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Expectations of Motherhood and Quality of Life

Expectations of motherhood during pregnancy and the experience of motherhood during the first 6 to 12 weeks postpartum may not always match. In this study of pregnant women and new mothers, almost one-half of new mothers had unmet expectations and these unmet expectations were found to be a significant predictor of quality of life during pregnancy and postpartum.

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Knowledge and Attitudes of Maternity Nurses and Ancillary Team Members about Substance Addiction during Pregnancy and Postpartum

Maternity nurses and ancillary members of the maternity care team in one Magnet hospital were surveyed about their knowledge and attitudes in caring for women during pregnancy and postpartum who use addictive substances. Most maternity nurses have the knowledge and skills they believe are needed and most, but not all, have positive attitudes in caring for this vulnerable population.

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Prevention of Pruritis following Spinal Morphine for Scheduled Cesarean Birth

Pruritis after cesarean birth with spinal anesthesia using morphine is dose-related and common among women postpartum. In this quality improvement project, the anesthesia team encouraged their providers to use a standardized and lower than routine dose of morphine to decrease risk of pruritis. Most anesthesia providers used the lower dose and fewer women experienced pruritis after scheduled cesarean birth when comparing rates before and after the project was initiated.

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Nurses' Experiences with Implementation of a Postcesarean Birth Opioid-Sparing Protocol

It has been estimated that approximately one in fifty women who receive an opioid prescription post-cesarean birth develop new persistent opioid use. Enhanced recovery after surgery programs have been shown to decrease use of narcotics postoperatively without most patients experiencing increased pain. In this study, nurses who care for women during postpartum shared their experiences and identified facilitators and barriers of implementation of an opioid-sparing protocol for women having cesarean birth.

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Probiotics for the Management of Infantile Colic: A Systematic Review

Colic is defined as periods of inconsolable crying, fussing or irritability that have no apparent cause and occur in healthy infants under 5 months of age. Although colic is a benign and self-limiting condition, it can be distressing to parents and there are few robust treatment interventions. This systematic review explored the evidence for administration of probiotics to prevent or decrease symptoms of colic. Based on the evidence, probiotics (especially the strain Lactobacillus reuteri DSM 17938) can safely be recommended if parents desire a treatment option for their infants with colic.

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Impact of COVID-19 on Maternal Mental Health

The COVID-19 pandemic has the potential to have a negative affect on maternal mental health. Social isolation and lack of expected family support during preganancy and postpostum are possible factors. The authors present an overview of what is known and what nurses can do to help pregnant women during the pandemic.

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