[Impact on the healthcare team and parents of the type of cardiorespiratory monitoring during phototherapy]. / Impact sur le personnel et les parents du mode de monitorage cardio-respiratoire lors de la photothérapie.

INTRODUCTION: Neonatal jaundice is treated with phototherapy and requires continuous cardiorespiratory monitoring, which can induce parental anxiety. Within a very short time, parents receive the announcement of the diagnosis and of the need for a treatment in another unit with a new team of caregivers. OBJECTIVE: To evaluate parents' anxiety and their feelings concerning the location of treatment concerning cardiorespiratory monitoring equipment (wired vs Wi-Fi wireless monitoring equipment) and treatment location (neonatology vs maternity wards) during a phototherapy treatment in the neonatology unit, located in the maternity wards. METHODS: This was a prospective and monocentric study. Parental anxiety was assessed using the STAI-Y score. Their feelings on the location of treatment were assessed using a specific questionnaire. Three successive periods were considered: period I "wired with neonatology team," period II "Wi-Fi with neonatology team," and period III "Wi-Fi with maternity wards". Comparison between periods I and II evaluated the impact of the monitoring equipment and comparison between periods II and III assessed the impact of the treatment location. RESULTS: No effects of the monitoring equipment were observed. We found an impact of the treatment location in charge of the newborn: the parent's anxiety (STAI-Y score) was lower in the maternity wards, whereas the maternity ward personnel considered the protocol as an increased workload (p<0.001). CONCLUSION: The monitoring equipment had little effect. Parental anxiety decreased when monitoring took place in the usual maternity wards, underscoring the advantages of a close relationship between maternity and neonatology units.

[Skin-to-skin care in the delivery room: impact of SpO2 monitoring]. / Peau-à-peau en salle de naissance : impact du monitorage de la saturation pulsée en oxygène.

BACKGROUND: Skin-to-skin care in the delivery room increases mother-newborn bonding, reduces the newborn's stress level, and facilitates breastfeeding. However, a few reports of life-threatening events in newborn infants during skin-to-skin care have prompted suggestions that SpO2 monitoring may be of value in the delivery room. The present study compared SpO2 monitoring with standard clinical practices during skin-to-skin care in the delivery room. The midwife's opinion and the mother's anxiety level were assessed for both procedures. MATERIALS AND METHODS: The midwife's opinion was measured on a Likert scale and the mother's anxiety level was measured on the State-Trait Anxiety Inventory Y-A and Y-B scales. Two procedures (standard clinical practice vs. SpO2 monitoring) were compared prospectively in two consecutive 3-month periods. RESULTS: Seventy case report forms were completed for the "standard clinical practice" group and 62 were completed for the "SpO2 monitoring" group. The care procedure was considered to be satisfactory or quite satisfactory in 60 cases (96.8%) in the "SpO2 monitoring" group and in 57 cases (81.4%; P<0.05) in the "standard clinical practice" group. There was no significant difference between the groups in terms of the mean maternal anxiety level. CONCLUSION: SpO2 monitoring during skin-to-skin care in the delivery room was well accepted by the midwife. Relative to standard clinical practice alone, SpO2 monitoring was not associated with elevated maternal anxiety levels.

[Has the age of onset of sexual activity in youths changed in the time of AIDS? Literature review 1972-1992]. / Hat sich der Beginn der Sexualität bei Jugendlichen in der Zeit von Aids verändert? Literaturübersicht von 1972 bis 1992.

This article on the sexuality of adolescents (aged 16 to 20) presents results of a secondary analysis of Swiss studies completed on the subject between 1972 and 1992. The aim of the study was to follow up the evolution of three aspects of sexual behaviour since 1972 as a contribution to answering the following question: "What influence have the AIDS epidemic and the 'STOP-Aids' campaign had on the time of onset of sexual activity in young people?" Three aspects of sexual behaviour have been analyzed: 1. The proportion of young people who have already had sexual intercourse. This research shows that the percentage of sexually active 17-year-olds increased in the last 20 years for girls from 33% to 46% and for boys of the same age, from 23% to 51%. This increase took place before 1987. Since then, the proportion of sexually active young people of this age has not changed. 2. The number of life-time partners. In 1992, 28% of girls and 23% of boys aged 17 to 20 years had had more than 4 sexual partners. There had been no changes in these percentages since 1987. 3. The use of contraception. The use of contraception during the first sexual intercourse has become more frequent. In girls aged 16 to 20 years it rose from 47% in 1976 to 76% in 1992; in boys it increased from 50% in 1976 to 76% in 1992. For 17- to 20-year-olds, condom use with an occasional sexual partner rose from 16% in 1987 to 69% in 1992.(ABSTRACT TRUNCATED AT 250 WORDS)