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

Perceptions of Rural Access to Prenatal Care in the United States by Patients, Nurses, Midwives, and Physicians: An Integrative Review. 病人、护士、助产士和医生对美国农村地区产前护理的看法：综合评论》。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-10-07 DOI: 10.1097/NMC.0000000000001062

Stephanie Durfee, Danielle N Nazarenko, Kafuli Agbemenu

{"title":"Perceptions of Rural Access to Prenatal Care in the United States by Patients, Nurses, Midwives, and Physicians: An Integrative Review.","authors":"Stephanie Durfee, Danielle N Nazarenko, Kafuli Agbemenu","doi":"10.1097/NMC.0000000000001062","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001062","url":null,"abstract":"Background: Despite substantial investments in maternity care, the United States continues to experience higher maternal mortality rates than most high-income countries. Rural regions lack adequate prenatal care services, a contributing factor to disparate maternal health outcomes.Methods: This integrative review on patient, nurse, midwife, physician, and community perspectives on accessing prenatal care in rural areas of the United States follows Whittemore and Knafl's integrative review framework, including a systematic literature search in various databases from January 1, 2010, to May 1, 2024. Eligible articles were published in English, peer-reviewed, and focused on subjective accounts of accessing prenatal care in rural areas of the United States. Seven articles met inclusion criteria and were assessed for quality using the Joanna Briggs Institute checklists.Results: Three major categories influencing access to prenatal care in rural areas were developed. Individual factors included transportation, family support, motivation, and work commitments. Socioeconomic factors encompass health insurance, rurality, income, and housing. System factors involved the qualities of nurses, midwives, physicians, the clinic environment, and collaboration within the health care system. The findings emphasized the complexity of rural prenatal care access.Conclusions: Understanding patient and care giver perspectives on accessing prenatal care in rural areas is crucial for addressing the factors influencing maternal outcomes. Rural pregnant women face unique challenges, contributing to an increased risk of maternal morbidity and mortality. Further research is needed to explore their experiences and develop interventions to improve access and outcomes in rural areas.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395048","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

Concept Analysis of Woman-Centered Care: Implications for Postpartum Care. 以妇女为中心的护理概念分析：对产后护理的影响。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-07-16 DOI: 10.1097/NMC.0000000000001045

Margaret F Sposato, Wendy R Miller

引用次数: 0

African Immigrant Women's Experiences of Maternity Care in the United States. 非洲移民妇女在美国的产妇护理经历。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-07-08 DOI: 10.1097/NMC.0000000000001043

Ruth Appiah-Kubi, Yeong-Hyun Kim, Laura B Attanasio

{"title":"African Immigrant Women's Experiences of Maternity Care in the United States.","authors":"Ruth Appiah-Kubi, Yeong-Hyun Kim, Laura B Attanasio","doi":"10.1097/NMC.0000000000001043","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001043","url":null,"abstract":"Objective: The purpose of this study was to explore maternity care experiences of African immigrant women during the perinatal period including factors affecting access to and use of care.Methods: We used Sandelowski's (2010) qualitative descriptive approach to examine how African immigrant women from various countries of origin and with diverse ethnic backgrounds experienced and navigated the maternity care system in the United States during pregnancy and childbirth. We conducted semi-structured interviews with 15 African immigrant women living in the Columbus, Ohio area. Participants were recruited using purposive and snowball sampling between February 2021 and May 2021. Interviews were recorded, transcribed, and analyzed using a reflexive thematic analysis approach.Findings: Four major themes defined the experiences of our study participants: access to information, patient-clinician relationships, experiences of discrimination, and costs of maternity care.Clinical implications: Findings highlight key barriers to providing quality and acceptable maternity care to African immigrant women at multiple levels. This group's unique barriers underlie the importance of incorporating their diverse experiences into maternity care models and clinical practice. Further research is needed to evaluate and improve maternity care for African immigrant women.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560293","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

Trends in Labor Induction and Augmentation for Women in the United States Having their First Live Birth, 2016 to 2022. 2016 年至 2022 年美国首次活产妇女引产和扩宫的趋势。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-07-08 DOI: 10.1097/NMC.0000000000001042

Kathleen Rice Simpson

引用次数: 0

Gastrointestinal and Gastroesophageal Reflux Scale Reference Values. 胃肠道和胃食管反流量表参考值。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-07-08 DOI: 10.1097/NMC.0000000000001044

Britt Frisk Pados, Rebecca R Hill

{"title":"Gastrointestinal and Gastroesophageal Reflux Scale Reference Values.","authors":"Britt Frisk Pados, Rebecca R Hill","doi":"10.1097/NMC.0000000000001044","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001044","url":null,"abstract":"Purpose: The purpose of this study was to determine age-based reference values for the Gastrointestinal and Gastroesophageal Reflux (GIGER) Scale for Infants and Toddlers.Study design and methods: GIGER data from healthy, full-term born children under 2 years of age were used to determine reference values. For each age group, median, interquartile range, 90th, and 95th percentile scores were calculated for each subscale and the total score. 90th percentile scores were also calculated for each of the 36 items based on the full sample.Results: Data from 625 children were used to determine reference values for children 0-2, 2-4, 4-6, 6-8, 8-10, 10-12, and 12-24 months. In healthy, full-term infants, gastrointestinal and gastroesophageal reflux symptoms improved over the first 24 months of life, with the most improvement occurring over the first 2 months.Clinical implications: The GIGER is a 36-item measure of gastrointestinal and gastroesophageal reflux symptoms for children under 2 years old that has evidence of adequate psychometrics for clinical practice and research. The age-based reference values established in this study can be used to guide score interpretation and determine when a child's symptoms warrant further investigation. This may help identify infants and toddlers with significant symptoms earlier so that they can obtain the care they need.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560294","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

Standardizing Fetal Movement Monitoring using Count the Kicks. 利用 "数踢 "实现胎动监测标准化。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-07-08 DOI: 10.1097/NMC.0000000000001048

Adriane Burgess, Megan Aucutt, Sarah L Coleman

{"title":"Standardizing Fetal Movement Monitoring using Count the Kicks.","authors":"Adriane Burgess, Megan Aucutt, Sarah L Coleman","doi":"10.1097/NMC.0000000000001048","DOIUrl":"10.1097/NMC.0000000000001048","url":null,"abstract":"Abstract: Stillbirth affects 1 in 175 pregnancies in the United States. There are significant racial and ethnic disparities in rates of stillbirth. Rates of stillbirth are highest among non-Hispanic Native Hawaiian or Other Pacific Islander and non-Hispanic Black women, more than twice the rate of non-Hispanic White women. Stillbirth is a public health crisis that warrants attention as it has significant physical, psychosocial, and economic effects on women and their family. Many stillbirths occur due to placental insufficiency, causing a lack of oxygenation of the fetus, which can result in decreased movement. Pregnant patients who experience stillbirth often observe decreased fetal movement days before birth. Daily fetal movement monitoring has the potential to identify pregnancies at risk so providers can intervene. Count the Kicks is a fetal movement monitoring program that provides standardized education and resources for expectant parents. Increased awareness of providers and childbearing families about the importance of fetal movement monitoring, standardized provision of education on fetal movement counting, and what to do if a baby's normal movement patterns change can be helpful in promoting healthy pregnancy outcomes.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560303","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}

引用次数: 0

Nurses' Perceived Effects of Visitor Restrictions in Hospital Maternity Units. 护士对医院产科探视限制影响的看法。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-07-01 Epub Date: 2024-06-27 DOI: 10.1097/NMC.0000000000001020

Stacey E Iobst, Rachel Blankstein Breman, Hannah Black, Joyce K Edmonds

{"title":"Nurses' Perceived Effects of Visitor Restrictions in Hospital Maternity Units.","authors":"Stacey E Iobst, Rachel Blankstein Breman, Hannah Black, Joyce K Edmonds","doi":"10.1097/NMC.0000000000001020","DOIUrl":"10.1097/NMC.0000000000001020","url":null,"abstract":"Purpose: To explore how perinatal nurses perceive the effects of visitor restrictions on patient care within a hospital setting.Study design and methods: We distributed a cross-sectional survey online to perinatal nurses in May of 2022. Characteristics of respondents were analyzed using descriptive statistics. Responses to an open-ended question were analyzed via conventional content analysis.Results: Among our sample of 101 nurses, we identified seven codes representing positive effects and seven codes representing negative effects. The most frequently reported positive effects were ability to provide person-centered care ( n = 36, 35.6%) and less patient stress and more rest ( n = 29, 28.7%). The most frequently reported negative effects were limited patient support ( n = 22, 21.8%) and emotional distress to the patient ( n = 15, 14.9%). Fourteen percent ( n = 14) of respondents cited both positive and negative effects.Clinical implications: Nurses perceived that visitor restrictions resulted in both positive and negative patient experiences. Balancing clinical needs and safety considerations with emotional needs of the childbearing individual requires careful consideration by maternity care clinicians and health care systems. Subsequent research is needed to determine optimal visitation policies during intrapartum and postpartum with consideration to hospital context and patient preferences for optimal care.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177581","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

Postpartum Remote Blood Pressure Monitoring Using a Mobile App in Women with a Hypertensive Disorder of Pregnancy. 使用移动应用程序对患有妊娠高血压疾病的妇女进行产后远程血压监测。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-07-01 Epub Date: 2024-06-27 DOI: 10.1097/NMC.0000000000001019

Adriane Burgess, Taylor Deannuntis, Julia Wheeling

{"title":"Postpartum Remote Blood Pressure Monitoring Using a Mobile App in Women with a Hypertensive Disorder of Pregnancy.","authors":"Adriane Burgess, Taylor Deannuntis, Julia Wheeling","doi":"10.1097/NMC.0000000000001019","DOIUrl":"10.1097/NMC.0000000000001019","url":null,"abstract":"Background: Hypertensive disorders of pregnancy affect approximately 15% of pregnancies in the United States and are a leading cause of postpartum readmissions. Morbidity due to hypertension may be higher in the first several weeks postpartum. The ability to monitor blood pressure and intervene in the postpartum period is critical to reducing morbidity and mortality.Local problem: At WellSpan Health, hypertensive disorders were increasing and a leading cause of severe maternal morbidity and readmission.Interventions: A remote blood pressure monitoring app called BabyScripts™ myBloodPressure was implemented in September 2020. Prior to discharge postpartum, all patients with a diagnosis of a hypertensive disorder of pregnancy were given an automatic blood pressure cuff and instructions on how to monitor and track their blood pressure daily in the app.Results: A total of 1,260 patients were enrolled in the BabyScripts™ myBloodPressure module between September 2020 and July 2022 across five maternity hospitals. Of those enrolled 74% ( n = 938) entered seven or more blood pressures, and of those who entered at least one blood pressure 9% ( n = 107) entered at least one critical range blood pressure ( ≥ 150 mmHg systolic and or ≥ 100 mmHg diastolic).Conclusion: Most women enrolled in the app were highly engaged and entered seven or more readings. Patients with critical blood pressures were identified; thus, the program has the potential to identify those at risk of severe complications. Barriers should be removed, and remote patient monitoring considered as a solution to improve postpartum assessment in patients with hypertensive disorders of pregnancy.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177582","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

Pregnant Women's Experiences of Seeking Treatment for Opioid Use. 孕妇寻求阿片类药物使用治疗的经历。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-07-01 Epub Date: 2024-06-27 DOI: 10.1097/NMC.0000000000001024

Kimberly Dion, Sandra Cardaropoli, Ria Deshpande, Jennifer Kovarik

{"title":"Pregnant Women's Experiences of Seeking Treatment for Opioid Use.","authors":"Kimberly Dion, Sandra Cardaropoli, Ria Deshpande, Jennifer Kovarik","doi":"10.1097/NMC.0000000000001024","DOIUrl":"10.1097/NMC.0000000000001024","url":null,"abstract":"Purpose: The purpose of this study was to describe women's experiences seeking treatment for opioid use disorder during pregnancy.Study design and methods: This was an exploratory multi-method study to understand women's experiences seeking treatment for opioid use disorder during pregnancy using surveys and interviews. Women pregnant within the past 5 years while using opioids were recruited from a private Facebook group for mothers on medication for opioid use disorder. Members of this group assisted with the development of the survey. Descriptive statistics were used for the 18-question survey and interviews were recorded, transcribed, and analyzed for themes.Results: Twenty-one women completed an online survey, and six participated in an in-depth virtual interview about their experience. Five themes describing their experiences were identified: (1) fear of child protective services, (2) family and partner support, (3) health care providers' reactions, (4) accessing treatment centers, and (5) awareness of support services during pregnancy .Clinical implications: Participants reported an overall negative experience seeking treatment for opioid use disorder during pregnancy. Nurses can improve the outcomes for pregnant women with opioid use disorder by using a non-stigmatizing approach, promoting early identification, and providing information, including harm reduction education. Facilitation of resources for treatment, mother and child programs, and advocating for partner treatment can improve maternal and neonatal outcomes.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177583","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

Nurses and Midwives Must Take the Lead on Improving Maternal and Infant Outcomes. 护士和助产士必须在改善母婴结果方面发挥带头作用。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-07-01 Epub Date: 2024-06-27 DOI: 10.1097/NMC.0000000000001018

Allison Shorten, Denise Côté-Arsenault, Gloria Giarratano, Catherine Ivory

引用次数: 0