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May/June 2019 - Volume 44 - Issue 3
pp: 128-180,E9-E12

Oxytocin Guidelines Associated with Compliance to National Standards

Jackson, Jodi K.; Wickstrom, Elizabeth; Anderson, Betsi

MCN: The American Journal of Maternal/Child Nursing. 44(3):128-136, May/June 2019.

In this quality improvement project, a multidisciplinary team developed an evidence-based approach for use of oxytocin for induction and augmentation of labor based on a review of the literature, consensus building, and teamwork. Compliance with the standardized protocol was associated with a decrease in the maximum oxytocin dose and in the time between oxytocin initiation and birth. Fears of increasing the rate of cesarean birth due to a less aggressive method of using oxytocin were not found to be supported.

Chinese American Women's Experiences with Postpartum Depressive Symptoms and Mental Health Help-Seeking Behaviors

Ta Park, Van M.; Goyal, Deepika; Suen, Joyce; More

MCN: The American Journal of Maternal/Child Nursing. 44(3):144-149, May/June 2019.

Postpartum depression is one of the most common morbidities after birth. In this study, Chinese American women discuss how they coped after giving birth and their perceptions of how women in their culture seek help when experiencing depressive symptoms during postpartum.

Predictors of HIV Risk Reduction in Adolescent Girls

Long-Middleton, Ellen R.; Burke, Pamela J.; Rankin, Sally H.

MCN: The American Journal of Maternal/Child Nursing. 44(3):150-156, May/June 2019.

HIV and AIDS remain significant public health problems. In this study, 224 adolescent girls were surveyed about their sexual activity and related HIV prevention behaviors. Mastery and self-esteem, variables that commonly explain health enhancing behaviors, were not associated with HIV risk reduction behaviors. Findings suggest HIV prevention efforts by nurses should be universal during care of adolescents and that these efforts need to intensify as adolescents age.

Nurses' Views on Using Pasteurized Donor Human Milk for Hypoglycemic Term Infants

Ferrarello, Debi; Froh, Elizabeth B.; Hinson, Tyonne D.; More

MCN: The American Journal of Maternal/Child Nursing. 44(3):157-163, May/June 2019.

Pasteurized donor human milk has been used for babies in the neonatal intensive care units for many years but has not been considered an option for treating otherwise healthy term newborns with hypoglycemia. In this study, focus groups of nurses were held to get their views on this practice. Their feedback was used to prepare educational resources for nurses and families about use of pasteurized donor human milk for treating healthy term newborn hypoglycemia.

CE Connection

Barriers to Skin-to-Skin Contact after Cesarean Birth

Balatero, Joelene S.; Spilker, Arlene F.; McNiesh, Susan G.

MCN: The American Journal of Maternal/Child Nursing. 44(3):137-143, May/June 2019.

Women usually have skin-to-skin contact with their healthy newborns immediately after vaginal birth, however this is not routine practice in the surgical suite after cesarean birth. In this study, nurses who care for women during labor and birth discuss their perceptions of barriers to skin-to-skin after cesarean birth and what can be done to promote the practice.

Same-Sex Mothers and Lactation

Juntereal, Nina A.; Spatz, Diane L.

MCN: The American Journal of Maternal/Child Nursing. 44(3):164-169, May/June 2019.

There are very limited data about same-sex mothers and lactation. In this study, women who are part of a same-sex couple and had recently given birth were interviewed about their breastfeeding experiences. The findings are helpful to nurses who care for this population and can be the basis for appropriate and sensitive care.

Hot Topics in Maternity Nursing

Gestational Hypertension and Preeclampsia

Wisner, Kirsten

MCN: The American Journal of Maternal/Child Nursing. 44(3):170, May/June 2019.

Hypertensive disorders of pregnancy continue to be a major contributor to maternal and perinatal morbidity and mortality. A summary of the American College of Obstetricians and Gynecologists updated guidelines for diagnosis and management of these disorders is presented by our maternity nursing expert Kirsten Wisner.

Hot Topics in Pediatric Nursing

Children and Gun Safety: A Call to Action for Nurses

Beal, Judy A.

MCN: The American Journal of Maternal/Child Nursing. 44(3):171, May/June 2019.

The American Academy of Nursing has joined other professional organizations, including the American Academy of Pediatricians, in supporting strategies for firearm safety. Our pediatric nursing expert, Dr. Beal, reviews recent research on children and firearms and offers suggestions on how nurses can be advocates for children and adolescents by participating in efforts to promote firearm safety in their communities.

Nutrition for the Family

Vitamin D Screening and Supplementation

Snow, Denise

MCN: The American Journal of Maternal/Child Nursing. 44(3):172, May/June 2019.

Recent evidence from meta-analysis of 81 trials and a randomized placebo-controlled clinical trial with nearly 26,000 patients has shown that vitamin D supplementation may be of little benefit for healthy adults, including pregnant women. Screening for vitamin D deficiency in healthy asymptomatic adults is not recommended. Our nutrition expert, Denise Snow, explains the latest data on vitamin D.

Global Health and Nursing

Ebola Virus Disease in Women and Children

Callister, Lynn Clark

MCN: The American Journal of Maternal/Child Nursing. 44(3):173, May/June 2019.

A recent outbreak of Ebola virus disease has caused concern among global health organizations. Our global health expert, Dr. Callister, explains the status of the current crisis and what is being done to treat victims and stop the spread of the disease. Implications for pregnant women and babies are included.

Toward Evidence Based Practice: PDF Only

Perinatal Patient Safety

Partnering with Patients and Families during Childbirth: Confirming Knowledge for Informed Consent

Simpson, Kathleen Rice

MCN: The American Journal of Maternal/Child Nursing. 44(3):180, May/June 2019.

There are many opportunities during hospitalization for childbirth to offer information to the woman and her family about various options and choices for clinical care and treatment. Women should be provided information at their appropriate literacy level and language to make decisions about their care in partnership with the health care team. While events of labor and births may seem routine to clinicians, they are usually not for patients. Therefore, shared decision-making approaches and patient consent are essential throughout the childbirth hospitalization.