| Social and professional influences of the technology of electronic fetal monitoring on obstetrical nursing. | |
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MedLine Citation:
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PMID: 10826255 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Electronic fetal monitoring (EFM) is one example of a biomedical technology that rapidly diffused from an experimental innovation into a standard medical practice. First developed in the 1950s, EFM became commercially available in the early 1970s and quickly transformed intrapartum obstetrical practice. Assessments and interventions, which practitioners had previously based primarily on laboring women's subjective reports of bodily sensations, were now being based on quantifiable objective data from uterine activity and fetal heart rate transducers. Despite concerns of over-medicalization of the natural event of birth, iatrogenesis related to the increased incidence of operative deliveries, and escalating costs, EFM became widely accepted as routine and necessary by both practitioners and patients. By presenting the confident expectations and cautious reservations of various practitioners and patients to EFM, this article explores the rapid diffusion of EFM within the social context of the 1970s. A special focus is given to the perspective of intrapartum obstetrical nurses, because they have been the primary users of this perinatal technology since its introduction. |
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Authors:
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B J Hoerst; J Fairman |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Western journal of nursing research Volume: 22 ISSN: 0193-9459 ISO Abbreviation: West J Nurs Res Publication Date: 2000 Jun |
Date Detail:
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Created Date: 2000-06-08 Completed Date: 2000-06-08 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 7905435 Medline TA: West J Nurs Res Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 475-91 Citation Subset: IM; N |
Affiliation:
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University of Pennsylvania, School of Nursing, Philadelphia, USA. bhoerst@aol.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Diffusion of Innovation* Evidence-Based Medicine Female Feminism Fetal Monitoring / adverse effects, nursing*, trends* Forecasting Humans Interprofessional Relations Male Natural Childbirth Nurse Midwives / psychology Obstetrical Nursing / trends* Obstetrics Professional Autonomy* Professional Competence* Science Technology Assessment, Biomedical* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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