In Search of a Common Agenda for Planned Home Birth in America

Leading maternity provider organizations in North America have been in conflict about birth at home and birth centers, debating issues related to safety, access, the value of obstetric intervention, and patient autonomy. In today’s environment, childbirth educators and doulas are often required to explain to parents why physiological birth and evidence-based, low-technology methods of labor and birth care are not available in every setting, and why maternity providers disagree about birth place. There are very few regions in the United States where home birth providers are integrated into interprofessional provider networks that allow for seamless care across birth settings. In October 2011, multidisciplinary leaders met at a Home Birth Consensus Summit in Warrenton, Virginia, to discuss the status of home birth within the greater context of maternity care in the United States. This article describes the intent and outcomes of the summit. Four of the nine consensus statements developed at the summit are of particular interest and importance to mothers and families and, hence, to childbirth educators and advocates. Consumers, educators, and birth advocates are encouraged to widen the circle, identify communications experts, lead individual projects, or serve as advisors.     

攀枝花市出生缺陷的现况调查

目的：掌握攀枝花市出生缺陷发生率,了解出生缺陷分布特征、影响因素、发生原因等,制定预防出生缺陷实施方案,提高出生人口素质。方法：按照“攀枝花市出生缺陷监测方案”的要求,在攀枝花市所有出生缺陷监测单位对2008年10月1日至2011年9月30日出生的围产儿进行监测。结果：共监测30111例围产儿,胎龄28周以上出生缺陷381例,出生缺陷发生率为126．5／万;男性出生缺陷发生率高于女性,差异具有统计学意义（x2=11．49,P〈0．01）;出生缺陷儿母亲各年龄组间差异无统计学意义。攀枝花市出生缺陷主要为总唇裂、多指（趾）、外耳畸形等。结论：攀枝花市三年来出生缺陷发生率呈下降趋势;全面实施出生缺陷干预措施,认真落实“三级预防”措施、强化孕期保健是减少出生缺陷发生的关键。     

马瑞辰、姚莹交游考述

马瑞辰与姚莹是姑表连襟.他们的交游、酬赠诗文,见证了彼此的笃厚情谊.后人通过这些诗文不仅可以勘合马瑞辰的生平事迹,还可以进一步认识姚莹他们所处时代觞咏酬唱风气.     

客家生育实践的地方性知识阐释

汉族人的生育观念中具有强烈的男性偏好心理,客家人作为汉族的一个族群也不例外。白鹭古村客家人具有诸多关于男性偏好的故事。男性偏好生育观的形成具有香火观念、族人歧视、社会性别、高死亡率等多方面的原因。传统孝道思想的根深蒂固是客家人生男偏好的深层原因。     

VPDN网络技术在计划生育管理中的应用

讨论 VPDN 网络技术,以建立市、县、乡、村四级计划生育网络系统为例论述 VPDN 网络技术的应用。     

伏羲生地考释

人始祖伏羲的诞生充满着神奇色彩，有着丰富的化内容。他出生在渭河流域的风台地区，在古成纪一带生活成长，并成为华胥部落首领。后定都中原，传授渔猎、取火、结绳记事等生活方法，带领先民踏进了人类明的乐土。     

代孕及其相关法律问题初探

代孕技术作为一项人工辅助生殖技术,改变了传统生育方式,给没有生育能力的夫妻带来了福音,同时对传统的生育观和法律制度提出了挑战。为了保障代孕母亲、代孕子女以及委托夫妻的合法权益,在不违背社会公共利益的前提下,应对代孕生育的主体和生育协议进行法律规制。     

高校扩招后计划生育工作的困难与对策

高校扩招后,出现了学生规模急剧增大,社会后勤等人员增多,教师频繁流动等新特点,给高校计划生育工作增添了很多的困难,同对也产生了一些问题。高校计划生育工作需采取相关对策,在管理上进行制度创新。     

Childbirth Education at the Crossroads

In this column, a reader expresses concern that attendance at childbirth classes is declining at the same time the cesarean rate is rising. The history of childbirth education is discussed in the context of both access to information and changes in maternity care since the introduction of formal childbirth education. Changing goals and contemporary challenges facing childbirth education are discussed. The need for a new model of educating and empowering women is identified, and ideas for changes are explored.