Search PubMedSearch

Biomedical subjects

N C Beck

Publications and source records attributed to N C Beck.

2 recordsLinked to original sources

Preparation for labor: a historical perspective.

A historical analysis of the literature pertaining to psychoprophylaxis demonstrates that contemporary treatment methods have diverse and complex origins. Although many training manuals are presented as outlines of the "Lamaze" method, historical evidence indicates that Grantly Dick-Read (Natural Childbirth. London, Heinemann, 1933; Childbirth Without Fear. New York, Harper and Brothers, 1944), an English obstetrician, made the most substantive contributions to this area. Although Fernand Lamaze is generally regarded as the pre-eminent authority on psychoprophylaxis, a comparison of his 1958 text with the original Soviet source (I. Velvovsky et al., (Eds.), Painless Childbirth Through Psychoprophylaxis, Moscow, Foreign Languages Publ. House, 1960) demonstrates that he deleted and modified substantial portions of the treatment regimen and failed to keep abreast of developments in Soviet theory. Neither Dick-Read, Velvovsky et al. or Lamaze (Painless Childbirth. London, Burke, 1958) present data which permit cause and effect conclusions regarding treatment and outcome. By the same token, none of these authors demonstrated interest in the empirical validation of their theories regarding pain, anxiety, or fear reduction.

Female

Natural childbirth. A review and analysis.

A review and critique of the literature relating to the effectiveness of psychoprophylaxis (natural childbirth) is made. Based on this review, it is concluded that a variety of methodologic errors have confounded the measurement of treatment effects. An outline of these issues is presented, and it is pointed out that an elucidation of the relationship between treatment and outcome cannot occur until researchers become aware of certain factors that are essential to the validity of their experiments. These factors include the following: 1) the use of a random assignment of subjects to treatment and control groups; 2) the inclusion of a group of controls that receive an attention-placebo treatment; 3) the utilization of obstetricians who are unaware of the type of preparation their patients have received; 4) a careful specification of the details of each treatment procedure; and 5) the utilization of psychologic tests that are appropriate for the purpose of measuring pain and anxiety reduction.

Anesthesia, Obstetrical