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Emollients to Prevent Eczema in High-Risk Infants: Integrative Review

Atopic dermatitis (AD), also known as eczema, is a common chronic inflammatory skin disorder. Topical emollients have been hypothesized to enhance the skin barrier and therefore be helpful as a preventative measure. In this integrative review, evidence for treating AD is reviewed. Based on findings from two high quality randomized trials, clinicians should not recommend use of emollients to prevent AD. Evidence-based recommendations for infant skin care, includes bathing with water or a combination of water and liquid cleanser formulated for infants, and avoiding soaps. Products applied to skin should be free of scent and contact allergens. Petroleum jelly or mineral oil are appropriate to moisturize infants' skin as needed. Nurses can use these findings to inform their recommendations to parents.

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Galactagogues and Lactation: Considerations for Counseling Breastfeeding Mothers

Galactagogues are sometimes used by new mothers who are breastfeeding to enhance their milk supply. However, there is minimal evidence that these products are safe or efficacious. Since they are considered dietary supplements, they are not reviewed or regulated by the U.S. Food and Drug Administration. In this article, the evidence and lack thereof for galactagogues to increase breast milk supply are reviewed. Nurses can use this information to help breastfeeding mothers make an informed decision about galactagogues and temper their expectations of these products in successfully solving a milk supply issue.

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Identifying Obstetric Mistreatment Experiences in U.S. Birth Narratives: Application of Internationally Informed Mistreatment Typologies

Women may experience a tramatic birth when they perceive they have not been respected, listened to, or treated kindly during the childbirth process. Procedures and protocols that are routine to nurses, midwives, and physicians are not always understood or desired by women giving birth. In this study, narratives of women who gave birth in the United States reveal more effort is needed to make sure all those who experience childbirth are treated with the respect they deserve.

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Paths to Motherhood for Women with Cystic Fibrosis

Cystic fibrosis is no longer a disease limited to childhood. With medical advancements, many patients with cystic fibrosis live into adulthood and consider becoming mothers, however available options and their reproductive decision-making process are not well understood. In this study women with cystic fibrosis describe their decision-making as they considered various options for motherhood.

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Perinatal Care of Childhood Sexual Abuse Survivors: Scoping Review

Survivors of childhood sexual abuse need sensitive nursing care during labor and birth. Procedures and exams may be triggering of the abuse. Consent to touch is critical. In this scoping review of perinatal care of childhood survivors of sexual abuse, voices of women are highlighted and their suggestions for how to improve care during the childbirth process are identified. Experiences of survivors of childhood sexual abuse when receiving maternity care need more research to promote safe and effective perinatal nursing care for this vulnerable population.

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New Mothers' Perceptions of Pressure to Breastfeed

This study reports on a measure to quantitatively assess perceived pressure to breastfeed and examines associations between perceived pressure, emotional distress, the breastfeeding experience, and self-efficacy among women with 2 to 6-month-old infants. Women reported themselves and society as the greatest sources of pressure. Pressure to breastfeed was negatively associated with the breastfeeding experience. Perceived pressure to breastfeed may be an important psychosocial factor to consider for improving women's breastfeeding experiences. Reducing perceived pressure may be beneficial for helping women meet their breastfeeding goals.

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