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Biomedical subjects

M C Brucker

Publications and source records attributed to M C Brucker.

30 records · Page 2Linked to original sources
PubMedDate not supplied

Nurse-midwifery: yesterday, today, and tomorrow.

This article chronicles the dramatic changes in nurse-midwifery over the last 25 years. Presently, multiple models of midwifery education leading to certification exist, all within a competency-based framework. Accreditation of education programs and the certification process within nurse-midwifery remain examples to others. The consumer demand for certified nurse-midwives continues to rise, spurring the preparation for more professionals. However, the average woman in the United States still does not have access to a certified nurse-midwife/certified midwife for care. Several of the barriers to practice have been dismantled during the last quarter century; however, adequate reimbursement, relationships with various groups, and managed care are among the issues that will challenge midwifery in the new century.

Female↗
PubMedDate not supplied

Maternity leaves and the Pregnancy Discrimination Act.

More than 50% of mothers in the United States work. An important issue facing working women is maternity leave and the Pregnancy Discrimination Act (PDA). The nurse should recognize the childbearing-related problems the working woman may encounter and initiate appropriate referrals. Understanding both maternity leaves and the Pregnancy Discrimination Act will enhance the nurse's ability to provide appropriate counseling and referral.

Civil Rights↗
PubMedDate not supplied

What's new in pregnancy tests.

Immunologically based pregnancy tests that will diagnose pregnancy even before the menstrual period is missed are now available. Nurses who deal with female patients in the reproductive years must be aware of these newer pregnancy tests now in use. Appropriate interpretation of pregnancy tests will aid women in early pregnancy to avoid potentially harmful radiation, drugs, or treatments.

Agglutination Tests↗
PubMedDate not supplied

Neonatal jaundice in the home: assessment with a noninvasive device.

Hyperbilirubinemia continues to be the major reason for hospital readmissions of neonates. This is particularly true for neonates who are discharged before the 72-hour physiological jaundice occurs. A small descriptive study reveals that use of a noninvasive bilirubinometer can be of assistance in screening for elevated bilirubin levels of newborns visited at home.

Bilirubin↗
PubMedDate not supplied

Drugs and uterine motility.

Nurses who care for pregnant and laboring women are faced with an increasingly frequent use of pharmaceutical agents that facilitate initiation of labor (uterotropins), augment labor (uterotonics), or potentially stop labor (tocolytics). The choice of the drug, administration, side effects, and complications varies. Knowledge about uterine physiology helps the clinician understand the action of these agents. Knowledge of the differences and similarities among oxytoxics, ergots, prostaglandins, and the various drugs used as tocolytics is essential for safe and effective care of women and their fetuses who may be exposed to these agents.

Female↗
PubMedDate not supplied

Intrapartum pain: pharmacologic management.

Even with the tremendous therapeutic benefit of nonpharmaceutical pain relief measures for laboring women, pharmaceutical therapies often are needed. Nurses and other health care providers need to be familiar with the differing pharmaceutical properties of commonly prescribed pain-relieving drugs. The pharmaceutical properties of sedatives and hypnotics, opioids, and local anesthetic agents used to relieve pain during labor and delivery are reviewed. Individualization of drug therapy and maximal therapeutic effects result when the health care provider is informed about the pharmaceutical properties of analgesic and anesthetic agents so that a wise choice can be made.

Analgesia, Obstetrical↗