Practitioners as educators. One solution to the CNM shortage.
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Humans↗
Biomedical subjects
L S Clay
Publications and source records attributed to L S Clay.
Universal hepatitis B immunization. A policy challenge.
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Adolescent↗
External cephalic version.
External cephalic version has been used periodically for centuries to manage breech presentations. As cesarean section rates have escalated in the last two decades, ways to curb this rise have been evaluated. By reducing the number of infants that arrive in labor in a malpresentation, it is possible to impact the overall cesarean section rate. External cephalic version is a safe, effective method when used in appropriate cases of breech presentation. A forward or backward roll can be accomplished in women at term with singleton gestations, adequate amniotic fluid, and reactive nonstress tests. Parity, fetal and placental position, and descent of the presenting part may all influence the success rate of the version.
Breech Presentation↗
Promoting healthy parenting through prenatal education.
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Child↗
Midwifery assessment of the well woman. The Pap smear.
As more women have their well woman gynecologic needs met by CNMs, the impact of the midwife's role as a coordinator of women's health care becomes clearly evident. Midwives must become experts in screening women of all ages for a variety of health care concerns and they must be versed in many aspects of gynecologic care, beginning with the Pap smear. As the incidence of human papilloma virus has increased significantly in recent years, so has the incidence of cervical dysplasia. Understanding the epidemiologic factors for cervical dysplasia and the courses of therapy used are integral parts of comprehensive nurse-midwifery care.
Adolescent↗