Thesis (M.A.)--East Carolina University, 2009. / Presented to the faculty of the Department of Health Education and Promotion. Advisor: Sharon M. Knight. Title from PDF t.p. (viewed May 4, 2010). Includes bibliographical references.

Thesis (M.S.)--University of Michigan, 1992.

Thesis (M.S.)--University of Michigan, 1992.

Thesis (M.S.)--University of Michigan, 1992.

Thesis (M.S.)--University of Michigan, 1992.

Zugl.: Zürich, Universiẗat, Diss.

Universiẗat, Diss.--Freiburg, 2006. / Literaturverz. S. XII - XXIV.

Submitted by Ana Carla Almeida (ana.almeida@ucsal.br) on 2016-10-06T18:26:07Z No. of bitstreams: 1 CESARINO-AS-2013.pdf: 1383096 bytes, checksum: c9af1d19a7fa6f6c58e60292423be2ff (MD5) / Approved for entry into archive by Rosemary Magalhães (rosemary.magalhaes@ucsal.br) on 2016-10-06T18:48:03Z (GMT) No. of bitstreams: 1 CESARINO-AS-2013.pdf: 1383096 bytes, checksum: c9af1d19a7fa6f6c58e60292423be2ff (MD5) / Made available in DSpace on 2016-10-06T18:48:03Z (GMT). No. of bitstreams: 1 CESARINO-AS-2013.pdf: 1383096 bytes, checksum: c9af1d19a7fa6f6c58e60292423be2ff (MD5) Previous issue date: 2013-07-29 / A amamentação é um assunto que se ramifica entre mitos e símbolos. Trata-se enfim, de uma interseção entre a determinação natural e o condicionamento cultural. As grandes mudanças ideológicas que aconteceram desde a origem dos seres humanos, fizeram a prática da amamentação flutuar entre o repugnante/inaceitável, e o ideal/aclamado pela sociedade. Desses paradigmas alguns continuam fazendo parte da história atual, por se perpetuar entre gerações. Sendo a família a instituição essencial na vida do indivíduo, neste fenômeno social, ela consegue influenciar a mulher no puerpério e na fase de nutriz – momento de vulnerabilidades e incertezas decorrentes do medo de errar. A amamentação envolve temas ligados à mulher como o seu corpo, a libertação, casamento, espaço público/privado. Temas que são elencados, e acabam determinando tal prática. Esta pesquisa tem como objetivos compreender as Representações Sociais das enfermeiras obstetras sobre a amamentação e o modo como elas reelaboram sua forma de assistir outras mulheres que enfrentam o processo do aleitamento. São descritas, portanto, experiências frustrantes e vitoriosas que permeiam a amamentação. A partir do suporte das Ciências Humanas, foram entrevistadas oito mulheres/enfermeiras-obstetras/mães, que vivenciaram o aleitamento materno independente do tempo efetivo dessa prática, e que trabalham com Saúde da Mulher em uma Maternidade Pública da cidade de Salvador-Bahia. É um estudo com abordagem qualitativa, sendo utilizada para a coleta dos dados, uma entrevista semiestruturada. Das entrevistas procurou-se focalizar nas narrativas o modo como aconteceu a gravidez, o processo de amamentação e como a família interagiu com todos esses acontecimentos. Os resultados evidenciaram que as entrevistadas vivenciaram grandes dificuldades no início da amamentação: algumas com frustração por não realizar, outras com vitórias. Não houve, porém, o aleitamento materno exclusivo por seis meses como preconizado. As famílias possuíram um papel fundamental, como rede de apoio a esta prática, incentivando o aleitamento materno ou desestimulando-o. A Representação Social da amamentação para este grupo é intrínseca ao amor materno e à maternidade. / Breastfeeding is a subject that branches between myths and symbols. Anyway determining an intersection between natural and cultural conditioning. Major ideological changes have happened over the origin of man, which made breastfeeding, floating between the disgusting / unacceptable to the ideal / acclaimed company. Some of these paradigms are still part of the current story, by perpetuating intergenerational. Being the family institution essential to the life of the individual, this social phenomenon, it can influence women postpartum and lactating phase, moment of vulnerability, uncertainty with fear of making mistakes. Breastfeeding involves issues related to women as: body, liberation, marriage, public space / private. Themes that are listed, and end up determining such practice. This research aims to understand the social representations of midwives about breastfeeding as they rework their way to watch other women who face the process of breastfeeding. Therefore, we describe here frustrating experiences and victorious, that permeate breastfeeding. From a support of the humanities, were interviewed eight-women/nurse-midwives/moms, who experienced breastfeeding regardless of the effective time of this practice, and working with MS in a public maternity hospital in Salvador, Bahia. Study with a qualitative approach to data collection using semi-structured interview. Interviews sought to focus during the narratives about how pregnancy occurred, the nursing process and how the family interacted with all of these events. The results showed that the interviewees experienced great difficulties in breastfeeding initiation: a frustration with not performing, with other victories. However, there was no exclusive breastfeeding for six months as recommended. Families possessed a key role, as a network to support this practice by encouraging or discouraging breastfeeding. The social representation of breastfeeding for this group is intrinsic to the maternal love and motherhood.

xiii, 307 p. / The midwifery model and the medical model constitute the two main bodies of knowledge and practice that characterize the way pregnancy and birth are viewed in the United States. The midwifery model emphasizes the normalcy of pregnancy and birth, while the medical model is characterized by a belief in the supremacy of technology over nature and in medical supervision and intervention during pregnancy and delivery. Although both models do espouse important information regarding pregnancy and birth and, at times, there is overlap in the practical application of the models, practitioners of the two models rarely interact with one another. The one situation where practitioners of these two models do come into contact is during home-to-hospital transports for planned home births. Through in-depth interviews with direct-entry midwives, mothers, obstetricians, and nurses, this dissertation explores what happens when practitioners of the two models are forced to interact during home-to-hospital transports in order to provide care for women and their babies. Building on Davis-Floyd's and Johnson and Davis-Floyd's work on home-to-hospital transport, interview data suggest that a series of professional and organizational level factors influence the interactions between obstetricians, direct-entry midwives, and nurses during transports. Findings indicate that care providers engage in emotion work as they navigate the disjuncture between home and hospital, managing their own feelings and the feelings of others during a home-to-hospital transport. Due to the lack of institutionalized protocols governing conduct during transports, practitioners of the two models of care are left to construct their own versions of protocols through micro-level interactions, which at particular times and among certain providers have the effect of transcending the boundaries that divide home and hospital. With the interaction that occurs during a home-to-hospital transport as the central focus, this dissertation provides insight into how the lack of integration between the more marginalized midwifery model and the dominant medical model of care in the U.S. affects care providers and laboring/birthing women during transport situations. / Committee in charge: Jocelyn Hollander, Chairperson; Yvonne Braun, Member; Linda Fuller, Member; Carol Stabile, Outside Member; Melissa Cheyney, Non-UO Member

Thesis (M. (Nursing)) -- University of Limpopo, 2022 / Background Despite all the interventions that have been developed previously preterm labour remain to be the leading cause of perinatal morbidity and mortality worldwide. Preterm labour occurs before 37 weeks of gestation under two obstetric circumstances namely, ‗spontaneous preterm labour‘ and ‗indicated preterm labour‘. The aim of the study was to develop the strategies to enhance prevention of preterm labour in selected hospitals in Capricorn District, Limpopo Province. Research Method A sequential explanatory mixed method was adopted, the study was conducted in three phases, namely, quantitative study, qualitative study, and development of strategies. Self-developed questionnaires with 50 item questions each for mothers and registered midwives were administered. Both questionnaires were pre-tested prior to being administered to the respondents of the main study. The sample size of mothers was 77 mothers and 62 registered midwives. Data collected from the respondents were analysed using Statistical Package for Social Science (SPSS) version 25 with the help of the statistician. Tables, pie charts and bar graphs were drawn to present the results. The results of quantitative phase were utilized to formulate the Interview Guides that were used to explore the knowledge and practise of registered midwives and obstetricians regarding preterm labour. Interviews were conducted with 20 mothers, 6 registered midwives and 4 obstetricians until data saturation was reached. Data were analysed qualitatively using Tesch‘s Open-Coding method. v Quantitative Results The quantitative results for midwives revealed that about 60% of the mothers who had preterm labour were teenagers. Most of the respondents had ‗spontaneous preterm labour‘ and did not have any comorbidities while few had ‗indicated preterm labour‘ and were induced. All 62(100%) of the midwives showed that the facility does not offer an Outreach Programme on the prevention of preterm labour. Themes and Sub-Themes Results Themes and sub-themes were coded manually. Results that emerged from the integration and comparison of quantitative and qualitative results revealed that the mothers who went into preterm labour spontaneously had little information or no health education regarding preterm labour. Developed strategies The following strategies were developed based on the identified factors that might hinders the prevention of preterm labour and after exploring the knowledge and practice of midwives and obstetricians in the selected hospitals, Capricorn District, Limpopo Province. Strategies includes strengthening of BANC Plus, staff establishment, laboratory turnaround time, outreach programmes and improvement of counselling and support services. Recommendations of the Study The recommendation of the study is divided into three groups which includes recommendations for midwives at the PHC and hospital, recommendations for the obstetricians at the hospital and the recommendations for the Department of Health. The midwives to visit schools and community centres at least twice in a month to give information to the woman of childbearing age and reinforce health education on each Antenatal Care visit. The obstetricians to screen all mothers who are at risk of preterm labour for infections, follow up the results and treat the mothers accordingly. The Department of Health should hire enough staff so that quality care can be vi rendered to the pregnant woman at the PHC and hospital. The Department of Health should develop the electronic database, to register all mothers who have a history of preterm labour, so that when they are pregnant the database system will also help to identify them at the PHC, and they would then be referred to the hospital in time. If the developed strategies to enhance prevention of preterm labour may be adopted and adhered to by the midwives and obstetricians, these may help in reduction of high figures of preterm labour in the selected hospitals.