Clerical staff attitudes toward patients in 19 prenatal care clinics in New York City.

Abstract:

:It is widely believed that prenatal care is essential if women are to have healthy pregnancies and infants. Yet many low income women do not initiate care early in their pregnancies or make sufficient visits for prenatal care. Although financial difficulties are usually considered the main reason why prenatal care is not sought, other barriers have also been identified, such as problems with transportation, child care, and understanding English. A possibly unrecognized barrier to obtaining prenatal care is the frontline clerical staff attitudes toward patients. We surveyed 102 frontline staff in 19 prenatal care clinics serving low-income pregnant women in New York City. We explored staff attitudes toward patients, the benefits patients receive, and staff job satisfaction. The survey revealed that many frontline staff questioned whether patients should receive some prenatal care benefits offered. The staff members felt that their needs were attended to less than those of patients or other health care personnel. The attitudes of frontline staff concerning patients, patient benefits, and perceived lack of recognition at work may influence their interactions with patients and be a factor in patients' satisfaction with prenatal care services. Recognizing and changing factors fostering employee dissatisfaction may improve the "user friendliness" of prenatal care clinics and remove a barrier for low-income women.

journal_name

Am J Perinatol

authors

Fallon PD,Fishler LS

doi

10.1055/s-2007-994556

subject

Has Abstract

pub_date

1994-09-01 00:00:00

pages

362-6

issue

5

eissn

0735-1631

issn

1098-8785

journal_volume

11

pub_type

杂志文章
  • Effects of Sustained Inflation or Positive Pressure Ventilation on the Release of Adrenomedullin in Preterm Infants with Respiratory Failure at Birth.

    abstract:OBJECTIVE:Delivery room (DR) management may play an important role in the development and prevention of lung injury. Therefore, in a cohort of low birth weight infants (LBW), we investigated the effects of two different lung recruitment maneuvers, such as positive pressure ventilation (PPV) and sustained inflation (SI)...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,随机对照试验

    doi:10.1055/s-0039-1692133

    authors: La Verde A,Franchini S,Lapergola G,Lista G,Barbagallo I,Livolti G,Gazzolo D

    更新日期:2019-07-01 00:00:00

  • The risk for preterm labor in women receiving 17 alpha-hydroxyprogesterone caproate prophylaxis for preterm birth prevention.

    abstract::We sought to identify maternal or clinical characteristics of women likely to develop preterm labor (PTL) at <34 weeks' gestation while receiving 17 alpha-hydroxyprogesterone caproate (17P) prophylaxis. Current singleton gestations with prior preterm delivery enrolled for outpatient 17P administration at <27 weeks' ge...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0029-1243306

    authors: Joy S,Rhea DJ,Istwan NB,Desch CN,Stanziano G

    更新日期:2010-04-01 00:00:00

  • Noninvasive determination of neonatal hyperbilirubinemia: standardization for variation in skin color.

    abstract::The estimation of plasma bilirubin concentration in neonates, using a transcutaneous, noninvasive jaundice meter, is significantly affected by many factors, such as gestational age, birthweight, phototherapy, and skin pigmentation. In an attempt to minimize the influence of skin color and hence circumvent the need for...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2008-1040751

    authors: Linder N,Regev A,Gazit G,Carplus M,Mandelberg A,Tamir I,Reichman B

    更新日期:1994-05-01 00:00:00

  • Third trimester ultrasonic presentation of infantile polycystic kidney disease.

    abstract::Infantile polycystic kidney disease (Potter's Type 1) is an autosomal recessive disorder that affects the kidneys and liver. Use of ultrasound to make the diagnosis prenatally is well documented and, in fact, it is advocated as a screening device for second-trimester identification of potentially affected fetuses. The...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999726

    authors: Argubright KF,Wicks JD

    更新日期:1987-01-01 00:00:00

  • Umbilical cord serum interleukin-6, C-reactive protein, and myeloperoxidase concentrations at birth and association with neonatal morbidities and long-term neurodevelopmental outcomes.

    abstract:OBJECTIVE:The aim of the study is to determine if umbilical cord serum concentrations of interleukin-6 (IL-6), C-reactive protein (CRP), and myeloperoxidase (MPO), in pregnancies at risk for preterm birth (PTB), are associated with neonatal morbidities and/or altered neurodevelopmental outcomes in the children. STUDY ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0033-1359723

    authors: Sorokin Y,Romero R,Mele L,Iams JD,Peaceman AM,Leveno KJ,Harper M,Caritis SN,Mercer BM,Thorp JM,O'Sullivan MJ,Ramin SM,Carpenter MW,Rouse DJ,Sibai B

    更新日期:2014-09-01 00:00:00

  • Large fetomaternal hemorrhage: prenatal predictive factors for perinatal outcome.

    abstract::We sought to identify prenatal predictive factors for perinatal outcome and to estimate fetal hemoglobin (Hb) levels in large fetomaternal hemorrhages (transfused blood volume [TBV] > 20 mL) by performing a case-series study ( N = 32). Perinatal outcome was favorable (F group, N = 22) and poor (P group, N = 10: four f...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0028-1103150

    authors: Huissoud C,Divry V,Dupont C,Gaspard M,Rudigoz RC

    更新日期:2009-03-01 00:00:00

  • Vaginal Microbiota in Pregnancy: Evaluation Based on Vaginal Flora, Birth Outcome, and Race.

    abstract:OBJECTIVE:This study aims to evaluate vaginal microbiota differences by bacterial vaginosis (BV), birth timing, and race, and to estimate parameters to power future vaginal microbiome studies. METHODS:Previously, vaginal swabs were collected at 21 to 25 weeks (stored at -80°C), and vaginal smears evaluated for BV (Nug...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0035-1565919

    authors: Subramaniam A,Kumar R,Cliver SP,Zhi D,Szychowski JM,Abramovici A,Biggio JR,Lefkowitz EJ,Morrow C,Edwards RK

    更新日期:2016-03-01 00:00:00

  • Randomized comparison of nifedipine and placebo in fibronectin-negative women with symptoms of preterm labor and a short cervix (APOSTEL-I Trial).

    abstract:OBJECTIVE:To evaluate whether tocolysis with nifedipine can be omitted in women with symptoms of preterm labor, a shortened cervix, and negative fetal fibronectin test. STUDY DESIGN:A randomized noninferiority trial was performed in all Dutch perinatal centers. Women with symptoms of preterm labor between 24 and 34 we...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1055/s-0034-1390346

    authors: Vis JY,van Baaren GJ,Wilms FF,Oudijk MA,Kwee A,Porath MM,Scheepers HC,Spaanderman ME,Bloemenkamp KW,van Lith JM,Bolte AC,Bax CJ,Cornette J,Duvekot JJ,Nij Bijvank SW,van Eyck J,Franssen MT,Sollie KM,Woiski M,Vandenbu

    更新日期:2015-04-01 00:00:00

  • Normal Point of Care Glucose Values after Birth in the Well-Baby Nursery.

    abstract:OBJECTIVE:Normal initial blood glucose values in healthy newborns are not well defined and are subject to controversy. Despite substantive research, there is no single initial value of glucose that can be used with certainty of safety in newborns, and thus various protocols and cutoffs have been proposed. STUDY DESIGN...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0038-1667293

    authors: Levy-Khademi F,Perry A,Klinger G,Herscovici T,Kasirer Y,Bromiker R

    更新日期:2019-01-01 00:00:00

  • A case of retroperitoneal ectopic pregnancy following IVF-ET in a patient with previous bilateral salpingectomy.

    abstract::The numbers of ectopic pregnancies have increased because of the popularization of assisted reproductive techniques. However, the retroperitoneal space is an exceptional location for ectopic pregnancy because the entrance to the retroperitoneal space is unknown. A woman 31 years of age who had received bilateral salpi...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-1004829

    authors: Iwama H,Tsutsumi S,Igarashi H,Takahashi K,Nakahara K,Kurachi H

    更新日期:2008-01-01 00:00:00

  • Provider Awareness, Understanding and Use of NICHD Neonatal Research Network Outcomes Estimator.

    abstract::Introduction Our aim was to survey clinicians to assess awareness and utilization of the NICHD Neonatal Research Network outcomes estimator, which allows clinicians to use multiple factors to better estimate the likelihood that intensive care will benefit the delivered neonate. Study Design The survey tool included a ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0036-1582396

    authors: Peterson S,Gonik B

    更新日期:2016-08-01 00:00:00

  • An analysis of second-stage labor beyond 3 hours in nulliparous women.

    abstract:OBJECTIVE:To analyze outcomes after second-stage labor beyond 3 hours and determine if prolonged second stages were intentional. STUDY DESIGN:Retrospective cohort analysis of maternal and neonatal outcomes in nulliparous women based on second-stage duration. Medical records were reviewed for management decisions in wo...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0032-1314894

    authors: Bleich AT,Alexander JM,McIntire DD,Leveno KJ

    更新日期:2012-10-01 00:00:00

  • Effectiveness of 17-α-hydroxyprogesterone caproate on preterm birth prevention in women with history-indicated cerclage.

    abstract:OBJECTIVE:To determine whether 17-α-hydroxyprogesterone caproate (17P) reduces the incidence of preterm birth in women with a history-indicated cerclage. STUDY DESIGN:Retrospective cohort study of women who received a cerclage for a prior preterm birth, analyzed based on exposure to 17P. The primary outcome variable w...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0032-1332799

    authors: Mackeen AD,Rafael TJ,Zavodnick J,Berghella V

    更新日期:2013-10-01 00:00:00

  • Serum erythropoietin quantitation in pregnancy using an enzyme-linked immunoassay.

    abstract::During normal pregnancy there is a decrease in the hematocrit due to a disproportionate increase in the blood volume compared with the red cell mass. Using a new enzyme-linked immunoassay (Amgen Diagnostics), serum erythropoietin was quantified in normal nonanemic pregnancies throughout gestation and in third trimeste...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994778

    authors: Harstad TW,Mason RA,Cox SM

    更新日期:1992-07-01 00:00:00

  • High incidence of cord entanglement during early pregnancy detected by three-dimensional sonography.

    abstract::We sought to determine the incidence of cord entanglement around any part of fetal body during early gestation using three-dimensional (3D) sonography. A prospective consecutive study was designed and 3D ultrasound was performed. Two hundred thirty-seven singleton pregnancies between 13 and 16 weeks were included. Cor...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0028-1110090

    authors: Tepper R,Kidron D,Aviram R,Markovitch O,Hershkovitz R

    更新日期:2009-05-01 00:00:00

  • Logothetopulos pack for the management of uncontrollable postpartum hemorrhage.

    abstract::This is the first reported case in which a Logothetopulos pack was utilized to achieve pelvic hemostasis in a patient requiring a cesarean hysterectomy for placenta accreta with postpartum hemorrhage. The Logothetopulos pack is an easily constructed gauze tamponade method that proved to be life-saving in this case. ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999514

    authors: Robie GF,Morgan MA,Payne GG Jr,Wasemiller-Smith L

    更新日期:1990-10-01 00:00:00

  • Use of quantitative amniotic fluid phosphatidylglycerol as a criterion for fetal lung maturation.

    abstract::Phosphatidylglycerol (PG) in amniotic fluid was quantitatively measured by thin-layer chromatography (TLC) in 941 amniotic fluid samples and related to the presence or absence of respiratory distress syndrome (RDS) in neonates born within 7 days of the amniocentesis. In 639 case tests with PG 1 nmol/ml or more of amni...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994666

    authors: Tsao FH,Zachman RD

    更新日期:1992-01-01 00:00:00

  • Pharmaceutical Expenditure Is Unchanged with Ultrasound-Guided Surfactant Administration.

    abstract:OBJECTIVE: Semiquantitative lung ultrasound improves the timeliness of surfactant replacement, but its financial consequences are unknown. We aim to investigate if the ultrasound-guided surfactant administration influences the general costs of surfactant therapy for preterm neonates affected by respiratory distress syn...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0040-1715821

    authors: De Luca D,Yousef N

    更新日期:2020-08-20 00:00:00

  • Preterm labor in the quadriplegic parturient.

    abstract::The occurrence of preterm labor is not uncommon in the pregnant quadriplegic. Early diagnosis is hampered by the inability of most quadriplegics to sense uterine contractions in the usual way. A patient we recently treated for preterm labor learned to recognize contractions by the associated symptoms of autonomic hype...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999845

    authors: Catanzarite VA,Ferguson JE 2nd,Weinstein C,Belton SR

    更新日期:1986-04-01 00:00:00

  • Does hospitalization prevent preterm delivery in the patient with a short cervix?

    abstract::This study considers whether admission to the hospital of a patient diagnosed with a short cervix delayed delivery, prevented preterm delivery, and/or decreased the rate of change in the cervical length (CL) on follow-up measurements. The design was a retrospective cohort study of women carrying singleton pregnancies ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2006-958164

    authors: Fox NS,Jean-Pierre C,Predanic M,Chasen ST

    更新日期:2007-01-01 00:00:00

  • Do fiber-enriched diabetic diets have glucose-lowering effects in pregnancy?

    abstract::A fiber-enriched diabetic diet that contained a modest increase in dietary fiber and a commercially available fiber supplement was studied in pregnant diabetic women for its potential glucose-lowering effects. Noninsulin-requiring gestational diabetic patients were placed on a fiber-enriched diet of increasing fiber c...

    journal_title:American journal of perinatology

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-2007-994738

    authors: Reece EA,Hagay Z,Caseria D,Gay LJ,DeGennaro N

    更新日期:1993-07-01 00:00:00

  • Hospital Safety-Net Burden and Risk for Readmissions and Severe Maternal Morbidity.

    abstract:OBJECTIVE: This study aimed to analyze whether hospital safety-net burden status is associated with increased risk for severe maternal morbidity (SMM) and postpartum readmissions. STUDY DESIGN: The 2010 to 2014 Nationwide Readmissions Database was utilized for this retrospective cohort study. Hospitals were categorize...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0040-1710544

    authors: McKinley LP,Wen T,Gyamfi-Bannerman C,Wright JD,Goffman D,Sheen JJ,D'Alton ME,Friedman AM

    更新日期:2020-05-05 00:00:00

  • Sonographic diagnosis of intrauterine growth retardation using the postnatal ponderal index and the crown-heel length as standards of diagnosis.

    abstract::One hundred twenty-one patients underwent an ultrasound examination within 48 hours of delivery to assess prospectively the reliability of the diagnosis of intrauterine growth retardation. Sonographic parameters examined included the abdominal circumference, sonographic estimate of fetal weight, the head to abdominal ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999622

    authors: Weiner CP,Robinson D

    更新日期:1989-10-01 00:00:00

  • What about the Misgav-Ladach surgical technique in patients with previous cesarean sections?

    abstract:OBJECTIVE:The Misgav-Ladach technique is recommended worldwide to perform cesarean sections but there is no consensus about the appropriate technique to use in patients with previous cesarean sections. This study evaluated the feasibility of the Misgav-Ladach technique in patients with previous cesarean sections. STUD...

    journal_title:American journal of perinatology

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-0032-1323580

    authors: Bolze PA,Massoud M,Gaucherand P,Doret M

    更新日期:2013-03-01 00:00:00

  • Extended interval dosing of gentamicin in preterm infants.

    abstract::Conventional interval dosing (CID) and extended interval dosing (EID) of gentamicin were compared in preterm infants. Gentamicin peak and trough levels, serum creatinine, urine output, and hearing screens were obtained in 40 preterm infants. Results suggest that EID is safe, provides gentamicin levels in desirable ran...

    journal_title:American journal of perinatology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1055/s-2004-820515

    authors: Mercado MC,Brodsky NL,McGuire MK,Hurt H

    更新日期:2004-02-01 00:00:00

  • Respiratory Instability and Hypoxemia Episodes in Preterm Infants.

    abstract::Oxygenation instability is a very common problem in the premature infant that manifests as intermittent hypoxemia episodes (HEs). These are particularly frequent in premature infants who are on mechanical ventilation beyond the first weeks after birth. However, they can also occur in spontaneously breathing infants. S...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0038-1637760

    authors: Bancalari E,Claure N

    更新日期:2018-05-01 00:00:00

  • The neonatal autopsy: can it be revived?

    abstract:OBJECTIVES:To describe the trend and factors associated with the autopsy over the past decade at a level III neonatal intensive care unit (NICU) where all patients are presented with an option. STUDY DESIGN:Retrospective study of the autopsy in a cohort of infants who died in the NICU from January 1, 2001, to December...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0032-1332798

    authors: Swinton CH,Weiner J,Okah FA

    更新日期:2013-10-01 00:00:00

  • Nonimmune hydrops fetalis secondary to premature closure of the foramen ovale.

    abstract::Premature closure of the foramen ovale is a rare cardiac anomaly. Severe right-sided heart failure accounts for the hepatomegaly, ascites, pleural and pericardial effusions, and generalized edema of these hydropic fetuses. Premature closure of the foramen ovale should be a part of the differential diagnosis when unexp...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994616

    authors: Coulson CC,Kuller JA

    更新日期:1994-11-01 00:00:00

  • New Diagnostic Possibilities for Neonatal Sepsis.

    abstract::Progress in neonatal care has decrease morbidity and mortality due to neonatal sepsis (NS). Although diagnosis of sepsis continues to rely on blood culture, this method is too slow and limited by false-negative results. There are numerous sepsis biomarkers that have been evaluated for the early diagnosis of NS, but, t...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0038-1639361

    authors: Tzialla C,Manzoni P,Achille C,Bollani L,Stronati M,Borghesi A

    更新日期:2018-05-01 00:00:00

  • Cost-effectiveness of acyclovir suppression to prevent recurrent genital herpes in term pregnancy.

    abstract::The objective of this paper is to determine whether acyclovir suppression provides a greater cost savings over no medical therapy in the management of recurrent genital herpes (HSV) in pregnancy. Estimates of the risk of HSV recurrence and cesarean delivery rates in acyclovir-treated and -untreated patients and freque...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-993900

    authors: Scott LL,Alexander J

    更新日期:1998-01-01 00:00:00