Most Popular Articles

Complications of Cesarean Birth: Clinical Recommendations for Prevention and Management

Burke, Carol; Allen, Roma

MCN, The American Journal of Maternal/Child Nursing. 45(2):92-99, March/April 2020.

Maternal morbidity and mortality is significantly increased with cesarean birth as compared to vaginal birth. In this clinical review, strategies for prevention and management of three complications of cesarean birth are presented; postpartum hemorrhage, surgical site infection, and venous thromboembolism. Pertinent patient safety bundles, toolkits, protocols, and national standards and guidelines are applied to care of women having cesarean birth.

Labor Nurses' Views of Their Influence on Cesarean Birth

Simpson, Kathleen Rice; Lyndon, Audrey

MCN: The American Journal of Maternal/Child Nursing. 42(2):81-87, March/April 2017.

Nurses play an important role in helping women in labor avoid avoid a cesarean birth. They offer emotional encouragement, various labor support techniques, and information on what to expect as strategies to promote vaginal birth. They focus on the positve aspects of labor progress when communicating with physicians. The dynamics of the nurse-physician relationship is at times challenging as labor nurses do not always perceive their physician colleage share the same goals and investment for mode of birth.

Kangaroo Care for Hospitalized Infants with Congenital Heart Disease

Lisanti, Amy Jo; Buoni, Alessandra; Steigerwalt, Megan; More

MCN, The American Journal of Maternal/Child Nursing. 45(3):163-168, May/June 2020.

Skin-to-skin care, also known as kangaroo care, has many known benefits for newborns. In this quality improvement project, nurses caring for infants with congenital heart disease requiring corrective surgery in the first few weeks of life developed processes to apply kangaroo care to this patient population and evaluated outcomes. Kangaroo care appears to be feasible and safe for infants with congenital heart disease before and after surgery.

Vitamin D Deficiency and Sleep Quality in Minority Pregnant Women

Woo, Jennifer; Penckofer, Susan; Giurgescu, Carmen; More

MCN, The American Journal of Maternal/Child Nursing. 45(3):155-160, May/June 2020.

Researchers evaluated the relationships between vitamin D deficiency and sleep quality among pregnant African American and Hispanic women. Minority women are at higher risk for vitamin D deficiency and more likely to experience poor sleep quality compared with non-Hispanic White women. Over 60% of women in this study had vitamin D deficiency and 58% had poor sleep quality scores. Low vitamin D levels were associated with poor sleep quality. All pregnant women should be assessed for sleep quality and sleep hygiene techniques should be recommended as appropriate.

Threats to Patient Safety in the Inpatient Maternity Setting

O'Neill, Loraine; Miller, Lisa A.; Rohan, Annie J.

MCN, The American Journal of Maternal/Child Nursing. 45(2):74-81, March/April 2020.

As part of our special topics issue on inpatient maternity care, three nurse experts were asked to offer their thoughts about the main issues putting mothers and babies at risk in the hospital setting and what quality and safety practices may be beneficial in keeping them safe from harm.

Navigating a Minefield: Meta-Synthesis of Teen Mothers' Breastfeeding Experience

SmithBattle, Lee; Phengnum, Wisitsri; Punsuwun, Sasinun

MCN, The American Journal of Maternal/Child Nursing. 45(3):145-154, May/June 2020.

Dr. Lee SmithBattle, a well-known expert on teen pregnancy, and her colleagues examine breastfeeding among teens in this meta-synthesis. They noted that breastfeeding is deeply meaningful to young mothers, however teens navigate a minefield that undermines breastfeeding intentions and development of skill and confidence. This is often characterized by contested norms and spaces that are inhospitable and stigmatizing to teen mothers. Nurses can use these data to support and encourage teens who are breastfeeding.

Perinatal Anxiety and Depression in Minority Women

Gennaro, Susan; O'Connor, Caitlin; McKay, Elizabeth Anne; More

MCN, The American Journal of Maternal/Child Nursing. 45(3):138-144, May/June 2020.

Approximately 20% of women of racial and ethnic minorities, experience anxiety or depression during pregnancy, potentially leading to negative consequences for mother and child. Barriers to seeking treatment include uncertainty about what is normal, lack of time, difficulty accessing treatment, and stigma. All pregnant women should be screened for depression and referred for treatment. A review of perinatal anxiety and depression, including current treatment options and promising areas of research are presented.

Post-Traumatic Stress, Depression, and Quality of Life in Women with Peripartum Cardiomyopathy

Donnenwirth, Jo Ann; Hess, Rosanna; Ross, Ratchneewan

MCN, The American Journal of Maternal/Child Nursing. 45(3):176-182, May/June 2020.

Peripartum cardiomyopathy is a rare and serious cardiac condition of pregnancy. Relationships among post-traumatic stress, depression, and quality of life were evaluated in women living with peripartum cardiomyopathy. Post-traumatic stress correlated significantly and positively with depression, and post-traumatic stress. Depression correlated significantly and inversely with quality of life. All participants measured positive for depression. Nurses should ensure that women with peripartum cardiomyopathy are followed closely for depression and post-traumatic stress.

Measuring Blood Loss in Obstetric Hemorrhage

Wisner, Kirsten

MCN, The American Journal of Maternal/Child Nursing. 45(3):184, May/June 2020.

Obstetric hemorrhage is a major contributor to maternal morbidity and mortality in the United States. Many of these deaths are preventable. Our maternity nursing expert, Dr. Wisner, reviews quantification of blood loss for all women after birth, based on recommendations from the Association of Women's Health, Obstetric, and Neonatal Nurses, and the American College of Obstetricians and Gynecologists.

Clinical Implications of Fetal Heart Rate Interpretation Based on Underlying Physiology

O'Brien-Abel, Nancy

MCN, The American Journal of Maternal/Child Nursing. 45(2):82-91, March/April 2020.

Understanding the physiology of fetal oxygenation and various influences on the fetal heart rate supports nurses, midwives, and physicians in interpreting and managing electronic fetal heart rate tracings during labor and birth. A review and update on clinical implications of fetal heart rate pattern interpretation based on underlying physiology is presented.

Safe Nurse Staffing is More than Numbers and Ratios

Simpson, Kathleen Rice

MCN: The American Journal of Maternal/Child Nursing. 42(5):304, September/October 2017.

Safe staffing is not numbers or ratios, rather the essential nursing care for optimal outcomes. Productivity targets should financially support enough nurses to provide care that is required based on national standards and guidelines. The numbers recommended in the AWHONN (2010) staffing guidelines represent the ability to perform that requisite nursing care.

Changing the Prenatal Care Paradigm to Improve Breastfeeding Outcomes

Spatz, Diane L.

MCN, The American Journal of Maternal/Child Nursing. 45(3):186, May/June 2020.

A new paradigm for teaching families about benefits of breastfeeding is needed to help all mothers meet their breastfeeding goals. During prenatal care, breastfeeding should be discussed at every visit. Our breastfeeding expert, Dr. Spatz, describes the new paradigm and how to incorporate it into clinical practice.

Teaching Father-Infant Massage during Postpartum Hospitalization: A Randomized Crossover Trial

Suchy, Carol; Morgan, Gloria; Duncan, Susan; More

MCN, The American Journal of Maternal/Child Nursing. 45(3):169-175, May/June 2020.

In this randomized crossover trial, new fathers were randomized to viewing a video about infant massage before or after they were observed by nurses during father-infant interactions. Fathers who had viewed the massage video had increased bonding interactions compared with fathers who had not seen the video. Fathers were positive about learning infant massage. Newborn massage by fathers may be one way to enhance paternal bonding.

Sudden Unexplained Infant Deaths: New Study Findings Related to Day of Life

Beal, Judy A.

MCN, The American Journal of Maternal/Child Nursing. 45(3):185, May/June 2020.

New data on classification and risk factors for sudden unexplained infant deaths based on age of infants at death have been published. Our pediatric nursing expert, Dr. Beal, explains the study findings and how they can help nurses promote safe infant sleep.

Pediatric Intramuscular Injections: Guidelines for Best Practice

Rishovd, Abby

MCN, The American Journal of Maternal/Child Nursing. 39(2):107-112, March/April 2014.

Nurses deliver the vast majority of intramuscular injections to pediatric patients, usually in the form of vaccines. Dr. Kaniaris gives you the latest, most important evidence on how to administer IMs to children.

Pregnant African American Women's Perceptions of Neighborhood, Racial Discrimination, and Psychological Distress as Influences on Birth Outcomes

Dove-Medows, Emily; Deriemacker, Amanda; Dailey, Rhonda; More

MCN, The American Journal of Maternal/Child Nursing. 45(1):49-56, January/February 2020.

African American women are more likely to experience preterm birth compared with White women. Social factors such as neighborhood disorder and experiences of racial discrimination, which disproportionately affect African American women, may partially explain these disparities. In this study pregnant African American women were interviewed to get their perceptions of neighborhood disorder, racial discrimination, and psychological distress and whether these concepts were viewed as influences on birth outcomes.

Parental Decision Making in Male Circumcision

Sardi, Lauren; Livingston, Kathy

MCN: The American Journal of Maternal/Child Nursing. 40(2):110-115, March/April 2015.

How do parents make the decision to have their newborn baby boy circumcised? What do they need to know and how can nurses make sure they have adequate information to make a truly informed decision?

Compassion Fatigue Among Pediatric Healthcare Providers

Branch, Carole; Klinkenberg, Dean

MCN: The American Journal of Maternal/Child Nursing. 40(3):160-166, May/June 2015.

Pediatric nurses caring for chronically and acutely ill children are at increased risk for developing compassion fatigue. This study evaluated compassion fatigue of pediatric nurses and allied health professionals in an academic pediatric hospital. Based on results, a program that includes recognition of signs of burnout and compassion fatigue and self-help measures has been developed and implemented at the hospital.

Postpartum Depression Screening for New Mothers at Well Child Visits

Emerson, Margaret R.; Mathews, Therese L.; Struwe, Leeza

MCN: The American Journal of Maternal/Child Nursing. 43(3):139-145, May/June 2018.

Pediatric well child visits offer an opportunity to screen new mothers for postpartum depression. This study examines the feasibility of screening for postpartum depression in the pediatric ambulatory setting, the content of the discussion about postpartum depression with the new mother and the pediatric provider, and prevalence of postpartum depressions among study participants.

Becoming Global Citizens in Maternal Child Nursing

Callister, Lynn Clark

MCN, The American Journal of Maternal/Child Nursing. 45(3):187, May/June 2020.

This year has been designated as the World Health Organization (WHO) International Year of the Nurse and Midwife in honor of the bicentenary celebration of Florence Nightingale. Nurses and midwives are the largest group of health care workers globally and as such are essential stakeholders in promoting world health. Our global health and nursing expert, Dr. Callister, presents implications for maternal-child nurses and how we can all become global citizens.

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.

Randomized Controlled Trial of Use of the Peanut Ball During Labor

Roth, Cheryl; Dent, Sarah A.; Parfitt, Sheryl E.; More

MCN: The American Journal of Maternal/Child Nursing. 41(3):140-146, May/June 2016.

The peanut ball is a specific type of birthing ball used by some women in labor. It may be helpful in maternal positioning and promoting labor progress. A randomized trial of peanut ball use is reported.

The American Nurses Association's White Paper on Nurse Staffing : Clinical and Economic Benefits of Appropriate Staffing

MCN: The American Journal of Maternal/Child Nursing. 41(3):139, May/June 2016.

The American Nurses Association has published a new white paper on nurse staffing Optimal Nurse Staffing to Improve Quality of Care and Patient Outcomes. All nurses should review this document to be up-to-date on the latest evidence linking appropriate nurse staffing to better outcomes for patients.

Neonatal Abstinence Syndrome: Therapeutic Interventions

Sublett, Juli

MCN, The American Journal of Maternal/Child Nursing. 38(2):102-107, March/April 2013.

This paper explores varied therapy options for infants with Neonatal Abstinence Syndrome and the risks, benefits, and outcomes of the therapies.

Postpartum Safety: A Patient-Centered Approach to Fall Prevention

Lockwood, Suzy; Anderson, Kandace

MCN, The American Journal of Maternal/Child Nursing. 38(1):15-18, January/February 2013.

A fall prevention team was formed to decrease the incidence of postpartum patient falls.

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.

Implications of Preterm Birth for Maternal Mental Health and Infant Development

Anderson, Cheryl; Cacola, Priscila

MCN: The American Journal of Maternal/Child Nursing. 42(2):108-114, March/April 2017.

Preterm birth can be a traumatic event as it is many times unexpected and often leads to admission to the neonatal intensive care unit (NICU). Mothers of infants in the NICU experience stress that can progress to depressive symptoms and posttraumatic stress disorder. These mental health issues can have a negative impact on maternal-infant attachment and infant development.

Cry It Out: What Is It and Is It Appropriate?

Beal, Judy A.

MCN: The American Journal of Maternal/Child Nursing. 42(3):180, May/June 2017.

Infant wakefulness at night is common. New parents often turn to the Internet for what to do when they encounter issues with their new baby that they're not sure how to handle, however, there are multiple websites offering advice that is not evidence-based. Our pediatric nursing expert, Dr. Beal, provides the most recent information on infant wakefulness at night for nurses to be able offer helpful advice to parents.

Parenting the Post-NICU Premature infant

Bakewell-Sachs, Susan; Gennaro, Susan

MCN, The American Journal of Maternal/Child Nursing. 29(6):398-403, November-December 2004.

What happens when we discharge premature babies home after months of intensive care? What are the things we need to teach parents about this important step in their families’ lives?

Interventions that Enhance Breastfeeding Initiation, Duration, and Exclusivity: A Systematic Review

Wood, Natsuko K.; Woods, Nancy F.; Blackburn, Susan T.; More

MCN: The American Journal of Maternal/Child Nursing. 41(5):299-307, September/October 2016.

Results of this systematic review highlight the significant gaps in knowledge about effective interventions to promote successful breastfeeding.

Beginning at the Bottom: Evidence-Based Care of Diaper Dermatitis

Heimall, Lauren M.; Storey, Beth; Stellar, Judith J.; More

MCN, The American Journal of Maternal/Child Nursing. 37(1):10-16, January/February 2012.

Have you witnessed a clinical practice in your institution and said to yourself “Why do we do that?” These nurses did and put together a strong evidence-based practice change. You can use this as a model.

Immigrant Women's Experiences as Mothers in the United States: A Scoping Review

Oerther, Sarah; Lach, Helen W.; Oerther, Daniel

MCN, The American Journal of Maternal/Child Nursing. 45(1):6-16, January/February 2020.

Since 1970, the increase in U.S. births has been driven in part by immigrant mothers. While mothering is a universal experience among women who have children, little is known about the broad experiences of immigrant women from different cultures who are mothering in the United States. In this scoping review, gaps in the literature are identified and recommendations for future research are offered.

Birth Settings in America: Outcomes, Quality, Access, and Choice: New Report from the National Academies of Sciences, Engineering, and Medicine

Simpson, Kathleen Rice

MCN, The American Journal of Maternal/Child Nursing. 45(3):137, May/June 2020.

A comprehensive report on birthing in the United States offers a detailed analysis of available choices, access to various choices, and associated risks for mother and baby. Consensus is lacking among researchers and clinicians on absolute and relative risks of adverse outcomes when comparing hospital, birth center, and home as a setting for birth. The National Academies of Science, Engineering and Medicine convened a committee of experts to examine these issues and prepare a summary of the evidence. The work of the committee was funded by the National Institute of Child Health and Human Development in response to congressional legislation sponsored by the Maternity Care Caucus including Congresswoman Lucille Roybal-Allard and Congresswoman Jaime Herrera Beutler.

Application of Caring Theory to Nursing Care of Women Experiencing Stillbirth

Nurse-Clarke, Natasha; DiCicco-Bloom, Barbara; Limbo, Rana

MCN: The American Journal of Maternal/Child Nursing. 44(1):27-32, January/February 2019.

Swanson's theory of caring has application to nursing care of women experiencing stillbirth. In this study, 20 labor and birth nurses share their perceptions of caring for women who have had a stillbirth. Findings suggest the five caring processes described by Swanson enhance the nurse-patient relationship and the bereaved mother's wellbeing.

Overcoming the Challenges: Maternal Movement and Positioning to Facilitate Labor Progress

Zwelling, Elaine

MCN, The American Journal of Maternal/Child Nursing. 35(2):72-78, March-April 2010.

Dr. Zwelling, a world class expert on positioning in labor, shares her knowledge with MCN'sreaders. Elaine Zwelling, PhD, RN, LCCE, FACCE

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.

Needle Anxiety in Children With Type 1 Diabetes and Their Mothers

Howe, Carol J.; Ratcliffe, Sarah J.; Tuttle, Alan; More

MCN, The American Journal of Maternal/Child Nursing. 36(1):25-31, January-February 2011.

No one likes to get injections or fingersticks, but diabetic children and their parents must get over their fears quickly in order to normalize blood sugars. These nurses help you to understand needle anxiety, and give you known methods for helping your patients to get over it.

Safe Sleep for Hospitalized Infants

McMullen, Sherri L.; Fioravanti, Irene Dutko; Brown, Kristen; More

MCN: The American Journal of Maternal/Child Nursing. 41(1):43-50, January/February 2016.

A quality improvement project to promote safe sleep for hospitalized infants is reported. The project covered eight pediatric units, the neonatal intensive care unit, and the mother-baby unit. Success came slower than expected, however challenges in engaging nurses and other caregivers in the project were eventually overcome.

Preventing Hypothermia during Cesarean Birth: An Integrative Review

Dendis, Michelle; Hooven, Katie

MCN, The American Journal of Maternal/Child Nursing. 45(2):102-108, March/April 2020.

In this integrative review, warming measures to prevent maternal hypothermia during the perioperative period for women having cesarean birth were evaluated. Warming measures found to be beneficial are intravenous fluid warming, upper body force-air warming, ambient operating room temperature, and warming mattresses. National guidelines from the American Society of PeriAnesthesia Nurses, the Association of Perioperative Registered Nurses, and the Association of Women's Health, Obstetric and Neonatal Nurses are consistent with current evidence and should be in place and followed in every maternity unit caring for women having cesarean birth.

Breastfeeding Support Guided by Swanson's Theory of Caring

Miller, Carrie Westmoreland; Wojnar, Danuta

MCN: The American Journal of Maternal/Child Nursing. 44(6):351-356, November/December 2019.

Swanson's Theory of Caring can be useful in developing caring methods of offering breastfeeding support to new mothers. In this study, discussions of new mothers about the breastfeeding support they received in the hospital are analyzed using the caring theory as a framework.

Nurse Staffing and Care During the Immediate Postpartum Recovery Period

Simpson, Kathleen Rice

MCN: The American Journal of Maternal/Child Nursing. 40(6):403, November/December 2015.

The first hours after birth are a time of joy and excitement, but also are associated with risk. What can you do to make sure the mother and baby are safe as they transition physiologically during the immediate postpartum recovery period? What standards and guidelines promote maternal and newborn safety during this time?

Challenges to Breastfeeding Initiation and Duration for Teen Mothers

Cota-Robles, Sonia; Pedersen, Laura; LeCroy, Craig Winston

MCN: The American Journal of Maternal/Child Nursing. 42(3):173-178, May/June 2017.

Breastfeeding practices of teen participants in a community outreach program that promoted breastfeeding through prenatal and postpartum support were studied. Nearly all teens reported initiating breastfeeding but few breastfed to six months. Teens stopped breastfeeding for the same reasons reported by adult mothers. Findings highlight areas in which teen mothers' knowledge and skills can be supported to promote breastfeeding duration, including pain management and better recognition of infant cues.

PRENATAL BREASTFEEDING EDUCATION and Breastfeeding Outcomes

Rosen, Irene M.; Krueger, Mary V.; Carney, Lorraine M.; More

MCN, The American Journal of Maternal/Child Nursing. 33(5):315-319, September-October 2008.

Breastfeeding is best. We all know that. Does it matter what type of breastfeeding class is offered to women? Do prenatal classes result in higher rates of breastfeeding than postpartum classes?

A Meta-Analysis of Preterm Infant Massage: An Ancient Practice With Contemporary Applications

Badr, Lina Kurdahi; Abdallah, Bahia; Kahale, Lara

MCN: The American Journal of Maternal/Child Nursing. 40(6):344-358, November/December 2015.

Massage therapy may be a comforting measure for infants in the neonatal intensive care unit (NICU) to improve weight gain and enhance mental development. However, based on the state of the current evidence, it is challenging to make definite clinical recommendations.

Korean Immigrant Women's Postpartum Experiences in the United States

Han, Meekyung; Goyal, Deepika; Lee, Jiyoung; More

MCN, The American Journal of Maternal/Child Nursing. 45(1):42-48, January/February 2020.

Korean Americans are one of the six largest Asian American subgroups, representing 9% of the Asian American population in the United States, however they have not been well represented in studies of postpartum depression. In this study, Korean women who had immigrated to the United States were interviewed about their postpartum experience.

A Case Study of Postpartum Depression & Altered Maternal-Newborn Attachment

Zauderer, Cheryl R.

MCN, The American Journal of Maternal/Child Nursing. 33(3):173-178, May-June 2008.

This new mother suffered from PPD and was helped by this nurse practitioner. Find out what happened.

Substance Use Disorder: Prenatal, Intrapartum and Postpartum Care

Mahoney, Kathleen; Reich, Wendy; Urbanek, Susan

MCN: The American Journal of Maternal/Child Nursing. 44(5):284-288, September/October 2019.

There has been a dramatic increase in the United States in the number of women who present with substance use disorder during pregnancy. An overview of care for women with substance use disorder during the childbearing process continuum is provided.

Gestational Hypertension and Preeclampsia

Wisner, Kirsten

MCN: The American Journal of Maternal/Child Nursing. 44(3):170, May/June 2019.

Hypertensive disorders of pregnancy continue to be a major contributor to maternal and perinatal morbidity and mortality. A summary of the American College of Obstetricians and Gynecologists updated guidelines for diagnosis and management of these disorders is presented by our maternity nursing expert Kirsten Wisner.

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

Ta Park, Van M.; Goyal, Deepika; Suen, Joyce; More

MCN: The American Journal of Maternal/Child Nursing. 44(3):144-149, May/June 2019.

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.

GALT Deficiency Galactosemia

Anderson, Sharon

MCN: The American Journal of Maternal/Child Nursing. 43(1):44-51, January/February 2018.

Galactosemia is an inborn error of galactose metabolism that results from a deficiency in one of three enzymes. This article focuses on classical, clinical variant and biochemical variant (Duarte) galactosemias. Confirmatory testing, acute and long-term management, and outcomes for these galactosemia types are discussed, as well as the importance of genetic counseling and testing for the infant and family to refine reproductive risk.

Educating Emergency Department Nurses About Miscarriage

Merrigan, Joyce L.

MCN: The American Journal of Maternal/Child Nursing. 43(1):26-31, January/February 2018.

Recommendations for perinatal bereavement education and guidance for clinical practice for emergency department nurses who care for women experiencing miscarriage are offered to assist in understanding the individualized experience of early pregnancy loss and giving compassionate care.

Delaying the First Newborn Bath and Exclusive Breastfeeding

Long, Kathleen; Rondinelli, June; Yim, Ashley; More

MCN, The American Journal of Maternal/Child Nursing. 45(2):110-115, March/April 2020.

Delaying the first newborn bath has been suggested as a strategy to improve exclusive breastfeeding rates during postpartum hospitalization. In this study, exclusive breastfeeding rates were compared before and after a change in practice in newborn bathing in a maternity unit where exclusive breastfeeding rates were higher than average rates in the United States. The practice change was successful and sustained over 10 months, but did not significantly increase the rate of exclusive breastfeeding among the mother-infant cohorts studied.

Nasal Airway Clearance for Bronchiolitis

Norris, Casey L.; O'Neal, Pamela V.; Adams, Ellise D.; More

MCN: The American Journal of Maternal/Child Nursing. 43(6):318-323, November/December 2018.

Bronchiolitis is a leading cause of emergency department visits and hospitalization in the first year of life in the United States and has high associated costs. Although the American Academy of Pediatrics has offered clinical practice guidelines for care of infants and children with bronchiolitis, they are not consistently followed in the acute care setting. A review of evidence-based treatment for bronchiolitis is presented.

Nurses' Knowledge and Teaching of Possible Postpartum Complications

Suplee, Patricia D.; Bingham, Debra; Kleppel, Lisa

MCN: The American Journal of Maternal/Child Nursing. 42(6):338-344, November/December 2017.

In this study, registered nurses who care for women during postpartum were surveyed to assess their knowledge of maternal morbidity and mortality, and the information they share with women before discharge from the hospital about potential warning signs of postpartum complications. Findings suggest postpartum nurses need an update on these topics so they can offer women accurate information before their hospital discharge after childbirth that is vital to their wellbeing during the postpartum period.

Birth Tourism Among Chinese Women

Jaramillo, Juanita; Goyal, Deepika; Lung, Carmen

MCN: The American Journal of Maternal/Child Nursing. 44(2):94-99, March/April 2019.

Approximately one-third of women who come to the United States to give birth on a tourist visa are from China. In this study, birth tourists from China describe their reasons for choosing this path and their experiences. Reasons include establishing American citizenship for their baby, and thus securing them a better future, and having a painless childbirth. These data can be useful for nurses caring for women who are birth tourists.

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: Still a Significant Health Threat

Lindberg, Claire; Lanzi, Maria; Lindberg, Kristen

MCN: The American Journal of Maternal/Child Nursing. 40(5):298-305, September/October 2015.

A recent outbreak of measles has generated controversy about parents who decide against vaccinating their children with the Measles, Mumps, and Rubella vaccine. Clinical, epidemiological, and legal aspects of vaccination are discussed.

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.

Trends in Natality Data in the United States

Simpson, Kathleen Rice

MCN, The American Journal of Maternal/Child Nursing. 45(3):192, May/June 2020.

There are a number of important resources to help nurses stay up-to-date on natality trends in the United States. Key data are presented with highlights on changes in the data from 2017 to 2018 collected from birth certificates. In 2018, compared to 2017, there were fewer births, teen births, cesareans, births of multiples, and more preterm births, labor inductions, and births attended by certified nurse midwives. The day and month with highest number of births remain Thursday and August, while Sunday and February are still the day and month with the lowest number of births.

Sepsis in Obstetrics: Treatment, Prognosis, and Prevention

Parfitt, Sheryl E.; Bogat, Mary L.; Roth, Cheryl

MCN: The American Journal of Maternal/Child Nursing. 42(4):206-209, July/August 2017.

Sepsis during pregnancy is one of the five leading causes of maternal mortality world-wide. Early recognition and prompt treatment are necessary to improve patient outcomes. Case studies, treatment strategies, prognosis, suggestions for education for clinicians and patients, and recommendations to prevent maternal sepsis are included.

Capturing Children's Voices for Quality Improvement

Lindeke, Linda; Nakai, Miyuki; Johnson, Lauren

MCN, The American Journal of Maternal/Child Nursing. 31(5):290-295, September-October 2006.

When these nurses asked children of varying ages about their hospitalizations, the answers proved to be helpful to everyone in the institution.

Maternity Nurses' Perceptions of Implementation of the Ten Steps to Successful Breastfeeding

Cunningham, Emilie M.; Doyle, Eva I.; Bowden, Rodney G.

MCN: The American Journal of Maternal/Child Nursing. 43(1):38-43, January/February 2018.

Nurses are vital to successful implementation of the Ten Steps to Successful Breastfeeding. This study evaluated maternity nurses' perceptions of promoting the Ten Steps in the hospital setting and their suggestions for how to overcome barriers and challenges.

Social Determinants of Maternal Health and Birth Outcomes

MCN: The American Journal of Maternal/Child Nursing. 42(1):7, January/February 2017.

Social determinants of health such as racial discrimination, poor quality neighborhoods, and acculturation may increase risk of negative mental health and birth outcomes for minority women in the United States. Nurses can take leadership roles in creating policies that promote economic development, reduce poverty, reduce residential segregation, promote healthier neighborhoods, and support immigrant women.

Miscarriage

MCN: The American Journal of Maternal/Child Nursing. 43(1):5, January/February 2018.

Compassionate, helpful, sensitive nursing care to women experiencing early pregnancy loss is the goal of providing the content of the four articles in this special topics series to MCN readers. Each article has a specific focus on an important aspect of care for women having a miscarriage.

Obstetric Triage: A Systematic Review of the Past Fifteen Years 1998-2013

Angelini, Diane; Howard, Elisabeth

MCN, The American Journal of Maternal/Child Nursing. 39(5):284-297, September/October 2014.

Obstetric triage is a major part of the process of care provided to women who present to the hospital during pregnancy. This systematic review of the literature regarding obstetric triage over the past 15 years offers important information on how obstetric triage has evolved in the United States, best practices, and areas for future research.

Vaginal Seeding of Babies Born via Cesarean

Simpson, Kathleen Rice

MCN: The American Journal of Maternal/Child Nursing. 43(1):60, January/February 2018.

With growing interest in the microbiome and its implications for health, more research is evolving on how interventions during labor and birth influence newborn and infant microbiota. Some parents are requesting vaginal seeding of their babies born via cesarean. Possible benefits are theoretical and research to date is quite limited, however, there are significant potential risks of unintended harm if infection is transferred to the baby with this procedure. A brief summary of vaginal seeding is offered with recommendations for practice.

Immediate vs. Delayed Pushing

Simpson, Kathleen Rice

MCN: The American Journal of Maternal/Child Nursing. 44(2):124, March/April 2019.

When a woman in labor reaches 10 cm cervical dilation, she can either begin pushing immediately or wait until she feels the urge to push. As evidence continues to evolve about advantages and disadvantages of each option, nurses must keep up-to-date and be ready to have a discussion as part of the clinical team that includes the woman as a full partner and covers the important considerations. A recent study about immediate or delayed pushing for nulliparous women with epidural analgesia is reviewed.

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.

Kangaroo Care: National Survey of Practice,Knowledge, Barriers, and Perceptions

Engler, Arthur J.; Ludington-Hoe, Susan M.; Cusson, Regina M.; More

MCN, The American Journal of Maternal/Child Nursing. 27(3):146-153, May-June 2002.

Breastfeeding Challenges

MCN: The American Journal of Maternal/Child Nursing. 44(2):65, March/April 2019.

Most women intend to breastfeed; however, many women experience various challenges in reaching their breastfeeding goals. A summary of the articles in our special topics series on breastfeeding challenges is offered.

Hypoxia in the Term Newborn: Part One—Cardiopulmonary Physiology and Assessment

Rohan, Annie J.; Golombek, Sergio G.

MCN, The American Journal of Maternal/Child Nursing. 34(2):106-112, March-April 2009.

MCN is proud to publish this 3-part series on hypoxia in the term newborn. In this first part, the authors tell you what you need to know about cardiopulmonary physiology in order to provide expert care for newborns.

Parent Education is Changing: A Review of Smartphone Apps

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

MCN: The American Journal of Maternal/Child Nursing. 42(5):248-256, September/October 2017.

A critique of 46 parenting apps available in a commonly used online app store is presented using established criteria and health literacy guidelines. Many of the apps do not offer details of the source of their information and there was limited functionality, with none providing a customized experience. Mobile health solutions require rigorous research before nurses can recommend them as valid and reliable avenues for parent education.

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.

Maternity Nurses' Knowledge about Sudden Unexpected Postnatal Collapse and Safe Newborn Positioning

Addison, Camilla; Ludington-Hoe, Susan

MCN, The American Journal of Maternal/Child Nursing. 45(2):116-121, March/April 2020.

Rooming-in, skin-to-skin contact, and breastfeeding are common practices in the newborn period. Yet, skin-to-skin contact and breastfeeding have been associated with an increase in sudden unexpected postnatal collapse in healthy newborns, which commonly occurs when the newborn's airway becomes obstructed. An overview of sudden unexpected postnatal collapse is presented along with results of a survey of nurses' knowledge of these types of events.

A System-Wide Approach to Prevention of In-Hospital Newborn Falls

Carr, Hester; Crotto, Joshua; Demirel, Shaban; More

MCN: The American Journal of Maternal/Child Nursing. 44(2):100-107, March/April 2019.

There has been a lot of attention to decreasing newborn falls in the inpatient setting. In this quality improvement project, after reviewing their event data and current evidence, one health system implemented a number of interventions to decrease the rate of newborn falls.

New Technologies in Pediatric Diabetes Care

Carchidi, Catherine; Holland, Cheryl; Minnock, Pantea; More

MCN, The American Journal of Maternal/Child Nursing. 36(1):32-39, January-February 2011.

For those of us who don't work with the technology every day, keeping up with what technology is available for diabetes management can seem daunting. These nurses have explained all that is current, and all that is coming soon.

OXYTOCIN AS A HIGH-ALERT MEDICATION: IMPLICATIONS FOR PERINATAL PATIENT SAFETY

Simpson, Kathleen Rice; Knox, G. Eric

MCN, The American Journal of Maternal/Child Nursing. 34(1):8-15, January-February 2009.

The medication given so often by perinatal nurses is examined here, in a whole new light.