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Most Emailed Articles

Implementing Co-Regulated Feeding with Mothers of Preterm Infants

Thoyre, Suzanne M.; Hubbard, Carol; Park, Jinhee; More

MCN: The American Journal of Maternal/Child Nursing. 41(4):204-211, July/August 2016.

Co-Regulated Feeding is used to prevent stress during feeding and ease the challenges very preterm infants experience coordinating breathing and swallowing during the early months. This study evaluates implementation of co-regulated feeding. Presence of the nurse while mothers feed their very preterm infant offers an opportunity to guide mothers in co-regulated, cue-based feeding.

Update on Evaluation, Prevention, and Management of Postpartum Hemorrhage

Simpson, Kathleen Rice

MCN: The American Journal of Maternal/Child Nursing. 43(2):120, March/April 2018.

The American College of Obstetricians and Gynecologists has updated their guidelines on postpartum hemorrhage. Review the October 2017 practice bulletin and work with the multidisciplinary team on your unit to adopt the recommendations to promote patient safety.

Experiences of Women with Postpartum Depression Participating in a Support Group Led by Mental Health Providers

Cook, Carolyn; Goyal, Deepika; Allen, Monica

MCN: The American Journal of Maternal/Child Nursing. 44(4):228-233, July/August 2019.

In this study, women with postpartum depression who participated in a postpartum support group facilitated by mental health professionals, offered their thoughts on how the support group helped them cope and manage their postpartum depression. They felt supported, were more likely to disclose their symptoms to other women in the same situation, and were able to share their feelings without fear of judgement. Nurses should be aware of these types of services in the community so they can refer women as needed.

Proposed Guidelines for Skin-to-Skin Treatment of Neonatal Hypothermia

Galligan, Maura

MCN, The American Journal of Maternal/Child Nursing. 31(5):298-304, September-October 2006.

Studies have been done, results have been positive. Is it time to now put the evidence into practice?

The Development of an Obstetric Triage Acuity Tool

Paisley, Kathleen S.; Wallace, Ruth; DuRant, Patricia G.

MCN, The American Journal of Maternal/Child Nursing. 36(5):290-296, September-October 2011.

How well does triage work in your perinatal setting? Have the principles of safety science been integrated into your triage guidelines? These nurses have developed a tool specifically for obstetric triage acuity, and share the work here with you.

Psychosocial Factors and Preterm Birth Among Black Mothers and Fathers

Giurgescu, Carmen; Misra, Dawn P.

MCN: The American Journal of Maternal/Child Nursing. 43(5):245-251, September/October 2018.

Black mother-Black father couples are two times more likely to have preterm birth compared to White mother-White father couples. In a review of the literature, potential factors for this disparity are explored. Gaps in evidence are highlighted. Suggestions for action based on what is known are offered.

Should Extreme Obesity in Children be Considered Child Abuse?

Beal, Judy; Decker, Jonathan W; Quelly, Susan

MCN, The American Journal of Maternal/Child Nursing. 38(6):334-335, November/December 2013.

Whose fault is it when a child suffers from extreme obesity? Is anyone at fault?

Opioid Use in Pregnancy

Killion, Molly M.

MCN: The American Journal of Maternal/Child Nursing. 42(6):360, November/December 2017.

In the last 10 years, opioid use has quadrupled in the United States, including increased use in pregnancy, leading to a fivefold increase neonatal abstinence syndrome. Findings of a National Institute of Child Health and Human Development workshop of experts to evaluate opioid use in pregnancy and related neonatal and childhood effects were published in July 2017. Our maternity nursing expert, Molly Killion, reviews the workshop recommendations.

Screening for Postpartum Depression by Hospital-Based Perinatal Nurses

Logsdon, M. Cynthia; Vogt, Krista; Davis, Deborah Winders; More

MCN: The American Journal of Maternal/Child Nursing. 43(6):324-329, November/December 2018.

Postpartum depression is the most common complication of childbirth, affecting 10% to 15% of new mothers. In this study, hospital-based perinatal nurses screened women prior to discharge from the hospital after birth for postpartum depression and followed up with a telephone call several weeks later. Women were receptive to the screening and follow-up calls. Nurses are in an optimal position to screen for postpartum depression and make sure women get appropriate and timely referral and treament.

Women's Lived Experience of Their Unexpected Birthing Process

Goldbort, Joanne Gerstner

MCN, The American Journal of Maternal/Child Nursing. 34(1):57-62, January-February 2009.

Not every birth is a happy one, and not every woman comes away feeling satisfied with her experience. Read what these women had to say, and what you can do to help women like these feel happier with the birthing process.

Impact of a Pediatric Quality of Life Program on Providers' Moral Distress

Brandon, Debra; Ryan, Donna; Sloane, Richard; More

MCN, The American Journal of Maternal/Child Nursing. 39(3):189-197, May/June 2014.

Nurses and other health care providers experience moral distress when they are asked to provide care that they don't agree with. These nurses gave their peers a special program on pediatric quality of life. Did they impact moral distress?

Survey of Adolescent Views of Healthy Eating During Pregnancy

Wise, Nancy J.; Arcamone, Angelina A.

MCN, The American Journal of Maternal/Child Nursing. 36(6):381-386, November-December 2011.

Most teenagers eat poorly, yes? But do pregnant teens take their pregnancies into consideration when choosing foods to eat?

Bedside Music Therapy for Women during Antepartum and Postpartum Hospitalization

Corey, Kristen; Fallek, Ronit; Benattar, Maya

MCN: The American Journal of Maternal/Child Nursing. 44(5):277-283, September/October 2019.

Music therapy can be beneficial for women during antepartum and postpartum hospitalization. In this project, music therapists offered various types of music to hospitalized childbearing women, including live performances at the bedside, as part of a project to create a healing environment and help pregnant women and new mothers with soothing, relaxing options for self-care and quiet time.

Perspectives on Barriers and Facilitators in Caring for Women with Gestational Diabetes in Rural Appalachia

Chertok, Ilana R. Azulay; Silk, Jennifer J.; Kulasa, Kathryn A.

MCN: The American Journal of Maternal/Child Nursing. 44(5):289-295, September/October 2019.

In this study, nurses, midwives, and physicians caring for women with diabetes in rural Appalachia offered their thoughts on common challenges and factors that promoted best care. The main challenges included limited resources, lack of adherence to recommendations, cultural influences including normalization of diabetes, and food culture. Collaborative care including accessible resources and patient motivation were perceived as beneficial.

Nurses’ Knowledge, Attitudes, and Practices: Regarding Children’s Pain

Van Hulle Vincent, Catherine

MCN, The American Journal of Maternal/Child Nursing. 30(3):177-183, May-June 2005.

Pain management is a hot topic and one that nurses need to consider every day. Do nurses adequately relieve the pain of children in the hospital? What do you think?

Promoting Teen Mothers' Mental Health

Freed, Patricia; SmithBattle, Lee

MCN: The American Journal of Maternal/Child Nursing. 41(2):84-89, March/April 2016.

Teen mothers may have experienced adverse childhood experiences that were distressing and traumatic. These events can have a negative influence on their pregnancy and parenting. Trauma-informed care and strengths-based care can be helpful in supporting teen mothers.

Hospital-to-Home Transition of Mothers of Preterm Infants

Griffin, Junyanee Boonmee; Pickler, Rita H.

MCN, The American Journal of Maternal/Child Nursing. 36(4):252-257, July-August 2011.

Leaving the hospital with an NICU graduate can be stressful for the family as mothers struggle to adjust to 24 hour care and taking on the maternal role full time.

Newborn Safety Bundle to Prevent Falls and Promote Safe Sleep

Lipke, Bethann; Gilbert, Gael; Shimer, Heather; More

MCN: The American Journal of Maternal/Child Nursing. 43(1):32-37, January/February 2018.

It is not uncommon for mothers to fall asleep while holding their baby during postpartum hospitalization. In this context, newborn babies are at risk for falls and suffocation. The clinical team at one hospital developed a newborn infant safety bundle to promote safe sleep and minimize risk of infant falls and drops. Results are promising in preventing unsafe sleep conditions and newborn falls.

Nursing Care of the Patient With Preterm Premature Rupture of Membranes

Stringer, Marilyn; Miesnik, Susan R.; Brown, Linda; More

MCN, The American Journal of Maternal/Child Nursing. 29(3):144-150, May-June 2004.

The problem of PPROM just doesn’t go away. What’s the best way to handle PPROM? Dr. Stringer and her colleagues are world-class experts on this topic.

Reducing the Stigmatization of Teen Mothers

SmithBattle, Lee I.

MCN, The American Journal of Maternal/Child Nursing. 38(4):235-241, July/August 2013.

Nurses are urged to advocate for services and policies that reduce the stigmatization and marginalization of teen mothers.

Safety Bundle for Severe Hypertension During Pregnancy and Postpartum

Wisner, Kirsten

MCN: The American Journal of Maternal/Child Nursing. 43(3):171, May/June 2018.

Hypertensive disorders of pregnancy are a leading contributor to maternal morbidity and mortality. Our maternity nursing expert, Kirsten Wisner, highlights the new patient safety bundle on severe hypertension during pregnancy and postpartum released by the National Partnership for Maternal Safety in 2017.

Barriers to Skin-to-Skin Contact after Cesarean Birth

Balatero, Joelene S.; Spilker, Arlene F.; McNiesh, Susan G.

MCN: The American Journal of Maternal/Child Nursing. 44(3):137-143, May/June 2019.

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.

Incivility, Bullying, and Workplace Violence: New Recommendations for Nurses and Their Employers From the American Nurses Association

Simpson, Kathleen Rice

MCN: The American Journal of Maternal/Child Nursing. 41(1):68, January/February 2016.

A new position statement from the American Nurses' Association on incivility, bullying, and workplace violence is reviewed. Nurses have responsibilities as professionals to speak up and take action when there is incivility, bullying, and violence in the workplace.

Measles: To Vaccinate or Not?

Beal, Judy A.

MCN: The American Journal of Maternal/Child Nursing. 40(4):263, July/August 2015.

A recent measles outbreak has highlighted the importance of vaccination for all eligible children. Our pediatric nursing expert suggests resources so you can be up-to-date on the latest information to share with parents.

The Dangers of Youth Football

Beal, Judy A.

MCN: The American Journal of Maternal/Child Nursing. 42(6):361, November/December 2017.

Pediatric providers working in emergency rooms treat more than 200,000 children ages 5–18 for sports-related head injuries each year. Approximately 3 million youth are playing tackle football today in the United States. Our pediatric nursing expert, Dr. Judy Beal, explains evolving evidence about the dangers of youth tackle football.

Association Between Lactation and Postpartum Blood Pressure in Women with Preeclampsia

Burgess, Adriane; McDowell, Wendy; Ebersold, Stacie

MCN: The American Journal of Maternal/Child Nursing. 44(2):86-93, March/April 2019.

Women who have preeclampsia are at increased risk for cardiovascular disease later in life. Breastfeeding has been shown to be cardioprotective. In this study of women who had preeclampsia, there was a significant difference in systolic and diastolic blood pressure between those who were breastfeeding and those who were not at the initial postpartum visit. Women who have preeclampsia need information about potential benefits of breastfeeding as well as their risk of cardiovascular disease as they get older.

Fetal Heart Monitoring Prior to Cesarean Birth

Wisner, Kirsten

MCN: The American Journal of Maternal/Child Nursing. 40(3):193, May/June 2015.

What is recommended for fetal assessment prior to cesarean birth? Do all women need continuous electronic fetal monitoring?

Safety of Over-the-Counter Medications in Pregnancy

Stanley, Angela Y.; Durham, Catherine O.; Sterrett, James J.; More

MCN: The American Journal of Maternal/Child Nursing. 44(4):196-205, July/August 2019.

Use of over-the-counter medications during pregnancy and breastfeeding is wide-spread. In this review, details of common medications that are used during pregnancy are covered. Up-to-date information for nurses caring for women during pregnancy and lactation is offered so nurses are prepared to give accurate advice.

Amniotic Fluid Embolism

Sundin, Courtney Stanley; Mazac, Lauren Bradham

MCN: The American Journal of Maternal/Child Nursing. 42(1):29-35, January/February 2017.

Amniotic fluid embolism is an unpredictable and potentially lethal complication of pregnancy. Maternal and fetal mortality remain high, although improvements in critical care over the years have contributed to better survival rates. An overview of what is known about amniotic fluid embolism is presented along with an exemplar case.

Bladder Management With Epidural Anesthesia During Labor: A Randomized Controlled Trial

Wilson, Barbara L.; Passante, Tammy; Rauschenbach, Diane; More

MCN: The American Journal of Maternal/Child Nursing. 40(4):234-242, July/August 2015.

Results of this randomized controlled trial should cause nurses to question routine use of indwelling catheters for women in labor who have epidural analgesia. As with many uncessary interventions, there may be unintended consequences.

Newborn Safety in the Hospital

Simpson, Kathleen Rice

MCN: The American Journal of Maternal/Child Nursing. 40(4):272, July/August 2015.

More focus is needed on the safety of newborns while in the care of their parents on the mother-baby unit to prevent babies from being accidently injured. Promotion of breastfeeding and maternal-newborn attachment should be in the context of newborn safety.

Increasing Popularity of Vaping among Adolescents

Beal, Judy A.

MCN: The American Journal of Maternal/Child Nursing. 44(4):235, July/August 2019.

Over the past decade use of e-cigarettes has dramatically increased among youth in the United States. Our pediatric nursing expert, Dr. Beal, explains the recent trends and how nurses can help teens and their parents have enough information about vaping to avoid starting this unhealthy practice and to stop if started.

Clinical Aspects of Miscarriage

Walter, Marie A.; Alvarado, Mary S.

MCN: The American Journal of Maternal/Child Nursing. 43(1):6-12, January/February 2018.

Understanding the clinical aspects of miscarriage, as well as the emotional care of families experiencing early pregnancy loss, is important to nurses in all areas of the hospital. A clinical review and recommendations for care are offered for nurses caring for women who have a miscarriage.

Differentiating Between Food Security and Insecurity

Morin, Karen H.

MCN, The American Journal of Maternal/Child Nursing. 39(6):381, November/December 2014.

Food insecurity is not the same as hunger. Learn what food security and insecurity mean in the context of ease of accessibility to food, anxiety, and eating patterns.

Implementation of an Oxytocin Checklist to Improve Clinical Outcomes

Sundin, Courtney; Mazac, Lauren; Ellis, Kathleen; More

MCN: The American Journal of Maternal/Child Nursing. 43(3):133-138, May/June 2018.

Oxytocin checklists can be helpful in standardizing clinical practice during induction and augmentation of labor. In this quality improvement project, the authors found use of the checklist was favorably received by the labor nurses and was associated with several positive clinical outcomes such as a lower cesarean birth rate, a shorter first stage labor, less tachysystole, less overall dose of oxytocin, and less need to titrate the dose based on uterine or fetal status.

Breastfeeding Knowledge of University Nursing Students

Ahmed, Azza; Bantz, Diana; Richardson, Clara

MCN, The American Journal of Maternal/Child Nursing. 36(6):361-367, November-December 2011.

Nursing students were found to have general information about the benefits of breastfeeding, but little knowledge about physiology or breastfeeding management.

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