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March/April 2018 - Volume 43 - Issue 2
pp: 65-120,E5-E8

Editorial


Standardized Clinical Protocols to Promote Maternal Safety

MCN: The American Journal of Maternal/Child Nursing. 43(2):65, March/April 2018.

There is an abundance of evidence-based resources to promote patient safety in maternity care which are available at no cost. Various patient safety resources are discussed including those from Council on Patient Safety in Women's Health Care, the Centers for Disease Control and Prevention, and the California Maternal Quality Care Collaborative.

Hot Topics in Maternity Nursing


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.

Hot Topics in Pediatric Nursing


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.

Breastfeeding


Travel Considerations for Breastfeeding

Spatz, Diane L.

MCN: The American Journal of Maternal/Child Nursing. 43(2):113, March/April 2018.

Our breastfeeding expert, Dr. Spatz, offers suggestions for advising new mothers who are breastfeeding about how to plan for travel.

Global Health and Nursing


Midwives for Haiti

Callister, Lynn Clark

MCN: The American Journal of Maternal/Child Nursing. 43(2):114, March/April 2018.

Our global health nursing expert, Dr. Callister, discusses an exemplary program in Haiti started by American nurse-midwives and physicians to educate birth attendants to assist women with safe care during pregnancy, birth, and postpartum.

Toward Evidence Based Practice: PDF Only


Perinatal Patient Safety


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.


Effect of a Quality Improvement Project to Reduce Noise in a Pediatric Unit

Soubra, Maher; Harb, Yara Abou; Hatoum, Sara; More

MCN: The American Journal of Maternal/Child Nursing. 43(2):83-88, March/April 2018.

Excessive noise has the potential to have negative implications for hospitalized children. This quality improvement project successfully reduced noise in a pediatric unit using a multi-step team approach over a 15-month period.

Pregnancy after Solid Organ Transplantation

Kurz, Jane M.

MCN: The American Journal of Maternal/Child Nursing. 43(2):89-96, March/April 2018.

Women who have been recipients of heart, lung, or renal transplants have a difficult decision-making process when considering pregnany. In this study, women shared their thoughts on how they decided to become pregnant, as well as the positive experiences and significant challenges they faced in beoming mothers.

Physician and Nurse Perceptions of Gentle Cesarean Birth

Mercier, Rebecca J.; Durante, Julia C.

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

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

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

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

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

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

CE Connection


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.

Posterior Reversible Encephalopathy Syndrome

Sundin, Courtney Stanley; Johnson, Michelle Laurane

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

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