MCN: The American Journal of Maternal/Child Nursing

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Birth Center Breastfeeding Rates: A Literature Review

Breastfeeding rates in the United States fall short of national targets and are marked by racial and ethnic disparities. There are limited data on birth center breastfeeding rates. In this PRISMA-guided literature review, breastfeeding rates that exceeded actual and target national breastfeeding rates were reported among all studies of birth centers. Giving birth in a birth center is associated with higher than national breastfeeding rates.


Subject Matter Expert Nurses in Safe Sleep Program Implementation

In this quality improvement project, maternity and neonatal nurses in hospitals in Pennsylvania particpated in a safe infant sleep program. After education, they became safe sleep subject matter experts who were knowledgeable, highly respected, expert communicators and collaborators committed to achieving high performance standards, and skilled in the evaluation, measurement, and dissemination of outcomes. They felt their education had prepared them to conduct data collection, synthesis, and dissemination activities associated with infant sleep safety.


Effects of Acupressure on Lactation: An Integrated Review

Insufficient milk supply is a common reason for new mothers to stop breastfeeding. In this integrated review of the literature, studies on the effects of acupressure on lactation are reviewed. More evidence is needed, however, based on these results, acupressure may be a promising, inexpensive method of enhancing secretory activation during the early days postpartum that perinatal clinicians can learn.


Pregnant Women's Perception of Secondhand Smoke Exposure

Birth outcomes such as low birth weight, preterm birth, and delayed infant neurodevelopment are associated with secondhand smoke exposure during pregnancy. In this qualitative phenomenological study, 15 pregnant women shared their perspectives on secondhand smoke exposure. Findings underscore the role of nurses working with pregnant women living with household members who smoke to educate women about risks and strategies for avoidance and to enhance women's self-confidence in advocating for themselves to reduce their exposure.


First-Time Mothers' Invisible Presence Using Social Networking Sites

New mothers are frequent users of social media sites. In this study, 21 first-time new mothers were interviewed about how they used social media during the first months postpartum. Mothers reported they logged on multiple times a day, often during the night and adjusting to infant feeding and napping schedules. They believed the sites offered a safe space for mothers to have access to information and support while maintaining some degree of anonymity. Nurse familiarity with existing online social media sites can be beneficial in guiding new mothers to reputable resources.


Pediatric Specialty Nursing Associations and their Role in Leadership Development

In this scoping review, articles about pediatric specialty nursing associations and their role in leadership development were evaluated, along with the websites of the 10 current pediatric nursing specialty organizations. Although there are leadership programs sponsored by professional nursing organizations and mentions of leadership in their mission and “about us” statements, there is very little empirical evidence of the contributions that pediatric nursing specialty bodies make to the development of nurse leaders. Future research is needed to empirically support the value of professional organizations to their members.