Spring 2010

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Now showing 1 - 7 of 7
  • Publication
    Breastfeeding Initiation Among Teenage Mothers
    (2014-03-28) Johnson, Susanne M
    Breastfeeding rates among teenage mothers in the United States is very low even though the United States continues to have the highest rate of teenage pregnancy among industrialized nations. Teen mothers represent a pecific cultural group among new mothers because of their cognitive and psychological immaturity compared with adult mothers. They also tend to possess different anxieties and concerns regarding breastfeeding than adult mothers. As a specific cultural group, teenage mothers require more concerted prenatal anticipatory guidance, better-focused lactation education efforts, and more face-to-face postpartum support to ensure that the breastfeeding rate among adolescents rises. While there is adequate literature regarding teenagers and breastfeeding, there is little research to indicate how nurses can work to improve effective and sustained breastfeeding among teens.
  • Publication
    The Ethics of Gestational Surrogacy and the Need for Legal Reform
    (2014-03-28) Meyerowitz, Shira L
    The ethical and legal dilemmas surrounding gestational surrogacy are complex and abounding. A gestational surrogate is paid to be implanted with a fertilized ovum genetically unrelated to her and carry a pregnancy for a commissioning couple. the legal determination of maternal rights and the enforceability of surrogacy contracts are among many ethical dilemmas. Nurses must effectively communicate with gestational surrogacy parties and understand that ethical dilemmas may arise. This brief report summarizes the perspectives that pregnancy may be unethical due to alienation and dehumanization, that anti-surrogacy arguments are flawed, and that it is difficult to deem surrogacy as immoral, and finally discusses four paradigms for determining legal maternity. In conclusion, federal legislation to standardize surrogacy laws is recommended and elaborated upon.
  • Publication
    Female Genital Mutilation and Reinfibulation: Considerations in Obstetrics
    (2014-03-28) Boroski, Lauren
    This paper provides current information about female genital mutilation (FGM) and reinfibulation so that health providers can make informed decisions about obstetric treatment of women with history of FGM. A review of literature is conducted, revealing extensive health risks of reinfibulation in obstetric patients and discontent and concerns within sub-Saharan African populations related to genital cutting practices. Suggestions for change in current management of patients with history of genital cutting are offered, including extensive counseling and education of the patient. The paper concludes that the healthcare provider must remain sensitive to patients' needs and concerns about FGM in order to devise a solution for moving forward with their obstetric care.
  • Publication
    Examination of Pregnancy-Associated Breast Cancer Management in Conideration of Asociated Ethical Dilemmas
    (2014-03-28) Fredericks, Amanda
    Pregnancy-associated breast cancer (PABC) is breast cancer that is diagnosed during pregnancy, lactation, or within one year of delivery (Ulery, Carter, McFarlin, & Giurgescu, 2009). While the standards approaches to breast cancer treatment include surgery, chemotherapy and radiation, a concurrent pregnancy poses ethical issues due to the potential teratogenicity (i.e., the capability of producing fetal developmental abnormalities) of treatment options that would benefit the mother. Due to the rarity of the condition, case reports, small retrospective studies and literature reviews about PABC treatment are limited in number within the current literature base, thus making evidence-based treatment recommendations difficult. Comtemporary literature suggests that chemotherapy during the first trimester is contraindicated. However, while in-utero exposure to many of the chemotherapeutic agents during the second and third trimesters may increase risk of intrauterine growth retardation and low birth weight, the risk of serious malformation or death of the fetus is not significantly different compared to the risk for the general population of women. PABC treatment requires a strong focus on educating the patient about the risks and benefits of all her options, and providing the appropriate support to make this ethically challenging decision about cancer care and pregnancy.
  • Publication
    Military Culture and the Pregnant Female Soldier
    (2014-03-28) Kasper, Demere
    The military has developed a culture of its own, stemming from similar values and emphasi on qualities that the profession requires. Having lon been a very masculine culture, the military struggles to keep the qualities that make it an effective fighting force while accommodating the growing population of soldier-mothers. The mission requires unique vaccination that may pose a risk to developing fetuses, while mothers face a pregnancy and birth that may not have the traditional support system in place. There are posible risks of the vaccines, and there could be nursing interventions to aid in adaptation of military mothers and facilitate support.
  • Publication
    The Impact of Language on the Relationship Between Spanish-Speaking Women and Their Healthcare Providers
    (2014-03-28) Borghi, Julia R
    The impact of language on the relationship of trust between Spanish-speaking women and their healthcare providres was examined through a questionnaire survey at Esperanza Health Center in Northeast Philadelphia. Eighty percent of the participants (n=25) felt it was very important to have a Spanish-speakin doctor, even if a translator was available. Forty-four percent (n=11) stated they would be less likely to follow health advice from a doctor who did not speak Spanish. Fifty percent (n=12) of the participants preferred to see a female doctor, although this was not correlated with any other findings. This resesarch suggests that the language barrier is an important contributor to lack of trust in the relationship between Spanish-speaking women and their health providers.