past and improve future educational opportunities for expectant women and their families but also illustrate Lamaze's ongoing efforts to promote natural, safe, and healthy birth practices.     

The Birth of Miles Henry DeVries

In this birth story, a second-time mother relates her experience of birthing her son at home after her daughter was born via cesarean surgery. Support from the International Cesarean Awareness Network, as well as a home birth midwife specializing in vaginal birth after cesarean (VBAC), made the dream of a vaginal birth a reality for this mom. This story highlights the importance of having a supportive care provider and laboring in a safe and comfortable environment when pursuing a VBAC.     

Continuing Education Module: How to Connect With Parents by Using Updated Lamaze Messages

Lamaze International partnered with Edelman, an international public relations firm, to re-brand the organization through its messaging to elevate its relevance among key stakeholders. Sound primary and secondary research revealed new ways to communicate the Lamaze message to women, their families, and their care providers. Various tips and tools are presented in this article to enable childbirth educators, care providers, and birth advocates to communicate these new messages more effectively to parents.     

文化颤音:重写女性现实--浅谈《说吧,房间》

林白以其纯粹的女性写作姿态。成为当代作家中“个人化写作”的代表。《说吧,房间》通过士性阶级自我分裂的一体两面,以及“自我”与“他者”的二元反讽,对当代文化场景女性生存的两难境遇进行了深层的文化思考。文章据此展开分析。     

New Resources for Childbirth Educators and Parents

In this column, reviewers offer perspectives and comments on a variety of new media resources for childbirth educators and for expectant and new parents. From audio CDs on building one''s birthing business endeavor to books for expectant parents focusing on breastfeeding, calming babies, cosleeping, and supplementing what is learned in a childbirth class, the marketplace always has new resources to offer.     

Commentary: Childbirth Education in Iran

With regard to childbirth, the role of every health-care system is to improve maternity care as well as the birth experience of women and their family members. Despite many efforts to improve maternity care in the Islamic Republic of Iran, the nation's childbirth care still faces a tremendous amount of unnecessary intervention and, consequently, a high rate of cesarean births. This article describes the strengths and weaknesses of Iran's maternity-care system and childbirth education in light of evidence-based practice.     

制约消费信贷发展的因素及解决途径

随着我国金融体制改革的深化,商业银行积极致力于金融产品的创新已成为金融改革与发展的现实选择。商业银行的消费信贷业务已成为各商业银行调整信贷资产结构,改善信贷资产质量的重要金融产品,有效解决制约消费信贷发展的症结,积极推进消费信贷业务发展是当今商业银行发展的首要任务。     

Coping With the Unexpected in Childbirth: A Thematic Analysis

This article reports original research that describes new mothers'' experiences of birth and maternity care. Qualitative data were collected through a survey on birth satisfaction, which included space for women to provide comments about their birth and experience of care. Thirty-nine women provided comments that were analyzed using the thematic analysis method. Two themes emerged from the women''s experiences: “Unexpected birth processes: expectations and reality” and “Coping with birth: the role of health-care staff.” Participants described unexpected birthing processes, their experiences of care, and maternity care staff''s contributions to coping with birth. Implications for practice for childbirth professionals include promotion of physiologic birth, respectful person-centered care during all phases of perinatal care, and the value of childbirth preparation.     

African American Women's Preparation for Childbirth From the Perspective of African American Health-Care Providers

Preparation for birthing has focused primarily on Caucasian women. No studies have explored African American women's birth preparation. From the perceptions of 12 African American maternity health-care providers, this study elicited perceptions of the ways in which pregnant African American women prepare for childbirth. Focus group participants answered seven semistructured questions. Four themes emerged: connecting with nurturers, traversing an unresponsive system, the need to be strong, and childbirth classes not a priority. Recommendations for nurses and childbirth educators include: (a) self-awareness of attitudes toward African Americans, (b) empowering of clients for birthing, (c) recognition of the role that pregnant women's mothers play, (d) tailoring of childbirth classes for African American women, and (e) research on how racism influences pregnant African American women's preparation for birthing.     

Parent Involvement in End-of-Life Care and Decision Making in the Newborn Intensive Care Unit: An Integrative Review

Survival rates for very preterm and critically ill infants are increasing, raising complex ethical issues for health-care providers and parents who face the challenge of making end-of-life decisions for newborns. The purpose of this integrative literature review was to evaluate parental involvement in end-of-life care and decision making for their infant in the newborn intensive care unit. Findings revealed that establishing good relationships and clear communication between health-care providers and parents builds trust and eases stress placed on parents making decisions about the care of their infant. Palliative care programs provide support for parents and facilitate their decision making. Parents can be educated about how to communicate with health-care providers. Educating nurses on how to provide end-of-life care may also help improve support for parents during this difficult time. Additional research is recommended to examine parents' needs during and after end-of-life care decisions for their newborn.