scholarly journals "I'm Ready for You. Why Won't You Come, Baby?" A Narrative Study of Induction of Labour for Prolonged Pregnancy

2021 ◽  
Author(s):  
◽  
Rhondda Suzanne Davies
Keyword(s):  
Induction Of Labour ◽  
Narrative Approach ◽  
Narrative Study ◽  
Primary Indication ◽  
Emotional Vulnerability ◽  
Prolonged Pregnancy ◽  
The Common ◽  
Available Information ◽  
The Voice ◽  
Reflection On Practice

<p>The voice of women's experience of prolonged pregnancy and induction of labour is largely absent in the literature. This research relays and reflects upon the stories of four women who were induced because their pregnancies were overdue.  The date a woman's baby is due has assumed huge significance. However our methods for dating a pregnancy remain imprecise. Despite this, a very precise timing is recommended by some practitioners as to when to induce, since increasing length of pregnancy increases level of risk of morbidity or mortality to some babies.  For the women awaiting the onset of labour and their families, the undercurrents, which affect the milieu as the days pass, include powerful dichotomies. For example the best available research makes a clear recommendation to intervene but reinforces the woman's choice of management, suggesting that it is acceptable to choose to wait. Women experience emotional vulnerability due to apprehension both about continuing to wait, and about having the increasing likelihood of an induced labour. This is a decision that comes closer and closer, yet may not be necessary - a tense 'race' of sorts is in progress. Women experience mounting physical and social pressures, and a generalised, escalating frustration. Some of the common assumptions made about what it is like for women are that it is a struggle to accept the concept of the unreliability of the due date, to parry well meaning but unhelpful comments and the associated pressure, and to remain confident and phlegmatic when there is an alternative to waiting. An increasing number of women go on to be induced. The primary indication cited is 'prolonged pregnancy'.  I have employed a narrative approach, using a feminist process and story telling, to convey the experience of being overdue and being induced, together with commentary informed by the literature and reflection on practice. Here women are speaking to women. The vivid detail and openness of the stories engrave messages to caregivers regarding women's needs for support while waiting, and for more information. The stories repeat messages documented in research carried out 25 years ago. Women require best available information, wish to be included in decision making, and should be encouraged to question their midwives and other caregivers on all aspects of pregnancy and proffered interventions.</p>

scholarly journals "I'm Ready for You. Why Won't You Come, Baby?" A Narrative Study of Induction of Labour for Prolonged Pregnancy

2021 ◽  
Author(s):  
◽  
Rhondda Suzanne Davies
Keyword(s):  
Induction Of Labour ◽  
Narrative Approach ◽  
Narrative Study ◽  
Primary Indication ◽  
Emotional Vulnerability ◽  
Prolonged Pregnancy ◽  
The Common ◽  
Available Information ◽  
The Voice ◽  
Reflection On Practice

<p>The voice of women's experience of prolonged pregnancy and induction of labour is largely absent in the literature. This research relays and reflects upon the stories of four women who were induced because their pregnancies were overdue.  The date a woman's baby is due has assumed huge significance. However our methods for dating a pregnancy remain imprecise. Despite this, a very precise timing is recommended by some practitioners as to when to induce, since increasing length of pregnancy increases level of risk of morbidity or mortality to some babies.  For the women awaiting the onset of labour and their families, the undercurrents, which affect the milieu as the days pass, include powerful dichotomies. For example the best available research makes a clear recommendation to intervene but reinforces the woman's choice of management, suggesting that it is acceptable to choose to wait. Women experience emotional vulnerability due to apprehension both about continuing to wait, and about having the increasing likelihood of an induced labour. This is a decision that comes closer and closer, yet may not be necessary - a tense 'race' of sorts is in progress. Women experience mounting physical and social pressures, and a generalised, escalating frustration. Some of the common assumptions made about what it is like for women are that it is a struggle to accept the concept of the unreliability of the due date, to parry well meaning but unhelpful comments and the associated pressure, and to remain confident and phlegmatic when there is an alternative to waiting. An increasing number of women go on to be induced. The primary indication cited is 'prolonged pregnancy'.  I have employed a narrative approach, using a feminist process and story telling, to convey the experience of being overdue and being induced, together with commentary informed by the literature and reflection on practice. Here women are speaking to women. The vivid detail and openness of the stories engrave messages to caregivers regarding women's needs for support while waiting, and for more information. The stories repeat messages documented in research carried out 25 years ago. Women require best available information, wish to be included in decision making, and should be encouraged to question their midwives and other caregivers on all aspects of pregnancy and proffered interventions.</p>

scholarly journals Success in the workplace: From the voice of (dis)abled to the voice of enabled

2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Gloria Marsay
Keyword(s):  
Life Experiences ◽  
Relevant Literature ◽  
Self Determination ◽  
International Classification Of Functioning ◽  
Narrative Approach ◽  
Gainful Employment ◽  
The World ◽  
The Common ◽  
The Voice

The intention of this article is twofold; first to encourage a shift in seeing ‘the disabled’not as people with disabilities but rather as people with unique abilities. Secondly, toexplore ways of facilitating gainful employment for these uniquely abled people. The termdisability is examined against a backdrop of definitions including the definition postulatedby the International Classification of Functioning. In this article, the life experiences of apurposive sample of people with (dis)abilities who have been successful in the world ofwork are explored. A narrative approach gives voice to their experiences. Quotes from theparticipants’ responses are used to illustrate the common themes that emerged relating totheir experiences. These themes are resonated against a backdrop of relevant literature. Ifdisabled people are enabled to recognize and use their unique abilities, as well as developvarious self-determination skills, imagine the endless possibilities which could arise for themand society in general.

scholarly journals Indications for Induction of Labour: A Prospective Analysis

1970 ◽  
Vol 8 (2) ◽  
pp. 114-116
Author(s):  
Rijal P Regmi ◽  
MC Regmi ◽  
A Agrawal ◽  
D Uprety ◽  
B Katwal
Keyword(s):  
Cesarean Delivery ◽  
Health Sciences ◽  
Induction Of Labour ◽  
Delivery Rate ◽  
Induction Agent ◽  
Hypertensive Disorders ◽  
Management Protocol ◽  
Prolonged Pregnancy ◽  
The Common ◽  
Cesarean Delivery Rate

Setting: Department of Gynaecology & Obstetrics, B P Koirala Institute of Health Sciences, Dharan, Nepal. Objective: The study was conducted to find out the different indications of induction of labour as well as cesarean delivery rate, fetal and neonatal morbidity associated with induction of labour. Methods: A prospective observational study was conducted at obstetric unit of B.P Koirala Institute of Health Sciences, a tertiary care centre in eastern Nepal .The study enrolled 262 consecutive patients from April2008 to august 2008 recruited to induction of labour according to the standard practiced in the institute. Dinoprostone gel was used as induction agent in all the cases, the patients were monitored in labour according to hospital protocol, cesarean was performed for routine indications. Fetal morbidity was assessed in terms of NICU admissions & 5 min Apgar scores. Results: 62% of patients were unbooked. Prolonged pregnancy (62.8%) and hypertensive disorders (18.7%) were the common indications for induction of labour. Cesarean delivery rate was 47.2% and NICU admission was 5.3%. Conclusion: Prolonged pregnancy and hypertensive disorders are the common indications for induction of labour. Standard labour management protocol has to be followed to avoid unnecessary cesarean delivery and have a better neonatal outcome. Keywords: induction of labour; cesarean delivery; post dated pregnancy DOI: 10.3126/hren.v8i2.4423 Health Renaissance, May-Aug 2010; Vol 8 (No.2):114-116

KOMIK DI LINGKARAN INDUSTRI MUSIK

DeKaVe ◽  
2013 ◽  
Vol 1 (2) ◽  
Author(s):  
Terra Bajraghosa
Keyword(s):  
Comic Books ◽  
Music Industry ◽  
Comic Book ◽  
Narrative Approach ◽  
Visual Narrative ◽  
Common Practices ◽  
Visual Style ◽  
Song Lyrics ◽  
The Common

Comic ges. Based on comprehention as a narrative media, comics in Indonesia are oftenly compared to bas-reliefs on Borobudur temple and Wayang Beber.. From many kind of stories Indonesian comic books recently offered, with the developed visual wrapping, some comics steal attentions by its unique themes. These comic books are created because of the inspiration and relation to music industry. These comic books couldn't be seen from the visual style alone, as they were created in many visual genres, but they could be seen from their relations to music industry, whether the mainstream or indie ones. These comic books are published together with the music CDs, telling fictional stories from factual bands or musicians, telling a band's factual stories, or created by one of the band members. To understand modes of creation of these music industry-related-comic books, visual narrative approach will be applied. Through visual narrative approach, the band members' or musician's necessity for telling stories via comics, beside the common practices via music and song lyrics, will be observed.Keywords : Comic book, music industry, visual narrative

Interpersonal Communication

1988 ◽  
Vol 5 (2) ◽  
pp. 239-246
Author(s):  
Mohammad A. Siddiqui
Keyword(s):  
Interpersonal Communication ◽  
Mass Communication ◽  
Social Process ◽  
Political Scientist ◽  
Human Beings ◽  
Common Object ◽  
The Face ◽  
The Common ◽  
The Voice ◽  
Basic Social Process

IntroductionCommunication today is increasingly seen as a process through whichthe exchange and sharing of meaning is made possible. Commtinication asa subject of scientific inquiry is not unique to the field of mass communication.Mathematicians, engineers, sociologists, psychologists, political scientists,anthropologists, and speech communicators have been taking an interest inthe study of communication. This is not surprising because communicationis the basic social process of human beings. Although communication hasgrown into a well developed field of study, Muslim scholars have rdrely hcusedon the study of communication. Thus, a brief introduction to the widely usedcommunication concepts and a framework for the study of communicationwithin the context of this paper is provided.In 1909, Charles Cooley defined communication from a sociologicalperspective as:The mechanism through which human relations exist and develop -all the symbols of mind, together with the means of conveyingthem through space and preserving them in time. It includes theexpression of the face, attitude and gesture, the tones of the voice,words, writing, printing, railways, telegraph, and whatever elsemay be the latest achievement in the conquest of space and time.In 1949, two engineers, Claude Shannon and Warren Weaver, definedcommunication in a broader sense to include all procedures:By which one mind may affect another. This, of course, involvesnot only written and oral speeches, but also music, the pictorialarts, the theater, the ballet, and, in kct, all human behavior.Harold Lasswell, a political scientist, defines communication simply as:A convenient way to describe the act of communication is to answerthe following question: Who, says what, in which channel, towhom, with what effect?S.S. Stevens, a behavioral psychologist, defines the act of communication as:Communication occurs when some environmental disturbance (thestimulus) impinges on an organism and the organism doessomething about it (makes a discriminatory response) . . . Themessage that gets no response is not a commnication.Social psychologist Theodore Newcomb assumes that:In any communication situation, at least two persons will becommunicating about a common object or topic. A major functionof communication is to enable them to maintain simultaneousorientation toward one another and toward the common object ofcommunication.Wilbur Schramm, a pioneer in American mass communication research,provides this definition:When we communicate we are trying to share information, anidea, or an attitude. Communication always requires threeelements-the source, the message, and the destination (thereceiver).

scholarly journals Speaking for the People in Early Modern England*

2019 ◽  
Vol 244 (1) ◽  
pp. 51-88 ◽  
Author(s):  
David Coast
Keyword(s):  
Early Modern ◽  
Political Thought ◽  
Early Modern England ◽  
English Civil War ◽  
Common People ◽  
Wide Audience ◽  
The People ◽  
The Reformation ◽  
The Common ◽  
The Voice

Abstract The voice of the people is assumed to have carried little authority in early modern England. Elites often caricatured the common people as an ignorant multitude and demanded their obedience, deference and silence. Hostility to the popular voice was an important element of contemporary political thought. However, evidence for a very different set of views can be found in numerous polemical tracts written between the Reformation and the English Civil War. These tracts claimed to speak for the people, and sought to represent their alleged grievances to the monarch or parliament. They subverted the rules of petitioning by speaking for ‘the people’ as a whole and appealing to a wide audience, making demands for the redress of grievances that left little room for the royal prerogative. In doing so, they contradicted stereotypes about the multitude, arguing that the people were rational, patriotic and potentially better informed about the threats to the kingdom than the monarch themselves. ‘Public opinion’ was used to confer legitimacy on political and religious demands long before the mass subscription petitioning campaigns of the 1640s.

Understanding the Effects of Mindfulness Meditation Combined With Aromatherapy, to Enhance the Wellbeing of MCAST ICS Lecturers: A Narrative Study

2021 ◽  
Vol 5 (1) ◽  
pp. 4-39
Author(s):  
Nadia Cauchi
Keyword(s):  
Narrative Analysis ◽  
Mindfulness Meditation ◽  
Work And Family ◽  
Self Awareness ◽  
Narrative Study ◽  
Individual Interviews ◽  
Inquiry Approach ◽  
The Common ◽  
Mindful Meditation ◽  
The Individual

This study looks at the effects of the combined practice of mindful meditation and aromatherapy on the wellbeing of MCAST ICS lecturers, potentially providing resources that can help them deal with various stressors. Each practice is supported with literature underlining its effects towards a holistic wellbeing. The researcher uses a qualitative narrative inquiry approach to draw meaning and understanding out of the participants’ experiences. Three MCAST ICS lecturers participated in this study. Their background in health care enables them to relate better with the benefits of mindful meditation and aromatherapy. The research design of this study consists of four stages; a pre-session held with the three participants, weekly mindful meditation sessions for six weeks, individual interviews with each participant, followed by a focus group. Three of the six sessions included aromatherapy and a mindful journal was kept throughout the sessions. The analysis format could either develop as an analysis of narrative or narrative of analysis. In this study both formats were used, however, due to the word count limit only the analysis of narrative is seen. The researcher elicited whole segments from the individual transcripts to develop various themes. To examine the data for the emergent themes the researcher chose to use thematic narrative analysis as it focuses on the ‘told’ (Riessman 2008). In this case the ‘told’ is what helped identify the common patterns found across the narratives. As themes started to emerge, whenever possible the researcher used the MAXQDA software to facilitate the process. Mindful meditation was found to lead to a series of events that enhance self-awareness, thus enhancing holistic wellbeing and positively effecting the individual’s approach towards work and family. This can be achieved because mindful meditation has the potential to enhance one’s social skills, soft skills, and emotional intelligence. Furthermore, combining aromatherapy with mindful meditation was found to positively enhance one’s experience. However, it was not the only decisive factor since the ambience was also an influencer.

Voices of Spectators and Audience Power

Pólemos ◽  
2015 ◽  
Vol 9 (2) ◽  
Author(s):  
Christian Biet
Keyword(s):  
Social Relationship ◽  
The Other ◽  
Long Period ◽  
The Social ◽  
The Common ◽  
Dramatic Action ◽  
The Law ◽  
The Voice ◽  
The Way

AbstractTheatre and law are not so different. Generally, researchers work on the art of theatre, the rhetoric of the actors, or the dramaturgy built from law cases or from the questions that the law does not completely resolve. Trials, tragedies, even comedies are close: everybody can see the interpenetration of them on stage and in the courts. We know that, and we know that the dramas are made with/from/of law, we know that the art the actors are developing is not so far from the art of the lawyers, and conversely. In this paper, I would like to have a look at the action of the audience, at the session itself and at the way the spectators are here to evaluate and judge not only the dramatic action, not only the art of the actors, not only the text of the author, but also the other spectators, and themselves too. In particular, I will focus on the “common judgment” of the audience and on its judicial, aesthetic and social relationship. The spectators have been undisciplined, noisy, unruled, during such a long period that theatre still retains some prints of this behaviour, even if nowadays, the social and aesthetic rule is to be silent. But uncertainty, inattention, distraction, contradiction, heterogeneity are the notions which characterise the session, and the judgments of the spectators still depend on them. So, what was and what is the voice of the audience? And with what sort of voice do spectators give their judgments?

Comparison between AFI and DVP in predicting adverse neonatal respiratory outcomes in women with prolonged pregnancy undergoing induction of labour

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Mohamed Ahmed Elkady ◽  
Dina Yahia Mansour ◽  
Hamada Farag Abu zaid
Keyword(s):  
Perinatal Outcomes ◽  
Fetal Distress ◽  
Neonatal Outcomes ◽  
Induction Of Labour ◽  
University Hospitals ◽  
Amniotic Fluid Index ◽  
Assessment Tests ◽  
Prolonged Pregnancy ◽  
Heart Rate Pattern ◽  
Respiratory Outcomes

Abstract Background The intrapartum management of prolonged pregnancies is aunique challenge to the obstetricians, as the perinatal outcomes areadverse after completed 40 weeks. In such cases, intrapartumasphyxia and meconium aspiration are associated with almost. Objective To comparison between MVP and AFI in predicting neonatal respiratory outcomes in induction of labour in prolonged pregnancies. Patients and Methods The study was a prospective comparative study that was conducted on 266 women with prolonged pregnancy undergoing induction of labour. The patients were recruited from Ain Shams university hospitals during the period from February 2019 to August 2019. Results Amniotic fluid index and MVP were evaluated in 269 women with pregnancies of 40 or more weeks and intact membranes using a 3.5-MHz linear transducer. Both measurements were obtained for each participant by the same obstetrician in one sitting. Oligohydramnios was defined as an AFI of 5 cm or less or an DVP of 1 cm or less. External cardiotocography was performed during intrapartum period in all cases. Fetal distress was diagnosed when any one of the nonreassuring fetal heart rate pattern occurred or when the Apgar score at birth was 6 or less. The results were analyzed by the chi(2) and the t tests. Conclusion The use of the AFI and SDVP is useful in predicting neonatal outcomes in the induction of labor in prolonged pregnancies. The SDVP measurement appears to be the more appropriate method for predicting neonatal outcomes. The same observation was found when AFI and SDVP were combined. It is also logical to recommend that only one method should be used for fetal assessment tests.

Insiders, Outsiders, and Class Anxiety

2019 ◽  
pp. 150-170
Author(s):  
Adrienne Akins Warfield
Keyword(s):  
Regional Identity ◽  
Lower Class ◽  
Racial Consciousness ◽  
Southern Identity ◽  
The Common ◽  
Class Status ◽  
Class Anxiety ◽  
The Relationship ◽  
The Voice

This chapter compares Welty’s “Where Is the Voice Coming From?” with Bob Dylan’s “Only a Pawn in Their Game,” exploring the relationship between class, racist violence, and regional identity through examining the common assumptions both artists shared about Medgar Evers’ murderer and his motivations. The essay argues that class anxiety manifests itself both in acts of racist violence like Beckwith’s and in artistic conceptualizations of such violence as the exclusive domain of the white Southern underclass. The chapter also analyzes the ways in which the revisions that Welty made to the story after Beckwith’s arrest were connected to the class status, Southern identity, and racial consciousness of the killer. The resemblances between Dylan’s and Welty’s responses to the Evers murder show that the tendency to associate racist violence with the economic resentments of lower-class whites is evidenced among both Northern “outsiders” and Southern “insiders.”

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