{"title":"One Woman's Experience of Skin-to-Skin Care With Her Extremely-Low-Birth-Weight Neonate.","authors":"Amanda Gater, Adam T Booth","doi":"10.1016/j.jogn.2026.01.005","DOIUrl":"10.1016/j.jogn.2026.01.005","url":null,"abstract":"<p><strong>Objective: </strong>To explore one woman's perceptions of her unique experience of skin-to-skin care (SSC) with her extremely-low-birth-weight (ELBW) neonate who was not expected to survive.</p><p><strong>Design: </strong>Holistic single-case study.</p><p><strong>Setting: </strong>A Level 1 trauma metropolitan academic medical center located in a major urban city in the Southeastern United States.</p><p><strong>Participant: </strong>One woman who provided SSC to her ELBW neonate who was not expected to survive.</p><p><strong>Methods: </strong>We conducted an open-ended, semistructured virtual interview that lasted approximately 35 min. We used qualitative inductive content analysis to identify shared meaning with codes and code categories to inductively arrive at the development of subthemes and themes.</p><p><strong>Results: </strong>We identified two themes. The first, Worst Night of My Life, included two subthemes: Medical Futility and Fear. The second theme, Babies Need Their Moms, included two subthemes: Indispensable Mother-Infant Connection and Coping. The health care team who anticipated withdrawal of care facilitated SSC for palliative purposes. Extended SSC contributed to a complete reversal of the neonate's prognosis, evidenced by improved vital signs and blood gas, decreased oxygen requirements, and subsequent survival.</p><p><strong>Conclusion: </strong>Health care teams should treat SSC as a foundational therapeutic necessity and offer it to ELBW neonates, even those who would traditionally be deemed too unstable. Nurses should address barriers to enculturate SSC as a standard treatment for ELBW neonates in the NICU. Future researchers should further investigate parental perceptions of SSC experiences to expand the transferability of these findings.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146196104","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}
Melissa M McDonald, Kelly Berishaj, Marisa Ghesquiere, Keri L Maricle
{"title":"Experience of Intimate Partner Violence-Related Strangulation by Pregnancy Status.","authors":"Melissa M McDonald, Kelly Berishaj, Marisa Ghesquiere, Keri L Maricle","doi":"10.1016/j.jogn.2025.12.007","DOIUrl":"10.1016/j.jogn.2025.12.007","url":null,"abstract":"<p><strong>Objective: </strong>To compare the experience of intimate partner violence (IPV)-related strangulation between pregnant and nonpregnant patients.</p><p><strong>Design: </strong>Retrospective descriptive study using archived patient records.</p><p><strong>Setting: </strong>A community-based, forensic nurse examiner program in the midwestern United States.</p><p><strong>Participants: </strong>Records of patients who sought care after they experienced IPV-related strangulation (n = 23 pregnant; n = 119 nonpregnant).</p><p><strong>Methods: </strong>We used de-identified patient records from medical forensics exams to examine the following: victimization experience, strangulation actions, accompanying abusive actions, perpetrator characteristics, bodily injuries, and strangulation symptoms. We used binary logistic regression and independent samples t tests to compare experiences between pregnant and nonpregnant patients.</p><p><strong>Results: </strong>Findings related to victimization experiences, strangulation actions, accompanying abusive acts, perpetrator characteristics, and bodily injuries were similar between the records of pregnant and nonpregnant patients. Records indicated that patients who were pregnant were significantly more likely to experience anoxic symptoms (i.e., involuntary urination, odds ratio (OR) = 3.58, 95% confidence interval (CI) [1.05, 12.17]), hypoxic symptoms (i.e., fainting, OR = 10.42, 95% CI [1.78, 60.99]), and vision changes (OR = 3.03, 95% CI [1.16, 7.89]) compared with nonpregnant patients.</p><p><strong>Conclusion: </strong>Women who are pregnant may experience more severe symptoms following IPV-related strangulation. Health care providers must screen patients for IPV during routine encounters to prevent and/or interrupt pregnancy-related violence. Screening provides an opportunity to refer patients for appropriate support services in their community to mitigate risk to the mother and child.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145946906","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":"Call to Action for Nurses to Lead the Charge for Healthier Environments","authors":"Katie Huffling DNP, RN, CNM, FAAN, Ruth McDermott-Levy PhD, RN, FAAN","doi":"10.1016/j.jogn.2025.10.005","DOIUrl":"10.1016/j.jogn.2025.10.005","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 1","pages":"Pages 1-3"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145427154","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":"Use of Publicly Available Data in Perinatal and Women’s Health Nursing Research","authors":"Oliwier Dziadkowiec PhD","doi":"10.1016/j.jogn.2025.12.004","DOIUrl":"10.1016/j.jogn.2025.12.004","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 1","pages":"Pages 7-12"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795658","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)00320-X","DOIUrl":"10.1016/S0884-2175(25)00320-X","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 1","pages":"Page A4"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145915421","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":"10.1016/j.jogn.2025.08.005","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 1","pages":"Pages 57-68"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","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":"Extreme Heat During Pregnancy","authors":"Summer S. Hawkins PhD, MS","doi":"10.1016/j.jogn.2025.12.005","DOIUrl":"10.1016/j.jogn.2025.12.005","url":null,"abstract":"<div><div>With 2024 as the hottest year on record and 2025 also a scorcher, the effects of extreme heat are felt by all of us but particularly those at higher risk, including pregnant women. Evidence on the consequences of extreme heat on maternal health and birth outcomes and the disproportionate burden of heat on communities of color and low-resourced communities is building. In this column, I review the research on the health effects of extreme heat; the need for systems-level mitigation strategies and the implications for research, policy, and practice. I conclude with information from professional organizations and the need for specific and actionable recommendations that address extreme heat.</div><div><strong>Note from the</strong> <strong><em>JOGNN</em></strong> <strong>Editors.</strong> The first column authored by Dr. Hawkins, “Cannabis Use During Pregnancy,” appeared in the November 2022 issue of <em>JOGNN</em>. The current column is her last, and we would like to take this opportunity to acknowledge her significant contributions. Her columns represent timely and relevant contributions to <em>JOGNN</em> and to the nursing literature. We thank her for this work and wish her the best in her future endeavors.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 1","pages":"Pages 13-27"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769817","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":"Need for Nursing Advocacy to Address the Effects of Climate Change on Maternal and Neonatal Care","authors":"Sarah B. Bucic","doi":"10.1016/j.jogn.2025.07.006","DOIUrl":"10.1016/j.jogn.2025.07.006","url":null,"abstract":"<div><div>Extreme heat and air pollution, which are exacerbated by climate change, worsen maternal and neonatal health, especially for non-White women. Because of the wide array of health risks related to climate change, advocating for individual patients alone is not sufficient to create necessary change. Although nurses experience numerous barriers to engaging in public policy, their engagement remains a critical aspect to improving maternal and neonatal health outcomes related to climate change. Professional nursing organizations can provide nurses with resources and offer the necessary skills to effectively advocate and participate in public policy at the local, state, or national level. In this commentary, I review the importance of nurse engagement in climate change advocacy and public policy.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 1","pages":"Pages 98-106"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979209","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}
Ruth McDermott-Levy, Katie Huffling, Michelle M. Kelly, Susan Rubinstein
{"title":"Climate Change in Clinical Practice","authors":"Ruth McDermott-Levy, Katie Huffling, Michelle M. Kelly, Susan Rubinstein","doi":"10.1016/j.jogn.2025.10.010","DOIUrl":"10.1016/j.jogn.2025.10.010","url":null,"abstract":"<div><div>Climate change has resulted in increased extreme weather events, including prolonged heat waves, extended wildfire regions and seasons, and more frequent hurricanes and flooding. These events create problems with access to health services, shelter, potable water, diminished air quality, and increased incidence of vector-borne disease that affect the health of pregnant women and families. Nurses caring for pregnant women must have the knowledge to identify and respond to climate change–related health risks. Nursing care related to heat, wildfires and wildfire smoke, hurricanes, and flooding must include accurate assessments and discharge planning that addresses women’s health conditions within the context of environmental risks. The purpose of this article is to raise awareness of the clinical nursing care of pregnant women related to heat, wildfires, hurricanes, and flooding in the era of climate change.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 1","pages":"Pages 69-79"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490805","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":"Associations Among Exposure to Wildfire Smoke In Utero and Neonatal Outcomes","authors":"Tara Marko, Ekaterina Burduli, Lois James, Von Walden, Mohammadamin Vahidi Ghazvini, Patricia Butterfield, Solmaz Amiri, Julie Postma","doi":"10.1016/j.jogn.2025.04.006","DOIUrl":"10.1016/j.jogn.2025.04.006","url":null,"abstract":"<div><h3>Objective</h3><div>To examine associations between prenatal wildfire smoke exposure and neonatal outcomes.</div></div><div><h3>Design</h3><div>Population-based retrospective analysis.</div></div><div><h3>Setting</h3><div>Washington State.</div></div><div><h3>Participants</h3><div>Data from 526,649 live births between 2010 and 2018.</div></div><div><h3>Methods</h3><div>We used pooled cross-sectional birth records data with computed number of wildfire smoke days to examine effects of prenatal exposure on gestational age at birth, birth weight, Apgar scores, and NICU admissions using regression analysis.</div></div><div><h3>Results</h3><div>We found small increases in gestational age with wildfire smoke exposure in trimester 1 (<em>B</em> = 0.003, 95% CI [.003, .004], <em>p</em> < .001), trimester 3 (<em>B</em> = 0.011, 95% CI [.011, .012], <em>p</em> < .001), and across pregnancy (<em>B</em> = 0.003, 95% CI [.003, .004], <em>p</em> < .001), and a small decrease in trimester 2 (<em>B</em> = –0.002, 95% CI [–.002, .002], <em>p</em> < .001). We observed small increases in birth weight with exposure in trimester 2 (<em>B</em> = 0.303, 95% CI [.201, .405], <em>p</em> < .001) and across pregnancy (<em>B</em> = 0.148, 95% CI = [.086, .210], <em>p</em> < .001). No differences were found for Apgar scores. Finally, we found a 0.003% increase in NICU admissions with exposure in trimesters 1 and 2 (OR = 1.00, 95% CI [1.002, 1.004], [1.001,1.004], respectively) and a 0.002% increase with exposure across pregnancy (OR = 1.002, 95% CI [1.001, 1.003]).</div></div><div><h3>Conclusion</h3><div>Prenatal exposure to wildfire smoke had limited effects on neonatal outcomes. Although associations with gestational age and birth weight aligned with prior studies, our findings were not clinically meaningful.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 1","pages":"Pages 43-56"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144510","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}