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Biomedical subjects

M Langer

Publications and source records attributed to M Langer.

507 records · Page 29Linked to original sources

[Couples at parturition: on the value of short preparation for the shared-birth experience].

Due to the rising number of couples who experience childbirth together, a rising number of men is faced with the problem of feeling as an "intruder" to the delivery room, which traditionally was reserved to women. Therefore, many "Lamaze-Groups" tried to better prepare couples for the birth situation. Since it is often difficult to carry out the commonly practiced 8-hour course, we decided to offer a "short preparation course for couples" and to evaluate, whether this program could convey strategies to cope with the emotional problems of childbirth and how this might manifest itself in individual experience. At two evenings, during two hours each, we referred and discussed the following topics: normal parturition and puerperium, rooming-in, breast-feeding and the psychological situation during this period; relaxation and labor-control exercises were practised together and all relevant rooms of the hospital were visited. In order to evaluate the efficacy of this short preparation, the following data were collected from 26 prepared and 27 unprepared couples: Couples were asked to answer the STAI X-1 state anxiety questionnaire according to Spielberger. Relevant medical data were collected from the patients records. During puerperium, a semi-standardised interview concerning the childbirth experience was carried out. Prepared (EG, n = 26) and unprepared (CG, n = 27) couples did not differ in socio-economic or marital status, parity or acceptance of pregnancy. Age was significantly higher in the TG for men as well as for women. In Spielberger's anxiety questionnaire prepared couples have lower values throughout most items, thus generally may said to be less anxious.(ABSTRACT TRUNCATED AT 250 WORDS)

Adaptation, Psychological↗

Psychological sequelae of surgical reversal or of IVF after tubal ligation.

This study investigates the psychological concomitants and sequelae of surgical reversal (tubal reanastomosis) or of IVF after tubal ligation. We held semi-structured interviews and used the Giessen test and the Strauss-Appelt body image questionnaire. The sample comprised 25 women; a new partner was the leading reason for reversal in 16 cases ('New Partner'), while in 9 cases experiences of loss (of a child or of ideal values) prevailed ('Loss'). The two groups differed in a number of relevant demographic and psychological data. 'New Partner' patients showed a pattern of factors known to be associated with regret of sterilization. 'Loss' women were less satisfied with reversal than 'New Partner' subjects (P < .01). Satisfaction with reversal was independent of an achieved pregnancy. Patients considered surgical reversal to be preferable to IVF because of the "restoration of the mutilation." In the Giessen test, 'New Partner' women were more depressive (P < .05) and more submissive (P < .05) than 'Loss' subjects. Cluster analysis of the whole sample revealed four well distinguishable profiles. 'Loss' patients experienced less insecurity of their body image than both 'New Partner' women and the general female population. We conclude that reversal of sterilization helps to restore body-image and self-esteem, but it may counteract mourning. Consequences for pre-reversal counseling are discussed.

Adult↗