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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.

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?

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.

Amniotic Fluid Embolism

Sundin, Courtney Stanley; Mazac, Lauren Bradham

MCN, American Journal of Maternal Child Nursing . 42(1):29-35, January/February 2017.

Amniotic fluid embolism is an unpredictable and potentially lethal complication of pregnancy. Maternal and fetal mortality remain high, although improvements in critical care over the years have contributed to better survival rates. An overview of what is known about amniotic fluid embolism is presented along with an exemplar case.

Choosing Wisely

Simpson, Kathleen Rice

MCN, American Journal of Maternal Child Nursing . 41(3):196, May/June 2016.

Providing health information at the appropriate literacy level and in enough detail so women are empowered to make wise choices for their care is one of the most important aspects of perinatal nursing. Unnecessary interventions increase risk of patient harm and result in excess healthcare costs. Choosing wisely promotes patient safety and sensible use of limited health resources.

Perinatal Practices & Traditions Among Asian Indian Women

Goyal, Deepika

MCN, American Journal of Maternal Child Nursing . 41(2):90-97, March/April 2016.

Asian Indian women living in the United States have many cultural practices and traditions related to pregnancy, birth, and postpartum. An overview is provided to help perinatal nurses give quality care to this unique and growing population.

Cardiac Arrest in Pregnancy

Killion, Molly

MCN, American Journal of Maternal Child Nursing . 40(4):262, July/August 2015.

Cardiac arrest during pregnancy is an event every obstetric and neonatal team hopes to avoid, however it remains a risk as our maternal population continues to have complicating comorbidities in pregnancy. Preplanning and multidisciplinary simulation may help to improve outcomes and team response.

Randomized Controlled Trial of Use of the Peanut Ball During Labor

Roth, Cheryl; Dent, Sarah A.; Parfitt, Sheryl E.; More

MCN, American Journal of Maternal Child Nursing . 41(3):140-146, May/June 2016.

The peanut ball is a specific type of birthing ball used by some women in labor. It may be helpful in maternal positioning and promoting labor progress. A randomized trial of peanut ball use is reported.

Implications of Preterm Birth for Maternal Mental Health and Infant Development

Anderson, Cheryl; Cacola, Priscila

MCN, American Journal of Maternal Child Nursing . 42(2):108-114, March/April 2017.

Preterm birth can be a traumatic event as it is many times unexpected and often leads to admission to the neonatal intensive care unit (NICU). Mothers of infants in the NICU experience stress that can progress to depressive symptoms and posttraumatic stress disorder. These mental health issues can have a negative impact on maternal-infant attachment and infant development.

The Maternal Fetal Triage Index: A Standardized Approach to OB Triage

Killion, Molly M.

MCN, American Journal of Maternal Child Nursing . 41(6):372, November/December 2016.

The Association of Women's Health, Obstetric, and Neonatal Nurses has developed and validated the Maternal Fetal Triage Index. This standardized approach to assessing and assigning acuity of pregnant women who present to the hospital for care may be an effective and safe way to allocate care and resources. The American College of Obstetricians and Gynecologists also is recommending use of this type of tool.

Underwater Birth: An Elective Intervention With Safety Concerns

Simpson, Kathleen Rice

MCN, American Journal of Maternal Child Nursing . 39(5):340, September/October 2014.

Underwater birth is an elective intervention to promote maternal comfort and relaxation. Recommendations from professional organizations are not in agreement as to the safety of underwater birth for the baby. What type of evidence is available about underwater birth?

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.

The Fetal Care Team: Care for Pregnant Women Carrying a Fetus with a Serious Diagnosis

Loyet, Margaret; McLean, Amy; Graham, Karen; More

MCN, American Journal of Maternal Child Nursing . 41(6):349-355, November/December 2016.

When pregnant women learn their fetus has a diagnosis of a serious or lethal anomaly, a coordinated multidisciplinary team approach can offer much needed support, information, and navigation through the complex health system. Registered nurse fetal care team coordinators assist women and their families at this perinatal center when the pregnancy does not go as expected. Descriptions of their roles as part of the fetal care team and the service they provide are presented.

Skin-to-Skin Contact: A Comforting Place With Comfort Food

Ludington-Hoe, Susan M.

MCN, American Journal of Maternal Child Nursing . 40(6):359-366, November/December 2015.

Evidence suggests skin-to-skin contact between the mother and newborn provides a comforting environment. Skin-to-skin contact promotes infant physiologic stability and warmth, helps in organizing infant sleep, reduces stress and pain, and makes breast milk readily available. Comfort to the newborn can be effectively accomplished by skin-to-skin contact.

Teen Mothers' Mental Health

SmithBattle, Lee; Freed, Patricia

MCN, American Journal of Maternal Child Nursing . 41(1):31-36, January/February 2016.

Teen mothers often have psychological distress. High rates of distress are attributed to teen mothers' childhood adversities and the difficulties of parenting in the context of chronic stress, cumulative disadvantage, and limited social support.

Antimicrobial Susceptibility Testing in Group B Streptococcus-Positive, Penicillin-Allergic Women

Wisner, Kirsten

MCN, American Journal of Maternal Child Nursing . 40(5):327, September/October 2015.

Compliance with some important aspects of the CDC guidelines for prevention of perinatal group B streptococcal disease regarding antimicrobial susceptibility testing in penicillin-allergic women remains unacceptably low. Lack of adherence to some of the details increases risk of harm to newborn babies. Our maternity nursing expert has prepared a brief overview.

Nurses' Perceptions of Caring for Childbearing Women who Misuse Opioids

Shaw, Michele Rose; Lederhos, Crystal; Haberman, Mel; More

MCN, American Journal of Maternal Child Nursing . 41(1):37-42, January/February 2016.

Misuse of prescription and illicit opioids among women of childbearing age has dramatically increased over the last 30 years in the United States. This study explores nurses' perceptions of challenges and opportunities in providing nursing care for childbearing women who misuse opioids and their babies who have been exposed to opioids during pregnancy.

Managing Birth Asphyxia: Helping Babies Breathe

Callister, Lynn Clark

MCN, American Journal of Maternal Child Nursing . 41(1):62, January/February 2016.

Helping Babies Breathe (HBB) is a remarkable evidence-based intervention with documented significant outcomes. It is a neonatal resuscitation program embedded within essential services for mothers and newborns in partnership with the American Academy of Pediatrics, the World Health Organization, United States Agency for International Development, Save the Children's Saving Newborn Lives program, the National Institute of Child Health and Development, and other global health stakeholders. Our global health expert, Dr. Callister, provides an overview of the program.

Virtual Visits: Managing prenatal care with modern technology

Pflugeisen, Bethann M.; McCarren, Christi; Poore, Stephen; More

MCN, American Journal of Maternal Child Nursing . 41(1):24-30, January/February 2016.

Virtual prenatal visits interspersed with in-office visits are a novel way to meet the needs of healthy low-risk pregnant women and may offer the ability to improve efficiency while decreasing costs.

Missed Nursing Care in the Perinatal Setting

Simpson, Kathleen Rice

MCN, American Journal of Maternal Child Nursing . 41(4):260, July/August 2016.

Missed nursing care is a concept that has been studied widely over the past few years, but not in maternity or neonatal units. For the purposes of measurement, missed care has been conceptualized by researchers as nursing care that is not done in a timely manner, not done as completely as needed, or not done at all (i.e., delayed, unfinished, or missed care). Missed nursing care is worthy of study in the perinatal setting because we all know when nurses are too busy, things can get missed.

Collaboration and Teamwork are Required for Successful Maternity Care Quality Improvement

MCN, American Journal of Maternal Child Nursing . 41(6):321, November/December 2016.

The articles in the special issue on maternity quality care improvement offer valuable information and suggestions for promoting safe care for mothers and babies during their hospitalization. Each of the projects described involved multidisciplinary collaboration and teamwork as keys to success.

Evidence-based Intervention with Women Pregnant after Perinatal Loss

Côté-Arsenault, Denise; Schwartz, Katharine; Krowchuk, Heidi; More

MCN, American Journal of Maternal Child Nursing . 39(3):177-186, May/June 2014.

We can talk among ourselves about how we best help families who experience a perinatal loss, but what evidence is available about the best way to help?

The Precautionary Principle

Simpson, Kathleen Rice

MCN, American Journal of Maternal Child Nursing . 40(3):204, May/June 2015.

Two new resources support the concept of avoiding interventions during childbirth unless needed based on the condition of the mother and baby. Unnecessary interventions are not benign and may be associated with unintended harm.

Posttraumatic Stress Disorder After Birth: A Metaphor Analysis

Beck, Cheryl Tatano

MCN, American Journal of Maternal Child Nursing . 41(2):76-83, March/April 2016.

Nine percent of mothers screened positive for meeting the diagnostic criteria for Posttraumatic Stress Disorder (PTSD) due to childbirth in a recent study of childbearing women in the United States. The purpose of this study was to analyze the language used by mothers experiencing PTSD after traumatic birth for metaphors as a rich source of insight into this mental illness for maternal child nurses.

Maternal Mortality in the United States: We Must Do Better

Simpson, Kathleen Rice

MCN, American Journal of Maternal Child Nursing . 42(1):64, January/February 2017.

In the United States, maternal death is more common than in many other developed countries and while there have been decreases in maternal mortality in other countries, there have been increases here. The continued rise in maternal deaths is a health crisis and a national tragedy that can be addressed in part with everyone working together to adopt evidence based childbirth practices and by reviewing near miss cases as a team.

Robotic Journalism and Nursing

McCartney, Patricia

MCN, American Journal of Maternal Child Nursing . 40(5):330, September/October 2015.

Robotic journalism is the use of software algorithms designed to generate written articles. Summarized structured quantifiable data are key content in healthcare communications. New journalism technology may soon challenge nurse authors and editors to incorporate robot generated content. Will we be reading nursing literature generated by robots in the near future?

Combining Regional Expertise to Form a Bereavement Support Alliance

Friedrichs, Judy B.; Kobler, Kathie; Roose, Rosmarie E.; More

MCN, American Journal of Maternal Child Nursing . 39(3):198-204, May/June 2014.

It's rare when a small professional organization is able to sustain itself for decades, and even more rare when it grows and thrives.

Health Promotion Text Blasts for Minority Adolescent Mothers

Brown, Sara; Hudson, Diane Brage; Campbell-Grossman, Christie; More

MCN, American Journal of Maternal Child Nursing . 39(6):357-362, November/December 2014.

There are innovative ways to share knowledge about parenting with young mothers. Text blasts to cell phones is one such option and was well received by participants in this study. This method may be of benefit to other young new mothers.

Bed Sharing

Beal, Judy A.

MCN, American Journal of Maternal Child Nursing . 40(1):59, January/February 2015.

Despite numerous public service campaigns and education for parents and providers, parents sharing their bed with their babies remains a pediatric health issue. Dr. Beal offers strategies for counseling new parents about bed sharing.

Evaluating Quality of Second-Stage Labor Care

Simpson, Kathleen Rice

MCN, American Journal of Maternal Child Nursing . 41(5):316, September/October 2016.

The condition of the baby at birth is a potentially valuable indicator of the quality of care during the second stage of labor. Consider using Apgar scores less than 7 at one minute as criteria for selecting cases for team review. Use the lessons learned to change practice accordingly.

Simulation as Part of Discharge Teaching for Parents of Infants in the Neonatal Intensive Care Unit

Raines, Deborah A.

MCN, American Journal of Maternal Child Nursing . 42(2):95-100, March/April 2017.

Parents watching the nurse caring for their baby, followed by return demonstrations are traditional methods of discharge teaching for parents of babies in the neonatal intensive care unit (NICU). Simulation is widely used for enhancing learning of healthcare professionals, but little is known about simulation for family caregivers such as parents of a baby being discharged from the NICU. A program involving simulation as part of NICU parents' discharge teaching is presented.

Promoting Teen Mothers' Mental Health

Freed, Patricia; SmithBattle, Lee

MCN, American Journal of Maternal Child Nursing . 41(2):84-89, March/April 2016.

Teen mothers may have experienced adverse childhood experiences that were distressing and traumatic. These events can have a negative influence on their pregnancy and parenting. Trauma-informed care and strengths-based care can be helpful in supporting teen mothers.

Length of Second-Stage Labor: Safety Considerations

Simpson, Kathleen Rice

MCN, American Journal of Maternal Child Nursing . 41(6):380, November/December 2016.

Extending the duration of second stage labor beyond what has traditionally been considered standard may be beneficial in promoting vaginal birth. However, there are small but significant risks to mother and baby. Thus careful consideration, including periodic assessment of maternal and fetal wellbeing and chances of successful vaginal birth, should be occurring as a team. A collaborative discussion between the labor nurse and birth attendant that covers these two important clinical points at least every hour when second stage labor pushing exceeds 2 hours for nulliparous women and 1 hour for multiparous women may be a valuable safety measure.

Concussion Evaluation and Management in Pediatrics

Rivera, Robin G.; Roberson, Susan P.; Whelan, Margaret; More

MCN, American Journal of Maternal Child Nursing . 40(2):76-86, March/April 2015.

Concussion assessment and management are timely topics in pediatric nursing. Information about symptom checklists, sideline and balance assessment tools, and neurocognitive assessment instruments, is offered to promote use of evidence-based guidelines.

Implementing Skin-to-Skin Care in the Operating Room After Cesarean Birth

Sundin, Courtney Stanley; Mazac, Lauren Bradham

MCN, American Journal of Maternal Child Nursing . 40(4):249-255, July/August 2015.

Placing the baby skin to skin with the mother in the OR after cesarean birth may have positive implications for maternal satisfaction with the birth experience and maternal perceptions of pain during the surgical procedure. Infant safety should be supported by a nurse with the mother and baby during the skin to skin process.

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.

Transgender Men and Lactation: What Nurses Need to Know

Wolfe-Roubatis, Emily; Spatz, Diane L.

MCN, American Journal of Maternal Child Nursing . 40(1):32-38, January/February 2015.

Many perinatal nurses have little knowledge of transgender men and their healthcare needs during their childbirth experience. Valuable information is presented that will be helpful in caring for this unique subset of childbearing patients.

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?

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.

Gentle Cesarean Birth

Wisner, Kirsten

MCN, American Journal of Maternal Child Nursing . 41(3):186, May/June 2016.

What can be done during cesarean birth to promote the birth aspect of the procedure while keeping the surgical safety processes in place to protect mother and baby? Our maternity nursing expert explains this trend in care during childbirth.

Magnesium Sulfate for Neuroprotection

Killion, Molly M.

MCN, American Journal of Maternal Child Nursing . 40(6):394, November/December 2015.

Magnesium sulfate administered intravenously to women at risk for early preterm birth can decrease risk of cerebral palsy in their babies. The regime from one of the larger randomized trials that studied magnesium sulfate for neuroprotection should be used. A standard protocol for all women who are appropriate candidates is not yet available because each of the randomized trials used different dosing regimens.

Antenatal Corticosteroids in the Late Preterm Period

Wisner, Kirsten

MCN, American Journal of Maternal Child Nursing . 41(5):308, September/October 2016.

Results of a recent multicenter randomized clinical trial found less respiratory morbidity among newborns when their mothers who were at risk for preterm birth from 34 weeks and 0 days up to 36 weeks and 5 days gestation were given antenatal betamethasone. Therefore the Society for Maternal-Fetal Medicine now recommends that women at risk for late preterm birth be given antenatal steroids using a suggested protocol for dosing, appropriate candidates, and gestational dating criteria to reduce respiratory morbidity among late preterm babies.

Relational Care for Perinatal Substance Use: A Systematic Review

Kramlich, Debra; Kronk, Rebecca

MCN, American Journal of Maternal Child Nursing . 40(5):320-326, September/October 2015.

This systematic review suggests comprehensive, integrated multidisciplinary services for pregnant women with substance use disorder are showing positive results. Pregnant women's engagement with comprehensive services facilitated by caring relationships with health care providers may improve perinatal outcomes.

Avoiding Adverse Events after Postpartum Hospital Discharge

Simpson, Kathleen Rice

MCN, American Journal of Maternal Child Nursing . 42(2):124, March/April 2017.

The hospital discharge process for new mothers and babies after childbirth is not always as comprehensive and individualized as it should be. Recommendations from the Agency for Healthcare Research and Quality for avoiding adverse events after hospital discharge are discussed and applied to postpartum and newborn care.

Texting Protected Health Information in Healthcare

McCartney, Patricia

MCN, American Journal of Maternal Child Nursing . 40(1):61, January/February 2015.

Texting protected health information can be quick and convenient, however there is important information nurses need to know to be fully compliant with standards and guidelines from the Health Insurance Portability and Accountability Act (HIPAA), Health Information Technology Economic and Clinical Health Act (HITECH), and National Institute of Standards and Technology (NIST).

Acceptability and Initial Efficacy of Education for Teen Mothers

Logsdon, M. Cynthia; Davis, Deborah Winders; Stikes, Reetta; More

MCN, American Journal of Maternal Child Nursing . 40(3):186-192, May/June 2015.

Pregnant teens are in need of education about many aspects of prenatal health, labor, birth and postpartum, and infant care. The process of learning important information about maternal-newborn care and the challenges of retaining the information over time are explored in this study. Health literacy is essential to promoting quality outcomes for mothers and babies.

Intermittent Auscultation in Low-Risk Labor

Wisner, Kirsten

MCN, American Journal of Maternal Child Nursing . 40(1):58, January/February 2015.

Our new columnist on hot topics in maternity nursing provides information on how to use intermittent auscultation (IA) and encourages you to consider asking for an order for IA, if one does not exist, when caring for women at low risk for complications during labor.

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.

The American Nurses Association's White Paper on Nurse Staffing : Clinical and Economic Benefits of Appropriate Staffing

MCN, American Journal of Maternal Child Nursing . 41(3):139, May/June 2016.

The American Nurses Association has published a new white paper on nurse staffing Optimal Nurse Staffing to Improve Quality of Care and Patient Outcomes. All nurses should review this document to be up-to-date on the latest evidence linking appropriate nurse staffing to better outcomes for patients.

Energy Drinks: Implications for the Breastfeeding Mother

Thorlton, Janet; Ahmed, Azza; Colby, David A.

MCN, American Journal of Maternal Child Nursing . 41(3):179-185, May/June 2016.

Energy drinks are often used by new mothers who are fatigued by the demands of breastfeeding but little is known about the effects of the contents on infants and the interaction of the contents with the prenatal vitamins many times used by breastfeeding mothers. An overview of the clinical implications of energy drink use by new mothers is provided.

Interoperability Standards and the Potential of Interoperability

McCartney, Patricia

MCN, American Journal of Maternal Child Nursing . 41(3):189, May/June 2016.

As any nurse who uses an electronic medical record knows, interoperability between systems is a huge problem. While caring for one patient, a nurse may have to interact with multiple systems, none of which “talk to each other”, requiring a significant amount of duplicate documentation, extra time, risk of error, and overall unneeded frustration. Measures of progress on interoperability for nursing are discussed and a general update is provided by our HIT expert Dr. McCartney.

Bladder Management With Epidural Anesthesia During Labor: A Randomized Controlled Trial

Wilson, Barbara L.; Passante, Tammy; Rauschenbach, Diane; More

MCN, American Journal of Maternal Child Nursing . 40(4):234-242, July/August 2015.

Results of this randomized controlled trial should cause nurses to question routine use of indwelling catheters for women in labor who have epidural analgesia. As with many uncessary interventions, there may be unintended consequences.

Obstetric Triage

MCN, American Journal of Maternal Child Nursing . 39(5):280, September/October 2014.

The systematic review on obstetric triage in this issue is really worth reading. For those who are considering developing a quality improvement project or conducting research, this is a topic is waiting for your ideas.

A Meta-Analysis of Preterm Infant Massage: An Ancient Practice With Contemporary Applications

Badr, Lina Kurdahi; Abdallah, Bahia; Kahale, Lara

MCN, American Journal of Maternal Child Nursing . 40(6):344-358, November/December 2015.

Massage therapy may be a comforting measure for infants in the neonatal intensive care unit (NICU) to improve weight gain and enhance mental development. However, based on the state of the current evidence, it is challenging to make definite clinical recommendations.

Perceptions of Care in Women Sent Home in Latent Labor

Hosek, Claire; Faucher, Mary Ann; Lankford, Janice; More

MCN, American Journal of Maternal Child Nursing . 39(2):115-121, March/April 2014.

Lots of women come to the triage unit hoping they will have their babies soon, only to be sent home to wait some more. What are these women thinking? What do they want, and what do they need?

Safe Prevention of Primary Cesarean Birth

Simpson, Kathleen Rice

MCN, American Journal of Maternal Child Nursing . 39(4):276, July/August 2014.

Efforts to minimize risk of unnecessary cesarean birth can be promoted given the large body of evidence published on various aspects of labor management over the past decade. Avoiding elective induction of labor before 41 completed weeks of gestation is a major recommendation.

Newborn Safety in the Hospital

Simpson, Kathleen Rice

MCN, American Journal of Maternal Child Nursing . 40(4):272, July/August 2015.

More focus is needed on the safety of newborns while in the care of their parents on the mother-baby unit to prevent babies from being accidently injured. Promotion of breastfeeding and maternal-newborn attachment should be in the context of newborn safety.

The Core Outcomes in Women's Health (CROWN) Initiative

MCN, American Journal of Maternal Child Nursing . 39(6):E1-E3, November/December 2014.

MCN is participating in an initiative with more than 55 other women's health journals to develop and promote use of a core set of outcomes for specific areas of clinical care, such as preterm birth prevention. The goal of the project is to improve the ability to compare results across studies and enhance the quality of the cumulative body of evidence in the field.

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