WBG, a replicable model integrated into primary care visits, affords a unique opportunity to intervene consistently and early, providing families in at-risk communities with increased provider time, intensive education, and ongoing support. Further study of group well-child care for primary obesity prevention is warranted to confirm the effectiveness of the model.
JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide range of content in a trusted digital archive. We use information technology and tools to increase productivity and facilitate new forms of scholarship. For more information about JSTOR, please contact support@jstor.org. . Wiley and Nordic Society Oikos are collaborating with JSTOR to digitize, preserve and extend access to Ornis Scandinavica. . 1992. Immunocytochemical distribution of GnRH in the brain of adult and posthatching Great Tit Parus major and Ring Dove Streptopelia roseogrisea. -Ornis Scand. 23: 222-232.This paper describes the appearance of GnRH-like immunoreactivity in the brain of adult and posthatching Ring Doves and Great Tits, with the goal of understanding the ontogeny of the gonadal-pituitary axis. To this end, we compared the distribution of GnRH immunostaining in adults, with that of posthatching birds of each species.The results of the adult study indicate the presence of a major group of GnRH immunoreactive perikarya in olfactory bulb, olfactory tubercle, nucleus accumbens, septal-preoptic-hypothalamic region, in the area surrounding the palial commissure, lateral hypothalamus, tuberal hypothalamus (Great Tit only) and near oculomotor nuclei nIII and nIV. Overall, these results are in good agreement with previous studies of GnRH-like immunoreactivity in other avian species, with some variations, most notably in the hypothalamic region. A surprising finding of the posthatching material was the absence of GnRH-like immunoreactive neurons and fibers in the septal-preoptic-hypothalamic region in the early days following hatching. The number and size of GnRH-containing neurons increased steadily in the post-hatching period from days 4-21. Also noteworthy was the absence of immunoreactive fibers in the median eminence and tuberal hypothalamic region before day 21 posthatching, suggesting that the hypothalamic-pituitarygonadal axis may not be mature before this time in the altricial and semialtricial species studied here.
Introduction
Group prenatal and well‐baby care is a system of health care visits that occur in a group setting. Each individual session lasts approximately 2 hours, allowing more time for education and support than can occur in an individual visit. Compared with individual care, research suggests that group care is associated with similar or better short‐term outcomes, but no studies have yet examined potential long‐term benefits beyond one year postpartum. The purpose of this qualitative descriptive study was to elicit women's recall about content covered in group prenatal and well‐baby care and whether they were or were not continuing to use skills discussed during group prenatal and well‐baby care 2 or more years after their group ended.
Methods
Eligible women participated in group prenatal and/or well‐baby care between 2008 and 2012, were aged at least 18 years, and were English‐speaking. Of the 127 eligible women, 32 were reached and 17 agreed to participate. Women were interviewed on average 3 years after group prenatal or well‐baby care ended using a semistructured interview guide. Transcripts were reviewed and coded by each team member. Final codes and themes were identified using an iterative review process among the research team.
Results
Three themes were identified: sustained change, transferable skills, and group as a safe haven. All women were still using strategies discussed during group and had made sustained improvements in nutrition, stress management, and/or in the quality of their interactions with their children, partner, or families. The group environment was described as a safe haven: a respectful, nonjudgmental space that allowed women to share and support each other while learning new skills.
Discussion
This is the first study to document that group prenatal and well‐baby care is associated with long‐term benefits in areas not yet reported in the literature: nutrition, family communication, and parenting.
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