{"title":"Promoting Accurate Language on Lactation from Prenatal to Postpartum.","authors":"Nina A S Juntereal, Diane L Spatz","doi":"10.1097/NMC.0000000000001108","DOIUrl":"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":"204-209"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","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}
{"title":"Lower Extremity Nerve Injury during Childbirth.","authors":"Samantha L Bernstein","doi":"10.1097/NMC.0000000000001110","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001110","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 4","pages":"236"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509334","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":"","doi":"10.1097/NMC.0000000000001123","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001123","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 4","pages":"E8"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509338","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":"Breastfeeding after Breast Reduction Surgery.","authors":"Diane L Spatz","doi":"10.1097/NMC.0000000000001115","DOIUrl":"10.1097/NMC.0000000000001115","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the topic of breast reduction surgery and nursing implications.</p><p><strong>Methods: </strong>The following databases were searched (Embase, PubMed, Scopus, and CINAHL) using the terms mammoplasty, breast milk, human milk, breastfeeding, and lactation, as well as breast reduction and reduction mammoplasty for studies in English, where both breastfeeding and reduction were mentioned in abstract or title, with no restriction on date of publication.</p><p><strong>Results: </strong>There were four systematic reviews, and four additional articles identified that were not cited in the systematic reviews. All the systematic reviews used different definitions of \"successful\" breastfeeding. None specifically addressed the milk-making capacity of the breast tissue after surgery or reported 24-hour milk production. Certain surgical techniques are reported to help with the preservation of milk supply; however, they have not been accurately studied for milk-making capacity of the breast. Breastfeeding after breast reduction surgery has not been a topic covered by nurse researchers.</p><p><strong>Clinical implications: </strong>The word \"success\" is not a useful word in providing counseling to women who are considering breast reduction surgery. Patients considering breast reduction should be advised that surgery may affect the ability to achieve a complete milk supply. More research is needed on the milk-making capacity of the breast after various types of breast reduction surgery.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 4","pages":"231-235"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509329","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":"MCN's 50th Anniversary: A Long History of Contributions to Maternity and Pediatric Nursing.","authors":"Kathleen Rice Simpson, Annie J Rohan","doi":"10.1097/NMC.0000000000001135","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001135","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530988","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}
Maggie C Runyon, Kimberly K Trout, Linda Carman Copel, Helene Moriarty
{"title":"Labor and Delivery Nurse Psychological Trauma: An Integrative Review.","authors":"Maggie C Runyon, Kimberly K Trout, Linda Carman Copel, Helene Moriarty","doi":"10.1097/NMC.0000000000001118","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001118","url":null,"abstract":"<p><strong>Background: </strong>This integrative review used Whittemore and Knafl's (2005) framework to critique the available quantitative evidence examining multiple types, prevalence, and impact of psychological trauma in labor and delivery nurses. This review synthesizes the quantitative evidence on multiple types of trauma in this population.</p><p><strong>Methods: </strong>Inclusion criteria were quantitative and mixed-methods studies of labor and delivery nurses examining types of trauma as defined by Foli's Middle-Range Theory of Nurses' Psychological Trauma. Studies on patient trauma from nursing care were excluded. CINAHL, Scopus, Medline, PubMed, and Web of Science databases were searched for studies electronically available through April 8, 2024. The Joanna Briggs Institute critical appraisal tools facilitated quality and bias assessments. A conceptual model based on Foli's theory contextualizes the findings.</p><p><strong>Results: </strong>Nine studies (five cross-sectional descriptive, one longitudinal, and three mixed-methods) are included in this review. Across all studies, unique aspects of the labor and birth nurse role were found to contribute to trauma, including exposure to perinatal death and fetal demise, high rates of patient trauma, an increasingly medicalized birth environment, and emotional burnout. Labor and birth nurses experienced psychosomatic symptoms, negative effects on their relationships and quality of life, and increased rates of attrition, although nurses also identified specific system supports to decrease these effects.</p><p><strong>Discussion: </strong>Limited research exists on the types of and impact of trauma experienced by labor and delivery nurses. This integrative review aims to address this gap in knowledge, while also suggesting implications for future research and policy. There is emerging evidence that post-traumatic growth is possible in this population with system support, yet many nurses are unaware of or have inadequate access to such resources. More research is needed to fully understand the magnitude of this population's psychological trauma and provide effective support strategies.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040002","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":"Improving Communication during Perinatal Care to Eliminate Preventable Maternal Morbidity and Mortality: The Issue of Communication Hierarchy.","authors":"Rachel Blankstein Breman","doi":"10.1097/NMC.0000000000001119","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001119","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007513","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":"Effective Communication During and After an Amniotic Fluid Embolism.","authors":"Miranda Klassen, Kayleigh Summers","doi":"10.1097/NMC.0000000000001121","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001121","url":null,"abstract":"<p><strong>Abstract: </strong>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.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-05","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}
{"title":"Trauma-Responsive Perinatal Leadership.","authors":"Adriane Burgess, Tara Ryan Kosmas","doi":"10.1097/NMC.0000000000001120","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001120","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052149","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}