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Biomedical subjects

G M Ryan

Publications and source records attributed to G M Ryan.

At least 37 records · Page 2Linked to original sources

Attitudes of adolescents toward pregnancy and contraception.

Teenage pregnancy rates are increasing, particularly among the younger age groups. The causes of this increase are varied. While many people assume that most adolescent pregnancies are unwanted and result from a lack of contraceptive knowledge and/or availability, our findings were quite to the contrary. In-depth interviews with 87 pregnant teenagers in a large Southern city revealed that almost all had knowledge of contraception and that most were happy about being pregnant. Multidisciplinary programs have been organized throughout the country to address the adolescent pregnancy problem. Our study emphasizes the fact that to be effective, such programs must be tailored to the individual target group and that concentrating on the increased dissemination of contraceptive knowledge and methods may not be the most effective approach in some groups.

Abortion, Induced↗

Cellular and humoral immune status in women with chronic Candida vaginitis.

The cellular and humoral immune responses of nine women with chronic Candida vaginitis and 29 control subjects were evaluated. Agglutinating and precipitating antibodies were studied and tests of lymphocyte transformation, lymphokine production, and cutaneous delayed hypersensitivity were performed. The results suggest a lack of cellular immune response to Candida antigens in women with chronic Candida vaginitis.

Adolescent↗

The impact of regionalization programs on patterns of perinatal care.

A questionnaire developed to assess changes in patterns of perinatal care related to regionalization programs was sent to all 505 members of The American College of Obstetricians and Gynecologists in the state of Massachusetts. Respondents reported changes in facilities, services, educational experience, and referral and transfer patterns. The implications of these changes are discussed.

Child Health Services↗

The closure of maternity services in Massachusetts. The impact on the obstetricians.

A survey is presented of Massachusetts physicians who were staff members at hospitals which closed their obstetric services. Both personal and practice impacts are presented as well as the physicians' evaluation of their present maternity units in comparison to the closed units. The personal impact on responding physicians was small. Few reported significant financial or patient loss. While significant practice changes were reported, adverse comments were few, and the present obstetric unit was viewed as an improvement over the closed unit in ever one-half the cases. These findings support the concept of consolidation as a component of programs for regional planning of maternity care.

Attitude of Health Personnel↗

The closure of maternity services in Massachusetts. The causes, process, and hospital impact.

There has been a decline in the number of maternity services in Massachusetts from 120 in 1960 to 65 in 1975. Further consolidation must be carefully thought out with all options and possible outcomes thoroughly explored. The Massachusetts Maternity and Newborn Regionalization Project and the Massachusetts Hospital Association conducted a preliminary survey of Massachusetts Maternity services that had closed to understand the causes, process,, and hospital impact. The findings of this preliminary investigation, in addition to identifying areas for more intensive future research, provide some observations that should be of assistance to those considering a maternity service closure.

Female↗