Women and Children Nursing最新文献

{"title":"The effects of a health literacy promotion program for prevention of preterm birth among pregnant women who received antenatal care services in the hospital-based","authors":"Narisa Timsin ,&nbsp;Supichaya Wangpitipanit","doi":"10.1016/j.wcn.2025.01.003","DOIUrl":"10.1016/j.wcn.2025.01.003","url":null,"abstract":"<div><h3>Background</h3><div>Premature birth, defined as delivery before 37 weeks of gestation, is a critical global health issue that poses significant risks to maternal and neonatal well-being. Although substantial research has been conducted on interventions to prevent preterm births in high-income countries, evidence on culturally adapted strategies tailored for pregnant women in low- and middle-income settings, such as Thailand, remains limited. This study addresses this gap by evaluating a culturally tailored health literacy promotion program developed using Nutbeam's health literacy model to enhance health literacy and risk perception among Thai pregnant women.</div></div><div><h3>Methods</h3><div>A quasi-experimental one-group pretest-posttest study was conducted from March to September 2024 ​at health promotion hospitals in Thailand. Thirty-one pregnant women receiving prenatal care were recruited through convenience sampling. The intervention was a 12-week health literacy program based on Nutbeam's health literacy model and prenatal care standards, emphasizing cognitive, behavioral, and motivational aspects of health literacy. The program included a care booklet, risk screening manual, assessment stickers, and educational materials. Weekly interactive \"4-Checks\" sessions (20–45 ​min) and personalized counseling every four weeks were central components. Health literacy and risk perception were assessed using validated questionnaires with a content validity index of 0.90 and high reliability (Cronbach's alpha ​= ​0.85, health literacy; 0.87, risk perception). Measurements were taken before and after the program to assess baseline levels and immediate effects of the intervention. Statistical analyses, including Wilcoxon signed-rank tests, were performed using IBM SPSS Statistics version 29.0.2.0.</div></div><div><h3>Results</h3><div>The mean age of participants was 30.23 years (SD ​= ​5.26), with 51.6% in their second or subsequent pregnancies. Key information sources included hospital staff, healthcare providers, relatives, and social media. The program significantly improved health literacy scores (0–64 to 40–80; <em>Z</em> ​= ​−4.01, <em>P</em> ​&lt; ​0.001) and risk perception scores (10–50 to 33–50; <em>Z</em> ​= ​−3.54, <em>P</em> ​&lt; ​0.001).</div></div><div><h3>Conclusion</h3><div>The health literacy program effectively enhanced health literacy and risk perception among Thai pregnant women, providing a viable framework for reducing premature birth risks. Future research should incorporate control groups and longitudinal assessments to evaluate sustained effects and long-term program impacts.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"3 1","pages":"Pages 20-26"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143918526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between parenting efficacy and parent–child relationships for parents with one or two preschool children","authors":"Yuxi Du ,&nbsp;Zhihong Zuo ,&nbsp;Lina Qiao ,&nbsp;Shaoyu Su ,&nbsp;Qin Zeng ,&nbsp;Fan Yang","doi":"10.1016/j.wcn.2024.12.004","DOIUrl":"10.1016/j.wcn.2024.12.004","url":null,"abstract":"<div><h3>Aims</h3><div>In this study, we used data drawn from one- and two-child families with children aged between three and six years in Shanghai, China. We (a) examined the status of parenting self-efficacy and parent–child relationships in Chinese families, (b) checked for heterogeneity in parenting self-efficacy and investigated how it relates to the number of children, and (c) explored the relationship between parenting self-efficacy and parent–child relationships to provide guidance for childcare services and nursing.</div></div><div><h3>Method</h3><div>This quantitative, cross-sectional study examined 378 one-child parents and 372 two-child parents in Shanghai, China, who were tested separately on their parenting self-efficacy and parent–child relationships using the Parenting Tasks Index–Toddler Scale and Parent–Child Relationship Scale in June 2021 (with a 94% response rate). We analyzed parenting self-efficacy via a latent profile analysis and classified it by type and distribution. Furthermore, we explored the differences between the one- and two-child parents in parenting self-efficacy, latent type score, and relevance to the parent–child relationship using an independent samples <em>t</em>-test, variance analysis, and logistic regression.</div></div><div><h3>Results</h3><div>Parenting self-efficacy was divided into three latent types: low, medium, and high (entropy ​= ​0.839/0.840, Lo–Mendell–Rubin adjusted likelihood ratio test ​= ​223.222/257.495). The higher the parents’ parent–child relationship score, the more likely they were to be classified as a medium or high self-efficacy type (odds ratio ​= ​46.924/37.721). One-child parents accounted for a higher proportion of high self-efficacy types than two-child parents (37.5% vs. 31.0%), and their parenting self-efficacy was significantly higher than that of two-child parents (4.53 ​&gt; ​4.45, <em>P</em> ​&lt; ​0.05).</div></div><div><h3>Conclusion</h3><div>Having a second child led to differences in parenting self-efficacy and the distribution of latent types with one-child parents. The lower self-efficacy among two-child parents should be addressed by promoting parenting self-efficacy through the parent–child relationship. Customized intervention strategies are recommended given the heterogeneity of the self-efficacy profiles.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"3 1","pages":"Pages 1-7"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143918524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determining factors associated with anaemia in pregnant women visiting the antenatal care unit at St. Paul’s Hospital, Addis Ababa, Ethiopia: Unmatched case-control study","authors":"Maryam Abdulsalam ,&nbsp;Merafe Tessema ,&nbsp;Mohammad Mohsin ,&nbsp;Tabarak Malik ,&nbsp;Fatima Ibrahim Abdulsalam","doi":"10.1016/j.wcn.2025.02.001","DOIUrl":"10.1016/j.wcn.2025.02.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Anaemia during pregnancy is associated with maternal death, premature birth, low birth weight, and infant death. In Ethiopia, the prevalence of anaemia among pregnant women is high. Owing to differences in nutritional, cultural, educational, and economic status, the determinants of anaemia may vary from one geographical area to another. This study aimed to identify the determinants of anaemia among pregnant women visiting the antenatal care (ANC) unit of St. Paul Millennium Medical College Hospital, Addis Ababa.</div></div><div><h3>Methods</h3><div>An unmatched case-control study was conducted between September and October 2020 ​at ​St. Paul's Hospital, Addis Ababa, Ethiopia. A total of 114 cases and 228 controls were selected based on haemoglobin levels (cases: &lt;11 ​g/dl; controls: ≥11 ​g/dl) at the first ANC visit. Data were collected using structured questionnaires and analysed using logistic regression models with an adjusted odds ratio (AOR) of 95% confidence interval (CI) and <em>P</em> ​&lt; ​0.05.</div></div><div><h3>Results</h3><div>Most participants in both groups were within the age range of 25–29 years. Significant risk factors of anaemia in pregnant women included having a history of contraceptive use (AOR ​= ​0.55, 95% CI: 0.32–1.07), eating less than three meals per day (AOR ​= ​1.97, 95% CI: 1.09–3.22), and having an average monthly income of ≤1500 birr (AOR ​= ​10.13, 95% CI: 4.21–24.35).</div></div><div><h3>Conclusion</h3><div>Addressing dietary habits, socioeconomic disparities, and strengthening health education on family planning could reduce anaemia among pregnant women in Addis Ababa. Policymakers should ensure the implementation and evaluation of such tailor-made interventions.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"3 1","pages":"Pages 27-34"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143918527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Constructing a core competency index system for breastfeeding consultant nurses in China: A phenomenological study using the Delphi method","authors":"Yafang Deng ,&nbsp;Liping Wu ,&nbsp;Linlin Cao ,&nbsp;Hong Zhao ,&nbsp;Ran Song","doi":"10.1016/j.wcn.2025.01.002","DOIUrl":"10.1016/j.wcn.2025.01.002","url":null,"abstract":"<div><h3>Aims</h3><div>This study aimed to construct a core competency index system for breastfeeding consultant nurses based on the Onion Model to improve their consulting abilities and promote breastfeeding rates.</div></div><div><h3>Design</h3><div>This study adopted a phenomenological approach to explore the experiences of breastfeeding consultant nurses and lactating women through semi-structured interviews. The Delphi method was then used for expert validation of the initial competency framework. We focused on the core competencies of nurses and midwives who provide breastfeeding consultation in clinics, maternity wards, and Internet hospitals in China to improve their breastfeeding consultation ability and promote the improvement of breastfeeding rates.</div></div><div><h3>Methods</h3><div>Through a literature review, competency items were extracted based on the clinical competencies of International Board-Certified Lactation Consultants (IBCLCs), and an initial competency framework was developed. In this study, 18 breastfeeding consultant nurses and 11 lactating women participated in semi-structured interviews to provide in-depth feedback on their experiences and challenges in breastfeeding consultation. Two rounds of Delphi expert consultations were conducted, and the Analytic Hierarchy Process (AHP) was used to determine the core competency indices and their weights.</div></div><div><h3>Results</h3><div>The final core competency index system for breastfeeding consultant nurses in China consisted of four first-level, 15 ​second-level, and 95 third-level indices. The positive coefficients of the two rounds of expert consultation were both 100%; expert authority (Cr ​= ​0.92) was high, and Kendall's W values were 0.206 (<em>χ</em>² ​= ​293.69) and 0.296 (<em>χ</em>² ​= ​62.07), with statistical significance (<em>P</em> ​&lt; ​0.01). The weight rankings of the first-level indices were as follows: core knowledge and skills (0.3498), professional ability (0.2858), maintenance of professional standards (0.1915), and professional and personal traits (0.1728). All consistency tests were passed (CR ​&lt; ​0.10).</div></div><div><h3>Conclusions</h3><div>The core competency index system for breastfeeding consultant nurses developed in this study is scientifically grounded, systematic, and authoritative. It provides strong support for the education and practice of breastfeeding consultant nurses in China and offers a theoretical foundation and practical framework to improve breastfeeding rates and nursing quality.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"3 1","pages":"Pages 8-19"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143918525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and outcome of puerperal sepsis among mothers in Nigeria: A five-year retrospective study","authors":"Gbemisola Bolanle Ogbeye ,&nbsp;Adebola Omobusola Ojo ,&nbsp;David Bamidele Olawade ,&nbsp;Joel Ojo Aluko ,&nbsp;Deborah Tolulope Esan","doi":"10.1016/j.wcn.2024.08.001","DOIUrl":"10.1016/j.wcn.2024.08.001","url":null,"abstract":"<div><h3>Background</h3><div>Puerperal sepsis is one of the leading causes of maternal illness and mortality in low- and middle-income countries, despite advances in diagnosis, antimicrobial therapy, and medical management.</div></div><div><h3>Aim</h3><div>This study aimed to assess the prevalence and outcomes of puerperal sepsis in tertiary hospitals in Ondo State, Nigeria.</div></div><div><h3>Methods</h3><div>This retrospective cross-sectional study was conducted at a tertiary hospital in Ondo State. Total enumerative sampling was used to select patients diagnosed with puerperal sepsis between 2016 and 2020. An adapted structured checklist was used to retrieve data from patients’ medical records. Data analysis was performed using SPSS version 25. Descriptive and inferential statistics were used to analyze the results.</div></div><div><h3>Findings</h3><div>Out of 7980 obstetric cases managed during the study period, 156 patients had puerperal sepsis with a prevalence rate of 2%. The majority of patients were unregistered and were referred from other health facilities (94.2%). Other significant risk factors identified were postpartum hemorrhage (60.9%), prolonged labor (14.1%), premature rupture of membranes (19.9%), and lacerations (5.1%). Of the 156 patients diagnosed with puerperal sepsis, 151 (96.8%) were treated and discharged, while five (3.2%) died due to complications. Furthermore, a strong correlation was found between the mode of delivery and outcomes of puerperal sepsis (<em>P</em> ​= ​0.03).</div></div><div><h3>Conclusions</h3><div>Puerperal sepsis remains a major public health concern. Therefore, there is a need to promote prenatal care and ensure continuous supervision and monitoring of birthplaces/delivery centers in Nigeria.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 3","pages":"Pages 68-73"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143178692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trajectory of pelvic floor muscle training adherence in Chinese women with postpartum stress urinary incontinence and its related factors: A longitudinal study","authors":"Jianning Wang ,&nbsp;Ruirui Gu ,&nbsp;Liping Wu ,&nbsp;Yaxin Ji ,&nbsp;Xulian Tu ,&nbsp;Yufei Xie ,&nbsp;Xiaorong Wang","doi":"10.1016/j.wcn.2024.07.003","DOIUrl":"10.1016/j.wcn.2024.07.003","url":null,"abstract":"<div><h3>Objective</h3><div>Numerous studies have shown that pelvic floor muscle training (PFMT) adherence in women with postpartum stress urinary incontinence is low and influenced by many factors. However, most previous studies have been cross-sectional studies on PFMT adherence. Neglecting physiological and psychological recovery after childbirth may lead to changes in the adherence to PFMT. This longitudinal study investigated the developmental trajectory of PFMT adherence at 8, 10, and 12 weeks postpartum and the associated factors in China.</div></div><div><h3>Methods</h3><div>A total of 213 women with postnatal stress urinary incontinence who visited the obstetric pelvic floor clinic of a Grade A tertiary specialist maternity hospital in Beijing, China between January 2018 and January 2019 were selected. Compliance levels were measured using PFMT compliance questionnaires at 8, 10, and 12 weeks postpartum. Data on self-efficacy, postpartum social support, and other influencing factors were collected at 12 weeks postpartum. Differences in PFMT compliance scores were analyzed using repeated-measures analysis of variance. Multiple stepwise linear regression analyses were used for multivariate analysis.</div></div><div><h3>Results</h3><div>The PFMT compliance scores at 8, 10, and 12 weeks postpartum were 13.47 ​± ​4.42, 10.76 ​± ​4.46, and 7.95 ​± ​5.54, which were at a moderate level and showed a decreasing trend over time. Multiple stepwise line regression analysis showed that the factors influencing compliance with PFMT in women with postpartum stress urinary incontinence were knowledge-attitude-practice of PFMT (<em>t</em> ​= ​4.251, <em>P</em> ​&lt; ​0.001), postpartum social support level (<em>t</em> ​= ​4.304, <em>P</em> ​&lt; ​0.001), and self-efficacy level of PFMT (<em>t</em> ​= ​8.577, <em>P</em> ​&lt; ​0.001).</div></div><div><h3>Conclusion</h3><div>The PFMT compliance of Chinese women with postpartum stress urinary incontinence was moderate, with a downward trend. More effective methods should be chosen to improve women's PFMT compliance based on their situation, such as improving patient self-efficacy, social support, and knowledge-attitude-practice.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 3","pages":"Pages 62-67"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143178691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing nursing mothers’ exclusive breastfeeding practices and their effects on infants aged zero to six months in Nigeria: A review of current evidence","authors":"Elizabeth F. Apara ,&nbsp;David B. Olawade ,&nbsp;Gbolahan Deji Olatunji ,&nbsp;Emmanuel Kokori ,&nbsp;Nicholas Aderinto ,&nbsp;Aanuoluwapo Clement David-Olawade","doi":"10.1016/j.wcn.2024.07.001","DOIUrl":"10.1016/j.wcn.2024.07.001","url":null,"abstract":"<div><h3>Objectives</h3><div>This systematic review aimed to investigate the various factors contributing to the practice of Exclusive Breastfeeding (EBF) among nursing mothers in Nigeria and its potential effects on infants aged 0–6 months.</div></div><div><h3>Methods</h3><div>A literature review was conducted using reputable electronic databases, including PubMed, African Journals Online, Science Direct, Scopus, Research Gate, and Google Scholar. The search was limited to studies published between January 2013 and August 2023.</div></div><div><h3>Results</h3><div>Eleven studies were analyzed, and their outcomes are presented in this review. The results suggest significant diversity in the maternal understanding of EBF. While certain mothers exhibit a commendable comprehension of the significance and advantages of breastfeeding, others require greater awareness or hold misconceptions regarding this practice. The lack of comprehensive data on the effects of EBF on maternal practices poses a challenge to mothers when making informed choices about infant feeding. Behaviors related to breastfeeding are notably influenced by sociocultural factors, wherein specific communities adhere to cultural standards that support the early introduction of supplementary food.</div></div><div><h3>Conclusions</h3><div>The implications of adhering to EBF practices are significant for both maternal and infant well-being. The findings of this review have led to several recommendations to enhance the promotion of EBF practices in Nigeria. These include bolstering breastfeeding education and awareness, implementing workplace policies that support breastfeeding, addressing sociocultural barriers through community-based interventions, enhancing healthcare support, and conducting ongoing research and monitoring efforts.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 3","pages":"Pages 49-55"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141698109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Should we be concerned regarding physical activity levels in children and adolescents with congenital heart disease? A comprehensive narrative review","authors":"Yuan Li ,&nbsp;Hong Zheng ,&nbsp;Jie Li ,&nbsp;Ying-Xin Li","doi":"10.1016/j.wcn.2024.07.002","DOIUrl":"10.1016/j.wcn.2024.07.002","url":null,"abstract":"<div><h3>Aims</h3><div>The paradigm shift toward a holistic and proactive approach in the aftercare of individuals diagnosed with congenital heart disease (CHD) underscores the significance of regular physical activity (PA) in this at-risk group. The aim of this narrative review was to present and contrast objectively measured PA levels in children and adolescents with CHD with those of their healthy counterparts or broader normative groups, capitalizing on the recent surge in research in this field.</div></div><div><h3>Methods</h3><div>Four databases were systematically searched for relevant studies published from their inception through September 2023. Observational studies concentrating on youths with CHD, wherein objectively quantified PA levels in the CHD group were assessed and compared with healthy controls or normative data, were included. Two independent authors performed the study selection and data abstraction.</div></div><div><h3>Results</h3><div>Sixteen studies representing 1164 targeted patients were included. Our findings revealed that, contrary to general belief, the PA levels of youths with CHD were generally comparable to those of healthy peers or normative samples. Diminished PA was exclusively discerned in certain subgroups of CHD cases in a limited number of studies.</div></div><div><h3>Conclusions</h3><div>Our findings suggest that PA levels of youths with CHD are generally comparable to those of their healthy peers or normative samples. However, considering the global pandemic of physical inactivity and lifetime health risks for patients with CHD, sustained efforts to monitor and improve PA remain vital. Collaborating on initiatives to help patients with CHD attain age-appropriate PA recommendations is essential and should not be underestimated.</div></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 3","pages":"Pages 56-61"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143179216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence summary: How to implement early mother-infant skin-to-skin contact after delivery","authors":"Junying Li ,&nbsp;Ruiyang Sun ,&nbsp;Hongxiao He ,&nbsp;Hong Lu ,&nbsp;Dong Pang ,&nbsp;Xiu Zhu","doi":"10.1016/j.wcn.2024.06.001","DOIUrl":"10.1016/j.wcn.2024.06.001","url":null,"abstract":"<div><h3>Aim and objectives</h3><p>This study aimed to delineate the optimal practices for early mother-infant skin-to-skin contact (SSC) by synthesizing the best available evidence, thereby facilitating its implementation and promotion.</p></div><div><h3>Design and methods</h3><p>We referred to the Joanna Briggs Institute (JBI) streamlined rapid review approach to conduct this study. Guide websites, institutional websites, national and international databases, and clinical decision-support systems were comprehensively searched. The Appraisal of Guidelines for Research and Evaluation II (AGREE II), AMSTAR 2 (A Measurement Tool to Assess Systematic Reviews), and JBI appraisal tools were used to assess the quality of the included studies.</p></div><div><h3>Results</h3><p>Fourteen guidelines, nine expert consensus reports, five evidence summaries, and one systematic review were included. Six domains comprising 18 recommendations were extracted: (1) target population; (2) preparations beforehand; (3) timing of initiation; (4) practices during SSC; (5) precautions during exposure; and (6) promotion of breastfeeding.</p></div><div><h3>Conclusions and relevance to clinical practice</h3><p>Based on the synthesized evidence, immediate or early uninterrupted SSC is recommended, regardless of the delivery mode. Newborns should be placed prone on the mother’s abdomen or chest as soon as possible after birth for a minimum of 60 or 90 ​min, or until completion of the first breastfeeding. Notably, we compared and selected evidence to address inconsistencies in practice. Our recommendations offer clarity on the target SSC ​population, preparation, precautions during exposure, and breastfeeding promotion. However, the explicit duration and initiation times of the SSC remain uncertain. These findings may serve as a valuable reference for future clinical practice and research.</p></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 2","pages":"Pages 39-48"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949751524000135/pdfft?md5=0552054a57bd7e19b85450b79209121a&pid=1-s2.0-S2949751524000135-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141707310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lymphatic pain in breast cancer survivors: An overview of the current evidence and recommendations","authors":"Jeanna Mary Qiu ,&nbsp;Mei Rosemary Fu ,&nbsp;Catherine S. Finlayson ,&nbsp;Charles P. Tilley ,&nbsp;Rubén Martín Payo ,&nbsp;Stephanie Korth ,&nbsp;Howard L. Kremer ,&nbsp;Cynthia L. Russell Lippincott","doi":"10.1016/j.wcn.2024.04.001","DOIUrl":"10.1016/j.wcn.2024.04.001","url":null,"abstract":"<div><p>Among the 7.8 million women with breast cancer worldwide, at least 33%–44% of them are affected by lymphatic pain. Lymphatic pain refers to co-occurring pain (e.g., pain, aching or soreness) and swelling. Pharmacological approaches, such as the uses of NSAIDS, opioids, antiepileptics, ketamine and lidocaine, have very limited effects on lymphatic pain. Limited research in this field has made it difficult for patients and clinicians to differentiate lymphatic pain from other types of pain. Precision assessment to distinguish different types of pain is essential for finding efficacious cure for pain. Innovative behavioral interventions to promote lymph flow and reduce inflammation are promising to reduce lymphatic pain. The goal of this review is to provide a comprehensive understanding of lymphatic pain through research evidence-based knowledge and insights into precision assessment and therapeutic behavioral intervention for lymphatic pain.</p></div>","PeriodicalId":101283,"journal":{"name":"Women and Children Nursing","volume":"2 2","pages":"Pages 33-38"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949751524000044/pdfft?md5=1e3b143aaac97167ed41e64b2edd862a&pid=1-s2.0-S2949751524000044-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141703885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}