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May/June 2020 - Volume 45 - Issue 3
pp: 137-192,E9-E12


Birth Settings in America: Outcomes, Quality, Access, and Choice: New Report from the National Academies of Sciences, Engineering, and Medicine

Simpson, Kathleen Rice

MCN, The American Journal of Maternal/Child Nursing. 45(3):137, May/June 2020.

A comprehensive report on birthing in the United States offers a detailed analysis of available choices, access to various choices, and associated risks for mother and baby. Consensus is lacking among researchers and clinicians on absolute and relative risks of adverse outcomes when comparing hospital, birth center, and home as a setting for birth. The National Academies of Science, Engineering and Medicine convened a committee of experts to examine these issues and prepare a summary of the evidence. The work of the committee was funded by the National Institute of Child Health and Human Development in response to congressional legislation sponsored by the Maternity Care Caucus including Congresswoman Lucille Roybal-Allard and Congresswoman Jaime Herrera Beutler.

Hot Topics in Maternity Nursing

Measuring Blood Loss in Obstetric Hemorrhage

Wisner, Kirsten

MCN, The American Journal of Maternal/Child Nursing. 45(3):184, May/June 2020.

Obstetric hemorrhage is a major contributor to maternal morbidity and mortality in the United States. Many of these deaths are preventable. Our maternity nursing expert, Dr. Wisner, reviews quantification of blood loss for all women after birth, based on recommendations from the Association of Women's Health, Obstetric, and Neonatal Nurses, and the American College of Obstetricians and Gynecologists.

Hot Topics in Pediatric Nursing

Sudden Unexplained Infant Deaths: New Study Findings Related to Day of Life

Beal, Judy A.

MCN, The American Journal of Maternal/Child Nursing. 45(3):185, May/June 2020.

New data on classification and risk factors for sudden unexplained infant deaths based on age of infants at death have been published. Our pediatric nursing expert, Dr. Beal, explains the study findings and how they can help nurses promote safe infant sleep.


Changing the Prenatal Care Paradigm to Improve Breastfeeding Outcomes

Spatz, Diane L.

MCN, The American Journal of Maternal/Child Nursing. 45(3):186, May/June 2020.

A new paradigm for teaching families about benefits of breastfeeding is needed to help all mothers meet their breastfeeding goals. During prenatal care, breastfeeding should be discussed at every visit. Our breastfeeding expert, Dr. Spatz, describes the new paradigm and how to incorporate it into clinical practice.

Global Health and Nursing

Becoming Global Citizens in Maternal Child Nursing

Callister, Lynn Clark

MCN, The American Journal of Maternal/Child Nursing. 45(3):187, May/June 2020.

This year has been designated as the World Health Organization (WHO) International Year of the Nurse and Midwife in honor of the bicentenary celebration of Florence Nightingale. Nurses and midwives are the largest group of health care workers globally and as such are essential stakeholders in promoting world health. Our global health and nursing expert, Dr. Callister, presents implications for maternal-child nurses and how we can all become global citizens.

Toward Evidence-Based Practice

Perinatal Patient Safety Column

Trends in Natality Data in the United States

Simpson, Kathleen Rice

MCN, The American Journal of Maternal/Child Nursing. 45(3):192, May/June 2020.

There are a number of important resources to help nurses stay up-to-date on natality trends in the United States. Key data are presented with highlights on changes in the data from 2017 to 2018 collected from birth certificates. In 2018, compared to 2017, there were fewer births, teen births, cesareans, births of multiples, and more preterm births, labor inductions, and births attended by certified nurse midwives. The day and month with highest number of births remain Thursday and August, while Sunday and February are still the day and month with the lowest number of births.

Vitamin D Deficiency and Sleep Quality in Minority Pregnant Women

Woo, Jennifer; Penckofer, Susan; Giurgescu, Carmen; More

MCN, The American Journal of Maternal/Child Nursing. 45(3):155-160, May/June 2020.

Researchers evaluated the relationships between vitamin D deficiency and sleep quality among pregnant African American and Hispanic women. Minority women are at higher risk for vitamin D deficiency and more likely to experience poor sleep quality compared with non-Hispanic White women. Over 60% of women in this study had vitamin D deficiency and 58% had poor sleep quality scores. Low vitamin D levels were associated with poor sleep quality. All pregnant women should be assessed for sleep quality and sleep hygiene techniques should be recommended as appropriate.

Kangaroo Care for Hospitalized Infants with Congenital Heart Disease

Lisanti, Amy Jo; Buoni, Alessandra; Steigerwalt, Megan; More

MCN, The American Journal of Maternal/Child Nursing. 45(3):163-168, May/June 2020.

Skin-to-skin care, also known as kangaroo care, has many known benefits for newborns. In this quality improvement project, nurses caring for infants with congenital heart disease requiring corrective surgery in the first few weeks of life developed processes to apply kangaroo care to this patient population and evaluated outcomes. Kangaroo care appears to be feasible and safe for infants with congenital heart disease before and after surgery.

Teaching Father-Infant Massage during Postpartum Hospitalization: A Randomized Crossover Trial

Suchy, Carol; Morgan, Gloria; Duncan, Susan; More

MCN, The American Journal of Maternal/Child Nursing. 45(3):169-175, May/June 2020.

In this randomized crossover trial, new fathers were randomized to viewing a video about infant massage before or after they were observed by nurses during father-infant interactions. Fathers who had viewed the massage video had increased bonding interactions compared with fathers who had not seen the video. Fathers were positive about learning infant massage. Newborn massage by fathers may be one way to enhance paternal bonding.

Post-Traumatic Stress, Depression, and Quality of Life in Women with Peripartum Cardiomyopathy

Donnenwirth, Jo Ann; Hess, Rosanna; Ross, Ratchneewan

MCN, The American Journal of Maternal/Child Nursing. 45(3):176-182, May/June 2020.

Peripartum cardiomyopathy is a rare and serious cardiac condition of pregnancy. Relationships among post-traumatic stress, depression, and quality of life were evaluated in women living with peripartum cardiomyopathy. Post-traumatic stress correlated significantly and positively with depression, and post-traumatic stress. Depression correlated significantly and inversely with quality of life. All participants measured positive for depression. Nurses should ensure that women with peripartum cardiomyopathy are followed closely for depression and post-traumatic stress.

CE Connection

Perinatal Anxiety and Depression in Minority Women

Gennaro, Susan; O'Connor, Caitlin; McKay, Elizabeth Anne; More

MCN, The American Journal of Maternal/Child Nursing. 45(3):138-144, May/June 2020.

Approximately 20% of women of racial and ethnic minorities, experience anxiety or depression during pregnancy, potentially leading to negative consequences for mother and child. Barriers to seeking treatment include uncertainty about what is normal, lack of time, difficulty accessing treatment, and stigma. All pregnant women should be screened for depression and referred for treatment. A review of perinatal anxiety and depression, including current treatment options and promising areas of research are presented.

Navigating a Minefield: Meta-Synthesis of Teen Mothers' Breastfeeding Experience

SmithBattle, Lee; Phengnum, Wisitsri; Punsuwun, Sasinun

MCN, The American Journal of Maternal/Child Nursing. 45(3):145-154, May/June 2020.

Dr. Lee SmithBattle, a well-known expert on teen pregnancy, and her colleagues examine breastfeeding among teens in this meta-synthesis. They noted that breastfeeding is deeply meaningful to young mothers, however teens navigate a minefield that undermines breastfeeding intentions and development of skill and confidence. This is often characterized by contested norms and spaces that are inhospitable and stigmatizing to teen mothers. Nurses can use these data to support and encourage teens who are breastfeeding.