Mcn-The American Journal of Maternal-Child Nursing最新文献_第2页

Forever Chemicals (PFAS): An Overview for Maternity and Pediatric Health Care Professionals. 永久化学品（PFAS）：妇幼保健专业人员概述。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.1097/NMC.0000000000001090

Laura Anderko, Emma Pennea, Mary Kathryn Cardon, Ruth McDermott-Levy, Abby Mutic

{"title":"Forever Chemicals (PFAS): An Overview for Maternity and Pediatric Health Care Professionals.","authors":"Laura Anderko, Emma Pennea, Mary Kathryn Cardon, Ruth McDermott-Levy, Abby Mutic","doi":"10.1097/NMC.0000000000001090","DOIUrl":"10.1097/NMC.0000000000001090","url":null,"abstract":"Abstract: Per- and polyfluoroalkyl substances (PFAS) constitute a large class of chemicals with widespread exposure in the United States. They are commonly used in products because they repel water, stain, and grease. Concerns about the health impacts from PFAS exposures continue to grow as science has linked this chemical family with a wide range of health effects. A recent report by the Agency for Toxic Substances and Disease Registry ( ATSDR, 2024 ), along with findings from the National Academies of Sciences, Engineering, and Medicine ( NASEM, 2022 ), found sufficient evidence for the following health effects in children: decreased antibody response, dyslipidemia, and decreases in birthweight. For pregnant patients, health effects include gestational hypertension and preeclampsia. Some of these chemicals can pass through human breastmilk and when tested, are routinely found in umbilical cord blood and fetal organs ( ATSDR, 2021 ). Concerns for human health prompted the U.S. Environmental Protection Agency (EPA) to recently regulate five different PFAS and combinations of them. We offer clinical perspectives based on the most current literature to reduce health effects including methods to reduce exposure, implications of lab testing, and clinical management considerations. This topic is important because of widespread human exposure. PFAS may bioaccumulate in humans; may increase cancer risk; have long half-lives in humans; and may affect the developing fetus and child. PFAS levels exceed EPA's Lifetime Health Advisory (LTHA) in drinking water in most states. An overview of this issue and related health concerns is presented in the context of implications for maternity and pediatric patients.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"133-140"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544325","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

Implications of Ongoing Policy Changes at the Federal and State Levels in the United States on the Wellbeing of Women and Children: What Can Nurses Do? 美国联邦和州一级正在进行的政策变化对妇女和儿童福祉的影响：护士能做些什么？

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.1097/NMC.0000000000001117

Kathleen Rice Simpson, Annie J Rohan

引用次数: 0

Keeping Mothers Together With Their Babies Requiring Neonatal Intensive Care During the Birth Hospitalization: An Innovative Model of Care. 分娩住院期间需要新生儿重症监护的母亲与婴儿在一起：一种创新的护理模式。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.1097/NMC.0000000000001093

Amy Dagestad

{"title":"Keeping Mothers Together With Their Babies Requiring Neonatal Intensive Care During the Birth Hospitalization: An Innovative Model of Care.","authors":"Amy Dagestad","doi":"10.1097/NMC.0000000000001093","DOIUrl":"10.1097/NMC.0000000000001093","url":null,"abstract":"Background: Keeping mothers and babies together after birth has long been described as best practice; however, most organizations in the United States move newborns requiring a higher level of care to a different unit in the hospital. The leadership team at a level II, four-bed neonatal intensive care unit in a community hospital averaging 1,400 births per year recognized an opportunity to potentially improve the care for maternity patients and their families.Intervention: Instead of high-risk newborns being cared for in the neonatal intensive care unit while their mothers were on the postpartum unit, an innovative model applied the concepts of rooming-in and couplet care in a new way, keeping mothers and their babies that need a higher level of care together. Mothers and babies remain together in a Labor-Delivery-Recovery-Postpartum/Neonatal Intensive Care (LDRP/NICU suite).Methods: The purpose of the new model of care was to improve patient and family experiences. Data were collected for 2 years prior and for 2 years after implementation of the new model of care. Participants included birth mothers of NICU babies on their day of discharge.Results: Results include improved employee and provider engagement. Birth volumes have increased since this practice change. This model of care has been successful in our facility and offers the opportunity for families to stay together throughout both mother and newborn's hospital stays.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"162-167"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544261","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

Toward Evidence-Based Practice. 走向循证实践。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.1097/NMC.0000000000001089

Laura L Hayman, Mary Dawn Koenig, Annie Rohan

引用次数: 0

Forever Chemicals (PFAS): An Overview for Maternity and Pediatric Health Care Professionals. 永久化学品（PFAS）：妇幼保健专业人员概述。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.1097/NMC.0000000000001102

引用次数: 0

Labor and Delivery Nurses' Perceptions of Their Colleagues' Attitudes and Behaviors Toward Pregnant Patients with Substance Use. 分娩护士对同事对待孕妇药物使用态度和行为的认知。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.1097/NMC.0000000000001101

引用次数: 0

Bedsharing Perspectives among Latino Caregivers. 拉丁裔看护者的同床共枕观点。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.1097/NMC.0000000000001094

Rachel Barbon, Jennifer J Doering

{"title":"Bedsharing Perspectives among Latino Caregivers.","authors":"Rachel Barbon, Jennifer J Doering","doi":"10.1097/NMC.0000000000001094","DOIUrl":"10.1097/NMC.0000000000001094","url":null,"abstract":"Objective: In this study, we sought to explain how Latino family caregivers make decisions about where infants sleep using grounded theory methodology.Setting: Latino family caregivers were recruited from the Midwest using purposive theoretical sampling via social media and word-of-mouth.Methods: Participants were interviewed virtually via Zoom. Interviews were audio recorded and transcribed. Open coding, selective coding, and theoretical coding were used to create themes and categories.Results: Forty-five Latino family caregivers participated. The basic social process of Latino family infant sleep decision-making was Caregiver Vigilance . There were three outcomes of the process ( placement in a crib, intentional bedsharing , or unintentional bedsharing ). Six factors ( pediatrician recommendations, family caregivers' beliefs about infant sleeping behaviors, grandmother's advice, postpartum fatigue, breastfeeding , and bonding ) influenced each outcome in patterned ways.Conclusion: Safe infant sleep decisions among caregivers in the Latino community are complex. Our findings can help nurses assess the needs of the Latino population and address intentional and unintentional bedsharing.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"151-156"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544248","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

Relationship Between Anxiety and the Birth Experience of Hispanic Adolescents. 焦虑与西班牙裔青少年出生经历的关系。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.1097/NMC.0000000000001092

Cheryl A Anderson, Analee Gonzalez

{"title":"Relationship Between Anxiety and the Birth Experience of Hispanic Adolescents.","authors":"Cheryl A Anderson, Analee Gonzalez","doi":"10.1097/NMC.0000000000001092","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001092","url":null,"abstract":"Purpose: To explore the effects of anxiety on the birth experience among Hispanic adolescents 13 to 19 years of age without comorbid major depression, along with selected obstetric and demographic variables.Study design and methods: Cross-sectional study with a secondary analysis design using demographic information, a subjective rating of the birth experience and anxiety level, and an objective anxiety score using the Edinburg Postnatal Depression Inventory-A (EPDS-A) from 127 Hispanic adolescents.Results: We found two variables to affect the birth experience: self-reported anxiety (p = .001) and type of birth (p = .001). Three additional variables neared significance indicating potential promise of importance: stress (p = .06), parity (p = .06), and unplanned pregnancy (p = .055). Remaining variables including objective measure of anxiety (p = .504), age (p = .144), and infant complications (p = .153) did not affect the birth experience.Clinical implications: Our findings encourage attention by nurses and other clinicians to the effects of self-reported anxiety, stress, type of birth, parity, and unplanned pregnancy on the adolescent's birth experience and highlight the importance of an assessment of the birth experience in early postpartum. Prior research on an association between negative birth experiences and potential mental health consequences supports postpartum follow-up for at-risk adolescents.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 3","pages":"157-161"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039767","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

Labor and Delivery Nurses' Perceptions of Their Colleagues' Attitudes and Behaviors Toward Pregnant Patients with Substance Use. 产科护士对同事对待吸毒孕妇的态度和行为的看法。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.1097/NMC.0000000000001091

Karli Swenson, Amber Johnson, Gretchen Schulz, Katie Breen

{"title":"Labor and Delivery Nurses' Perceptions of Their Colleagues' Attitudes and Behaviors Toward Pregnant Patients with Substance Use.","authors":"Karli Swenson, Amber Johnson, Gretchen Schulz, Katie Breen","doi":"10.1097/NMC.0000000000001091","DOIUrl":"10.1097/NMC.0000000000001091","url":null,"abstract":"Objective: To understand labor and delivery nurses' attitudes and behaviors toward pregnant patients with substance use disorders or mental health concerns. Suicide and overdose are among the leading causes of preventable maternal deaths nationwide, underscoring the urgency of addressing issues related to supporting pregnant patients with behavioral health concerns.Design: We surveyed a subpopulation of nurses in Colorado to understand attitudes and behaviors toward patients with substance use disorders and mental health concerns.Results: Survey respondents were 154 nurses from 14 Colorado hospitals that represented 45% of the state's 2022 births: Half of the nurses reported their colleagues have negative attitudes and nearly one-third reported negative behaviors toward patients who disclose substance use. Qualitative data revealed instances of positive behaviors, with examples of supportive clinical care and resource provision for patients disclosing substance use. Negative examples described mistrust, negative attitudes, and lack of compassion toward patients, as well as instances of substandard clinical care.Conclusions: In this study, negative attitudes and behaviors were noted by some labor and delivery nurses by their colleagues toward pregnant patients with substance use disorders. Positive behaviors were also reported. Comprehensive processes to decrease negative behaviors are necessary to improve care for pregnant patients and to decrease maternal mortality from suicide and accidental overdose.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"141-150"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544406","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

Nurse Work Environments and Exclusive Breast Milk Feeding during the Birth Hospitalization. 分娩住院期间护士工作环境和纯母乳喂养。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-04-10 DOI: 10.1097/NMC.0000000000001106

Aleigha Mason, Rebecca R S Clark, Diane L Spatz, Eileen T Lake

引用次数: 0