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Referral practices within healthcare systems are seen as a means of heightening the quality of perinatal care and lessening perinatal mortality and morbidity. Perinatal death or the birth of child with a handicap can be debilitating for a family. Since January 2002 a new referral system has been instituted within Greenland sending all at risk pregnancy to the referral hospital in Nuuk. The aim of the study was to describe the women's experience of referral by drawing on their experiences and using their voices to present referral from the women's point of view. Interviews were conducted within arrival at the referral hospital and during fieldwork over a one-year period. Interviews were conducted, recorded and transcribed. The analysis of interview data was conducted within the narrative framework, using Coping theory and resiliency tools as the theoretical base for structuring the narratives. Through their narratives the women presented their identities as mothers, community members and caretakers. Acceptance of referral was described as a tool for protecting their unborn child. With acceptance of the referral the women found an inner source of strength to deal with their own anger joy anxiety and loneliness. Their ability to accept referral was directly connected to their family and community and the support that they found therein. Siden januar 2002 har Grønland instrumenteret nye perinatale retningslinier. Disse retningslinier har til hensigt til at nedbringe mortaliteten og morbiditeten hos de nyfødte og deres mødre. Projektet tager udgangspunkt i kvindernes oplevelse af visitationen. Det belyser de udfordringer som kvinderne præsenteres for samt de redskaber kvinderne er i besiddelse af, i forsøget på at besejre disse udfordringer. Kvinderne blev interviewet ved ankomsten til modtagelsessygehuset og under feltarbejde. Interviewene blev optaget på bånd og blev transskriberet løbende. Narrrative teorier er grundlag for analysen af interviewene og coping og resiliency faktorer er de teoretiske grundprincipper for præsentation af kvindernes tanker. Igennem narrativerne fremlagde kvinderne deres oplevelse af sig selv som mødre, som medborgere og omsorgspersoner. Det at acceptere visitationen beskrives som et redskab til at beskytte deres ufødte barn. Ved at acceptere visitationen oplevede kvinderne en indre styrke, som hjalp dem til at bearbejde følelser som vrede, glæde, bekymring og ensomhed. Støtte fra deres familier og deres lokalsamfund var afgørende for deres oplevelse af tiden på modtagelsessygehuset.

Neonatal nursing.

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This chapter distinguishes between essential features of the zone of parental discretion and the longstanding concept of a grey zone in neonatal treatment decision-making. The grey zone has traditionally described a gestational age range where the outcomes of medical treatment for newborn infants are uncertain, and therefore parents have discretion to choose between resuscitation or palliative care options. In contrast, the ZPD refers to a space where parents may make decisions for their child (not restricted to newborns) even if their decisions conflict with the decisions a clinician would make. A key difference between the two zones is that the boundaries of the grey zone are defined on the basis of published evidence about medical outcomes, whereas the boundaries of the ZPD are based on the broader but arguably vaguer notion of harm to the particular child. The grey zone has usually been defined in terms of gestational age. Wilkinson argues instead for a prognosis-based grey zone in neonatal treatment decision-making, which incorporates a range of prognostic factors rather than focusing solely on gestational age.

Newborn infants --- Infant, Newborn. --- Neonatal nursing. --- Diseases.

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Pediatrics. --- Neonatal Nursing. --- Obstetric Nursing. --- Perinatology --- Pediatrics --- Neonatal nursing --- Maternity nursing --- Périnatalogie --- Pédiatrie --- Soins infirmiers en néonatologie --- Soins infirmiers en obstétrique

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This book offers a comprehensive study of the complexities of newborn survival in resource-poor regions, using the state of Bihar (India) as a case study. It provides important lessons for other low-performing countries, in similar socioeconomic contexts, where newborn survival is a major challenge. The volume opens with a brief account of the trends and regional variations in neonatal mortality. The empirical verification of socio-cultural, economic and health system barriers and the state interventions that affect newborn survival are subsequently explored. Innovative strategies are then proposed to scale up maternal newborn and child health (MNCH) services and improve neonatal health outcomes. Addressing this issue through appropriate policy action is essential to achieving Sustainable Development Goal-3, "Good Health and Well-being". This book will therefore appeal to public health scholars, professionals and policymakers interested in improving outcomes in low-income regions. Sandhya R. Mahapatro is Assistant professor, Economics, A. N. Sinha Institute of Social Studies, Patna, India. Her research focus is on health economics, migration and gender issues. Her pursuit of understanding health problems in resource-poor states led her to undertake a study on newborn survival in Bihar, India.

Demography --- Hygiene. Public health. Protection --- Social medicine --- Human medicine --- Environmental planning --- Social geography --- volksgezondheid --- ruimtelijke ordening --- sociologie --- demografie --- geneeskunde --- gezondheidszorg --- Neonatal intensive care. --- Neonatal nursing.

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Neonatology --- Nursing --- Infant, Newborn, Diseases --- Intensive Care, Neonatal --- Neonatal Nursing --- Periodicals --- Newborn infants --- Neonatal intensive care --- Soins infirmiers en néonatologie --- Neonatal intensive care. --- Bébé --- Néonatologie. --- Soins pédiatriques. --- Infant, Newborn, Diseases. --- Care --- Diseases --- Care. --- Diseases. --- Infants (Newborn) --- Intensive care, Neonatal --- Intensive care of the newborn --- Newborn intensive care --- Neonates --- Newborns (Infants) --- Nursing, Neonatal --- Nursing, Perinatal --- Perinatal Nursing --- Infant, Newborn, Intensive Care --- Neonatal Intensive Care --- Care, Neonatal Intensive --- Neonatal Diseases --- Disease, Neonatal --- Diseases, Neonatal --- Neonatal Disease --- Intensive Care, Neonatal. --- Neonatal Nursing. --- Infant health services --- Pediatric intensive care --- Neonatal emergencies --- Infants --- Infant Care --- Perinatology --- Hospital care --- Infant, Newborn, Diseases/ --- Intensive Care, Neonatal/ --- Neonatal Nursing/