Most Popular Articles

Attitudes of Physicians, Midwives, and Nurses About Doulas: A Scoping Review

Lucas, Laura; Wright, Erin

MCN: The American Journal of Maternal/Child Nursing. 44(1):33-39, January/February 2019.

Physicians, midwives, and labor nurses are not consistent in their willingness to work with doulas. In this review, research about attitudes of members of the maternity team towards doulas is presented, with suggestions for improved collaboration.

Nurses' Perspective on Caring for Women Experiencing Perinatal Loss

Willis, Patricia

MCN: The American Journal of Maternal/Child Nursing. 44(1):46-51, January/February 2019.

In this study, labor and birth nurses offer their perspectives on caring for women experiencing a perinatal loss and identify specific strategies that have the potential to enhance their ability to provide their best care.

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?

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.

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.

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.

Outcome Measures in Interventions That Enhance Breastfeeding Initiation, Duration, and Exclusivity: A Systematic Review

Wood, Natsuko K.; Woods, Nancy F.

MCN: The American Journal of Maternal/Child Nursing. 43(6):341-347, November/December 2018.

This systematic review highlights gaps in the literature on interventions to promote breasting. Without a core set of measures that are consistently used by breastfeeding researchers, it is challenging to identify and design interventions that help new mothers meet their breastfeeding goals.

Normal Complications and Abnormal Assumptions After Perinatal Death

Cacciatore, Joanne; Thieleman, Kara

MCN: The American Journal of Maternal/Child Nursing. 44(1):6-12, January/February 2019.

Death of a baby can be traumatizing for the parents and family. Some expressions of grief that have been considered pathologic in the past are likely normal in this population. Diagnosis categories of perinatal grief are discussed and clinical recommendations offered.

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.

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.

Postpartum Depression Among Asian Indian Mothers

Goyal, Deepika; Park, Van Ta; McNiesh, Susan

MCN, The American Journal of Maternal/Child Nursing. 40(4):256-261, July/August 2015.

Cultural patterns of Asian Indians influence perceptions and biases about mental health and clinical treatment. Asian Indian women may seek advice from their social support networks, familial ties, and religious/spiritual outlets before seeking professional help for postpartum depression.

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.

New Mothers' Experiences with Online Postpartum Forums

Teaford, Dominique; McNiesh, Susan; Goyal, Deepika

MCN: The American Journal of Maternal/Child Nursing. 44(1):40-45, January/February 2019.

Most new mothers use the Internet. An on-line forum for new mothers can offer peer support, especially in the first few months at home with the new baby. In this study, new mothers describe their experiences with on-line support during the first six months postpartum.

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.

Support for Young Black Urban Women After Perinatal Loss

Fenstermacher, Kimberly H.; Hupcey, Judith E.

MCN: The American Journal of Maternal/Child Nursing. 44(1):13-19, January/February 2019.

Young black women shared their experiences with perinatal loss at three points during the 12 weeks after their loss. There are opportunities at several points of transition in the perinatal bereavement trajectory when nurses can offer culturally sensitive bereavement support. Suggestions for nursing care during each time frame are presented based on study findings.

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.

Risks and Benefits of Swaddling Healthy Infants: An Integrative Review

Nelson, Antonia M.

MCN, The American Journal of Maternal/Child Nursing. 42(4):216-225, July/August 2017.

Swaddling has been practiced for ages; however, there is controversy about its safety. This integrative review covers recent evidence on various issues about infant swaddling so nurses can offer accurate advice to parents and infant caregivers.

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.

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.

Barriers to Skin-to-Skin Care During the Postpartum Stay

Ferrarello, Debi; Hatfield, Linda

MCN, The American Journal of Maternal/Child Nursing. 39(1):56-61, January/February 2014.

A lot of research has been done on immediate skin to skin care after birth, but what do we know about skin to skin care on the postpartum unit?

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.

Implementation of an Oxytocin Checklist to Improve Clinical Outcomes

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

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

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

Perinatal Bereavement Care

Limbo, Rana; Hutti, Marianne H.

MCN: The American Journal of Maternal/Child Nursing. 44(1):5, January/February 2019.

Guest editors Drs. Limbo and Hutti provide a preview of the four articles in this MCN special topics series on perinatal bereavement care.

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.

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.

HIV and Pregnancy: Considerations for Nursing Practice

Lachat, Maryanne F.; Scott, Carol A.; Relf, Michael V.

MCN, The American Journal of Maternal/Child Nursing. 31(4):233-240, July-August 2006.

The scourge of HIV is still with us and requires that all nurses who work with mothers and infants keep their knowledge base current.

Promoting Exclusive Breastfeeding for Hispanic Women

Hernandez, Ivonne F.

MCN, The American Journal of Maternal/Child Nursing. 31(5):318-324, September-October 2006.

Minority women have low rates of exclusive breastfeeding. How can we as nurses help Hispanic women to breastfeed exclusively?

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.

Nursing Care of the Patient With Preterm Premature Rupture of Membranes

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

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

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

Maternal Oxygen Administration as an Intrauterine Resuscitation Measure During Labor

Simpson, Kathleen Rice

MCN, The American Journal of Maternal/Child Nursing. 40(2):136, March/April 2015.

What is the role of maternal oxygen administration for intrauterine resuscitation during labor when the fetal heart rate pattern is indeterminate (category II) or abnormal (category III)?

Strategies for Neonatal Hyperbilirubinemia: A Literature Review

Wells, Courtenay; Ahmed, Azza; Musser, Anna

MCN, The American Journal of Maternal/Child Nursing. 38(6):377-382, November/December 2013.

This literature review brings you up to date on the important topic of hyperbilirubinemia in newborns.

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.

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 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.

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.

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.

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.

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.

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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Sudden Unexpected Postnatal Collapse and Sudden Unexpected Infant Death

Simpson, Kathleen Rice

MCN, The American Journal of Maternal/Child Nursing. 42(6):368, November/December 2017.

Current recommendations from the American Academy of Pediatrics and the Association of Women's Health, Obstetric, and Neonatal Nurses for continuous bedside attendance by nurses for mothers and babies during the recovery period and regular monitoring of mother-baby couplets during postpartum hospitalization are supported by numerous large case series reports of sudden unexpected postnatal collapse in the hospital setting.

Posterior Reversible Encephalopathy Syndrome

Sundin, Courtney Stanley; Johnson, Michelle Laurane

MCN, The American Journal of Maternal/Child Nursing. 43(2):77-82, March/April 2018.

Posterior reversible encephalopathy syndrome is a newly defined syndrome, therefore this transient clinical condition is not well known and probably underdiagnosed. Pathophysiology and symptoms are similar to eclampsia. A review of the syndrome including an exemplar case is presented.

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.

Adolescent Attitudes, Beliefs, and Concerns Regarding Breastfeeding

Nelson, Antonia M.

MCN, The American Journal of Maternal/Child Nursing. 34(4):249-255, July-August 2009.

We'd like them to breastfeed, but what are the adolescents themselves thinking about this? Dr. Nelson asked them, and found out the myths they've heard.

The Hospital-Based Adoption Process: A Primer for Perinatal Nurses

Smith, Kerri J.; Brandon, Debbie

MCN, The American Journal of Maternal/Child Nursing. 33(6):382-388, November-December 2008.

Adoption is a topic that most nurses know little about, yet they might be faced with practice situations that require them to interact with adoptive parents and birthparents. This article can bring you up to speed on this topic.

Effectiveness of Discharge Education on Postpartum Depression

McCarter-Spaulding, Deborah; Shea, Stephen

MCN, The American Journal of Maternal/Child Nursing. 41(3):168-172, May/June 2016.

Postpartum depression is a serious condition that disproportionately affects women of low socioeconomic status and women with a history of prior depression or anxiety. This study evaluated efficacy of an education intervention for women during postpartum hospitalization in minimizing risk of depression at 6 weeks, 3 months or 6 months postpartum.

Nurses and Barriers to Screening for Intimate Partner Violence

Furniss, Kathleen; McCaffrey, Mary; Parnell, Vereene; More

MCN, The American Journal of Maternal/Child Nursing. 32(4):238-243, July-August 2007.

These nurses used the Perinatal Listserv to discover why nurses all over the United States were reluctant to assess women for intimate partner violence.

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.

Avoiding Adverse Events after Postpartum Hospital Discharge

Simpson, Kathleen Rice

MCN, The American Journal of Maternal/Child Nursing. 42(2):124, March/April 2017.

The hospital discharge process for new mothers and babies after childbirth is not always as comprehensive and individualized as it should be. Recommendations from the Agency for Healthcare Research and Quality for avoiding adverse events after hospital discharge are discussed and applied to postpartum and newborn care.

Intrapartum Management of Women With Human Immunodeficiency Virus Infection

Wisner, Kirsten

MCN: The American Journal of Maternal/Child Nursing. 44(1):52, January/February 2019.

New guidelines for caring for women during labor and birth who are infected with HIV have been published. Our maternity nursing expert, Kirsten Wisner, offers a summary of the clinical implications for perinatal nurses.

Pregnancy and Oral Health: A Review and Recommendations to Reduce Gaps in Practice and Research

Russell, Stefanie L.; Mayberry, Linda J.

MCN, The American Journal of Maternal/Child Nursing. 33(1):32-37, January-February 2008.

A lot has been written in the research literature during the past decade about pregnancy and oral health, and these authors, a dentist and a nurse scientist, tie all the information together for you.

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

Leaning In and Holding On: Team Support with Unexpected Death

Kobler, Kathie

MCN, The American Journal of Maternal/Child Nursing. 39(3):148-154, May/June 2014.

Dealing with the death of a patient is always a challenge for the health care providers involved. These nurses show us how they helped each other to cope.

The Maternal Fetal Triage Index: A Standardized Approach to OB Triage

Killion, Molly M.

MCN, The American Journal of Maternal/Child Nursing. 41(6):372, November/December 2016.

The Association of Women's Health, Obstetric, and Neonatal Nurses has developed and validated the Maternal Fetal Triage Index. This standardized approach to assessing and assigning acuity of pregnant women who present to the hospital for care may be an effective and safe way to allocate care and resources. The American College of Obstetricians and Gynecologists also is recommending use of this type of tool.

Barriers to Breastfeeding in the WIC Population

Hedberg, Inga C

MCN, The American Journal of Maternal/Child Nursing. 38(4):244-249, July/August 2013.

This review highlights complex reasons behind low breastfeeding rates among women enrolled in the Supplemental Nutrition Program for Women, Infants, and Children (WIC) program.

Should Mother–Baby Rooming-In be the Standard of Care?

Beal, Judy A.; Dalton, Marcia Fonseca; Maloney, Joyce A.

MCN, The American Journal of Maternal/Child Nursing. 40(2):74-75, March/April 2015.

How strict should policies be for keeping new mothers and babies together while in the hospital during postpartum?

Breastfeeding Behaviors and Experiences of Adolescent Mothers

SPEAR, HILA J.

MCN, The American Journal of Maternal/Child Nursing. 31(2):106-113, March-April 2006.

Dr. Spear examined why some adolescent mothers choose to breastfeed. Her findings can help you to help your adolescent patients.

Facilitating Early Breast Milk Expression in Mothers of Very Low Birth Weight Infants

Parker, Leslie Ann; Hoffman, Jacqueline; Darcy-Mahoney, Ashley

MCN, The American Journal of Maternal/Child Nursing. 43(2):105-110, March/April 2018.

Early initiation of breastfeeding or breast milk expression is important soon after birth to enhance milk production. Often mothers who give birth preterm have a cesarean, which can delay milk expression. This survey of maternity nurses offers information about their perceived barriers to timely breastmilk expression for mothers of very low birth weight babies.

Interventions to Improve Maternal-Infant Relationships in Mothers With Postpartum Mood Disorders

Lindensmith, Rebekah

MCN: The American Journal of Maternal/Child Nursing. 43(6):334-340, November/December 2018.

Postpartum depression can influence maternal-infant attachment, bonding, and interaction, which affect the maternal-infant relationship and lead to poor outcomes for infants later in life. A review of the evidence on interventions to improve maternal-infant relationships in mothers with postpartum mood disorders is presented.

Maternity Nurses' Knowledge and Practice of Breastfeeding in Mississippi

Alakaam, Amir; Lemacks, Jennifer; Yadrick, Kathleen; More

MCN: The American Journal of Maternal/Child Nursing. 43(4):225-230, July/August 2018.

Mississippi has the lowest rate of breastfeeding initiation and for babies at 6 months of age of any state in America. This study evaluated maternity nurses' knowledge of breastfeeding and their perceptions of barriers to implementing the Ten Steps to Successful Breastfeeding in their clinical practice. Overall knowledge was good but barriers to the Ten Steps included short-staffing, inadequate education about breastfeeding, and resistance to change.

Kangaroo Care at Birth for Full Term Infants: A Pilot Study

WALTERS, MARY W.; BOGGS, KIM M.; LUDINGTON-HOE, SUSAN; More

MCN, The American Journal of Maternal/Child Nursing. 32(6):375-381, November-December 2007.

Can kangaroo care at the time of birth influence newborn skin temperature, blood glucose, and initiation of breastfeeding?

The Smart Nutrition and Conditioning for Kids (SNACK) Program: An Approach to Increasing Nutrition Knowledge of Second-Grade Students

Jakubowski, Tami L.; Perron, Tracy; Farrell, Anne; More

MCN: The American Journal of Maternal/Child Nursing. 43(5):278-284, September/October 2018.

Childhood obesity is a major problem that appears to be on the increase. In this study, researchers evaluated an innovative program integrated into physical education classes for second grade students that aimed to promote healthy eating choices. Findings suggest nutrition education for children as young as seven years old can be useful in teaching them to choose healthy food.

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.

Uterine Activity: What You Don't Know Can Hurt You

Miller, Lisa A.

MCN, The American Journal of Maternal/Child Nursing. 43(3):180, May/June 2018.

There has been a lot of attention to fetal heart rate tracing interpretation during labor in clinical practice and in the literature. Our guest columnist and expert on perinatal patient safety, Lisa Miller, suggests we need to give uterine activity assessment the same level of attention and accuracy to promote safe care for women during labor and to decrease risk of professional liability.

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.

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.

Mamawasi: Culturally Sensitive Birthing for Peruvian Women

Callister, Lynn Clark

MCN, The American Journal of Maternal/Child Nursing. 34(1):66, January-February 2009.

Intrapartum care needs to be culturally relevant in order to meet women's needs. Dr. Callister describes such an effort in Peru.

Have We ARRIVEd at a New Normal?

Breedlove, Ginger

MCN: The American Journal of Maternal/Child Nursing. 44(1):59-60, January/February 2019.

Publication of the ARRIVE trial of elective induction of labor for healthy low-risk nulliparous women has generated a lot of discussion and concern among childbearing women and those who care for them. Guest columnist Dr. Ginger Breedlove explains some of the issues and potential implications for clinical practice.

Should Children With Type 1 Diabetes Be Hospitalized at Diagnosis?

Beal, Judy; Grey, Margaret; Doyle, Elizabeth A.

MCN, The American Journal of Maternal/Child Nursing. 36(4):214-215, July-August 2011.

The diagnosis of diabetes is a major life stressor for children and their families. Such a diagnosis requires intensive nursing care and teaching. Where should this teaching and care be provided? The debaters bring their many years of professional experience to provide their informed opinions.

Breastfeeding Barriers and Support in a Rural Setting

Goodman, Laurel R.; Majee, Wilson; Olsberg, Joshua E.; More

MCN, The American Journal of Maternal/Child Nursing. 41(2):98-103, March/April 2016.

A community assessment in a rural area of Missouri was conducted to identify challenges to successful breasfeeding. Breastfeeding women and healthcare providers offer their insights on current realities and what would be needed to improve breastfeeding rates.

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.

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.

Late Preterm Infants and Risk for RSV

Coffman, Sherrilyn

MCN, The American Journal of Maternal/Child Nursing. 34(6):378-384, November-December 2009.

More attention has been focused on late preterm infants during the past several years. Their special health risk for RSV is highlighted in this article.

Health Promotion Text Blasts for Minority Adolescent Mothers

Brown, Sara; Hudson, Diane Brage; Campbell-Grossman, Christie; More

MCN, The American Journal of Maternal/Child Nursing. 39(6):357-362, November/December 2014.

There are innovative ways to share knowledge about parenting with young mothers. Text blasts to cell phones is one such option and was well received by participants in this study. This method may be of benefit to other young new mothers.

The Postpartum Maternal and Newborn Microbiomes

Mutic, Abby D.; Jordan, Sheila; Edwards, Sara M.; More

MCN, The American Journal of Maternal/Child Nursing. 42(6):326-331, November/December 2017.

Biological and environmental changes to maternal and newborn microbiomes in the postnatal period can affect health outcomes for mothers and babies. Maternal-baby nurses have a valuable role in helping mothers and newborns promote healthy microbiomes. Factors that influence the rapidly changing postnatal microbiome of the mother and her newborn baby, and the role nurses have to positively influence immediate and long-term health outcomes are presented.

Physician and Nurse Perceptions of Gentle Cesarean Birth

Mercier, Rebecca J.; Durante, Julia C.

MCN, The American Journal of Maternal/Child Nursing. 43(2):97-104, March/April 2018.

Increasingly, women are requesting a more family-friendly cesarean birth, sometimes referred to as a gentle cesarean. As cesarean birth requires care from an interdisciplinary team, knowledge of their perceptions of pros and cons, and willingness to participate is useful to the maternity care leadership team before embarking on a program to promote gentle cesarean birth. In this study, care providers who participate in cesarean birth were surveyed about gentle cesareans. Findings can be used by other maternity care teams considering this approach.

Mothers' Perceptions of Labor Support

Nikula, Pirkko; Laukkala, Helena; Pölkki, Tarja

MCN, The American Journal of Maternal/Child Nursing. 40(6):373-380, November/December 2015.

This study of new mothers offers valuable information for those who care for women during labor and birth. New mothers really appreciated labor support and valued emotional support above other types of support. Giving praise was identified as one of the most important aspects of helping a woman cope with the process of labor.

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.

Maternal Attitudes and Knowledge about Newborn Screening

Newcomb, Patricia; True, Barbara; Walsh, Judith; More

MCN, The American Journal of Maternal/Child Nursing. 38(5):289-294, September/October 2013.

Newborn screening may be routine for us, but do the mothers of newborns really understand why we take the baby's blood, and what is done with it?

Impact of a Formal Breastfeeding Education Program

Mellin, Pamela S.; Poplawski, Donna T.; Gole, Amy; More

MCN, The American Journal of Maternal/Child Nursing. 36(2):82-88, March-April 2011.

This study shows how an educational program and adherence to protocols can increase exclusive breastfeeding as well as improve health care provider knowledge, comfort level and attitudes about breastfeeding

Acculturation and Postpartum Depressive Symptoms among Hispanic Women in the United States: Systematic Review

Alhasanat, Dalia; Giurgescu, Carmen

MCN, The American Journal of Maternal/Child Nursing. 42(1):21-28, January/February 2017.

Higher levels of acculturation may be related to higher risk of postpartum depressive symptoms in Hispanic women living in the United States. Nurses should have an understanding of the stressors of immigrant women to guide their assessment and screening for postpartum depressive symptoms and make appropriate referrals.

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