Mcn-The American Journal of Maternal-Child Nursing最新文献

Engagement with a Text-Based, Bilingual Blood Pressure Monitoring Program during Postpartum among a Multiethnic Population. 在多民族人群中进行基于文本的双语产后血压监测。

IF 2.2 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-09-17 DOI: 10.1097/NMC.0000000000001156

Sarah Y Nowlin, Natalie Boychuk, Nicole Essein, Kimberly Glazer, Frances M Howell, Micki Burdick, Oluwadamilola Oshewa, Maria Monterroso, Alva Rodriguez, Camila Cabrera, Sheela Maru, Jennifer Lewey, Elizabeth A Howell, Lisa Levine, Teresa Janevic

{"title":"Engagement with a Text-Based, Bilingual Blood Pressure Monitoring Program during Postpartum among a Multiethnic Population.","authors":"Sarah Y Nowlin, Natalie Boychuk, Nicole Essein, Kimberly Glazer, Frances M Howell, Micki Burdick, Oluwadamilola Oshewa, Maria Monterroso, Alva Rodriguez, Camila Cabrera, Sheela Maru, Jennifer Lewey, Elizabeth A Howell, Lisa Levine, Teresa Janevic","doi":"10.1097/NMC.0000000000001156","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001156","url":null,"abstract":"Purpose: Research on remote monitoring for postpartum patients is lacking, particularly in a Spanish speaking population. We examined satisfaction and engagement with remote blood pressure monitoring by preferred language and other participant characteristics.Study design and methods: This was an observational longitudinal cohort study of n = 388 Asian, Black, and Hispanic postpartum patients from four hospitals from Philadelphia and New York City recruited between 2022 and 2023. English and Spanish speaking patients were enrolled. Participants were asked to track their blood pressures for 12 weeks after birth via a two-way text platform. We examined engagement with the platform (≥70% response to text prompts).Results: Most participants reported satisfaction with the program, with 92.0% of English speakers and 96.4% of Spanish speakers reporting satisfaction. Spanish speakers were more likely to engage in the program than English speakers (risk ratio: 1.22; 95% CI: 1.03, 1.44; adjusted risk ratio: 1.21; 95% CI: 1.01, 1.46).Clinical implications: Among Spanish speakers, text-message-based remote blood pressure monitoring during the postpartum period was satisfactory. Spanish speakers were just as, if not more, likely than English speakers to engage in the remote monitoring program, suggesting the potential utility of remote monitoring for postpartum follow-up among a population at increased risk of adverse maternal outcomes.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Online Social Support for Medicaid-Eligible Pregnant Women. 为符合医疗补助条件的孕妇提供在线社会支持。

IF 2.2 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-09-16 DOI: 10.1097/NMC.0000000000001162

Kathryn M L Konrad

{"title":"Online Social Support for Medicaid-Eligible Pregnant Women.","authors":"Kathryn M L Konrad","doi":"10.1097/NMC.0000000000001162","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001162","url":null,"abstract":"Purpose: Medicaid-eligible pregnant women are a chronically stressed population with various negative perinatal effects due in part to their challenging financial status. Increasingly, they use social media to obtain social support; however, experiences of using social media for social support are unknown. The purpose of this study was to explore experiences of Medicaid-eligible pregnant women using Facebook groups.Study design and methods: Semistructured interviews of pregnant women who used Facebook groups for social support were conducted. Eligibility or insurance coverage by Medicaid was considered as a proxy for low socioeconomic status. Thematic analysis was completed.Results: Fourteen pregnant women were interviewed. Several themes were identified. The overarching theme was social support through an online community, connections, and information support with affirmation woven through to build connections. Participants felt nurses, midwives, and physicians should recommend Facebook groups to obtain social support.Clinical implications: Most participants found their experiences via Facebook overwhelmingly positive, even if they had some negative encounters. Participants found social support via Facebook groups. Recommendations for nurses include recognizing social media as a venue to access social support, starting peer-led communities for Medicaid-eligible women using social media, and engaging in policy work on social media recommendations for pregnant women. It is unknown what effect this social support has on their chronic stress.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Immersion Swaddle Bathing Compared to Traditional Sponge Baths for the First Newborn Bath in the Hospital and Thermoregulation. 浸没式襁褓浴与传统海绵浴的比较及其对新生儿体温的调节作用。

IF 2.2 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-09-16 DOI: 10.1097/NMC.0000000000001157

Katherine Dalton

{"title":"Immersion Swaddle Bathing Compared to Traditional Sponge Baths for the First Newborn Bath in the Hospital and Thermoregulation.","authors":"Katherine Dalton","doi":"10.1097/NMC.0000000000001157","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001157","url":null,"abstract":"Purpose: The purpose of this quality improvement project was to promote newborn thermoregulation.Background: Thermoregulation is a primary concern in the newborn population because poor thermoregulation contributes to impaired metabolic functioning, specifically glucose and respiratory regulation. In severe cases, if untreated, impaired thermoregulation can lead to increased risk of morbidity and mortality.Methods: Two types of newborn bathing methods were evaluated for their effects on thermoregulation in a sample of healthy newborns: traditional sponge baths and immersion swaddle baths. Nurses monitored newborn temperatures pre- and postbathing. Temperatures were taken immediately prebath then postbath for each bathing technique until the infants were warm. Weekly data were collected over the course of 6 weeks, with 2 weeks of sponge and 2 weeks of swaddle baths for comparison. The goal was to decrease the amount of time infants spent under the warmer after their first bath. Three Plan-Do-Study-Act cycles were initiated throughout this project to monitor existing bathing methods as well as successful implementation of the change.Results: Ninety newborns were enrolled; 30 preintervention and 60 newborns per postintervention (30 per cycle). Postintervention, significant improvements in thermoregulation were found among immersion swaddle bath infants in shorter return times to baseline prebath temperatures (p = .001).Conclusion: In this project, introduction of immersion swaddle bathing positively correlated with improved thermoregulation in newborns. Using swaddle bathing instead of traditional sponge bathing may potentially have positive implications in other newborn settings. More research is needed on types of newborn bathing techniques.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improving Communication during Perinatal Care to Eliminate Preventable Maternal Morbidity and Mortality: The Issue of Communication Hierarchy. 改善围产期护理沟通，消除可预防的孕产妇发病率和死亡率：沟通层次问题。

IF 2.2 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-09-01 Epub Date: 2025-08-13 DOI: 10.1097/NMC.0000000000001119

Rachel Blankstein Breman

引用次数: 0

Toward Evidence-Based Practice. 走向循证实践。

IF 2.2 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-09-01 Epub Date: 2025-08-13 DOI: 10.1097/NMC.0000000000001128

Annie Rohan, Kelsie R Barta, Justine Carmody, Emma Virginia Clark

引用次数: 0

Psychosocial Interventions for Perinatal Mood and Anxiety Disorders: A Program Evaluation. 围产期情绪和焦虑障碍的社会心理干预：一个项目评估。

IF 2.2 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-09-01 Epub Date: 2025-08-13 DOI: 10.1097/NMC.0000000000001126

Emily Bemben, Kelli Damstra

{"title":"Psychosocial Interventions for Perinatal Mood and Anxiety Disorders: A Program Evaluation.","authors":"Emily Bemben, Kelli Damstra","doi":"10.1097/NMC.0000000000001126","DOIUrl":"10.1097/NMC.0000000000001126","url":null,"abstract":"Introduction: Perinatal mood and anxiety disorders can have lasting negative impacts on maternal and child health. The aim of the quality improvement project was to determine if home-based psychosocial interventions for perinatal mood and anxiety disorders using volunteers affect patient outcomes and expand evidence-based treatment options.Methods: We used a logic model to outline the program's key inputs and outputs, and to guide ongoing implementation; outline what did or did not occur as intended in the volunteer program; clarify for organization stakeholders how program activities bring about desired changes or outputs; and to determine if the program brings about desired outcomes in relation to perinatal mental health. The major outcomes of interest were pre and post measures of perinatal mood and anxiety disorders symptoms, stress, and level of reported support in the parents.Results: Data were obtained from two subsamples, 152 parents prior to receiving the intervention and from 36 parents after receiving the intervention. Before receiving the services, 33.0% of the parents endorsed clinically significant symptoms of anxiety and depression. At the end of the intervention, 66.7% of parents reported experiencing symptoms of perinatal mood and anxiety disorders, and 75.0% of those experiencing symptoms agreed the support from the program helped alleviate those symptoms.Discussion: Our results highlight the program as an effective and accessible option to mitigate perinatal mood and anxiety disorders in the community. There is need for more effective, evidence-based interventions in the community setting.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 5","pages":"284-290"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mother-Baby Nurses' Experience with Sudden Unexpected Postnatal Collapse. 母婴护理对产后突发意外塌陷的体会。

IF 2.2 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-09-01 Epub Date: 2025-08-13 DOI: 10.1097/NMC.0000000000001124

Megan McEwen Reffel, Wendy J Haylett, Karen L Hessler

{"title":"Mother-Baby Nurses' Experience with Sudden Unexpected Postnatal Collapse.","authors":"Megan McEwen Reffel, Wendy J Haylett, Karen L Hessler","doi":"10.1097/NMC.0000000000001124","DOIUrl":"10.1097/NMC.0000000000001124","url":null,"abstract":"Purpose: Failure to rescue is the inability to prevent death by timely diagnosis and treatment of a complication. Nurses have a duty to surveil, identify crisis indicators, and take action when necessary. A gap exists in resuscitation literature about mother-baby nurses' experiences identifying neonatal or sudden unexpected postnatal collapse (SUPC) and taking action once discovered, two components of rescue that are critical to quality care. To address the gap, this study investigated mother-baby nurses' experiences identifying and taking action during SUPC.Study design and methods: For this qualitative descriptive study, mother-baby nurses from three hospitals in Colorado who experienced SUPC participated in semi-structured individual interviews.Results: Six mother-baby nurses were interviewed in 2021 or 2022. They ranged in age from 29 to 48 years and had between 5 and 25 years of experience. Five of the nurses had completed the Neonatal Resuscitation Program course. Qualitative content analysis revealed two themes. The Assumption of Well represents factors related to identifying SUPC: Family Bonding, Mother-Baby Unit Environment, Teamwork, and Nursing Practice. The Balancing Act of Mother-Baby Nursing highlights those related to taking action: Physical Environment, Patient Experience/Satisfaction, Interdepartmental Culture, and A Low Volume Event.Clinical implications: Mother-baby nurses, who navigate many challenges as they identify and react to SUPC, should be cognizant of its potential influencing factors. Suggestions for organizations such as increased nurse education, parent education, and nurse staffing based on national standards are provided to optimize nurses' ability to identify and treat SUPC.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 5","pages":"297-303"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rates of Induction of Labor and Cesarean Birth for Low-Risk Nulliparous Women (NTSV) in the United States, 2016 to 2024. 2016年至2024年美国低风险无产妇女（NTSV）的引产率和剖宫产率

IF 2.2 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-09-01 Epub Date: 2025-08-13 DOI: 10.1097/NMC.0000000000001116

Kathleen Rice Simpson

引用次数: 0

Effective Communication During and After an Amniotic Fluid Embolism. 羊水栓塞期间和之后的有效沟通。

IF 2.2 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-09-01 Epub Date: 2025-08-13 DOI: 10.1097/NMC.0000000000001121

Miranda Klassen, Kayleigh Summers

{"title":"Effective Communication During and After an Amniotic Fluid Embolism.","authors":"Miranda Klassen, Kayleigh Summers","doi":"10.1097/NMC.0000000000001121","DOIUrl":"10.1097/NMC.0000000000001121","url":null,"abstract":"Abstract: Amniotic fluid embolism (AFE) is a life-threatening complication occurring during pregnancy, labor, or birth and is characterized by sudden cardio-respiratory collapse and disseminated intravascular coagulopathy. Amniotic fluid embolism is unpredictable, sudden, and complex. Amniotic fluid embolism is one of the causes of peripartum maternal mortality and morbidity in the United States. Nurses and other health care professionals responding to severe maternal events, such as an AFE, may experience trauma, which can lead to reduced executive functions, and challenges with memory, organization, prioritization, and emotional regulation. Amniotic fluid embolism patients and families also experience shock and trauma and may have a difficult time receiving and understanding information conveyed after the event. Communication frameworks commonly used in oncology and trauma settings have been successful in helping plan and guide the delivery of bad news while increasing patient and family understanding. Existing communication frameworks do not address the impact of perinatal nurse and health care professional trauma on their ability to communicate with their patients effectively. Based on feedback from the AFE survivors and clinicians, the AFE Foundation developed the AFE Effective Communication Guide. The Guide acknowledges and validates the impact of perinatal nurse and health care professional trauma and assists them in the planning and execution of effective, trauma-informed communication with patients and families after an AFE or other severe maternal events.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"269-276"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trauma-Responsive Perinatal Leadership. 创伤响应围产期领导。

IF 2.2 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-09-01 Epub Date: 2025-08-13 DOI: 10.1097/NMC.0000000000001120

Adriane Burgess, Tara Ryan Kosmas

引用次数: 0