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November/December 2018 - Volume 43 - Issue 6
pp: 305-356,E21-E24

Guest Editorial

Airway Clearance for Newborns and Infants

MCN: The American Journal of Maternal/Child Nursing. 43(6):305, November/December 2018.

The evidence for airway clearance of newborns at birth, preterm babies in the neonatal intensive care unit, and infants hospitalized with bronchiolitis is not robust. Some guidance for newborns at birth is offered by the American Academy of Pediatrics and the American Heart Association in their Neonatal Resuscitation Program, however, it is not always followed. In this MCN special topics series on airway clearance for newborns and infants, the authors of three articles present the state of the evidence, gaps, and suggestions for future study.

Hot Topics in Maternity Nursing

Immunizations During Pregnancy

Killion, Molly M.

MCN: The American Journal of Maternal/Child Nursing. 43(6):348, November/December 2018.

Although immunization against vaccine preventable disease is recommended by public health agencies as a vital aspect of primary care and preventative health maintenance, vaccination rates in the United States are lower than the goal. Our maternity nursing expert, Molly Killion, discusses the latest recommendations for immunizations during pregnancy.

Hot Topics in Pediatric Nursing

Baby Bottles and Bisphenol A (BPA): Still a Parental Concern

Beal, Judy A.

MCN: The American Journal of Maternal/Child Nursing. 43(6):349, November/December 2018.

Debate over glass versus plastic bottles continues based on review of popular parent websites. A major concern is possible exposure of babies and children to harmful chemicals potentially found in plastic bottles. While there has been no definitive evidence of harm to humans, animal studies suggest potential for adverse outcomes. Our pediatric nursing expert, Dr. Beal, explains the current controversy and offers suggestions for advice for parents.


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.

Global Health and Nursing

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.

Toward Evidence Based Practice: PDF Only

Perinatal Patient Safety

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.

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.

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.

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.

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.

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.

CE Connection

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.

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.