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Biomedical subjects

J R Tompkins

Publications and source records attributed to J R Tompkins.

5 recordsLinked to original sources

The KEMH method for securing umbilical catheters.

A new method of fixation of umbilical catheters is described. This method utilizes a purse-string suture around the cord stump, which is then secured through the umbilical skin and fixed to the catheter with adhesive tape. This method avoids damage to the fragile skin, particularly of the preterm newborn, caused by the use of T piece strapping.

Catheterization, Peripheral

Maternal grieving response after perinatal death.

The nature and incidence of psychological and related physical disturbances were investigated in 110 mothers who had lost a child in the perinatal period. The mothers were interviewed six to 36 months after their loss. The demographic characteristics, hospital experiences, effects of bereavement and perceived social support system of the women were assessed. A pathological bereavement outcome, which was defined as a marked deterioration in health and evidence of increased social adjustment problems, was identified in 21% of the women. A pathological bereavement outcome was found to be related to two main factors--a reported crisis during pregnancy and the perceived support of the husband and/or family. Whether the mother saw but did not hold her baby was also a factor. These results suggest that the loss of a baby may have at least as severe an effect on a woman as the death of her husband. The implication of these findings is that women who are at risk of a pathological outcome of bereavement may be identified soon after their loss.

Adult