Most Popular Articles

Oxytocin Guidelines Associated with Compliance to National Standards

Jackson, Jodi K.; Wickstrom, Elizabeth; Anderson, Betsi

MCN: The American Journal of Maternal/Child Nursing. 44(3):128-136, May/June 2019.

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.

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.

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.

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.

Same-Sex Mothers and Lactation

Juntereal, Nina A.; Spatz, Diane L.

MCN: The American Journal of Maternal/Child Nursing. 44(3):164-169, May/June 2019.

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.

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.

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.

Predictors of HIV Risk Reduction in Adolescent Girls

Long-Middleton, Ellen R.; Burke, Pamela J.; Rankin, Sally H.

MCN: The American Journal of Maternal/Child Nursing. 44(3):150-156, May/June 2019.

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.

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

Ferrarello, Debi; Froh, Elizabeth B.; Hinson, Tyonne D.; More

MCN: The American Journal of Maternal/Child Nursing. 44(3):157-163, May/June 2019.

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.

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.

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.

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?

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.

Partnering with Patients and Families during Childbirth: Confirming Knowledge for Informed Consent

Simpson, Kathleen Rice

MCN: The American Journal of Maternal/Child Nursing. 44(3):180, May/June 2019.

There are many opportunities during hospitalization for childbirth to offer information to the woman and her family about various options and choices for clinical care and treatment. Women should be provided information at their appropriate literacy level and language to make decisions about their care in partnership with the health care team. While events of labor and births may seem routine to clinicians, they are usually not for patients. Therefore, shared decision-making approaches and patient consent are essential throughout the childbirth hospitalization.

Vitamin D Screening and Supplementation

Snow, Denise

MCN: The American Journal of Maternal/Child Nursing. 44(3):172, May/June 2019.

Recent evidence from meta-analysis of 81 trials and a randomized placebo-controlled clinical trial with nearly 26,000 patients has shown that vitamin D supplementation may be of little benefit for healthy adults, including pregnant women. Screening for vitamin D deficiency in healthy asymptomatic adults is not recommended. Our nutrition expert, Denise Snow, explains the latest data on vitamin D.

Ebola Virus Disease in Women and Children

Callister, Lynn Clark

MCN: The American Journal of Maternal/Child Nursing. 44(3):173, May/June 2019.

A recent outbreak of Ebola virus disease has caused concern among global health organizations. Our global health expert, Dr. Callister, explains the status of the current crisis and what is being done to treat victims and stop the spread of the disease. Implications for pregnant women and babies are included.

Using Theory to Inform and Guide Perinatal Bereavement Care

Hutti, Marianne H.; Limbo, Rana

MCN: The American Journal of Maternal/Child Nursing. 44(1):20-26, January/February 2019.

Responses of parents to miscarriage, stillbirth, and neonatal death vary dramatically, from little or no grief to highly intense, profound, and unbearable grief, especially during the first and second trimesters when meaning can vary greatly. Drs. Hutti and Limbo explain how theory can guide nursing practice in the care of parents experiencing perinatal grief and 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.

Children and Gun Safety: A Call to Action for Nurses

Beal, Judy A.

MCN: The American Journal of Maternal/Child Nursing. 44(3):171, May/June 2019.

The American Academy of Nursing has joined other professional organizations, including the American Academy of Pediatricians, in supporting strategies for firearm safety. Our pediatric nursing expert, Dr. Beal, reviews recent research on children and firearms and offers suggestions on how nurses can be advocates for children and adolescents by participating in efforts to promote firearm safety in their communities.

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.

Early Skin-to-Skin After Cesarean to Improve Breastfeeding

Hung, Kristina J.; Berg, Ocean

MCN, The American Journal of Maternal/Child Nursing. 36(5):318-324, September-October 2011.

Nurses have been in the forefront of studying family-centered methods of newborn care which not only promote attachment, but also improve health markers. In this QI project, nurses show how skin-to-skin care improves rates of one more important marker: breastfeeding after cesarean birth.

Effects of an Interdisciplinary Practice Bundle for Second-Stage Labor on Clinical Outcomes

Garpiel, Susan J.

MCN: The American Journal of Maternal/Child Nursing. 43(4):184-194, July/August 2018.

In this quality improvement project, an interdisciplinary team from 34 birthing hospitals in one health system developed and implemented a second stage labor bundle to promote safer care for mothers and babies. The bundle was based on guidelines from the Association of Women's Health, Obstetric, and Neonatal Nurses and the American College of Nurse-Midwives. After implementation, there were improvements in clinical outcomes including a reduction in cesarean births and better patient satisfaction with the birth experience.


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?

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.

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.

Sepsis in Obstetrics: Pathophysiology and Diagnostic Definitions

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

MCN, The American Journal of Maternal/Child Nursing. 42(4):194-198, July/August 2017.

Sepsis in obstetrics can be challenging to identify in a timely manner so that appropriate treatment can be initiated within the first crucial hours to promote a positive outcome. The proposed pathophysiology of sepsis, new definitions associated with sepsis and septic shock, and application to maternity care are presented.

Caring for the Extremely Obese Woman During Pregnancy and Birth

James, Dotti C.; Maher, Mary Ann

MCN, The American Journal of Maternal/Child Nursing. 34(1):24-30, January-February 2009.

Women who suffer from extreme obesity require specialized care during pregnancy and during labor. Are you equipped to offer such care?

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 Experiences of Breastfeeding-Related Pain

Jackson, Kimberley T.; Mantler, Tara; O'Keefe-McCarthy, Sheila

MCN: The American Journal of Maternal/Child Nursing. 44(2):66-72, March/April 2019.

Pain related to breastfeeding can have a negative effect on breastfeeding duration and the mother-baby relationship. In this study women describe their experiences with breastfeeding-related pain including support and barriers. These data can be helpful in planning a discussion of what to expect when breastfeeding with new mothers during the prenatal and postpartum periods.

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.

Transforming a Care Delivery Model to Increase Breastfeeding

Magri, Eileen P.; Hylton-McGuire, Karen

MCN, The American Journal of Maternal/Child Nursing. 38(3):177-182, May/June 2013.

Enhancements in nursing care that support breastfeeding can be accomplished through a systematic quality improvement process.

Maternal Hemorrhage Quality Improvement Collaborative Lessons

Lyndon, Audrey; Cape, Valerie

MCN, The American Journal of Maternal/Child Nursing. 41(6):363-371, November/December 2016.

Obstetric hemorrhage is a leading cause of maternal death in the United States and the world. Organized collaborative efforts with representatives from all members of the perinatal team have been underway in the United States to reduce postpartum hemorrhage. The California Maternal Quality Care Collaborative (CMQCC) has been the leader in developing an obstetric hemorrhage toolkit that has been used by multiple hospitals and healthcare systems across the country. The first author of the CMQCC obstetric hemorrhage toolkit, Dr. Audrey Lyndon, and her colleague Valerie Cape, project coordinator, share their analysis of lessons learned from the collaborative.

Basal Body Temperature Assessment: Is It Useful to Couples Seeking Pregnancy?

Barron, Mary Lee; Fehring, Richard J.

MCN, The American Journal of Maternal/Child Nursing. 30(5):290-296, September-October 2005.

For untold decades, basal body temperature has been taught to couples who were seeking pregnancy. Is there science to back up this practice? Is BBT a viable method of detecting ovulation?

Pregnancy After Bariatric Surgery: Nutritional Concerns

Snow, Denise

MCN: The American Journal of Maternal/Child Nursing. 44(1):54, January/February 2019.

Nutritional deficiencies in the post bariatric surgery pregnant woman are a complex problem. Our nutrition expert, Denise Snow, explains how knowing the potential nutritional deficiencies, the importance of monitoring, and the issues related to appropriate supplementation is essential to provide the best care for pregnant women after bariatric surgery.

Innovative Strategies for 21st Century Perinatal Nursing Education

Simonelli, Mary Colleen; Gennaro, Susan

MCN, The American Journal of Maternal/Child Nursing. 37(6):373-378, November/December 2012.

The characteristics of childbearing families in the US have changed; we need innovative strategies for preparing the next generation of nurses to provide these families with sensitive, high quality nursing care.

Skin to Skin Contact: Newborn Temperature Stability in the Operating Room

Billner-Garcia, Renee; Spilker, Arlene; Goyal, Deepika

MCN, The American Journal of Maternal/Child Nursing. 43(3):158-163, May/June 2018.

Skin-to-skin contact is commonly initiated after vaginal birth of healthy babies, but not for all women giving birth via cesarean to healthy babies. In this study, the feasibility of using skin-to-skin contact in the operating room (OR) for all healthy mothers and babies after cesarean birth was examined using newborn temperature stability as a measure. Results suggest concerns about temperature stability should not be a barrier to implementing skin-to-skin care in the OR after cesarean birth of healthy babies.


Jurkovich, Priscilla

MCN, The American Journal of Maternal/Child Nursing. 29(2):106-110, March-April 2004.

It's a debate in many institutions: should nurses and others launder their own scrubs? Should only hospital-laundered scrubs be worn? Read this interesting take on the subject.

Postpartum Care for Women with Gestational Diabetes

Ortiz, Felina Mychelle; Jimenez, Elizabeth Yakes; Boursaw, Blake; More

MCN, The American Journal of Maternal/Child Nursing. 41(2):116-122, March/April 2016.

Gestational diabetes mellitus is one of the most common pregnancy complications in the United States, affecting 7% of all pregnancies, yet care for this population is not always ideal. This study evaluates postpartum care and follow-up for women with gestational diabetes in a tertiary care center in New Mexico.

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.

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.

Implementing Skin-to-Skin Care in the Operating Room After Cesarean Birth

Sundin, Courtney Stanley; Mazac, Lauren Bradham

MCN, The American Journal of Maternal/Child Nursing. 40(4):249-255, July/August 2015.

Placing the baby skin to skin with the mother in the OR after cesarean birth may have positive implications for maternal satisfaction with the birth experience and maternal perceptions of pain during the surgical procedure. Infant safety should be supported by a nurse with the mother and baby during the skin to skin process.

Informal Milk Sharing: What Nurses Need to Know

Martino, Kimberly; Spatz, Diane

MCN, The American Journal of Maternal/Child Nursing. 39(6):369-374, November/December 2014.

Informal breast milk sharing is occurring outside the hospital setting. Perinatal nurses need to know the risks and benefits so they can be helpful to women and their families who are considering milk sharing.

Magnesium Sulfate for Neuroprotection

Killion, Molly M.

MCN, The American Journal of Maternal/Child Nursing. 40(6):394, November/December 2015.

Magnesium sulfate administered intravenously to women at risk for early preterm birth can decrease risk of cerebral palsy in their babies. The regime from one of the larger randomized trials that studied magnesium sulfate for neuroprotection should be used. A standard protocol for all women who are appropriate candidates is not yet available because each of the randomized trials used different dosing regimens.

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.

Effective Communication Strategies for Nurses to Discuss Infant Feeding with New Mothers During Postpartum Hospitalization

Wood, Rainey Banick

MCN: The American Journal of Maternal/Child Nursing. 43(4):218-224, July/August 2018.

Nurses offer education and support to new mothers on infant feeding during postpartum hospitalization. There is overwhelming evidence that breastfeeding is best for most mothers and babies, however not all mothers choose to breastfeed and breastfeeding is contraindicated in some cases. Effective communication techniques to discuss infant feeding options are offered, with an emphasis on providing a supportive, therapeutic discussion with new mothers who choose to formula feed their babies.


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.

Best Practices in Newborn Injections

Hensel, Desiree; Morson, Gwyndolen Leigh; Preuss, Elizabeth A.

MCN, The American Journal of Maternal/Child Nursing. 38(3):163-167, May/June 2013.

Newborn injections practices based on the available best evidence can reduce pain, improve the quality and safety of care, and set the stage for long term compliance with vaccination schedules.

13 Reasons Why: A Trigger for Teen Suicide?

Beal, Judy A.

MCN, The American Journal of Maternal/Child Nursing. 43(1):55, January/February 2018.

The Netflix series 13 Reasons Why that depicts the story of a teenage girl who commits suicide and delivers thirteen audiotaped cassettes to classmates who played a role in her decision to kill herself has generated controversy among parents and healthcare professionals. Our pediatric nursing expert, Dr. Beal, explains why the series has become a source of concern and how it might lead to a better understanding and more open dialogue of this issue.

Improving Oral Health in Women: Nurses' Call to Action

Clemmens, Donna A.; Kerr, A. Ross

MCN, The American Journal of Maternal/Child Nursing. 33(1):10-14, January-February 2008.

This overview article about the importance of oral health to the optimal health of women sets the stage for this series of articles.

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.

Acculturation: Implications for Perinatal Research

Beck, Cheryl Tatano

MCN, The American Journal of Maternal/Child Nursing. 31(2):114-120, March-April 2006.

When doing research about cultural issues, what are the key components for study? Dr. Beck examines this important topic for us.

Optimizing Perioperative Care for Children and Adolescents with Challenging Behaviors

Balakas, Karen; Gallaher, Carol S.; Tilley, Carra

MCN, The American Journal of Maternal/Child Nursing. 40(3):153-159, May/June 2015.

Nursing care of children having a surgical procedure can be challenging when there are special developmental or behavioral needs. Nurses in this pediatric perioperative unit describe development and implementation of an Adaptive Care Planning tool. Individualizing the plan of care based on parent-reported specific behaviors, triggers, and communication patterns of children prior to hospitalization can lead to a more successful perioperative experience for patients and families.

Delayed VERSUS Immediate Pushing in Second Stage of Labor

Kelly, Mary; Johnson, Eileen; Lee, Vickie; More

MCN, The American Journal of Maternal/Child Nursing. 35(2):81-88, March-April 2010.

These staff nurses wanted to know if they could improve laboring women's experiences by instituting delayed pushing. Read what they did, and how they did it.

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.

Healthcare for Transgender Youth: Still Inadequate...Still at Risk

Beal, Judy A.

MCN, The American Journal of Maternal/Child Nursing. 42(5):296, September/October 2017.

With accurate and up-to-date knowledge, pediatric nurses can take the lead in advocating for evidence-based culturally competent care for transgender youth in all pediatric settings. Per our pediatric nursing expert, Dr. Beal, as nurses, we are in a unique role as the most trusted of healthcare professionals to be able to support these very vulnerable teens and their caregivers.

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.

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.

Improving Prenatal Care for Minority Women

Gennaro, Susan; Melnyk, Bernadette Mazurek; O'Connor, Caitlin; More

MCN, The American Journal of Maternal/Child Nursing. 41(3):147-153, May/June 2016.

Prenatal care has traditionally focused on risk reduction rather than health promotion. During prenatal care, childbearing women desire more information on physical and mental health in addition to how to have a healthy pregnancy. Mental health promotion is specially critical for pregnant minority women because they are known to have increased stress, anxiety, and depression, each of which is related to poor pregnancy outcomes.

The Fetal Care Team: Care for Pregnant Women Carrying a Fetus with a Serious Diagnosis

Loyet, Margaret; McLean, Amy; Graham, Karen; More

MCN, The American Journal of Maternal/Child Nursing. 41(6):349-355, November/December 2016.

When pregnant women learn their fetus has a diagnosis of a serious or lethal anomaly, a coordinated multidisciplinary team approach can offer much needed support, information, and navigation through the complex health system. Registered nurse fetal care team coordinators assist women and their families at this perinatal center when the pregnancy does not go as expected. Descriptions of their roles as part of the fetal care team and the service they provide are presented.

Evidence for Healing Interventions With Perinatal Bereavement

Capitulo, Kathleen Leask

MCN, The American Journal of Maternal/Child Nursing. 30(6):389-396, November-December 2005.

We have all faced the dilemma of working with a bereaved family and not knowing exactly how to help them. In this article, Dr. Capitulo looks at this entire body of literature and suggests interventions that can really help families in need.

Formaldehyde Exposure During Pregnancy

Amiri, Azita; Pryor, Erica; Rice, Marti; More

MCN, The American Journal of Maternal/Child Nursing. 40(3):180-185, May/June 2015.

Pregnancy is an especially vulnerable time for exposure to indoor air pollutants such as formaldehyde. This research evaluated formaldehyde exposure among 140 pregnant women. Average exposure level of participants exceeded recommended limits for residential dwellings. Nurses should discuss sources of formaldehyde (home remodeling, new carpet, new furniture and nail polish) with pregnant women.

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.

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.

Chorioamnionitis: Prevention and Management

Hastings-Tolsma, Marie; Bernard, Rachel; Brody, Mollie Gilbert; More

MCN, The American Journal of Maternal/Child Nursing. 38(4):206-212, July/August 2013.

Perinatal nursing practices may influence a laboring woman's risk of developing chorioamnionitis.

Breastfeeding Concerns and Experiences of African American Mothers

Cottrell, Barbara H.; Detman, Linda A.

MCN, The American Journal of Maternal/Child Nursing. 38(5):297-304, September/October 2013.

As we attempt to increase the numbers of women who breastfeed initially and then continue to do so, these nurses give us the particulars on why some women do, and why they don't.

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.

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.

Are Birth Plans Associated with Improved Maternal or Neonatal Outcomes?

Hidalgo-Lopezosa, Pedro; Rodríguez-Borrego, Maria Aurora; Muñoz-Villanueva, Maria Carmen

MCN, The American Journal of Maternal/Child Nursing. 38(3):150-156, May/June 2013.

Maternal and newborn outcomes of laboring women who presented with birth plans in one hospital in Spain are reported.

Interruptions toBreastfeeding Dyads in an DRP Unit

Morrison, Barbara; Ludington-Hoe, Susan

MCN, The American Journal of Maternal/Child Nursing. 37(1):36-41, January/February 2012.

We all want to increase the rates of breastfeeding. Would it help if we decreased the number of times breastfeeding women were interrupted while they were breastfeeding in the hospital?

Obstetrical Accidents Involving Intravenous Magnesium Sulfate: Recommendations to Promote Patient Safety

Simpson, Kathleen Rice; Knox, G. Eric

MCN, The American Journal of Maternal/Child Nursing. 29(3):161-169, May-June 2004.

Our guru of patient safety, Kathleen Simpson, and her coauthor have compiled a group of real case studies of accidents that happen with mag sulfate. This article could help to save lives in your unit, to say nothing of licenses. Don’t miss reading it.

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.

Should Parents Be Present During Their Child's Resuscitation?

Beal, Judy; Vecchio-Gilbert, Linda Del; Berube, Charlene C.

MCN, The American Journal of Maternal/Child Nursing. 38(4):198-199, July/August 2013.

Perhaps all the hustle and bustle in a resuscitation could be misconstrued by the parents; but maybe it could show them that everything possible is being done?

Childbirth Is Changing What Now?

Tiedje, Linda Beth; Price, Elizabeth; You, Mei

MCN, The American Journal of Maternal/Child Nursing. 33(3):144-150, May-June 2008.

Nursing literature is replete with articles about the horrors of technology in birth. Is this something that concerns the women we care for?

The Built Environment and Birth Outcomes: A Systematic Review

Nowak, Alexandra L.; Giurgescu, Carmen

MCN, The American Journal of Maternal/Child Nursing. 42(1):14-20, January/February 2017.

A poor-quality built environment may be related to negative birth outcomes such as preterm birth and low birthweight infants by increasing psychological stress and/or depressive symptoms for pregnant women. African American women are more likely to live in poor-quality built environments compared with white women and therefore may be at greater risk.

Skin-to-Skin Care and Rooming-In: Safety Considerations

Killion, Molly M.

MCN, The American Journal of Maternal/Child Nursing. 42(2):115, March/April 2017.

New recommendations from the American Academy of Pediatrics about safety considerations during skin to skin in the first few hours of life and rooming in practices for new mothers and babies during the postpartum inpatient stay are discussed.

Skin-To-Skin Care and Breastfeeding in the Perioperative Suite

Burke-Aaronson, Amanda Claire

MCN, The American Journal of Maternal/Child Nursing. 40(2):105-109, March/April 2015.

Skin-to-skin care immediately after cesarean birth is possible with planning and teamwork.