Most Popular Articles

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.

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.

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.

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.

Breastfeeding Challenges

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

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

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.

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.

Oral Sucrose Versus Breastfeeding in Managing Infants' Immunization-Related Pain: A Randomized Controlled Trial

Gad, Rasha F.; Dowling, Donna A.; Abusaad, Fawzia E.; More

MCN: The American Journal of Maternal/Child Nursing. 44(2):108-114, March/April 2019.

Immunization is one of the most painful procedures in infancy and causes anxiety and distress for infants and their parents. In this randomized controlled trial, during immunization, 120 babies up to six months old were randomized to breastfeeding, oral sucrose, or the usual comforting measures. Measures of pain were lower in the breastfeeding group. Breastfeeding during immunization should be offered to women and their babies routinely as a pain avoidance procedure.

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.

Implications of Ankyloglossia on Breastfeeding

Hill, Rebecca

MCN: The American Journal of Maternal/Child Nursing. 44(2):73-79, March/April 2019.

Ankyloglossia, also known as tongue tie, is a relatively common congenital anomaly with an overall prevalence of 4.5% to 16% of newborns. It often affects breastfeeding duration and pain. There are no validated screening tools for early detection. An integrated review of the literature on the relationship between ankyloglossia and breastfeeding is provided and important gaps in knowledge identified.

Breastfeeding Guidance for Orthodox Jewish Families When Newborns Require Special Care and Continued Hospitalization

Candelaria, Laura M.; Bressler, Toby; Spatz, Diane L.

MCN: The American Journal of Maternal/Child Nursing. 44(2):80-85, March/April 2019.

Cultural practices of Orthodox Jewish families for childbirth and breastfeeding are discussed, with a focus on offering culturally appropriate care when the newborn is hospitalized in the neonatal intensive care unit. As breastfeeding is a critical aspect of motherhood for Orthodox Jewish women, knowing the specifics of best practices in nursing care for this unique population can help women reach their breastfeeding goals.

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.

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.

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.

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.

Do New Mothers Understand the Risk Factors for Maternal Mortality?

Logsdon, M. Cynthia; Davis, Deborah Winders; Myers, John A.; More

MCN: The American Journal of Maternal/Child Nursing. 43(4):201-205, July/August 2018.

Maternal mortality is at an all time high in the United States and exceeds the rates in some developing countries. This study evaluated the knowledge of potentially life-threatening complications of childbirth in a sample of low-income new mothers during their postpartum hospitalization. Findings suggest we need to do much better on postpartum discharge teaching so new mothers know when to call their midwife, nurse practitioner, or physicians if postpartum complications occur during the first year after giving birth, so risks of maternal mortality can be decreased.

Intrapartum Management of Chorioamnionitis

Wisner, Kirsten

MCN, The American Journal of Maternal/Child Nursing. 43(1):52, January/February 2018.

The American College of Obstetricians and Gynecologists issued a new committee opinion on intrapartum management of intraamniotic infection. Our maternity nursing expert, Kirsten Wisner, covers details of the recommendations for clinical practice.

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.

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.

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.

Birth Tourism Among Chinese Women

Jaramillo, Juanita; Goyal, Deepika; Lung, Carmen

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

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

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.

Transgender Men and Lactation: What Nurses Need to Know

Wolfe-Roubatis, Emily; Spatz, Diane L.

MCN, The American Journal of Maternal/Child Nursing. 40(1):32-38, January/February 2015.

Many perinatal nurses have little knowledge of transgender men and their healthcare needs during their childbirth experience. Valuable information is presented that will be helpful in caring for this unique subset of childbearing patients.

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.

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.

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.

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.

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.

Health Professionals' Practices and Attitudes About Miscarriage

Engel, Joyce; Rempel, Lynn

MCN, The American Journal of Maternal/Child Nursing. 41(1):51-57, January/February 2016.

Many women come to the emergency department when they are having a miscarriage; however, nurses and physicians in the emergency department do not always know how to best help women through this devastating life event.

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.

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.

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.

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.

Nurses' Perceptions of Caring for Childbearing Women who Misuse Opioids

Shaw, Michele Rose; Lederhos, Crystal; Haberman, Mel; More

MCN, The American Journal of Maternal/Child Nursing. 41(1):37-42, January/February 2016.

Misuse of prescription and illicit opioids among women of childbearing age has dramatically increased over the last 30 years in the United States. This study explores nurses' perceptions of challenges and opportunities in providing nursing care for childbearing women who misuse opioids and their babies who have been exposed to opioids during pregnancy.

Twins: The Importance of Chorionicity in Planning Care and Timing of Birth

Killion, Molly M.

MCN: The American Journal of Maternal/Child Nursing. 44(2):115, March/April 2019.

Chorionicity is an important aspect of planning care and timing of birth for women pregnant with twins. Our maternity nursing expert, Molly Killion, explains various types of chorionicity and their implications.

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.

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.

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.

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.

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)?

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.

Safe Nurse Staffing is More than Numbers and Ratios

Simpson, Kathleen Rice

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

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

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.

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

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

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

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?

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.

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.

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.

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.

Increasing Physical Activity in Children: From Evidence to Action

Jakubowski, Tami L.; Faigenbaum, Avery D.; Lindberg, Claire

MCN, The American Journal of Maternal/Child Nursing. 40(4):213-219, July/August 2015.

Physical inactivity is now the fourth leading risk factor for global mortality, yet a growing number of children and adolescents do not meet current physical activity guidelines. Review the latest evidence and guidelines to promote appropriate physical activity in children.

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.

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.

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.

Evidence-based Intervention with Women Pregnant after Perinatal Loss

Côté-Arsenault, Denise; Schwartz, Katharine; Krowchuk, Heidi; More

MCN, The American Journal of Maternal/Child Nursing. 39(3):177-186, May/June 2014.

We can talk among ourselves about how we best help families who experience a perinatal loss, but what evidence is available about the best way to help?

Using Hourly Time-Outs and a Standardized Tool to Promote Team Communication, Medical Record Documentation, and Patient Satisfaction During Second-Stage Labor

Wood, Jessica; Stevenson, Eleanor

MCN: The American Journal of Maternal/Child Nursing. 43(4):195-200, July/August 2018.

This quality improvement project focused on a standardized process for medical record documentation and for communication among clinical team members and the laboring woman during second stage labor. A key aspect was an hourly time-out beginning at the start of second stage labor. Findings suggest these methods collectively can improve medical record documentation, enhance patient satisfaction, and promote patient safety.

RED ALERT: Perinatal Hemorrhage

MacMullen, Nancy J.; Dulski, Laura A.; Meagher, Barbara

MCN, The American Journal of Maternal/Child Nursing. 30(1):46-51, January-February 2005.

When it happens, it’s a true emergency. Why do pregnant and postpartum women hemorrhage? What nursing actions need to be taken?

Social Determinants of Maternal Health and Birth Outcomes

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

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

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.

Promoting Teen Mothers' Mental Health

Freed, Patricia; SmithBattle, Lee

MCN, The American Journal of Maternal/Child Nursing. 41(2):84-89, March/April 2016.

Teen mothers may have experienced adverse childhood experiences that were distressing and traumatic. These events can have a negative influence on their pregnancy and parenting. Trauma-informed care and strengths-based care can be helpful in supporting teen mothers.

Placentophagy: What Should Nurses Recommend?

Killion, Molly M.

MCN, The American Journal of Maternal/Child Nursing. 43(2):111, March/April 2018.

There is a small but growing trend of women asking for their placenta after giving birth so they can have it prepared for ingestion during the postpartum period. Our maternity nursing expert, Molly Killion, explains what you need to know about placentophagy so you can offer evidence-based guidance to women who may have this request.

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.

Proposed Guidelines for Skin-to-Skin Treatment of Neonatal Hypothermia

Galligan, Maura

MCN, The American Journal of Maternal/Child Nursing. 31(5):298-304, September-October 2006.

Studies have been done, results have been positive. Is it time to now put the evidence into practice?

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.

Interdisciplinary Feeding Team: A Medical, Motor, Behavioral Approach to Complex Pediatric Feeding Problems

McComish, Cara; Brackett, Kristen; Kelly, Maureen; More

MCN, The American Journal of Maternal/Child Nursing. 41(4):230-236, July/August 2016.

A team approach is ideal in working with children with feeding problems and their families. Members of many disciplines can contribute to successful outcomes when children are diagnosed with feeding problems. Nurses are key members of the interdisciplinary feeding team.

Efficacy of Achieving Pregnancy with Fertility-Focused Intercourse

Mu, Qiyan; Fehring, Richard J.

MCN, The American Journal of Maternal/Child Nursing. 39(1):35-40, January/February 2014.

For couples who choose natural family planning, what is the pregnancy outcome when they do monitor fertility?

Reproductive Coercion: Baby, If You Love Me...

Kovar, Cheryl L.

MCN: The American Journal of Maternal/Child Nursing. 43(4):213-217, July/August 2018.

Reproductive coercion involves behavior that purposely interferes with a woman's decision-making about reproductive health and includes contraceptive sabotage, pregnancy pressure, and control of pregnancy outcomes. Reproductive coercion has been associated with increased risks of intimate partner violence, sexually transmitted infections, unintended pregnancy, and forced pregnancy outcomes. Review of the clinical implications of reproductive coercion is presented.

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.

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.

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.

Hydrocolloid to Prevent Breakdown of Nares in Preterm Infants

Morris, Lori D.; Behr, Jodi Herron; Smith, Sandra L.

MCN, The American Journal of Maternal/Child Nursing. 40(1):39-43, January/February 2015.

Very low birthweight babies with fragile, poorly keratinized skin are at risk for skin breakdown based on a variety of factors in their care, including administration of oxygen via heated humidified high-flow nasal cannula. This study describes use of a double barrier hydrocolloid dressing to promote skin integrity and minimize trauma to the nares and columella in these vulnerable infants.

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.

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.

Parental Experience of a Pediatric Genetic Referral

Skirton, Heather

MCN, The American Journal of Maternal/Child Nursing. 31(3):178-184, May-June 2006.

We have all probably encountered parents who have been referred for genetic counseling for their child. What is their experience of this? What do they need from us, and how can we best help them?

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

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.

Expanding Nurses’ Roles in Telemedicine & Genetics Services

Lea, Dale Halsey

MCN, The American Journal of Maternal/Child Nursing. 31(3):185-189, May-June 2006.

There is an exciting new role for nursing today–working with genetics services and extending that into telemedicine. This article describes this nursing role and how you might fulfill such a need.

PERINATAL GRIEF ONLINE

Capitulo, Kathleen Leask

MCN, The American Journal of Maternal/Child Nursing. 29(5):305-311, September-October 2004.

Dr. Capitulo studied an online perinatal bereavement listserv to see how it helped bereaved parents. Her results can teach us to suggest new and innovative methods of coping for our patients.