- Email: [email protected]
Managing success: High echelon careers and motherhood
audience, medical personnel who counsel patients who want to avoid or achieve pregnancy will find this video valuable. REFERENCES 1. Willson JR, Carrington ED (eds): Obstetrics and Gynecology, 8th ed. St. Louis: C.V. Mosby, 1987, p 196. 2. Danforth DN, Scott JR (eds): Obstetrics and Gynecology, 5th ed. Philadelphia: J.B. Lippincott, 1986, p 234. 3. ciples Year 1986,
Kistner RW: Gynecology: Prinand Practice, 4th ed. Chicago: Book Medical Publishers, Inc., p 588.
Management of the Diabetic Pregnancy. Edited by Bahij S. Nuwayhid, MD, Charles R. Brinkman III, MD, and Stephen M. Lieb, MD. New York: Elsevier Science Publishing Co., Inc., 1987. 297 pages. $45.00, hardcover. Reviewed by: Honore Murphy, MS, CMN, CDE, Nurse Coordinator and
Educator, Diabetes in Pregnancy Service, UCSD Medical Center, San Diego, California. The purpose of this book is to consolidate information into a reference text for those who deal with the management and education of the pregnant diabetic, her family, her fetus, and the newborn. The editors, Nuwayhid, Brinkman, and Lieb are professors of obstetrics and gynecology services in prestigious university centers. Other contributors are assistant, associate, or full professors of pediatrics, psychiatry, obstetrics, and/or gynecology; many are directors of perinatal services. The other contributors are basically-prepared or Masters-prepared nurses, registered dietitians, and Master-prepared social workers. All the authors are clinically involved in this field. The chapters are arranged sequentially beginning with the classification and screening of diabetes mellitus during pregnancy and proceeding on to the risks to the mother Journal of Nurse-Midwifery
??
and child, medicai management of normal and complicated pregnancies, and ending with the nursing management. Specifically, the chapters cover the rationale for achieving euglycemia, methodology in achieving euglycemia, insulin preparation, the treatment of diabetic emergehcies, fetal assessment, and care of the infant. Other chapters address contraception, nutrition, and psychosocial perspectives of diabetes. The book is easy to read. It has large print and wide borders. The information is clear, concise, current, and clinically-oriented. The tables and figures relate well to the topic under discussion, are simply presented, and are easy to understand. Pre- and post-tests for patient evaluation are included in the appendixes. Each chapter ends with a list of references. Most of the references in the chapter on medical management were published before 1983; the nursing and psychological ones, however, are more current. (They were written between 1981 and 1985). The concept of a team approach to patient management is evident throughout the chapters. This concept is nicely illustrated in the chapters devoted to the psychological needs of patients, the one on dietary assessment and care, and the one on the role of the educator with its emphasis on assessment, methodology, protocols, and guidelines. All members of the high risk team: social workers, psychologists, obstetricians, pediatricians, dietitians, nurse educators, endocrinologists, and perinatal nurses will find this text an excellent reference. The nursemidwife who manages collaboratively the gestational diabetic will find that many of the protocols for care are equivalent to her own-especially the dietary and weight guidelines, the recommendations for monitoring blood glucose, when to refer the woman for insulin administration, testing for fetal well-being, and postpartum contraceptive methods.
Vol. 34, No. 4, July/August 1989
Not all of the content in this book is clinically applicable to nurse-midwifery practice. However, since it behooves the CNM to be knowledgeable about all types of diabetes, this book would provide a useful desk reference. Managing Success: High Echelon Careers and Motherhood. By Aasta S. Lubin. New York: Columbia University Press, 1987. 161 pages. $25.00, hardcover. Reviewed by: Vanda R. Lops, CMN, MS, Director, Nurse-Midwifery Ser-
vice, UCSD Medical Center, Diego, California.
San
The so-called superwoman is one who, having made it to the top position in her field, is able to juggle working, husband, children, running a house, participating in social and volunteer activities, taking courses at a local university, and more. Some of us may view her as a model to be emulated; others may wonder at her achievements; and still others may envy her from afar. In Managing Success, the author attempts to demystify just how this superwoman does it all. Dr. Lubin, a psychotherapist in a private New York City practice, appears well-qualified academically to write about the subject. Educated in Norway, England, and the United States, she acts as a consultant to agencies, clinics, and hospitals and also teaches at the Columbia School of Social Work, Hunter College, and New York Medical College, Flower and Fifth Avenue Hospital. This book is essentially the written report of a qualitative study in which the author, as a nonparticipant observer, accompanied five New York women, aged 32-37, who worked in high level jobs (each earning over $50,000 dollars yearly) on their hectic daily rounds. Dr. Lubin then studied their lifestyles and how they functioned in what she calls the success subculture. Lubin’s book appears to be an ap223
propriate sequel to Hennig and Jardin’s (1976) work on the executive woman.’ Although it is not necessay to read Hennig’s and Jardin’s book first, or at all, doing so will give the reader a certain perspective on Lubin’s work. Hennig and Jardin gave us a background composite of the factors that went into making a woman successful and Lubin now shows us via this ethnographic study how her subjects meet the demands of the success subculture. A number of discernible patterns of management emerge from Lubin’s research. Her conclusion will reassure the majority of us-who attribute these abilities to a one in a million genetic package containing an extra “E” chromosome for energy, endurance, and efficiency. The simple answer, and the major finding of Lubin’s work, is Help-help from a supportive husband, friends, or family, help from the loyal, indispensable, and seemingly indefatigable housekeeper, and even help from one’s secretary. The effective use of this “sustaining crowd” of competent and trustworthy people allows these women to delegate tasks they cannot or do not want to do themselves, such as taking the children to medical appointments, dropping them off and picking them up from school, cleaning house, cooking, etc. In short, the average homemaker could easily delegate most of her tasks to others. The last chapter contains a summay of the findings and nicely demonstrates how the author deduces that the common thread running through all her observations and the factor which enables these women to succeed in their varied and numerous roles is the support they receive from those around them. The book is well written, interesting, and easy to read. It is recommended for any woman who finds herself trying to wear too many hats all at the same time. CNMs will readily identify with the women in Lubin’s study. In fact, CNMs should find a number of ideas to help make 224
their hectic lives easier and more manageable. Reference 1. Hennig M, Jardin A: The Managerial Woman. New York, Doubleday and Company, 1976.
Child Sexual Abuse: A Handbook for Health Care and Legal Professionals. By Diane H. Schetky, MD, and Arthur H. Green, MD. New York Brunner/Mazel, Publishers, 1988. 248 pages. $27.50, hardcover. Reviewed by: N. Katherine Brown, BS, Volunteer in the Court Appointed Special Advocate (CASA) Program for Abused and Neglected Children in Baltimore, Maryland and Member of the National CASA Association, and Lisa L. Paine, CMN, MS, MPH, Instructor, Department of Gynecology and Obstetrics, Johns Hopkins University, School of Medicine, Baltimore, Maryland. In the wake of a tragedy which catapulted a small New York neighborhood to national prominence, and seared the face of Lisa Steinberg into our collective memories, Child Sexual Abuse is both a necessary and welcome addition to the growing library of literature concerning child abuse and neglect. In their coverage of topics which include the “History and Mythology of Child Sexual Abuse,” “Child Pornography and Prostitution,” and “Prevention of Child Sexual Abuse,” these reviewers feel that the authors succeed in presenting a compassionate, highly informative, and fascinating look at a topic that is all-too-often in the forefront of our news today. Each chapter is a review of a different topic as it relates to the field of child sexual abuse. The chapters are concise, and each includes a lengthy reference list as well as a summary of the chapter contents. These reviewers applaude not only the book itself, but also the excellent Appendix, which will be of particular interest to midwives. The authors include names and ad-
dresses for the purchase of anatomically correct dolls; book lists for children, teens, parents, and professionals; an extensive film list; and names and addresses for related resource materials. In these listings the authors have also included comments and descriptions of much of the materials mentioned; from capsule film reviews to comments regarding the appearance of the anatomically correct dolls (e.g., “No nipples on adults”). While subtitled A Handbook for Health Care and Legal Professionals, these reviewers do not think that Child Sexual Abuse can be considered a clinical handbook for use as a ready reference text. It is primarily a theoretical book with some clinical aspects included in the chapter entitled “The Medical Evaluation of Child Sexual Abuse.” Though the clinical examination is not the primary focus of the book, these reviewers highly recommend Child Sexual Abuse as a supplement to practitioners who work not only with children, but with the adult population as well. Much of the information included throughout this book may well be applied to the physical examination of women of all ages who may or may not be victims of sexual abuse. Nurse-Midwifery in America: A Report of the American College of Nurse-Midwives Foundation. Edited by Judith Rooks, CMN, MPH, MS, and J. Eugene Haas, PhD.Washington, DC: American College of Nurse-Midwives Foundation, 1986. Available from American College of Nurse-Midwives Foundation, 1522 “K” Street, N.W., Suite 1000, Washington, DC 20005. 162 pages. $17.00, postage paid, softcover. Reviewed
by: Edna Quinn, PhD, State University, Salisbuy, Maryland. CMN, Salisbury
This report on the status of nursemidwifery in the United States is organized into two sections. The first section, entitled “Informing the Na-
Journal of Nurse-Midwifery??Vol. 34, No. 4. July/August 1989
Kistner RW: Gynecology: Prinand Practice, 4th ed. Chicago: Book Medical Publishers, Inc., p 588.
Management of the Diabetic Pregnancy. Edited by Bahij S. Nuwayhid, MD, Charles R. Brinkman III, MD, and Stephen M. Lieb, MD. New York: Elsevier Science Publishing Co., Inc., 1987. 297 pages. $45.00, hardcover. Reviewed by: Honore Murphy, MS, CMN, CDE, Nurse Coordinator and
Educator, Diabetes in Pregnancy Service, UCSD Medical Center, San Diego, California. The purpose of this book is to consolidate information into a reference text for those who deal with the management and education of the pregnant diabetic, her family, her fetus, and the newborn. The editors, Nuwayhid, Brinkman, and Lieb are professors of obstetrics and gynecology services in prestigious university centers. Other contributors are assistant, associate, or full professors of pediatrics, psychiatry, obstetrics, and/or gynecology; many are directors of perinatal services. The other contributors are basically-prepared or Masters-prepared nurses, registered dietitians, and Master-prepared social workers. All the authors are clinically involved in this field. The chapters are arranged sequentially beginning with the classification and screening of diabetes mellitus during pregnancy and proceeding on to the risks to the mother Journal of Nurse-Midwifery
??
and child, medicai management of normal and complicated pregnancies, and ending with the nursing management. Specifically, the chapters cover the rationale for achieving euglycemia, methodology in achieving euglycemia, insulin preparation, the treatment of diabetic emergehcies, fetal assessment, and care of the infant. Other chapters address contraception, nutrition, and psychosocial perspectives of diabetes. The book is easy to read. It has large print and wide borders. The information is clear, concise, current, and clinically-oriented. The tables and figures relate well to the topic under discussion, are simply presented, and are easy to understand. Pre- and post-tests for patient evaluation are included in the appendixes. Each chapter ends with a list of references. Most of the references in the chapter on medical management were published before 1983; the nursing and psychological ones, however, are more current. (They were written between 1981 and 1985). The concept of a team approach to patient management is evident throughout the chapters. This concept is nicely illustrated in the chapters devoted to the psychological needs of patients, the one on dietary assessment and care, and the one on the role of the educator with its emphasis on assessment, methodology, protocols, and guidelines. All members of the high risk team: social workers, psychologists, obstetricians, pediatricians, dietitians, nurse educators, endocrinologists, and perinatal nurses will find this text an excellent reference. The nursemidwife who manages collaboratively the gestational diabetic will find that many of the protocols for care are equivalent to her own-especially the dietary and weight guidelines, the recommendations for monitoring blood glucose, when to refer the woman for insulin administration, testing for fetal well-being, and postpartum contraceptive methods.
Vol. 34, No. 4, July/August 1989
Not all of the content in this book is clinically applicable to nurse-midwifery practice. However, since it behooves the CNM to be knowledgeable about all types of diabetes, this book would provide a useful desk reference. Managing Success: High Echelon Careers and Motherhood. By Aasta S. Lubin. New York: Columbia University Press, 1987. 161 pages. $25.00, hardcover. Reviewed by: Vanda R. Lops, CMN, MS, Director, Nurse-Midwifery Ser-
vice, UCSD Medical Center, Diego, California.
San
The so-called superwoman is one who, having made it to the top position in her field, is able to juggle working, husband, children, running a house, participating in social and volunteer activities, taking courses at a local university, and more. Some of us may view her as a model to be emulated; others may wonder at her achievements; and still others may envy her from afar. In Managing Success, the author attempts to demystify just how this superwoman does it all. Dr. Lubin, a psychotherapist in a private New York City practice, appears well-qualified academically to write about the subject. Educated in Norway, England, and the United States, she acts as a consultant to agencies, clinics, and hospitals and also teaches at the Columbia School of Social Work, Hunter College, and New York Medical College, Flower and Fifth Avenue Hospital. This book is essentially the written report of a qualitative study in which the author, as a nonparticipant observer, accompanied five New York women, aged 32-37, who worked in high level jobs (each earning over $50,000 dollars yearly) on their hectic daily rounds. Dr. Lubin then studied their lifestyles and how they functioned in what she calls the success subculture. Lubin’s book appears to be an ap223
propriate sequel to Hennig and Jardin’s (1976) work on the executive woman.’ Although it is not necessay to read Hennig’s and Jardin’s book first, or at all, doing so will give the reader a certain perspective on Lubin’s work. Hennig and Jardin gave us a background composite of the factors that went into making a woman successful and Lubin now shows us via this ethnographic study how her subjects meet the demands of the success subculture. A number of discernible patterns of management emerge from Lubin’s research. Her conclusion will reassure the majority of us-who attribute these abilities to a one in a million genetic package containing an extra “E” chromosome for energy, endurance, and efficiency. The simple answer, and the major finding of Lubin’s work, is Help-help from a supportive husband, friends, or family, help from the loyal, indispensable, and seemingly indefatigable housekeeper, and even help from one’s secretary. The effective use of this “sustaining crowd” of competent and trustworthy people allows these women to delegate tasks they cannot or do not want to do themselves, such as taking the children to medical appointments, dropping them off and picking them up from school, cleaning house, cooking, etc. In short, the average homemaker could easily delegate most of her tasks to others. The last chapter contains a summay of the findings and nicely demonstrates how the author deduces that the common thread running through all her observations and the factor which enables these women to succeed in their varied and numerous roles is the support they receive from those around them. The book is well written, interesting, and easy to read. It is recommended for any woman who finds herself trying to wear too many hats all at the same time. CNMs will readily identify with the women in Lubin’s study. In fact, CNMs should find a number of ideas to help make 224
their hectic lives easier and more manageable. Reference 1. Hennig M, Jardin A: The Managerial Woman. New York, Doubleday and Company, 1976.
Child Sexual Abuse: A Handbook for Health Care and Legal Professionals. By Diane H. Schetky, MD, and Arthur H. Green, MD. New York Brunner/Mazel, Publishers, 1988. 248 pages. $27.50, hardcover. Reviewed by: N. Katherine Brown, BS, Volunteer in the Court Appointed Special Advocate (CASA) Program for Abused and Neglected Children in Baltimore, Maryland and Member of the National CASA Association, and Lisa L. Paine, CMN, MS, MPH, Instructor, Department of Gynecology and Obstetrics, Johns Hopkins University, School of Medicine, Baltimore, Maryland. In the wake of a tragedy which catapulted a small New York neighborhood to national prominence, and seared the face of Lisa Steinberg into our collective memories, Child Sexual Abuse is both a necessary and welcome addition to the growing library of literature concerning child abuse and neglect. In their coverage of topics which include the “History and Mythology of Child Sexual Abuse,” “Child Pornography and Prostitution,” and “Prevention of Child Sexual Abuse,” these reviewers feel that the authors succeed in presenting a compassionate, highly informative, and fascinating look at a topic that is all-too-often in the forefront of our news today. Each chapter is a review of a different topic as it relates to the field of child sexual abuse. The chapters are concise, and each includes a lengthy reference list as well as a summary of the chapter contents. These reviewers applaude not only the book itself, but also the excellent Appendix, which will be of particular interest to midwives. The authors include names and ad-
dresses for the purchase of anatomically correct dolls; book lists for children, teens, parents, and professionals; an extensive film list; and names and addresses for related resource materials. In these listings the authors have also included comments and descriptions of much of the materials mentioned; from capsule film reviews to comments regarding the appearance of the anatomically correct dolls (e.g., “No nipples on adults”). While subtitled A Handbook for Health Care and Legal Professionals, these reviewers do not think that Child Sexual Abuse can be considered a clinical handbook for use as a ready reference text. It is primarily a theoretical book with some clinical aspects included in the chapter entitled “The Medical Evaluation of Child Sexual Abuse.” Though the clinical examination is not the primary focus of the book, these reviewers highly recommend Child Sexual Abuse as a supplement to practitioners who work not only with children, but with the adult population as well. Much of the information included throughout this book may well be applied to the physical examination of women of all ages who may or may not be victims of sexual abuse. Nurse-Midwifery in America: A Report of the American College of Nurse-Midwives Foundation. Edited by Judith Rooks, CMN, MPH, MS, and J. Eugene Haas, PhD.Washington, DC: American College of Nurse-Midwives Foundation, 1986. Available from American College of Nurse-Midwives Foundation, 1522 “K” Street, N.W., Suite 1000, Washington, DC 20005. 162 pages. $17.00, postage paid, softcover. Reviewed
by: Edna Quinn, PhD, State University, Salisbuy, Maryland. CMN, Salisbury
This report on the status of nursemidwifery in the United States is organized into two sections. The first section, entitled “Informing the Na-
Journal of Nurse-Midwifery??Vol. 34, No. 4. July/August 1989