January/February 2022 - Volume 47 - Issue 1 - Contributor Index

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Unmet Birth Expectations and Birth Trauma among Adolescents

Anderson, Cheryl A.; Akinmade, Faith

MCN, The American Journal of Maternal/Child Nursing. 47(1):40-46, January/February 2022.

Giving birth as a teenager can be stressful and frightening. Adolescents have many unmet expectations during childbirth including labor support and pain relief. In this study of adolescents surveyed during their inpatient postpartum hospitalization, birth expectations were more often unmet than met. Older adolescents' unmet expectations most often related to inadequate pain management while younger adolescents feared dying. Unmet expectations did not predict psychological birth trauma.

Unmet Birth Expectations and Birth Trauma among Adolescents

Anderson, Cheryl A.; Akinmade, Faith

MCN, The American Journal of Maternal/Child Nursing. 47(1):40-46, January/February 2022.

Giving birth as a teenager can be stressful and frightening. Adolescents have many unmet expectations during childbirth including labor support and pain relief. In this study of adolescents surveyed during their inpatient postpartum hospitalization, birth expectations were more often unmet than met. Older adolescents' unmet expectations most often related to inadequate pain management while younger adolescents feared dying. Unmet expectations did not predict psychological birth trauma.

Breastfeeding Experiences of Autistic Women

Wilson, Jane C.; Andrassy, Bri

MCN, The American Journal of Maternal/Child Nursing. 47(1):19-24, January/February 2022.

It is estimated that over 1.8 million adult women in the United States have Autism Spectrum Disorder, yet little is known about their childbirth, breastfeeding, and parenting experiences. In this study, autistic women were recruited via social media and invited to share their stories about breastfeeding. Many descrbed being over-stimulated and over-touched, but intensely focused on achieving their breastfeeding goals. Nurses can use these findings in planning care for this subset of childbearing women.

Burnout and Turnover among NICU Nurses

Thomas, Anisa O.; Bakas, Tamilyn; Miller, Elaine; More

MCN, The American Journal of Maternal/Child Nursing. 47(1):33-39, January/February 2022.

Work-related burnout, characterized by emotional exhaustion, depersonalization, and personal accomplishment, has been associated with nurses' intent to leave their job. In this study of nurses in the neonatal intensive care unit, 16.9% of left their position over an 11-month period and a majority of reported moderate to high levels of emotional exhaustion. No association was found between any dimension of burnout and odds of turnover; however, burnout may have other negative consequences for both neonatal intensive care nurses and infants, and merits further exploration.

Transition to Safe Sleep at Home Needs a Consistent Approach for NICU Babies and Their Parents

Beal, Judy A.

MCN, The American Journal of Maternal/Child Nursing. 47(1):53, January/February 2022.

The American Academy of Pediatrics has long recommended transition to safe sleep positioning for NICU babies as soon as medically feasible before hospital discharge and sharing information about safe sleep with parents to promote safe sleep practices at home. Our pediatric nursing expert, Dr. Beal, covers the most recent report from the American Academy of Pediatrics on safe sleep practices in the NICU.

Elevated Blood Pressure in Women of Childbearing Age in the United States

Logsdon, M. Cynthia; Blair, Leeanna; Gunaratnam, Bakeerathan

MCN, The American Journal of Maternal/Child Nursing. 47(1):47-51, January/February 2022.

Hypertension is more prevalent among women who identify as African American when compared to other ethnic or racial groups and is a risk factor for adverse pregnancy, childbirth, postpartum, and later life outcomes, In this study of women's health data from a national data base, older women (at the highest range of childbearing age), women with a high body mass index, and women who self-identified as African American were more likely to have prehypertension and hypertension. Nursing care for women during the childbirth process and along the lifetime continuum should include identification and treatment for hypertension to promote cardiovascular health.

Culturally Sensitive Care of Immigrant and Refugee Mothers with Babies in the NICU

Callister, Lynn Clark

MCN, The American Journal of Maternal/Child Nursing. 47(1):55, January/February 2022.

Immigrant and refugee mothers with babies in the NICU face many challenges including barriers due to language, culture, unfamiliar hospital procedures, and lack of trust. Our global health and nursing expert, Dr. Callister, reviews recent studies on how to promote effective communication and culturally competent care of this vulnerable population.

Toward Evidence-Based Practice

Rohan, Annie; Capitulo, Kathleen Leask; DiCioccio, Heather Condo; More

MCN, The American Journal of Maternal/Child Nursing. 47(1):56-58, January/February 2022.

Experts suggest how 6 research articles can be used in nursing practice.

Burnout and Turnover among NICU Nurses

Thomas, Anisa O.; Bakas, Tamilyn; Miller, Elaine; More

MCN, The American Journal of Maternal/Child Nursing. 47(1):33-39, January/February 2022.

Work-related burnout, characterized by emotional exhaustion, depersonalization, and personal accomplishment, has been associated with nurses' intent to leave their job. In this study of nurses in the neonatal intensive care unit, 16.9% of left their position over an 11-month period and a majority of reported moderate to high levels of emotional exhaustion. No association was found between any dimension of burnout and odds of turnover; however, burnout may have other negative consequences for both neonatal intensive care nurses and infants, and merits further exploration.

Toward Evidence-Based Practice

Rohan, Annie; Capitulo, Kathleen Leask; DiCioccio, Heather Condo; More

MCN, The American Journal of Maternal/Child Nursing. 47(1):56-58, January/February 2022.

Experts suggest how 6 research articles can be used in nursing practice.

Elevated Blood Pressure in Women of Childbearing Age in the United States

Logsdon, M. Cynthia; Blair, Leeanna; Gunaratnam, Bakeerathan

MCN, The American Journal of Maternal/Child Nursing. 47(1):47-51, January/February 2022.

Hypertension is more prevalent among women who identify as African American when compared to other ethnic or racial groups and is a risk factor for adverse pregnancy, childbirth, postpartum, and later life outcomes, In this study of women's health data from a national data base, older women (at the highest range of childbearing age), women with a high body mass index, and women who self-identified as African American were more likely to have prehypertension and hypertension. Nursing care for women during the childbirth process and along the lifetime continuum should include identification and treatment for hypertension to promote cardiovascular health.

“It Took Away the Joy:” First American Mothers' Experiences with Postpartum Depression

Heck, Jennifer L.; Wilson, Janet Sullivan; Parker, Judy Goforth

MCN, The American Journal of Maternal/Child Nursing. 47(1):13-18, January/February 2022.

First American women have a disproportionate prevalence of postpartum depression when compared to all women in the United States, but little is known about their perspectives of experiencing this common childbirth complication. In this community-based participatory phenomenological study, First American women describe how it was to have postpartum depression. They were worried about the stigma of postpartum depression and wanted to be 'good mothers.” As with other First American women, they relied on their mothers and grandmothers for support. An understanding of cultural norms and practices is an essential aspect of nursing care of women of all ethnic and minoritized groups.

Anemia in Pregnancy: Screening and Clinical Management Strategies

Stanley, Angela Y.; Wallace, Jerrol B.; Hernandez, Andrea M.; More

MCN, The American Journal of Maternal/Child Nursing. 47(1):25-32, January/February 2022.

Anemia during pregnancy can lead to adverse maternal and newborn outcomes. Current recommendations for screening and treatment of anemia during pregnancy are covered in detail with guidance for incorporating them into clinical practice.

Burnout and Turnover among NICU Nurses

Thomas, Anisa O.; Bakas, Tamilyn; Miller, Elaine; More

MCN, The American Journal of Maternal/Child Nursing. 47(1):33-39, January/February 2022.

Work-related burnout, characterized by emotional exhaustion, depersonalization, and personal accomplishment, has been associated with nurses' intent to leave their job. In this study of nurses in the neonatal intensive care unit, 16.9% of left their position over an 11-month period and a majority of reported moderate to high levels of emotional exhaustion. No association was found between any dimension of burnout and odds of turnover; however, burnout may have other negative consequences for both neonatal intensive care nurses and infants, and merits further exploration.

Birth Satisfaction During the Early Months of the COVID-19 Pandemic in the United States

Mollard, Elizabeth; Kupzyk, Kevin

MCN, The American Journal of Maternal/Child Nursing. 47(1):6-12, January/February 2022.

During the early months of the COVID-19 pandemic, there were many restrictive changes to childbirth practices in the inpatient setting geared toward reducing viral spread and keeping patients and health care workers safe. In this study 747 women who gave birth in the United States during the first several months of the pandemic offer their perspectives on how these changes affected their childbirth experience and overall satisfaction.

Elevated Blood Pressure in Women of Childbearing Age in the United States

Logsdon, M. Cynthia; Blair, Leeanna; Gunaratnam, Bakeerathan

MCN, The American Journal of Maternal/Child Nursing. 47(1):47-51, January/February 2022.

Hypertension is more prevalent among women who identify as African American when compared to other ethnic or racial groups and is a risk factor for adverse pregnancy, childbirth, postpartum, and later life outcomes, In this study of women's health data from a national data base, older women (at the highest range of childbearing age), women with a high body mass index, and women who self-identified as African American were more likely to have prehypertension and hypertension. Nursing care for women during the childbirth process and along the lifetime continuum should include identification and treatment for hypertension to promote cardiovascular health.

Burnout and Turnover among NICU Nurses

Thomas, Anisa O.; Bakas, Tamilyn; Miller, Elaine; More

MCN, The American Journal of Maternal/Child Nursing. 47(1):33-39, January/February 2022.

Work-related burnout, characterized by emotional exhaustion, depersonalization, and personal accomplishment, has been associated with nurses' intent to leave their job. In this study of nurses in the neonatal intensive care unit, 16.9% of left their position over an 11-month period and a majority of reported moderate to high levels of emotional exhaustion. No association was found between any dimension of burnout and odds of turnover; however, burnout may have other negative consequences for both neonatal intensive care nurses and infants, and merits further exploration.

Birth Satisfaction During the Early Months of the COVID-19 Pandemic in the United States

Mollard, Elizabeth; Kupzyk, Kevin

MCN, The American Journal of Maternal/Child Nursing. 47(1):6-12, January/February 2022.

During the early months of the COVID-19 pandemic, there were many restrictive changes to childbirth practices in the inpatient setting geared toward reducing viral spread and keeping patients and health care workers safe. In this study 747 women who gave birth in the United States during the first several months of the pandemic offer their perspectives on how these changes affected their childbirth experience and overall satisfaction.

Toward Evidence-Based Practice

Rohan, Annie; Capitulo, Kathleen Leask; DiCioccio, Heather Condo; More

MCN, The American Journal of Maternal/Child Nursing. 47(1):56-58, January/February 2022.

Experts suggest how 6 research articles can be used in nursing practice.

“It Took Away the Joy:” First American Mothers' Experiences with Postpartum Depression

Heck, Jennifer L.; Wilson, Janet Sullivan; Parker, Judy Goforth

MCN, The American Journal of Maternal/Child Nursing. 47(1):13-18, January/February 2022.

First American women have a disproportionate prevalence of postpartum depression when compared to all women in the United States, but little is known about their perspectives of experiencing this common childbirth complication. In this community-based participatory phenomenological study, First American women describe how it was to have postpartum depression. They were worried about the stigma of postpartum depression and wanted to be 'good mothers.” As with other First American women, they relied on their mothers and grandmothers for support. An understanding of cultural norms and practices is an essential aspect of nursing care of women of all ethnic and minoritized groups.

Toward Evidence-Based Practice

Rohan, Annie; Capitulo, Kathleen Leask; DiCioccio, Heather Condo; More

MCN, The American Journal of Maternal/Child Nursing. 47(1):56-58, January/February 2022.

Experts suggest how 6 research articles can be used in nursing practice.

Reviewers of the Year

Simpson, Kathleen Rice

MCN, The American Journal of Maternal/Child Nursing. 47(1):5, January/February 2022.

Over the past very stressful months (almost 2 years), several reviewers have stepped up and volunteered to review more manuscripts. Others have consistently returned their reviews in a timely manner and included detailed, kind, and helpful information. We are so grateful for our wonderful reviewers that we decided to designate some of them as reviewers of the year for 2021 for service beyond what was expected but very much appreciated.

Maternal Mental Health

Simpson, Kathleen Rice

MCN, The American Journal of Maternal/Child Nursing. 47(1):59, January/February 2022.

Approximately 1 out of 5 women experience a mental health condition such as anxiety or depression during pregnancy or postpartum. Routine screening and timely referral and treatment are key to promoting optimal outcomes for mothers and babies. While screening during postpartum visits is becoming more common, adding screening for mothers of babies in the NICU and during well baby visits can help to make sure all new mothers are included.

Marijuana and Breastfeeding

Spatz, Diane L.

MCN, The American Journal of Maternal/Child Nursing. 47(1):54, January/February 2022.

Marijuana use among adults of childbearing age has increased over the years, including during pregnancy and breastfeeding. Our breastfeeding expert, Dr. Spatz, reviews the evidence for transmission of components of marijuana to breastmilk and what that means for babies who are being breastfed.

Anemia in Pregnancy: Screening and Clinical Management Strategies

Stanley, Angela Y.; Wallace, Jerrol B.; Hernandez, Andrea M.; More

MCN, The American Journal of Maternal/Child Nursing. 47(1):25-32, January/February 2022.

Anemia during pregnancy can lead to adverse maternal and newborn outcomes. Current recommendations for screening and treatment of anemia during pregnancy are covered in detail with guidance for incorporating them into clinical practice.

Anemia in Pregnancy: Screening and Clinical Management Strategies

Stanley, Angela Y.; Wallace, Jerrol B.; Hernandez, Andrea M.; More

MCN, The American Journal of Maternal/Child Nursing. 47(1):25-32, January/February 2022.

Anemia during pregnancy can lead to adverse maternal and newborn outcomes. Current recommendations for screening and treatment of anemia during pregnancy are covered in detail with guidance for incorporating them into clinical practice.

Burnout and Turnover among NICU Nurses

Thomas, Anisa O.; Bakas, Tamilyn; Miller, Elaine; More

MCN, The American Journal of Maternal/Child Nursing. 47(1):33-39, January/February 2022.

Work-related burnout, characterized by emotional exhaustion, depersonalization, and personal accomplishment, has been associated with nurses' intent to leave their job. In this study of nurses in the neonatal intensive care unit, 16.9% of left their position over an 11-month period and a majority of reported moderate to high levels of emotional exhaustion. No association was found between any dimension of burnout and odds of turnover; however, burnout may have other negative consequences for both neonatal intensive care nurses and infants, and merits further exploration.

Anemia in Pregnancy: Screening and Clinical Management Strategies

Stanley, Angela Y.; Wallace, Jerrol B.; Hernandez, Andrea M.; More

MCN, The American Journal of Maternal/Child Nursing. 47(1):25-32, January/February 2022.

Anemia during pregnancy can lead to adverse maternal and newborn outcomes. Current recommendations for screening and treatment of anemia during pregnancy are covered in detail with guidance for incorporating them into clinical practice.

Breastfeeding Experiences of Autistic Women

Wilson, Jane C.; Andrassy, Bri

MCN, The American Journal of Maternal/Child Nursing. 47(1):19-24, January/February 2022.

It is estimated that over 1.8 million adult women in the United States have Autism Spectrum Disorder, yet little is known about their childbirth, breastfeeding, and parenting experiences. In this study, autistic women were recruited via social media and invited to share their stories about breastfeeding. Many descrbed being over-stimulated and over-touched, but intensely focused on achieving their breastfeeding goals. Nurses can use these findings in planning care for this subset of childbearing women.

“It Took Away the Joy:” First American Mothers' Experiences with Postpartum Depression

Heck, Jennifer L.; Wilson, Janet Sullivan; Parker, Judy Goforth

MCN, The American Journal of Maternal/Child Nursing. 47(1):13-18, January/February 2022.

First American women have a disproportionate prevalence of postpartum depression when compared to all women in the United States, but little is known about their perspectives of experiencing this common childbirth complication. In this community-based participatory phenomenological study, First American women describe how it was to have postpartum depression. They were worried about the stigma of postpartum depression and wanted to be 'good mothers.” As with other First American women, they relied on their mothers and grandmothers for support. An understanding of cultural norms and practices is an essential aspect of nursing care of women of all ethnic and minoritized groups.

Postpartum Pain Management

Wisner, Kirsten

MCN, The American Journal of Maternal/Child Nursing. 47(1):52, January/February 2022.

Postpartum pain is common and may interfere with a patient's selfcare and infant care. Untreated pain has been associated with postpartum depression, persistent pain, and higher use of opioids. Our maternity nursing expert, Dr. Wisner, provides a summary of a new American College of Obstetricians and Gynecologists Clinical Consensus guideline on pharmacologic pain management for acute perineal, uterine, and incisional pain in the postpartum period.

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