Impact of COVID-19 on Maternal Mental Health
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - March 1, 2021 Category: Nursing Tags: NCPD Connection Source Type: research

Probiotics for the Management of Infantile Colic: A Systematic Review
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - March 1, 2021 Category: Nursing Tags: NCPD Connection Source Type: research

WIC: Is the United States investing in Breastfeeding or Agriculture?
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - March 1, 2021 Category: Nursing Tags: ONGOING COLUMNS: Breastfeeding Source Type: research

Improving Maternity Care by Eliminating Racism and Inequities
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - March 1, 2021 Category: Nursing Tags: ONGOING COLUMNS: Hot Topics in Maternity Nursing Source Type: research

Toward Evidence-Based Practice
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - March 1, 2021 Category: Nursing Tags: ONGOING COLUMNS: Toward Evidence-Based Practice Source Type: research

Infant Mortality is Higher in Rural Counties
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - March 1, 2021 Category: Nursing Tags: ONGOING COLUMNS: Hot Topics in Pediatric Nursing Source Type: research

Safe Maternity Units and Perinatal High Reliability
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - March 1, 2021 Category: Nursing Tags: ONGOING COLUMNS: Perinatal Patient Safety Source Type: research

Global Collaboration: Making a Difference for Mothers and Babies
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - March 1, 2021 Category: Nursing Tags: ONGOING COLUMNS: Global Health and Nursing Source Type: research

Nurses' Experiences with Implementation of a Postcesarean Birth Opioid-Sparing Protocol
This study explored nurses' experiences with an opioid-sparing protocol at a single institution, where inpatient opioid prescribing was reduced by over half. Method: Focus groups were used to identify key facilitators and barriers to implementation of the opioid-sparing protocol. The Consolidated Framework for Implementation Research (CFIR) guided data collection and analysis. Focus groups were recorded, transcribed, thematically coded, and analyzed for barriers and facilitators using predetermined CFIR domains. Results: Three focus groups of nurses who care for women during postpartum were conducted in March...
Source: MCN: The American Journal of Maternal Child Nursing - March 1, 2021 Category: Nursing Tags: Feature Source Type: research

Impact of COVID-19 on Maternal Mental Health
The COVID-19 pandemic led to several states mandating social distancing and sheltering in place along with a shift in health care delivery, unprecedented unemployment rates, financial stress, and emotional concerns. For pregnant and postpartum women, limited social support and social isolation with social distancing and fear of COVID-19 exposure or infection for themselves, their fetus, or their newborn infants, have implications for maternal mental health. An overview of the potential impact of COVID-19 on mental health risk for pregnant and postpartum women is presented with implications for nursing practice to promote m...
Source: MCN: The American Journal of Maternal Child Nursing - March 1, 2021 Category: Nursing Tags: Feature: NCPD Connection Source Type: research

Prevention of Pruritis following Spinal Morphine for Scheduled Cesarean Birth
Background: Intrathecal morphine provides effective analgesia after cesarean birth, yet up to 90% of women who receive it experience excessive itching, an undesirable dose-dependent effect. Pruritis may increase nursing workload, delay breastfeeding, and decrease patient satisfaction. When 0.1 mg spinal morphine is given, pruritis is markedly reduced while analgesia is preserved. Purpose: The purpose of this project was to determine possible causes and solutions for pruritus after cesarean birth. Methods: Anesthesia providers were educated and encouraged to limit spinal morphine to 0.1 mg as a strategy to...
Source: MCN: The American Journal of Maternal Child Nursing - March 1, 2021 Category: Nursing Tags: Feature Source Type: research

Probiotics for the Management of Infantile Colic: A Systematic Review
Background: Colic is defined as periods of inconsolable crying, fussing, or irritability that have no apparent cause and present in healthy infants under 5 months of age. Although colic is a benign and self-limiting condition, it can be distressing to parents and there are few robust treatment interventions. This systematic review explored the evidence for administration of probiotics to prevent or decrease symptoms of colic. Methods: Literature searches were conducted in PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Cochrane Library, and Web of Science. Sample: Twenty article...
Source: MCN: The American Journal of Maternal Child Nursing - March 1, 2021 Category: Nursing Tags: Feature: NCPD Connection Source Type: research

Knowledge and Attitudes of Maternity Nurses and Ancillary Team Members about Substance Addiction during Pregnancy and Postpartum
Objective: To describe knowledge and attitudes of maternity nurses and other ancillary direct caregivers about addictive substance use by pregnant women and new mothers and to evaluate their perceptions of role preparation, resources available, and educational needs. Study Design & Methods: We surveyed maternity nurses and ancillary members of the maternity care team to assess knowledge and attitudes about caring for women with addictive substance use. Data were analyzed using descriptive, parametric, and nonparametric statistics. Results: Respondents (N = 109) from a southwestern Magnet community hos...
Source: MCN: The American Journal of Maternal Child Nursing - March 1, 2021 Category: Nursing Tags: Feature Source Type: research

Transcutaneous Electrical Nerve Stimulation for Pain Management for Women in Labor
Purpose: To determine effectiveness of a transcutaneous electrical nerve stimulation (TENS) unit to improve labor pain management and patient satisfaction with overall labor experience among women in labor at term. Study Design: Prospective, exploratory design using convenience sampling. Methods: Pregnant women at term, anticipating a vaginal birth at our tertiary care hospital, were invited to participate in the TENS study to help manage early labor pain. Pain level was assessed on entry into the study and 2 hours post-TENS application using the Wong-Baker FACES® Pain Rating Scale. A TENS satisfactio...
Source: MCN: The American Journal of Maternal Child Nursing - March 1, 2021 Category: Nursing Tags: Feature Source Type: research

Expectations of Motherhood and Quality of Life
Purpose: The purpose of this study was to examine 1) discrepancies between expectations of motherhood and the experience of motherhood in the first 6 to 12 weeks postpartum, 2) relationships between maternal quality of life, mood, parental attitudes, and expectations, and 3) predictors of quality of life. Study Design and Methods: We used a descriptive, correlational design. The sample consisted of first-time mothers who were at or beyond 34 weeks pregnant with no reported history of anxiety or depression. The following questionnaires were administered during pregnancy and 6 to 12 weeks postpartum: Parenting Exp...
Source: MCN: The American Journal of Maternal Child Nursing - March 1, 2021 Category: Nursing Tags: Feature Source Type: research

New Report on Understanding the Well-Being of LGBTQI+ Populations
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - March 1, 2021 Category: Nursing Tags: ONGOING COLUMNS: Editorial Source Type: research

Care During Pregnancy, Childbirth, Postpartum, and Human Milk Feeding for Individuals Who Identify as LGBTQ+
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - December 8, 2020 Category: Nursing Tags: CE Connection Source Type: research

Pregnant Women's Reports of the Impact of COVID-19 on Pregnancy, Prenatal Care, and Infant Feeding Plans
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - December 8, 2020 Category: Nursing Tags: CE Connection Source Type: research

Maternal Transport
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - December 8, 2020 Category: Nursing Tags: ONGOING COLUMNS: Perinatal Patient Safety Source Type: research

Toward Evidence-Based Practice
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - December 8, 2020 Category: Nursing Tags: ONGOING COLUMNS: Toward Evidence-Based Practice Source Type: research

Maternal Mortality Among Indigenous Peoples
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - December 8, 2020 Category: Nursing Tags: ONGOING COLUMNS: Global Health and Nursing Source Type: research

2020 Breastfeeding Report Card: We Must Do More!
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - December 8, 2020 Category: Nursing Tags: ONGOING COLUMNS: Breastfeeding Source Type: research

Consensus Reached on Feeding Infants and Children
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - December 8, 2020 Category: Nursing Tags: ONGOING COLUMNS: Hot Topics in Pediatric Nursing Source Type: research

Partnering with Patients and Families to Prevent Maternal Morbidity and Mortality
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - December 8, 2020 Category: Nursing Tags: ONGOING COLUMNS: Hot Topics in Maternity Nursing Source Type: research

Care During Pregnancy, Childbirth, Postpartum, and Human Milk Feeding for Individuals Who Identify as LGBTQ+
The growing number of families that include members of sexual and/or gender minority (SGM) groups requires perinatal nurses to know how to provide respectful and affirming care to all people, including this population. Approximately 19% of adults who are members of SGM groups are raising 3 million children, with many hoping to become pregnant, foster, use surrogacy, or adopt in the future. Based on current literature, many nurses are not prepared to meet the clinical needs of patients who are members of SGM groups in the maternity setting. Likewise, patients and families of SGM groups often perceive that nurses are uncomfo...
Source: MCN: The American Journal of Maternal Child Nursing - December 8, 2020 Category: Nursing Tags: Feature: CE Connection Source Type: research

Maternity Nurses' Responses to Maternal Early Warning Criteria
Conclusion: A systematic record review by frontline nurses can monitor identification and response to maternal early warning signs. Feedback on patient transports can reinforce nurses' decision-making that has the potential to improve responsiveness to clinical warning signs. (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - December 8, 2020 Category: Nursing Tags: Feature Source Type: research

Birth and Breastfeeding in the Hospital Setting during the COVID-19 Pandemic
We present experiences of three first-time, healthy mothers and their babies, as they gave birth in the hospital and were breastfeeding during the start of the pandemic in Philadelphia, PA. Each case is framed in the mother's prenatal goals, infant feeding intentions, birth, breastfeeding, and postpartum experiences. Shared concerns and experiences among the three participants are described in five key areas: 1) Recommendations changing every day, 2) Guilt, concern, and stress, 3) In-person versus telehealth visits, 4) Missing time with family and friends, and 5) Silver linings. Through these mothers' experiences, nurses a...
Source: MCN: The American Journal of Maternal Child Nursing - December 8, 2020 Category: Nursing Tags: Feature Source Type: research

Pregnant Women's Reports of the Impact of COVID-19 on Pregnancy, Prenatal Care, and Infant Feeding Plans
Purpose: The aim of this study is to describe how the COVID-19 (coronavirus) pandemic has affected pregnancy, prenatal maternity care practices, and infant feeding plans among pregnant persons in the United States. Study Design: Cross-sectional descriptive study using an app-based survey. Methods: A link to the survey was sent via email to users of the Ovia Pregnancy app on May 20, 2020 and was open for 1 week. Participants were asked to complete the survey as it applied to their pregnancy, breastfeeding, and maternity care received during the COVID-19 pandemic, beginning approximately February 2020 throu...
Source: MCN: The American Journal of Maternal Child Nursing - December 8, 2020 Category: Nursing Tags: Feature: CE Connection Source Type: research

Secondary Traumatic Stress Among Labor and Delivery Nurses
Purpose: To describe the prevalence and severity of secondary traumatic stress (STS) among labor and delivery nurses within a Northeastern United States academic health system. Study Design and Methods: Using a cross-sectional, descriptive correlational design, a convenience sample of labor and delivery nurses (288 nurses) were invited to complete Secondary Traumatic Stress Scale (STSS), a 17-item Likert-type instrument, that measures intrusion, avoidance, and the arousal symptoms associated with indirect exposure to traumatic events. Five additional questions about potential consequences of STS were also asked....
Source: MCN: The American Journal of Maternal Child Nursing - December 8, 2020 Category: Nursing Tags: Feature Source Type: research

Postpartum Depression in American Indian/Alaska Native Women: A Scoping Review
Conclusions: This review uncovered significant gaps in the literature and suggested ways to advance the PPD science for AI/AN women. Clinical implications were described. (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - December 8, 2020 Category: Nursing Tags: Feature Source Type: research

Black Lives Matter: COVID, Crisis, and Color
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - December 8, 2020 Category: Nursing Tags: ONGOING COLUMNS: Editorial Source Type: research

Preterm Labor and Birth: A Clinical Review
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2020 Category: Nursing Tags: CE Connection Source Type: research

Walking on Eggshells: An Update on the Stigmatizing of Teen Mothers
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2020 Category: Nursing Tags: CE Connection Source Type: research

Labor Dystocia
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2020 Category: Nursing Tags: ONGOING COLUMNS: Perinatal Patient Safety Source Type: research

Toward Evidence-Based Practice
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2020 Category: Nursing Tags: ONGOING COLUMNS: Toward Evidence-Based Practice Source Type: research

Promoting Child and Adolescent Health
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2020 Category: Nursing Tags: ONGOING COLUMNS: Global Health and Nursing Source Type: research

Disparities in Breastfeeding and Use of Pasteurized Donor Human Milk
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2020 Category: Nursing Tags: ONGOING COLUMNS: Breastfeeding Source Type: research

Childhood Food Insecurity
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2020 Category: Nursing Tags: ONGOING COLUMNS: Hot Topics in Pediatric Nursing Source Type: research

Empowering Women to Recognize Maternal Warning Signs
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2020 Category: Nursing Tags: ONGOING COLUMNS: Hot Topics in Maternity Nursing Source Type: research

Connecting with Families through Virtual Perinatal Education during the COVID-19 Pandemic
This report focuses on the process and challenges of transitioning to and implementation of the virtual format in the context of the COVID-19 crisis. We discuss the rapidly evolving programmatic changes to our approach and reflect on the themes and changing landscape of our newly structured model. Questions and answers live discussion webinars “Ask the Educator” on various topics were a valuable tool in connecting with families and allaying anxiety and fear. (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2020 Category: Nursing Tags: Feature Source Type: research

Breastfeeding Monitoring Improves Maternal Self-Efficacy and Satisfaction
Purpose: The purpose of this study was to determine the effects of an interactive web-based breastfeeding monitoring system on breastfeeding self-efficacy and satisfaction among mothers of full-term infants at 1, 2, and 3 months after hospital discharge. Study Design: We conducted a secondary data analysis of our two-arm, repeated-measures randomized controlled trial that took place in three Midwestern hospitals. Participants were assigned to either control or intervention groups using random numbers. Of the 141 mother–baby dyads enrolled and randomized, 35 dropped out of the study, leaving 57 mothers in the con...
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2020 Category: Nursing Tags: Feature Source Type: research

Pain and Depression Symptoms During the Third Trimester of Pregnancy
Purpose: To assess the association between depression symptoms and pain characteristics, including pain intensity, location, and effectiveness of pain management strategies, among women in their third trimester of pregnancy. Design: Descriptive, exploratory cross-sectional study. Setting: Mobile health pregnancy application (app). Participants: A convenience sample of women in their third trimester of pregnancy from across the United States. Methods: Women completed demographic questionnaires, the Brief Pain Inventory, and Edinburgh Postnatal Depression Scale (EPDS) through an online Web site. Results: N = 13...
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2020 Category: Nursing Tags: Feature Source Type: research

Timing of Prenatal Care Initiation and Psychological Wellbeing in Black Women
Purpose: The purpose of this study was to see if timing of prenatal care initiation was related to psychological wellbeing of Black women. Study Design and Methods: Using a cross-sectional design, a sample of 197 pregnant Black women completed a self-reported survey between 8 weeks and less than 30 weeks gestation as part of the Biosocial Impact on Black Births study. The questions asked about the initiation of prenatal care, perceived stress, depressive symptoms, and psychological wellbeing. Multiple linear regression was used to examine if timing of prenatal care initiation was related to psychological variables. R...
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2020 Category: Nursing Tags: Feature Source Type: research

Mothers Who Engage in Long-Term Informal Milk Sharing
We present perspectives from three mothers who used informal milk sharing for at least 6 months. Common themes identified are sadness, guilt, and stigmatization of informal milk sharing. Implications for practice include providing families and practitioners with resources for learning about informal milk sharing and navigating the community safely. (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2020 Category: Nursing Tags: Feature Source Type: research

Preterm Labor and Birth: A Clinical Review
When caring for women experiencing preterm labor and birth, nurses play a significant role as bedside experts, advocates, patient educators, and key members of the maternity care team. Enhanced expertise on clinical and professional knowledge of preterm labor and birth is crucial in prevention and treatment. As preterm birth rates continue to rise, perinatal nurses as well-informed clinical experts have the opportunity to offer innovative education, holistic assessments, and communication through shared decision-making models. Educating pregnant women about early recognition of preterm labor warning signs and symptoms allo...
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2020 Category: Nursing Tags: Feature: CE Connection Source Type: research

Walking on Eggshells: An Update on the Stigmatizing of Teen Mothers
Teen mothers are stigmatized for violating age norms for parenting and for being members of devalued racial or socioeconomic groups. Stereotypes of young mothers perpetuate stigma by teen pregnancy prevention campaigns, television shows, sex education programs, professionals, and the general public. How teen mothers became a stigmatized group; updates on research about their experience of stigma; and resources for reducing stigma are presented. Because stigma is pervasive and has damaging effects, nurses are urged to reduce stigma and discrimination by assuring that health settings are safe and welcoming, and that pregnant...
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2020 Category: Nursing Tags: Feature: CE Connection Source Type: research

The MCN Editorial Fellowship
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2020 Category: Nursing Tags: ONGOING COLUMNS: Editorial Source Type: research

Nurses' Experiences of “Being Swamped” in the Clinical Setting and Association with Adherence to AWHONN Nurse Staffing Guidelines
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - August 18, 2020 Category: Nursing Tags: CE Connection Source Type: research

Missed Nursing Care in Pediatric and Neonatal Care Settings: An Integrative Review
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - August 18, 2020 Category: Nursing Tags: CE Connection Source Type: research

Measuring Nurses' Contribution to Care and Outcomes is a Patient Safety Issue
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - August 18, 2020 Category: Nursing Tags: ONGOING COLUMNS: Perinatal Patient Safety Column Source Type: research