{"title":"Guidelines for Primary Pediatric Care Professionals to Help Patients Establish and Protect Milk Supply.","authors":"","doi":"10.1097/NMC.0000000000001122","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001122","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 4","pages":"E7"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509331","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}
Aleigha Mason, Rebecca R S Clark, Diane L Spatz, Eileen T Lake
{"title":"Nurse Work Environments and Exclusive Breast Milk Feeding during the Birth Hospitalization.","authors":"Aleigha Mason, Rebecca R S Clark, Diane L Spatz, Eileen T Lake","doi":"10.1097/NMC.0000000000001106","DOIUrl":"10.1097/NMC.0000000000001106","url":null,"abstract":"<p><strong>Purpose: </strong>To examine whether hospital variation in the nurse work environment during labor and birth is associated with variation in the rate of exclusive breast milk feeding during the birth hospitalization.</p><p><strong>Study design and methods: </strong>Cross-sectional analysis of nurse survey, hospital, and exclusive breast milk feeding outcome data in a sample of 258 hospitals in five states. Sequential multivariate linear regression models were used to model the relationship between the outcome of exclusive breast milk feeding and the nurse work environment.</p><p><strong>Results: </strong>A good or mixed nurse work environment is significantly ssociated with higher hospital-level exclusive breast milk feeding rates in unadjusted and adjusted regression models. A hospital's Baby-Friendly status was not significantly associated with exclusive breast milk feeding rates.</p><p><strong>Clinical implications: </strong>Improvements to nurses' work environments can potentially increase hospital-level exclusive breast milk feeding rates.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"210-216"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057152","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}
{"title":"Guidelines for Primary Pediatric Care Professionals to Help Patients Establish and Protect Milk Supply.","authors":"Courtney N Slater, Diane L Spatz","doi":"10.1097/NMC.0000000000001107","DOIUrl":"10.1097/NMC.0000000000001107","url":null,"abstract":"<p><strong>Abstract: </strong>The first well-child encounter for healthy, full-term newborns occurs within the critical window for the establishment of the milk supply. Frequent, effective removal of human milk from the breast is essential to achieving a robust milk supply. Nurses in primary care settings are crucial in providing quality and timely lactation care to ensure the parent is experiencing effective milk removal. Identification of risk factors and barriers to achieving a milk supply requires adept assessment and knowledge of lactation physiology. Not all nurses receive formal education on human milk and lactation. This resource can be used by primary care nurses to prioritize establishing and protecting the milk supply among families with a desire to breastfeed.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"192-203"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Professional Roles in Provision of Breastfeeding and Lactation Support: A Scoping Review.","authors":"Stephanie N Acquaye, Diane L Spatz","doi":"10.1097/NMC.0000000000001113","DOIUrl":"10.1097/NMC.0000000000001113","url":null,"abstract":"<p><strong>Background: </strong>The United States lacks a comprehensive framework to describe how multidisciplinary efforts to support breastfeeding and lactation fit together. The purpose of this article is to assess the roles of perinatal health care professionals in providing breastfeeding and lactation support (BFLS) along the perinatal care continuum and to offer a preliminary conceptual framework.</p><p><strong>Study design: </strong>We conducted a scoping review to examine the breadth and depth of published position statements by perinatal care professional organizations about BFLS.</p><p><strong>Methods: </strong>Methodology for scoping reviews outlined by Peters et al. (2020) was used. We identified nine professions as primarily implicated in provision of perinatal care in the United States, seven of which had national professional organizations. We searched PubMed and a generic web engine to identify position statements from those organizations. We used thematic analysis to create an adapted framework of the perinatal care continuum illustrating how BFLS from perinatal health care professionals can be mapped onto the care continuum.</p><p><strong>Results: </strong>Some overlap in roles were noted as were some gaps regarding professional roles in different phases of the perinatal care continuum. Overall, most professional perinatal care organizations described specific BFLS roles for their practitioners and recommended collaboration with other perinatal care professions.</p><p><strong>Clinical implications: </strong>The full spectrum of BFLS involves information sharing and anticipatory guidance which begins in the preconception period and lasts through 2 or more years postpartum. Interprofessional collaboration, such as through engagement with state-based perinatal quality collaboratives or other interprofessional perinatal partnerships, is essential to ensuring that families receive cohesive, comprehensive BFLS.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 4","pages":"217-225"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509337","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}
{"title":"Dolutegravir in Pregnancy and Metabolic Health.","authors":"Jeffrey F Miles, Jillian Pintye","doi":"10.1097/NMC.0000000000001104","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001104","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 4","pages":"239"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509330","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}
{"title":"Neonatal Advanced Life Support as an Alternative Option to the Neonatal Resuscitation Program for the Basis of Neonatal Resuscitation Practices and Education.","authors":"Judy A Beal","doi":"10.1097/NMC.0000000000001112","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001112","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 4","pages":"237"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509335","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}
{"title":"Human Milk is Brain Power and Brain Protection.","authors":"Diane L Spatz","doi":"10.1097/NMC.0000000000001114","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001114","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 4","pages":"238"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509333","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}
{"title":"Nurses Partnering with Medical Assistants to Enhance Breastfeeding Care in the Pediatric Primary Care Setting.","authors":"Nicole Conover, Diane L Spatz","doi":"10.1097/NMC.0000000000001109","DOIUrl":"10.1097/NMC.0000000000001109","url":null,"abstract":"<p><strong>Purpose: </strong>As valuable members of the care team, medical assistants are well-positioned to assist breastfeeding families. The purpose of this study was to identify ways in which medical assistants in the pediatric primary care setting may be empowered to improve care and support for breastfeeding families.</p><p><strong>Study design: </strong>A cross-sectional mixed-methods study was conducted using a one-time REDCap® survey including three open-ended prompts administered to medical assistants employed in primary care sites at Children's Hospital of Philadelphia from August 2022 through May 2023.</p><p><strong>Methods: </strong>Descriptive statistics were used to summarize the background, training, and experience of respondents. Qualitative content analysis was used to identify themes in open-ended responses.</p><p><strong>Results: </strong>Among the 78 medical assistants employed within Children's Hospital of Philadelphia's primary care network sites at the time of this study, 58 responded to the survey resulting in a response rate of 74%. Twenty-one locations were represented from Children's Hospital of Philadelphia's 31 pediatric primary care sites. Most medical assistants surveyed were providing informal breastfeeding support in the pediatric primary care setting and many were interested in learning more about breastfeeding and willing to offer more breastfeeding support to families.</p><p><strong>Clinical implications: </strong>Medical assistants are a valuable part of the primary care team and have the potential to partner with nurses to make important contributions to the care and support of breastfeeding families.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"226-230"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812872","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}
{"title":"Human Milk and Lactation are Public Health Issues.","authors":"Diane L Spatz","doi":"10.1097/NMC.0000000000001111","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001111","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 4","pages":"191"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509332","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}
{"title":"Nurse Staffing in Safety Net Hospitals: Inequities and Patient Safety.","authors":"Kathleen Rice Simpson","doi":"10.1097/NMC.0000000000001103","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001103","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 4","pages":"243"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509336","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}