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1.
对我国女性生育保险法律制度的思考   总被引:1,自引:0,他引:1  
当今的中国随着改革的深入正面临着全球化和WTO所带来的挑战,我国作为发展中国家,应当在全球化带来的经济自由化浪潮中实现社会公平。切实维护妇女的合法权益,保障妇女在生育期间基本生活和医疗保健。通过研究我国现行的法律法规,结合具体国情,弥补我国生育保险制度的薄弱和不足,深化我国的生育保险改革,为我国的《生育保险法》提供立法建议,并完善妇女权益的社会保障体系。  相似文献   

2.
A childbirth educator expresses frustration with a medical system that does not work for women or for many maternity care providers. She suggests out-of-hospital birth as an alternative. This column explores the safety of home birth, women's experiences of home birth, and the issues related to home birth once again being the standard. Childbirth educators are encouraged to present home birth as a viable choice.  相似文献   

3.
In this column, the editor of The Journal of Perinatal Education (JPE) discusses why there is a need for transparency to improve maternity care. The editor also describes the contents of this JPE issue, which offer a broad range of resources, research, and inspiration for childbirth educators in their efforts to promote normal birth.  相似文献   

4.
The author of this guest editorial discusses the new perinatal standards endorsed by the National Quality Forum and goals to improve the health of all Americans announced by the National Priorities Partnership. She discusses the impact of the standards and goals on maternity care and what childbirth educators can do to help implement the standards and advance the goals.  相似文献   

5.
In this column, a reader expresses concern that attendance at childbirth classes is declining at the same time the cesarean rate is rising. The history of childbirth education is discussed in the context of both access to information and changes in maternity care since the introduction of formal childbirth education. Changing goals and contemporary challenges facing childbirth education are discussed. The need for a new model of educating and empowering women is identified, and ideas for changes are explored.  相似文献   

6.
当今的中国随着改革的深入正面临着全球化和WTO所带来的挑战,我国作为发展中国家,应当在全球化带来的经济自由化浪潮中实现社会公平。切实维护妇女的合法权益,保障妇女在生育期间基本生活和医疗保健。通过研究我国现行的法律法规,结合具体国情,弥补我国生育保险制度的薄弱和不足,深化我国的生育保险改革,为我国的《生育保险法》提供立法建议,并完善妇女权益的社会保障体系。  相似文献   

7.
Leading maternity provider organizations in North America have been in conflict about birth at home and birth centers, debating issues related to safety, access, the value of obstetric intervention, and patient autonomy. In today’s environment, childbirth educators and doulas are often required to explain to parents why physiological birth and evidence-based, low-technology methods of labor and birth care are not available in every setting, and why maternity providers disagree about birth place. There are very few regions in the United States where home birth providers are integrated into interprofessional provider networks that allow for seamless care across birth settings. In October 2011, multidisciplinary leaders met at a Home Birth Consensus Summit in Warrenton, Virginia, to discuss the status of home birth within the greater context of maternity care in the United States. This article describes the intent and outcomes of the summit. Four of the nine consensus statements developed at the summit are of particular interest and importance to mothers and families and, hence, to childbirth educators and advocates. Consumers, educators, and birth advocates are encouraged to widen the circle, identify communications experts, lead individual projects, or serve as advisors.  相似文献   

8.
Collaborative efforts and coalitions have replaced exclusivity as birth organizations and individuals unite to humanize birth and provide women with transparency of information about maternity care providers and facilities and about access to the midwifery model of care. The Coalition for Improving Maternity Services and the upcoming 2010 "Mega Conference" to jointly celebrate the 50th anniversaries of Lamaze International and the International Childbirth Education Association serve as excellent examples of collaborative efforts to support natural, safe, and healthy birth practices as well as women's choices in childbirth. Childbirth educators are encouraged to learn from and support national coalitions devoted to improving maternity care and to use local resources to develop their own collaborative efforts on behalf of childbearing families.  相似文献   

9.
This letter to the editor is in response to Barbara Hotelling's column, "Tools for Teaching - The Power of Numbers: Transforming Birth Through Collaborations," published in the Volume 19, Number 2 (Spring 2010) issue of The Journal of Perinatal Education. Hotelling's brief overview of the history of birth activism in the United States and of current collaborations among diverse groups and individuals provides inspiration to continue efforts that improve maternity care and promote natural, safe, and healthy childbirth practices.  相似文献   

10.
The support of women and their families through childbirth, breastfeeding, and early parenting experiences are often treated as separate areas of maternity care. In fact, growing evidence, as cited in this article, links their intertwined impact on the health of mothers, infants, and their families.  相似文献   

11.
This article describes one mother's selected childbirth and breastfeeding experiences that transpired over the span of three decades. Her story is a source of inspiration and encouragement for breastfeeding mothers and health-care professionals who provide maternity care for today's childbearing women. Furthermore, this personal account reveals that, although breastfeeding support and childbirth services have improved over the past 30 years, more needs to be done to promote positive birth experiences and breastfeeding outcomes.  相似文献   

12.
In this column, Optimal Care in Childbirth: The Case for a Physiologic Approach by Henci Goer and Amy Romano is reviewed. The book presents compelling evidence for the value and importance of a physiological approach to childbirth and provides a clear, exhaustive guide for making sense of the research in the context of the current maternity care system. The book is an invaluable resource for navigating the maze of contemporary obstetrics for both health-care professionals and childbearing families.  相似文献   

13.
Lamaze classes should help women think differently about birth, dispel myths, and ultimately make informed decisions that are right for them. In the current maternity care environment, this is a monumental task. In this column, the authors discuss 10 teaching tips that serve as a guide for teaching childbirth classes and ultimately facilitate learning.  相似文献   

14.
Teaching Lamaze International classes in a patient-centered medical home allows the childbirth educator the best environment for giving evidence-based information and empowering parents to give birth their way. Patient-centered medical home facilities and providers practice evidence-based care and adhere to the principles of family-centered maternity care. In patient-centered medical homes, women can expect to give birth using the Lamaze Healthy Birth Practices and to fully participate in their care with appropriate interventions and the right to informed consent and informed refusal.  相似文献   

15.
As a noted author of childbirth education articles, books, and videotapes, Penny Simkin muses over the changes in maternity care during her career and the lessons she has learned. She searches for reasons to keep on working to bring normal birth to women, especially in an era when medical intervention based on editorials rather than evidence continue to increase.  相似文献   

16.
Suzanne Arms's name is readily recognized by many in the field of perinatal education. For 30 years she has been a tireless advocate for childbearing women, a fighter for change in the traditional maternity care system, and a feminist with strong beliefs about the physical, emotional, and spiritual impact of birth. Arms's well-known books and frequent speaking engagements have allowed her to spread her message and her plea to humanize the childbirth experience. Talking with Arms is an energizing encounter. Her life path is a powerful and compelling story that is an inspiration to all who continue to work to make birth a positive event in the lives of women and their families.  相似文献   

17.
Lamaze childbirth educators are responsible for teaching wellness-based classes that do not add to the anxiety of the current, fear-based culture of maternity health care. Expectant parents' vulnerable months of pregnancy offer "teachable moments" for the childbirth educator, during which parents can be encouraged to alter their lifestyles and adopt the concept of wellness to their principles of living. In this article, concepts of wellness are examined, drawing from the writings of wellness advocates, midwifery researchers, and an anthropologist. Nutrition, physical exercise, breathing, and awareness of the five senses are components of potential class content explored in this article.  相似文献   

18.
Findings from recent Canadian studies on the knowledge and beliefs about birth practices among first-time pregnant women and among obstetricians and other birth providers indicate that many women are inadequately informed and many providers deliver non-evidence-based maternity care. Consequently, informed decision making is problematic for pregnant women and their providers. New strategies are needed to inform pregnant women about key procedures and approaches that might be used in birth so they can have an educated, shared discussion with their provider and successfully advocate for their preferred birth experience. In addition, providers can be encouraged to supplement their knowledge with current, evidence-based maternity care practices. To avoid a lack of informed decision making and to ensure that natural, safe, and healthy birth practices are based on current evidence, pregnant women and providers must work together to inform themselves and to add childbirth to the women's health agenda.  相似文献   

19.
In this column, a woman describes her concern that her childbirth classes did not provide the information she needed to make informed decisions during labor and birth. The results of the Listening to Mothers II survey suggest that this experience is not unusual. Although most women (97%) who participated in the survey wanted to know all or most of the potential risks of epidural, induction, and cesarean before consenting to have the intervention, the majority-including mothers who had experienced the intervention, women who were experienced mothers, and women who had attended childbirth classes-did not know the complications of induction or cesarean. These findings raise important questions about the outcomes of childbirth education. The factors that may contribute to these findings are discussed, and suggestions are made for insuring that women have the knowledge they need to make informed decisions about their maternity care.  相似文献   

20.
In 2013, Childbirth Connection published findings from a U.S. study of women’s pregnancy, childbirth, and postpartum experiences, Listening to Mothers III. In this issue of The Journal of Perinatal Education, we publish the major survey findings of both the pregnancy and birth survey and the postpartum survey. This editorial discusses some of the major findings of the childbirth survey. Listening to what mothers have to say about their experiences suggests a mandate to “listen up” to what mothers are telling us and continue to advocate for evidence-based maternity care. Articles in this issue of the journal are presented.  相似文献   

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