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January/February 2018 - Volume 43 - Issue 1
pp: 5-60,E1-E4

Guest Editorial


MCN: The American Journal of Maternal/Child Nursing. 43(1):5, January/February 2018.

Compassionate, helpful, sensitive nursing care to women experiencing early pregnancy loss is the goal of providing the content of the four articles in this special topics series to MCN readers. Each article has a specific focus on an important aspect of care for women having a miscarriage.

Hot Topics in Maternity Nursing

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.

Nutrition for the Family

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

Global Health and Nursing

The Tragedy of Stillbirths Globally

Callister, Lynn Clark

MCN: The American Journal of Maternal/Child Nursing. 43(1):54, January/February 2018.

In 2015, there were 2.6 million stillbirths globally, with 1.3 million occurring during labor and birth. Twenty countries have the highest rates of stillbirths, accounting for 76% of those deaths. Ninety-eight percent of stillbirths occur in low and middle income countries. Current efforts to prevent stillbirths are discussed by Dr. Callister, our expert on global health and nursing

Hot Topics in Pediatric Nursing

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.

Toward Evidence Based Practice: PDF Only

Perinatal Patient Safety

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.

Interdisciplinary Guidelines for Care of Women Presenting to the Emergency Department With Pregnancy Loss

Catlin, Anita

MCN: The American Journal of Maternal/Child Nursing. 43(1):13-18, January/February 2018.

An interdisciplinary summit was held to explore the needs of women who present to the emergency department with actual or potential pregnancy loss. Thirty-two experts in the field of pregnancy loss, 17 of whom represented their professional organizations, participated. The guidelines that were developed delineate how to better provide physical, emotional, and bereavement support to woman and their families at any stage of pregnancy loss. Reprinted with permission from The National Perinatal Association.

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.

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.

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.

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.

CE Connection

Clinical Aspects of Miscarriage

Walter, Marie A.; Alvarado, Mary S.

MCN: The American Journal of Maternal/Child Nursing. 43(1):6-12, January/February 2018.

Understanding the clinical aspects of miscarriage, as well as the emotional care of families experiencing early pregnancy loss, is important to nurses in all areas of the hospital. A clinical review and recommendations for care are offered for nurses caring for women who have a miscarriage.

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.