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

{"title":"Strategies to Reduce the Risk-Adverse Reproductive Outcomes Related to Hazardous Drugs","authors":"AnnMarie L. Walton,&nbsp;MiKaela M. Olsen","doi":"10.1016/j.jogn.2025.05.114","DOIUrl":"10.1016/j.jogn.2025.05.114","url":null,"abstract":"<div><div>Numerous drugs used to treat cancer and other conditions, such as lupus and rheumatoid arthritis<span><span>, are teratogenic and can cause fertility impairment and reproductive toxicity<span><span>; therefore, they are considered hazardous. Researchers have found that health care workers (HCWs) who are exposed to </span>hazardous drugs<span> on the job are at increased risk for adverse reproductive outcomes, and breastfeeding infants can be exposed to hazardous drugs through breast milk. As more of these drugs are administered, and as their use expands beyond </span></span></span>oncology settings to long-term care facilities and the home, increased awareness of the risks they pose to HCWs is needed. In this critical commentary, we review what is known about adverse reproductive outcomes of occupational exposure to hazardous drugs, describe sources of exposure, and suggest strategies to minimize exposure.</span></div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 1","pages":"Pages 80-88"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200847","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":"Environmental Deregulation and Emerging Risks for Maternal and Child Health","authors":"Roberta Lavin,&nbsp;Mindy B. Tinkle,&nbsp;Mary Pat Couig,&nbsp;Heidi Honegger Rogers,&nbsp;Hector A. Olvera-Alvarez,&nbsp;Xi Gong","doi":"10.1016/j.jogn.2025.11.008","DOIUrl":"10.1016/j.jogn.2025.11.008","url":null,"abstract":"<div><div>The United States has long been a leader in protecting human health through environmental regulation. Since 2025, however, environmental deregulation has reversed or eliminated many air, land, water, and climate protections. This shift in federal policy has, and will continue to have, serious consequences for the health of pregnant women, infants, and children. In this article, we examine environmental regulatory changes since January 2025 and evaluate their current and potential effects on maternal, infant, and child health outcomes. We use Bardach’s eight-fold path to review major federal actions, including the revocation of the greenhouse gas endangerment findings, the weakening of toxic air pollution standards and their enforcement, and the rollback of environmental justice programs that directly address the disproportionate burden of environmental pollution on women, infants, and children in at-risk communities. We conclude with policy and practice recommendations to strengthen environmental health protections and safeguard maternal and child health amid ongoing deregulation.</div><div><em>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.</em></div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 1","pages":"Pages 28-42"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145800269","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":"An Upstream Perspective on Maternal–Child Environmental Health","authors":"Patricia Butterfield PhD, RN, FAAN","doi":"10.1016/j.jogn.2025.10.006","DOIUrl":"10.1016/j.jogn.2025.10.006","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 1","pages":"Pages 4-6"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145427176","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":"Role of the Nurse in Addressing Health Risks Related to Wildfire Smoke Exposure During Pregnancy and Childhood","authors":"Mary K. Cardon,&nbsp;Catherine J. Karr","doi":"10.1016/j.jogn.2025.06.001","DOIUrl":"10.1016/j.jogn.2025.06.001","url":null,"abstract":"<div><div>Exposure to wildfire smoke is a critical environmental health concern, and the potential negative health effects of exposure on vulnerable populations such as pregnant women, infants, and children urgently requires attention. Climate change is leading to increased wildfire frequency and intensity and a prolonged and less predictable wildfire season, resulting in negative effects on air quality and health. It is critical that nurses understand the relationship between the environment and health and are equipped with the training and resources necessary to address it. Because environmental health topics are not commonly incorporated into standard nursing curricula, the aim of this article is to address this knowledge gap, provide evidence-based information, and offer practical tools and guidance that can be shared with patients and families.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 1","pages":"Pages 89-97"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531195","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":"Implementation of a Nurse-Initiated Protocol for Prenatal Care in a Carceral Setting.","authors":"Janee' Stevenson, Andrea K Knittel, Nancy A Crowell, Ella T Heitzler","doi":"10.1016/j.jogn.2025.12.006","DOIUrl":"10.1016/j.jogn.2025.12.006","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effect of a nurse-initiated protocol on the times to order and implement prenatal care, nurses' intentions to change practice based on an educational session, and nurses' perceived barriers to initiation of the protocol in a carceral facility.</p><p><strong>Design: </strong>Quality improvement project.</p><p><strong>Setting/local problem: </strong>Southeastern United States carceral facility.</p><p><strong>Participants: </strong>A total of 44 nurses employed by a state women's carceral facility.</p><p><strong>Intervention/measurements: </strong>Participants attended a 30-min educational session on a nurse-initiated intake protocol, including use of the Clinical Opiate Withdrawal Scale. The session was offered multiple times during shifts to maximize attendance. Participants then completed an adapted Continuing Professional Development-Reaction Questionnaire. We abstracted de-identified data from the charts of adult incarcerated women in the pre-implementation (n = 26) and post-implementation (n = 24) phases. We compared time to order (interval from admission to entry of order for a laboratory test, medication, or intervention) and time to implementation (interval from entry of order to initiation of the laboratory test, medication, or intervention) before and after implementation of the protocol. We assessed barriers to implementing the protocol 3 months after implementation.</p><p><strong>Results: </strong>The time to order a prenatal diet and schedule a first obstetric appointment decreased significantly (p < .001), whereas the time to order prenatal labs increased significantly (p = .03) after implementation of the protocol. We identified the following themes as barriers to implementing the protocol: Lack of Integration of the Protocol Into the Electronic Health Record, Interruptions in the Flow of Care, and Limited Resources.</p><p><strong>Conclusions: </strong>Use of a nurse-initiated protocol standardized and improved the timeliness of the delivery of prenatal care in a carceral facility and has the potential to enhance health care quality and maternal-fetal outcomes in this high-risk population.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145897053","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":"Exploring Social Identity Clusters and NICU Outcomes in the Context of Alberta Family Integrated Care.","authors":"Oyinda Obigbesan, Bukola Salami, Karen M Benzies","doi":"10.1016/j.jogn.2025.12.003","DOIUrl":"10.1016/j.jogn.2025.12.003","url":null,"abstract":"<p><strong>Objective: </strong>To explore variations in maternal and infant outcomes among clusters of mother-infant dyads in the NICU characterized by intersecting social identity characteristics.</p><p><strong>Design: </strong>Secondary exploratory analysis of data from a cluster randomized controlled trial conducted from December 2015 to July 2018.</p><p><strong>Setting: </strong>Ten Level II NICUs in six cities across Alberta, Canada.</p><p><strong>Participants: </strong>A total of 400 mothers and their preterm infants at 32^0⁄7 to 34^6⁄7 weeks gestation.</p><p><strong>Methods: </strong>We used two-step cluster analysis to identify clusters based on maternal ethnicity, education, age, and annual family income. We employed multiple regression models to examine whether cluster membership was associated with infant length of stay, maternal psychosocial distress, and parenting self-efficacy at discharge, controlling for relevant infant and maternal characteristics and hospital setting (urban vs. regional).</p><p><strong>Results: </strong>We identified four mother-infant dyad clusters: (1) younger, lower-education, lower-income White mothers; (2) older, higher-education, higher-income BIPOC (Black, Indigenous, or people of color) mothers; (3) diploma-educated, highest-income White mothers; and (4) university-educated, highest-income White mothers. Although cluster membership was not associated with maternal outcomes, infants of mothers in Cluster 1 had shorter lengths of stay compared with those in Cluster 4. Hospital setting was a predictor of length of stay and parenting self-efficacy.</p><p><strong>Conclusion: </strong>Findings highlight the relevance of social identity and hospital setting in shaping NICU outcomes and support the need for equity-informed neonatal care.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890413","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":"Scoping Review on the Consequences of Falls in Women During the Perinatal Period.","authors":"Sandra Risso, Tânia Soares, Luís Octávio de Sá, Luís Miranda, Rita Rosado, Sílvia Deus, Cristina Marques-Vieira","doi":"10.1016/j.jogn.2025.12.002","DOIUrl":"10.1016/j.jogn.2025.12.002","url":null,"abstract":"<p><strong>Objective: </strong>To identify consequences of falls in women during the perinatal period.</p><p><strong>Data sources: </strong>Academic Search Complete (EBSCO), CINAHL Ultimate (EBSCO), MEDLINE Ultimate (EBSCO), Cochrane Central Register of Controlled Trials (EBSCO), Cochrane Clinical Answers (EBSCO), Cochrane Database of Systematic Reviews (EBSCO), Cochrane Methodology Register (EBSCO), MedicLatina (EBSCO), Repositórios Científicos de Acesso Aberto de Portugal (RCAAP), SciELO, Scopus, and Web of Science.</p><p><strong>Study selection: </strong>We included quantitative or qualitative primary studies, literature reviews, systematic reviews, expert opinion papers, organizational guidelines, and conference abstracts regarding consequences of falls in women during the perinatal period, in any context of care, that were published until November 11, 2024, in English, French, Portuguese, and Spanish.</p><p><strong>Data extraction: </strong>We extracted the following data from the included reports: author(s), year, country, aim, study design, type of report, sample size, setting, types and consequences of falls, prevalence, and risk factors for falls.</p><p><strong>Data synthesis: </strong>From a total of 33 articles, 27 were related to the consequences of falls during pregnancy, 3 were related to consequences of falls during both pregnancy and the postpartum period, 2 were related to consequences of falls during the perinatal period in which one does not identify the specific stage, and 1 was related to the postpartum period. We did not identify any reports of falls during childbirth. Injuries were common consequences of falls among women during the perinatal period, and the severity of falls varied from minor to severe. Obstetric injuries were severe and unique to pregnant women.</p><p><strong>Conclusion: </strong>Pregnant women sustain varied injuries after falls and often need health care. Further research is warranted regarding the consequences of falls during childbirth and the postpartum period.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866187","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":"Health Outcomes of Women on Community Supervision in South Central Texas During the Perinatal Period.","authors":"Allison D Ihle, Ariadna Forray, Kimberly Hughes, Rebecca L Freese, Rebecca J Shlafer","doi":"10.1016/j.jogn.2025.12.001","DOIUrl":"10.1016/j.jogn.2025.12.001","url":null,"abstract":"<p><strong>Objective: </strong>To assess the health outcomes of women on community supervision during the perinatal period and to analyze the associations between length of community supervision and perinatal health outcomes.</p><p><strong>Design: </strong>A cross-sectional survey study.</p><p><strong>Setting: </strong>Individual telephone interviews in San Antonio, Texas.</p><p><strong>Participants: </strong>Women aged 18 to 50 years (N = 60) on community supervision.</p><p><strong>Methods: </strong>We developed survey questions to measure participants' perinatal health outcomes during pregnancy, childbirth, and the postpartum period. We used logistic regression to assess the associations between the length of community supervision and perinatal health outcomes.</p><p><strong>Results: </strong>Most participants had an average of 4 arrests (SD = 7) and 5 years of community supervision (SD = 3), gave birth before 38 weeks gestation (n = 43; 71%), and reported feelings of depression (n = 40; 67%) and anxiety (n = 31; 52%) during their most recent pregnancies. Most participants had inadequate social support during childbirth (n = 55; 92%). More than a third of the participants experienced partner violence while on community supervision (n = 21; 35%), and a quarter experienced violence during their most recent pregnancies (n = 15; 25%). For each additional year on community supervision before birth, the odds of experiencing a pregnancy complication were 1.63 (95% confidence interval = [1.08, 2.82]) times higher.</p><p><strong>Conclusion: </strong>The criminal legal system, although not designed to provide health care, should dedicate resources to address the perinatal health care needs of women while on community supervision.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821991","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":"Decreasing Time to Treatment in Women With Hypertensive Disorders of Pregnancy in a High-Volume Hospital Obstetric Triage Setting.","authors":"Meredith Hunter Elischer, Ann Schaeffer","doi":"10.1016/j.jogn.2025.11.006","DOIUrl":"10.1016/j.jogn.2025.11.006","url":null,"abstract":"<p><strong>Objective: </strong>To increase the percentage of women with severe-range blood pressure during the perinatal period who are treated within 30 min from 25% to at least 50% within 8 weeks.</p><p><strong>Design: </strong>Plan-Do-Study-Act model comprising four 2-week cycles with data-driven tests of change every cycle.</p><p><strong>Setting: </strong>A high-volume, community, academic obstetric triage.</p><p><strong>Patients: </strong>We conducted interventions with women identified at risk for or diagnosed with hypertensive disorder of pregnancy (N = 182). In addition, we surveyed a convenience sample of women (n = 30) about their understanding of hypertension care and maternity care staff (n = 39) about their knowledge of treatment for hypertensive disorders of pregnancy.</p><p><strong>Intervention/measurements: </strong>We implemented two interventions: standardized screening for hypertensive disorders of pregnancy using a modified preeclampsia early recognition tool and an algorithm-based checklist for effective treatment for hypertensive disorders of pregnancy. We measured use and outcomes through chart review and analyzed data with descriptive statistics.</p><p><strong>Results: </strong>After the intervention, the percentage of women treated within 30 min increased to 97%. Mean medication administration times decreased from 41.4 to 11.2 min (p < .001), which demonstrated a significant improvement in care.</p><p><strong>Conclusion: </strong>Standardized screening and care improved time to treatment among women with hypertensive disorders of pregnancy. This advanced practice nurse-led initiative is adaptable for widespread implementation.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145752409","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":"Attitudes About Trauma-Informed Care Among Nurse and Physician Leaders in Birthing Hospitals in Maryland.","authors":"Maggie C Runyon, Adriane Burgess, Kathryn L Spielman","doi":"10.1016/j.jogn.2025.11.005","DOIUrl":"10.1016/j.jogn.2025.11.005","url":null,"abstract":"<p><strong>Objective: </strong>To describe attitudes about trauma-informed care among nurse and physician leaders in birthing hospitals.</p><p><strong>Design: </strong>Descriptive, cross-sectional survey study.</p><p><strong>Setting: </strong>In-person meeting in Maryland.</p><p><strong>Participants: </strong>Nurses (n = 23) and physicians (n = 7) who worked in leadership roles in birthing hospitals.</p><p><strong>Methods: </strong>We administered a survey that included the Attitudes Related to Trauma-Informed Care (ARTIC-45) scale. We used descriptive statistics and analysis of variance to analyze the data.</p><p><strong>Results: </strong>The mean ARTIC-45 score for participants was 5.52 (SD = 0.47, range = 4.00-6.43). The Underlying Causes of Problem Behavior and Symptoms of Trauma subscale had the lowest mean score (M = 5.04, SD = 0.74), and the System-wide Support for TIC subscale had the greatest variation (SD = 1.15, range = 1.8-7.0).</p><p><strong>Conclusion: </strong>Overall, participants had favorable attitudes toward trauma-informed care. The greatest variation in responses was related to attitudes about systems-level support for the provision of trauma-informed care. Organizational support of trauma-informed care is foundational to its provision; therefore, it is essential that health care leaders who work in birth settings recognize the root causes of trauma among their patient populations and critically assess existing systems and policies to ensure that trauma-informed care is consistently provided.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702836","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}