by a researcher into a study that is rigorous and has a large enough sample size from each subsampie so that the findings are valid and reliable. Shan...

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by a researcher into a study that is rigorous and has a large enough sample size from each subsampie so that the findings are valid and reliable. Shannon E. Perry, RN,PhD, FAAN Burlinga m e, CA

cultural Perception of the Unborn I read with interest the book review of The Perception of the Unborn Across the Cultures of the World (January 1996JOGNN). The reviewer describes the book as “comprehensive, scholarly, and well-written.’’ She also notes that the author provides advice to mothers on how to assure “physical and mental health for her unborn child” based on the opinion of an experienced obstetrician/gynecologist. I disagree. Much of the data were collected from one mother or one health care professional while the author, von Raffler-Engel, was traveling internationally. The author then generalized the opinions of those individuals to the culture or country. The book actually presents the musings of a researcher and lecturer who had conversations with people about their perceptions of the fetus. How many of us would base our understanding of how Mexicans view the unborn by talking to one mother from Mexico or would provide advice to mothers o n how to assure physical and mental health of a fetus on the opinion of one obstetrician/ gynecologist? I hope the answer to that question is a resounding “none.“ I believe the value of the book lies in raising our consciousness about the possibilities of understanding more about the unborn and what might influence their health, as well as the universality of perceptions of the unborn. I hope that von RafflerEngel’s musings might be translated

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Breastfeeding The recent series of articles regarding infection and immunization during the postpartum period (September 1995 JOGNN) was of the highest quality. Congratulations to the authors. It was with particular delight that I read Orlando’s “The Immunologic Significance of Breast Milk.” However, placement of this article at the beginning rather than at the end of the series would have been more appropriate. Breast milk is the standard food for infants, intended to modulate and enhance the immune system; resist invading bacterial, viral, and fungal infections; and to be the infant’s first immunization. Were more infants breastfed exclusively, the illness discussed on the previous pages would be significantly less.

Reviewer Recognition Thank you for the beautiful editorial recognizing me as JOG” reviewer of the year (NovembedDecember 1995JOG”). I appreciate the editorial board’s decision to initiate this distinct commendation and believe that it reflects the professionalism and caring associated with the journal. It has been a privilege to serve as a board member and reviewer. The wealth of talent and scholarship in our authors is greatly encouraging to me, and I never cease to be amazed at their creative approaches for advancing the health of women, families, and our profession. Judith Carveth Trexler, RN,PhD,

Anne Andrianos, MSN, IBCLC Director, Breastfeeding Center Health Science Center State University ofNew York Syracuse

The JOG” editor welcomes readers’ comments. Address letters to the editor, JOGNN, 700 14th St., NW, Suite 600, Washington, DC 20005-2019.All letters should be typed double-space and signed by the author. Letters will be published at the editor’s discretion, and JOG” reserves the right to edit all letters.

Volume 25, Number 5

CNM Assistant Professor, College of Nursing University of North Carolina at Charlotte

Immunization We are senior nursing students from Curry College in Milton, MA. We en-

joyed the article “Immunization and Prevention of Childhood Disease,” by Linda L. Bellig (September 1995 JOGNRI).

Our interests are in maternal and pediatric nursing, and the article enhanced our knowledge. As nurses with the important role of education in the community, we appreciate the information this article provided. The tables of immunizations and ages of those to whom they should be administered gave us a clearer understanding of the topic. We will use this article as a guideline in our future practices and in our personal lives. Thanks to the author for writing such an informative article. Ferisba Hassan Simone Graham Curry College Milton, M A