Maternal trauma is the leading non-obstetric cause of maternal and fetal death. Because the anatomy of a pregnancy is distinct, and highly transient, the pregnant woman and her fetus are both susceptible to injuries which are not seen in the typical trauma patient. The pregnant uterus, the placenta, and the fetus are all relatively poorly supported, as compared with non-transient abdominal or thoracic organs, which can lead to injuries such as uterine rupture, placental abruption, and fetal trauma or death. The leading cause of maternal trauma is automotive collision, and other common causes include violence, falls, and other accidents. Automotive collision is often researched with more traditional physical experiments such as post-mortem crash testing, but this form of study is exceedingly difficult with the pregnant subject due to ethical and logistical issues. Computational simulations of automotive collisions have received much attention as a method of performing experiments without the use of physical specimens, and have been successful in modeling trauma. These simulations benefit from constitutive relationships which effectively describe the biomechanical and structural behaviors of biological tissues. Internal state variable models driven by microstructural data offer the potential for capturing a myriad of material behaviors intrinsic to many biological tissues. The studies presented include many advances in the existing research of maternal trauma. These studies include advanced biomechanical and microstructural characterization of the placenta, the organ commonly injured in maternal trauma, to capture stress state and strain rate dependencies, as well as microstructural evolution across stress states. The studies also describe the construction of a finite element mesh of a near-term pregnant woman and fetus from medical images. This finite element mesh was implemented in a simulation of maternal trauma based on one of the only post mortem studies of pregnant cadavers ever reported in the literature. The results are a significant advancement for trauma simulation research.

Intimate partner violence (IPV) during pregnancy can have a multitude of effects on both mother and child. Specifically, physical abuse instills a heavy emotional, psychological, and spiritual toll on the mother. There is not enough research dedicated to exploring physical abuse in pregnant women in the Appalachian area. The purpose of this project is to investigate the relationship between physical abuse and two aspects of religiosity: forgiveness and values. Our hypothesis for this sample is that pregnant women who experience physical abuse will score differently on measures of forgiveness and values than those who have not experienced physical abuse. A survey, which contained the Hurt, Insulted, Threatened with Harm and Screamed (HITS) Domestic Violence Screening tool, and the Brief Multidimensional Measurement of Religiousness/Spirituality (BMMRS) was administered to a sample of 444 women in their third trimester of pregnancy. An independent samples t-test was conducted to assess differences in measures of religious values and forgiveness between women who did and did not experience physical abuse. Results showed no significant difference in values (t(435) = 1.624, n.s.) or forgiveness (t(439) = 0.381, n.s.) across the two groups of women. Limitations for this project include the lack of generalizability due to the specificity of the sample. The Appalachian pregnant women who participated in this study may not necessarily reflect the average Appalachian woman, due to recruitment methods. Another limitation in this study is that the measures were self-report, and given the delicacy of the topic (physical abuse) participants may not have been willing to report accurately. The results suggest that religious values and forgiveness do not differ between Appalachian pregnant women who have and have not experienced physical abuse. However, other areas of religiosity should be investigated to determine whether differences are present. Keywords: physical abuse, religion, pregnant

No description available.

Thesis (M.P.H.)--University of Texas at El Paso, 2009. / Title from title screen. Vita. CD-ROM. Includes bibliographical references. Also available online.

Thesis (Ph. D.)--Michigan State University, 2005. / Includes bibliographical references. Also available online (PDF file) by a subscription to the set or by purchasing the individual file.

Thesis (Ph. D.)--Michigan State University, 2005. / Includes bibliographical references.

Understanding how women learn during pregnancy is the foundation for planning prenatal education programs. To date, adult educators have not investigated, in any depth, the learning process during pregnancy. The purpose of this study was to examine learning during pregnancy and relate this learning to learning outcomes. The principal research questions were: "What are the learning patterns of pregnant women?" and "What is the relationship between learning and health behavior of pregnant women?" It is unknown whether learning during pregnancy is directly associated with behavior or mediated through health beliefs. The objectives of this research were to identify pregnant women's health behaviors, learning patterns, and health beliefs. The three health behaviors examined in this study were eating, drinking, and smoking. These behaviors were operationalized in terms of their outcomes: weight gain, alcohol consumption, and tobacco use. These factors are amenable to an education intervention and are behavioral risk factors associated with low birth weight. The process of investigating learning patterns consisted of identifying: what was learned during the pregnancy, which resources were utilized, what advice was given, what amount of time was spent in learning, who initiated the learning episodes, and what learning transaction types emerged. Determining learning transaction types was based upon an adaptation of Tough's (1979) concept of planners and Knowles's concept of self-directed learners. The process of investigating health beliefs consisted of identifying pregnant women's concerns, perceived risk, perceived use of the information, and perceived barriers, defined according to an adaptation of the Health Belief Model. The principal hypotheses of the study were: (1) self-initiated learning will be positively correlated with knowledge scores, (2) self-initiated learning will be positively correlated with ideal health behaviors, and (3) health beliefs will be positively correlated with ideal health behaviors: ideal weight gain during pregnancy, reduced alcohol consumption, and reduced cigarette smoking. The research, an ex post facto design, involved a one hour structured interview with women within the week following delivery of their infants in hospital. A proportional sample of 120 primigravidas was selected from seven hospitals with average number of monthly births greater than 100. Reporting of results was based upon 120 interviews conducted as part of the main sample and eight interviews conducted during the pilot study. Pilot responses were included because these responses were similar to responses provided by the main sample, with the exception of health belief data. One case was excluded from the sample, making for N = 127. Data analyses were based upon the entire sample N = 127, with the exception of health belief measures. Since alcohol and smoking health belief questions were administered to drinkers and smokers and since health belief measures related to weight gain, alcohol, and smoking were missing data, health belief analyses were based upon N=123 for weight gain, N = 88 for alcohol, and N = 43 for smoking. Women had spent an average of forty-one hours learning about weight gain, alcohol consumption, and tobacco use during pregnancy. The principal resources used were: reading materials, physicians, family members, and prenatal classes. The majority of pregnant women had engaged in other-initiated learning episodes in the one to one setting, that is with a health professional, family member, or friend. Self-initiated learning about weight gain was associated with higher knowledge scores and ideal prenatal weight gain (p≤0.05); and, weight gain health beliefs were negatively correlated with ideal prenatal weight gain (p≤0.05). Finding a negative correlation, in contrast to the predicted positive correlation, may have been due to the fact that in a retrospective study the behavior precipitated reporting of health beliefs. Other-initiated learning about alcohol was associated with higher knowledge scores and reduced alcohol intake (p≤0.05); however, alcohol health beliefs were not associated with reduced alcohol intake. For smoking, neither self-initiated nor other-initiated learning was associated with knowledge scores or reduced cigarette smoking; however, a low degree of perceived risk was predictive of reduced cigarette smoking (p≤0.05). Knowledge about tobacco use was positively correlated with health beliefs, suggesting that learning may be indirectly related to smoking behaviors. This study contributes to the knowledge about learning during pregnancy by providing a descriptive profile of learning patterns during pregnancy, and by examining the relationship between learning, health beliefs, and behavior. Fostering a learning environment which stimulates self-initiated learning may assist women reach ideal weight gain during pregnancy. For alcohol, encouraging health professionals, family members, and friends to initiate learning about the hazards of consuming alcohol during pregnancy seems warranted. Self-initiated learning may not be superior to other-initiated learning but may be topic specific, due to the nature of the health behaviors examined. Identification of women's smoking health beliefs seems warranted during prenatal education. Further research is required to better understand the role of learning with respect to changing smoking behaviors during pregnancy. / Education, Faculty of / Educational Studies (EDST), Department of / Graduate

Pregnancy is significantly protected in labour law and the position of a pregnant woman in employment relations is, therefore, very specific. After the creation of an employment relationship, or a legal relation based on the agreements to work outside the scope of employment, a whole range of protective institutes are in place to ensure a special position of a pregnant worker that is of key importance. The thesis focuses primarily on the position of a pregnant woman during the employment relationship as only there all the protective institutes are present. The introductory parts deal with the reason and importance of the protection of a pregnant worker, its establishment in the Czech legal order and the importance of informing the employer of one's pregnancy. The following parts are dedicated mainly to individual labour law institutes constituting special protection and special working conditions of a pregnant worker during the employment relationship until the commencement of her maternity leave. The last part underlines the differences in the protection of a pregnant woman granted during one of the legal relations based on the agreements to work outside the scope of employment compared to the one granted during the employment relationship. The thesis tries to provide a detailed description and...

Summaries in English and Sesotho / This qualitative, exploratory, descriptive study explored culturally sensitive health information about the use of herbal medicine by pregnant women in Lesotho, in order to provide culturally sensitive health advice to pregnant women. Pregnant women used herbal medicine and remedies during pregnancy resulted in still births and complications during labour. Data on the beliefs and practices of fifteen purposively and conveniently sampled pregnant women attending a rural antenatal clinic was collected through semistructured interviews and analysed using Colaizzi’s seven-step method. Ethical principles and strategies to ensure trustworthiness were applied. One central theme emerged: ‘Women believe that the use of herbal medicine and remedies is a traditional practice that pregnant women need to follow due to culture’. The cultural beliefs and practices of the women were deeply rooted in Basotho culture, which guided the use of herbal medicine. However, some considered herbal medicines to be harmful, as the dosage and content of these medicines vary. Nurses are therefore key to providing culturally sensitive health care advise on using herbal medicine during pregnancy. / Boithuto bona ba boleng bo botle, bo hlalosang le ho fumaneng tlhaiso-leseling e mabapi le bophelo bo botle mabapi le ts’ebeliso ea meriana ea litlama ke basali ba baimana Lesotho, ele ho fana ka likeletso tsa bophelo bo botle ba setso. Lintlha tse mabapi le litumelo le litloaelo tsa basali ba baimana ba leshome le metso e mehlano ka boomo le ka mokhoa o fumanehang li ile tsa bokelloa ka lipuisano tse hlophisitsoeng le ho hlahlojoa ho sebelisoa mekhoa e supileng ea Colaizzi. Melao-motheo ea boits’oaro le maano a ho netefatsa hore a ts’epahetse a sebelisitsoe. Ho ile hoa hlaha sehlooho se le seng se bohareng: ‘Basali ba lumela hore ts’ebeliso ea litlama ke tloaelo eo basali ba baimana ba lokelang ho e latela ka lebaka la moetlo’. Litumelo le litloaelo tsa basali li ne li metse ka metso moetlong oa Basotho, o neng o tataisa ts’ebeliso ea meriana ea litlama. Leha ho le joalo, ba bang ba ne ba nka meriana ea litlama e le kotsi, hobane litekanyetso le litlhare tsa meriana ena li ea fapana. Ka hona baoki ke senotlolo sa ho fana ka thuto ea bophelo bo botle ba setso mabapi le ho sebelisa litlama nakong ea boimana. Mehopolo ea bohlokoa Meriana ea litlama, litumelo le litloaelo tsa moetlo, basali ba baimana, thuto ea bophelo bo botle / Health Studies / M.A. (Public Health)

Adolescent pregnancy has been a global phenomenon of great concern for a considerable time. Adolescent pregnancy and parenting can lead to negative consequences for both adolescents and their infants in health, psychological, developmental and educational spheres. In South Africa recent media reporting has pointed out that adolescent pregnancy at times culminates in infant abandonment. Adolescence is a difficult transition period and the added stress of pregnancy and parenting creates specific challenges. Adolescent parents’ conflicting roles as adolescents, striving for independence, and as parents, who have to care for their children in a selfless manner, have been shown to complicate their lives significantly. Research has indicated that adolescent pregnancy mostly occurs in resource-poor, black, rural, or semi-rural communities. Support for pregnant and parenting adolescents in such communities seems to be minimal, and research on experiences of adolescent pregnancy and parenting in the South African context is scant. Therefore the aim of this study was to explore late adolescents’ (18-22) experiences of their pregnancy and parenting during early adolescence (12-18). The research context was a resource-poor community, namely Sir Lowry’s Pass Village in the Helderberg basin in the Western Cape. The researcher wanted to shed light on the particular challenges and strengths of participants, to inform practice and make suggestions so as to promote support for such parents. From the findings of this study it became clear that participants found adolescent pregnancy and parenting to be a challenging experience. They made mention of various factors complicating their experience of pregnancy and parenting, such as their socio-economic circumstances; stigma experienced from the community, family, peers, and educational and health-related systems; loss and sacrifices; lack of support; and feelings of powerlessness. They felt overwhelmed by their parenting experiences as a result of lack of parenting skills, and the fact that their parental rights were often not respected. However, pregnancy and parenting were also viewed as positive and inspiring in that adolescent parents viewed their children as a source of comfort. Furthermore, they indicated that parenting was more manageable with support, and that becoming parents rendered them more responsible individuals. These findings concur with prior research on adolescent pregnancy and parenting. This study adds value to the field of adolescent pregnancy and parenting in that prior findings were corroborated, and that an adolescent father’s perspective was included. Research on adolescent fathers in the South African context is limited. This study provides a clearer understanding of pregnant and parenting adolescents’ needs and what they find supportive, which could assist health care professionals, welfare organisations, schools, and significant others in supporting them more adequately. / MA (Psychology), North-West University, Potchefstroom Campus, 2015