Effect Of Integrated Intervention On Pregnancy Outcomes

The researchers used purposive sample but did not give any explanation as to why this choice sampling was made. It is essential to describe the sampling process in a research where this facilitates the reader to distinguish any bias in the whole sampling process. In studies using participants, the process of how to select, access, inform and retain research participants requires considerable thought. Sampling is a key issue, because it is

Primary prevention is the cornerstone to decreasing the worldwide effects of IPV; its overall goal is to reduce the incidences of IPV. We as HCP train ourselves to think ‘upstream’ rather than ‘downstream’, primary prevention is the basis of an upstream approach; preventing the violence before it happens. It is arguably the most essential aspect of prevention that has been relatively neglected within health care (WHO, 2010). Methods of primary

A study of immigrant Latino residents in a rural North Carolina county that looked at how seriously IPV was seen by the community, their opinions about the causes of IPV as well as their awareness of available community resources to victims or those seeking to prevent IPV (Moracco, Hilton, Hodges & Frasier, 2005). IPV is not generally seen to be a particularly serious problem amongst members of the Hispanic/Latino community; women are significantly more likely than men to think of

The method used to study the hypothesis was by having 328 women completed five surveys up to 72 hours postpartum. They were between the ages of 18-42. Out of the group 68.6% were married or living with a partner and 43.3% had a job. The average number of years the women spent in school was 8.8yrs. More than half (59.2%), did not complete high school and only 2% (6) completed higher education. From the group, 19.2% of them had a miscarriage before. More than half (51.5%) had already

Also, for reasons that are still being investigated in public health, poorer pregnant women are much more likely to be diagnosed with labor-inducing bacterial infections such as bacterial vaginosis or chorioamnionitis (inflammation of the fetal membrane) (Allsworth & Peipert, 2007; Dammann, Leviton, & Allred, 2000). In a study sample of over 3,700 women who participated in the National Health and Nutrition Examination Survey, the prevalence of bacterial vaginosis was higher in pregnant women who were living at (34%) or below (37%) the federal poverty level compared to those who were living above it (24%) (Allsworth & Peipert, 2007). Additionally, pregnant women in lower SES communities have been found to suffer from more chronic healthcare care conditions such as hypertension and diabetes which are highly associated with preterm birth and small gestational size (Nagahawatte & Goldenberg,

This research consisted of key informants and general informants. These general informants were leaders in the community, granny midwives and African American and European American health care professionals. These general informants came from the clinics and hospitals where key informants were from. The key informants from each region were women who were either pregnant or had a baby within in a year preceding the study. (Marjorie Morgan, 1996)

Randomization was used to generate what patient went to which group. The way the patients were chosen eliminated bias because “Randomization was performed according to a computer-generated list by means of sequentially numbered, opaque, sealed envelopes which revealed the allocation of the subject to either induction or expectant management”(Nielsen et al. p. 60). This secure randomization added a great strength to the study. The sample size seemed fairly large, 226 patients were split into 116 for elective induction and 110 to expectant management, although the power analysis was disclosed in this study and determined that 600 patients were required. Only 226 patients were used and because it would take 4 years to reach the required amount of patients, the study was discontinued. This was both a strength and weakness because disclosing this information made the study more honest but the quota needed to reach the best answers was not attained. The study for the 226 patients was pretty standard with the 80% power and alpha at 0.05. T-test and chi square tests were used to compare the proportions between the groups of people. The women were chosen based on the inclusion criteria of being 39 weeks gestation or older, maternal age of more than 17, fetal cephalic presentation, singleton gestation, a candidate for vaginal delivery, and a Bishop score of 5 or greater in nulliparous women and 4 or greater for multiparous women. This inclusion criterion was a concern because both nulliparous women and multiparous women were being tested together. This was a weakness because the labor patterns of a nulliparous woman compared to a multiparous woman are very variable and sure to distort study data. It was also disclosed how gestational age was achieved which included the crown rump test measured in 6-12

The author is a nurse in a level two trauma facility in a community of approximately fifty thousand people in Oregon. The community is a college-town surrounded by a large agricultural area. There is a minimal ethnic diversity within the community. The diversity present occurs mainly from internationally students and faculty from the college. There is a growing population of women who desire low interventional births in the community. The author has worked on the labor and delivery unit of the hospital for the last 14 years. The hospital is the only one in the area to offer trial of labor services to women who have previously undergone a cesarean section. The unit on average experiences around 1000 deliveries annually.

- pregnant women are not always full partners with clinicians in decision making- their requests aren’t abided by which could impact the collected data

Vives-Cases, et al. (2010) reviewed IPV among immigrant and non-immigrant women and they reported high cases of IPV in older, divorced, low educated people, poor social support immigrant women compared to retired, students or unemployed. IPV reported 23.1% of immigrant compared to 14.5% of non-immigrant.

Although IPV occurs in all racial and socioeconomic groups there are some risk factors that increase the risk of intimate partner violence such as being of the female gender, unmarried, low socioeconomic class, young age, uninsured, history of and/or experiencing abuse in childhood, and unintended pregnancy (Bunn, Higa, Parker, & Kaneshiro, 2009; Gottlieb, 2012). Many women believe that during pregnancy the abuse will go away, but unfortunately often it does not (Smith, 2008). Abuse during pregnancy is dangerous to not only the health of the woman but also to that of the fetus. According to Smith (2008), women who are subjected to intimate partner violence during pregnancy are more likely to have pregnancy complications such as preterm labor, miscarriage, infants with low birth weight, sexually transmitted infections, fetal death, late entry into care, and use drugs and alcohol (Smith, 2008). Also there is an increase risk of domestic homicide if abuse is to occur

e. I did not recognize any potential bias introduced by the sampling method used. The researcher states the eligible requirements to participate in the study and the results reveal the significance of the use the patients and the effectiveness.

The participants of clearly the individuals from three separate cohorts, however the researchers do no specify if all individuals in each of the three cohorts are sampled or if only a portion of them participated in the research. This is an important issue that needs to be addressed by the researchers, although the number and sex of participants from each cohort is reported, the differences in sampling selections could present a significant difference in the conclusions obtained from the research data.

The nurse must be mindful of each intervention initiated and the possible benefits of the intervention against its potential harmful effects for both mother and fetus. Not providing basic comfort measures for the mother can cause serious physical and emotional problems and could lead to possible fatigue and feelings of failure from the mother. The priority of this nursing intervention is to provide the mother and fetus with the least discomfort as possible and

This discrepancy also meant that the sample was unrepresentative of the population. Convenience sampling also allows the opportunity for bias to affect the results. Future research could look at a larger more representative sample to overcome this.