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Most Popular Articles

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?

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

Newborn Safety in the Hospital

Simpson, Kathleen Rice

MCN, The American Journal of Maternal/Child Nursing. 40(4):272, July/August 2015.

More focus is needed on the safety of newborns while in the care of their parents on the mother-baby unit to prevent babies from being accidently injured. Promotion of breastfeeding and maternal-newborn attachment should be in the context of newborn safety.

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.

The New Baby Friendly Hospital Initiative Guidelines

Spatz, Diane L.

MCN: The American Journal of Maternal/Child Nursing. 43(6):350, November/December 2018.

The World Health Organization has promulgated new guidelines for the Baby Friendly Hospital Initiative. Our breastfeeding expert, Dr. Spatz, explains the changes and the status of the guidelines being adopted in the United States.

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.

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?

Airway Clearance for the Preterm Newborn

Harbin, Brandi R.; Adams, Ellise D.; O'Neal, Pamela V.

MCN: The American Journal of Maternal/Child Nursing. 43(6):313-317, November/December 2018.

The need for evidence-based clinical guidelines on a national level is crucial to develop protocols, integrate them into clinical practice, and allow for detailed documentation for airway clearance in preterm newborns. Without a well-defined, standardized method of airway clearance, clinical practices may vary. In this study, preterm newborn airway clearance varied significantly among caregivers. This discrepancy can result in negative health outcomes for preterm babies.

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.

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.

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.

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.

Egg Donation: Issues & Concerns

Black, Jennifer J.

MCN, The American Journal of Maternal/Child Nursing. 35(3):132-137, May-June 2010.

Who is protecting the interests of the egg donor? What are the issues facing the donor? This article describes what nurses need to understand when working with women who have chosen to be egg donors.

A Case Study of Postpartum Depression & Altered Maternal-Newborn Attachment

Zauderer, Cheryl R.

MCN, The American Journal of Maternal/Child Nursing. 33(3):173-178, May-June 2008.

This new mother suffered from PPD and was helped by this nurse practitioner. Find out what happened.

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?

Vaginal Seeding of Babies Born via Cesarean

Simpson, Kathleen Rice

MCN, The American Journal of Maternal/Child Nursing. 43(1):60, January/February 2018.

With growing interest in the microbiome and its implications for health, more research is evolving on how interventions during labor and birth influence newborn and infant microbiota. Some parents are requesting vaginal seeding of their babies born via cesarean. Possible benefits are theoretical and research to date is quite limited, however, there are significant potential risks of unintended harm if infection is transferred to the baby with this procedure. A brief summary of vaginal seeding is offered with recommendations for practice.

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.

OXYTOCIN AS A HIGH-ALERT MEDICATION: IMPLICATIONS FOR PERINATAL PATIENT SAFETY

Simpson, Kathleen Rice; Knox, G. Eric

MCN, The American Journal of Maternal/Child Nursing. 34(1):8-15, January-February 2009.

The medication given so often by perinatal nurses is examined here, in a whole new light.

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.

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.

Nasal Airway Clearance for Bronchiolitis

Norris, Casey L.; O'Neal, Pamela V.; Adams, Ellise D.; More

MCN: The American Journal of Maternal/Child Nursing. 43(6):318-323, November/December 2018.

Bronchiolitis is a leading cause of emergency department visits and hospitalization in the first year of life in the United States and has high associated costs. Although the American Academy of Pediatrics has offered clinical practice guidelines for care of infants and children with bronchiolitis, they are not consistently followed in the acute care setting. A review of evidence-based treatment for bronchiolitis is presented.

Drug and Substance Use in Adolescents

Schiffman, Rachel F.

MCN, The American Journal of Maternal/Child Nursing. 29(1):21-27, January-February 2004.

Drug use and abuse continues to be a health problem for adolescents. Dr. Schiffman helps us to understand the extent of the problem and the nature of the substances being abused.

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.

Perceptions of an Obstetric Clinical Rotation by Nursing Students Who Are Men

Mitra, Jose Mari Lawrence; Phillips, Kenneth D.; Wachs, Joy E.

MCN: The American Journal of Maternal/Child Nursing. 43(6):330-333, November/December 2018.

Nursing students who are men do not always feel welcome in maternity nursing. In this study, nursing students who are men offered perceptions of the experience of their maternity nursing clinical rotation. Results can be helpful in interacting with nursing students who are men on maternity units.

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.

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.

Global Immunizations: Health Promotion and Disease Prevention Worldwide

Macintosh, Janelle L. B.; Eden, Lacey M.; Luthy, Karlen E.; More

MCN, The American Journal of Maternal/Child Nursing. 42(3):139-145, May/June 2017.

Global immunizations save 2.5 million lives per year, yet in many areas of the world, there are low rates of immunizations. Three million people worldwide still die every year from vaccine preventable diseases; about half of those deaths are young children and infants. Barriers to immunizations are presented as well as ongoing work to improve immunization rates worldwide.

Review of Interventions to Relieve Postpartum Pain From Perineal Trauma

Robin Petersen, Melanie

MCN, The American Journal of Maternal/Child Nursing. 36(4):241-245, July-August 2011.

When is the best time to begin non-pharmaceutical interventions for perineal pain? What materials should be used? Should your institution invest in commercial cold packs?

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.

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.

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.

Health Beliefs and Practices of Muslim Women During Ramadan

Kridli, Suha Al-Oballi

MCN, The American Journal of Maternal/Child Nursing. 36(4):216-221, July-August 2011.

The Muslim religion should be of particular interest for perinatal nurses, since one of its tenets requires special dietary rules which may or may not affect the health of the mother and her fetus. Learn what you need to know about pregnancy and the Muslim religion in this article

GALT Deficiency Galactosemia

Anderson, Sharon

MCN, The American Journal of Maternal/Child Nursing. 43(1):44-51, January/February 2018.

Galactosemia is an inborn error of galactose metabolism that results from a deficiency in one of three enzymes. This article focuses on classical, clinical variant and biochemical variant (Duarte) galactosemias. Confirmatory testing, acute and long-term management, and outcomes for these galactosemia types are discussed, as well as the importance of genetic counseling and testing for the infant and family to refine reproductive risk.

New Hypertension in Pregnancy Guidelines

Killion, Molly

MCN, The American Journal of Maternal/Child Nursing. 40(2):128, March/April 2015.

The American College of Obstetricians and Gynecologists recently published new guidelines for caring for pregnant women with hypertension.

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.

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.

Airway Clearance of the Term Newborn

Adams, Ellise D.; O'Neal, Pamela V.; Hanson, Linda A.; More

MCN: The American Journal of Maternal/Child Nursing. 43(6):306-312, November/December 2018.

At birth, simple drying of the newborn, wiping away excess fluids from the newborn's mouth and nose, proper positioning of the airway and provision of a warm environment of a term newborn with spontaneous respirations, adequate crying, and good muscle tone are recommended practices. In this study, 40% of healthy newborns were suctioned at birth, although there were no indications. Why is it difficult to consistently apply practice guidelines in the clinical setting? The authors offer some insight on this common conundrum.

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.

Safe Care for Maternal Substance Use and Neonatal Drug Withdrawal

Simpson, Kathleen Rice

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

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

A Nurse-Directed Model for Nitrous Oxide Use During Labor

Pinyan, Toni; Curlee, Kelly; Keever, Mellanie; More

MCN, The American Journal of Maternal/Child Nursing. 42(3):160-165, May/June 2017.

Nitrous oxide is becoming more widely available to women laboring and giving birth in the United States. A nurse-directed model for offering nitrous oxide during labor in a small volume perinatal service in a rural community hospital is presented.

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.

Childhood Obesity

Beal, Judy A.

MCN, The American Journal of Maternal/Child Nursing. 41(1):59, January/February 2016.

Childhood obesity is a major public health problem that has immediate and long-term sequelae including: high cholesterol or high blood pressure, diabetes, bone and joint disorders, sleep apnea, and social and emotional problems. Obese children and adolescents are highly likely to remain obese as adults and therefore develop serious adult health problems of diabetes, heart disease, stroke, cancer, and osteoarthritis. Our pediatric nursing expert, Dr. Beal, provides an update.

Magnesium Sulfate for Neuroprotection

Killion, Molly M.

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

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

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.

If Transmen Can Have Babies, How Will Perinatal Nursing Adapt?

Adams, Ellise D.

MCN, The American Journal of Maternal/Child Nursing. 35(1):26-32, January-February 2010.

Those of us who work in pediatrics are used to dealing with male patients, but for the perinatal nurse, specifically the nurse in obstetrics, what happens when the pregnant patient is a man? Ms. Adams has carefully described the new world situation of transmen having babies so you will know what to do when a similar patient arrives at your unit.

Should Extreme Obesity in Children be Considered Child Abuse?

Beal, Judy; Decker, Jonathan W; Quelly, Susan

MCN, The American Journal of Maternal/Child Nursing. 38(6):334-335, November/December 2013.

Whose fault is it when a child suffers from extreme obesity? Is anyone at fault?

Bladder Management With Epidural Anesthesia During Labor: A Randomized Controlled Trial

Wilson, Barbara L.; Passante, Tammy; Rauschenbach, Diane; More

MCN, The American Journal of Maternal/Child Nursing. 40(4):234-242, July/August 2015.

Results of this randomized controlled trial should cause nurses to question routine use of indwelling catheters for women in labor who have epidural analgesia. As with many uncessary interventions, there may be unintended consequences.

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.

Mental Illness in Children and Adolescents: A Rising Concern on College Campuses

Beal, Judy A.

MCN: The American Journal of Maternal/Child Nursing. 43(4):232, July/August 2018.

Mental health issues such as anxiety and depression are becoming more common among children and adolescents. Our pediatric nurse expert, Dr. Beal, discusses the latest statistics on prevalence and offers suggestions for promoting optimal mental health for the pediatric population.

Nurse-Led Education Mitigates Maternal Stress and Enhances Knowledge in the NICU

Morey, Jo Ann; Gregory, Katherine

MCN, The American Journal of Maternal/Child Nursing. 37(3):182-191, May/June 2012.

A nurse-led educational intervention tailored to the needs of high-risk mothers decreases stress during the antenatal period and NICU hospitalization.

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.

Predictors of Future Risks of Cardiovascular Disease Based on Pregnancy and Birth Outcomes

Simpson, Kathleen Rice

MCN: The American Journal of Maternal/Child Nursing. 43(6):356, November/December 2018.

Cardiovascular disease is the number one cause of death of women in the United States. Emerging evidence suggests several complications of pregnancy such as hypertensive disorders, preeclampsia, eclampsia, diabetes, and preterm birth are predictive of future cardiovascular health. All women, especially those who have experienced one of these complications during pregnancy, should be screened for risk factors during their postpartum visit and subsequent well women visits so they can be aware and take steps to modify their diet and lifestyle to decrease risk of cardiovascular disease. Screening may enhance early identification so appropriate treatment can be initiated.

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.

Doulas for Childbearing Women

Ahlemeyer, Jessica; Mahon, Suzanne

MCN, The American Journal of Maternal/Child Nursing. 40(2):122-127, March/April 2015.

Doulas offer a number of services to childbearing women, however their preparation and roles vary greatly.

Supporting Psychosocial Adaptation for the Pregnant Adolescent in Corrections

Hufft, Anita G.

MCN, The American Journal of Maternal/Child Nursing. 29(2):122-127, March-April 2004.

Young women in correctional facilities have special health needs during pregnancy. This challenging population is the topic of Dr. Hufft's article.

The Neonatal Microbiome: Implications for Neonatal Intensive Care Unit Nurses

Rodriguez, Jeannie; Jordan, Sheila; Mutic, Abby; More

MCN, The American Journal of Maternal/Child Nursing. 42(6):332-337, November/December 2017.

Nursing care of babies in the neonatal intensive care unit (NICU) is complex, due in large part to various physiological challenges, including the neonatal microbiome, the community of microorganisms, both helpful and harmful, that inhabit the human body. Nurses in the NICU play a key role in managing care that can positively influence the microbiome to promote more optimal health outcomes in this vulnerable population of newborn babies.

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.

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.

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.

Should Infants With Neonatal Abstinence Syndrome be Discharged With Their Mothers Rather Than Placed in a Foster-Care Environment?

Beal, Judy; Bauer, Jill A.; Diedrick, Lee A.

MCN, The American Journal of Maternal/Child Nursing. 39(4):218-219, July/August 2014.

What is the safest environment for newborns with neonatal abstinence syndrome following their discharge after birth?

Skin-to-Skin Contact: A Comforting Place With Comfort Food

Ludington-Hoe, Susan M.

MCN, The American Journal of Maternal/Child Nursing. 40(6):359-366, November/December 2015.

Evidence suggests skin-to-skin contact between the mother and newborn provides a comforting environment. Skin-to-skin contact promotes infant physiologic stability and warmth, helps in organizing infant sleep, reduces stress and pain, and makes breast milk readily available. Comfort to the newborn can be effectively accomplished by skin-to-skin contact.

Excess Under-5 Girl Child Mortality Rates in India

Callister, Lynn Clark

MCN: The American Journal of Maternal/Child Nursing. 43(6):351, November/December 2018.

There is concern about gender bias in deaths of young children, with evidence that excess girl child mortality continues to be prevalent in low- and middle-income countries, most commonly in China and India. Our global health nursing expert, Dr. Callister, gives an update on this complex and multilayered problem and what can be done to improve health of girls under 5 years old in developing countries.

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.

Patient Falls in the Perinatal Setting

Simpson, Kathleen Rice

MCN, The American Journal of Maternal/Child Nursing. 35(6):364, November-December 2010.

Nurses often think of falls only as associated with geriatric populations, but Dr. Simpson explains how new Joint Commission standards on preventing falls apply in the perinatal setting.

Using Simulation to Teach Nursing Students and Licensed Clinicians Obstetric Emergencies

Alderman, Jennifer Taylor

MCN, The American Journal of Maternal/Child Nursing. 37(6):394-400, November/December 2012.

Simulations depicting emergent obstetrical scenarios such as shoulder dystocia provide hands-on practice for the obstetric health care team to improve teamwork and communication.

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.

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.

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