Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing最新文献_第5页

Breast Milk Feeding for Infants Who Required Major Surgery. 为需要接受大手术的婴儿提供母乳喂养。

IF 1.8 4区医学

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing Pub Date : 2024-10-10 DOI: 10.1016/j.jogn.2024.09.002

Mary Ann D'Ambrosio, Madalynn Neu

{"title":"Breast Milk Feeding for Infants Who Required Major Surgery.","authors":"Mary Ann D'Ambrosio, Madalynn Neu","doi":"10.1016/j.jogn.2024.09.002","DOIUrl":"10.1016/j.jogn.2024.09.002","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Design: </strong>Descriptive qualitative.</p><p><strong>Setting: </strong>An 80-bed, Level 4 NICU of a regional pediatric hospital in the western United States.</p><p><strong>Participants: </strong>Fourteen mothers who provided MOM for their infants who required surgery within 1 week of age.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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: Value of Breast Milk, Challenges of Providing MOM, Emotional Fluctuation, and Coping With Reality of Circumstances.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-10-10","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}

引用次数: 0

Erratum. 勘误。

IF 1.8 4区医学

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing Pub Date : 2024-09-27 DOI: 10.1016/j.jogn.2024.09.005

引用次数: 0

Approval of the First Nonprescription Oral Contraceptive Pill 首个非处方口服避孕药获得批准。

IF 1.8 4区医学

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing Pub Date : 2024-09-01 DOI: 10.1016/j.jogn.2024.08.001

Summer Sherburne Hawkins

引用次数: 0

Women’s Experiences of Mechanical Balloon Catheter Induction With Self-Traction 妇女在使用机械球囊导管引产时的自我牵引体验

IF 1.8 4区医学

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing Pub Date : 2024-09-01 DOI: 10.1016/j.jogn.2024.06.002

Isabelle Landry, Roseline Galipeau, Amélie Gervaise, Valérie Bohémier, Diane Croteau, Valérie Lebel

{"title":"Women’s Experiences of Mechanical Balloon Catheter Induction With Self-Traction","authors":"Isabelle Landry, Roseline Galipeau, Amélie Gervaise, Valérie Bohémier, Diane Croteau, Valérie Lebel","doi":"10.1016/j.jogn.2024.06.002","DOIUrl":"10.1016/j.jogn.2024.06.002","url":null,"abstract":"<div><h3>Objective</h3><p>To explore women’s experiences of mechanical labor induction using a balloon catheter with self-traction.</p></div><div><h3>Design</h3><p>Descriptive qualitative.</p></div><div><h3>Setting</h3><p>Birth unit of an urban hospital in Quebec, Canada.</p></div><div><h3>Participants</h3><p>Fourteen women who experienced labor induction with a balloon catheter using self-traction.</p></div><div><h3>Methods</h3><p>We conducted individual structured interviews between May 2022 and January 2023 to collect data that we subsequently analyzed using the manifest content analysis approach of Graneheim et al. We adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ).</p></div><div><h3>Results</h3><p>We identified five categories: <em>Expectations</em>, <em>Pain or Comfort Experienced</em>, <em>Emotions Felt</em>, <em>Support From Nursing Staff</em>, and <em>Appreciation of the Procedure.</em> The participants anticipated rapid, effective induction, expressed concerns about potential discomfort, and appreciated control of their experiences. We found a generally positive trend in terms of appreciation for all categories.</p></div><div><h3>Conclusion</h3><p>The positive experiences of participants underline the promising potential of the balloon catheter method of labor induction with self-traction. Given the continuing growth in labor induction rates, it becomes necessary to continue efforts to offer services specifically geared to women’s needs. Offering an additional option such as self-traction is a step in this direction.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 5","pages":"Pages 562-571"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0884217524002284/pdfft?md5=e06eee45e4cca8a47a3cc4be39176627&pid=1-s2.0-S0884217524002284-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141712379","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}

引用次数: 0

Qualitative Analysis of Women’s Experiences of Education About POST-BIRTH Warning Signs 对妇女接受产后预警信号教育经历的定性分析

IF 1.8 4区医学

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing Pub Date : 2024-09-01 DOI: 10.1016/j.jogn.2024.04.008

{"title":"Qualitative Analysis of Women’s Experiences of Education About POST-BIRTH Warning Signs","authors":"","doi":"10.1016/j.jogn.2024.04.008","DOIUrl":"10.1016/j.jogn.2024.04.008","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the experiences of women in the postpartum period who received the Association of Women’s Health, Obstetric and Neonatal Nurses’ “POST-BIRTH Warning Signs Save Your Life” (PBWS-SYL) educational handout at discharge.</p></div><div><h3>Design</h3><p>Qualitative content analysis.</p></div><div><h3>Setting</h3><p>Virtual or in-person interviews in Connecticut, New York, and Florida.</p></div><div><h3>Participants</h3><p>Women (<em>N</em> = 41) who gave birth in the previous 12 months.</p></div><div><h3>Methods</h3><p>In individual audio-recorded interviews, we asked participants to describe their experiences of receiving the PBWS-SYL educational handout. We used Krippendorff’s method for qualitative content analysis to cluster units within the data to identify emergent themes.</p></div><div><h3>Results</h3><p>Participants who received the handout emphasized that they recognized potential warning signs during the postpartum period. Conversely, participants who reported that the PBWS-SYL educational handout was not adequately reviewed with them during discharge expressed heightened levels of distress and doubt when they encountered concerns. Analysis of transcripts revealed six overarching themes: <em>The</em> <em>Invisible Pain of the Postpartum Period</em>, <em>Stronger Together</em>, <em>The Art of Active Listening</em>, <em>Lost in the Pile</em>, <em>Postbirth Revelations</em>, and <em>Optimal Discharge Education.</em></p></div><div><h3>Conclusion</h3><p>Our findings suggest that the consistent and thorough application of the PBWS-SYL handout education process is a pivotal factor in safeguarding women’s health after childbirth. This education is essential to equip women with the knowledge and confidence needed to detect and address any warning signs that may emerge after birth. Nurses and health care providers can empower women to recognize and address warning signs during the postpartum period, which can lead to improved health outcomes for women.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 5","pages":"Pages 543-553"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141411592","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}

引用次数: 0

Financial Toxicity in Relation to Childbirth 与分娩有关的财务毒性。

IF 1.8 4区医学

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing Pub Date : 2024-09-01 DOI: 10.1016/j.jogn.2024.04.001

{"title":"Financial Toxicity in Relation to Childbirth","authors":"","doi":"10.1016/j.jogn.2024.04.001","DOIUrl":"10.1016/j.jogn.2024.04.001","url":null,"abstract":"<div><h3>Objective</h3><p>To measure change in financial toxicity from pregnancy to the postpartum period and to identify factors associated with this change.</p></div><div><h3>Design</h3><p>Longitudinal survey.</p></div><div><h3>Setting</h3><p>Obstetric clinics at an academic medical center in Massachusetts between May 2020 and May 2022.</p></div><div><h3>Participants</h3><p>Obstetric patients who were 18 years of age or older (<em>N</em> = 242).</p></div><div><h3>Methods</h3><p>Respondents completed surveys that included the COmprehensive Score for financial Toxicity tool during pregnancy and in the postpartum period. We collected additional medical record data, including gestational age, birth weight, and cesarean birth. We used paired <em>t</em> tests to assess changes in financial toxicity before and after childbirth and one-way analysis of variance to compare average change in financial toxicity by demographic and medical variables.</p></div><div><h3>Results</h3><p>The mean current financial toxicity score was significantly lower after childbirth (<em>M</em> = 19.0, <em>SD</em> = 4.6) than during pregnancy (<em>M</em> = 21.8, <em>SD</em> = 5.4), <em>t</em>(241) = 13.31, <em>p</em> < .001. Concern for future financial toxicity was not significantly different after childbirth (<em>M</em> = 8.5, <em>SD</em> = 2.9) compared to during pregnancy (<em>M</em> = 8.2, <em>SD</em> = 3.0), <em>t</em>(241) = –1.80, <em>p</em> = .07. Individual-level sociodemographic variables (e.g., racial/ethnic category, insurance, employment) and medical factors (e.g., cesarean birth, preterm birth) were not associated with change in financial toxicity.</p></div><div><h3>Conclusion</h3><p>Among respondents, financial toxicity worsened after childbirth, and patients are at risk regardless of their individual socioeconomic and medical conditions.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 5","pages":"Pages 477-484"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187215","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}

引用次数: 0

Cluster Analysis of Fear of Childbirth, Anxiety, Depression, and Childbirth Self-Efficacy 分娩恐惧、焦虑、抑郁和分娩自我效能的聚类分析。

IF 1.8 4区医学

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing Pub Date : 2024-09-01 DOI: 10.1016/j.jogn.2024.04.004

{"title":"Cluster Analysis of Fear of Childbirth, Anxiety, Depression, and Childbirth Self-Efficacy","authors":"","doi":"10.1016/j.jogn.2024.04.004","DOIUrl":"10.1016/j.jogn.2024.04.004","url":null,"abstract":"<div><h3>Objective</h3><p>To identify clusters of women based on anxiety, depression, fear of birth, and childbirth self-efficacy and factors associated with the clusters.</p></div><div><h3>Design</h3><p>Cross-sectional survey.</p></div><div><h3>Setting</h3><p>Online in Sweden.</p></div><div><h3>Participants</h3><p>Pregnant women (<em>N</em> = 1,419).</p></div><div><h3>Methods</h3><p>We collected data through online questionnaires. We included scales to measure anxiety, depression, worries about and fear of birth, and self-efficacy in a kappa-means cluster analysis. We calculated odds ratios with 95% confidence intervals between clusters and background variables.</p></div><div><h3>Results</h3><p>We identified 4 clusters based on severity: <em>Resourceful–Robust</em>, <em>Resourceful–Fearful</em>, <em>Vulnerable–Fearful</em>, and <em>Fragile–Fearful.</em> Participants in the <em>Resourceful–Fearful</em> and <em>Vulnerable–Fearful</em> clusters were more likely to report mental health problems than those in the <em>Resourceful–Robust</em> cluster. Participants in the <em>Vulnerable–Fearful</em> and <em>Fragile–Fearful</em> clusters were more likely to report mental health problems than those in the <em>Resourceful–Robust</em> cluster. Participants in the <em>Fragile–Fearful</em> cluster were more likely to be multiparous, report that their pregnancy was not normal, and prefer cesarean birth than those in the <em>Resourceful–Robust</em> cluster.</p></div><div><h3>Conclusions</h3><p>Women with childbirth fear may be vulnerable to anxiety and depression during the perinatal period, although the severity might vary. Self-efficacy might be a mediator against mental health problems. Findings demonstrated levels of severity, and the one-size-fits-all approach in Swedish health care may benefit from a more targeted approach for women with fear of childbirth.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 5","pages":"Pages 522-533"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0884217524000716/pdfft?md5=64a458dd3d3ebf346e8902e0c3e92272&pid=1-s2.0-S0884217524000716-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089294","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}

引用次数: 0

Neonatal Nursing: Clinical Competencies and Education Guide, 8th edition 新生儿护理：临床能力和教育指南》，第 8 版。

IF 1.8 4区医学

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing Pub Date : 2024-09-01 DOI: 10.1016/j.jogn.2024.03.008

Association of Women's Health, Obstetric and Neonatal Nurses

引用次数: 0

Parents’ Shared Experiences of Separation From Their Newborns After Birth in Denmark 丹麦父母与新生儿分离的共同经历。

IF 1.8 4区医学

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing Pub Date : 2024-09-01 DOI: 10.1016/j.jogn.2024.04.007

{"title":"Parents’ Shared Experiences of Separation From Their Newborns After Birth in Denmark","authors":"","doi":"10.1016/j.jogn.2024.04.007","DOIUrl":"10.1016/j.jogn.2024.04.007","url":null,"abstract":"<div><h3>Objective</h3><p>To explore parents’ shared experiences of separation from their newborns after birth in Denmark.</p></div><div><h3>Design</h3><p>Phenomenological hermeneutic design.</p></div><div><h3>Setting</h3><p>A NICU in the Capital Region of Denmark.</p></div><div><h3>Participants</h3><p>Four sets of parents (<em>N</em> = 8) with prematurely born neonates who were admitted to the NICU.</p></div><div><h3>Methods</h3><p>We used dyadic interviews for data collection. We applied a phenomenological hermeneutic approach inspired by Ricoeur’s theory of interpretation to analyze the data.</p></div><div><h3>Results</h3><p>Two overarching themes emerged that reflected two distinct temporal phases of separation. Initial separation caused an experience of becoming parents at different paces. Separation based on care needs (i.e., the NICU vs. maternity unit) left parents at the juncture between separation and closeness.</p></div><div><h3>Conclusion</h3><p>Separation from their newborns complicated parents’ transitions into parenthood. Their sense of unity was undermined when different units assumed responsibility for the mother and newborn. This challenged family-centered care. Our findings indicate the need to minimize separation through initiatives such as zero separation and couplet care.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 5","pages":"Pages 534-542"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187217","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}

引用次数: 0

Relationships Among Mode of Birth, Onset of Labor, and Bishop Score 分娩方式、分娩开始时间和 Bishop 评分之间的关系。

IF 1.8 4区医学

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing Pub Date : 2024-09-01 DOI: 10.1016/j.jogn.2024.04.002

{"title":"Relationships Among Mode of Birth, Onset of Labor, and Bishop Score","authors":"","doi":"10.1016/j.jogn.2024.04.002","DOIUrl":"10.1016/j.jogn.2024.04.002","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate mode of birth in relation to onset of labor and Bishop score.</p></div><div><h3>Design</h3><p>Retrospective observational cohort design.</p></div><div><h3>Setting</h3><p>A 434-bed Magnet redesignated community hospital.</p></div><div><h3>Participants</h3><p>Nulliparous women, 18 years of age or older, who gave birth at 37 to 41 weeks gestation to live, singleton fetuses in the vertex presentation (<em>N</em> = 701).</p></div><div><h3>Methods</h3><p>We conducted a retrospective chart review and used chi-square analysis to measure the associations among mode of birth, onset of labor, and Bishop score. We used logistic regression to test the probability of cesarean birth for women undergoing elective induction of labor.</p></div><div><h3>Results</h3><p>Most participants (<em>n</em> = 531, 75.7%) gave birth vaginally. Significant findings included the following relationships: spontaneous onset of labor and vaginal birth (χ<sup>2</sup> = 22.2, Ø = 0.18, <em>p</em> < .001) and Bishop score of greater than or equal to 8 and vaginal birth (χ<sup>2</sup> = 4.9, Ø = .14, <em>p</em> = .028). Induction of labor was a significant predictor in cesarean birth when controlling for age and body mass index (<em>OR</em> = 2.1, 95% confidence interval [1.5, 3.1], <em>p</em> < .001).</p></div><div><h3>Conclusion</h3><p>Reducing elective induction of labor in women with low-risk pregnancies may help lower the risk of cesarean birth. Clinically, Bishop score and mode of birth have a weak association, particularly when induction includes cervical ripening.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 5","pages":"Pages 503-510"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089329","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}

引用次数: 0