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January/February 2019 - Volume 44 - Issue 1
pp: 5-60,E1-E4

Guest Editorial

Perinatal Bereavement Care

Limbo, Rana; Hutti, Marianne H.

MCN: The American Journal of Maternal/Child Nursing. 44(1):5, January/February 2019.

Guest editors Drs. Limbo and Hutti provide a preview of the four articles in this MCN special topics series on perinatal bereavement care.

Hot Topics in Maternity Nursing

Intrapartum Management of Women With Human Immunodeficiency Virus Infection

Wisner, Kirsten

MCN: The American Journal of Maternal/Child Nursing. 44(1):52, January/February 2019.

New guidelines for caring for women during labor and birth who are infected with HIV have been published. Our maternity nursing expert, Kirsten Wisner, offers a summary of the clinical implications for perinatal nurses.

Hot Topics in Pediatric Nursing

Toxic Stress in Children

Beal, Judy A.

MCN: The American Journal of Maternal/Child Nursing. 44(1):53, January/February 2019.

The recent controversy over the policy on immigration and subsequent treatment of immigrant children has resurfaced concerns about toxic stress in children. Our pediatric nursing expert, Dr. Beal, explains the clinical implications for children and the role of the nurse.

Nutrition for the Family

Pregnancy After Bariatric Surgery: Nutritional Concerns

Snow, Denise

MCN: The American Journal of Maternal/Child Nursing. 44(1):54, January/February 2019.

Nutritional deficiencies in the post bariatric surgery pregnant woman are a complex problem. Our nutrition expert, Denise Snow, explains how knowing the potential nutritional deficiencies, the importance of monitoring, and the issues related to appropriate supplementation is essential to provide the best care for pregnant women after bariatric surgery.

Global Health and Nursing

The Tragedy of Trafficking of Women and Children

Callister, Lynn Clark

MCN: The American Journal of Maternal/Child Nursing. 44(1):55, January/February 2019.

Most victims of human trafficking are women and girls. Our global health nursing expert, Dr. Callister, discusses the most recent evidence and how nurses can play an important role in identifying victims and helping them escape to safety.

Toward Evidence Based Practice: PDF Only

Perinatal Patient Safety

Have We ARRIVEd at a New Normal?

Breedlove, Ginger

MCN: The American Journal of Maternal/Child Nursing. 44(1):59-60, January/February 2019.

Publication of the ARRIVE trial of elective induction of labor for healthy low-risk nulliparous women has generated a lot of discussion and concern among childbearing women and those who care for them. Guest columnist Dr. Ginger Breedlove explains some of the issues and potential implications for clinical practice.

Normal Complications and Abnormal Assumptions After Perinatal Death

Cacciatore, Joanne; Thieleman, Kara

MCN: The American Journal of Maternal/Child Nursing. 44(1):6-12, January/February 2019.

Death of a baby can be traumatizing for the parents and family. Some expressions of grief that have been considered pathologic in the past are likely normal in this population. Diagnosis categories of perinatal grief are discussed and clinical recommendations offered.

Using Theory to Inform and Guide Perinatal Bereavement Care

Hutti, Marianne H.; Limbo, Rana

MCN: The American Journal of Maternal/Child Nursing. 44(1):20-26, January/February 2019.

Responses of parents to miscarriage, stillbirth, and neonatal death vary dramatically, from little or no grief to highly intense, profound, and unbearable grief, especially during the first and second trimesters when meaning can vary greatly. Drs. Hutti and Limbo explain how theory can guide nursing practice in the care of parents experiencing perinatal grief and loss.

Application of Caring Theory to Nursing Care of Women Experiencing Stillbirth

Nurse-Clarke, Natasha; DiCicco-Bloom, Barbara; Limbo, Rana

MCN: The American Journal of Maternal/Child Nursing. 44(1):27-32, January/February 2019.

Swanson's theory of caring has application to nursing care of women experiencing stillbirth. In this study, 20 labor and birth nurses share their perceptions of caring for women who have had a stillbirth. Findings suggest the five caring processes described by Swanson enhance the nurse-patient relationship and the bereaved mother's wellbeing.

New Mothers' Experiences with Online Postpartum Forums

Teaford, Dominique; McNiesh, Susan; Goyal, Deepika

MCN: The American Journal of Maternal/Child Nursing. 44(1):40-45, January/February 2019.

Most new mothers use the Internet. An on-line forum for new mothers can offer peer support, especially in the first few months at home with the new baby. In this study, new mothers describe their experiences with on-line support during the first six months postpartum.

Nurses' Perspective on Caring for Women Experiencing Perinatal Loss

Willis, Patricia

MCN: The American Journal of Maternal/Child Nursing. 44(1):46-51, January/February 2019.

In this study, labor and birth nurses offer their perspectives on caring for women experiencing a perinatal loss and identify specific strategies that have the potential to enhance their ability to provide their best care.

CE Connection

Support for Young Black Urban Women After Perinatal Loss

Fenstermacher, Kimberly H.; Hupcey, Judith E.

MCN: The American Journal of Maternal/Child Nursing. 44(1):13-19, January/February 2019.

Young black women shared their experiences with perinatal loss at three points during the 12 weeks after their loss. There are opportunities at several points of transition in the perinatal bereavement trajectory when nurses can offer culturally sensitive bereavement support. Suggestions for nursing care during each time frame are presented based on study findings.

Attitudes of Physicians, Midwives, and Nurses About Doulas: A Scoping Review

Lucas, Laura; Wright, Erin

MCN: The American Journal of Maternal/Child Nursing. 44(1):33-39, January/February 2019.

Physicians, midwives, and labor nurses are not consistent in their willingness to work with doulas. In this review, research about attitudes of members of the maternity team towards doulas is presented, with suggestions for improved collaboration.