Most Popular Articles

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.

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?

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.

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.

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.

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.

The Maternal Infant Microbiome: Considerations for Labor and Birth

Dunn, Alexis B.; Jordan, Sheila; Baker, Brenda J.; More

MCN, The American Journal of Maternal/Child Nursing. 42(6):318-325, November/December 2017.

Multiple aspects of the labor and birth environment have been shown to influence the initial colonization process of the newborn microbiome. Implications of various nursing activities and factors unique to the labor and birth environment that may influence the microbiome of women and newborns during labor and birth are presented.

Baby-Led Weaning

Beal, Judy A.

MCN, The American Journal of Maternal/Child Nursing. 41(6):373, November/December 2016.

Baby-led weaning (BLW) is growing in popularity among parents. This method of introducing solid food is different from the recommendations from the American Academy of Pediatrics. Instead of limiting intake for the first six months to breastmilk or formula and liquids other than milk, small portions of solid food are offered to babies when parents feel their baby is ready. The process of initiating feeding starting with pureed foods spoon-fed to babies by an adult is not part of the baby-led weaning feeding method. Available data on BLW are limited about risks, benefits, and outcomes. Our expert in pediatric nursing, Dr. Beal, explains BLW.

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.

Avoiding Confusion of Maternal Heart Rate With Fetal Heart Rate During Labor

Simpson, Kathleen Rice

MCN, The American Journal of Maternal/Child Nursing. 36(4):272, July-August 2011.

It can happen, and the results can be devastating. Dr. Simpson explains how you can avoid this perinatal patient safety pitfall.

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?

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.

Psychosocial Factors and Preterm Birth Among Black Mothers and Fathers

Giurgescu, Carmen; Misra, Dawn P.

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

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

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.

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.

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?

“Try Not to Judge”: Mothers of Substance Exposed Infants

Cleveland, Lisa M.; Gill, Sara L.

MCN, The American Journal of Maternal/Child Nursing. 38(4):200-205, July/August 2013.

These findings support the importance of a quality nurse-mother relationship as part of a therapeutic environment in the neonatal intensive care unit.

HOME- VERSUS HOSPITAL-LAUNDERED SCRUBS: A PILOT STUDY

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.

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.

Racial and Ethnic Disparities in Maternity Care in the United States Put Mothers and Babies at Risk

Simpson, Kathleen Rice

MCN: The American Journal of Maternal/Child Nursing. 43(5):300, September/October 2018.

There are dramatic differences in maternal and infant outcomes among racial and ethnic groups in the United States. Some of these disparities are due to inequitable maternity care. Potential underlying causes and solutions are discussed.

Rejecting Standard Care: Vitamin K Prophylaxis for Newborns and Parent Choice

Bauer, Jill A.

MCN, The American Journal of Maternal/Child Nursing. 40(5):328, September/October 2015.

Parental refusal of vitamin K administration for newborns after birth is on the rise. How can nurses provide adequate information to assist parents in making a truly informed choice about vitamin K so risk of unnecessary harm to babies can be minimized?

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.

Minimizing Risk of Magnesium Sulfate Overdose in Obstetrics

Simpson, Kathleen Rice

MCN, The American Journal of Maternal/Child Nursing. 31(5):340, September-October 2006.

A woman recently died after receiving magnesium sulfate. Dr. Simpson helps us with important safety measures.

Should Children Visit Patients in an Intensive Care Unit (ICU)?

Capitulo, Kathleen Leask; Barchue, Sylvia M; Morgan, Aneita

MCN, The American Journal of Maternal/Child Nursing. 37(1):8-9, January/February 2012.

Is it good for the patients? Good for the families? Good for the child? Read the debate and make up your own mind.

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?

Relationship With the Father of the Baby and Perceived Stress Among Black Women

Eboh, Relicious N.; Giurgescu, Carmen; Misra, Dawn P.

MCN: The American Journal of Maternal/Child Nursing. 43(5):259-264, September/October 2018.

The relationship with the father of the baby may influence psychological well-being of pregnant women. In this study, women who reported distant relationship with the fathers of their babies during pregnancy had higher levels of perceived stress. As stress is known to affect pregnancy outcomes, this type of information obtained during initial and ongoing assessment during pregnancy can help to guide supportive nursing care and appropriate referral.

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.

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.

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.

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.

Going Along With It: Neonatal Intensive Care Nurses' Views of a Donor Milk Practice Change

Miller, Alaina R.; Fenstermacher, Kimberly; Buchko, Barbara L.

MCN: The American Journal of Maternal/Child Nursing. 43(5):285-290, September/October 2018.

Nurses working in a level III neonatal intensive care unit experienced a change in practice for feeding preterm infants human breastmilk for which they had no input and were offered little supportive evidence. This study explored nurses' perceptions of the change to sterilized pasteurized donor human milk stored in retort packages and suggestions for a more collaborative approach to adopting new practices and products in the neonatal intensive care unit.

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.

Symptoms of Depression and Preterm Birth Among Black Women

Nutor, Jerry John; Slaughter-Acey, Jaime C.; Giurgescu, Carmen; More

MCN: The American Journal of Maternal/Child Nursing. 43(5):252-258, September/October 2018.

This study evaluated the relationship between depressive symptoms and preterm birth among Black women while adjusting for general social support and support from the father of the baby. Approximately 17% of women in the sample had a preterm birth. One-fifth had severe depressive symptoms based on the Centers for Epidemiologic Studies Depression Scale. Women with severe depressive symptoms were almost twice as likely to give birth preterm when compared to women who did not have these symptoms.

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.

Improving Communication and Coordination of Complex Perinatal Patients

Gordon, Sara; Aydam, Joan; Hamm, Kenna; More

MCN, The American Journal of Maternal/Child Nursing. 40(3):167-173, May/June 2015.

Pregnant women with medical or obstetric complications are in need of easy to understand information about their clinical condition and excellent individualized care. Family-centered perinatal care involves the pregnant woman and her family as full partners in the care planning process. The perinatal team at Seton Medical Center Austin describe their quality improvement project to improve communication and support family-centered care.

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.

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.

“It's Not an Issue at the Moment”: A Qualitative Study of Mothers About Childhood Obesity

Zehle, Katharina; Wen, Li Ming; Orr, Neil; More

MCN, The American Journal of Maternal/Child Nursing. 32(1):36-41, January-February 2007.

Everyone in healthcare is talking about the obesity epidemic in children. What do parents have to say about it?

Fetal Heart Monitoring Prior to Cesarean Birth

Wisner, Kirsten

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

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

Working Women’s Breastfeeding Experiences

Rojjanasrirat, Wilaiporn

MCN, The American Journal of Maternal/Child Nursing. 29(4):222-227, July/August 2004.

We encourage women to breastfeed, but are we preparing women realistically for the challenges they will face when they return to work?

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.

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.

Tattoos and Piercings: Increasingly Accepted but Still Risky

Beal, Judy A.

MCN, The American Journal of Maternal/Child Nursing. 43(2):112, March/April 2018.

Our pediatric nursing expert, Dr. Beal, discusses the recent clinical report from the American Academy of Pediatrics on Adolescent and Young Adult Tattooing, Piercing, and Scarification. As these practices are becoming more common, it is important for pediatrics nurses to have up-to-date knowledge so they can assist in guiding adolescents and parents.

Common Menstrual Disorders in Adolescence: Nursing Interventions

McEvoy, Mimi; Chang, Jane; Coupey, Susan M.

MCN, The American Journal of Maternal/Child Nursing. 29(1):41-49, January-February 2004.

One of the reasons that adolescent women seek healthcare is for menstrual problems. Are you aware of the most common disorders and treatments?

Fetal Concerns Program: A Model for Perinatal Palliative Care

Leuthner, Steven; Jones, Emilie Lamberg

MCN, The American Journal of Maternal/Child Nursing. 32(5):272-278, September-October 2007.

This program was developed to provide appropriate care to women and families dealing with a pregnancy that will not end with a healthy newborn. Read about the wonderful things they do to provide palliative care, and the important role of the nurse in the process.

Understanding and Promoting Birth Satisfaction in New Mothers

Hinic, Katherine

MCN, The American Journal of Maternal/Child Nursing. 42(4):210-215, July/August 2017.

How do new mothers perceive the birth process? What contributes to their satisfaction with their childbirth experince? This study examines these issues among a group of new mothers during the first few days postpartum and offers insights on the type of care that women appreciate and desire during labor and birth.

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.

Giving Birth: The Voices of Women in Tamil Nadu, India

Corbett, Cheryl A.; Callister, Lynn Clark

MCN, The American Journal of Maternal/Child Nursing. 37(5):298-305, September/October 2012.

What is the meaning of childbirth and experiences during the childbearing year to women from Tamil Nadu, India?

The Dangers of Youth Football

Beal, Judy A.

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

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

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.

Interpersonal Relationships Among Black Couples and Depressive Symptoms During Pregnancy

Caldwell, Cleopatra Howard; Misra, Dawn P.; Rogers, William B.; More

MCN: The American Journal of Maternal/Child Nursing. 43(5):265-270, September/October 2018.

A significant number of Black mothers and fathers report depressive symptoms during pregnancy and postpartum. Based on the findings of this study and others, screening for depressive symptoms for all pregnant women and their partners has merit.

Vegetarian Diet During Pregnancy: Making Sure Vitamin B12 Intake is Adequate

Snow, Denise

MCN, The American Journal of Maternal/Child Nursing. 43(1):53, January/February 2018.

A well-planned vegetarian diet, including vegan, can be nutritionally sound with positive outcomes. However, failure to identify inadequacies of vitamin B12 can have serious results. Our expert on nutrition, Denise Snow, provides details on current recommendations to make sure women on a vegetarian diet get an adequate amount of vitamin B12

Interdisciplinary Collaboration in Maternal Mental Health

Selix, Nancy; Henshaw, Erin; Barrera, Alinne; More

MCN, The American Journal of Maternal/Child Nursing. 42(4):226-231, July/August 2017.

Creating an interdisciplinary approach for maternal mental health that includes professionals involved in policy, research, community advocacy, and clinical practice can improve access to care, streamline services, and improve maternal health outcomes. This article offers examples of interdisciplinary approaches that blend technology, education, research, policy, primary care, and mental health services and discusses their benefits and challenges for maternal mental health services.

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.

Nausea and Vomiting of Pregnancy: Prevalence, Severity and Relation to Psychosocial Health

Kramer, Jennifer; Bowen, Angela; Stewart, Norma; More

MCN, The American Journal of Maternal/Child Nursing. 38(1):21-27, January/February 2013.

A cohort of 648 Canadian pregnant women in early and late pregnancy describe symptoms of nausea, retching, and vomiting, as well as psychosocial health variables.

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.

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.

Postpartum Fatigue and Evidence-Based Interventions

Corwin, Elizabeth J.; Arbour, Megan

MCN, The American Journal of Maternal/Child Nursing. 32(4):215-220, July-August 2007.

We all know that postpartum fatigue exists; many of us have experienced it personally. These nurses explain the evidence-based interventions that we can institute for our patients with postpartum fatigue.

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.

Oral Feeding Readiness Assessment in Premature Infants

Gennattasio, Annmarie; Perri, Elizabeth A.; Baranek, Donna; More

MCN, The American Journal of Maternal/Child Nursing. 40(2):96-104, March/April 2015.

Nurses who care for preterm babies should be able to assess and describe feeding performance in a way that allows other caregivers to understand an infant's strengths and challenges. A review of oral feeding readiness in the premature infant and strategies for promoting safe and efficient progression to full oral intake are presented.

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.

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.

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Siblings of Children with Down Syndrome: An Integrative Review

Choi, Hyunkyung; Riper, Marcia Van

MCN, The American Journal of Maternal/Child Nursing. 38(2):72-78, March/April 2013.

This integrative review described the experiences of siblings living with a child with Down syndrome and identified modifiable and non-modifiable factors associated with siblings' adaptation.

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.

Hospitalized Children's Perceptions of Nurses and Nurse Behaviors

SCHMIDT, CYNTHIA; BERNAIX, LAURA; KOSKI, AIMEE; More

MCN, The American Journal of Maternal/Child Nursing. 32(6):336-342, November-December 2007.

What do hospitalized children have to say about the nurses who care for them? These nurse researchers found out.

Collaboration and Teamwork are Required for Successful Maternity Care Quality Improvement

MCN, The American Journal of Maternal/Child Nursing. 41(6):321, November/December 2016.

The articles in the special issue on maternity quality care improvement offer valuable information and suggestions for promoting safe care for mothers and babies during their hospitalization. Each of the projects described involved multidisciplinary collaboration and teamwork as keys to success.

Neonatal Neuroprotection: Bringing Best Practice to the Bedside in the NICU

Lockridge, Terrie

MCN, The American Journal of Maternal/Child Nursing. 43(2):66-76, March/April 2018.

Concern for the impact of the NICU experience on the developing infant brain led to a unit-based quality improvement project to promote best neonatal outcomes. A multidisciplinary committee evaluated current evidence and developed the Neonatal Neuroprotective Best Practice Guidelines to identify optimal interventions, as well as provide physiologic rationales to reinforce importance of the practices for the clinical team. The process of developing and implementing the guidelines are presented.

Still Nursing at 6 Months: A Survey of Breastfeeding Mothers

Augustin, Amy L.; Donovan, Kathleen; Lozano, Emily A.; More

MCN, The American Journal of Maternal/Child Nursing. 39(1):50-55, January/February 2014.

Why do women continue to breastfeed for 6 months?

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.

Oral Intake During Labor: A Review of the Evidence

Sharts-Hopko, Nancy C.

MCN, The American Journal of Maternal/Child Nursing. 35(4):197-203, July-August 2010.

Dr. Sharts-Hopko has succinctly and expertly gathered the evidence for how we should approach oral intake in labor. Use this article for evidence-based practice in your setting.

Evaluation of Content on Commonly Used Web sites About Induction of Labor and Pain Management During Labor

English, Cara L.; Alden, Kathryn R.; Zomorodi, Meg; More

MCN: The American Journal of Maternal/Child Nursing. 43(5):271-277, September/October 2018.

Childbearing women often look to the Internet for information about pregnancy, labor, birth, and parenting. However, some of the information may be inaccurate or of limited value. In this study, the content and accuracy of common Internet sites used by pregnant women were evaluated. Websites hosted by the government were found to be the most complete and accurate.

The Efficacy of Facilitated Tucking for Relieving Procedural Pain of Endotracheal Suctioning in Very Low Birthweight Infants

Ward-Larson, Charlotte; Horn, Robert A.; Gosnell, Florence

MCN, The American Journal of Maternal/Child Nursing. 29(3):151-156, May-June 2004.

Do you know about this nonpharmacological method of pain relief for neonates?

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.

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

Respectful Disposition in Early Pregnancy Loss

Limbo, Rana; Kobler, Kathie; Levang, Elizabeth

MCN, The American Journal of Maternal/Child Nursing. 35(5):271-277, September-October 2010.

Dr. Limbo has taken on a subject that is rarely discussed in the nursing literature: how to help families deal with disposition of the products of conception early in pregnancy. Her wise and learned approach will teach you much.

Neonatal Male Circumcision: Still a Controversy

Beal, Judy A.

MCN, The American Journal of Maternal/Child Nursing. 42(4):233, July/August 2017.

Nurses have a vital role in offering information to parents about newborn male circumcision based on current evidence and recommendations from professional organizations such as the American Academy of Pediatrics. Our pediatric nursing expert, Dr. Beal, summarizes the issue, including potential risks, benefits and areas of controversy.

Is the Doctor of Nursing Practice (DNP) the Appropriate Doctoral Degree for Nurses?

Fitzpatrick, Joyce J.

MCN, The American Journal of Maternal/Child Nursing. 32(3):138, May-June 2007.

Here it is, folks. The debate we've been waiting for. Don't miss reading it – the future of nursing practice is here.

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