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May/June 2018 - Volume 43 - Issue 3
pp: 125-180,E9-E12


The National Network of Perinatal Quality Collaboratives: Opportunity to Enhance the Care and Outcomes for Mothers and Babies

Simpson, Kathleen Rice

MCN, The American Journal of Maternal/Child Nursing. 43(3):125, May/June 2018.

Clinicians, scientists, public health experts, and patients working together in state-wide perinatal quality collaboratives can significantly improve care and outcomes for mothers and babies. Supporters of these efforts include the Centers for Disease Control and Prevention, the March of Dimes Foundation, and the National Institute for Children's Health Quality.

Hot Topics In Maternity Nursing

Safety Bundle for Severe Hypertension During Pregnancy and Postpartum

Wisner, Kirsten

MCN, The American Journal of Maternal/Child Nursing. 43(3):171, May/June 2018.

Hypertensive disorders of pregnancy are a leading contributor to maternal morbidity and mortality. Our maternity nursing expert, Kirsten Wisner, highlights the new patient safety bundle on severe hypertension during pregnancy and postpartum released by the National Partnership for Maternal Safety in 2017.

Hot Topics in Pediatric Nursing

Rethinking Blood Pressure Monitoring in Children and Adolescents

Beal, Judy A.

MCN, The American Journal of Maternal/Child Nursing. 43(3):172, May/June 2018.

Most pediatric providers do not think of hypertension as a common diagnosis in children and adolescents. However as reported by the American Academy of Pediatrics (AAP) in 2017, prevalence of hypertension has increased significantly since 1988, with most cases going undiagnosed or treated. Our pediatric nursing expert, Dr. Beal, discusses the new AAP guidelines on hypertension in children and adolescents.

Nutrition for the Family

Iron Adequacy During Pregnancy

Snow, Denise

MCN, The American Journal of Maternal/Child Nursing. 43(3):173, May/June 2018.

Evaluation of adequate iron intake is an important aspect of prenatal care. Our nutrition expert, Denise Snow, explains how to help pregnant women make sure they are getting enough iron during their pregnancy.

Global Health and Nursing

Remember the Mothers: The Safe Motherhood Quilt Project

Callister, Lynn Clark

MCN, The American Journal of Maternal/Child Nursing. 43(3):174, May/June 2018.

The Safe Motherhood Quilt Project, was generated to honor women in the United States who lost their lives during the childbirth process over the past thirty-five years. Our global health and nursing expert, Dr. Callister, explains the nature and importance of this project.

Toward Evidence Based Practice: PDF Only

Perinatal Patient Safety

Uterine Activity: What You Don't Know Can Hurt You

Miller, Lisa A.

MCN, The American Journal of Maternal/Child Nursing. 43(3):180, May/June 2018.

There has been a lot of attention to fetal heart rate tracing interpretation during labor in clinical practice and in the literature. Our guest columnist and expert on perinatal patient safety, Lisa Miller, suggests we need to give uterine activity assessment the same level of attention and accuracy to promote safe care for women during labor and to decrease risk of professional liability.

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.

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.

Health and Social Needs of Young Mothers

Dumas, S. Amanda; Terrell, Ivy W.; Gustafson, Maggie

MCN, The American Journal of Maternal/Child Nursing. 43(3):146-152, May/June 2018.

Adolescent mothers face many challenges. In this study, using focus group methodology, teen mothers were asked about their pregnancy and postpartum with a focus on various situations they faced and their suggestions for healthcare providers on how to improve their care.

Finding the Fertile Phase: Low-Cost Luteinizing Hormone Sticks Versus Electronic Fertility Monitor

Barron, Mary Lee; Vanderkolk, Kaitlin; Raviele, Kathleen

MCN, The American Journal of Maternal/Child Nursing. 43(3):153-157, May/June 2018.

This study compared two methods of detection of the fertile window among women who were using the Marquette Method of natural family planning. The ovulation sticks, which were one-half of the costs of the electronic hormonal fertility monitor strips, were found to be sufficiently sensitive for determining peak fertility when used with the Marquette Fertility algorithm. These data can be helpful for couples in making choices as the fertility strips and sticks are not usually covered by health insurance.

Underserved Pregnant and Postpartum Women's Access and Use of Their Health Records

Guo, Yuqing; Hildebrand, Janet; Rousseau, Julie; More

MCN, The American Journal of Maternal/Child Nursing. 43(3):164-170, May/June 2018.

Electronic health portals are becoming more common as part of pediatric and maternity care. In this study, access and use of health records among underserved pregnant and postpartum women is examined and suggestions for clinical practice recommendations based on findings are presented.

CE Connection

Perceptions of Adult Women on Losing Their Mothers at an Early Age: Implications for Nursing Care During Childbirth

Gunn, Jennie; Huebner, Carroll Gunn; McCoy, Kristen

MCN, The American Journal of Maternal/Child Nursing. 43(3):126-132, May/June 2018.

Loss of mother during childhood can be a devastating blow to the child, with multiple implications that last a lifetime. In this study, adult women who lost their mother during childhood share their perceptions of how this loss has affected many aspects of their life. The researchers offer suggestions for incorporating the findings into nursing care of women in this unique group during the childbirth process.

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.