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In 1978, Arizona began licensing lay midwives under regulations designed to maintain adequate standards of care for women desiring a home birth. During four years of this program, 3 per cent of home birth clients were hospitalized for complications and another 15 per cent received postnatal outpatient

The declining length of postpartum stay in hospitals has made it more difficult for staff to provide the kind of care recommended in the nursing literature. This study examines the association between satisfaction with care and three clinical procedures-parent-infant bonding, reconstructing birth events and instruction in care of self and baby.Data taken from an Arizona statewide survey of women who recently gave birth indicated little dissatisfaction with care. However, contingency table analysis revealed that level of satisfaction is associated with the provision of opportunities for parent-infant bonding, review of birthing experience and instruction in care of mother and newborn. Strategies for increasing level of satisfaction are discussed. (Birth Fam J 8:3, Fall 1981) In the last 50 years postpartum care in the United States has undergone a radical change. Before World War I1 women spent 10 days in a hospital bed following a vaginal delivery. After the War the average stay decreased to about six days. While a shorter stay was desired by many women, it also was necessitated by a critical shortage of beds during the postwar "baby boom." Currently most hospitals offer package plans incorporating a 24-to 48hour postpartum stay and some hospitals discharge low-risk women and newborns within two to 12 hours.

This article proposes a typology of migration based on duration of annual residence in planned retirement communities. The categories of the typology-seasonal in-migrant, seasonal out-migrant, seasonal traveler, and year-round resident-are used to classify a sample of households in a southwestern retirement community. The findings suggest that out-of-state children and ties to small towns are inhibiting influences on permanent relocation after retirement. Facilitating factors associated with seasonal migration include: a spouse in the household, higher socioeconomic status, and the absence of health restrictions on activities.

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