March/April 2023 - Volume 48 - Issue 2 - Contributor Index

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Comparing Experiences of Women Who Were Direct Breastfeeding and Women Who Used Expressed Breast Milk to Feed Their Infants

Anders, Lisa A.; Robinson, Karen; Ohlendorf, Jennifer M.; More

MCN, The American Journal of Maternal/Child Nursing. 48(2):96-102, March/April 2023.

In this qualitative study, 15 women shared their personal accounts of breast milk feeding. Mothers who provide breast milk share common experiences and feelings of satisfaction. Expressed breast milk feeding offers some women a way to provide the benefits of breast milk while preserving a balance between maternal and infant physical and mental health needs. Understanding the different ways in which women manage breast milk feeding while balancing maternal and infant needs can prepare nurses to discuss various methods of breast milk feeding and provide individualized support.

American Academy of Pediatrics Commits to Promoting Food Security for All Children

Beal, Judy A.

MCN, The American Journal of Maternal/Child Nursing. 48(2):104, March/April 2023.

Food insecurity is a significant problem for many families with children in the United States and has worsened during the COVID-19 pandemic. Our pediatric nursing expert, Dr. Beal, explains some of the initiatives from the American Academy of Pediatrics to promote food security for all children and their families and the role of nurses in identification and resource referrals.

Experiences of Postpartum Depression in Women of Color

Beck, Cheryl Tatano

MCN, The American Journal of Maternal/Child Nursing. 48(2):88-95, March/April 2023.

In this integrative review, cultural stigma of mental illness plus lack of knowledge of postpartum depression were found to be strong barriers to women of color seeking timely professional mental health care. Nurses can share information about perinatal mental illness to help decrease stigma and increase mental health literacy. All health care providers and policy makers must focus attention on the impact that women of color's economic and social stressors have on their postpartum depression.

Evidence-Based Guidelines for Labor Support that Promote Vaginal Birth

Bernstein, Samantha L.

MCN, The American Journal of Maternal/Child Nursing. 48(2):103, March/April 2023.

The Association of Women' Health, Obstetric and Neonatal Nurses has published evidence-based clinical practice guidelines Labor support for intended vaginal birth to support nurses who care for patients during labor and birth. Our maternity nursing expert, Dr. Bernstein, summarizes the guidelines.

Author:
Brou, Lina MPH

OB HUB: Remote Electronic Fetal Monitoring Surveillance

Lowery, Deb; De Leon, Betsy; Krening, Cynthia; More

MCN, The American Journal of Maternal/Child Nursing. 48(2):62-68, March/April 2023.

Perinatal leaders in two maternity services describe their experiences with implementing a remote electronic fetal monitoring system including artificial intelligence software and nurse experts dedicated to fetal monitoring data interpretation. Experienced labor and birth nurses continuously observed electronic fetal monitoring tracings and followed an established protocol on when to notify bedside labor nurses of potentially concerning fetal heart rate tracings. The goal was to improve perinatal outcomes. When comparing 6 months pre- and 6 months post-implementation data including 4,989 births, there were no significant differences in neonatal outcomes. A larger sample may be needed to evaluate potential benefits of remote electronic fetal monitoring surveillance systems.

Food Insecurity has Increased around the World

Callister, Lynn Clark

MCN, The American Journal of Maternal/Child Nursing. 48(2):106, March/April 2023.

Food insecurity has increased around the world. Our global health and nursing expert, Dr. Callister, reviews several recent international reports of food insecurity and world hunger and highlights efforts by multiple organizations to help with this crisis that affects millions of families, women, and children.

A Multimodal Protocol to Limit Opioid Exposure and Effectively Manage Postoperative Cesarean Birth Pain

Harden, Ronda; Dawkins, Denise; Stallings-Saints, Keya; More

MCN, The American Journal of Maternal/Child Nursing. 48(2):69-75, March/April 2023.

Implementation of a multimodal protocol to manage post-operative cesarean birth pain during the postpartum hospitalization was associated with decreased use of opioids among patients who had a cesarean birth compared with patients who had a cesarean birth before the protocol was in place.

OB HUB: Remote Electronic Fetal Monitoring Surveillance

Lowery, Deb; De Leon, Betsy; Krening, Cynthia; More

MCN, The American Journal of Maternal/Child Nursing. 48(2):62-68, March/April 2023.

Perinatal leaders in two maternity services describe their experiences with implementing a remote electronic fetal monitoring system including artificial intelligence software and nurse experts dedicated to fetal monitoring data interpretation. Experienced labor and birth nurses continuously observed electronic fetal monitoring tracings and followed an established protocol on when to notify bedside labor nurses of potentially concerning fetal heart rate tracings. The goal was to improve perinatal outcomes. When comparing 6 months pre- and 6 months post-implementation data including 4,989 births, there were no significant differences in neonatal outcomes. A larger sample may be needed to evaluate potential benefits of remote electronic fetal monitoring surveillance systems.

A Multimodal Protocol to Limit Opioid Exposure and Effectively Manage Postoperative Cesarean Birth Pain

Harden, Ronda; Dawkins, Denise; Stallings-Saints, Keya; More

MCN, The American Journal of Maternal/Child Nursing. 48(2):69-75, March/April 2023.

Implementation of a multimodal protocol to manage post-operative cesarean birth pain during the postpartum hospitalization was associated with decreased use of opioids among patients who had a cesarean birth compared with patients who had a cesarean birth before the protocol was in place.

OB HUB: Remote Electronic Fetal Monitoring Surveillance

Lowery, Deb; De Leon, Betsy; Krening, Cynthia; More

MCN, The American Journal of Maternal/Child Nursing. 48(2):62-68, March/April 2023.

Perinatal leaders in two maternity services describe their experiences with implementing a remote electronic fetal monitoring system including artificial intelligence software and nurse experts dedicated to fetal monitoring data interpretation. Experienced labor and birth nurses continuously observed electronic fetal monitoring tracings and followed an established protocol on when to notify bedside labor nurses of potentially concerning fetal heart rate tracings. The goal was to improve perinatal outcomes. When comparing 6 months pre- and 6 months post-implementation data including 4,989 births, there were no significant differences in neonatal outcomes. A larger sample may be needed to evaluate potential benefits of remote electronic fetal monitoring surveillance systems.

OB HUB: Remote Electronic Fetal Monitoring Surveillance

Lowery, Deb; De Leon, Betsy; Krening, Cynthia; More

MCN, The American Journal of Maternal/Child Nursing. 48(2):62-68, March/April 2023.

Perinatal leaders in two maternity services describe their experiences with implementing a remote electronic fetal monitoring system including artificial intelligence software and nurse experts dedicated to fetal monitoring data interpretation. Experienced labor and birth nurses continuously observed electronic fetal monitoring tracings and followed an established protocol on when to notify bedside labor nurses of potentially concerning fetal heart rate tracings. The goal was to improve perinatal outcomes. When comparing 6 months pre- and 6 months post-implementation data including 4,989 births, there were no significant differences in neonatal outcomes. A larger sample may be needed to evaluate potential benefits of remote electronic fetal monitoring surveillance systems.

Toward Evidence-Based Practice

Rohan, Annie; Elliot, Gail; Guo, Yuqing; More

MCN, The American Journal of Maternal/Child Nursing. 48(2):108-110, March/April 2023.

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

Toward Evidence-Based Practice

Rohan, Annie; Elliot, Gail; Guo, Yuqing; More

MCN, The American Journal of Maternal/Child Nursing. 48(2):108-110, March/April 2023.

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

A Multimodal Protocol to Limit Opioid Exposure and Effectively Manage Postoperative Cesarean Birth Pain

Harden, Ronda; Dawkins, Denise; Stallings-Saints, Keya; More

MCN, The American Journal of Maternal/Child Nursing. 48(2):69-75, March/April 2023.

Implementation of a multimodal protocol to manage post-operative cesarean birth pain during the postpartum hospitalization was associated with decreased use of opioids among patients who had a cesarean birth compared with patients who had a cesarean birth before the protocol was in place.

Comparing Experiences of Women Who Were Direct Breastfeeding and Women Who Used Expressed Breast Milk to Feed Their Infants

Anders, Lisa A.; Robinson, Karen; Ohlendorf, Jennifer M.; More

MCN, The American Journal of Maternal/Child Nursing. 48(2):96-102, March/April 2023.

In this qualitative study, 15 women shared their personal accounts of breast milk feeding. Mothers who provide breast milk share common experiences and feelings of satisfaction. Expressed breast milk feeding offers some women a way to provide the benefits of breast milk while preserving a balance between maternal and infant physical and mental health needs. Understanding the different ways in which women manage breast milk feeding while balancing maternal and infant needs can prepare nurses to discuss various methods of breast milk feeding and provide individualized support.

A Multimodal Protocol to Limit Opioid Exposure and Effectively Manage Postoperative Cesarean Birth Pain

Harden, Ronda; Dawkins, Denise; Stallings-Saints, Keya; More

MCN, The American Journal of Maternal/Child Nursing. 48(2):69-75, March/April 2023.

Implementation of a multimodal protocol to manage post-operative cesarean birth pain during the postpartum hospitalization was associated with decreased use of opioids among patients who had a cesarean birth compared with patients who had a cesarean birth before the protocol was in place.

Toward Evidence-Based Practice

Rohan, Annie; Elliot, Gail; Guo, Yuqing; More

MCN, The American Journal of Maternal/Child Nursing. 48(2):108-110, March/April 2023.

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

OB HUB: Remote Electronic Fetal Monitoring Surveillance

Lowery, Deb; De Leon, Betsy; Krening, Cynthia; More

MCN, The American Journal of Maternal/Child Nursing. 48(2):62-68, March/April 2023.

Perinatal leaders in two maternity services describe their experiences with implementing a remote electronic fetal monitoring system including artificial intelligence software and nurse experts dedicated to fetal monitoring data interpretation. Experienced labor and birth nurses continuously observed electronic fetal monitoring tracings and followed an established protocol on when to notify bedside labor nurses of potentially concerning fetal heart rate tracings. The goal was to improve perinatal outcomes. When comparing 6 months pre- and 6 months post-implementation data including 4,989 births, there were no significant differences in neonatal outcomes. A larger sample may be needed to evaluate potential benefits of remote electronic fetal monitoring surveillance systems.

OB HUB: Remote Electronic Fetal Monitoring Surveillance

Lowery, Deb; De Leon, Betsy; Krening, Cynthia; More

MCN, The American Journal of Maternal/Child Nursing. 48(2):62-68, March/April 2023.

Perinatal leaders in two maternity services describe their experiences with implementing a remote electronic fetal monitoring system including artificial intelligence software and nurse experts dedicated to fetal monitoring data interpretation. Experienced labor and birth nurses continuously observed electronic fetal monitoring tracings and followed an established protocol on when to notify bedside labor nurses of potentially concerning fetal heart rate tracings. The goal was to improve perinatal outcomes. When comparing 6 months pre- and 6 months post-implementation data including 4,989 births, there were no significant differences in neonatal outcomes. A larger sample may be needed to evaluate potential benefits of remote electronic fetal monitoring surveillance systems.

Engagement in Online Communities by New Mothers in Recovery from Opioid Use Disorder

Mattson, Nicole M.; Ohlendorf, Jennifer M.

MCN, The American Journal of Maternal/Child Nursing. 48(2):82-87, March/April 2023.

In this qualitative study, new mothers in recovery from opioid use disorder share their experiences with participation in on-line communities. Engagement in online communities can be a meaningful adjunct or replacement for in-person support. Online spaces are available 24/7 and allow people to join a community where they will not experience stigma and can find support tailored to their needs. Nurses could extend their care for mothers affected by opioid use disorder by referring them to online communities for support of recovery self-management efforts.

Parental Participation in Preterm Infant Feeding in the Neonatal Intensive Care Unit

Nist, Marliese Dion; Robinson, Audrey; Pickler, Rita H.

MCN, The American Journal of Maternal/Child Nursing. 48(2):76-81, March/April 2023.

In this secondary data analysis of 87 preterm infants using data from a randomized controlled trial of patterned tactile experience provided during gavage and oral feeding on infant neurobehavior and clinical outcomes, parental involvement in infant feeding in the neonatal intensive care unit was low. Parental participation in feeding can decrease the time required for infants to achieve feeding milestones, possibly leading to decreased length of hospitalization. Nurses should encourage parents to participate in caregiving for their preterm infants. Interventions are needed to remove barriers to parental participation in caregiving.

Engagement in Online Communities by New Mothers in Recovery from Opioid Use Disorder

Mattson, Nicole M.; Ohlendorf, Jennifer M.

MCN, The American Journal of Maternal/Child Nursing. 48(2):82-87, March/April 2023.

In this qualitative study, new mothers in recovery from opioid use disorder share their experiences with participation in on-line communities. Engagement in online communities can be a meaningful adjunct or replacement for in-person support. Online spaces are available 24/7 and allow people to join a community where they will not experience stigma and can find support tailored to their needs. Nurses could extend their care for mothers affected by opioid use disorder by referring them to online communities for support of recovery self-management efforts.

Comparing Experiences of Women Who Were Direct Breastfeeding and Women Who Used Expressed Breast Milk to Feed Their Infants

Anders, Lisa A.; Robinson, Karen; Ohlendorf, Jennifer M.; More

MCN, The American Journal of Maternal/Child Nursing. 48(2):96-102, March/April 2023.

In this qualitative study, 15 women shared their personal accounts of breast milk feeding. Mothers who provide breast milk share common experiences and feelings of satisfaction. Expressed breast milk feeding offers some women a way to provide the benefits of breast milk while preserving a balance between maternal and infant physical and mental health needs. Understanding the different ways in which women manage breast milk feeding while balancing maternal and infant needs can prepare nurses to discuss various methods of breast milk feeding and provide individualized support.

Parental Participation in Preterm Infant Feeding in the Neonatal Intensive Care Unit

Nist, Marliese Dion; Robinson, Audrey; Pickler, Rita H.

MCN, The American Journal of Maternal/Child Nursing. 48(2):76-81, March/April 2023.

In this secondary data analysis of 87 preterm infants using data from a randomized controlled trial of patterned tactile experience provided during gavage and oral feeding on infant neurobehavior and clinical outcomes, parental involvement in infant feeding in the neonatal intensive care unit was low. Parental participation in feeding can decrease the time required for infants to achieve feeding milestones, possibly leading to decreased length of hospitalization. Nurses should encourage parents to participate in caregiving for their preterm infants. Interventions are needed to remove barriers to parental participation in caregiving.

Parental Participation in Preterm Infant Feeding in the Neonatal Intensive Care Unit

Nist, Marliese Dion; Robinson, Audrey; Pickler, Rita H.

MCN, The American Journal of Maternal/Child Nursing. 48(2):76-81, March/April 2023.

In this secondary data analysis of 87 preterm infants using data from a randomized controlled trial of patterned tactile experience provided during gavage and oral feeding on infant neurobehavior and clinical outcomes, parental involvement in infant feeding in the neonatal intensive care unit was low. Parental participation in feeding can decrease the time required for infants to achieve feeding milestones, possibly leading to decreased length of hospitalization. Nurses should encourage parents to participate in caregiving for their preterm infants. Interventions are needed to remove barriers to parental participation in caregiving.

Comparing Experiences of Women Who Were Direct Breastfeeding and Women Who Used Expressed Breast Milk to Feed Their Infants

Anders, Lisa A.; Robinson, Karen; Ohlendorf, Jennifer M.; More

MCN, The American Journal of Maternal/Child Nursing. 48(2):96-102, March/April 2023.

In this qualitative study, 15 women shared their personal accounts of breast milk feeding. Mothers who provide breast milk share common experiences and feelings of satisfaction. Expressed breast milk feeding offers some women a way to provide the benefits of breast milk while preserving a balance between maternal and infant physical and mental health needs. Understanding the different ways in which women manage breast milk feeding while balancing maternal and infant needs can prepare nurses to discuss various methods of breast milk feeding and provide individualized support.

Toward Evidence-Based Practice

Rohan, Annie; Elliot, Gail; Guo, Yuqing; More

MCN, The American Journal of Maternal/Child Nursing. 48(2):108-110, March/April 2023.

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

Effect of the COVID-19 Pandemic on Maternal Health in the United States

Simpson, Kathleen Rice

MCN, The American Journal of Maternal/Child Nursing. 48(2):61, March/April 2023.

The COVID-19 pandemic is responsible for over 1 million deaths in the United States. More than 500 of those deaths were among pregnant and postpartum women. The recent United States Government Accounting Office report on the effects the pandemic on maternal health is summarized. While the efforts in reporting these data in detail are appreciated, it is past time for taking action to prevent preventable maternal deaths in the United States including the racial and ethnic disparities these deaths represent rather than gathering information about them each year.

March of Dimes Report on Access to Maternity Care in the United States

Simpson, Kathleen Rice

MCN, The American Journal of Maternal/Child Nursing. 48(2):111, March/April 2023.

In October 2022, the March of Dimes released an updated report on maternity care in the United States focusing on access: Nowhere to Go: Maternity Care Deserts Across the U.S. These data do not reflect favorable conditions for being pregnant, giving birth, or during the first year postpartum in our country. Access to maternity care continues to be a challenge for a significant portion of the childbearing population. A summary of the report is presented. The entire report should be of interest to all who care involved in maternity care in the United States including clinicians, scientists, policymakers, and advocates.

Why Breastfeed until Age Two?

Spatz, Diane L.

MCN, The American Journal of Maternal/Child Nursing. 48(2):105, March/April 2023.

The American Academy of Pediatrics has recommended breastfeeding be continued until age two or more, consistent with the World Health Organization. Our breastfeeding expert, Dr. Spatz, explains the benefits and the 2022 American Academy of Pediatrics' position statement on Breastfeeding and the Use of Human Milk.

A Multimodal Protocol to Limit Opioid Exposure and Effectively Manage Postoperative Cesarean Birth Pain

Harden, Ronda; Dawkins, Denise; Stallings-Saints, Keya; More

MCN, The American Journal of Maternal/Child Nursing. 48(2):69-75, March/April 2023.

Implementation of a multimodal protocol to manage post-operative cesarean birth pain during the postpartum hospitalization was associated with decreased use of opioids among patients who had a cesarean birth compared with patients who had a cesarean birth before the protocol was in place.

OB HUB: Remote Electronic Fetal Monitoring Surveillance

Lowery, Deb; De Leon, Betsy; Krening, Cynthia; More

MCN, The American Journal of Maternal/Child Nursing. 48(2):62-68, March/April 2023.

Perinatal leaders in two maternity services describe their experiences with implementing a remote electronic fetal monitoring system including artificial intelligence software and nurse experts dedicated to fetal monitoring data interpretation. Experienced labor and birth nurses continuously observed electronic fetal monitoring tracings and followed an established protocol on when to notify bedside labor nurses of potentially concerning fetal heart rate tracings. The goal was to improve perinatal outcomes. When comparing 6 months pre- and 6 months post-implementation data including 4,989 births, there were no significant differences in neonatal outcomes. A larger sample may be needed to evaluate potential benefits of remote electronic fetal monitoring surveillance systems.

OB HUB: Remote Electronic Fetal Monitoring Surveillance

Lowery, Deb; De Leon, Betsy; Krening, Cynthia; More

MCN, The American Journal of Maternal/Child Nursing. 48(2):62-68, March/April 2023.

Perinatal leaders in two maternity services describe their experiences with implementing a remote electronic fetal monitoring system including artificial intelligence software and nurse experts dedicated to fetal monitoring data interpretation. Experienced labor and birth nurses continuously observed electronic fetal monitoring tracings and followed an established protocol on when to notify bedside labor nurses of potentially concerning fetal heart rate tracings. The goal was to improve perinatal outcomes. When comparing 6 months pre- and 6 months post-implementation data including 4,989 births, there were no significant differences in neonatal outcomes. A larger sample may be needed to evaluate potential benefits of remote electronic fetal monitoring surveillance systems.

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