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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.

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.

A Nurse-Directed Model for Nitrous Oxide Use During Labor

Pinyan, Toni; Curlee, Kelly; Keever, Mellanie; More

MCN, American Journal of Maternal Child Nursing . 42(3):160-165, May/June 2017.

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.

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 Immunizations: Health Promotion and Disease Prevention Worldwide

Macintosh, Janelle L. B.; Eden, Lacey M.; Luthy, Karlen E.; More

MCN, American Journal of Maternal Child Nursing . 42(3):139-145, May/June 2017.

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.

Sleep Quality and Quantity in Low-Income Postpartum Women

Doering, Jennifer J.; Szabo, Aniko; Goyal, Deepika; More

MCN, American Journal of Maternal Child Nursing . 42(3):166-172, May/June 2017.

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.

Honoring Motherhood: The Meaning of Childbirth for Tongan Women

Reed, Shelly J.; Callister, Lynn Clark; Kavaefiafi, ‘Ana; More

MCN, American Journal of Maternal Child Nursing . 42(3):146-152, May/June 2017.

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.

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

Saito, Maki; Lyndon, Audrey

MCN, American Journal of Maternal Child Nursing . 42(3):153-159, May/June 2017.

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.

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.

The Built Environment and Birth Outcomes: A Systematic Review

Nowak, Alexandra L.; Giurgescu, Carmen

MCN, American Journal of Maternal Child Nursing . 42(1):14-20, January/February 2017.

A poor-quality built environment may be related to negative birth outcomes such as preterm birth and low birthweight infants by increasing psychological stress and/or depressive symptoms for pregnant women. African American women are more likely to live in poor-quality built environments compared with white women and therefore may be at greater risk.

Mothers' Weaning Practices when Infants Breastfeed for More Than One Year

Cunniff, Addie; Spatz, Diane

MCN, American Journal of Maternal Child Nursing . 42(2):88-94, March/April 2017.

Not much is known about weaning from breastfeeding after the baby is a year old or more. The literature has not been updated for over a decade. A summary of current issues and four exemplar cases of weaning after extended breastfeeding are presented.

Nurse Staffing and Care During the Immediate Postpartum Recovery Period

Simpson, Kathleen Rice

MCN, American Journal of Maternal Child Nursing . 40(6):403, November/December 2015.

The first hours after birth are a time of joy and excitement, but also are associated with risk. What can you do to make sure the mother and baby are safe as they transition physiologically during the immediate postpartum recovery period? What standards and guidelines promote maternal and newborn safety during this time?

When Healthy Eating is Carried to the Extreme

Morin, Karen

MCN, American Journal of Maternal Child Nursing . 42(3):181, May/June 2017.

Orthorexia nervosa is a fairly new nonspecific eating disorder, and given societal emphasis on health and healthy diets, nurses should be familiar with it and the consequences. Our nutrition expert, Dr. Morin, offers advice on how to identify those with orthorexia nervosa. This is the last column by Dr. Morin and we thank her for many years of service to MCN as the nutrition columnist.

Obstetric Triage: A Systematic Review of the Past Fifteen Years: 1998-2013

Angelini, Diane; Howard, Elisabeth

MCN, American Journal of Maternal Child Nursing . 39(5):284-297, September/October 2014.

Obstetric triage is a major part of the process of care provided to women who present to the hospital during pregnancy. This systematic review of the literature regarding obstetric triage over the past 15 years offers important information on how obstetric triage has evolved in the United States, best practices, and areas for future research.

Acculturation and Postpartum Depressive Symptoms among Hispanic Women in the United States: Systematic Review

Alhasanat, Dalia; Giurgescu, Carmen

MCN, American Journal of Maternal Child Nursing . 42(1):21-28, January/February 2017.

Higher levels of acculturation may be related to higher risk of postpartum depressive symptoms in Hispanic women living in the United States. Nurses should have an understanding of the stressors of immigrant women to guide their assessment and screening for postpartum depressive symptoms and make appropriate referrals.

Screening for Tobacco and Nicotine Use in Pregnancy

Wisner, Kirsten

MCN, American Journal of Maternal Child Nursing . 42(3):179, May/June 2017.

Nearly 10 percent of women in the United States report smoking at one time during their pregnancy. Screening for tobacco and nicotine use during pregnancy is important to identify women who need help with smoking cessation. Various types of tobacco and nicotine products are discussed to familiarize nurses with new products that women should be asked about during pregnancy in addition to cigarettes. Smoking cessation toolkits and resources for clinicians are presented.

Maternal Hemorrhage Quality Improvement Collaborative Lessons

Lyndon, Audrey; Cape, Valerie

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.

Sustainable Development and the Literacy of Women and Girls

Callister, Lynn Clark

MCN, American Journal of Maternal Child Nursing . 42(3):182, May/June 2017.

Many women and girls in developing countries are illiterate. Literacy and health are closely related. As literacy improves, so does the health of women and girls, while maternal morbidity and mortality decreases. Our global health nursing expert, Dr. Callister, discusses the relationship between literacy and maternal child health worldwide and what organizations are doing to help.

Disruptive Behavior in the Clinical Setting: Implications for Patient Safety

Simpson, Kathleen Rice

MCN, American Journal of Maternal Child Nursing . 42(3):188, May/June 2017.

Disruptive clinician behavior continues to be a problem in the clinical setting and increases risk of preventable harm to mothers and babies. A new committee opinion from the American College of Obstetrician and Gynecologists offers updated information about this type of behavior in our practice specialty and how to address it.

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.

Introducing Allergenic Food into Infants' Diets: Systematic Review

Larson, Katelin; McLaughlin, Jessica; Stonehouse, Mallory; More

MCN, American Journal of Maternal Child Nursing . 42(2):72-80, March/April 2017.

Delaying introduction of potentially allergenic foods may have had unintended consequences of increasing prevalence of food allergies among children. A review of the evidence suggests early rather than delayed introduction may be the best option for low risk infants.

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