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?

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.

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.

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.

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.

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 Life-Changing Impact of Peripartum Cardiomyopathy: An Analysis of Online Postings

Hess, Rosanna Formanek; Weinland, Jo Ann D.

MCN, American Journal of Maternal Child Nursing . 37(4):241-246, July/August 2012.

Online support group members exchange information and offer support and advice on peripartum cardiomyopathy, a life-threatening, life-changing condition.

Childbirth and New Mother Experiences of Arab Migrant Women

Bawadi, Hala; Ahmad, Muayyad M.

MCN, American Journal of Maternal Child Nursing . 42(2):101-107, March/April 2017.

Arab Muslin women who have immigrated to the United Kingdom are generally pleased with the evolution of their family traditions. Without the support and advice of their extended family to guide routine decisions, they have realized freedom to conduct their lives as they wish and experienced closer relationships with their spouses. Immigration to the United Kingdom has a number of perceived positive aspects for Arab Muslim women.

Building on Strengths: Maya Midwifery International

Callister, Lynn Clark

MCN, American Journal of Maternal Child Nursing . 42(2):118, March/April 2017.

Maya Midwifery International provides care to mothers and babies in areas with low resources in Guatemala. Our global health nursing expert, Dr. Callister, discusses how this initiative is an example of working within the limits of available resources, addressing social determinants of health, and collaborating to enhance ability for indigenous providers to play a vital role in healthcare delivery that is safe, culturally appropriate, and cost effective.

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.

Social Determinants of Maternal Health and Birth Outcomes

MCN, American Journal of Maternal Child Nursing . 42(1):7, January/February 2017.

Social determinants of health such as racial discrimination, poor quality neighborhoods, and acculturation may increase risk of negative mental health and birth outcomes for minority women in the United States. Nurses can take leadership roles in creating policies that promote economic development, reduce poverty, reduce residential segregation, promote healthier neighborhoods, and support immigrant women.

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.

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.

Chromosome Microarray

Anderson, Sharon

MCN, American Journal of Maternal Child Nursing . 41(5):272-279, September/October 2016.

A comprehensive review of chromosome microarray is presented including how testing is performed and results are analyzed. A case report highlights how the technology is applied in clinical practice and the benefits and limitations of scientific and bioinformatics genetic technology. This information is valuable for maternal child nurses in all practice settings.

Racial Discrimination and Psychological Wellbeing of Pregnant Women

Giurgescu, Carmen; Zenk, Shannon N.; Engeland, Christopher G.; More

MCN, American Journal of Maternal Child Nursing . 42(1):8-13, January/February 2017.

African American women are more likely to be exposed to racial discrimination and to experience psychological distress compared with white women. This study evaluated social support for its potential buffering effect on racial discrimination as related to psychological wellbeing in pregnant African American women.

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.

Integrative Therapies for Women with a High Risk Pregnancy During Antepartum Hospitalization

Schlegel, Merry L.; Whalen, Jeanne L.; Williamsen, Pilar M.

MCN, American Journal of Maternal Child Nursing . 41(6):356-362, November/December 2016.

Being hospitalized due to obstetric or fetal complications can be stressful for pregnant women. Activity restriction or bedrest can be uncomfortable. This innovative program offers integrative therapies to reduce stress and discomfort for pregnant women hospitalized on the antepartum unit. Therapies such as massage, Healing Touch, acupuncture, guided imagery, and reflexology are included. Data on effects of these integrative therapies are presented.

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.

Is Routine Fortification of Human Milk for Babies in the Neonatal Intensive Care Unit Indicated?

Spatz, Diane L.

MCN, American Journal of Maternal Child Nursing . 42(2):117, March/April 2017.

Although multi-nutrient fortification of human milk for babies in the neonatal intensive care unit is routine in the United States, a recent Cochrane Review suggests limited benefits. Our breastfeeding expert, Dr. Spatz, offers suggestions for evaluating current practice on human milk fortification.

Pediatric Medication Errors

Beal, Judy A.

MCN, American Journal of Maternal Child Nursing . 42(2):116, March/April 2017.

Pediatric mediation errors continue to be a risk of harm. The American Academy of Pediatrics has recommendations for giving liquid medications orally. Kitchen spoons are not appropriate to measure doses. Liquid medication should only be administered by an oral syringe that is metric based. Our pediatric nursing expert, Dr. Beal, explains how nurses can play an important role in teaching parents how to safely give medications to their children.

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.

Becoming a Baby Friendly Hospital

Tran, Andrea

MCN, American Journal of Maternal Child Nursing . 42(1):36-42, January/February 2017.

The journey to Baby Friendly designation can be challenging, but ultimately rewarding in supporting a hospital culture that promotes successful breastfeeding. One hospital's path to Baby Friendly is detailed. Others considering this designation may find details of their experience valuable.