Journal of Perinatal & Neonatal Nursing最新文献

{"title":"Mother-Infant Yoga: A Novel Approach to Improving Infant Sleep, Maternal-Infant Bonding, and Breastfeeding Self-Efficacy: A Randomized Controlled Trial.","authors":"Fatma Şule Bilgiç, Aysu Yıldız Karaahmet","doi":"10.1097/JPN.0000000000000963","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000963","url":null,"abstract":"<p><strong>Background: </strong>Positive sensory and movement experiences that the infant is exposed to in a safe and familiar environment help them cope with future stressors and support physiological regulation.</p><p><strong>Aim: </strong>To evaluate the effect of mother-infant yoga on sleep, maternal-infant bonding, and breastfeeding self-efficacy.</p><p><strong>Method: </strong>A randomized-controlled trial was conducted with 124 mother-infant pairs between March 2023 and January 2024. The intervention group practiced mother-infant yoga for 4 weeks, while the control group received routine care.</p><p><strong>Results: </strong>After the intervention, the breastfeeding self-efficacy score was significantly higher in the yoga group (58.34 ± 6.27) than in the control group (46.32 ± 6.41; P < .001). Maternal-infant bonding scores were also significantly higher in the yoga group (20.44 ± 1.89 vs 18.36 ± 2.06; P = .009). Night sleep duration was significantly longer in the yoga group (8.35 ± 1.00 hours) compared to the control group (7.01 ± 1.32 hours; P < .001).</p><p><strong>Conclusion: </strong>Mother-infant yoga significantly improved breastfeeding self-efficacy, maternal-infant bonding, and infant sleep duration. Further studies are warranted to explore its long-term effects and broader applicability.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281857","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":"The Prehabilitative Effect of the Premature Infant Oral Motor Intervention (PIOMI) on Breastfeeding Duration up to 12 Months Post Discharge.","authors":"Selver Güler, Zerrin Çiğdem, Melike Yavaş Çelik, Brenda S Lessen Knoll","doi":"10.1097/JPN.0000000000000964","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000964","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the effect of the Premature Infant Oral Motor Intervention (PIOMI) on breastfeeding duration after discharge, as well as weight gain, up to 12 months of noncorrected age.</p><p><strong>Background: </strong>Preterm infants face difficulties breastfeeding due to immature oral motor skills. Prehabilitative oral motor therapy during early preterm hospitalization may enhance breastfeeding initiation and duration post discharge.</p><p><strong>Methods: </strong>The randomized controlled trial was carried out with 64 preterm infants, with intervention 1× day for 14 days while hospitalized, and follow-up measures made at 6, 9, and 12 months. The control group (n = 32) received standard routine care. The experimental group (n = 32) received PIOMI treatment.</p><p><strong>Results: </strong>Breastfeeding duration in the experimental group was a mean of approximately 4 months longer when compared to the control group (P < .05). Additionally, the mean body weights of the preterm infants in the experimental group were significantly higher at 12 months than in the control group (P < .05).</p><p><strong>Conclusions: </strong>Early prehabilitative therapy using PIOMI in the preterm period has long-term sustained positive effects on breastfeeding and weight gain post discharge.</p><p><strong>Implications for practice and research: </strong>Evidence-based practices are required to support the breastfeeding of the premature infant. Future studies should continue to assess oral motor interventions on initiation and duration of breastfeeding, and the impact on early childhood development. Parent involvement in therapy should also be examined.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253773","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":"Experiences of Nurses Who Provide Human Milk Feeding Support to Black Parents in the Immediate Postpartum Period.","authors":"Holly Houston, Em Rabelais, Sarah Abboud, Crystal Patil","doi":"10.1097/JPN.0000000000000956","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000956","url":null,"abstract":"<p><strong>Purpose: </strong>This qualitative descriptive study examines racial disparities in human milk feeding by exploring nurses' experiences in providing support to Black parents during the immediate postpartum period.</p><p><strong>Background: </strong>Racial disparities in human milk feeding are persistent, with Black families much less likely to breastfeed than White, non-Hispanic families. Although nurses are key providers in the immediate postpartum, their role in human milk feeding support for Black families is inadequately studied.</p><p><strong>Methods: </strong>We conducted semi-structured interviews with 15 nurses who had 1 year or more of experience on the labor and delivery or postpartum units. Interviews followed an interview guide informed by the theory of planned behavior and critical race theory. Interviews were audio-recorded and analyzed using thematic analysis.</p><p><strong>Results: </strong>Two main themes, each with 3 subthemes, were identified: Navigating Human Milk Feeding Support (On the Job Learning, Juggling the Workload, and Self-Doubt) and Enacting Racism (Stereotyping, Explicit Racism, and Evasive Discourse). Nurses described experiencing inadequate human milk feeding education and stressors related to understaffing, which pressured them to make decisions about how to allocate time related to lactation support.</p><p><strong>Conclusions: </strong>Findings indicate that nurses may not offer adequate support due to their assumptions that Black parents are unlikely to engage in human milk feeding.</p><p><strong>Implications for practice and research: </strong>Disrupting structural racism throughout nursing education, including anti-racist continuing education and changing unit and hospital policies, may help intrapartum and postpartum nurses provide equitable and optimal support.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132769","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":"Factors Influencing Awareness and Attitude Regarding Do-Not-Resuscitation Orders Among Nurses Working in Neonatal Intensive Care Unit: A Mixed-Method Study.","authors":"Jessie Shaji Paul, Anu P, Surya Kant Tiwari, Shanty Charlin, Meena Joshi, Ankit Verma, Poonam Joshi","doi":"10.1097/JPN.0000000000000865","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000865","url":null,"abstract":"<p><strong>Purpose: </strong>This sequential mixed-method study explores neonatal intensive care unit (NICU) nurses' awareness, attitudes, and perceptions regarding do-not-resuscitate (DNR) orders.</p><p><strong>Methods: </strong>Quantitative surveys were conducted among 50 neonatal nurses, supplemented by qualitative focused group discussions involving 10 participants. Data collection included structured questionnaires assessing awareness and attitudes toward DNR orders, alongside qualitative interviews to capture their perceptions.</p><p><strong>Results: </strong>The mean age of the participants was 33.88 ± 8.60 years, predominantly females (98.0%), young adults (44.0%), and holding degree in nursing (68.0%). Findings indicated that over half of the neonatal nurses had poor awareness (52%) and negative attitudes (50%) toward DNR orders. Factors such as being unmarried (adjusted odds ratio [AOR] = 0.01, confidence interval [CI] = 0.01-0.27), <5 years of NICU experience (AOR = 0.04, CI = 0.00-0.53), and not attending refresher course on End of Life Care (AOR = 0.87, CI = 0.00-0.99) significantly reduced odds of good awareness. Additionally, being Christian (AOR = 0.01, CI = 0.00-0.40), unmarried (AOR = 0.05, CI = 0.00-0.51), and <5 years of NICU experience (AOR = 0.03, CI = 0.00-0.38) were associated with significantly lower odds of positive attitude toward DNR orders. Qualitative insights highlight emotional challenges and feelings of inadequacy among nurses during DNR order discussions with parents.</p><p><strong>Conclusion: </strong>The study highlights a need for comprehensive training and support for NICU nurses in navigating DNR order discussions effectively.</p><p><strong>Practical implications: </strong>Hospitals must prioritize regular nurse training on DNR orders. NICU settings need counseling support. Nurses' training should emphasize empathy and effective communication for sensitive DNR discussions.</p><p><strong>Precise: </strong>Most neonatal nurses lacked awareness and positive attitudes toward DNR orders, influenced by factors like marital status and NICU experience. Qualitative insights revealed emotional challenges in discussing DNR with parents.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076113","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":"The Effect of the Nurse's Compassionate Speech on the Pain Associated With Intravenous Catheter Insertion in Premature Neonates.","authors":"Reyhaneh Omidvar, Naghmeh Razaghi, Maryam Salari, Hasan Boskabadi","doi":"10.1097/JPN.0000000000000958","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000958","url":null,"abstract":"<p><strong>Background: </strong>Venipuncture is a common and painful procedure in the neonatal intensive care unit (NICU), Thus, there is a necessity for cost-effective, safe, and nonpharmacological interventions to alleviate pain associated with frequent and painful procedures in infants.</p><p><strong>Objective: </strong>This study aimed to investigate the effect of compassionate speech by nurses on the pain caused by venipuncture in premature infants.</p><p><strong>Method: </strong>This quasi-experimental study was conducted on 65 premature infants admitted to the neonatal intensive care units of the Imam Reza and Qaem hospitals in Mashhad, Iran. The control group received routine pain-reducing measures during the placement of the intravenous catheter, whereas the intervention group received the usual measures along with the nurse's voice before, during and after catheter insertion. The intensity of pain in the infants was measured via the Premature Infant Pain Profile at 4 time points. Data analysis was performed via SPSS version 26.</p><p><strong>Results: </strong>The results of the Generalized Estimating Equations (GEE) test revealed that infants in the intervention group experienced 2.826 units less pain than those in the control group over time (P < .001).</p><p><strong>Conclusion: </strong>The findings indicate that the presence of a nurse's voice positively influences pain reduction in infants undergoing painful procedures. It is advisable to implement this cost-effective approach, particularly in situations where the mother is not present.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024786","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":"Zinc Supplementation in Neonatal Hyperbilirubinemia: An Updated Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Arushi Yadav, Sivanesan Sivagnanaganesan, Jitendra Meena, Muhammad Aaqib Shamim, Jaivinder Yadav, Jogender Kumar","doi":"10.1097/JPN.0000000000000959","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000959","url":null,"abstract":"<p><strong>Background and objectives: </strong>In vitro studies suggest that oral zinc supplementation reduces enterohepatic circulation of unconjugated bilirubin and serum bilirubin levels. Multiple randomized controlled trials (RCTs) have assessed the efficacy of oral zinc supplementation in reducing bilirubin levels and the need for phototherapy. However, the evidence remains conflicting. Therefore, we aimed to evaluate the effects of oral zinc supplementation in neonatal hyperbilirubinemia.</p><p><strong>Methods: </strong>We searched PubMed, Embase, Web of Science, and various clinical registries for RCTs published until May 25, 2025, and compared zinc with placebo/routine care in neonates with or at risk of hyperbilirubinemia. A random-effects meta-analysis was conducted. The Risk of Bias Version 2 tool was used.</p><p><strong>Results: </strong>Seventeen studies (1565 participants) were included in this systematic review. Only 1 study provided data on the need for exchange transfusion for extreme hyperbilirubinemia, in which no events were reported in either group. There was no significant difference in the incidence of significant hyperbilirubinemia (4 studies, 577 neonates, risk ratio [RR]: 0.96, 95% confidence interval [CI]: 0.41-2.27) or the need for phototherapy (5 studies, 619 neonates, RR: 0.72, 95% CI: 0.32-1.60) (very low certainty). Oral zinc supplementation also led to a statistically significant reduction in the duration of phototherapy (12 studies, 1528 neonates, mean difference: 8.6 hours, 95% CI: 3.7-13.6 hours, low certainty). No differences were observed in adverse events or the duration of hospital stay.</p><p><strong>Conclusions: </strong>Oral Zn supplementation may reduce the duration of phototherapy but does not affect other outcomes.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024816","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":"The Effect of Training on Different Breastfeeding Positions With Lactation Simulation Model on Breastfeeding.","authors":"Ayşenur Durmuş, Dilek Coşkuner Potur","doi":"10.1097/JPN.0000000000000944","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000944","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effect of lactation simulation model-based (LSM-based) training on laid-back breastfeeding (semi-sitting or semi-lying) and upright position (sitting upright) breastfeeding given in the antenatal period on breast problems and breastfeeding.</p><p><strong>Methods: </strong>The study was a randomized controlled experimental and prospective one. A total of 108 primiparous pregnant women, 36 in the laid-back breastfeeding group (LBBG), 36 in the upright position breastfeeding group (UPBG), and 36 in the control group (CG) were included in this study.</p><p><strong>Results: </strong>The mothers in the LBBG and UPBG had higher breastfeeding self-efficacy at postpartum 10th day and 6th month compared to the mothers in the CG; the mothers in the CG had significantly more breastfeeding problems at postpartum 24th hour and 10th day compared to the mothers in the LBBG (P<0.05); the duration of exclusive breastfeeding was significantly higher among the mothers in the LBBG and UPBG compared to the mothers in the CG (p<0.001).</p><p><strong>Conclusion: </strong>It was determined that the LSM-based training on the breastfeeding position was effective in increasing mothers' breastfeeding self-efficacy and breastfeeding duration and that the LSM-based training on the laid-back breastfeeding position was an effective method in reducing breast problems.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978948","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":"The Development of the Postpartum Breastfeeding Comfort Scale and the Assessment of Its Psychometric Properties.","authors":"Özge Kaya, Nursan Çınar","doi":"10.1097/JPN.0000000000000948","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000948","url":null,"abstract":"<p><strong>Purpose: </strong>The objective of the present research is to develop the \"Postpartum Breastfeeding Comfort Scale\" and evaluate its psychometric properties.</p><p><strong>Background: </strong>It is thought that to increase breastfeeding success and ensure the continuity of effective breastfeeding, mothers' breastfeeding problems should be assessed holistically, physical, psychospiritual, sociocultural, and environmental factors that may cause deterioration in comfort should be determined, and a comfort-oriented nursing support can be provided accordingly.</p><p><strong>Methods: </strong>The present research was conducted using a methodological cross-sectional design. Reporting was guided by the STROBE checklist: Strengthening the Reporting of Observational Studies in Epidemiology statement. The \"Postpartum Breastfeeding Comfort Scale\" was developed in 4 steps: (1) creating an item pool; (2) testing the scale's content validity, criterion-related validity, and reliability; (3) performing exploratory factor analysis (EFA); and (4) performing confirmatory factor analysis (CFA).</p><p><strong>Results: </strong>The content validity index was satisfactory. Three factors were included, and 58.38% of the total variance in the scale was explained by the 15 items. Confirmatory factor analysis supported the 3-factor structure. Cronbach's alpha coefficient was found to be 0.80 for the entire scale. Test-retest reliability was 0.95.</p><p><strong>Conclusion and implications: </strong>The Postpartum Breastfeeding Comfort Scale has good test-retest reliability, internal consistency reliability, content validity, construct validity, and criterion-related validity. We predict that the Postpartum Breastfeeding Comfort Scale will be a useful tool for assessing mothers' breastfeeding comfort by nurses.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979018","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":"The Relationship Between Attitudes Toward Sexuality During Pregnancy and Sexual Quality of Life.","authors":"Dilek Kaloğlu Binici, Sevinç Köse Tuncer","doi":"10.1097/JPN.0000000000000946","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000946","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to examine the relationship between attitudes toward sexuality during pregnancy and sexual quality of life.</p><p><strong>Methods: </strong>This descriptive and correlational study included 433 pregnant women who either visited the non-stress test unit of a public hospital between October 2021 and March 2022 or participated online via Google Forms, email, and WhatsApp between June and July 2022. Data were collected using 3 tools: the Pregnant Women's Introductory Information Form, the Sexual Quality of Life-Female Scale, and the Attitude Toward Sexuality During Pregnancy Scale.</p><p><strong>Results: </strong>Multiple linear regression analysis revealed that employment status, income level, receiving information about sexual life during pregnancy, satisfaction with sexual life before pregnancy, and satisfaction with sexual life during pregnancy significantly influenced sexual quality of life scores.</p><p><strong>Conclusions: </strong>Pregnant women who hold positive beliefs and values about sexuality during pregnancy, experience less anxiety related to sexual activity, and who approve of sexuality during pregnancy tend to have higher sexual quality of life.</p><p><strong>Implications for practice and research: </strong>Understanding the perceptions and concerns that contribute to negative attitudes toward sexuality during pregnancy, and providing individualized, evidence-based counseling can support the sexual well-being of pregnant women and their partners.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979135","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":"Development and Validation of a Clinical Simulation Scenario to Enhance Postpartum Hemorrhage Management.","authors":"Adriana M Lima, Tatiane S Coelho, Jéssica L Carneiro, Maria V L L Cardoso, Luciana M M Fonseca, Ana K C Damasceno","doi":"10.1097/JPN.0000000000000945","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000945","url":null,"abstract":"<p><strong>Purpose: </strong>To develop and validate a clinical simulation scenario for postpartum hemorrhage management.</p><p><strong>Background: </strong>Postpartum hemorrhage remains the leading cause of maternal mortality globally, despite being preventable in most cases. Structural deficiencies, limited access to care, and inadequate professional training contribute to its persistence. Clinical simulation offers an effective strategy for professional training in a safe, controlled, and context-appropriate environment.</p><p><strong>Methods: </strong>This methodological study was conducted in three phases: systematic review, scenario updating, and validation by 22 experts and 24 target audience professionals. The study followed Jeffries' theoretical framework and INACSL guidelines. Results : The expert validation instrument showed an intraclass correlation coefficient (ICC) and Cronbach's alpha of 0.872, indicating strong internal consistency and reliability. For the target audience, the ICC was 0.844 and Cronbach's alpha .841, also reflecting good reliability. The Binomial Test demonstrated agreement above 0.85 for all items, confirming expert consensus on the scenario's content and appearance.</p><p><strong>Conclusions: </strong>The scenario was deemed suitable for implementation, with expert recommendations successfully integrated.</p><p><strong>Implications: </strong>The validated clinical simulation scenario is effective, reliable, and implementation-ready, supporting improved professional training and contributing to reduced maternal mortality.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978872","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}