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

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Apgar Scores less than 7 at 5 Minutes for Term Newborns by Maternal Characteristics: United States Births 2024. 根据产妇特征，足月新生儿5分钟时Apgar评分低于7分：美国2024年出生。
IF 2.2 4区 医学
Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-08-27 DOI: 10.1097/NMC.0000000000001151
Kathleen Rice Simpson
{"title":"Apgar Scores less than 7 at 5 Minutes for Term Newborns by Maternal Characteristics: United States Births 2024.","authors":"Kathleen Rice Simpson","doi":"10.1097/NMC.0000000000001151","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001151","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977541","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
Thrombotic Thrombocytopenic Purpura in Pregnancy. 妊娠期血栓性血小板减少性紫癜。
IF 2.2 4区 医学
Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-08-13 DOI: 10.1097/NMC.0000000000001143
Courtney Sundin, Kaley Rhodes
{"title":"Thrombotic Thrombocytopenic Purpura in Pregnancy.","authors":"Courtney Sundin, Kaley Rhodes","doi":"10.1097/NMC.0000000000001143","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001143","url":null,"abstract":"<p><strong>Abstract: </strong>Thrombotic thrombocytopenic purpura (TTP) is a rare and serious condition caused by a deficiency in the enzyme ADAMTS-13, leading to abnormal clotting and potential organ damage. Pregnancy can trigger TTP due to physiological changes in coagulation, significantly increasing the risk when ADAMTS-13 levels are severely deficient. The enzyme ADAMTS-13 cleaves vWF multimers, but in TTP, its deficiency leads to abnormal platelet aggregation and microvascular thrombi formation, causing organ damage, hemolytic anemia, and thrombocytopenia. This results in impaired blood flow and significant end-organ perfusion issues. TTP symptoms range from asymptomatic to severe, often mimicking other pregnancy-related complications like HELLP syndrome and preeclampsia, making diagnosis challenging. Clinical signs include thrombocytopenia, hemolytic anemia, neurological deficits, fever, and renal dysfunction, with recurrent fetal loss and intrauterine growth restriction also common. Diagnosis relies on clinical evaluation and laboratory findings, while awaiting ADAMTS-13 activity results. Effective communication and prompt multidisciplinary collaboration are crucial in diagnosing and treating TTP. Nurses play a vital role in assessment, collaboration, and patient and family communication to address complex complications during pregnancy.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849572","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
Collaborative Approaches in the Emergency Department for Maternity Patients. 产科病人急诊科的合作方法
IF 2.2 4区 医学
Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-08-13 DOI: 10.1097/NMC.0000000000001141
Miriam Wright, Tracey Jones
{"title":"Collaborative Approaches in the Emergency Department for Maternity Patients.","authors":"Miriam Wright, Tracey Jones","doi":"10.1097/NMC.0000000000001141","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001141","url":null,"abstract":"<p><strong>Abstract: </strong>The unique physiology of the pregnant and postpartum patient, along with the challenges of the emergency department setting, may increase the risk factors for preventable harm in highly complex care situations. Communication, following standardized processes, and reviewing maternal events to identify improvements are vital to minimize the risk of patient safety events and improve patient care outcomes for pregnant and postpartum patients in the emergency department setting. Implementing a standardized debriefing process will help reduce anxiety about discussing adverse events by making it a formula clinicians can follow and provide valuable real-time insight into barriers and resource needs. Two case studies of pregnant patients who presented to the emergency department at a level 2 trauma center highlight how the debriefing process improved maternity care and helped prevent future safety events. It is the goal that the lessons learned can provide insight to refine processes and improve safety throughout the continuum of care for mothers and babies.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849570","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
Implementing a Nurse Navigator for Placenta Accreta Spectrum Disorder. 胎盘增生谱系障碍护士导航员的实施。
IF 2.2 4区 医学
Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-08-13 DOI: 10.1097/NMC.0000000000001142
Lauren Mazac, Laura Davidson, Tracey Leenheers-Eaton, Courtney Sundin
{"title":"Implementing a Nurse Navigator for Placenta Accreta Spectrum Disorder.","authors":"Lauren Mazac, Laura Davidson, Tracey Leenheers-Eaton, Courtney Sundin","doi":"10.1097/NMC.0000000000001142","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001142","url":null,"abstract":"<p><strong>Background: </strong>Placenta accreta spectrum disorder is a condition that is rare but is becoming more common due to the increase in cesarean rates. Placenta accreta spectrum disorder is known to have high morbidity and mortality rates due to its increased risk of hemorrhage. These surgical cases are complex and need to have a robust multidisciplinary team to decrease the risk of potential complications. Due to the complexity of this diagnosis, the plan of care must involve coordination of several specialties and roles as well as ensuring the patient has adequate education and explanation regarding the plan of care.</p><p><strong>Methods: </strong>A placenta accreta spectrum disorder navigator was implemented to ensure optimal communication, equipment and team readiness, and a standardized approach to planning for patients with this diagnosis. An anonymous survey was sent to team members following placenta accreta spectrum disorder cases to evaluate their experiences, comparing results from before and after the implementation of the nurse navigator role.</p><p><strong>Results: </strong>The survey included responses from 11 team members in pre implementation and 21 post implementations. Post-implementation data showed improvements in communication, role clarity, and teamwork.</p><p><strong>Conclusions: </strong>Reviewing pre- and post-survey data, along with feedback from discussions and debriefs, revealed that implementing a placenta accreta spectrum disorder navigator improved communication and team efficiency. Data showed enhancements in provider experiences and a reduction in action items from debriefs.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849571","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
Euglycemic Diabetic Ketoacidosis in Pregnancy. 妊娠期糖尿病酮症酸中毒。
IF 2.2 4区 医学
Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-08-13 DOI: 10.1097/NMC.0000000000001145
Brooke Keel, Laura Gomez
{"title":"Euglycemic Diabetic Ketoacidosis in Pregnancy.","authors":"Brooke Keel, Laura Gomez","doi":"10.1097/NMC.0000000000001145","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001145","url":null,"abstract":"<p><strong>Abstract: </strong>Diabetic ketoacidosis in pregnancy is a rare but serious complication caused by insulin deficiency. Hyperglycemia is considered a hallmark sign of diabetic ketoacidosis; however, physiologic changes of pregnancy predispose pregnant women to developing euglycemic diabetic ketoacidosis, where the plasma glucose level is normal or near normal. Euglycemic diabetic ketoacidosis during pregnancy poses many challenges to diagnosis including signs and symptoms that can be attributed to pregnancy, rapid progression of signs and symptoms, and near-normal glucose levels. Fetal acidosis also develops as a result of the maternal disease process. The fetal heart rate tracing in diabetic ketoacidosis often features minimal to absent variability, fetal tachycardia, or recurrent or late decelerations. Treatment should focus on correcting maternal acidosis and electrolyte imbalances. Despite the state of the fetal heart rate tracing, birth is not typically indicated as fetal status should improve over time after correcting maternal acidosis. To improve outcomes and prevent worsening complications, early diagnosis and intervention is vital for patients with diabetic ketoacidosis. A collaborative, multidisciplinary approach to these patients can facilitate timely diagnosis and initiation of treatment. We present a case study of a patient diagnosed with euglycemic diabetic ketoacidosis secondary to influenza A that required emergency cesarean birth due to worsening maternal and fetal status despite corrective interventions.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856994","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
Guidelines for Primary Pediatric Care Professionals to Help Patients Establish and Protect Milk Supply. 初级儿科护理专业人员帮助患者建立和保护牛奶供应的指南。
IF 1.8 4区 医学
Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-07-01 Epub Date: 2025-06-27 DOI: 10.1097/NMC.0000000000001122
{"title":"Guidelines for Primary Pediatric Care Professionals to Help Patients Establish and Protect Milk Supply.","authors":"","doi":"10.1097/NMC.0000000000001122","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001122","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 4","pages":"E7"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509331","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 : 2025-07-01 Epub Date: 2025-06-27 DOI: 10.1097/NMC.0000000000001106
Aleigha Mason, Rebecca R S Clark, Diane L Spatz, Eileen T Lake
{"title":"Nurse Work Environments and Exclusive Breast Milk Feeding during the Birth Hospitalization.","authors":"Aleigha Mason, Rebecca R S Clark, Diane L Spatz, Eileen T Lake","doi":"10.1097/NMC.0000000000001106","DOIUrl":"10.1097/NMC.0000000000001106","url":null,"abstract":"<p><strong>Purpose: </strong>To examine whether hospital variation in the nurse work environment during labor and birth is associated with variation in the rate of exclusive breast milk feeding during the birth hospitalization.</p><p><strong>Study design and methods: </strong>Cross-sectional analysis of nurse survey, hospital, and exclusive breast milk feeding outcome data in a sample of 258 hospitals in five states. Sequential multivariate linear regression models were used to model the relationship between the outcome of exclusive breast milk feeding and the nurse work environment.</p><p><strong>Results: </strong>A good or mixed nurse work environment is significantly ssociated with higher hospital-level exclusive breast milk feeding rates in unadjusted and adjusted regression models. A hospital's Baby-Friendly status was not significantly associated with exclusive breast milk feeding rates.</p><p><strong>Clinical implications: </strong>Improvements to nurses' work environments can potentially increase hospital-level exclusive breast milk feeding rates.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"210-216"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057152","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
Guidelines for Primary Pediatric Care Professionals to Help Patients Establish and Protect Milk Supply. 初级儿科护理专业人员帮助患者建立和保护牛奶供应的指南。
IF 1.8 4区 医学
Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-07-01 Epub Date: 2025-06-27 DOI: 10.1097/NMC.0000000000001107
Courtney N Slater, Diane L Spatz
{"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":"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":"192-203"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204790/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dolutegravir in Pregnancy and Metabolic Health. 妊娠和代谢健康中的多替格拉韦。
IF 1.8 4区 医学
Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-07-01 Epub Date: 2025-06-27 DOI: 10.1097/NMC.0000000000001104
Jeffrey F Miles, Jillian Pintye
{"title":"Dolutegravir in Pregnancy and Metabolic Health.","authors":"Jeffrey F Miles, Jillian Pintye","doi":"10.1097/NMC.0000000000001104","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001104","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 4","pages":"239"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509330","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
Neonatal Advanced Life Support as an Alternative Option to the Neonatal Resuscitation Program for the Basis of Neonatal Resuscitation Practices and Education. 新生儿高级生命支持作为新生儿复苏计划的另一种选择，为新生儿复苏实践和教育的基础。
IF 1.8 4区 医学
Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2025-07-01 Epub Date: 2025-06-27 DOI: 10.1097/NMC.0000000000001112
Judy A Beal
{"title":"Neonatal Advanced Life Support as an Alternative Option to the Neonatal Resuscitation Program for the Basis of Neonatal Resuscitation Practices and Education.","authors":"Judy A Beal","doi":"10.1097/NMC.0000000000001112","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001112","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 4","pages":"237"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509335","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
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