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  • 1
    Electronic Resource
    Electronic Resource
    Validation of surface EMG as a measure of intravaginal and intra-abdominal activity: Implications for biofeedback-assisted Kegel exercises (1993)
    Oxford, UK : Blackwell Publishing Ltd
    Psychophysiology 30 (1993), S. 0 
    Details
    ISSN: 1469-8986
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine , Psychology
    Notes: This study validates surface EMG as a measure of pelvic muscle and abdominal activity by showing its high correlation to internal pressure data. Using standardized scores, between-subjects correlation of perineal EMG and intravaginal pressure was r= .75, and the correlation of abdominal EMG and intra-abdominal pressure was r= .72. Discriminant validity was also demonstrated by showing low correlation between standardized abdominal and perineal EMG measurements (r= .10). A repeated measures multivariate analysis of variance demonstrated that visual and auditory biofeedback of EMG during pelvic floor contractions increases intravaginal pressure when compared with trials without biofeedback. Potential benefits of fabric electrodes include reduced invasiveness and risk and the ease with which patients can utilize this technology for home practice.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1469-8986.1993.tb03210.x
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Lipids and lipoproteins in women after oophorectomy and the response to oestrogen therapy (1983)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 90 (1983), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Summary. The short-term effects of different types and doses of oestrogen on serum lipids and lipoproteins were studied in 35 oophorectomized women. After 3 months treatment, serum cholesterol levels were unaffected by 1 and 2mg of micronized l7bT-oestradiol or 0.625 and l.25mg of conjugated equine oestrogens. Triglyceride levels were significantly elevated after treatment with l.25mg of conjugated oestrogens. A trend towards a higher relative proportion of high-density lipoproteins and a lower relative proportion of low-density lipoproteins was observed for all four oestrogen regimens, however, statistical significance was not achieved. The proportion of very-low-density lipoprotein was unaffected by oestrogen treatment. The age of the oophorectomized women was found to have no effect on either the direction or magnitude of the lipid or lipoprotein responses to oestrogen. Using FSH depression as an index, 1 .25 mg of conjugated oestrogens was found to be the most potent of the four oestrogen regimens tested. Therefore, with respect to lipid balance, little additional clinical benefit is achieved by using a more potent regimen and the risk of adverse side effects may be increased.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1983.tb08904.x
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    The Dynamic Characteristics of the Circumvaginal Muscles (1988)
    Oxford, UK : Blackwell Publishing Ltd
    Journal of obstetric, gynecologic and neonatal nursing 17 (1988), S. 0 
    Details
    ISSN: 1552-6909
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Circumvaginal muscle (CVM) maximum pressure was studied as related to the postpartal period, parity, type of birth, episiotomy, age, breastfeeding, physical activity, body mass, stress urinary incontinence, and orgasm in a sample of 98 healthy postpartal and nonpostpartal women. Circumvaginal muscle pressure tracings were obtained from these women using a pressure-sensitive, intravaginal balloon device. Correlations between circumvaginal muscle maximum pressures and episiotomy, age, breastfeeding, physical activity, body mass, stress urinary incontinence, and orgasm were either not significant or only weakly significant. However, Duncan's multiple range test showed differences in the maximum pressures between groups (nulliparous, parity 〉 0, cesarean delivery, and vaginal delivery) and indicated that vaginal birth has a marked weakening effect on the circumvaginal muscles.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1552-6909.1988.tb00425.x
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Adolescent Mothers' Social and Health-Related Interests: Report of a Project for Rural, Black Mothers (1976)
    Oxford, UK : Blackwell Publishing Ltd
    Journal of obstetric, gynecologic and neonatal nursing 5 (1976), S. 0 
    Details
    ISSN: 1552-6909
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Group meetings, commonly used in prenatal care, took a different form in a project conducted in North Florida with rural, adolescent, black mothers. Discussions focused on the expressed interests of mothers who retained identification with their babies. The article describes their behaviors and cognitive patterns, provides insights into the concerns of mothers, and indicates that their needs are related to both adolescence and motherhood. It further suggests that loosely structured groups might be one method of approaching their health-related concerns. Adolescent parenthood is becoming an important concern in adolescent health cure; this article provides information concerning single, adolescent mothers and methods of dealing with their social and health-related concerns.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1552-6909.1976.tb02317.x
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  • 5
    Electronic Resource
    Electronic Resource
    Effects of Age, Parity, and Adherence on Pelvic Muscle Response to Exercise (1992)
    Oxford, UK : Blackwell Publishing Ltd
    Journal of obstetric, gynecologic and neonatal nursing 21 (1992), S. 0 
    Details
    ISSN: 1552-6909
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objective: To examine factors that affect pelvic muscle response to 12 weeks of pelvic muscle exercise. Design: Repeated measures design in which intravaginal pressures during pelvic muscle contractions were recorded at baseline and after four exercise levels. Setting: College of Nursing research site in Gainesville, Florida. Participants: Eighty-five parous, community-dwelling women, aged 35–78 years and without incontinence as a primary concern. Interventions: A 12-week graded program of regular (three times per week, every other day) pelvic muscle exercise at home. Main outcome measures: The hypotheses were that younger age, lower parity, higher baseline intravaginal pressures, and adherence to the pelvic muscle exercise program each would result in significant improvement in maximum intravaginal pressures. Results: The only factor showing significance in predicting a successful outcome was age (t = -2.29, df= 41, one-tail probability = .0136). Conclusions: Regular, graded exercise over several weeks is needed to build pelvic muscles, and some women who exercise do not improve. Although the reasons for not improving are unclear, age is a significant factor.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1552-6909.1992.tb01757.x
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    Paper (German National Licenses)
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  • 6
    Electronic Resource
    Electronic Resource
    Continence for Women: Evaluation of AWHONN's Third Research Utilization Project (2000)
    Oxford, UK : Blackwell Publishing Ltd
    Journal of obstetric, gynecologic and neonatal nursing 29 (2000), S. 0 
    Details
    ISSN: 1552-6909
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: To develop an evidence-based protocol for initial evaluation and treatment of urinary incontinence and to design procedures that would facilitate the protocol's implementation into clinical practice.〈section xml:id="abs1-2"〉〈title type="main"〉Design: Descriptive report of the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) Continence for Women Project.〈section xml:id="abs1-3"〉〈title type="main"〉Setting: Twenty-one public, private, and other women's health sites.〈section xml:id="abs1-4"〉〈title type="main"〉Participants: Women in ambulatory care settings (N= 1,474) provided demographic statistics.〈section xml:id="abs1-5"〉〈title type="main"〉Methods: The protocol was developed, sites were selected, site coordinator training was provided, data collection was facilitated by project-specific tele-forms, and the overall process was evaluated by the science team.〈section xml:id="abs1-6"〉〈title type="main"〉Main Outcome Measures: Site representation, patient representation, site coordinator feedback on the training program, and site coordinator experience during project implementation.〈section xml:id="abs1-7"〉〈title type="main"〉Results: The process yielded a representative mix of site and patient diversity appropriate for testing of the protocol. Site coordinators felt well-prepared to implement the protocol and experienced increased professional satisfaction because of therapeutic benefits achieved for patients and positive collaboration with physicians.〈section xml:id="abs1-8"〉〈title type="main"〉Conclusions: The Continence for Women Project demonstrated the potential for developing and testing evidence-based protocols for clinical practice when the resources of an organization such as AWHONN and the research community are combined.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1552-6909.2000.tb02751.x
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  • 7
    Electronic Resource
    Electronic Resource
    Continence for Women: A Test of AWHONN's Evidence-Based Protocol in Clinical Practice (2000)
    Oxford, UK : Blackwell Publishing Ltd
    Journal of obstetric, gynecologic and neonatal nursing 29 (2000), S. 0 
    Details
    ISSN: 1552-6909
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: To test the effectiveness of an evidence-based protocol for urinary incontinence in increasing identification of women with the condition and improving their outcomes.〈section xml:id="abs1-2"〉〈title type="main"〉Design: Prospective formative evaluation study.〈section xml:id="abs1-3"〉〈title type="main"〉Setting: Twenty-one public, private, and other women's health care sites.〈section xml:id="abs1-4"〉〈title type="main"〉Participants: Women in ambulatory care settings (N= 1,474) provided descriptive statistics. Clinical outcomes were tested in 132 cases for whom pre- and posttreatment data were available.〈section xml:id="abs1-5"〉〈title type="main"〉Interventions: Standardized screening and baseline follow-up forms were used to minimize time burden on clinicians; bladder and pelvic floor muscle training materials were provided to clinicians for distribution.〈section xml:id="abs1-6"〉〈title type="main"〉Main Outcome Measures: Self-reported frequency, volume, and quality of life related to incontinence and cost of self-management were used to assess protocol effectiveness.〈section xml:id="abs1-7"〉〈title type="main"〉Results: Frequency of incontinence episodes, estimated volume lost per episode, and the cost of self-management decreased. Quality of life improved, as reflected in decreased bother attributed to incontinence and in the number of women avoiding activities such as shopping, exercising, or travel because of incontinence.〈section xml:id="abs1-8"〉〈title type="main"〉Conclusions: This simple program of pelvic floor muscle and bladder training, as it has been systematically implemented in a variety of ambulatory women's health care settings, has benefited women's continence status. The results of this project strongly support widespread application.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1552-6909.2000.tb02752.x
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  • 8
    Electronic Resource
    Electronic Resource
    Continence for Women: Evidence-Based Practice (1997)
    Oxford, UK : Blackwell Publishing Ltd
    Journal of obstetric, gynecologic and neonatal nursing 26 (1997), S. 0 
    Details
    ISSN: 1552-6909
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Approximately 20% of women ages 25–64 years experience urinary incontinence. The symptoms increase during perimenopause, when 31% of women report that they experience incontinent episodes at least once per month. Bladder training and pelvic muscle exercise are the recommended initial treatment and can be taught effectively in the ambulatory care setting. Bladder training enables women to accommodate greater volumes of urine and extend between-voiding intervals. Pelvic muscle exercise increases muscle strength and reduces unwanted urine leakage. Accumulated research results provide evidence-based guidelines for nursing practice. The Association of Women's Health, Obstetric, and Neonatal Nurses has identified continence for women as the focus of its third research utilization project. This article presents the rationale, evidence base, and educational strategies compiled by the Research Utilization 3 Nurse Scientist Team. Nurses can enable women to incorporate these noninvasive techniques into self-care.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1552-6909.1997.tb02719.x
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