Current Issue : MCN: The American Journal of Maternal/Child Nursing

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May/June 2023 - Volume 48 - Issue 3
pp: 117-176,E5-E6


Gun Violence and Risk to Children and Youth in the United States

Simpson, Kathleen Rice; Rohan, Annie J.

MCN, The American Journal of Maternal/Child Nursing. 48(3):117, May/June 2023.

Nurses interact with children, youth, and their families routinely and have been widely acknowledged as the most trusted professionals for over 20 years. Nurses can use this trust relationship to encourage parents to practice gun safety as outlined by the American Academy of Pediatrics. Nurses should advocate for gun safety legislation on the local, state, and national level. Nurses must do all that they can to keep America's children and youth safe from gun violence.

Hot Topics in Maternity Nursing

Pregnancy and Birth Outcomes in the United States

Wisner, Kirsten

MCN, The American Journal of Maternal/Child Nursing. 48(3):168, May/June 2023.

Our maternity nursing expert, Dr. Wisner, explains the findings and implications of the March of Dimes (2022) Report Card: Stark and Unacceptable Disparities Exist Alongside a Troubling Rise in Preterm Birth Rates. Preterm birth rates are rising again and disparities in outcomes continue in the United States.

Hot Topics in Pediatric Nursing

Decreasing the Effects of Cumulative Head Injuries in Adolescent Football Players

Beal, Judy A.

MCN, The American Journal of Maternal/Child Nursing. 48(3):169, May/June 2023.

Recent evidence indicates that there is a significant risk of short-term and long-term head injuries among high school football players. Our pediatric nursing expert, Dr. Beal, summarizes the evidence and suggests how nurses can advocate for safer adolescent football practices.


Human Milk to Protect from Respiratory Infections

Spatz, Diane L.

MCN, The American Journal of Maternal/Child Nursing. 48(3):170, May/June 2023.

This past winter, media covered the high levels of the flu, respiratory illnesses, and respiratory syncytial virus (RSV), with hospitals being strained and at capacity. Our breastfeeding expert, Dr. Spatz, discusses the evidence about exclusive breast milk feeding and protection against respiratory viruses.

Global Health and Nursing

Global Vaccine Update

Callister, Lynn Clark

MCN, The American Journal of Maternal/Child Nursing. 48(3):171, May/June 2023.

Vaccine administration has decreased globally, making more children at greater risk for vaccine preventable diseases. Our global health and nursing expert, Dr. Callister, explains the situation and what can be done to promote more wide-spread vaccination of the world population as recommended by the World Health Organization.

Toward Evidence-Based Practice

Toward Evidence-Based Practice

Rohan, Annie; Giurgescu, Carmen; Hayman, Laura L.; More

MCN, The American Journal of Maternal/Child Nursing. 48(3):172-174, May/June 2023.

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

Perinatal Patient Safety

Inequity in Payments to Hospitals for Maternity Care Based on Patient Health Insurance Coverage Promotes Inequity in Maternity Care

Simpson, Kathleen Rice

MCN, The American Journal of Maternal/Child Nursing. 48(3):175-176, May/June 2023.

Payment to hospitals for maternity care is based on patients' insurance coverage. Medicaid pays less than one-half of what commercial insurance pays for the same maternity care. Hospitals with a high percentage of patients covered by Medicaid are disadvantaged financially, which has significant implications for the quality of care that can be provided and physical state of the birthing facilities. Health care services experts and clinical leaders in maternity care should be asking why the value of maternity care for Medicaid patients is allowed to be deemed worth less than one-half of that for patients covered by commercial insurance. Pay equity solutions and policy changes are urgently needed to support the highest quality of care for all maternity patients in the United States.

Postpartum Home Blood Pressure Monitoring Program: Improving Care for Hypertension During Postpartum after a Hospital Birth

Hayden-Robinson, Kamilah A.; Deeb, Jessica L.

MCN, The American Journal of Maternal/Child Nursing. 48(3):134-141, May/June 2023.

In this quality improvement project, patients with a diagnosis of a hypertensive disorder of pregnancy were given a home blood pressure monitor with detailed instructions for use when they were discharged from the hospital after giving birth. Patients monitored their blood pressure at home and reported results to their providers. Timely and appropriate treatment was able to be initiated without a return in-person visit for most patients. The program was well received by patients and providers. Home blood pressure monitoring for new mothers is a feasible method of insuring timely treatment for postpartum hypertension as needed without requiring a trip to the clinic or the hosptial.

Screening for Partner Postpartum Depression: A Systematic Review

Le, Joria; Alhusen, Jeanne; Dreisbach, Caitlin

MCN, The American Journal of Maternal/Child Nursing. 48(3):142-150, May/June 2023.

Most of the research on postpartum depression has focused on new mothers, however their partners can experience depression during postpartum as well. In this systematic review, articles that described screening tools for partner postpartum depression are evaluated. Recommendations for nursing practice are presented.

The Role of Nurses in Fetal Cardiology Programs: An Integrative Review

Butler, Mary; McArthur, Erin C.

MCN, The American Journal of Maternal/Child Nursing. 48(3):151-160, May/June 2023.

The role of nurses in fetal cardiology programs is not fully described in the literature. Nursing practice and requirements for knowledge, skills, and education vary among programs and countries. In this integrative review of 26 articles from 9 countries, the role of nurses in fetal cardiology programs is explored and recommendations for role definition, quality measures, and educational requirements are discussed.

Challenges with Breastfeeding: Pain, Nipple Trauma, and Perceived Insufficient Milk Supply

Mahurin-Smith, Jamie

MCN, The American Journal of Maternal/Child Nursing. 48(3):161-167, May/June 2023.

Breastfeeding challenges are common. In this study of over 450 new mothers who were recruited from social media, breastfeeding pain, nipple trauma, and perceived insufficient milk supply were the most frequently reported barriers to women reaching their breastfeeding goals. Nurses can use these data to advise women what to expect during breastfeeding and offer options prospectively that may help to avoid some of these situations.

NCPD Connection

Challenges, Job Satisfiers, and Self-Care among Perinatal Nurses in the United States during the COVID-19 Pandemic

Iobst, Stacey E.; Breman, Rachel Blankstein; Walker, Mark; More

MCN, The American Journal of Maternal/Child Nursing. 48(3):118-126, May/June 2023.

Perinatal nurses, like other nurses in the United States and around the world, have faced many challenges in providing high quality nursing care during the COVID-19 pandemic. In this study, members of the Association of Women's Health, Obstetric, and Neonatal Nurses and the National Association of Neonatal Nurses participated in an online survey about their experiences during the pandemic. Ability to provide high-quality care was reported as a leading job satisfier, while poor communication of consistent, evidence-based guidelines, lack of personal protective equipment, and inadequate unit staffing were leading challenges. Visitor restrictions were a challenge and a job satisfier, suggesting opportunities to better include visitors as support people. This study adds important information about maternity nursing practice in the United States during the COVID-19 pandemic.

Improving Cardiovascular Follow-Up after Diagnosis of a Hypertensive Disorder of Pregnancy using the Electronic Health Record

Burgess, Adriane; Stover, Samantha

MCN, The American Journal of Maternal/Child Nursing. 48(3):127-133, May/June 2023.

Cardiovascular disease is one of the leading causes of morbidity and mortality among women in the United States. A diagnosis of hypertensive disorder of pregnancy can increase risk of cardiovascular disease later in life. Preventative measures and healthy lifestyle changes, if initiated during postpartum and continued, can be beneficial. In this quality improvement project, women who were diagnosed with a hypertensive disorder of pregnancy were followed up during postpartum using the electronic health record with information about the links between hypertension during pregnancy and risk of cardiovascular disease and offered educational resources on a healthy lifestyle. Their primary care providers were notified about their diagnosis of a hypertensive disorder of pregnancy and encouraged to discuss the implications for future health with these new mothers.