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

Exploring Parental Needs in the Year Following Perinatal Loss. 围产期丧失后一年内父母需求的探讨。

IF 2.2 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2026-05-01 Epub Date: 2026-04-29 DOI: 10.1097/NMC.0000000000001185

Shandeigh N Berry, Rebecca A Nilson, Crystal Verhoff

{"title":"Exploring Parental Needs in the Year Following Perinatal Loss.","authors":"Shandeigh N Berry, Rebecca A Nilson, Crystal Verhoff","doi":"10.1097/NMC.0000000000001185","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001185","url":null,"abstract":"Purpose: To explore parents' holistic needs in the year after a perinatal loss experience.Study design and method: We used Wagner's Chronic Disease Model viewed through a holistic lens as a theoretical framework for this qualitative descriptive study. Wagner's five domains of chronic care (evidence-based practice, empowerment, collaboration, connection, assessment) and the five aspects of holistic care (physical, psychological, social, spiritual, cultural) were used as a priori categories and subcategories throughout data analysis. Holistic themes were organized into the domains of the chronic care model to identify participants' supportive needs throughout the progression of the year.Results: Ten women who experienced perinatal loss from miscarriage, stillbirth, termination, and congenital anomalies were interviewed. Participant needs were primarily physical (bleeding, lactation) in the days following perinatal loss and transitioned into psychosocial and spiritual needs (navigating relationships, understanding grief, subsequent pregnancy) as time progressed. Participants overwhelmingly expressed a desire for continued professional support following their loss experience. Wagner's Model provides a framework to inform evidence-based recommendations for assessing and addressing parents' holistic needs with a collaborative approach to foster connection.Implications for practice: Despite the ongoing needs of many grieving parents after perinatal loss, follow-up care is not standard practice. Adverse biopsychosocial outcomes associated with perinatal loss are well documented. The prevention of chronic biopsychosocial health conditions following perinatal loss requires a strategic, multiprofessional approach. Study findings may provide a framework for implementing follow-up care in the year after perinatal loss.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"51 3","pages":"162-169"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823260","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

How to be Successful in the Revise and Resubmit Process. 如何在修改和重新提交过程中取得成功。

IF 2.2 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2026-05-01 Epub Date: 2026-04-29 DOI: 10.1097/NMC.0000000000001184

Kathleen Rice Simpson

引用次数: 0

Benefits of Breast Crawl in the Laid-Back Position After Birth. 出生后以悠闲姿势爬胸的好处。

IF 2.2 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2026-05-01 Epub Date: 2026-04-29 DOI: 10.1097/NMC.0000000000001192

Holiday H Solly

引用次数: 0

Effects of War on Maternal-Child Health. 战争对母婴健康的影响。

IF 2.2 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2026-05-01 Epub Date: 2026-04-29 DOI: 10.1097/NMC.0000000000001193

Marliese Dion Nist

引用次数: 0

Updated Vital Statistics on Fetal Mortality in the United States. 美国胎儿死亡率最新生命统计数据。

IF 2.2 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2026-05-01 Epub Date: 2026-04-29 DOI: 10.1097/NMC.0000000000001196

Kirsten Wisner

引用次数: 0

Associations between TeamBirth Huddles and Trust and Autonomy Among Patients Reporting Complicated Births: A Secondary Analysis of the Oklahoma TeamBirth Study. 在报告复杂分娩的患者中，团队分娩与信任和自主性之间的联系：俄克拉何马州团队分娩研究的二次分析。

IF 2.2 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2026-05-01 Epub Date: 2026-04-29 DOI: 10.1097/NMC.0000000000001199

引用次数: 0

Access to Pediatric and Maternity Care in the United States is Becoming More Challenging for Many Families due to Decreasing Services and Closure of Specialty Units. 由于服务的减少和专业单位的关闭，在美国获得儿科和产科护理对许多家庭来说变得越来越具有挑战性。

IF 2.2 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2026-05-01 Epub Date: 2026-04-29 DOI: 10.1097/NMC.0000000000001197

Kathleen Rice Simpson

引用次数: 0

The Doula's Role in Reducing Postpartum Depression: A Narrative Review. 导乐在减少产后抑郁中的作用：一个叙述性的回顾。

IF 2.2 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2026-05-01 Epub Date: 2026-04-29 DOI: 10.1097/NMC.0000000000001187

Angela Stanley, Tarnisha Hemphill, Linda Cassar

{"title":"The Doula's Role in Reducing Postpartum Depression: A Narrative Review.","authors":"Angela Stanley, Tarnisha Hemphill, Linda Cassar","doi":"10.1097/NMC.0000000000001187","DOIUrl":"10.1097/NMC.0000000000001187","url":null,"abstract":"Background: Postpartum depression (PPD) affects 10% to 20% of mothers, with higher rates among marginalized communities. Mental health issues contribute to 22.7% of pregnancy-related deaths. Doulas provide continuous emotional, physical, and informational support throughout the perinatal continuum.Methods: This narrative review synthesized data from articles published from 2020-2025 that examined the impact doula support had on PPD. PubMed, CINAHL, and Google Scholar were searched in February 2025. Search terms included \"Depression, Postpartum,\" \"Social Support,\" \"Maternal Health Services,\" \"Doula,\" \"Birth Support,\" and \"Perinatal Mental Health.\"Results: Nine articles met inclusion criteria and were included in the review. Qualitative, quantitative, and review articles were represented in this narrative review. Women receiving doula support had lower odds of developing PPD or postpartum anxiety. Outcomes for women who had doula participation during and after pregnancy include enhanced social support, reduced stress, improved birth experiences, and increased maternal self-efficacy.Clinical implications: Doulas show promise for PPD prevention. Barriers exist for marginalized and underresourced populations of patients in accessing doula care, yet these are the populations who report maternal mental health disorders disproportionately compared with nonmarginalized women. We recommend focusing on the protective value of doulas in preventing PPD, overcoming barriers for patient access to doulas, and standardized mental health education for doulas. Integrating doula support into maternity care requires alignment with the health care team to ensure continuity and effectiveness. Nurses are critical in this partnership through assessment and collaborative care coordination.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"123-130"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345660","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 Maternal Care in Florida Through Levels of Maternal Care Verification. 通过产妇保健水平验证改善佛罗里达州的产妇保健。

IF 2.2 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2026-05-01 Epub Date: 2026-04-29 DOI: 10.1097/NMC.0000000000001188

Yanna X Alesafis de Koter, Sara Stubben, Candace Rouse, Betsy Wood, Linda A Detman, Lori A Reeves

{"title":"Improving Maternal Care in Florida Through Levels of Maternal Care Verification.","authors":"Yanna X Alesafis de Koter, Sara Stubben, Candace Rouse, Betsy Wood, Linda A Detman, Lori A Reeves","doi":"10.1097/NMC.0000000000001188","DOIUrl":"10.1097/NMC.0000000000001188","url":null,"abstract":"Background: In response to increasing maternal morbidity and mortality, the American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal Fetal Medicine (SMFM) developed an Obstetrical Care Consensus on Levels of Maternal Care (LOMC) outlining four levels of care. This standardization reduces preventable morbidity and mortality by establishing hospital capabilities to ensure the provision of risk-appropriate care.Local problem: In 2020, Florida's Maternal Mortality Review Committee found that 68% of pregnancy-related deaths were preventable, with 22% attributed to system- and facility-level factors. Subsequent recommendations emphasized the need to strengthen adherence to ACOG guidelines and other protocols and care coordination.Interventions: The Florida Perinatal Quality Collaborative (FPQC) worked with ACOG District XII and The Joint Commission (TJC) to administer their Maternal Levels of Care Verification Program. The program involves an FPQC funding application, TJC application, TJC site visit, and FPQC evaluation.Methods: FPQC provided support to applying hospitals through office hours, mentorship, technical assistance, the Florida LOMC Playbook, and a marketing toolkit for verified hospitals.Results: At the time of this publication, 41 Florida hospitals completed verification, with additional hospitals in progress. These hospitals account for 55% of Florida births. Through FPQC consultation, several hospitals learned they could verify at a different level than planned and adjusted their applications.Conclusions: Florida's LOMC program demonstrates the utility of external review and objective verification standards to improve hospital readiness to provide optimal care. The comprehensive FPQC support process facilitates hospital preparation for a successful verification review.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"148-153"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147344992","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

The Doula's Role in Reducing Postpartum Depression: A Narrative Review. 导乐在减少产后抑郁中的作用：一个叙述性的回顾。

IF 2.2 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2026-05-01 Epub Date: 2026-04-29 DOI: 10.1097/NMC.0000000000001198

引用次数: 0