Most Popular Articles

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Development of a Mobile App for Family Planning Providers

Halsall, Viannella; Rogers, Jennifer; Witt, Jacki; More

MCN: The American Journal of Maternal/Child Nursing. 42(5):263-268, September/October 2017.

A mobile app for family planning providers was developed and tested. Based on experiences of the development team, clinicians with an interest in developing an app should consider a collaborative approach to development, pilot test the app prior to wider distribution, and develop a web-based version of the app to be used by clinicians who are unable to access smart devices in their practice setting.

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.

Interdisciplinary Guidelines for Care of Women Presenting to the Emergency Department With Pregnancy Loss

Catlin, Anita

MCN: The American Journal of Maternal/Child Nursing. 43(1):13-18, January/February 2018.

An interdisciplinary summit was held to explore the needs of women who present to the emergency department with actual or potential pregnancy loss. Thirty-two experts in the field of pregnancy loss, 17 of whom represented their professional organizations, participated. The guidelines that were developed delineate how to better provide physical, emotional, and bereavement support to woman and their families at any stage of pregnancy loss. Reprinted with permission from The National Perinatal Association.

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.

A Practical Approach to Implementing New CDC GBS Guidelines

Hill, Shawna M.; Bridges, Margie A.; Knudsen, Alexis L.; More

MCN: The American Journal of Maternal/Child Nursing. 38(5):305-310, September/October 2013.

These nurses offer you a simpler way to implement new GBS guidelines. You'll be pleased after you read this!

Sepsis in Obstetrics: Clinical Features and Early Warning Tools

Parfitt, Sheryl E.; Bogat, Mary L.; Hering, Sandra L.; More

MCN: The American Journal of Maternal/Child Nursing. 42(4):199-205, July/August 2017.

Risk factors for obstetric sepsis, causes, signs and symptoms, and maternal early warning tools are discussed. A recent case is presented that highlights the potential for significant maternal morbidity when there is a delay in identification of development of sepsis during pregnancy and postpartum.

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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.

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.

Respectful Disposition After Miscarriage: Clinical Practice Recommendations

Levang, Elizabeth; Limbo, Rana; Ziegler, Tammara Ruiz

MCN: The American Journal of Maternal/Child Nursing. 43(1):19-25, January/February 2018.

Respectful disposition after miscarriage is a continuum of care that includes procedures for the safe and respectful handling of all fetal remains, accurate and sensitive patient information, disposition options, and person-, family-, and culture-centered nursing care. Compassionate clinical practice guidelines for healthcare providers for respectful disposition after miscarriage are presented.

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.

Autologous Blood Transfusion for Postpartum Hemorrhage

Greenawalt, Julia A.; Zernell, Denise

MCN: The American Journal of Maternal/Child Nursing. 42(5):269-275, September/October 2017.

Autologous blood transfusion is an option for postpartum hemorrhage. An overview of the rationale, process, equipment, and clinical implications for nurses is provided.

Becoming a Baby Friendly Hospital

Tran, Andrea

MCN: The American Journal of Maternal/Child Nursing. 42(1):36-42, January/February 2017.

The journey to Baby Friendly designation can be challenging, but ultimately rewarding in supporting a hospital culture that promotes successful breastfeeding. One hospital's path to Baby Friendly is detailed. Others considering this designation may find details of their experience valuable.

Effectiveness of a Natural Family Planning Service Program

Fehring, Richard J.; Schneider, Mary

MCN: The American Journal of Maternal/Child Nursing. 42(1):43-49, January/February 2017.

This study investigated extended use effectiveness of an online natural family planning program with non-breastfeeding women. This type of program can be effective in helping women in the United States and other countries meet their family planning goals.

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?

Teen Mothers' Mental Health

SmithBattle, Lee; Freed, Patricia

MCN: The American Journal of Maternal/Child Nursing. 41(1):31-36, January/February 2016.

Teen mothers often have psychological distress. High rates of distress are attributed to teen mothers' childhood adversities and the difficulties of parenting in the context of chronic stress, cumulative disadvantage, and limited social support.

Identifying and Assessing the Substance-Exposed Infant

Clark, Lisa; Rohan, Annie

MCN: The American Journal of Maternal/Child Nursing. 40(2):87-95, March/April 2015.

As the rate of opioid prescription grows, so does fetal exposure to opioids during pregnancy. The authors review the latest evidence about Neonatal Withdrawal Syndrome (NWS) and adaptation difficulties after birth.

Virtual Visits: Managing prenatal care with modern technology

Pflugeisen, Bethann M.; McCarren, Christi; Poore, Stephen; More

MCN: The American Journal of Maternal/Child Nursing. 41(1):24-30, January/February 2016.

Virtual prenatal visits interspersed with in-office visits are a novel way to meet the needs of healthy low-risk pregnant women and may offer the ability to improve efficiency while decreasing costs.

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.

Length of Second-Stage Labor: Safety Considerations

Simpson, Kathleen Rice

MCN: The American Journal of Maternal/Child Nursing. 41(6):380, November/December 2016.

Extending the duration of second stage labor beyond what has traditionally been considered standard may be beneficial in promoting vaginal birth. However, there are small but significant risks to mother and baby. Thus careful consideration, including periodic assessment of maternal and fetal wellbeing and chances of successful vaginal birth, should be occurring as a team. A collaborative discussion between the labor nurse and birth attendant that covers these two important clinical points at least every hour when second stage labor pushing exceeds 2 hours for nulliparous women and 1 hour for multiparous women may be a valuable safety measure.

Sepsis in Obstetrics

MCN: The American Journal of Maternal/Child Nursing. 42(4):193, July/August 2017.

Sepsis is a significant cause of maternal morbidity and mortality in the United States. Knowledge of the latest evidence and clinical guidelines will support best practices to promote optimal care for mothers and babies.

Chromosome Microarray

Anderson, Sharon

MCN: The American Journal of Maternal/Child Nursing. 41(5):272-279, September/October 2016.

A comprehensive review of chromosome microarray is presented including how testing is performed and results are analyzed. A case report highlights how the technology is applied in clinical practice and the benefits and limitations of scientific and bioinformatics genetic technology. This information is valuable for maternal child nurses in all practice settings.

Relational Care for Perinatal Substance Use: A Systematic Review

Kramlich, Debra; Kronk, Rebecca

MCN: The American Journal of Maternal/Child Nursing. 40(5):320-326, September/October 2015.

This systematic review suggests comprehensive, integrated multidisciplinary services for pregnant women with substance use disorder are showing positive results. Pregnant women's engagement with comprehensive services facilitated by caring relationships with health care providers may improve perinatal outcomes.

A Transdisciplinary Team Approach to Perinatal Loss

Smart, C.J.; Smith, Brenda Lee

MCN: The American Journal of Maternal/Child Nursing. 38(2):110-114, March/April 2013.

A transdisciplinary team embarked on a one-year journey to establish a process for providing consistent, high-quality care to patients experiencing a pregnancy loss.

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.

Safe Care for Maternal Substance Use and Neonatal Drug Withdrawal

Simpson, Kathleen Rice

MCN: The American Journal of Maternal/Child Nursing. 40(5):336, September/October 2015.

As maternal use and abuse of opioids and other prescription drugs increases, plans are needed for safe care in the inpatient setting for babies with symptoms of drug withdrawal. Staffing a well-baby nursery with a registered nurse to care for one newborn with withdrawal symptoms can negatively affect overall unit staffing and productivity budgets, but based on the population served and recent history of positive maternal and newborn drug screens, predictions can be made for staffing needs and staffing budgets adjusted accordingly.

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.

“Being Sure”: Women's Experience with Inevitable Miscarriage

Limbo, Rana; Glasser, Jo K.; Sundaram, Maria E.

MCN: The American Journal of Maternal/Child Nursing. 39(3):165-174, May/June 2014.

The loss of a pregnancy after 12 weeks is particularly difficult. One aspect of this loss oftentimes is the need for treatment to remove uterine contents. This requires that patients and families make choices they may not want to make.

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