{"title":"Comparison of Fenton and Intergrowth-21st growth charts: a retrospective study of preterm neonates at ≤34 weeks","authors":"K. Haridas, M. Solaiappan, Muthukumaran Natarajan","doi":"10.2399/prn.23.0311002","DOIUrl":"https://doi.org/10.2399/prn.23.0311002","url":null,"abstract":"Objective: To compare Fenton and Intergrowth-21st growth charts in assessing the growth pattern of preterm infants at birth and at discharge. Methods: This is a retrospective study conducted over a period of 1 year. The study included the neonates born at ≤34 weeks of gestation who are admitted and stayed for ≥14 days in our hospital. The data was collected from discharge sheets and electronic database. The weight of all babies at birth and at discharge was collected. Growth was assessed based on Fenton and Intergrowth-21st growth charts. The small for gestational age (SGA) was defined as birth weight ≤-1.28SD. The extrauterine growth restriction (EUGR) status of babies was assessed by a criteria of ≤-1.28SD at discharge. Results: Most common preterm phenotype was spontaneous preterm labor (47.4%), and the rate of singleton birth was 78.9%. The mean gestational age and birth weight of babies were 31.6±1.42 weeks and 1608.06±275 g, respectively. We found the rates of SGA in our group 15.2% and 13.5%, and appropriate for gestational age (AGA) 80.5% and 82.2%, respectively by using Intergrowth and Fenton growth charts. The EUGR rates in our group were 72.8% and 81.3%, respectively, on Intergrowth-21st and Fenton growth charts using a criteria of ≤-1.28SD at discharge. Conclusion: There is no statistical difference between Fenton and Intergrowth-21st charts in identifying SGA and EUGR. However, the rate of EUGR is higher in Fenton charts than intergrowth-21st charts.","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"1 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79986288","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":"Comparison of the efficacy of non-pharmacological interventions during the heel stick procedure on pain level, duration of crying, and voice decibel of newborns: a randomized controlled trial","authors":"P. Duru, Zehra Akkoca, Ö. Örsal","doi":"10.2399/prn.23.0311006","DOIUrl":"https://doi.org/10.2399/prn.23.0311006","url":null,"abstract":"Objective: To compare the efficacy of different non-pharmacological interventions (kangaroo care, cuddling, playing white noise, ambient sound) applied to newborns during the heel stick procedure on newborns’ pain level, duration of crying, and voice decibel. Methods: This is a prospective, randomized controlled trial including pre- and post-tests of four groups. The setting is a neonatal intensive care unit in Türkiye. One hundred and thirty-six newborns were recruited. Newborns were randomly assigned to four groups (i) kangaroo care, (ii) cuddling, (iii) white noise, and (iv) ambient sound. Pain measures were recorded 1 minute before, during, and 3 minutes after blood collection based on the Neonatal Infant Pain Scale (NIPS). Results: There was a significant difference between the pain levels (χ2=16.910, p=.001) and durations of crying (χ2=13.888, p=.003) during the heel stick procedure of the newborns depending on the non-pharmacological intervention. The pain levels of newborns who received kangaroo care were significantly lower compared to those who were listened to ambient sound during the procedure. The newborns’ durations of crying who received kangaroo care and who were lapped by their mothers during the heel stick procedure were also lower than those who are listened to ambient sound. There was no significant difference between the highest sound decibel levels of newborns after the procedure due to the non-pharmacological intervention applied during the heel stick procedure. Conclusion: Kangaroo care was more effective in reducing pain level and duration of crying. The non-pharmacological interventions had no effects on the highest sound decibel levels of newborns.","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"38 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72688924","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":"The effects of restless legs syndrome on sleep and quality of life during pregnancy: a comparative descriptive study","authors":"İffet Güler Kaya, D. Koçak","doi":"10.2399/prn.23.0311008","DOIUrl":"https://doi.org/10.2399/prn.23.0311008","url":null,"abstract":"Objective: The study aimed to identify the effects of restless legs syndrome (RLS) on sleep quality and quality of life in pregnant women.Methods: This comparative and descriptive study was conducted with 109 pregnant women between the 24 and 39 weeks of gestation. The presence and severity of RLS were investigated using the International Restless Legs Syndrome Study Group’s Diagnostic Criteria Scale and Severity Rating Scale, and the effects of the syndrome on sleep and quality of life were evaluated. Results: The prevalence of RLS in pregnant women was found to be 47.7%. In the RLS group, 22.0% of the pregnant women had severe RLS symptoms and 20.2% had moderate RLS symptoms. The mean score for Restless Legs Syndrome Severity Rating Scale was determined 20.75±6.38. The mean score for quality of life scale was determined 17.75±3.73 in RLS group and 26.46±2.67 in non-RLS group. Conclusion: The difference between the mean scores for Pittsburgh Sleep Quality Index of the pregnant women with RLS and those without the syndrome was found to be statistically significant. While the mean score for Quality of Life Scale in pregnant women with RLS was lower in general health, physical health and psychological health sub-dimensions, no statistically significant difference was found in social relations and environment sub-dimensions. It is recommended that nurses investigate RLS complaints of pregnant women and include non-pharmacological methods in their nursing practices.","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"91 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80411109","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":"Breathing Techniques During Labor: A Multinational Narrative Review of Efficacy.","authors":"Maria Augusta Heim, Maria Yolanda Makuch","doi":"10.1891/JPE-2021-0029","DOIUrl":"10.1891/JPE-2021-0029","url":null,"abstract":"<p><p>We conducted a narrative review to assess the use and effectiveness of breathing techniques for pain control as the only non-pharmacological resource during labor and childbirth. A search was conducted using PubMed, PEDro, SciELO, and Scopus with publications between January 2005 and September 2021 in English, Portuguese, or Spanish. Seven publications were selected. Most of the articles reported on the use of slow and deep breathing during contractions in the first stage of labor and breathing associated with pushing-down efforts in the second stage. The information regarding the moment when guidance on the use of the techniques was provided varied across studies. According to the reviewed papers, breathing techniques offer benefits for women in labor without adverse effects on newborns.</p>","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"32 1","pages":"23-34"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9822559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10578685","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}
Marjaana Siivola, Eero Tiainen, Eeva Ekholm, Teemu Leinonen, Lauri Malmi
{"title":"Virtual Reality Childbirth Education With 360° Videos.","authors":"Marjaana Siivola, Eero Tiainen, Eeva Ekholm, Teemu Leinonen, Lauri Malmi","doi":"10.1891/JPE-2021-0021","DOIUrl":"10.1891/JPE-2021-0021","url":null,"abstract":"<p><p>During the pandemic in Finland, most childbirth education (CBE) programs were canceled or transferred online. We aimed to improve the situation by developing a virtual reality (VR) CBE. This article describes the process of developing a VR CBE pilot program and the results from the preliminary user test. To create the VR experience, we used 360° videos as the main content. The program is usable with VR headsets, a computer, tablet, and smartphone. When using the program with a VR headset, the users felt they were in the birthing room; they did not feel motion sickness, nor did they have usability challenges. The users preferred using the program on their own, studying independently with a tablet or mobile device.</p>","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"32 1","pages":"35-47"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9822558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10529560","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":"My Story: The Transforming Power of Birth.","authors":"Henci Goer","doi":"10.1891/JPE-2022-0023","DOIUrl":"10.1891/JPE-2022-0023","url":null,"abstract":"<p><p>In this column Henci Goer shares the stories of her two births and how those births shaped her life's work. With her first birth she believed that her caregivers knew better than she what was right for her. During the birth she was ignored. She was left feeling distressed and diminished. Her second birth was dramatically different. She was an active participant, listened to, respected and part of decision-making. She highlights that no matter how difficult the birth, whether things go as planned or not, the joy, the pride, the satisfaction with birth comes with being listened to, respected, and part of decision-making. This birth story is an excerpt from Henci Goer's recent publication, Labor Pain: What's Your Best Strategy? (2022).</p>","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"32 1","pages":"6-7"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9822557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10574563","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}
Kathryn Wouk, Kathleen C Parry, Jessica Bridgman, Aunchalee E L Palmquist, Megan Perkins, Abigail Smetana, Alexis Woods-Barr, Catherine S Sullivan
{"title":"Evaluation of an Evidence-Based Prenatal Breastfeeding Education Curriculum Adapted for the COVID-19 Pandemic: Ready, Set, Baby Live COVID-19 Edition.","authors":"Kathryn Wouk, Kathleen C Parry, Jessica Bridgman, Aunchalee E L Palmquist, Megan Perkins, Abigail Smetana, Alexis Woods-Barr, Catherine S Sullivan","doi":"10.1891/JPE-2021-0035","DOIUrl":"10.1891/JPE-2021-0035","url":null,"abstract":"<p><p>In response to the cessation of in-person prenatal education services during the COVID-19 pandemic, we adapted an evidence-based curriculum to a live virtual format entitled Ready, Set, Baby Live COVID-19 Edition (RSB Live). In a sample of 146 pregnant people, participation in RSB Live was associated with high levels of knowledge about the benefits of breastfeeding, early infant hunger cues, and recommended maternity care practices, as well as high levels of satisfaction with adaptations to the session's content and virtual delivery. Participation was also associated with a significant increase in prenatal breastfeeding intention, a known predictor of breastfeeding outcomes. This study supports live, virtual education with a standardized curriculum as an effective and acceptable means of providing prenatal education.</p>","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"32 1","pages":"48-66"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9822560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10529564","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":"Pain in Labor: Making Plans.","authors":"Judith A Lothian","doi":"10.1891/JPE-2022-0029","DOIUrl":"10.1891/JPE-2022-0029","url":null,"abstract":"<p><p>In this column, the associate editor of <i>The Journal of Perinatal Education</i> introduces Henci Goer's new book, <i>Labor Pain: What's Your Best Strategy?: Get the Data. Make a Plan. Take Charge of Your Birth</i>. The associate editor also describes the contents of this issue, which offer a broad range of resources, research, and inspiration for childbirth educators in their efforts to promote, support, and protect natural, safe, and healthy birth.</p>","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"32 1","pages":"3-5"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9822561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10574564","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":"A Conceptual Analysis of Mental Health Maladaptation in Postpartum.","authors":"Melissa DeFoor, Azita Amiri","doi":"10.1891/JPE-2021-0018","DOIUrl":"10.1891/JPE-2021-0018","url":null,"abstract":"<p><p><b>Aim:</b> This concept analysis aims to explore how the concept of maladaptation applies to mental health changes among postpartum women. <b>Background:</b> The concept of maladaptation is utilized throughout various disciplines but minimally in women's health, including a limited focus on maladaptive body dissatisfaction and perfectionistic beliefs of women in the postpartum period. <b>Methods:</b> The Walker and Avant eight-phase model was used to guide this analysis. <b>Data Source:</b> A search for maladaptation articles through Cumulative Index to Nursing and Allied Health Literature (CINAHL) Complete, ProQuest, and PubMed databases, as well as Google Scholar, was conducted. <b>Results:</b> A review of the literature concerning maladaptation in postpartum mental health resulted in defining two key attributes, including conforming to cultural norms of body image and pressure of perfection. In understanding maladaptation and its attributes, childbirth educators and health-care professionals will be able to better determine more contributing factors for postpartum depression (PPD) and formulate a plan that includes early intervention and support. <b>Conclusion:</b> This concept analysis is intended to improve maternal and neonatal health outcomes by understanding mental health maladaptations related to PPD.</p>","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"32 1","pages":"14-22"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9822563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10524423","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":"Integrating Community Health Workers and Nurse Midwives on the Health-Care Team to Improve Birth and Breastfeeding Outcomes.","authors":"Getty Israel","doi":"10.1891/JPE-2022-0025","DOIUrl":"10.1891/JPE-2022-0025","url":null,"abstract":"<p><p>A plethora of international research has consistently demonstrated the efficacy of both the nurse-midwifery model and the community health worker (CHW) model in improving birth and breastfeeding outcomes, particularly among low-income women. However, these two professional groups rarely work as a team in the U.S. health-care system. Typically, certified nurse midwives are on staff at clinics and hospitals; conversely, CHWs tend to work at non-profit community organizations. Although the Community Preventive Services Task Force concluded that integrating CHWs on clinical care teams is effective, these paraprofessionals remain nearly excluded from the healthcare organization because they are not licensed healthcare professionals, hence, non reimbursable. We integrated these two health professional groups within a small, community-based, nonprofit, and charitable women's clinic in Jackson, Mississippi, serving a predominantly Medicaid population to determine if their combined health services would significantly improve birth and breastfeeding outcomes among an intervention group compared with a control group that received usual standard care from an obstetrician.</p>","PeriodicalId":46449,"journal":{"name":"Journal of Perinatal Education","volume":"32 1","pages":"8-13"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9822562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10524420","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}