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Oxytocin Guidelines Associated with Compliance to National Standards

In this quality improvement project, a multidisciplinary team developed an evidence-based approach for use of oxytocin for induction and augmentation of labor based on a review of the literature, consensus building, and teamwork. Compliance with the standardized protocol was associated with a decrease in the maximum oxytocin dose and in the time between oxytocin initiation and birth. Fears of increasing the rate of cesarean birth due to a less aggressive method of using oxytocin were not found to be supported.

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Chinese American Women's Experiences with Postpartum Depressive Symptoms and Mental Health Help-Seeking Behaviors

Postpartum depression is one of the most common morbidities after birth. In this study, Chinese American women discuss how they coped after giving birth and their perceptions of how women in their culture seek help when experiencing depressive symptoms during postpartum.

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Predictors of HIV Risk Reduction in Adolescent Girls

HIV and AIDS remain significant public health problems. In this study, 224 adolescent girls were surveyed about their sexual activity and related HIV prevention behaviors. Mastery and self-esteem, variables that commonly explain health enhancing behaviors, were not associated with HIV risk reduction behaviors. Findings suggest HIV prevention efforts by nurses should be universal during care of adolescents and that these efforts need to intensify as adolescents age.

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Nurses' Views on Using Pasteurized Donor Human Milk for Hypoglycemic Term Infants

Pasteurized donor human milk has been used for babies in the neonatal intensive care units for many years but has not been considered an option for treating otherwise healthy term newborns with hypoglycemia. In this study, focus groups of nurses were held to get their views on this practice. Their feedback was used to prepare educational resources for nurses and families about use of pasteurized donor human milk for treating healthy term newborn hypoglycemia.

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Barriers to Skin-to-Skin Contact after Cesarean Birth

Women usually have skin-to-skin contact with their healthy newborns immediately after vaginal birth, however this is not routine practice in the surgical suite after cesarean birth. In this study, nurses who care for women during labor and birth discuss their perceptions of barriers to skin-to-skin after cesarean birth and what can be done to promote the practice.

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Same-Sex Mothers and Lactation

There are very limited data about same-sex mothers and lactation. In this study, women who are part of a same-sex couple and had recently given birth were interviewed about their breastfeeding experiences. The findings are helpful to nurses who care for this population and can be the basis for appropriate and sensitive care.

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