Childbirth education for multiple pregnancy: part 2: intrapartum and postpartum considerations

Women with a multiple pregnancy can expect a different labor and birth course than those with a singleton pregnancy. While the postpartum period is similar to that of families with a singleton, it is likely to be more hectic in families with multiple infants. In addition, a multiple pregnancy increases both maternal and neonatal risks; therefore, women with a multiple pregnancy may experience slight differences in care due to these potential risks, including additional monitoring and treatment. This article discusses the intrapartum and postpartum considerations families with a multiple pregnancy/birth may experience. This information is provided so that the childbirth educator can incorporate this content into courses, as appropriate, and assist families with a multiple pregnancy to anticipate a realistic birth and postpartum experience.     

Childbirth education for parents experiencing pregnancy after perinatal loss

Expectant parents who have experienced previous perinatal loss have special concerns, which can be partially addressed by modifying prepared childbirth education courses. This article presents a review of current literature, highlighting the unique needs of expectant parents who have experienced previous pregnancy loss. Modifications to traditional childbirth education courses are suggested, which include addressing parents' grief, managing anxiety, and facilitating communication with health-care providers and others.     

Reducing prejudice: constructivist considerations for special education

ABSTRACT

How might teachers think about moving to challenge prejudice against persons with handicap? Drawing on Piaget's and Bateson's constructivist theories, prejudices are examined in terms of the processes by which they are formed within the individual, the role they play in identity, and the reasons they may be resistant to change. Consideration is then given to strategies which may be useful in inviting reconsideration of cognitive items of this type. Looking at the learner's experience these include certain types of questioning strategies and counterexamples. Looking at the teacher's experience a number of techniques are recommended including, neutrality, circular questioning, and parenthesising.     

Childbirth education outcomes: an integrative review of the literature

The purpose of this literature review was to identify and describe recent empirical studies of childbirth education outcomes and to identify areas for further study. The search produced 63 studies; only 12 met the inclusion criteria. The literature demonstrated inconclusive evidence regarding the effectiveness of childbirth education. None of the studies used a theoretical framework that proposed multiple factors, as opposed to childbirth education alone, that impact the outcomes. Health-focused versus illness-focused outcomes were also addressed.     

Childbirth education in the 21st century: an immodest proposal

Childbirth education was an important social movement in the 20th century but has lost its way in recent years. We describe the reasons for the dwindling importance of childbirth education and offer a proposal for reform that will align childbirth education with the needs of today's birthing mothers. Our plan will create "Centers for the Childbearing Year" (CCBYs) and a new model of childbirth educator, which we call the "birth coach." The CCBY is the place for women to go to for information and support related to fertility, pregnancy, childbirth, and newborn care; the birth coach combines the role of childbirth educator, doula, and postpartum caregiver. In creating a fresh model of childbirth education, we not only honor our pioneers but also rediscover the wisdom in community and relationship that childbirth offers us, and we learn in new ways to journey alongside each other to create new possibilities for birthing families.     

Active and inclusive citizenship for women: democratic considerations for fostering lifelong education

In this paper a critical feminist theoretical framework is used to explore the challenges of creating democratic learning spaces that will foster active and inclusive citizenship for women. Three democratic considerations are addressed to assess how adult educators can create more inclusive opportunities for lifelong education for women. The first consideration is the need for a careful examination of structural inequalities that create disadvantages for women in pursuing lifelong education. The second consideration is the need to create a broader and more gender inclusive understanding of the scope of lifelong learning possibilities, so that women’s learning experiences are not devalued. The third consideration explores how to take up gender as a complex variable within the broader discourse of inclusion. This paper is informed by preliminary results from a current SSHRC (Social Science and Humanities Research Council) study on lifelong learning trajectories for women in Canada and a CCL (Canadian Council on Learning) study on active citizenship for women in Nova Scotia.     

Focus groups to reveal parents' needs for prenatal education

Focus group interviews are a useful qualitative research technique to obtain data from small groups about their opinions, attitudes, and/or feelings on a given subject. This particular technique has been used in Western Quebec in order to reveal the opinions, needs, and feelings of health professionals and future parents concerning prenatal education. As part of the region's priorities for 2002, all future parents in this part of the province were to be offered prenatal, government-paid, community health education. Consequently, the Ministry of Health at the regional level sought a customized program for all community centers, based on identified regional needs and recent research. This program had to prove to be innovative, user-friendly, effective, and efficient. After reviewing the literature and conducting discussions with representatives from all regional health agencies throughout the province, the author of this article designed and conducted focus groups with perinatal health professionals from all community centers and hospitals of the Outaouais region. Later, focus groups were also conducted with parents. Following the analysis of the data and comparisons with existing resources, the author of this paper designed and proposed a specific program aimed at the empowerment of future parents. This paper reports the original problem and its context, the research methodology, and the proposed program (underlying philosophy, objectives, content, and educational techniques).     

Distance education and distance learning: some psychological considerations

Face‐to‐face education and distance education, viewed as differing sets of organisational provisions for the fostering of learning, emphasize different kinds of learning processes, and depend upon somewhat different psychological properties in learners. Nonetheless, all practical learning settings, whether they are labelled ‘school’, ‘adult education’, ‘distance education’, or something else, involve a mixture of face‐to‐face learning and distance learning. The psychological difference between the two kinds of setting is thus note purely qualitative in nature, but is also quantitative: for instance, certain learner characteristics which are useful in face‐to‐face learning (discussed in detail in the body of the present paper) are indispensible for distance learning, while certain processes which are at the heart of distance learning (also dis‐cusssed in detail later) are often given little emphasis in face‐to‐face settings, although they are in principle possible and even desirable there. The question thus arises of whether it would not be desirable to give more emphasis in face‐to‐face settings to psychologically desirable aspects of distance learning.     

Legal considerations concerning public support for private higher education

RESURGENT POLITICS AND EDUCATIONAL PROGRESSIVISM IN THE NEW SOUTH: NORTH CAROLINA, 1890–1913 by H. Leon Prather, Sr. Cranbury, NJ: Associated University Press, Inc., 1979. 303 pp. $20.00.

CHILD AND STORY: THE LITERARY CONNECTION by Kay E. Vandergrift. New York: Neal‐Schuman Publishers, Inc., 1980. 340 pp.

THE HUMANITIES IN AMERICAN LIFE, Report of the Rockefeller Commission on the Humanities. Berkeley, California: University of California Press, 1980. 205 pgs. $3.50 paperback, $12.50 cloth.

ON HIGHER EDUCATION: THE ACADEMIC ENTERPRISE IN AN ERA OF RISING STUDENT CONSUMERISM by David Riesman. San Francisco: Jossey‐Bass, 1980. xxxiv + 421 pp. $16.95.     

Mindfulness for education students: addressing welfare as part of the professional training

Students in special education teaching and counselling are exposed to relatively high levels of stress during their studies and their professional career, which are commonly manifested in high occupational burnout. Professional development programmes normally do not address this issue. A practicum course was developed to provide theoretical framework for research on mindfulness, training of self-application techniques, and guidelines for fieldwork teaching of these techniques to children, with the aim of improving quality of life by reducing anxiety and stress levels. Participants of mindfulness and control practicum filled questionnaires at the beginning and end of the year. Significant reduction in stress, rumination and sleep disturbances as well as elevated level of mindfulness were observed in the mindfulness practicum only. The results suggest that mindfulness training can be successfully introduced in traditional academic settings to enhance the personal mental health of future teachers, and subsequently lower their chances to suffer from burnout.     

Needs assessment in adult education: tactical and strategic considerations

Although needs assessment methodologies have been readily available since the '40's considerable confusion persists about the nature and purpose for which they should be used. Many practitioners equate needs assessment with job or task analysis and thereby fail to derive much benefit from the effort they expend. Others, in trying to distinguish between internal “quasineeds” assessment and external “self-sufficiency” criteria inadvertently pose some questions for the nature of competency. Is it a process referent, a product referent, or both? This paper examines the differences between needs assessment and task analysis and demonstrates the utility of conceptualizing competency as the synthesis of the dichotomy of process and products through a Needs Based Education and Training (NEBEAT) model of curriculum design in adult education.     

The Future of Nursing: Implications for Childbirth Educators

In this column, the editor of The Journal of Perinatal Education discusses the Institute of Medicine’s 2011 report, The Future of Nursing: Leading Change, Advancing Health, and its implications for childbirth educators. The editor also describes the contents of this issue, which offer a broad range of resources, research, and inspiration for childbirth educators in their efforts to promote, support, and protect natural, safe, and healthy birth.     

中介组织:现代高等教育管理的重要一环

在当前深化高等教育管理体制改革的过程中 ,借鉴国外发达国家的经验 ,建立和完善高等教育中介组织 ,应该成为我国高等教育的一个重要问题。随着政府管理职能的转变 ,高等教育中介组织将有一个健康发展的环境。转变观念、赋予中介组织以合法性、提高中介组织的素质、加强对中介组织的理论研究 ,则是当前值得我们关注和思考的问题