Most Popular Articles

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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?

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.

Informal Milk Sharing: What Nurses Need to Know

Martino, Kimberly; Spatz, Diane

MCN, American Journal of Maternal Child Nursing. 39(6):369-374, November/December 2014.

Informal breast milk sharing is occurring outside the hospital setting. Perinatal nurses need to know the risks and benefits so they can be helpful to women and their families who are considering milk sharing.

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.

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.

Sudden Unexpected Postnatal Collapse and Sudden Unexpected Infant Death

Simpson, Kathleen Rice

MCN, American Journal of Maternal Child Nursing. 42(6):368, November/December 2017.

Current recommendations from the American Academy of Pediatrics and the Association of Women's Health, Obstetric, and Neonatal Nurses for continuous bedside attendance by nurses for mothers and babies during the recovery period and regular monitoring of mother-baby couplets during postpartum hospitalization are supported by numerous large case series reports of sudden unexpected postnatal collapse in the hospital setting.

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?

Autologous Blood Transfusion for Postpartum Hemorrhage

Greenawalt, Julia A.; Zernell, Denise

MCN, American Journal of Maternal Child Nursing. 42(5):269-275, September/October 2017.

Autologous blood transfusion is an option for postpartum hemorrhage. An overview of the rationale, process, equipment, and clinical implications for nurses is provided.

Evaluating Venous Pool Technique for Blood Sampling in Neonatal ICU

Hatler, Carol; Dalton, Beverly; Day, Susan; More

MCN, American Journal of Maternal Child Nursing. 38(6):345-351, November/December 2013.

The evidence shown here might make you wonder if a change is needed at your institution.

Status of High Body Weight Among Nurse-Family Partnership Children

Thorland, William; Currie, Dustin; Colangelo, Claire

MCN, American Journal of Maternal Child Nursing. 42(6):352-357, November/December 2017.

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.

Postpartum Safety: A Patient-Centered Approach to Fall Prevention

Lockwood, Suzy; Anderson, Kandace

MCN, American Journal of Maternal Child Nursing. 38(1):15-18, January/February 2013.

A fall prevention team was formed to decrease the incidence of postpartum patient falls.

Skin-to-Skin Care and Rooming-In: Safety Considerations

Killion, Molly M.

MCN, American Journal of Maternal Child Nursing. 42(2):115, March/April 2017.

New recommendations from the American Academy of Pediatrics about safety considerations during skin to skin in the first few hours of life and rooming in practices for new mothers and babies during the postpartum inpatient stay are discussed.

The Postpartum Maternal and Newborn Microbiomes

Mutic, Abby D.; Jordan, Sheila; Edwards, Sara M.; More

MCN, American Journal of Maternal Child Nursing. 42(6):326-331, November/December 2017.

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.

Nurses' Knowledge and Teaching of Possible Postpartum Complications

Suplee, Patricia D.; Bingham, Debra; Kleppel, Lisa

MCN, American Journal of Maternal Child Nursing. 42(6):338-344, November/December 2017.

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.

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.

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.

Affordability and Availability of Pasteurized Donor Human Milk

Spatz, Diane L.

MCN, American Journal of Maternal Child Nursing. 42(6):362, November/December 2017.

The American Academy of Pediatrics (AAP) released a new position statement on Pasteurized Donor Human Milk (PDHM) earlier this year, emphasizing the importance of PDHM for hospitalized infants. The position statement highlights the need for PDHM for infants less than 1500 grams but acknowledges that there may be a role for PDHM to be used for other infants such as those with abdominal wall defects. Our breastfeeding expert, Dr. Diane Spatz, discusses this issue in detail.

The Maternal Infant Microbiome: Considerations for Labor and Birth

Dunn, Alexis B.; Jordan, Sheila; Baker, Brenda J.; More

MCN, American Journal of Maternal Child Nursing. 42(6):318-325, November/December 2017.

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.

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 Neonatal Microbiome: Implications for Neonatal Intensive Care Unit Nurses

Rodriguez, Jeannie; Jordan, Sheila; Mutic, Abby; More

MCN, American Journal of Maternal Child Nursing. 42(6):332-337, November/December 2017.

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.

Opioid Use in Pregnancy

Killion, Molly M.

MCN, American Journal of Maternal Child Nursing. 42(6):360, November/December 2017.

In the last 10 years, opioid use has quadrupled in the United States, including increased use in pregnancy, leading to a fivefold increase neonatal abstinence syndrome. Findings of a National Institute of Child Health and Human Development workshop of experts to evaluate opioid use in pregnancy and related neonatal and childhood effects were published in July 2017. Our maternity nursing expert, Molly Killion, reviews the workshop recommendations.

Open Adoption Placement by Birth Mothers in Their Twenties

Clutter, Lynn B.

MCN, American Journal of Maternal Child Nursing. 42(6):345-351, November/December 2017.

Open adoption can have benefits for all members of the adoption triad, the birth mother, the adoptive family, and the adoptee. This study offers further evidence of these benefits by exploring the experiences of 15 birth mothers who participated in open adoption in their twenties.

Giving Hope to Refugee Families: Carry the Future

Callister, Lynn Clark

MCN, American Journal of Maternal Child Nursing. 42(6):363, November/December 2017.

Carry the Future is a grassroots movement to help refuges families which operates without major overhead or marketing costs so it is effective and efficient. Our global health expert, Dr. Lynn Callister, tells us how the organization helps mothers and babies and what you can do to get involved.

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.

The Microbiome and Maternal Newborn Health

MCN, American Journal of Maternal Child Nursing. 42(6):309, November/December 2017.

Dr. Irene Yang, guest editor of the special topic series on the pregnancy, mother, and baby microbiomes, discusses the clinical implications of the microbiome during childbirth and how maternal newborn nurse researchers at Emory University's Nell Hodgson Woodruff School of Nursing are at the forefront of investigating various aspects of this important new area of research.

The Dangers of Youth Football

Beal, Judy A.

MCN, American Journal of Maternal Child Nursing. 42(6):361, November/December 2017.

Pediatric providers working in emergency rooms treat more than 200,000 children ages 5–18 for sports-related head injuries each year. Approximately 3 million youth are playing tackle football today in the United States. Our pediatric nursing expert, Dr. Judy Beal, explains evolving evidence about the dangers of youth tackle football.

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.

The Maternal Gut Microbiome During Pregnancy

Edwards, Sara M.; Cunningham, Solveig A.; Dunlop, Anne L.; More

MCN, American Journal of Maternal Child Nursing. 42(6):310-317, November/December 2017.

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.

The “States” of Newborn Screening

Anderson, Sharon

MCN, American Journal of Maternal Child Nursing. 42(6):358-359, November/December 2017.

Nurses and providers at all levels of practice must be well-informed about conditions that are screened on state-based newborn screening panels so they can provide accurate education and information to parents, and when necessary, facilitate timely referral.

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