{"title":"An Evidence-Based Practice Project to Provide Standardized Education on Skin-to-Skin Contact and Neonatal Hypoglycemia","authors":"Brittany Motter","doi":"10.1016/j.nwh.2023.08.003","DOIUrl":"10.1016/j.nwh.2023.08.003","url":null,"abstract":"<div><h3>Objective</h3><p><span><span>To develop and examine the implications of formalized education with staff and familial caregivers on skin-to-skin in relation to neonatal hypoglycemia, including the impact on </span>NICU admission rate, </span>exclusive breastfeeding, and glucose gel administration.</p></div><div><h3>Design</h3><p>Evidence-based practice (EBP) project with a comparison of data pre-/postintervention.</p></div><div><h3>Setting/Local Problem</h3><p>Implemented at a large health system<span><span> in the mid-Atlantic, including four hospitals with postpartum care units. The EBP implementation site had approximately 19,400 </span>births in 2021.</span></p></div><div><h3>Participants</h3><p>Participants included 320 postpartum nurses in addition to the familial neonatal caregivers these nurses provided care for.</p></div><div><h3>Intervention/Measurement</h3><p>All team members were provided with online education via the HealthStream learning platform, a microlearning introduction video, weekly huddle messages, and unit-specific champions who shared a champion information sheet that included information such as the hypoglycemia protocol, how to perform safe skin-to-skin care, and how to effectively administer glucose gel. Familial caregiver education included a handout given upon admission with an explanation from the postpartum nurse if the neonate met the criteria for the hospital system’s neonatal hypoglycemia protocol.</p></div><div><h3>Results</h3><p>We observed a 4% system-wide increase in exclusive breastfeeding rates, a decrease in NICU admissions by 17.3% at 1-month postimplementation at the smallest hospital site (Hospital A), and a 12.3% reduction in NICU admission rates at the largest hospital site (Hospital B). Two hospitals reported a decrease in the need for glucose gel administration to neonates after the educational intervention.</p></div><div><h3>Conclusion</h3><p>This nurse-led project detailed the process of a system-wide EBP project to implement consistent and standardized education regarding neonatal protocols. Although the benefits of skin-to-skin contact are widely known, this project demonstrated that focused, targeted education on skin-to-skin protocols for neonates at risk for neonatal hypoglycemia may be effective at improving outcomes.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 1","pages":"Pages 58-65"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138626281","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":"What More Can We Do to Prevent Infants From Dying While They Sleep?","authors":"Sharon C. Hitchcock","doi":"10.1016/j.nwh.2023.07.004","DOIUrl":"10.1016/j.nwh.2023.07.004","url":null,"abstract":"<div><p>Sleep-related infant deaths, now called <span><em>sudden </em><em>unexpected infant deaths</em></span><span><span>, are not declining, and the United States continues to have greater rates than most other developed nations. Health disparities are significant, with death rates greater in certain vulnerable groups, including non-Hispanic Black infants. Nurses play a crucial role in educating, role-modeling, and problem-solving with parents. Thus, it is critical for nurses to stay current with the science, prevention recommendations, and societal decisions and debates surrounding this topic. This article provides a summary of the updated safe sleep recommendations released by the American Academy of </span>Pediatrics in 2022 as well as discussions on current trends, thoughts, and controversies related to how safe sleep education is provided to parents.</span></p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"27 6","pages":"Pages 448-456"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71427706","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":"Mistreatment During Maternity Care","authors":"","doi":"10.1016/S1751-4851(23)00223-4","DOIUrl":"https://doi.org/10.1016/S1751-4851(23)00223-4","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"27 6","pages":"Pages 394-399"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138490260","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}
Carmen V. Harrison, Cecilia Igwe-Kalu, Lauren Eide
{"title":"An Integrative Review of Extended Use of Intrauterine Devices","authors":"Carmen V. Harrison, Cecilia Igwe-Kalu, Lauren Eide","doi":"10.1016/j.nwh.2023.06.005","DOIUrl":"10.1016/j.nwh.2023.06.005","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the evidence on the impact of extended use of intrauterine devices (IUDs) use among women of reproductive age.</p></div><div><h3>Data Sources</h3><p><span>Electronic resource databases used were PubMed, </span>CINAHL, and Google Scholar. Peer-reviewed articles published during 2012 to 2022 were considered.</p></div><div><h3>Article Selection</h3><p>Ten articles met the criteria and included data for a total of 7,420 women.</p></div><div><h3>Data Extraction</h3><p>Data were extracted from each study using the subheadings “Author/Date,” “Participants,” “Methods,” “Interventions,” and “Outcomes.” Additionally, the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines were used to guide data extraction.</p></div><div><h3>Data Synthesis</h3><p>Common themes were identified among each of the articles that supported the purpose of this integrative review<span>, such as adverse effects, perceived effectiveness, pregnancy prevention, and cost effectiveness of extended use of IUDs.</span></p></div><div><h3>Conclusion</h3><p>The available evidence supports the notion that extending IUD use beyond the original time frame approved by the U.S. Food and Drug Administration is safe and effective with minimal side effects. However, there remains a paucity of evidence examining this topic.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"27 6","pages":"Pages 427-434"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683326","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":"Modified Early Obstetric Warning Criteria Predict Maternal Morbidity in the Immediate Postpartum Period: A Case–Control Study","authors":"Pridsadaporn Polprasarn, Thirawan Thongwon","doi":"10.1016/j.nwh.2023.06.003","DOIUrl":"10.1016/j.nwh.2023.06.003","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the application of Modified Early Obstetric<span> Warning Criteria (MEOWC) in the immediate postpartum period<span> and to generate a preliminary predictive model for postpartum maternal morbidity.</span></span></p></div><div><h3>Design</h3><p>Retrospective case–control study that was conducted from January 2017 to January 2020. A total of 2,762 births occurred during the study period.</p></div><div><h3>Setting</h3><p>Obstetrics unit of a general hospital located in the Nakhon Si Thammarat province of Thailand.</p></div><div><h3>Participants</h3><p>Three hundred charts of complete health records for women in the first 24 hours postbirth were used in the study. Severe maternal morbidity indicators from the Centers for Disease Control and Prevention as well as corresponding International Classification of Diseases, 10th Revision–Clinical Modification codes during birth and postpartum hospitalizations were used to define maternal morbidity. Case and control individuals were matched in an approximate 1:2 fashion based on the year when the birth occurred.</p></div><div><h3>Measurements</h3><p>Outcomes measurement was carried out using three data record forms—personal data, obstetric history, and MEOWC. To estimate the risks, logistic regression was performed, and a receiver operating characteristic curve was derived to evaluate the model’s performance.</p></div><div><h3>Results</h3><p>One hundred cases of maternal morbidity that occurred in the immediate postpartum period were identified and matched with 200 control cases. Women with MEOWC during the immediate postpartum were much more likely to experience subsequent postpartum maternal morbidity than were women without the criteria. MEOWC were a moderate predictor of postpartum maternal morbidity.</p></div><div><h3>Conclusion</h3><p>MEOWC are associated with increased odds of postpartum maternal morbidity. However, these findings should be validated in a prospective cohort to develop a predictive model that is effective for use in immediate postpartum care.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"27 6","pages":"Pages 407-415"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215326","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":"Perinatal Care for People With a History of Metabolic and Bariatric Surgery: AWHONN Practice Brief #19","authors":"","doi":"10.1016/j.nwh.2023.08.001","DOIUrl":"10.1016/j.nwh.2023.08.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"27 6","pages":"Pages e6-e8"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1751485123001666/pdfft?md5=46720159258efa4862cac3fc133f95ed&pid=1-s2.0-S1751485123001666-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41145875","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":"An Integrative Review of Breastfeeding and Homelessness","authors":"Hannah Dario, Diane L. Spatz","doi":"10.1016/j.nwh.2023.06.002","DOIUrl":"10.1016/j.nwh.2023.06.002","url":null,"abstract":"<div><h3>Objective</h3><p>To synthesize the current literature surrounding breastfeeding and homelessness, and to determine the impact of disparities in this population.</p></div><div><h3>Data Sources</h3><p><span>An integrative search was conducted using Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and using the search terms “breastfeeding” and “homelessness” throughout electronic databases PubMed, </span>CINAHL<span>, and Scopus.</span></p></div><div><h3>Study Selection</h3><p>Inclusion criteria were articles published in English from January 2007 to September 2022. Exclusion criteria were studies published more than 15 years ago, studies published in a language other than English, opinion articles, and irrelevance to breastfeeding and homelessness. The initial search yielded 100 results. After removing duplicates and articles because of irrelevance, the final number of articles for this synthesis was seven.</p></div><div><h3>Data Extraction</h3><p>Data were extracted from each article, critically appraised using Joanna Briggs Institute criteria, and summarized in a table of evidence.</p></div><div><h3>Data Synthesis</h3><p>Three common themes were identified: <em>Decreased Breastfeeding Initiation Rates and Duration in the Homeless Population</em>, <span><em>Impact of Community and </em><em>Clinical Support</em></span>, and <span><em>Breastfeeding Practices</em><em> Influenced by Individual Factors</em></span>.</p></div><div><h3>Conclusion</h3><p>Providers and nurses should refer patients to the Special Supplemental Nutrition Program for Women, Infants, and Children; use techniques to instill a parent’s intent to breastfeed; provide early breastfeeding education; promote breastfeeding initiation within 1 hour of birth; and encourage peer support groups. Although current researchers provide insight into potential barriers and interventions, more research is needed to gain additional data on how to overcome identified barriers to breastfeeding.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"27 6","pages":"Pages 416-426"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152542","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}