{"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":"Amniotic Fluid Embolism.","authors":"Samantha L Bernstein","doi":"10.1097/NMC.0000000000001075","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001075","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 2","pages":"114"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494812","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":"Mentoring and Sponsorship for Early Career Nursing Scholars.","authors":"Kathleen Rice Simpson","doi":"10.1097/NMC.0000000000001085","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001085","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 2","pages":"65"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494772","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":"Syphilis During Pregnancy.","authors":"Jillian Pintye","doi":"10.1097/NMC.0000000000001079","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001079","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 2","pages":"117"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494778","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":"In a Flash: A Qualitative Descriptive Study of Amniotic Fluid Embolism Survivors.","authors":"Cheryl Tatano Beck","doi":"10.1097/NMC.0000000000001081","DOIUrl":"10.1097/NMC.0000000000001081","url":null,"abstract":"<p><strong>Purpose: </strong>To describe women's experiences of surviving an amniotic fluid embolism (AFE) as written in their online stories.</p><p><strong>Study design and methods: </strong>In this qualitative descriptive study, 50 stories of AFE that women posted on the AFE Foundation website were analyzed using Braun and Clarke's thematic analysis.</p><p><strong>Results: </strong>In this sample, 35 women had emergency cesarean births, 12 had vaginal births, and 3 did not mention the type of birth. In 35 of the stories, women's ethnicity could be determined. Thirty-three women were White and one each were Black and Asian. Twenty-eight mothers were primiparas and 22 were multiparas. Five themes were identified: In a Flash, Heartbreaking Loss of Memory, Arduous Trek Towards Physical Recovery, Struggling Mentally with the Aftermath of a Traumatic Birth, and It Takes a Village and Then Some.</p><p><strong>Clinical implications: </strong>The five themes identified from survivors' stories of AFE provide a firsthand account of surviving this catastrophic complication of childbirth and its prolonged aftermath. Nursing interventions based on these findings can be designed to help women heal from AFE.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 2","pages":"107-113"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494827","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}
Annie Rohan, Kathryn M L Konrad, Annie J Rohan, Timothea T Vo
{"title":"Toward Evidence-Based Practice.","authors":"Annie Rohan, Kathryn M L Konrad, Annie J Rohan, Timothea T Vo","doi":"10.1097/NMC.0000000000001074","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001074","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 2","pages":"118-120"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494781","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":"Fostering Informed Consent and Shared Decision-Making in Maternity Nursing with the Advancement of Artificial Intelligence.","authors":"","doi":"10.1097/NMC.0000000000001087","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001087","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 2","pages":"E4"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494824","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":"","doi":"10.1097/NMC.0000000000001086","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001086","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 2","pages":"E3"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494815","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' Role in the Birth Experience: An Integrative Review.","authors":"Nicholas M Raposo, Corrine Y Jurgens","doi":"10.1097/NMC.0000000000001080","DOIUrl":"10.1097/NMC.0000000000001080","url":null,"abstract":"<p><strong>Background: </strong>Intrapartum nurses are integral to the birth experience, yet their unique influence on this patient-reported outcome is not clear. The purpose of this review is to synthesize and highlight characteristics and practices of intrapartum nursing care associated with the birth experience.</p><p><strong>Methods: </strong>A search was conducted in February and March 2024 in CINAHL, PubMed, and Scopus with keywords birth experience, birth satisfaction, and nurse. Publication date was unrestricted, as no similar review was identified. Original, peer-reviewed publications in English were included. Publications that explored mediators of the birth experience, made unclear associations, or validated instruments were excluded. The Johns Hopkins Research Evidence Appraisal Tool was used for quality assessment. Findings were presented through Maslow's hierarchy of needs.</p><p><strong>Results: </strong>Twenty-five publications were included. They were published between 1989 and 2021 and present national and international data on a range of birth experience outcomes. Most publications were good or high quality. Characteristics and practices of intrapartum nursing care associated with the birth experience were those that fulfilled patients' physiological, safety, love, esteem, and self-actualization needs throughout labor and birth.</p><p><strong>Discussion: </strong>Fulfilled needs set the stage for positive birth experiences, whereas unfulfilled needs were associated with negative birth experiences. Findings can be used to support intrapartum nurses in optimizing birth experience outcomes.</p>","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 2","pages":"99-106"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494775","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":"Pelvic Floor Injuries during Childbirth.","authors":"Kathleen Rice Simpson","doi":"10.1097/NMC.0000000000001068","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001068","url":null,"abstract":"","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"50 1","pages":"59"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774287","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}