Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing最新文献

{"title":"Resuscitative Care for the Obstetric and Neonatal Patient.","authors":"","doi":"10.1016/j.jogn.2026.02.006","DOIUrl":"https://doi.org/10.1016/j.jogn.2026.02.006","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789558","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":"Hypothermia in Extremely Low-Birth-Weight Infants After NICU Admission.","authors":"Seungjin Lee, Young Hwa Jung, Sun-Mi Chae","doi":"10.1016/j.jogn.2026.04.002","DOIUrl":"https://doi.org/10.1016/j.jogn.2026.04.002","url":null,"abstract":"<p><strong>Objective: </strong>To identify the clinical and procedural factors associated with hypothermia in extremely low-birth-weight (ELBW) infants in the NICU.</p><p><strong>Design: </strong>Retrospective cohort study using electronic medical record data.</p><p><strong>Setting: </strong>Level IV NICU in South Korea.</p><p><strong>Participants: </strong>The records of ELBW infants (N = 190) admitted to the NICU from January 2018 to December 2023.</p><p><strong>Methods: </strong>We assessed hypothermia in infant records at NICU admission and 2 hours after NICU admission. We performed univariate and multivariable logistic regression analyses to identify clinical and procedural factors associated with hypothermia.</p><p><strong>Results: </strong>At admission to the NICU, records indicated that 47.9% (n = 91) of included infants had hypothermia, and 42.6% (n = 81) of the records indicated that included infants remained hypothermic at 2 hours after NICU admission. Gestational age was inversely associated with post-admission hypothermia (odds ratio (OR) = 0.77, 95% confidence interval (CI) [0.62, 0.95], p = .015). The records of infants who had endotracheal tubes or central lines that were repositioned indicated a greater risk of hypothermia (OR = 2.73, 95% CI [1.05, 7.11], p = .040).</p><p><strong>Conclusion: </strong>We recommend active thermal management and minimal disruption during the early stabilization period to prevent hypothermia among ELBW infants and that neonatal nurses shift their focus from passive monitoring to active procedural stewardship in the NICU.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789465","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":"Donor Human Milk Compared With Formula Supplementation for Breastfeeding Term Newborns Treated With Phototherapy.","authors":"Erika Kusche, Amanda Dimas, Heather Bodden, Rebecca Miller, Karen Stanzo","doi":"10.1016/j.jogn.2026.04.001","DOIUrl":"https://doi.org/10.1016/j.jogn.2026.04.001","url":null,"abstract":"<p><strong>Objective: </strong>To compare the effects of donor human milk and formula supplementation on bilirubin levels and total phototherapy duration among term breastfeeding newborns who received phototherapy for neonatal hyperbilirubinemia.</p><p><strong>Design: </strong>Retrospective, nonexperimental observational study.</p><p><strong>Setting: </strong>Well-newborn nurseries in four health care facilities in Central and North Texas.</p><p><strong>Participants: </strong>Charts of breastfeeding term newborns (≥37 weeks gestation) who underwent phototherapy and received supplementation for the management of neonatal hyperbilirubinemia (N = 383).</p><p><strong>Methods: </strong>We compared the charts of breastfeeding newborns who received supplemental formula with the charts of those who received supplemental donor human milk. We analyzed group differences in bilirubin levels, phototherapy duration, and supplementation volume using independent-samples t tests, with effect sizes calculated as Cohen's d and reported with 95% confidence intervals (CIs).</p><p><strong>Results: </strong>We found that newborns who received supplemental donor human milk spent approximately 6 more hours on phototherapy than those who received formula (31.57 vs. 25.99 hours; d = 0.35; 95% CI [0.15, 0.56], p < .001). Final bilirubin levels did not differ significantly between groups (10.16 vs. 10.39 mg/dl; d = 0.05; 95% CI [0.16, 0.26], p = .63). Newborns who were given supplemental formula received more than twice the supplementation volume as those who were given supplemental donor human milk (344.63 vs. 982.00 ml; d = 5.82; 95% CI [0.90, 10.71], p = .01).</p><p><strong>Conclusion: </strong>Breastfeeding newborns with neonatal hyperbilirubinemia who receive supplemental donor human milk as an alternative to formula supplementation may spend more time on phototherapy.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789459","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":"Please Stop Causing Neonates Unnecessary Pain.","authors":"Elizabeth Eisenhauer","doi":"10.1016/j.jogn.2026.03.004","DOIUrl":"10.1016/j.jogn.2026.03.004","url":null,"abstract":"<p><p>JOGNN's Associate Editor addresses the continued lack of pain relief for neonates in NICUs and clinical research studies.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693749","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":"Benefits, Drawbacks, and the Future of the Use of AI in Statistical Data Analysis.","authors":"Oliwier Dziadkowiec","doi":"10.1016/j.jogn.2026.03.003","DOIUrl":"10.1016/j.jogn.2026.03.003","url":null,"abstract":"<p><p>The author describes a lifespan-based approach to understanding maternal depression and the statistical considerations essential for evaluating interventions.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583203","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":"Improved Nursing Assessment and Escalation of Care for Patients With Unrelieved Pain During Cesarean Birth.","authors":"Caitlin Dreisbach","doi":"10.1016/j.jogn.2026.03.002","DOIUrl":"10.1016/j.jogn.2026.03.002","url":null,"abstract":"<p><p>Unrelieved intraoperative pain during cesarean birth is an underrecognized complication with important clinical and psychological implications. Evidence indicates that intraoperative pain during cesarean birth is more common than previously recognized, particularly when measured using patient-reported outcomes rather than procedural proxies. Inadequate pain management has been associated with psychological distress, trauma symptoms, and dissatisfaction with care. Historical patterns that minimized women's pain and disparities related to race and language continue to influence clinical response. In this column, I synthesize the current evidence and clinical guidance to highlight opportunities for improved nursing assessment, communication, and escalation of care, with emphasis on the role of nurses in promoting patient safety and respectful maternity care.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576692","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 Shifting Policy Landscape in Reproductive Health.","authors":"Mindy B Tinkle, Nicholas Edwardson, Cathleen Hewlett-Masser, Jamie W Krashin, Whitny Schluter","doi":"10.1016/j.jogn.2026.03.001","DOIUrl":"10.1016/j.jogn.2026.03.001","url":null,"abstract":"<p><p>Since the U.S. Supreme Court's decision in Dobbs v. Jackson Women's Health Organization and accelerating over the past year, reproductive health policy in the United States has become increasingly fragmented and unstable. Recent federal actions have introduced new barriers across the continuum of reproductive care. These actions include changes to Title X family planning funding, substantial reductions to Medicaid, rescission of federal Emergency Medical Treatment and Labor Act (EMTALA) guidance related to pregnancy emergencies, and renewed regulatory scrutiny of mifepristone. Together, these changes affect access to contraception, miscarriage management, abortion, emergency pregnancy care, and assisted reproductive technologies such as in vitro fertilization (IVF). We examine how overlapping and, at times, internally inconsistent federal and state policies are reshaping reproductive health care delivery. We review the role of Title X in sustaining the reproductive health safety net, analyze how insurance loss and clinic destabilization limit contraceptive access, and describe how conflicts between abortion bans and EMTALA obligations delay emergency care. We also examine how political challenges to the U.S. Food and Drug Administration's authority over mifepristone threaten evidence-based management of early pregnancy loss and abortion and how rhetorical federal support for IVF contrasts with the absence of enforceable coverage protections. Nurses play a critical role in identifying gaps in care and advocating policies that protect evidence-based reproductive health services. The purpose of this series is to critically examine emerging federal and state health policy changes and their implications for the health and well-being of women, childbearing families, and young children and to provide evidence-based analyses that inform the nurses who care for these populations. The author solicitation and preparation of each article are overseen by series coordinators Mindy B. Tinkle, PhD, RN, WHNP-BC, CNE, FAAN, associate professor, and Nick Edwardson, PhD, MS, associate professor, College of Nursing, University of New Mexico, Albuquerque, NM.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576713","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":"Lower Extremity Nerve Injury During Labor and Birth: AWHONN Practice Brief Number 11.","authors":"","doi":"10.1016/j.jogn.2026.01.001","DOIUrl":"https://doi.org/10.1016/j.jogn.2026.01.001","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445918","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":"Patient Activation in the Postpartum Period by Race, Ethnicity, and Spoken Language.","authors":"Sarah E Harkins, Janice J Aubey, Jessica S Ancker, Robin B Kalish, Laura E Riley, Alison Hermann, Natalie C Benda","doi":"10.1016/j.jogn.2026.02.002","DOIUrl":"10.1016/j.jogn.2026.02.002","url":null,"abstract":"<p><strong>Objective: </strong>To describe needs for support, support-seeking actions, and level of patient activation in the postpartum period among four demographic groups defined by race, ethnicity, and spoken language.</p><p><strong>Design: </strong>Cross-sectional study of survey data.</p><p><strong>Setting: </strong>Online survey in the United States.</p><p><strong>Participants: </strong>Adult women who gave birth in the past 12 months and were able to read and speak English or Spanish (N = 446).</p><p><strong>Methods: </strong>We conducted descriptive analyses of all study variables and examined differences in sociodemographic characteristics, support needs, and patient activation across four demographic groups. We used chi-square or Fisher's exact tests to evaluate differences in categorical variables and analysis of variance for continuous variables, with Bonferroni-adjusted post hoc comparisons. We calculated effect sizes for all significant group differences.</p><p><strong>Results: </strong>English-speaking Hispanic respondents were the most likely to report the need for support for mental symptoms (n = 98, 83.5%; p = .03) among all groups. Nearly all respondents who endorsed the need for physical (n = 363, 97.8%) or mental health support (n = 319, 96.1%) reported that they took some action such as calling a provider or going to a clinic or hospital. Spanish-speaking Hispanic respondents had lower reported activation levels (n = 81, 47.4%; p = .01) than English-speaking Hispanic (n = 83, 71.6%), Black (n = 68, 70.1%), and White respondents (n = 49, 79.0%).</p><p><strong>Conclusion: </strong>Perceived needs for support and levels of patient activation in the postpartum period differed by demographic group. Future researchers should explore other demographic, psychosocial, and health care system factors associated with patient activation in the postpartum period and strategies to support improved skills and confidence in receiving postpartum care.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12991422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147461269","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}

{"title":"Seeking a Universal Definition for Severe Maternal Morbidity.","authors":"Tina Smith, Julie Schexnayder, Hsiao-Lan Wang, Allison Shorten","doi":"10.1016/j.jogn.2026.02.003","DOIUrl":"10.1016/j.jogn.2026.02.003","url":null,"abstract":"<p><p>Women can experience significant and potentially life-threatening complications related to pregnancy. These conditions are commonly referred to as severe maternal morbidity (SMM). Severe maternal morbidity can have devastating effects on pregnant women and their children, and in some cases it can lead to maternal mortality. In the United States, SMM and maternal mortality occur at greater rates than in other high-income countries. Within the past few years, researchers and health care providers have placed an increased emphasis on identifying cases of SMM to improve maternal and perinatal outcomes. However, the term severe maternal morbidity is not consistently defined in the literature, and a standardized definition is necessary to accurately measure incidence. Therefore, the purpose of this commentary is to review current definitions for SMM and offer an integrative, potentially universal definition for the term.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147460663","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}