Supporting Feeding of Late Preterm Infants in the Hospital: A Quality Improvement Project
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2021 Category: Nursing Tags: NCPD Connection Source Type: research

Local Anesthetic Systemic Toxicity during Labor, Birth, and Immediate Postpartum: 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, 2021 Category: Nursing Tags: NCPD Connection Source Type: research

Reimagining and Contextualizing Fetal Weight Estimation
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2021 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, 2021 Category: Nursing Tags: ONGOING COLUMNS: Toward Evidence-Based Practice Source Type: research

Reducing Racial and Ethnic Disparities in the Care of Women and Newborns
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2021 Category: Nursing Tags: ONGOING COLUMNS: Global Health and Nursing Source Type: research

Proactive Planning for Breastfeeding Assistance and Support Post Birth
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2021 Category: Nursing Tags: ONGOING COLUMNS: Breastfeeding Source Type: research

Efficacy and Safety of Probiotic Use in Preterm Infants Remains Unproven
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2021 Category: Nursing Tags: ONGOING COLUMNS: Hot Topics in Pediatric Nursing Source Type: research

Obesity in Pregnancy and Childbirth
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2021 Category: Nursing Tags: ONGOING COLUMNS: Hot Topics in Maternity Nursing Source Type: research

Racial Disparities in Stillbirth Risk Factors among non-Hispanic Black Women and non-Hispanic White Women in the United States
Introduction: Historically, stillbirth risk factors are more prevalent among non-Hispanic Black women than non-Hispanic White women, including age (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2021 Category: Nursing Tags: Feature Source Type: research

Supporting Feeding of Late Preterm Infants in the Hospital: A Quality Improvement Project
Background: Feeding difficulty is the most common cause of delayed hospital discharge and readmission of late preterm infants. Frequent and adequate feedings from birth are protective against dehydration, hypoglycemia, and jaundice. The National Perinatal Association's feeding guidelines provide the foundation for late preterm infant standards of care. Feeding at least every 3 hours promotes nutritional status and neurologic development. One feeding assessment every 12 hours during the hospital stay can ensure quality of infant feeding. Problem: At a large urban hospital, medical record reviews were completed to...
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2021 Category: Nursing Tags: Feature: NCPD Connection Source Type: research

Women's Mental Health and Wellbeing in the Interconception Period
Purpose: Promoting women's health during the interconception period is critical for the health of future pregnancies. Methods: This was a cross-sectional study to better understand interconception mental health and wellbeing using a convenience sample of women recruited on social media who completed an online survey. Results: Women who participated in the survey (N = 146) were 1 to 4 years since last pregnancy, primarily non-Hispanic White (81.2%), with an average age of 30 years (SD = 5.0; range = 19-47 years); 20% were insured by Medicaid. Depression, anxiety, stress, social support, mindfulness, and re...
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2021 Category: Nursing Tags: Feature Source Type: research

Local Anesthetic Systemic Toxicity during Labor, Birth, and Immediate Postpartum: Clinical Review
Local anesthetic systemic toxicity (LAST) is a life-threatening event caused by elevated local anesthetic plasma concentration. It is often unrecognized or misdiagnosed. Peripartum women are at increased risk for toxicity due to pregnancy-related physiological changes. Rising serum drug levels can cause cellular level impairment of mitochondria and voltage-gated ion channels leading to a cascade of symptoms that can end in cardiac arrest. Local anesthetic systemic toxicity can mimic other maternal pathologies but may be considered if local anesthetics have been used. Published treatment guidelines for this event include li...
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2021 Category: Nursing Tags: Feature: NCPD Connection Source Type: research

Postpartum Depression Screening for Mothers of Babies in the Neonatal Intensive Care Unit
Background: Postpartum depression (PPD) is a prevalent, yet underidentified, problem among mothers with babies in the Neonatal Intensive Care Unit (NICU). Postpartum depression can result in immediate and long-term consequences for mother and baby. Screening, followed by early intervention, is critical for improvement and resolution. The purpose of the project was to initiate early screening for PPD among a high-risk population to identify and refer for early treatment. Methods: A screening and referral protocol was implemented using the Edinburgh Postnatal Depression Scale (EPDS), with consults as indicated to ...
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2021 Category: Nursing Tags: Feature Source Type: research

Group Prenatal Care and Maternal Outcomes: A Scoping Review
The objective of this study was to examine the current state of literature on group prenatal care and its impact on maternal outcomes and racial disparities in adverse maternal outcomes. Design: We conducted a scoping review of literature published between January 2010 and December 2020 using the PRISMA-ScR reporting checklist. Methods: Eligible studies were identified using key words and MeSH terms in PubMed, CINAHL, and Web of Science. Inclusion criteria were studies that were (a) conducted in the United States; (b) published between January 2010 and December 2020; (c) in English; (d) focused on the primary...
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2021 Category: Nursing Tags: Feature Source Type: research

Author and Coauthor Responsibilities
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - October 23, 2021 Category: Nursing Tags: ONGOING COLUMNS: Editorial Source Type: research

Narrative Analysis of Childbearing Experiences During the COVID-19 Pandemic
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - August 21, 2021 Category: Nursing Tags: NCPD Connection Source Type: research

Neonatal Nurses' Perceptions of Palliative Care in the Neonatal Intensive Care Unit
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - August 21, 2021 Category: Nursing Tags: NCPD Connection Source Type: research

Accurate Respiratory Rate Assessment for Women in Labor
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - August 21, 2021 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 - August 21, 2021 Category: Nursing Tags: ONGOING COLUMNS: Toward Evidence-Based Practice Source Type: research

Supporting Guatemalan Comadronas
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - August 21, 2021 Category: Nursing Tags: ONGOING COLUMNS: Global Health and Nursing Source Type: research

Improving Lactation Education and Support in Primary Care
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - August 21, 2021 Category: Nursing Tags: ONGOING COLUMNS: Breastfeeding Source Type: research

Pediatric Pain Remains Undertreated
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - August 21, 2021 Category: Nursing Tags: ONGOING COLUMNS: Hot Topics in Pediatric Nursing Source Type: research

OB Simulation During the COVID-19 Pandemic
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - August 21, 2021 Category: Nursing Tags: ONGOING COLUMNS: Hot Topics in Maternity Nursing Source Type: research

Cotinine Fluctuation in Maternal Saliva During and After Pregnancy: Implications for Perinatal Outcomes
We examined variations in saliva cotinine between the first and third trimesters of pregnancy and postpartum among light and heavy smokers. Cotinine values for pregnant smokers who were in the control group (not randomized to any intervention) and reported smoking the same range of cigarettes during and after pregnancy were used for the analyses (n = 43). Descriptive statistics and repeated-measures ANOVA were used for analyses. Results: There were differences in maternal saliva cotinine levels across the different time points and between the groups. There was a significant interaction effect between time and group....
Source: MCN: The American Journal of Maternal Child Nursing - August 21, 2021 Category: Nursing Tags: Feature Source Type: research

Narrative Analysis of Childbearing Experiences During the COVID-19 Pandemic
Purpose: The COVID-19 pandemic has disrupted health care delivery and services around the world causing rapid changes to maternity care protocols and pregnant women to give birth with tight restrictions and significant uncertainties. There is a gap in evidence about expectant and new mothers' experiences with birthing during the pandemic. We sought to describe and understand pregnant and new mothers' lived experiences during the COVID-19 pandemic using authentic birth stories. Study Design and Methods: Using a narrative analysis framework, we extracted relevant YouTube birth stories using predetermined search te...
Source: MCN: The American Journal of Maternal Child Nursing - August 21, 2021 Category: Nursing Tags: Feature: NCPD Connection Source Type: research

Mothers' Experiences with Antenatal Milk Expression
Background: Antenatal milk expression is a milk expression intervention beginning at either 36 or 37 weeks of gestation for the purpose of potential colostrum collection and storage prior to birth for postnatal infant feeding. Research on antenatal milk expression is limited and originates outside the United States. Methods: Women who used antenatal milk expression were interviewed about their experiences. A conventional, inductive approach to qualitative content analysis was used to analyze participants' responses. Results: Three women participated in interviews. They reported learning and performing ant...
Source: MCN: The American Journal of Maternal Child Nursing - August 21, 2021 Category: Nursing Tags: Feature Source Type: research

Pregnant and Parenting Women's Experiences with Substance Use Disorder
Purpose: The purpose of the study was to describe and analyze the experience of women with substance use disorder during pregnancy and parenting to inform health care services that promote recovery. Study Design: Interviews of pregnant or parenting women with substance use disorder were used in this qualitative descriptive study. Methods: Participants were recruited from two recovery centers serving pregnant or parenting women with substance use disorder. Participants called a study cellphone to speak with the researchers about their substance use and recovery. Four independent reviewers conducted themati...
Source: MCN: The American Journal of Maternal Child Nursing - August 21, 2021 Category: Nursing Tags: Feature Source Type: research

Posttraumatic Growth in Women who have Experienced Loss of a Child
Purpose: The purpose of this study was to describe and explore the experiences of women who have lost a child and the degree of posttraumatic growth revealed by the experiences. Study Design and Method: A qualitative descriptive study was conducted with interviews of mothers and grandmothers of children who died using the posttraumatic growth framework. Findings: Participants included 11 mothers and 2 grandmothers. The posttraumatic growth framework was useful in examining their experiences. Seven themes were identified through data analysis: When my child died, I lost part of myself; Anticipated loss ver...
Source: MCN: The American Journal of Maternal Child Nursing - August 21, 2021 Category: Nursing Tags: Feature Source Type: research

Relationship Between Infant Tongue-Tie and Maternal Wellbeing
Background: Tongue-tie is a mild oral anomaly that can cause feeding challenges, especially for breastfeeding mothers and infants. Delayed diagnosis may place mothers at increased risk of stress and impaired mother–infant bonding when feeding does not go as planned. The purpose of this study was to explore the risk for altered maternal wellbeing (e.g., stress and maternal–infant bonding) in mothers of infants with tongue-tie-using-a mixed-methods, cross-sectional study. Methods: We recruited mothers from two sites to participate in a survey about their experiences with tongue-tie: Facebook™ ton...
Source: MCN: The American Journal of Maternal Child Nursing - August 21, 2021 Category: Nursing Tags: Feature Source Type: research

Neonatal Nurses' Perceptions of Palliative Care in the Neonatal Intensive Care Unit
We examined neonatal nurses' perceptions of barriers and facilitators to palliative care in their NICU setting. Study Design and Methods: A cross-sectional design using the Neonatal Palliative Care Attitude Scale (NiPCAS™©) was administered using an online survey distributed to neonatal nurses through the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) and National Association of Neonatal Nurses (NANN). Parametric statistical analyses were conducted to explore relationships between unit policy and neonatal palliative care (NPC) education, and the nurses' perceptions. Results: ...
Source: MCN: The American Journal of Maternal Child Nursing - August 21, 2021 Category: Nursing Tags: Feature: NCPD Connection Source Type: research

Racism in Maternity Care is a Public Health Crisis in the United States
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - August 21, 2021 Category: Nursing Tags: ONGOING COLUMNS: Editorial Source Type: research

The Lived Experience of Pain and Depression Symptoms during Pregnancy
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - July 1, 2021 Category: Nursing Tags: NCPD Connection Source Type: research

A Quality Improvement Project to Reduce Postcesarean Opioid Consumption
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - July 1, 2021 Category: Nursing Tags: NCPD Connection Source Type: research

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

Promotion of High-Quality and Respectful Care of Newborns
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - July 1, 2021 Category: Nursing Tags: ONGOING COLUMNS: Global Health and Nursing Source Type: research

The COVID-19 Pandemic and Breastfeeding: Concerns & Positive Opportunities
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - July 1, 2021 Category: Nursing Tags: ONGOING COLUMNS: Breastfeeding Source Type: research

Impact of the Covid-19 Pandemic on Mental Health of Children, Adolescents, and Young Adults
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - July 1, 2021 Category: Nursing Tags: ONGOING COLUMNS: Hot Topics in Pediatric Nursing Source Type: research

A New Standard for Care during Postpartum
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - July 1, 2021 Category: Nursing Tags: ONGOING COLUMNS: Hot Topics in Maternity Nursing Source Type: research

Characteristics of Environmental influences on Child Health Outcomes (ECHO) Cohorts Recruited During Pregnancy
The objective of this study was to characterize the study designs, recruitment strategies, and other study characteristics among cohorts that initiated during pregnancy as part of the Environmental influences on Child Health Outcomes (ECHO) program. Methods: ECHO research programs (cohorts) were reviewed. Only those who had or were currently recruiting during pregnancy were surveyed in 2018 about research recruitment strategies (participant incentives, study burden, community collaboration, and cultural adaptations). Data are presented with cohort characteristics (location, inclusion and exclusion criteria, sociodem...
Source: MCN: The American Journal of Maternal Child Nursing - July 1, 2021 Category: Nursing Tags: Feature Source Type: research

Factors Associated with Perceived Insufficient Milk in the First Three Months of Breastfeeding
Purpose: Perceived insufficient milk is the predominant risk factor for early breastfeeding discontinuation globally. The purpose of this study was to explore the association between perceived insufficient milk in the first 3 months and infant factors, maternal factors, professional support, parenting decisions, and breastfeeding concerns. Sixty-nine mothers who had perceived insufficient milk and 301 mothers who did not were included. Study Design and Methods: A cross-sectional online survey design was used in a convenience sample of 370 U.S. mothers with a healthy singleton infant between 1 and 12 weeks who we...
Source: MCN: The American Journal of Maternal Child Nursing - July 1, 2021 Category: Nursing Tags: Feature Source Type: research

Exercise and Stress in At-Risk Women during Pregnancy and Postpartum
Purpose: We aimed to understand the relationship between exercise and stress among socioeconomically at-risk women who participated in a home visitation service during pregnancy and postpartum. Methods: A mixed-methods design was used to support and supplement quantitative data using qualitative data. Convenience sampling was used to collect data from at-risk women via questionnaires and follow-up interviews. The Perceived Stress Scale was used to assess stress. Frequency and duration of exercise were assessed based on the American College of Obstetricians and Gynecologists exercise guidelines. Regression analys...
Source: MCN: The American Journal of Maternal Child Nursing - July 1, 2021 Category: Nursing Tags: Feature Source Type: research

Implementing Trauma-Informed Strategies for Mothers of Infants with Neonatal Abstinence Syndrome
Purpose: To improve outcomes of infants with neonatal abstinence syndrome (NAS) by implementing an evidence-based approach to care. Methods: An interdisciplinary team developed and implemented an educational module about the elements and principles of trauma-informed care (TIC) and standardized education on NAS for mothers with substance use disorder (SUD). The team collaborated with community behavioral health professionals to secure the services of a certified recovery specialist. Primary outcome measures of average length of stay (LOS) and admissions to special care nursery (SCN) for NAS infants were analyzed...
Source: MCN: The American Journal of Maternal Child Nursing - July 1, 2021 Category: Nursing Tags: Feature Source Type: research

Maternal Self-Confidence and Breastfeeding after Participating in a Program about Infant Prone Positioning
Purpose: Maternal self-confidence facilitates infant growth and new mother role development. Infant ability to breastfeed and maternal breastfeeding self-confidence are imperative to helping mothers meet their breastfeeding goals. Consistent opportunity for infant movement in the prone position has been shown to improve breastfeeding ability; however, families report a lack of knowledge of how to safely support this activity. Perceptions of maternal self-confidence, infant development, and breastfeeding success upon completion of an infant prone positioning program with focus on posture, movement, and connection were s...
Source: MCN: The American Journal of Maternal Child Nursing - July 1, 2021 Category: Nursing Tags: Feature Source Type: research

The Lived Experience of Pain and Depression Symptoms during Pregnancy
Background: Depressive symptoms and pain are prevalent during pregnancy. Untreated pain and depressive symptoms occurring together may have a negative effect on maternal and newborn outcomes, yet little is known about women's experiences with pain and depressive symptoms during pregnancy. The purpose of this study is to describe the lived experience of depressive symptoms and pain occurring in women during the third trimester of pregnancy. Methods: A descriptive phenomenological study was conducted. Women during postpartum were recruited from a previous cross-sectional study of women in their third trimester tha...
Source: MCN: The American Journal of Maternal Child Nursing - July 1, 2021 Category: Nursing Tags: Feature: NCPD Connection Source Type: research

A Quality Improvement Project to Reduce Postcesarean Opioid Consumption
Background: The opioid epidemic is a public health emergency in the United States, stemming in part from widespread misuse and overprescribing of opioids following surgery. Approximately 1 in 300 women with no prior exposure to opioids develops an opioid use disorder following cesarean birth. Effective management of postcesarean pain requires individualized treatment and a balance of the woman's goals for optimal recovery and ability to safely care for her newborn. The American College of Obstetricians and Gynecologists recommends a multimodal approach to pain management after cesarean birth. Methods: In April 2...
Source: MCN: The American Journal of Maternal Child Nursing - July 1, 2021 Category: Nursing Tags: Feature: NCPD Connection Source Type: research

Impact of COVID-19 on Pregnant Women and Maternity Nurses
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - July 1, 2021 Category: Nursing Tags: ONGOING COLUMNS: Editorial Source Type: research

Maternal Sepsis: Presentation, Course, Treatment, and Outcomes
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - April 30, 2021 Category: Nursing Tags: NCPD Connection Source Type: research

Sudden Unexpected Postnatal Collapse Resulting in Newborn Death in the United States
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - April 30, 2021 Category: Nursing Tags: NCPD Connection Source Type: research

Surgeon General's Call to Action to Improve Maternal Health in America
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - April 30, 2021 Category: Nursing Tags: ONGOING COLUMNS: Perinatal Patient Safety Source Type: research