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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.

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Challenges to Breastfeeding Initiation and Duration for Teen Mothers

Cota-Robles, Sonia; Pedersen, Laura; LeCroy, Craig Winston

MCN, American Journal of Maternal Child Nursing . 42(3):173-178, May/June 2017.

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.

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.

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Labor Nurses' Views of Their Influence on Cesarean Birth

Simpson, Kathleen Rice; Lyndon, Audrey

MCN, American Journal of Maternal Child Nursing . 42(2):81-87, March/April 2017.

Nurses play an important role in helping women in labor avoid avoid a cesarean birth. They offer emotional encouragement, various labor support techniques, and information on what to expect as strategies to promote vaginal birth. They focus on the positve aspects of labor progress when communicating with physicians. The dynamics of the nurse-physician relationship is at times challenging as labor nurses do not always perceive their physician colleage share the same goals and investment for mode of birth.

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.

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Parental Decision Making in Male Circumcision

Sardi, Lauren; Livingston, Kathy

MCN, American Journal of Maternal Child Nursing . 40(2):110-115, March/April 2015.

How do parents make the decision to have their newborn baby boy circumcised? What do they need to know and how can nurses make sure they have adequate information to make a truly informed decision?

Global Health of Babies and Children

Gennaro, Susan; O'Connor, Caitlin; Marx, Megan

MCN, American Journal of Maternal Child Nursing . 42(3):132-138, May/June 2017.

An overview of the health of neonates, infants, and children around the world is presented. Issues in maximizing neonatal health are examined using the framework of the Sustainable Development Goals developed by the United Nations. In an increasingly global world where wars, climate change, civil unrest, and economic uncertainty all influence health, nurses should be aware of common global health problems for babies and children and current recommendations to enhance their health.

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.

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.

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.

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.

Parent Education is Changing: A Review of Smartphone Apps

Davis, Deborah Winders; Logsdon, M. Cynthia; Vogt, Krista; More

MCN, American Journal of Maternal Child Nursing . 42(5):248-256, September/October 2017.

A critique of 46 parenting apps available in a commonly used online app store is presented using established criteria and health literacy guidelines. Many of the apps do not offer details of the source of their information and there was limited functionality, with none providing a customized experience. Mobile health solutions require rigorous research before nurses can recommend them as valid and reliable avenues for parent education.

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.

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.

A Stress Coping App for Hospitalized Pregnant Women at Risk for Preterm Birth

Jallo, Nancy; Thacker, Leroy R. II; Menzies, Victoria; More

MCN, American Journal of Maternal Child Nursing . 42(5):257-262, September/October 2017.

An app for pregnant women hospitalized with complications of preterm labor was prospectively evaluated. The app included study measures, an educational overview of concepts, four guided imagery audio files to be listened to daily, and a stress self-assessment scale to be used before and after each use. All participants reported benefits from using the app and provided suggestions for improvement.

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.

Parenting and Concerns of Pregnant Women in Buprenorphine Treatment

Rizzo, Rachel A.; Neumann, Anne M.; King, Stella O.C.; More

MCN, American Journal of Maternal Child Nursing . 39(5):319-324, September/October 2014.

Pregnant women who are addicted to prescription opioids have educational needs related to parenting skills and care for a baby that may have neonatal abstinence syndrome (NAS). A buprenorphine treatment program can decrease risk of NAS and offers the opportunity for referral to parenting programs.

A Whooping Cough Education Module for WIC Clients in Utah

Luthy, Karlen E.; Anderson, Alicia; Macintosh, Janelle; More

MCN, American Journal of Maternal Child Nursing . 42(5):283-288, September/October 2017.

Whooping cough can be devastating for babies and children. In this quality improvement project, the authors developed and tested an electronic educational module about whooping cough for women enrolled in the Supplemental Nutrition Program for Women, Infants, and Children in Utah.

Influences on Infant Feeding: Perceptions of Mother-Father Parent Dyads

Majee, Wilson; Thullen, Matthew J.; Davis, Alexandra N.; More

MCN, American Journal of Maternal Child Nursing . 42(5):289-294, September/October 2017.

This study includes 24 mother-father parent dyads who were interviewed about potential influences on their infant and toddler feeding practices. Parents offered a number of influencing factors including peer behavior reinforcement, suggestions from grandparents, healthcare provider infant feeding support, workplace flexibility, public perception on breastfeeding, and social media. Nurses can use these data to engage parents in healthy infant and toddler feeding.

The New Parent Checklist: A Tool to Promote Parental Reflection

Keys, Elizabeth M.; McNeil, Deborah A.; Wallace, Donna A.; More

MCN, American Journal of Maternal Child Nursing . 42(5):276-282, September/October 2017.

A new parent checklist was developed and tested in a three-phase process. Information provided in the checklist on parenting, relationships, and personal and family needs can be a valuable resource in reducing parental knowledge gaps, particularly those related to psychosocial support.

Safe Nurse Staffing is More than Numbers and Ratios

Simpson, Kathleen Rice

MCN, American Journal of Maternal Child Nursing . 42(5):304, September/October 2017.

Safe staffing is not numbers or ratios, rather the essential nursing care for optimal outcomes. Productivity targets should financially support enough nurses to provide care that is required based on national standards and guidelines. The numbers recommended in the AWHONN (2010) staffing guidelines represent the ability to perform that requisite nursing care.

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.

Caring for Childbearing Women in Crisis: Midwife Pilgrim

Callister, Lynn Clark

MCN, American Journal of Maternal Child Nursing . 42(5):298, September/October 2017.

As perinatal nurses, there are many opportunities to serve others and make a difference. Our global health nursing expert, Dr. Callister, discusses Midwife Pilgrim, one organization working to help women and child in disaster prone areas of the world.

Vegetarian Diet During Pregnancy: Assessment and Support

Snow, Denise

MCN, American Journal of Maternal Child Nursing . 42(5):297, September/October 2017.

Vegetarian and vegan diets can be safe during pregnancy and are becoming more popular among pregnant women. Knowledgeable and non-judgmental nursing support is essential for effective perinatal nutritional counseling. Welcome to our new nutrition columnist, Denise Snow, a clinical associate professor in the School of Nursing at the State University of New York at Stonybrook and a healthcare law attorney in a private practice.

Cry It Out: What Is It and Is It Appropriate?

Beal, Judy A.

MCN, American Journal of Maternal Child Nursing . 42(3):180, May/June 2017.

Infant wakefulness at night is common. New parents often turn to the Internet for what to do when they encounter issues with their new baby that they're not sure how to handle, however, there are multiple websites offering advice that is not evidence-based. Our pediatric nursing expert, Dr. Beal, provides the most recent information on infant wakefulness at night for nurses to be able offer helpful advice to parents.

Development of a Mobile App for Family Planning Providers

Halsall, Viannella; Rogers, Jennifer; Witt, Jacki; More

MCN, American Journal of Maternal Child Nursing . 42(5):263-268, September/October 2017.

A mobile app for family planning providers was developed and tested. Based on experiences of the development team, clinicians with an interest in developing an app should consider a collaborative approach to development, pilot test the app prior to wider distribution, and develop a web-based version of the app to be used by clinicians who are unable to access smart devices in their practice setting.

Safe Care for Maternal Substance Use and Neonatal Drug Withdrawal

Simpson, Kathleen Rice

MCN, American Journal of Maternal Child Nursing . 40(5):336, September/October 2015.

As maternal use and abuse of opioids and other prescription drugs increases, plans are needed for safe care in the inpatient setting for babies with symptoms of drug withdrawal. Staffing a well-baby nursery with a registered nurse to care for one newborn with withdrawal symptoms can negatively affect overall unit staffing and productivity budgets, but based on the population served and recent history of positive maternal and newborn drug screens, predictions can be made for staffing needs and staffing budgets adjusted accordingly.

Healthcare for Transgender Youth: Still Inadequate...Still at Risk

Beal, Judy A.

MCN, American Journal of Maternal Child Nursing . 42(5):296, September/October 2017.

With accurate and up-to-date knowledge, pediatric nurses can take the lead in advocating for evidence-based culturally competent care for transgender youth in all pediatric settings. Per our pediatric nursing expert, Dr. Beal, as nurses, we are in a unique role as the most trusted of healthcare professionals to be able to support these very vulnerable teens and their caregivers.

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