Barbara L Mims

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OBJECTIVE To test the effect of pelvic muscle exercise on postpartum symptoms of stress urinary incontinence and pelvic muscle strength in primigravidas during pregnancy and postpartum. METHODS A prospective trial randomized women into treatment (standardized instruction in pelvic muscle exercise) or control (routine care with no systematic pelvic muscle(More)
Accessing vulnerable and hard-to-reach populations is a significant challenge for nurse researchers. Adaptive sampling is a procedure that has been used effectively in community-based research to recruit rare or hidden populations. Structured community assessment, as practiced by community health nurses, can be used to enhance adaptive sampling procedures(More)
This qualitative study is derived from interviews conducted during a larger quantitative study that examined facilitators and barrier to communication and negotiations in African American families whose teen daughters had one or more unwed teen pregnancies. Based on the larger study's findings that the education of the teens mother was a statistically(More)
This article gives a detailed overview of the literature on adolescent pregnancy in African American families. According to the latest data available from the National Center for Health Statistics (1998), the greatest decline in adolescent pregnancy was among African Americans. In spite of the decline of 21% from 1991-1996, African American adolescent's(More)
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