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Paula K Baldwin
The Death Café is part of the Death Positive movement, and as such, is uniquely positioned to bring the dialogue about death and dying to the public. Participants in a Death Café typically have two different perspectives. Some participants have not experienced death in their family and friends' circle and wish to converse with others about their beliefs on death and dying. Others are those who have experienced death somewhere in their circle of friends and families. One of goals of the Death Café facilitators is to help attendees reconcile their family narratives regarding death using the broader lens of the Death Café...
April 26, 2017: Behavioral Sciences
Elizabeth Christine Rigg, Virginia Schmied, Kath Peters, Hannah Grace Dahlen
BACKGROUND: In Australia the choice to birth at home is not well supported and only 0.4% of women give birth at home with a registered midwife. Recent changes to regulatory requirements for midwives have become more restrictive and there is no insurance product that covers private midwives for intrapartum care at home. Freebirth (planned birth at home with no registered health professional) with an unregulated birth worker who is not a registered midwife or doctor (e.g. Doula, ex-midwife, lay midwife etc...
March 28, 2017: BMC Pregnancy and Childbirth
C D Sutton, B Carvalho
BACKGROUND: The study aim was to investigate internet use for obtaining information about epidurals for labor and delivery. METHODS: Google Trends for US data was queried from 2004 to 2015 to find the most common searches and determine temporal trends. The Google Trends query used the term [epidural] and evaluated changes in search trends over time. Search comparisons were made for each year from 2004 to 2015, and three equal time epochs during the study period (2004-07, 2008-11, 2012-15) were compared...
February 20, 2017: International Journal of Obstetric Anesthesia
Annie Robinson, Danielle Spencer, Brad Lewis
In this article, we explore the possibility of adding a new role to the clinical encounter: an illness doula. Even though research and education in medical humanities and narrative medicine have made improvements in humanizing healthcare, progress is slow and ongoing. There needs to be an intervention in the practice of healthcare now for people currently going through the system. An illness doula, like a birth doula, would facilitate and insure that attention is paid to the personal needs and desires of the patient in the present system...
March 7, 2017: Journal of Medical Humanities
Atefeh Salehi, Fariba Fahami, Marjan Beigi
BACKGROUND: Childbirth is accompanied with enormous physical and emotional changes in mothers. Anxiety is the most common problem among these patients. This study was aimed to determine the effect of the presence of trained husbands beside their wives during childbirth on their anxiety. MATERIALS AND METHODS: In a randomized control trial, 84 primiparous women were enrolled in childbirth educational classes. Anxiety score was compared among three groups; without accompaniment (control), with accompaniment (doula), and with trained husband's support before hospitalization at the time of admission and during the 4(th) stage of delivery...
November 2016: Iranian Journal of Nursing and Midwifery Research
Rachel R Hardeman, Katy B Kozhimannil
INTRODUCTION: The imperative to diversify the health care workforce is evident: increased diversity contributes to the overall health of the nation. Given persistent racial and ethnic disparities in birth outcomes, workforce diversity is particularly urgent in the context of clinical and supportive care during pregnancy and childbirth. The goal of this analysis was to characterize the intentions and motivations of racially and ethnically diverse women who chose to become doulas (maternal support professionals) and to describe their early doula careers, including the experiences that sustain their work...
November 2016: Journal of Midwifery & Women's Health
Haley Kranstuber Horstman, Jenn Anderson, Rebecca A Kuehl
Doulas-or designated women experienced in childbirth who provide support to a birthing mother-have been shown to improve mothers' medical outcomes, but they are relatively underused in U.S. births. We assert that doulas are rarely used, in part, because it is difficult to situate them within the contemporary U.S. master birth narrative that places family and medical staff as expected characters in the birth story. This qualitative study uses narrative theorizing to describe the communicatively situated position of doulas in light of the dominant U...
November 4, 2016: Health Communication
Nahid Bolbol-Haghighi, Seyedeh Zahra Masoumi, Farideh Kazemi
INTRODUCTION: Childbirth experience is a process throughout women's life and the most important consequence of labour. Support is the key factor to have a positive experience of childbirth. In order to improve and reduce the stress and anxiety levels in women during labour and cope with the childbirth pain, the emotional, physical and educational support of doulas can be used. AIM: This study was aimed to evaluate the effect of continued support of midwifery students in labour on the childbirth and labour consequences...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
C Damaskos, D Dimitroulis, V Pergialiotis, C Doula, G Koulermou, E A Antoniou, M Frangoulis, K Stergios, K Kontzoglou
Breast cancer is the most common cancer among women and ranks second in cancer deaths worldwide. Breast cancer can metastasize to the skin but rarely, cutaneous metastases may be the first indication of the cancer. Skin metastases of breast cancer are usually found on the chest and close to the point of the mastectomy. We present the rare clinical entity of a breast cancer which was first diagnosed due to the skin metastasis away from the breast tumor. This is a rare case because the skin lesions usually appear simultaneously or secondary...
May 2016: Il Giornale di Chirurgia
Emmanouil Petrou, Ioannis Malakos, Stamatina Kampanarou, Nikolaos Doulas, Vassilis Voudris
A pseudoaneurysm refers to a defect in the arterial wall, allowing communication of arterial blood with the adjacent extra-luminal space. Pseudoaneurysms result from traumatic arterial injury. With the increasing utilization of percutaneous arterial interventions, iatrogenic arterial injury has become the predominant cause of pseudoaneurysm formation. Rupture of the pseudoaneurysm comprises a vascular emergency. Clinical suspicion and imaging techniques are the cornerstones of timely diagnosis and appropriate management of the condition...
2016: Open Cardiovascular Medicine Journal
Helen Spiby, Jenny Mcleish, Josephine Green, Zoe Darwin
BACKGROUND: Support from a doula is known to have physical and emotional benefits for mothers, but there is little evidence about the experiences of volunteer doulas. This research aimed to understand the motivation and experiences of volunteer doulas who have been trained to support women during pregnancy, birth and the postnatal period. METHODS: A postal questionnaire survey was sent to volunteer doulas at five volunteer doula projects working in low-income areas in England...
September 29, 2016: BMC Pregnancy and Childbirth
Louise Marie Roth, Megan M Henley, Marla J Seacrist, Christine H Morton
OBJECTIVE: To analyze factors that lead nurses and doulas to have positive views of each other. DESIGN: A multivariate analysis of a cross-sectional survey, the Maternity Support Survey. SETTING: Online survey with labor and delivery nurses, doulas, and childbirth educators in the United States and Canada. PARTICIPANTS: A convenience sample of 704 labor and delivery nurses and 1,470 doulas. METHODS: Multiple regression analysis was used to examine five sets of hypotheses about nurses' and doulas' attitudes toward each other...
November 2016: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
Susan F Wilson, Elizabeth P Gurney, Mary D Sammel, Courtney A Schreiber
BACKGROUND: Women undergoing office-based surgical management of a failed or undesired pregnancy often report fear of pain and anxiety pertaining to the procedure. Doulas are trained to specifically address women's physical and emotional needs in obstetric care, and recently have extended their practice to support women through all pregnancy outcomes. OBJECTIVE: We sought to evaluate the impact of doulas on patients' physical and emotional responses to surgical management of a first-trimester failed or undesired pregnancy under local anesthesia...
January 2017: American Journal of Obstetrics and Gynecology
Shirley E Van Zandt, Soohyun Kim, Amanda Erickson
Of 1,511 women served by nursing student birth doulas (Birth Companions) between 1998 and 2014, 34.5% were identified as vulnerable (refugees, non-English speakers, teens, low income, low education). This retrospective evaluation of the Birth Companions Program showed that vulnerable mothers had more epidurals and smaller babies, and attempted breastfeeding less frequently than nonvulnerable. There was no difference in the frequency of caesarean births, pitocin induction/augmentation, low birth weight, or preterm newborns among the vulnerable women...
July 2016: Journal of Community Health Nursing
Katharine McCabe
The literature on neoliberal health governance explores how macro-economic neoliberal policies as well as individual attitudes and behaviors reflect an increasingly individualized construction of health and citizens' responsibility over it. This study contributes to this literature and expands it in important ways. Drawing on qualitative interviews from 22 midwives and birth workers (doulas, childbirth educators, lactation consultants) practicing in the US, this study explores how midwives and birth workers act as "experts of conduct" who promote certain neoliberal values in their logics of care and interactions with clientele...
August 2016: Social Science & Medicine
Ann P Aschenbrenner, Lisa Hanson, Teresa S Johnson, Sheryl T Kelber
OBJECTIVE: To describe the attitudes of intrapartum nurses about the importance of and intent to provide professional labor support (PLS); barriers to PLS, such as perceived subjective norms and perceived behavioral control; and relationships among attitudes, behaviors, and nurse and site characteristics. DESIGN: A cross-sectional, mixed-methods, descriptive design was guided by the Theory of Planned Behavior. SETTING: Three hospital sites in one region of a single Midwestern state...
July 2016: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
Katy B Kozhimannil, Carrie A Vogelsang, Rachel R Hardeman, Shailendra Prasad
PURPOSE: The goal of this study was to assess perspectives of racially/ethnically diverse, low-income pregnant women on how doula services (nonmedical maternal support) may influence the outcomes of pregnancy and childbirth. METHODS: We conducted 4 in-depth focus group discussions with low-income pregnant women. We used a selective coding scheme based on 5 themes (agency, personal security, connectedness, respect, and knowledge) identified in the Good Birth framework, and we analyzed salient themes in the context of the Gelberg-Anderson behavioral model and the social determinants of health...
May 2016: Journal of the American Board of Family Medicine: JABFM
Katy B Kozhimannil, Rachel R Hardeman
No abstract text is available yet for this article.
June 2016: Birth
Richard M Simon, Katherine M Johnson, Jessica Liddell
BACKGROUND: This paper examines the separate effects of the perceived amount, source, and quality of support during labor and delivery on women's positive and negative evaluations of their birth experiences. METHODS: Data come from the Listening to Mothers I and II (LTM) surveys (n = 2,765). Women's perception of support was regressed separately onto indices of positive and negative words that women associated with their labor and delivery. RESULTS: The total number of support sources, type of support person, and quality of support all impacted women's birth evaluations across different regression models, controlling for demographics, birth interventions, and other birth characteristics...
September 2016: Birth
Denise Moreau, Viola Polomeno, Catherine De Pierrepont, Jocelyne Tourigny, Marie-Christine Ranger
In the last few years, there has been an important decrease in parents' interest and participation in prenatal classes in Canada and elsewhere in the world. Partial results were obtained on parenting couples' participation in and satisfaction with prenatal classes, from a larger study involving 103 francophone couples living in Ottawa, using'a mixed methods descriptive and longitudinal research design. This article aims to present the reasons why parents do not participate in prenatal classes and their suggestions to improve them...
December 2015: Recherche en Soins Infirmiers
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