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March/April 2019 - Volume 44 - Issue 2
pp: 65-124,E5-E8

Editorial


Breastfeeding Challenges

MCN: The American Journal of Maternal/Child Nursing. 44(2):65, March/April 2019.

Most women intend to breastfeed; however, many women experience various challenges in reaching their breastfeeding goals. A summary of the articles in our special topics series on breastfeeding challenges is offered.

Hot Topics in Maternity Nursing


Twins: The Importance of Chorionicity in Planning Care and Timing of Birth

Killion, Molly M.

MCN: The American Journal of Maternal/Child Nursing. 44(2):115, March/April 2019.

Chorionicity is an important aspect of planning care and timing of birth for women pregnant with twins. Our maternity nursing expert, Molly Killion, explains various types of chorionicity and their implications.

Hot Topics in Pediatric Nursing


Acute Flaccid Myelitis: A Rare but Devastating Illness

Beal, Judy A.

MCN: The American Journal of Maternal/Child Nursing. 44(2):116, March/April 2019.

Acute flaccid myelitis is a rare but devastating illness that predominantly effects children. In January, 2019, the CDC confirmed 186 cases of AFM across 38 states in the United States in 2018, mostly in individuals under 18 years of age. Our pediatric nursing expert, Dr. Beal, provides an update.

Breastfeeding


A Call to Action: The Needs of Breastfeeding Mothers on College and University Campuses

Spatz, Diane L.

MCN: The American Journal of Maternal/Child Nursing. 44(2):117, March/April 2019.

Colleges and university campuses present a unique environment to meet the needs of breastfeeding women. Our breastfeeding expert, Dr. Spatz, offers an overview of how colleges and universities are helping faculty, staff, students, and campus visitors achieve their breastfeeding goals. She provides some suggestions for improvement.

Global Health and Nursing


Overcoming Illiteracy in Women and Girls

Callister, Lynn Clark

MCN: The American Journal of Maternal/Child Nursing. 44(2):118, March/April 2019.

Literacy is directly linked to health outcomes. Our global health and nursing expert, Dr. Callister, discusses various programs in the United States and around the world that are working to promote literacy.

Toward Evidence Based Practice: PDF Only


Perinatal Patient Safety


Immediate vs. Delayed Pushing

Simpson, Kathleen Rice

MCN: The American Journal of Maternal/Child Nursing. 44(2):124, March/April 2019.

When a woman in labor reaches 10 cm cervical dilation, she can either begin pushing immediately or wait until she feels the urge to push. As evidence continues to evolve about advantages and disadvantages of each option, nurses must keep up-to-date and be ready to have a discussion as part of the clinical team that includes the woman as a full partner and covers the important considerations. A recent study about immediate or delayed pushing for nulliparous women with epidural analgesia is reviewed.


Implications of Ankyloglossia on Breastfeeding

Hill, Rebecca

MCN: The American Journal of Maternal/Child Nursing. 44(2):73-79, March/April 2019.

Ankyloglossia, also known as tongue tie, is a relatively common congenital anomaly with an overall prevalence of 4.5% to 16% of newborns. It often affects breastfeeding duration and pain. There are no validated screening tools for early detection. An integrated review of the literature on the relationship between ankyloglossia and breastfeeding is provided and important gaps in knowledge identified.

Breastfeeding Guidance for Orthodox Jewish Families When Newborns Require Special Care and Continued Hospitalization

Candelaria, Laura M.; Bressler, Toby; Spatz, Diane L.

MCN: The American Journal of Maternal/Child Nursing. 44(2):80-85, March/April 2019.

Cultural practices of Orthodox Jewish families for childbirth and breastfeeding are discussed, with a focus on offering culturally appropriate care when the newborn is hospitalized in the neonatal intensive care unit. As breastfeeding is a critical aspect of motherhood for Orthodox Jewish women, knowing the specifics of best practices in nursing care for this unique population can help women reach their breastfeeding goals.

Association Between Lactation and Postpartum Blood Pressure in Women with Preeclampsia

Burgess, Adriane; McDowell, Wendy; Ebersold, Stacie

MCN: The American Journal of Maternal/Child Nursing. 44(2):86-93, March/April 2019.

Women who have preeclampsia are at increased risk for cardiovascular disease later in life. Breastfeeding has been shown to be cardioprotective. In this study of women who had preeclampsia, there was a significant difference in systolic and diastolic blood pressure between those who were breastfeeding and those who were not at the initial postpartum visit. Women who have preeclampsia need information about potential benefits of breastfeeding as well as their risk of cardiovascular disease as they get older.

Birth Tourism Among Chinese Women

Jaramillo, Juanita; Goyal, Deepika; Lung, Carmen

MCN: The American Journal of Maternal/Child Nursing. 44(2):94-99, March/April 2019.

Approximately one-third of women who come to the United States to give birth on a tourist visa are from China. In this study, birth tourists from China describe their reasons for choosing this path and their experiences. Reasons include establishing American citizenship for their baby, and thus securing them a better future, and having a painless childbirth. These data can be useful for nurses caring for women who are birth tourists.

Oral Sucrose Versus Breastfeeding in Managing Infants' Immunization-Related Pain: A Randomized Controlled Trial

Gad, Rasha F.; Dowling, Donna A.; Abusaad, Fawzia E.; More

MCN: The American Journal of Maternal/Child Nursing. 44(2):108-114, March/April 2019.

Immunization is one of the most painful procedures in infancy and causes anxiety and distress for infants and their parents. In this randomized controlled trial, during immunization, 120 babies up to six months old were randomized to breastfeeding, oral sucrose, or the usual comforting measures. Measures of pain were lower in the breastfeeding group. Breastfeeding during immunization should be offered to women and their babies routinely as a pain avoidance procedure.

CE Connection


Women's Experiences of Breastfeeding-Related Pain

Jackson, Kimberley T.; Mantler, Tara; O'Keefe-McCarthy, Sheila

MCN: The American Journal of Maternal/Child Nursing. 44(2):66-72, March/April 2019.

Pain related to breastfeeding can have a negative effect on breastfeeding duration and the mother-baby relationship. In this study women describe their experiences with breastfeeding-related pain including support and barriers. These data can be helpful in planning a discussion of what to expect when breastfeeding with new mothers during the prenatal and postpartum periods.

A System-Wide Approach to Prevention of In-Hospital Newborn Falls

Carr, Hester; Crotto, Joshua; Demirel, Shaban; More

MCN: The American Journal of Maternal/Child Nursing. 44(2):100-107, March/April 2019.

There has been a lot of attention to decreasing newborn falls in the inpatient setting. In this quality improvement project, after reviewing their event data and current evidence, one health system implemented a number of interventions to decrease the rate of newborn falls.



Creator:
Duration: 48:09
Journal: MCN: The American Journal of Maternal/Child Nursing March/April 2019, Volume 44, Issue 2;
Pain related to breastfeeding can have a negative effect on breastfeeding duration and the mother-baby relationship. In this study women describe their experiences with breastfeeding-related pain including support and barriers. These data can be helpful in planning a discussion of what to expect when breastfeeding with new mothers during the prenatal and postpartum periods.