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MCN, American Journal of Maternal Child Nursing. 41(6):321, November/December 2016.
The articles in the special issue on maternity quality care improvement offer valuable information and suggestions for promoting safe care for mothers and babies during their hospitalization. Each of the projects described involved multidisciplinary collaboration and teamwork as keys to success.
Killion, Molly M.
Killion, Molly M. Less
MCN, American Journal of Maternal Child Nursing. 41(6):372, November/December 2016.
The Association of Women's Health, Obstetric, and Neonatal Nurses has developed and validated the Maternal Fetal Triage Index. This standardized approach to assessing and assigning acuity of pregnant women who present to the hospital for care may be an effective and safe way to allocate care and resources. The American College of Obstetricians and Gynecologists also is recommending use of this type of tool.
Beal, Judy A.
Beal, Judy A. Less
MCN, American Journal of Maternal Child Nursing. 41(6):373, November/December 2016.
Baby-led weaning (BLW) is growing in popularity among parents. This method of introducing solid food is different from the recommendations from the American Academy of Pediatrics. Instead of limiting intake for the first six months to breastmilk or formula and liquids other than milk, small portions of solid food are offered to babies when parents feel their baby is ready. The process of initiating feeding starting with pureed foods spoon-fed to babies by an adult is not part of the baby-led weaning feeding method. Available data on BLW are limited about risks, benefits, and outcomes. Our expert in pediatric nursing, Dr. Beal, explains BLW.
Spatz, Diane L.
Spatz, Diane L. Less
MCN, American Journal of Maternal Child Nursing. 41(6):374, November/December 2016.
Offering mothers options for breastfeeding should be part of a comprehensive perinatal palliative care program. Our breastfeeding expert, Dr. Spatz, describes how breastfeeding is integrated into the palliative care program at the Center for Fetal Diagnosis and Treatment at the Children's Hospital of Philadelphia where she is a nurse researcher and director of the lactation program.
Callister, Lynn Clark
Callister, Lynn Clark Less
MCN, American Journal of Maternal Child Nursing. 41(6):375, November/December 2016.
Small amounts of monetary resources can make a big difference to promote the health and safety of women and children living in poverty across the world. Our expert in global health nursing, Dr. Callister, describes a new resource on ways to help this vulnerable population that do not require vast financial means.
Collins, Elizabeth; Guimei, Maaly; Rohan, Annie
Collins, Elizabeth; Guimei, Maaly; Rohan, Annie Less
MCN, American Journal of Maternal Child Nursing. 41(6):376-378, November/December 2016.
Experts suggest how 6 research articles can be used in nursing practice.
Simpson, Kathleen Rice
Simpson, Kathleen Rice Less
MCN, American Journal of Maternal Child Nursing. 41(6):380, November/December 2016.
Extending the duration of second stage labor beyond what has traditionally been considered standard may be beneficial in promoting vaginal birth. However, there are small but significant risks to mother and baby. Thus careful consideration, including periodic assessment of maternal and fetal wellbeing and chances of successful vaginal birth, should be occurring as a team. A collaborative discussion between the labor nurse and birth attendant that covers these two important clinical points at least every hour when second stage labor pushing exceeds 2 hours for nulliparous women and 1 hour for multiparous women may be a valuable safety measure.
Thompson, Heather; Legorreta, Kimberly; Maher, Mary Ann; More
Thompson, Heather; Legorreta, Kimberly; Maher, Mary Ann; Lavin, Melanie M. Less
MCN, American Journal of Maternal Child Nursing. 41(6):322-331, November/December 2016.
There are many important aspects in the process of planning, designing, building, and moving a large volume maternity service to a new labor and birth unit. Nurses play a crucial role in making sure patient safety and quality care are at the forefront of the project. The data presented here will be useful to other teams planning a new labor and birth unit.
VonBehren, Diane; Killion, Molly M.; Burke, Carol; More
VonBehren, Diane; Killion, Molly M.; Burke, Carol; Finkelmeier, Betsy; Zamora, Brigit Less
MCN, American Journal of Maternal Child Nursing. 41(6):332-339, November/December 2016.
Expert nurse leaders who participated in recent planning, design, building, and moving into a new women's hospital share their experiences with the process and offer advice to those who may be considering a move.
Loyet, Margaret; McLean, Amy; Graham, Karen; More
Loyet, Margaret; McLean, Amy; Graham, Karen; Antoine, Cheryl; Fossick, Kathy Less
MCN, American Journal of Maternal Child Nursing. 41(6):349-355, November/December 2016.
When pregnant women learn their fetus has a diagnosis of a serious or lethal anomaly, a coordinated multidisciplinary team approach can offer much needed support, information, and navigation through the complex health system. Registered nurse fetal care team coordinators assist women and their families at this perinatal center when the pregnancy does not go as expected. Descriptions of their roles as part of the fetal care team and the service they provide are presented.
Schlegel, Merry L.; Whalen, Jeanne L.; Williamsen, Pilar M.
Schlegel, Merry L.; Whalen, Jeanne L.; Williamsen, Pilar M. Less
MCN, American Journal of Maternal Child Nursing. 41(6):356-362, November/December 2016.
Being hospitalized due to obstetric or fetal complications can be stressful for pregnant women. Activity restriction or bedrest can be uncomfortable. This innovative program offers integrative therapies to reduce stress and discomfort for pregnant women hospitalized on the antepartum unit. Therapies such as massage, Healing Touch, acupuncture, guided imagery, and reflexology are included. Data on effects of these integrative therapies are presented.
Bell, Ashley M.; Bohannon, Jessica; Porthouse, Lisa; More
Bell, Ashley M.; Bohannon, Jessica; Porthouse, Lisa; Thompson, Heather; Vago, Tony Less
MCN, American Journal of Maternal Child Nursing. 41(6):340-348, November/December 2016.
After a move to a new labor and birth unit, nurse leaders recognized the need to evaluate several processes and operations to enhance quality, safety, and efficiency. Elective labor induction, scheduled cesarean birth, obstetric triage, and transfer of maternity patients within the hospital are some of the aspects of care that were studied and improved by staff nurses and nursing leaders working in collaboration with other members of the perinatal team. These processes commonly present challenges in maternity units, so lessons learned may be applicable to other nurses caring for women during labor and birth.
Lyndon, Audrey; Cape, Valerie
Lyndon, Audrey; Cape, Valerie Less
MCN, American Journal of Maternal Child Nursing. 41(6):363-371, November/December 2016.
Obstetric hemorrhage is a leading cause of maternal death in the United States and the world. Organized collaborative efforts with representatives from all members of the perinatal team have been underway in the United States to reduce postpartum hemorrhage. The California Maternal Quality Care Collaborative (CMQCC) has been the leader in developing an obstetric hemorrhage toolkit that has been used by multiple hospitals and healthcare systems across the country. The first author of the CMQCC obstetric hemorrhage toolkit, Dr. Audrey Lyndon, and her colleague Valerie Cape, project coordinator, share their analysis of lessons learned from the collaborative.
MCN, American Journal of Maternal Child Nursing. 41(6):E22-E23, November/December 2016.
MCN, American Journal of Maternal Child Nursing. 41(6):E24-E25, November/December 2016.
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