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doi: 10.1080/07399330590933926pmid: 16020004
Nausea and vomiting in late pregnancy is a little-studied phenomenon. In this study of 116 midwestern women, 32% of the women had nausea and vomiting after 20 weeks gestation. The purpose of this study was to examine demographic, anthropometric, maternal health factors, and pregnancy outcomes in women who had late nausea and vomiting in pregnancy (NVP) and those that did not. Women who experienced late NVP had significantly higher parity, were older, gained less weight in pregnancy, and slept fewer hours per night than women who did not experience late NVP. By being aware of prenatal factors that may affect nausea and vomiting in late pregnancy, health care providers will be better able to maximize the quality of life for these women.
THURSTON, WILFREDA E.; VOLLMAN, ARDENE ROBINSON; MEADOWS, LYNN M.; RUTHERFORD, ERIN
doi: 10.1080/07399330590933944pmid: 16020006
A major focus of health system reform in Canada has been the regionalization of health services administration. With a goal of bringing decision-making closer to the community, there has been a commitment to public participation in planning by some health authorities. Women, however, often feel that their participation is minimal or their needs are not addressed. During regionalization of the Alberta health system, the Calgary Health Region (CHR) negotiated an agreement with the Salvation Army to provide women's health services through the Grace Women's Health Centre, a major part of the region's women's health program. We present a case study exploring the process and final agreement and the impact of this agreement on women's participation in health policy development. The historical context and the nature and impact of the agreement are described and several participation strategies that occurred within the partnership are discussed. The development of a formal partnership agreement, a governance model, was a success for public participation in this case; however, the greatest success for women was maintenance of a political space in which women's health as a priority could be discussed in a context where the forces against gender equity talk are strong.
LEWIS, JUDITH A.; KINSER, PATRICIA A.
doi: 10.1080/07399330590933953pmid: 16020007
An understanding of imposed cultural norms allows the scientist, researcher, and health care practitioner to move beyond the social construction of gender and illness. From Aristotle's theory of reproduction to neurological and psychological research asserting sex as destiny to present-day attitudes toward intersexuality, we can trace the conceptualization of women in terms of biological inferiority. These theories elucidate the ways in which the cultural assumptions influence the institution of scientific inquiry and vice versa. To assure equal and fair health care practices, a paradigm shift is called for that actively accepts feminist research practices and rejects culturally dominant methods of research in medicine and science. Science it would seem is not sexless; she is a man, a father and infected too. Virginia Woolf (1938)
MATTHEWS, ALICIA K.; HUGHES, TONDA L.; OSTERMAN, GAIL PINALES; KODL, MOLLY M.
doi: 10.1080/07399330590933962pmid: 16020008
While researchers have examined the established the foundation for understanding the correlates of complementary and alternative medicine (CAM) use among some medical populations, less is known about the correlates of CAM use in nonclinical samples of women, and particularly according to sexual orientation. Information on CAM modalities was collected as part of a survey of lesbian and heterosexual women's health. Eighty-two percent of the sample reported CAM use. Predictors of CAM use included a lesbian sexual orientation, less health-related worry, and perceived discrimination in health care settings. Additional research is warranted to better understand how sexual orientation relates to use of CAM. Future studies should also examine the relationships between and experiences with discrimination in traditional medical settings and increased use of complementary and alternative medicine.
WARSHAWSKY-LIVNE, LORA; CWIKEL, JULIE; PLISKIN, JOSEPH; AVGAR, AMY
doi: 10.1080/07399330590933971pmid: 16020009
In this article, we describe the results of nine focus groups in which women were asked to discuss their perception of the women's health care delivery system in Israel. The focus groups, held in Israel in 2001, included nearly 150 women with diverse demographic characteristics. This project solicited focused input from women of different ages from the periphery as well as highly populated areas. The responses were categorized into designated themes and are presented here to demonstrate the range of women's feelings toward health care. The qualitative findings of this research show that place of residence affects the women's sense of responsibility for their health and their use of private care. Age was found to affect knowledge and use of health information, the frequency of visits to the doctor, and the general level of satisfaction with the system. These findings are important to improve health care delivery and can serve as a basis for forging policy changes in Israel.
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