Mcn-The American Journal of Maternal-Child Nursing最新文献_第9页

Minimum Nurse Staffing Ratios Required for Nursing Homes in the United States: Implications for Maternity Nurse Staffing. 美国养老院所需的最低护士配置比例：对产科护士人员配备的影响。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-09-01 Epub Date: 2024-08-13 DOI: 10.1097/NMC.0000000000001039

Kathleen Rice Simpson

引用次数: 0

Perinatal Care for Persons with Dissociative Disorders. 对分离障碍患者的围产期护理。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-09-01 Epub Date: 2024-08-13 DOI: 10.1097/NMC.0000000000001037

Rebeccah A Dindinger, Laura L Manzo, Susannah E Manupule, Solène Lehuédé Harp

引用次数: 0

Prevalence of Hypertensive Disorders of Pregnancy and Gestational Diabetes Mellitus by Race and Ethnicity in Illinois, 2018 to 2020. 2018 年至 2020 年伊利诺伊州按种族和民族分列的妊娠高血压疾病和妊娠糖尿病患病率。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-09-01 Epub Date: 2024-08-13 DOI: 10.1097/NMC.0000000000001035

Tiffany Reed, Crystal Patil, Kiarri N Kershaw, Natasha Crooks, Rohan Jeremiah, Chang Park

{"title":"Prevalence of Hypertensive Disorders of Pregnancy and Gestational Diabetes Mellitus by Race and Ethnicity in Illinois, 2018 to 2020.","authors":"Tiffany Reed, Crystal Patil, Kiarri N Kershaw, Natasha Crooks, Rohan Jeremiah, Chang Park","doi":"10.1097/NMC.0000000000001035","DOIUrl":"10.1097/NMC.0000000000001035","url":null,"abstract":"Purpose: Use administrative discharge data from 2018 to 2020 to determine if there are differences in the prevalence of hypertensive disorders of pregnancy (HDP) and gestational diabetes mellitus (GDM) by race and ethnicity in Illinois.Study design and methods: This retrospective cross-sectional study used administrative discharge records from all patients who had live births in Illinois over a 3-year period; 2018, 2019, 2020. Multivariate analyses were performed to control for covariates and determine if associations vary by race and ethnicity for HDP and GDM.Results: A total of 287,250 discharge records were included. Multivariate analyses showed that after adjusting for covariates, non-Hispanic Black women had 1.60 increased odds of HDP compared to non-Hispanic White women (OR, 1.60; 95% CI, 1.55-1.65). Hispanic women (OR, 1.45; 95% CI, 1.40-1.50), Asian/Pacific Islander women (OR, 2.07; 95% CI, 1.97-2.17), and American Indian/Alaska Native women (OR, 1.43; 95% CI, 1.17-1.74) had an increased odds of GDM compared to non-Hispanic White women.Clinical implications: Women of color were at increased odds for HDP and GDM in Illinois. To eliminate poor maternal outcomes in women of color at risk for HDP and GDM, more culturally congruent health equity practices, policies, and comprehensive care interventions must be adopted.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":" ","pages":"268-275"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307337","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

Integrating Community-Based Doulas into the Maternity Health Care System in an Urban Hospital. 将以社区为基础的助产师纳入城市医院的产妇保健系统。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-09-01 Epub Date: 2024-08-13 DOI: 10.1097/NMC.0000000000001032

Mary Schubert, M Cynthia Logsdon, Clara Sears, Edward Miller, Ahmed Abdulmohsen Alobaydullah, Kristine L Lain

{"title":"Integrating Community-Based Doulas into the Maternity Health Care System in an Urban Hospital.","authors":"Mary Schubert, M Cynthia Logsdon, Clara Sears, Edward Miller, Ahmed Abdulmohsen Alobaydullah, Kristine L Lain","doi":"10.1097/NMC.0000000000001032","DOIUrl":"10.1097/NMC.0000000000001032","url":null,"abstract":"Background: Maternal morbidity and mortality in the United States are higher than peer countries. These adverse events disproportionally affect Black women.Local problem: Rates of maternal morbidity and mortality among Black childbearing women in West Louisville, Kentucky are higher than rates in Kentucky and the United States.Methods: We conducted a quality improvement project to evaluate the effectiveness of adding doulas to the health care teams at the Norton downtown hospital to address health disparities and other challenges identified by Black childbearing women related to communication and health care system barriers.Intervention: Three culturally congruent doulas were hired and integrated into the health care teams in one large health care organization.Results: Participants in the doula program had lower no-show rates for postpartum visits compared with non-participants. No-show rates for prenatal visits were the same for both groups. Rates of diagnosed preeclampsia, hypertension, and chronic hypertension were similar among doula program participants and those who did not participate. Narrative data indicated that program participants and health professionals were generally pleased with the doula program and there was positive feedback from the community.Conclusions: Integrating culturally congruent doulas into the health care system maximized their impact to address health and other challenges experienced by Black childbearing women.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"49 5","pages":"261-267"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958587","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

Impact of Labor and Birth Interventions on Breastfeeding Outcomes. 分娩和分娩干预对母乳喂养结果的影响。

IF 1.8 4区医学

Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-09-01 Epub Date: 2024-08-13 DOI: 10.1097/NMC.0000000000001031

Diane L Spatz

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":" ","pages":"188-194"},"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":" ","pages":"194-203"},"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":" ","pages":"225-231"},"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

Pre-Pandemic Versus Early COVID-19 Perinatal Outcomes at a Military Hospital. 一家军医院大流行前与早期 COVID-19 的围产期结果。

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.0000000000001023

Brandi L Gibson, Dehussa Urbieta, Sheila Sweeney, Jane A Ferguson, Dale Glaser, Abigail Yablonsky Marter

{"title":"Pre-Pandemic Versus Early COVID-19 Perinatal Outcomes at a Military Hospital.","authors":"Brandi L Gibson, Dehussa Urbieta, Sheila Sweeney, Jane A Ferguson, Dale Glaser, Abigail Yablonsky Marter","doi":"10.1097/NMC.0000000000001023","DOIUrl":"https://doi.org/10.1097/NMC.0000000000001023","url":null,"abstract":"Purpose: The purpose of this study was to examine the impact of the first year of COVID-19 pandemic on maternal and neonatal outcomes at a large military treatment facility in Southern California.Study design and methods: A retrospective review of maternal and neonatal medical records was conducted between January 1, 2019, and December 31, 2020. Outcomes measured included stillbirth rate, neonatal intensive care unit admission, neonatal death, cesarean birth, and postpartum hemorrhage.Results: A total of 4,425 records were analyzed. Rates of stillbirth between the years did not vary. The neonatal death rate decreased more than 50% in 2020 (p = .149). Cesarean births rose by 2.7% in 2020 (p = .046). Rates of postpartum hemorrhage did not vary between years.Clinical implications: The impact of COVID-19 on maternal and neonatal outcomes at a military treatment facility in the first year of the COVID-19 pandemic provides guidance for optimizing perinatal health care. Vertical transmission of COVID-19 is low and routine testing of asymptomatic neonates of positive mothers may not be necessary. COVID-19 infections should not be an indication for cesarean birth and are not associated with neonatal deaths or NICU admission.","PeriodicalId":51121,"journal":{"name":"Mcn-The American Journal of Maternal-Child Nursing","volume":"49 4","pages":"219-224"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460643","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