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

{"title":"Elective Induction of Labor May Have Negative Effects at the Hospital Level","authors":"Sean Mann,&nbsp;Kortney Floyd James","doi":"10.1016/j.jogn.2024.09.003","DOIUrl":"10.1016/j.jogn.2024.09.003","url":null,"abstract":"<div><div>Labor induction increased in the United States after the publication of A Randomized Trial of Induction Versus Expectant Management (ARRIVE) in 2018. During this trial, investigators found that elective induction at 39 weeks in low-risk nulliparous women led to similar perinatal outcomes when compared to expectant management. However, other researchers have since linked rising labor induction rates to worse hospital- and population-level outcomes. It is possible that elective induction of labor has a neutral effect on patients who are induced while at the same time lessening hospital capacity to care for other maternity patients, which leads to a negative effect on patient outcomes overall. During a trial, this represents a form of negative spillover, in which an intervention indirectly harms the comparison group and leads to overestimation of intervention benefit. Although further research is needed, evidence from ARRIVE and subsequent studies provides preliminary support for this possibility.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 2","pages":"Pages 170-175"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481215","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":"Expectations and Perspectives About Infant Feeding of Their First Child Among Rural Women","authors":"Karry Weston,&nbsp;Allison Brandt Anbari,&nbsp;Tina Bloom,&nbsp;Kevin Everett,&nbsp;Linda Bullock","doi":"10.1016/j.jogn.2024.11.004","DOIUrl":"10.1016/j.jogn.2024.11.004","url":null,"abstract":"<div><h3>Objective</h3><div>To explore expectations and perspectives related to infant feeding of their first child among rural women.</div></div><div><h3>Design</h3><div>Qualitative descriptive.</div></div><div><h3>Setting</h3><div>Rural women who were first-time mothers (<em>N</em> = 18).</div></div><div><h3>Methods</h3><div>We recruited participants from the Special Supplemental Nutrition Program for Women, Infants, and Children clinics and a nurse home-visiting program in a midwestern U.S. state. Using the construct of habitus, we developed an interview guide and used semistructured interviews to explore the expectations and perspectives of participants regarding infant feeding of the first child. We analyzed the transcribed interviews using content analysis techniques to identify overall themes.</div></div><div><h3>Results</h3><div>We identified four overarching themes and associated subthemes that represented participants’ expectations and perspectives: <em>I’m Educated but Not So Much on Breastfeeding</em>, <em>This Is How It Is in a Small Town</em>, <em>I Had Expectations</em>, and <em>This Area Lacks Resources for Mothers.</em></div></div><div><h3>Conclusion</h3><div>Overall, participants had high expectations to breastfeed. However, most discontinued breastfeeding soon after giving birth due to a lack of pragmatic knowledge about how to breastfeed, poor understanding of infant nutritional needs in the first few weeks of life, and a nonsupportive habitus.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 2","pages":"Pages 219-228.e3"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796489","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":"At Your Service","authors":"","doi":"10.1016/S0884-2175(25)00014-0","DOIUrl":"10.1016/S0884-2175(25)00014-0","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 2","pages":"Page A4"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610155","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":"Qualitative Study of Experiences with an Interprofessional Perinatal Care Team Among Women Who Used Substances During the Perinatal Period","authors":"Kristen Gulbransen,&nbsp;Kellie Thiessen,&nbsp;Grandmother Geraldine Shingoose,&nbsp;Heather Watson,&nbsp;Wanda Phillips-Beck,&nbsp;Patricia Gregory,&nbsp;Javier Mignone","doi":"10.1016/j.jogn.2024.11.010","DOIUrl":"10.1016/j.jogn.2024.11.010","url":null,"abstract":"<div><h3>Objective</h3><div>To explore how women who used substances during the perinatal period perceived the care they received from interprofessional perinatal care providers.</div></div><div><h3>Design</h3><div>Appreciative inquiry.</div></div><div><h3>Setting</h3><div>Interprofessional perinatal care clinic in a large urban tertiary care hospital in Canada.</div></div><div><h3>Participants</h3><div>Fourteen women with various backgrounds who used substances during pregnancy, including opioids, marijuana, and/or methamphetamine, and engaged in care with an interprofessional perinatal care team. The participants identified as First Nations (<em>n</em> = 3), Métis (<em>n</em> = 8), and White (<em>n</em> = 3).</div></div><div><h3>Methods</h3><div>Using appreciative inquiry, we followed the 4-D cycle of discovery, dream, design, and destiny to frame the semistructured interviews and analyze the data.</div></div><div><h3>Results</h3><div>Four overarching themes with nine subthemes emerged, representing participants' experiences with the interprofessional perinatal care team. The overarching themes were <em>Safe Care, Compassionate Care, Dignified Care,</em> and <em>Connected Care.</em> Participants suggested opportunities to improve care in relation to integration of cultural care, coordination of postpartum services, and increased support in the birth and hospital setting.</div></div><div><h3>Conclusion</h3><div>The findings highlight the strengths and assets of interprofessional perinatal care from the patients' perspectives. Participants outlined actionable ways for all perinatal providers to deliver safe, compassionate, dignified, and connected care, which can result in life-giving and lifesaving outcomes for patients.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 2","pages":"Pages 229-238.e1"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043379","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":"Breast Milk Feeding for Infants Who Required Major Surgery","authors":"Mary Ann D’Ambrosio,&nbsp;Madalynn Neu","doi":"10.1016/j.jogn.2024.09.002","DOIUrl":"10.1016/j.jogn.2024.09.002","url":null,"abstract":"<div><h3>Objective</h3><div>To identify barriers or facilitators that influenced mothers to provide mother’s own milk (MOM) for 6 months to their infants who were hospitalized in the NICU after major surgery.</div></div><div><h3>Design</h3><div>Descriptive qualitative.</div></div><div><h3>Setting</h3><div>An 80-bed, Level 4 NICU of a regional pediatric hospital in the western United States.</div></div><div><h3>Participants</h3><div>Fourteen mothers who provided MOM for their infants who required surgery within 1 week of age.</div></div><div><h3>Methods</h3><div>We conducted in-person interviews upon admission and discharge of the infant, phone interviews 1 and 2 weeks after discharge, and phone interviews monthly for 6 months or until discontinuance of the provision of MOM. We analyzed interviews using the Brooks thematic template analysis method.</div></div><div><h3>Results</h3><div>Eleven infants received exclusive MOM at discharge, and nine infants remained on exclusive MOM at 6 months. We generated four principal themes from the participants’ comments: <em>Value of Breast Milk</em>, <em>Challenges of Providing MOM</em>, <em>Emotional Fluctuation</em>, and <em>Coping With Reality of Circumstances</em>.</div></div><div><h3>Conclusion</h3><div>Internalizing the value of MOM, family support, and coping with barriers were key factors that influenced participants to provide MOM for at least 4 months. Findings of this study suggest that prenatal education with anticipatory guidance and lactation support in the NICU can help mothers achieve the goal of extended provision of MOM to infants with serious conditions that require surgery. Education and support may be especially helpful for young, first-time mothers.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 2","pages":"Pages 189-200"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481214","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":"Protocol to Support Skin-to-Skin Care and Closeness Between Parents and Neonates in the NICU","authors":"Victoria Karlsson,&nbsp;Pyrola Bäcke,&nbsp;Linda Björkman,&nbsp;Karin Holmgren,&nbsp;Lena Ingelsson,&nbsp;Ylva Thernström Blomqvist","doi":"10.1016/j.jogn.2024.09.004","DOIUrl":"10.1016/j.jogn.2024.09.004","url":null,"abstract":"<div><div>Skin-to-skin care (SSC) is essential, can help to prevent separation of parents and the neonate in the NICU, and should be a standard practice. It can safely be integrated into the routine care of preterm neonates, those who require surgery, and those who require all levels of intensive care. Years of experience with the provision of SSC in our NICU influenced our approach to care and resulted in practice guidelines for the safe provision of SSC. In this article, we present our clinical practical guidelines that support SSC and closeness between parents and the neonate to ensure the use of these practices for all neonates in the NICU.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 2","pages":"Pages 249-257"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481218","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":"Scoping Review of Women’s Experiences of Breastfeeding Associated With Maternity Care in Hospitals That Implement Baby-Friendly Policies","authors":"Keri Durocher,&nbsp;Kimberley T. Jackson,&nbsp;Richard Booth,&nbsp;Panagiota Tryphonopoulos,&nbsp;Kelly A. Kennedy","doi":"10.1016/j.jogn.2024.11.005","DOIUrl":"10.1016/j.jogn.2024.11.005","url":null,"abstract":"<div><h3>Objective</h3><div>To explore what is currently known about women’s breastfeeding experiences associated with maternity care in facilities that implement policies supported by the Baby-Friendly Hospital Initiative (BFHI).</div></div><div><h3>Data Sources</h3><div>We used the scoping review methodology of JBI. We searched the Scopus, CINAHL, Embase, MEDLINE (Ovid), and PsycINFO databases and gray literature.</div></div><div><h3>Study Selection</h3><div>We considered articles published during or after 1991 in English. Inclusion criteria were based on the participant, concept, and context framework and included women who gave birth and initiated breastfeeding during or after maternity care in facilities that were certified through the BFHI, were working toward certification, or were implementing BFHI-aligned policies.</div></div><div><h3>Data Extraction</h3><div>We extracted the following data from each report: author(s), year/country of publication, study design, research aim, patient population/sample size, clinical setting, BFHI status, and outcomes. We further extracted relevant outcomes by using concepts from the interactive theory of breastfeeding.</div></div><div><h3>Data Synthesis</h3><div>We included 44 reports of studies conducted in 19 countries in the review: 27 quantitative, 9 qualitative, and 8 mixed-methods studies. We mapped the extracted data to 10 concepts from the interactive theory of breastfeeding to classify patient experiences, including dynamic interaction between mother and child; stress; time; woman’s and child’s biological conditions; woman’s and child’s perception; woman’s decision-making; family and social authority; woman’s body image; space; and organizational systems for the protection, promotion, and support of breastfeeding.</div></div><div><h3>Conclusion</h3><div>We found that various interrelated factors in addition to BFHI-specific policies influenced women’s experiences. Based on these results, we suggest that awareness of women’s personal breastfeeding experiences is crucial to delivering optimal care and developing evidence-based policies. Breastfeeding practice guidelines and policies should be developed to encompass women’s experiences to enhance future inpatient breastfeeding support.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 2","pages":"Pages 176-188.e29"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792729","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":"Heel Warming in Very-Low-Birth-Weight Newborns for Capillary Blood Sampling","authors":"Joke Maria Wielenga,&nbsp;April Pascual,&nbsp;Kiki Ruhe,&nbsp;Christ Jan van Ganzewinkel","doi":"10.1016/j.jogn.2024.09.007","DOIUrl":"10.1016/j.jogn.2024.09.007","url":null,"abstract":"<div><h3>Objective</h3><div>To determine if performing heel stick procedures for capillary blood sampling without prior heel warming is noninferior to the standard practice of warming the heel in very-low-birth-weight newborns.</div></div><div><h3>Design</h3><div>Noninferiority randomized control trial.</div></div><div><h3>Setting</h3><div>The study took place in two Level 3 NICUs in The Netherlands.</div></div><div><h3>Participants</h3><div>Newborns born at less than 32 weeks gestation in their second or third week of life without an arterial line in situ or known coagulopathy (<em>N</em> = 100).</div></div><div><h3>Methods</h3><div>We randomized participants to undergo a heel stick procedure in one of two groups: without heel warming (<em>n</em> = 50) and heel warming with a washcloth warmed with 37 °C tap water (<em>n</em> = 25) or with a microwaved hot pack (<em>n</em> = 25). The primary outcome was length of time for obtaining the required blood sample. The secondary outcomes were number of attempts, reliability of the blood sample, newborn comfort, and adverse events.</div></div><div><h3>Results</h3><div>We observed no differences in background characteristics between groups and found no statistically significant or clinically relevant differences in primary or secondary outcomes.</div></div><div><h3>Conclusion</h3><div>Among participants, not warming the heel before a heel stick was noninferior to warming the heel. Therefore, preheating the heel as a standard of care may be an unnecessary nursing intervention.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 2","pages":"Pages 201-209"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513248","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":"Barriers to Diagnosis and Innovations in Care for Endometriosis","authors":"Summer Sherburne Hawkins","doi":"10.1016/j.jogn.2025.01.002","DOIUrl":"10.1016/j.jogn.2025.01.002","url":null,"abstract":"<div><div>An estimated 190 million women are affected by endometriosis worldwide yet delays in diagnosis and treatment and validation of patient symptoms remain significant barriers to care. While a lack of data and gaps in research are central to understanding and addressing this disease, researchers are developing some promising innovations. In this column, I review prevalence and symptoms, barriers to diagnosis, and new innovations in care for endometriosis and the implications for research, practice, and policy. I conclude with information from professional organizations and the need for updated clinical guidelines.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 2","pages":"Pages 151-163"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384144","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":"Ventilatory Assistance Before Umbilical Cord Clamping in Extremely Preterm Infants: A Randomized Clinical Trial","authors":"Ellise D. Adams PhD, RN","doi":"10.1016/j.jogn.2025.01.003","DOIUrl":"10.1016/j.jogn.2025.01.003","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 2","pages":"Pages 146-150"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392510","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}