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

{"title":"Meta-ethnography of the Breastfeeding Experiences of Women in the Workforce.","authors":"Confidence Chekwubechukwu Francis-Edoziuno, Ashwag Alhabodal, Anita Frimpomaa Oppong, Ruth F Lucas, Cheryl Tatano Beck","doi":"10.1016/j.jogn.2025.09.003","DOIUrl":"https://doi.org/10.1016/j.jogn.2025.09.003","url":null,"abstract":"<p><strong>Objective: </strong>To provide a conceptual understanding of the breastfeeding experiences, challenges, and support needs of women in the workforce.</p><p><strong>Data sources: </strong>PubMed, CINAHL, and PsycINFO.</p><p><strong>Study selection: </strong>We included reports of primary qualitative studies that were published from 2014 to 2024 in which researchers described the breastfeeding experiences of women in the workforce. We selected 13 reports for inclusion with a combined sample size of 188 women aged 20 to 48 years.</p><p><strong>Data extraction: </strong>We extracted the following data from included studies: methodological characteristics (sample size, qualitative design, data analysis, data collection, and length of interview), demographic characteristics of participants (country, age group, employment setting/type, nature of work, and length of paid leave), direct participant quotes, and key concepts and themes about the breastfeeding experiences of women in the workforce.</p><p><strong>Data synthesis: </strong>Using a published method for meta-ethnography, we synthesized the extracted data and identified four overarching themes, each with three subthemes: Juggling Milk and a Paycheck (subthemes: Torn Between Desk and Cradle, The Balancing Act, and Milk on the Clock), The Emotional Dance of Motherhood (subthemes: Hearts Full, Minds at Ease; Shadows of Exhaustion; and Against the Odds), The Village in Question (subthemes: Whispers and Judgments, Absent Anchors, and Hands That Hold), and The Policy Pendulum (subthemes: Written But Not Real, Clocking Out From Care, and When Care and Career Collide: Influence on Work). These themes and subthemes highlighted logistical challenges, inadequate workplace policies, the importance of supportive environments, women's emotional stress, and women's resilience.</p><p><strong>Conclusion: </strong>Our findings indicate that structural, emotional, social, and policy-related factors shaped the breastfeeding experiences of the participants in the included articles. We emphasize the need for targeted interventions and workplace policies to optimize breastfeeding experiences and outcomes among women in the workforce.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314289","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 Ongoing Imperative to Recognize and Support Maternal-Infant Interaction.","authors":"June Andrews Horowitz, Carol Shieh, Linda Clark Amankwaa, Azza H Ahmed, Dorothy Vittner, Wilaiporn Rojjanasrirat","doi":"10.1016/j.jogn.2025.09.002","DOIUrl":"https://doi.org/10.1016/j.jogn.2025.09.002","url":null,"abstract":"<p><p>High-quality maternal-infant interaction is essential to promote the optimal growth and development of children. The role of the nurse in providing assessment, interventions, and guidance to mothers of infants from birth to 1 year of age is vital to enhance maternal-infant interactions. In this article, we highlight the significance of maternal-infant interaction and examine challenges families face in developing high-quality maternal-infant interaction. Evidence-based recommendations for health and social policies for nursing and clinical practice are provided to mitigate challenges to the development of maternal-infant interaction.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309888","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 Evaluation of a Conceptual Framework for the Use of Fetal Myelomeningocele Repair.","authors":"Stephanie A Eyerly-Webb, Amanda J Nickel, Amy M Linabery, Emily F Barthel, Shukri Jumale, Jill Palmer, Melinda Stober, Nicholas Juckel, Ian Wolfe, Saul Snowise, Clifton O Brock, Stella K Evans","doi":"10.1016/j.jogn.2025.09.001","DOIUrl":"10.1016/j.jogn.2025.09.001","url":null,"abstract":"<p><strong>Objective: </strong>To develop and evaluate a conceptual framework of the use of fetal myelomeningocele/myeloschisis (fMMC) repair.</p><p><strong>Design: </strong>Exploratory sequential mixed methods study.</p><p><strong>Setting: </strong>Midwest Fetal Care Center, Minneapolis, Minnesota.</p><p><strong>Participants: </strong>Fetal care experts (n = 7) and health records of patients evaluated for fMMC repair (n = 159).</p><p><strong>Methods: </strong>Through an expert roundtable, we developed a conceptual framework for the use of fMMC repair based on Andersen's behavioral model of health service use (qualitative). We selected variables from our conceptual framework that were available in existing health records to examine associations between contextual and individual factors and eligibility for and use of fMMC repair (quantitative).</p><p><strong>Results: </strong>Our conceptual framework (qualitative) included predisposing contextual factors (prenatal health care, community norms), enabling contextual factors (health care/insurance policies, referral patterns, center attributes), predisposing individual factors (demographics, beliefs), and enabling individual factors (finances, eligibility). In the quantitative analysis, we found that very few factors were associated with eligibility or use of fMMC repair, with the exception of private health insurance (p = .01), although we did not measure several contextual factors. Most participants (n = 148, 93%) resided in very low/low maternal vulnerability counties, and we observed no differences between the surgical disposition groups (p = .15).</p><p><strong>Conclusions: </strong>We developed a framework to identify and conceptually relate contextual and individual-level characteristics that may affect the use of fMMC repair. Our conceptual framework may be used by future researchers to fully evaluate the access to and use of fMMC repair.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202252","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":"Prevention of Lead Exposure in the Perinatal Period.","authors":"Lois Wessel","doi":"10.1016/j.jogn.2025.08.005","DOIUrl":"https://doi.org/10.1016/j.jogn.2025.08.005","url":null,"abstract":"<p><p>The effects of lead exposure on children and the importance of lead screening in the pediatric period are well-established, but little emphasis is placed on prevention in the perinatal period. Variability in screening guidelines and practices results in inconsistent and often insufficient lead screening during pregnancy. No blood lead level is safe, and lead stored in a woman's bones can be released during pregnancy, exposing the fetus. Women and children of color face disproportionately high blood lead levels as compared with their White counterparts. In utero exposure to lead is associated with preterm birth, low birth weight, and neurodevelopmental delays in children. Prenatal lead screening through blood tests and occupational and social history can help to identify, prevent, and mitigate maternal and fetal exposure. In this article, I review existing guidelines and practices; make recommendations for primary, secondary, and tertiary prevention of lead; and advocate for universal lead screening during pregnancy.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070731","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":"Critical Juncture for Newborn Screening in the United States.","authors":"Mindy B Tinkle","doi":"10.1016/j.jogn.2025.08.004","DOIUrl":"10.1016/j.jogn.2025.08.004","url":null,"abstract":"<p><p>In April 2025, the U.S. Department of Health and Human Services (HHS) eliminated a key committee in the national newborn screening system, the Advisory Committee on Heritable Disorders in Newborns and Children (ACHDNC). The ACHDNC is responsible for assessing scientific evidence and recommending new policies and conditions for nationwide newborn screening. In the absence of the ACHDNC, no formal process exists for reviewing and recommending new conditions nationwide. In this article, I examine the implications of the committee's termination and consider possible policy pathways to fill the resulting gap, including a model proposed in a recent National Academies of Sciences, Engineering, and Medicine report. These policy considerations are occurring during a time of major restructuring within HHS in terms of shifting priorities, organizational realignment, and budget debates. Nurses can play a vital role in shaping newborn screening policy through advocacy, collaboration, and education.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024756","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 Disability Status and the Use of Stigmatizing Language in Clinical Notes During Hospital Admission for Birth.","authors":"Sarah E Harkins, Ismael I Hulchafo, Jihye Kim Scroggins, Caroline Walsh, Meghan Didier, Maxim Topaz, Veronica Barcelona","doi":"10.1016/j.jogn.2025.08.003","DOIUrl":"https://doi.org/10.1016/j.jogn.2025.08.003","url":null,"abstract":"<p><strong>Objective: </strong>To examine the association between patient disability status and use of stigmatizing language in clinical notes from the hospital admission for birth.</p><p><strong>Design: </strong>Cross-sectional study of electronic health record data.</p><p><strong>Setting: </strong>Two urban hospitals in the northeastern United States.</p><p><strong>Participants: </strong>Patients at more than 20 weeks gestation admitted for birth from 2017 to 2019 (N = 19,094).</p><p><strong>Methods: </strong>We used a natural language processing algorithm to identify categories of stigmatizing language used in free-text clinical notes (N = 211,841 unique clinical notes). We employed multivariable logistic regression to estimate adjusted odds ratios (aORs) and 95% confidence intervals (CIs) for each stigmatizing language category by disability status, which we determined by ICD-10 (International Classification of Diseases, 10th revision) codes.</p><p><strong>Results: </strong>Approximately 3% of patient records (n = 550) included ICD-10 codes for disability. Clinicians were more likely to use stigmatizing language for patients with disabilities compared with patients without disabilities (aOR = 1.75, 95% CI = [1.47, 2.09]). For patients with disabilities compared with patients without disabilities, clinicians were also more likely to use stigmatizing language in the difficult patient category (aOR = 1.96, 95% CI = [1.65, 2.33]) and the unilateral/authoritarian decisions category (aOR = 1.27, 95% CI = [1.06, 1.53]). We found no significant differences for the marginalized language/identities category by patient disability status (aOR = 1.19, 95% CI = [0.87, 1.62]).</p><p><strong>Conclusion: </strong>The use of stigmatizing language in birth hospitalization notes differed by patient disability status. Stigmatizing language should be used as a marker of bias and an opportunity for clinicians to reflect on their thoughts, words, and actions. Patient-centered documentation and care practices are needed to improve perinatal health for all.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024759","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":"Effect of TeamBirth on Patient Trust and Autonomy During Childbirth in Oklahoma","authors":"Isabel Griffith,&nbsp;Vanessa Neergheen,&nbsp;Lynn El Chaer,&nbsp;Yara Altaher,&nbsp;Trisha Short,&nbsp;Amber Weiseth","doi":"10.1016/j.jogn.2025.05.113","DOIUrl":"10.1016/j.jogn.2025.05.113","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the effect of experiencing a TeamBirth huddle during labor on patient trust and autonomy in decision-making during childbirth in Oklahoma.</div></div><div><h3>Design</h3><div>A cross-sectional survey with a two-group comparison.</div></div><div><h3>Setting</h3><div>Hospitals in Oklahoma at which patients gave birth between March 2022 and June 2024.</div></div><div><h3>Participants</h3><div>Patients who were 15 years and older and had live births (<em>N</em> = 6,528).</div></div><div><h3>Methods</h3><div>We surveyed participants who gave birth at participating hospitals on their demographic and clinical characteristics, experience with TeamBirth huddles, and responses to the Health Care Relationship Trust Scale–Revised (HCRTS-R) and the My Autonomy in Decision-Making (MADM) scale. We used descriptive analyses to compare participant characteristics by receipt of a TeamBirth huddle during labor and robust multivariable linear regression models to assess the association between TeamBirth exposure and HCRTS-R and MADM scores. We performed subgroup analyses to explore variations in scores among racial and ethnic groups.</div></div><div><h3>Results</h3><div>Participants who were exposed to TeamBirth huddles during labor exhibited significantly higher mean HCRTS-R (<em>b</em> = 1.81, <em>p</em> &lt; .001) and MADM scale (<em>b</em> = 2.59, <em>p</em> &lt; .001) scores than those who were not exposed. Across all racial and ethnic groups, participants who experienced TeamBirth huddles during labor had elevated trust and autonomy scores, and exposure to huddles reduced variations in scores across groups.</div></div><div><h3>Conclusion</h3><div>Experiencing a TeamBirth huddle during labor was associated with increased patient trust and autonomy scores in our study, which suggests its potential to improve equity, patient outcomes, and childbirth experiences.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 5","pages":"Pages 501-515.e3"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200846","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":"Case Report of Citrobacter koseri Sepsis in a Newborn That Resulted in Brain Death","authors":"Magdalena Panek,&nbsp;Aleksandra Warchoł,&nbsp;Tomasz Tomasik,&nbsp;Sandra Nęcka","doi":"10.1016/j.jogn.2025.06.003","DOIUrl":"10.1016/j.jogn.2025.06.003","url":null,"abstract":"<div><div>In this report, we describe the case of a newborn with a rare neonatal infection caused by <em>Citrobacter koseri,</em> which followed a fulminant course. Unfortunately, despite prompt initiation of the sepsis treatment protocol by the health care team, the newborn developed significant complications that affected the central nervous system. As a result, palliative care was instituted, and brain death was declared on the 12th day of life, 6 days after the onset of the first symptoms of the infection. We discuss the epidemiology of <em>C. koseri</em> infection; the therapeutic management of sepsis, including the role of the nurse; and the ethical considerations involved in clinical decision-making. We present this case to encourage reflection on strategies to detect subtle signs of infection and respond early in a critical effort to prevent severe complications.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 5","pages":"Pages 553-562"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627792","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":"Secondary Qualitative Analysis of the Effect of Work-Related Stress on Women Who Experienced Miscarriage During the COVID-19 Pandemic","authors":"Madeline Fernandez-Pineda,&nbsp;Elizabeth R. Black,&nbsp;Alison Swift","doi":"10.1016/j.jogn.2025.04.007","DOIUrl":"10.1016/j.jogn.2025.04.007","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the effect of work-related stress on women who experienced miscarriage during the COVID-19 pandemic.</div></div><div><h3>Design</h3><div>Secondary qualitative analysis using a qualitative descriptive approach.</div></div><div><h3>Setting</h3><div>Participants completed interviews virtually or face to face in North Carolina in 2022.</div></div><div><h3>Participants</h3><div>Thirteen women who experienced miscarriage from March 30, 2020, to February 24, 2021, during recommended and mandated stay-at-home orders, and discussed work-related stress.</div></div><div><h3>Methods</h3><div>We used qualitative data from a primary study. We analyzed semistructured interviews using inductive content analysis with first- and second-cycle coding. After finalizing the themes, we applied the theory of transactional stress and coping deductively as an interpretive lens to contextualize the findings.</div></div><div><h3>Results</h3><div>Four themes emerged: <span><em>Difficulties Maintaining Work–Life Balance, Inadequate Workplace Accommodations, Varying Levels of Workplace </em><em>Social Support</em><em>,</em></span> and <em>Compounded Pressures of Miscarriage and Pandemic-Related Stress.</em><span> Struggles with work–life balance, inadequate work accommodations, and limited workplace social support led to additional emotional distress and impaired work performance, and they prompted changes in employment status.</span></div></div><div><h3>Conclusion</h3><div>Our findings underscore the need for comprehensive workplace policies and interventions that support women’s unique needs after miscarriage, particularly during crises. Practical recommendations include flexible work schedules, paid leave, and mental health resources.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 5","pages":"Pages 488-500"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144511","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":"Expanding the Conceptualization of Bereavement in the Perinatal Period","authors":"Rana Limbo PhD, RN, FAAN,&nbsp;Natasha Nurse-Clarke PhD, RN, FAAN","doi":"10.1016/j.jogn.2025.07.003","DOIUrl":"10.1016/j.jogn.2025.07.003","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 5","pages":"Pages 477-481"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144719177","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}