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An ethics dilemma: when parents and doctors disagree on the best treatment for the child.

The increasing complexity of present day medicine--with highly effective and yet risky treatments, individual and collective expectations, and evolving ideological and cultural landmarks--often gives rise to difficult ethical problems. Specific meetings are valuable for understanding such problems, acquiring the relevant skills and for gaining and transmitting experience on how to solve them. Parents and doctors may disagree about what is the best treatment. Such a difference of opinion is not rare but usually a solution can easily be found. This is not the case when the child is treated for a severe illness and when there is no clearly defined or satisfactory treatment for him\her. We present how a dramatic conflict arose between the parents and the doctors faced with such a case (mostly because the staff failed to understand early enough the psychological factors at the root of the father's demands), how clinical, institutional and ethical problems were analysed during a meeting, and how they were solved.

Attitude of Health Personnel↗

Psychological issues surrounding paternal perinatal mental health.

It has become widely accepted that the perinatal period can be a time of heightened risk for mental health problems and emotional responses in women. However, there has been less research on men in this area and it has remained a somewhat neglected area. While perinatal mental health services are increasing for women, few exist for men. While the author acknowledges the greater impact perinatal mental health problems can have on women, this article explores psychological issues relating to paternal perinatal mental health.

Adaptation, Psychological↗

[Husband's presence at childbirth in light of obstetric psychoprophylaxis].

Contemporary obstetric psychoprophylaxis gives prospective parents wide opportunities to prepare to the pregnancy period and delivery. It is educationally-minded and points the importance to modify the life style, introduces exercises accompanied by the relative during the pregnancy and delivery. The survey portrays husband's--child father's role in obstetric psychoprophylaxis. The importance to continue the psychoprophylaxis in the delivery room was spotted in the survey, too. The continuation might be reached by close relative's presence.

Adult↗

[At last dyad becomes triad? An evolution of the concept of father and his participation during birth of child].

The role of the father during the pregnancy and in the birth of his baby has changed through the times. Nowadays, there are studies that show that this support to the mother during pregnancy, labour and in the very first moments of the baby's life can have a significant influence in the establishment and development of the mom-dad-baby triad. This article intends to show this evolution and its consequences on the strenghtening of emotional relations within the triad.

Cultural Characteristics↗

[The male's role in the etiology of preeclampsia].

Preeclampsia is a major cause of morbidity and mortality in mothers, fetuses, and neonates worldwide, with 5%-10% of human births being affected. The cause is still uncertain, and many controversies exist concerning its management. Preeclampsia-eclampsia is due to the failure of extra-villous cytotrophoblast to invade the maternal uterine spiral arteries to a sufficient depth, inducing poor vascular exchanges between the mother and the placenta. This physiological endovascular trophoblast invasion represents a remarkable immunological placental-maternal interaction. Recent data strongly indicate an important role for the male partner in the causation of this common pregnancy disorder. This review aims to discuss the relevant literature and to explain how paternal, relational and sexual factors play an important role in the etiology of preeclampsia.

Female↗

Helping fathers understand their new infant: a pilot study of a parenting newsletter.

This paper presents the findings of a pilot study on the views of first-time fathers in the northeast of England on an aged-paced parenting newsletter, and what being a parent means to them.A monthly newsletter for new parents, initially conceived in Wisconsin, USA, has been adapted for use in the UK. Each issue of the newsletter (named 'Baby Express') contains topics relevant to the particular stage of the child's life, and is delivered free to the home monthly in the first year and bi-monthly in the second and third years, when it is renamed Toddler Express'.'Baby Express' is a glossy, eight-page, easy-to-read newsletter, which focuses on emotional development, parent interaction and play. Topics covered include father-related content, such as the father's role in caring for their child and father-child relationships. As part of a randomised controlled study of new parents, fathers were invited to complete a postal questionnaire at the one year follow-up; 42 of 75 fathers responded (56%). The findings showed that fathers wanted to be more involved in caring for their child, and felt it was important to obtain information that would help them to do this. A total of 37(88%) had read 'Baby Express' and all of the fathers who read it thought it was relevant to dads. We concluded that'Baby Express' is as effective an information tool for fathers as for mothers, but additional material for fathers would be valuable. Fathers need to be included in parenting education to a greater extent.

Adaptation, Psychological↗

[Preconceptional and prenatal exposure to tobacco smoke and risk of childhood cancer].

The aim of the paper was to evaluate the association between preconceptional and prenatal exposure to tobacco smoke and the risk of all cancers combined and separately, for brain tumors, leukemias, lymphomas and other childhood cancers. We conducted systematic search of the literature using PUBMED, MEDLINE and EBSCO database to identify all publications dealing with environmental tobacco smoke exposure and childhood cancer.

Brain Neoplasms↗

Who's the victim: women, control and consciousness.

It is contended that newspaper coverage of rape can be biased against women, so retarding the progress of rape law reform in America. The extent of coverage and the slant put on a particular case by a newspaper in Duluth, Minnesota, is closely examined in support of the thesis.

Female↗