July/August 2017 - Volume 42 - Issue 4
pp: 193-240,E14-E17

Guest Editorial


Sepsis in Obstetrics

MCN, American Journal of Maternal Child Nursing . 42(4):193, July/August 2017.

Sepsis is a significant cause of maternal morbidity and mortality in the United States. Knowledge of the latest evidence and clinical guidelines will support best practices to promote optimal care for mothers and babies.

Hot Topics in Maternity Nursing


Delayed Umbilical Cord Clamping at Birth: Beneficial for All Babies

Killion, Molly M.

MCN, American Journal of Maternal Child Nursing . 42(4):232, July/August 2017.

Delayed clamping of the umbilical cord for at least 30 to 60 seconds at birth of vigorous term and preterm babies is now recommended by the American College of Obstetricians and Gynecologists. Our maternity nursing expert, Molly Killion, explains the rationale for this practice change.

Hot Topics in Pediatric Nursing


Neonatal Male Circumcision: Still a Controversy

Beal, Judy A.

MCN, American Journal of Maternal Child Nursing . 42(4):233, July/August 2017.

Nurses have a vital role in offering information to parents about newborn male circumcision based on current evidence and recommendations from professional organizations such as the American Academy of Pediatrics. Our pediatric nursing expert, Dr. Beal, summarizes the issue, including potential risks, benefits and areas of controversy.

Breastfeeding


Say No to Success—Say Yes to Goal Setting

Spatz, Diane L.

MCN, American Journal of Maternal Child Nursing . 42(4):234, July/August 2017.

The choice of words in promoting breastfeeding is very important. Our breastfeeding expert, Dr. Spatz, urges us to consider eliminating “success” from discussions with new mothers who are breastfeeding, and to focus instead on providing realistic information about the potential challenges and the investment in time and effort that is required, and helping them set short-term, mid-term and long term breastfeeding goals.

Global Health and Nursing


Toward Evidence Based Practice: PDF Only


Perinatal Patient Safety


Minimizing Unnecessary Interventions During Labor and Birth

Simpson, Kathleen Rice

MCN, American Journal of Maternal Child Nursing . 42(4):240, July/August 2017.

A call to minimize unnecessary interventions during labor and birth for healthy low risk women in spontaneous labor by our colleagues at the American College of Obstetricians and Gynecologists is most welcome and has been endorsed by the American College of Nurse-Midwives and the Association of Women's Health, Obstetric, and Neonatal Nurses.


Sepsis in Obstetrics: Pathophysiology and Diagnostic Definitions

Parfitt, Sheryl E.; Bogat, Mary L.; Hering, Sandra L.; More

MCN, American Journal of Maternal Child Nursing . 42(4):194-198, July/August 2017.

Sepsis in obstetrics can be challenging to identify in a timely manner so that appropriate treatment can be initiated within the first crucial hours to promote a positive outcome. The proposed pathophysiology of sepsis, new definitions associated with sepsis and septic shock, and application to maternity care are presented.

Sepsis in Obstetrics: Treatment, Prognosis, and Prevention

Parfitt, Sheryl E.; Bogat, Mary L.; Roth, Cheryl

MCN, American Journal of Maternal Child Nursing . 42(4):206-209, July/August 2017.

Sepsis during pregnancy is one of the five leading causes of maternal mortality world-wide. Early recognition and prompt treatment are necessary to improve patient outcomes. Case studies, treatment strategies, prognosis, suggestions for education for clinicians and patients, and recommendations to prevent maternal sepsis are included.

Understanding and Promoting Birth Satisfaction in New Mothers

Hinic, Katherine

MCN, American Journal of Maternal Child Nursing . 42(4):210-215, July/August 2017.

How do new mothers perceive the birth process? What contributes to their satisfaction with their childbirth experince? This study examines these issues among a group of new mothers during the first few days postpartum and offers insights on the type of care that women appreciate and desire during labor and birth.

Interdisciplinary Collaboration in Maternal Mental Health

Selix, Nancy; Henshaw, Erin; Barrera, Alinne; More

MCN, American Journal of Maternal Child Nursing . 42(4):226-231, July/August 2017.

Creating an interdisciplinary approach for maternal mental health that includes professionals involved in policy, research, community advocacy, and clinical practice can improve access to care, streamline services, and improve maternal health outcomes. This article offers examples of interdisciplinary approaches that blend technology, education, research, policy, primary care, and mental health services and discusses their benefits and challenges for maternal mental health services.

CE Connection


Sepsis in Obstetrics: Clinical Features and Early Warning Tools

Parfitt, Sheryl E.; Bogat, Mary L.; Hering, Sandra L.; More

MCN, American Journal of Maternal Child Nursing . 42(4):199-205, July/August 2017.

Risk factors for obstetric sepsis, causes, signs and symptoms, and maternal early warning tools are discussed. A recent case is presented that highlights the potential for significant maternal morbidity when there is a delay in identification of development of sepsis during pregnancy and postpartum.

Risks and Benefits of Swaddling Healthy Infants: An Integrative Review

Nelson, Antonia M.

MCN, American Journal of Maternal Child Nursing . 42(4):216-225, July/August 2017.

Swaddling has been practiced for ages; however, there is controversy about its safety. This integrative review covers recent evidence on various issues about infant swaddling so nurses can offer accurate advice to parents and infant caregivers.