A Nurse-Directed Model for Nitrous Oxide Use During Labor

Nitrous oxide is becoming more widely available to women laboring and giving birth in the United States. A nurse-directed model for offering nitrous oxide during labor in a small volume perinatal service in a rural community hospital is presented.

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Global Immunizations: Health Promotion and Disease Prevention Worldwide

Global immunizations save 2.5 million lives per year, yet in many areas of the world, there are low rates of immunizations. Three million people worldwide still die every year from vaccine preventable diseases; about half of those deaths are young children and infants. Barriers to immunizations are presented as well as ongoing work to improve immunization rates worldwide.

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Honoring Motherhood: The Meaning of Childbirth for Tongan Women

Tongan women who had recently given birth were intereviewed about their experiences in this study. The overarching theme was honoring motherhood, with other subthemes related to an unmedicated vaginal birth, spiritual dimensions of birth, cultural practices, and the concept of respect. These data will be useful for nurses caring for women from Tonga who are giving birth in the United States.

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Use of Traditional Birth Practices by Chinese Women in the United States

With globalization, many women are giving birth in countries other than where they were born. This study explores use of traditional birth practices by Chinese women in the United States. Chinese women giving birth in the United States respect traditional childbirth practices, while building their own views of each tradition by integrating an evaluation of Chinese and American perspectives.

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Sleep Quality and Quantity in Low-Income Postpartum Women

Patterns of postpartum sleep, fatigue, and depressive symptoms were studied in low income urban women. Findings suggest adverse effects of inadequate sleep on physical and mental health as well as safety and functioning, especially within the context of poverty, may be profound.

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Challenges to Breastfeeding Initiation and Duration for Teen Mothers

Breastfeeding practices of teen participants in a community outreach program that promoted breastfeeding through prenatal and postpartum support were studied. Nearly all teens reported initiating breastfeeding but few breastfed to six months. Teens stopped breastfeeding for the same reasons reported by adult mothers. Findings highlight areas in which teen mothers' knowledge and skills can be supported to promote breastfeeding duration, including pain management and better recognition of infant cues.

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