{"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":"https://doi.org/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":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rates of Induction of Labor and Cesarean Birth for Low-Risk Nulliparous Women (NTSV) in the United States, 2016 to 2024.","authors":"Kathleen Rice Simpson","doi":"10.1097/NMC.0000000000001116","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001116","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812894","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":"https://doi.org/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":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-09","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":"Promoting Accurate Language on Lactation from Prenatal to Postpartum.","authors":"Nina A S Juntereal, Diane L Spatz","doi":"10.1097/NMC.0000000000001108","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001108","url":null,"abstract":"<p><strong>Abstract: </strong>Lactation is a vital function of reproduction and population dynamics as human milk supports infant survival and development. Although the physiological processes of lactation have largely remained unchanged throughout human history, contemporary practices in human milk provision have expanded the original lexicon, resulting in ambiguity and potential misrepresentations in lactation-related language. We provide an overview of the anatomy and physiology of lactation to emphasize the importance of precise and consistent language as most nurses and health care professionals receive little to no education in their programs of study about lactation and breastfeeding. Concrete definitions and explanations on how to use the science of human milk and the physiology of lactation are crucial for evidence-based lactation education, support, and intervention. LactaPedia, an online comprehensive human lactation glossary, is freely accessible to nurses and the public to remain updated on lactation-related language as well as offer feedback on the relevancy and usability of any fundamental terminology. Precise and consistent use of lactation-related language will overall improve communication between nurses and multidisciplinary teams and thereby enhance care and outcomes for families.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812873","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}
Samantha L Bernstein, Jessica G Bell, Rebecca Broadhurst
{"title":"Huddles in Hospital Maternity Settings: A Scoping Review.","authors":"Samantha L Bernstein, Jessica G Bell, Rebecca Broadhurst","doi":"10.1097/NMC.0000000000001077","DOIUrl":"10.1097/NMC.0000000000001077","url":null,"abstract":"<p><strong>Background: </strong>The Agency for Healthcare Research and Quality recommends the use of safety huddles, in which clinicians are briefly gathered to review a patient's condition, including new or developing changes in acuity or stability. The Joint Commission describes huddles as a \"hallmark\" of high-reliability organizations. Previous reviews have confirmed the general utility of huddles, including positive regard by clinicians, but there has not been work specifically looking at huddle use in hospital maternity care settings. Our objective was to identify the ways that huddles have been studied or reported in inpatient maternity settings and synthesize this information with recommendations from professional organizations to identify gaps in the literature published in the United States since 1999.</p><p><strong>Methods: </strong>We used Arksey and O'Malley's framework to guide our scoping review. Using the time frame from 1999 to 2024, we searched the following databases: PubMed, CINAHL, SCOPUS, Embase, as well as gray literature and the reference lists and citing articles of the included manuscripts.</p><p><strong>Results: </strong>We found 160 documents, of which 47 met inclusion criteria, including 11 care bundles, 10 quality improvement projects, and 4 research studies. The remaining 22 were a variety of editorials, position papers, and other gray literature.</p><p><strong>Discussion: </strong>There is scant research on the use of huddles in hospital maternity care settings, and most literature does not define the participants, timing, or agenda of the huddle. Further research is needed to understand how huddles affect outcomes in maternity settings. Researchers should explicitly define the huddles they are studying. The review protocol was registered at Open Science Framework Registries.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"92-98"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900275","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":"White Noise Exposure During Sleep in Infants and Children: How Much is too Much?","authors":"Judy A Beal","doi":"10.1097/NMC.0000000000001076","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001076","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 2","pages":"115"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494783","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":"Application of Three-Dimensional Printing in Maternity and Pediatric Nursing Care.","authors":"Suzan Ahmad, Caitlin Dreisbach","doi":"10.1097/NMC.0000000000001084","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001084","url":null,"abstract":"<p><strong>Abstract: </strong>Thre e-dimensional (3D) printing is an emerging technology that expanded quickly into a diverse array of clinical applications over the last decade. 3D printing, often called additive manufacturing, uses specialized printers to create objects through the addition of materials layer-by-layer. Using computer-aided design software via a 3D scanner or a digital camera, objects can be printed to highly precise and specific dimensions. This technology, including both the hardware and software, has applications in surgical procedures, dental implants and crowns, pharmaceuticals, and biomedical products. With the enormous potential of using 3D printing in multiple health care sectors, there is still limited usage for this technology in maternal and child health nursing practice. We provide an overview of 3D printing technology, review the current health care applications, and explore the opportunities and challenges of 3D printing in maternal and child nursing.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 2","pages":"86-91"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494819","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":"Critical Role of Nighttime Breast Emptying.","authors":"Diane L Spatz","doi":"10.1097/NMC.0000000000001078","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001078","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 2","pages":"116"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494822","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":"Application of Predictive Analytics in Pregnancy, Birth, and Postpartum Nursing Care.","authors":"Caitlin Dreisbach, Veronica Barcelona, Meghan Reading Turchioe, Samantha Bernstein, Elise Erickson","doi":"10.1097/NMC.0000000000001082","DOIUrl":"10.1097/NMC.0000000000001082","url":null,"abstract":"<p><strong>Abstract: </strong>Predictive analytics has emerged as a promising approach for improving reproductive health care and patient outcomes. During pregnancy and birth, the ability to accurately predict risks and complications could enable earlier interventions and reduce adverse events. However, there are challenges and ethical considerations for implementing predictive models in perinatal care settings. We introduce major concepts in predictive analytics and describe application of predictive modeling to perinatal care topics such as fertility, preeclampsia, labor onset, vaginal birth after cesarean, uterine rupture, induction outcomes, postpartum hemorrhage, and postpartum mood disorders. Although some predictive models have achieved adequate accuracy (AUC 0.7-0.9), most require additional external validation across diverse populations and practice settings. Bias, particularly racial bias, remains a key limitation of current models. Nurses and advanced practice nurses, including nurse practitioners certified registered nurse anesthetists, and nurse-midwives, play a vital role in ensuring high-quality data collection and communicating predictive model outputs to clinicians and users of the health care system. Addressing the ethical challenges and limitations of predictive analytics is imperative to equitably translate these tools to support patient-centered perinatal care.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"66-77"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900269","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":"Trends in Characteristics of Births in the United States 2020 to 2023.","authors":"Kathleen Rice Simpson","doi":"10.1097/NMC.0000000000001073","DOIUrl":"10.1097/NMC.0000000000001073","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"121-122"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883582","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}