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

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.

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

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.

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Burnout and Turnover among NICU Nurses

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.

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Unmet Birth Expectations and Birth Trauma among Adolescents

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.

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

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.

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Breastfeeding Experiences of Autistic Women

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.

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