The Maternal Gut Microbiome During Pregnancy

The prenatal period is marked by unique inflammatory and immune changes that alter maternal gut function and bacterial composition as pregnancy advances. Normal hormonal, metabolic and immunologic changes to the maternal gut microbiome throughout the prenatal period are reviewed, including relevant implications for nurses providing care for pregnant women.

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The Maternal Infant Microbiome: Considerations for Labor and Birth

Multiple aspects of the labor and birth environment have been shown to influence the initial colonization process of the newborn microbiome. Implications of various nursing activities and factors unique to the labor and birth environment that may influence the microbiome of women and newborns during labor and birth are presented.

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The Postpartum Maternal and Newborn Microbiomes

Biological and environmental changes to maternal and newborn microbiomes in the postnatal period can affect health outcomes for mothers and babies. Maternal-baby nurses have a valuable role in helping mothers and newborns promote healthy microbiomes. Factors that influence the rapidly changing postnatal microbiome of the mother and her newborn baby, and the role nurses have to positively influence immediate and long-term health outcomes are presented.

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The Neonatal Microbiome: Implications for Neonatal Intensive Care Unit Nurses

Nursing care of babies in the neonatal intensive care unit (NICU) is complex, due in large part to various physiological challenges, including the neonatal microbiome, the community of microorganisms, both helpful and harmful, that inhabit the human body. Nurses in the NICU play a key role in managing care that can positively influence the microbiome to promote more optimal health outcomes in this vulnerable population of newborn babies.

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Nurses' Knowledge and Teaching of Possible Postpartum Complications

In this study, registered nurses who care for women during postpartum were surveyed to assess their knowledge of maternal morbidity and mortality, and the information they share with women before discharge from the hospital about potential warning signs of postpartum complications. Findings suggest postpartum nurses need an update on these topics so they can offer women accurate information before their hospital discharge after childbirth that is vital to their wellbeing during the postpartum period.

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Status of High Body Weight Among Nurse-Family Partnership Children

Obesity rates and their potential associations were evaluated in cohort of over 14,000 children of mothers enrolled in the Nurse-Family Partnership, a program that includes nurse home visits. Results suggest moderation of weight gain during pregnancy, extending breastfeeding duration, and normalization of maternal body mass index before subsequent pregnancies may potentially be effective in lowering the prevalence of high body weight levels in young children of low income families.

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