- Email: [email protected]
B.A.B.Y. birth and baby years: A computerized guide
who did not exhibit enough understanding of their feelings, and fears of technolcgy. When ultrasound shows major problems the are provider must tell the parents. Thii is dfffcult to do, and the film illustrates the physician giving the news in a straightforward manner at the beginning of the se+ sion. All hope is not taken away and positive plans are made for meetings with other specialists and further evaluation of the baby. It is important to note that the film doss not always illustmte the best or the only v,a; to communicate or managethese difficult situations, “or Is there a nanator to point out what is oceurrfng in the film. Thus, the preceptor/facilitatorshould be a” expodewed clinician prepared for this mle. The scenes that follow illuskete the couple’s concern and mnfusion over what to tell their 7 year old and their inabtlity to retain A the information @evento them. They meet with the perinatolo.@, the genetic counselor. and the neonatologist dudng the next sessions. They learn that their baby has severe problems most likely not compaiiblewith ilk and they discuss their plans for delivery. The couple and the neonatol@st jointly decide how the initial assessment of the babv will affect the deckton whether &essivelymanage hi care or not and he mother expresses her desire to hold the infant and have tjme with him. In tbff revieweis eqledence. mupies need several sessions before they come to consid- the idea of lettmg a baby dk peacefuliy.They must fixst accept the fad that there is no hope. As the neonatologist in this video notes. this Is nartlcularlv hard to do when’the babj looks p&fectly normal on the outside. The swctakst aka promises to be there at’the deliven. which seems important as the co”p$ahas placedall their bust in his assessment. This is unlikely to be posrjble in many settings, which is an important tssue for dlxution.
to
The last few scenes depict labor with fetal monitoring (this reviewer questions if this is even necessarv) and the anxie’y of the husband is illustrated by hostilt& tourard hospital staff. The delivery itself is simply handled. The baby is assessed and handed to the mother with simple words from the neonatolo@: “I’m Sony.” The 6.week postparmm exam offers a owd examole of a cowle’s need t~retiew their birth expe&nce with their care orotider. This couple’s best men& was of holding their baby. despite their fear of it beforehand. Their physician reviews sources of support for them at home, autopsy results, the need for planning before another pregnancy,and he briefly diwusses the mef process. He offers counseling, and allows the couple to be angry by mentioning that they might go elsewhere for care in their next pregnancy. This program is definitely not a didactic presentation of the research and theories of pregnancycomplications and bereavement counseling. This information m”st be presented to students separately. The video does iUustrate issues of cormmmication surrounding the managementof patients experiencing pregnancy complications including perinatal losses and bereavement. Although this reviewer is not an educator. it seems that after reviewing material on complications and loss this tiho would be an excellent dixussfon tool for students and practitioners learning to put the theory into pmctice. Bereavement counseling after the loss. however, would be better handled with other tools. as there is much more to be sah than just the importance of seeing and holding the baby and the need for concrete mementos With 5 minutes of discussion between each wene, the entire learning experience should take 2 hams, al. though there is enough material in there xenes to elicit lengthier discussions if d&red. This video is appro-
priate for medicalor nurse-midwifery sbldents as well as geneticcounseling students, nursing wdents, or residents. Educators would be welladvised to ptiew and ty this tool. B.A.B.Y. Birth And Baby Years: A Computerized Guide..Phoenix: Software Marketing of Phoenix. 1993. Interactive software on 5.25inch and 3.5~inch diskettes: for IBM personal computer or compatible hardware; requires DOS 3.3 or above and hard drive with ZSMB. mouse. VGA video card, monitor. and 535 free RAM; $59.95. Contact Software Marketing of Phoenix, ‘1830 South 51st St. Bug. A-131. Phoenix, AZ 8.5044. (602) 8933177. Reviewed by: Deborah M. Bash, CNM,END, IX&or, Nurse-Midwifery Educational Prwram. Gecraetovm University, Washiqton, D.C.. B.A.B.Y. is a computetied. userfrtendly sofhvare pqram designed for “se by the pregnant woman and her family who are interested in learning about the miracle of life. This program permits the “set to follower a baby’s growih from concep bon through early childhood by means of varkx~smenus and icon se lecttons. Information and graphics cover topics such as conception and ~netics. labor, e=d delivery. and even follows the newborn to the physician for well-baby visits. B.A.B.Y. permits the user to enter statistics &out the pregnancyand health hisstory of the mother and her newborn. Tbe prcqram can be used to create nwlltple 81es for members of an educational class or for “se by families d”ring succ&ve pregnancies. The ability to develop a separate file for each expectant mother is a convenient feature m various educational settings or for the mother who is erp&n9 a second or third child. Reports can be printed for each par&ipant or can be stored on the disk for future reference.
399
A notice can easily install the program on an IBM personal computer or compatible machine. DOS 3.3 or above is needed as is 535 kilobytes of random access memory and-Z.5 megabytes of hard-disk space. A VGA graphics monitor and mouse are needed to view the colorful graphics and move around the screen. The program comes comolete with a user-Mendlv manual and &.Z%nch and 3.5.inch.diskettes. Following installation, a help men” providesi&rmation about &ch section. The master screen is set up in a Windows-like format although this orwram is not Windows compatible. ?hesimilarity for users fern&r with Windows is that there are icons on the screen that lead from one section to another. The main screen is divided into a men” bar, a list of icon buttons, an image window, a status bar. a fi!e for mother’s name, date, days in pregnancy. and days left in pregnancy. The menu bar that remains on the screen et all times permits the v!ewer to click on one otthe followinn sections: Heln File. Con@on,-Pregnancy, Bilth. D&&pment, and Administmtive. Access to any of these sections is made by &king the mouse on the specific word or topic. The animation and graphics help to keep the interest of the viewer. The program is easy to enter or exit at any time by hit?mgthe escape button. B.A.B.Y. is a great educational program and, because of Its attractive features, appeals to all age groups. All family members regardlessof age can “se this program to learn about preconception through pregnancy. Younger children will enjoy viewing the fetal development section while the teenagers might be more i”teTe&d in the animated menstrual cycle and feldlity graph. The expectant couple will probably find the section on labor and delivery most fascinating, as the program permits the usn to advance through the progress 01 labor or go back to early labor simuations.
400
For women considering pregnancy. this program can provide information on preconception and help calculate the time of a woman’s peek fertility. The section on nutrition and weight personalizes the caloric reauirements for the user and rewxts the number of calodes that should be consumed daily. Other lists include: .wbat to take to the hospital, hundreds of baby names. and a list for nursely purchases. The final list includes first smile, first full night of sleep. and first tooth, to name a few. Each on-screen men” assiststhe user in selecting a topic to review. Information given “Ties from bask to technical. depending on the user’s initial knowledge base of the subject The best scre&s are those that include animation: the Imenstmalcycle, the developing fetus, the labor graph with animated contractions, and the relationship between cervical dilation and labor progress. Other screens depicting nmniocentests and sonography provide clear text as well as graphic descriptions of thr procedures. Although this program is not geared for the professional health provider, nurse-midwives. or health educators, this program could be used by these individuals in educetional &nles at vadous settings such as offices, clinics, community centers, and high schools. The proaram has its limitations and has one or two enws mlssed by prwfreaders that will hooefullv be corrected in the next edit& H&ever. the many illustrations and animation result in an educational tool Bat is up to date and technologically current. In addlUon this program provides fun for the young at heart as well as the serious computer buff.
Reviewed by: Loma Davis, CNM, MS, in private midwifery practice. St. Josephs’ Hospital, Chicago, Illinois. This book was written as a resource guide to offer practical nutrition advice for pregnant women. The primay author. Bridget Swinney, is a registered dietitian specializing in health communlcatton, diabetes ed“catton. and weisht control. The contributing a”&, Tracey Anderson, is a nurse and childbirth educatcr. The authors have organized the book Into 16 chapters, each chapter beginning with a question format and an outline of what is contained in the chapter. The beginning chapters @vvemany easy to read and understandable facts on nutrition. However, there is an enormous army of details on vitamins and minerals, and many readers without a healthcare background may find it difficult to digest such extensive dietary infommtion. The a”tbor is also inconsistent in her depth of roverage. For example, whii discussingessentialvitamins and minoraIs. the author lists molybdenum and states ik function and the best food so”rces for it However, in the setBon about fat, the autb-x leave5 out such basks as how to calculate the percentage of fat consumed in a sewing based on the total calories of any food item. other lnfamation that the reader may find confusing or misleading ind”desthe”reoftbetennRDAThe term is usedbut not defined unttl chap ter 7 when the author explains that it standsfor “Recommaded Motay Allowances. NOT Recommended Daiiy A.uowlnces.”Yet on page 148 the author statesthat %everzJ n”t&“k that areb&wtbeRDAsorRecommended Daily All-. chapter nine, the author dlscussesnuhition, breast-feeding, and weight loss. This reviewer was Perplexed by the following statement: “The average weight loss for breastfeeding women 1s1 to 2 pounds per month, after the first month post-
In
Eating Expectantly, the Essential Eating Guide and Cookbook for Pleanancy. By Bridget Swinnev. MS. RD. with %ac-ey Anderson, RN, BS. Colorado Springs: Fell River Press, 1993. 355 pages, $13.95, softcover.
_
Journal of Nuree.Midwi%y
l
.”
Vol. 39. No. 6, Nowmbermecember 19%
to
The last few scenes depict labor with fetal monitoring (this reviewer questions if this is even necessarv) and the anxie’y of the husband is illustrated by hostilt& tourard hospital staff. The delivery itself is simply handled. The baby is assessed and handed to the mother with simple words from the neonatolo@: “I’m Sony.” The 6.week postparmm exam offers a owd examole of a cowle’s need t~retiew their birth expe&nce with their care orotider. This couple’s best men& was of holding their baby. despite their fear of it beforehand. Their physician reviews sources of support for them at home, autopsy results, the need for planning before another pregnancy,and he briefly diwusses the mef process. He offers counseling, and allows the couple to be angry by mentioning that they might go elsewhere for care in their next pregnancy. This program is definitely not a didactic presentation of the research and theories of pregnancycomplications and bereavement counseling. This information m”st be presented to students separately. The video does iUustrate issues of cormmmication surrounding the managementof patients experiencing pregnancy complications including perinatal losses and bereavement. Although this reviewer is not an educator. it seems that after reviewing material on complications and loss this tiho would be an excellent dixussfon tool for students and practitioners learning to put the theory into pmctice. Bereavement counseling after the loss. however, would be better handled with other tools. as there is much more to be sah than just the importance of seeing and holding the baby and the need for concrete mementos With 5 minutes of discussion between each wene, the entire learning experience should take 2 hams, al. though there is enough material in there xenes to elicit lengthier discussions if d&red. This video is appro-
priate for medicalor nurse-midwifery sbldents as well as geneticcounseling students, nursing wdents, or residents. Educators would be welladvised to ptiew and ty this tool. B.A.B.Y. Birth And Baby Years: A Computerized Guide..Phoenix: Software Marketing of Phoenix. 1993. Interactive software on 5.25inch and 3.5~inch diskettes: for IBM personal computer or compatible hardware; requires DOS 3.3 or above and hard drive with ZSMB. mouse. VGA video card, monitor. and 535 free RAM; $59.95. Contact Software Marketing of Phoenix, ‘1830 South 51st St. Bug. A-131. Phoenix, AZ 8.5044. (602) 8933177. Reviewed by: Deborah M. Bash, CNM,END, IX&or, Nurse-Midwifery Educational Prwram. Gecraetovm University, Washiqton, D.C.. B.A.B.Y. is a computetied. userfrtendly sofhvare pqram designed for “se by the pregnant woman and her family who are interested in learning about the miracle of life. This program permits the “set to follower a baby’s growih from concep bon through early childhood by means of varkx~smenus and icon se lecttons. Information and graphics cover topics such as conception and ~netics. labor, e=d delivery. and even follows the newborn to the physician for well-baby visits. B.A.B.Y. permits the user to enter statistics &out the pregnancyand health hisstory of the mother and her newborn. Tbe prcqram can be used to create nwlltple 81es for members of an educational class or for “se by families d”ring succ&ve pregnancies. The ability to develop a separate file for each expectant mother is a convenient feature m various educational settings or for the mother who is erp&n9 a second or third child. Reports can be printed for each par&ipant or can be stored on the disk for future reference.
399
A notice can easily install the program on an IBM personal computer or compatible machine. DOS 3.3 or above is needed as is 535 kilobytes of random access memory and-Z.5 megabytes of hard-disk space. A VGA graphics monitor and mouse are needed to view the colorful graphics and move around the screen. The program comes comolete with a user-Mendlv manual and &.Z%nch and 3.5.inch.diskettes. Following installation, a help men” providesi&rmation about &ch section. The master screen is set up in a Windows-like format although this orwram is not Windows compatible. ?hesimilarity for users fern&r with Windows is that there are icons on the screen that lead from one section to another. The main screen is divided into a men” bar, a list of icon buttons, an image window, a status bar. a fi!e for mother’s name, date, days in pregnancy. and days left in pregnancy. The menu bar that remains on the screen et all times permits the v!ewer to click on one otthe followinn sections: Heln File. Con@on,-Pregnancy, Bilth. D&&pment, and Administmtive. Access to any of these sections is made by &king the mouse on the specific word or topic. The animation and graphics help to keep the interest of the viewer. The program is easy to enter or exit at any time by hit?mgthe escape button. B.A.B.Y. is a great educational program and, because of Its attractive features, appeals to all age groups. All family members regardlessof age can “se this program to learn about preconception through pregnancy. Younger children will enjoy viewing the fetal development section while the teenagers might be more i”teTe&d in the animated menstrual cycle and feldlity graph. The expectant couple will probably find the section on labor and delivery most fascinating, as the program permits the usn to advance through the progress 01 labor or go back to early labor simuations.
400
For women considering pregnancy. this program can provide information on preconception and help calculate the time of a woman’s peek fertility. The section on nutrition and weight personalizes the caloric reauirements for the user and rewxts the number of calodes that should be consumed daily. Other lists include: .wbat to take to the hospital, hundreds of baby names. and a list for nursely purchases. The final list includes first smile, first full night of sleep. and first tooth, to name a few. Each on-screen men” assiststhe user in selecting a topic to review. Information given “Ties from bask to technical. depending on the user’s initial knowledge base of the subject The best scre&s are those that include animation: the Imenstmalcycle, the developing fetus, the labor graph with animated contractions, and the relationship between cervical dilation and labor progress. Other screens depicting nmniocentests and sonography provide clear text as well as graphic descriptions of thr procedures. Although this program is not geared for the professional health provider, nurse-midwives. or health educators, this program could be used by these individuals in educetional &nles at vadous settings such as offices, clinics, community centers, and high schools. The proaram has its limitations and has one or two enws mlssed by prwfreaders that will hooefullv be corrected in the next edit& H&ever. the many illustrations and animation result in an educational tool Bat is up to date and technologically current. In addlUon this program provides fun for the young at heart as well as the serious computer buff.
Reviewed by: Loma Davis, CNM, MS, in private midwifery practice. St. Josephs’ Hospital, Chicago, Illinois. This book was written as a resource guide to offer practical nutrition advice for pregnant women. The primay author. Bridget Swinney, is a registered dietitian specializing in health communlcatton, diabetes ed“catton. and weisht control. The contributing a”&, Tracey Anderson, is a nurse and childbirth educatcr. The authors have organized the book Into 16 chapters, each chapter beginning with a question format and an outline of what is contained in the chapter. The beginning chapters @vvemany easy to read and understandable facts on nutrition. However, there is an enormous army of details on vitamins and minerals, and many readers without a healthcare background may find it difficult to digest such extensive dietary infommtion. The a”tbor is also inconsistent in her depth of roverage. For example, whii discussingessentialvitamins and minoraIs. the author lists molybdenum and states ik function and the best food so”rces for it However, in the setBon about fat, the autb-x leave5 out such basks as how to calculate the percentage of fat consumed in a sewing based on the total calories of any food item. other lnfamation that the reader may find confusing or misleading ind”desthe”reoftbetennRDAThe term is usedbut not defined unttl chap ter 7 when the author explains that it standsfor “Recommaded Motay Allowances. NOT Recommended Daiiy A.uowlnces.”Yet on page 148 the author statesthat %everzJ n”t&“k that areb&wtbeRDAsorRecommended Daily All-. chapter nine, the author dlscussesnuhition, breast-feeding, and weight loss. This reviewer was Perplexed by the following statement: “The average weight loss for breastfeeding women 1s1 to 2 pounds per month, after the first month post-
In
Eating Expectantly, the Essential Eating Guide and Cookbook for Pleanancy. By Bridget Swinnev. MS. RD. with %ac-ey Anderson, RN, BS. Colorado Springs: Fell River Press, 1993. 355 pages, $13.95, softcover.
_
Journal of Nuree.Midwi%y
l
.”
Vol. 39. No. 6, Nowmbermecember 19%