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

{"title":"Long-term Implications and Barriers to Use of the Hepatitis B Vaccine at Birth","authors":"Summer Sherburne Hawkins","doi":"10.1016/j.jogn.2024.09.008","DOIUrl":"10.1016/j.jogn.2024.09.008","url":null,"abstract":"<div><div>The Centers for Disease Control and Prevention (2017) recommended that all medically-stable infants who weigh more than 2,000 grams receive the hepatitis B vaccine within 24 hours after birth. While this juncture represents the first parental decision about vaccines, the birth dose of the hepatitis B vaccine may also have longer-term implications for vaccine completion. In this column, I review hepatitis B vaccine recommendations, research findings on connections with later vaccine uptake, barriers to vaccination and the role of vaccine hesitancy, and recommendations from professional organizations on hepatitis B vaccination.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages 594-606"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402035","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":"Factors Associated With Palliative Care Birth Planning at a Pediatric Hospital","authors":"Gwendolyn J. Richner,&nbsp;Catherine A. Kelly-Langen,&nbsp;Stephanie S. Allen,&nbsp;Miraides F. Brown,&nbsp;Daniel H. Grossoehme,&nbsp;Sarah Friebert","doi":"10.1016/j.jogn.2024.06.004","DOIUrl":"10.1016/j.jogn.2024.06.004","url":null,"abstract":"<div><h3>Objective</h3><div>To identify factors associated with the receipt, completion, and goals of palliative care birth plans during the prenatal period.</div></div><div><h3>Design</h3><div>Retrospective observational study of medical record data.</div></div><div><h3>Setting</h3><div>Midwestern U.S. quaternary pediatric hospital.</div></div><div><h3>Participants</h3><div>Maternal–fetal dyads who received maternal–fetal medicine and palliative care from July 2016 through June 2021 (<em>N</em> = 128).</div></div><div><h3>Methods</h3><div>Using demographic and clinical predictors, we performed descriptive statistics, group comparisons (chi-square or Fisher exact test and Wilcoxon rank sum test or Student <em>t</em> test), and logistic regression for three outcomes: birth plan offered, birth plan completed, and goals of care (comfort-focused vs. other).</div></div><div><h3>Results</h3><div>Of 128 dyads, 60% (<em>n</em> = 77) received birth plans, 30% (<em>n</em> = 23) completed them, and 31% (<em>n</em> = 40) expressed comfort-focused goals. Participants with comfort-focused goals compared to other goals were more likely to receive birth plans, odds ratio (OR) = 7.20, 95% confidence interval (CI) [1.73, 29.9], <em>p</em> = .01. Participants of non-Black minority races had lower odds of being offered birth plans when compared to White participants, OR = 0.11, 95% CI [0.02, 0.68], <em>p</em> = .02. Odds of being offered (OR = 11.54, 95% CI [2.12, 62.81], <em>p</em> = .005) and completing (OR = 4.37, 95% CI [1.71, 11.17], <em>p</em> &lt; .001) the birth plan increased with each prenatal palliative care visit. Compared to those without, those with neurological (OR = 9.32, 95% CI [2.60, 33.38], <em>p</em> &lt; .001) and genetic (OR = 4.21, 95% CI [1.04, 17.06], <em>p</em> = .04) diagnoses had increased odds of comfort-focused goals.</div></div><div><h3>Conclusion</h3><div>Quality improvement efforts should address variation in the frequency at which birth plans are offered. Increasing palliative care follow-up may improve completion of the birth plan.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages 625-634"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753403","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 Racial Discrimination, Perceived Stress, and Birth Satisfaction in Black Women in the Postpartum Period","authors":"Amanda de la Serna,&nbsp;Rui Xie,&nbsp;Jean W. Davis,&nbsp;Susan Quelly,&nbsp;Dawn P. Misra,&nbsp;Carmen Giurgescu","doi":"10.1016/j.jogn.2024.08.005","DOIUrl":"10.1016/j.jogn.2024.08.005","url":null,"abstract":"<div><h3>Objective</h3><div>To examine associations among experiences of racial discrimination, perceived stress, and birth satisfaction and to test if perceived stress mediates the relationship between racial discrimination and birth satisfaction among Black women in the postpartum period.</div></div><div><h3>Design</h3><div>Secondary analysis of data from the Biosocial Impact on Black Births study.</div></div><div><h3>Setting</h3><div>A postpartum unit of a large hospital in Central Florida.</div></div><div><h3>Participants</h3><div>Black women (<em>N</em> = 154) in the postpartum period.</div></div><div><h3>Methods</h3><div>Participants completed the lifetime Experiences of Discrimination scale, Perceived Stress Scale and Birth Satisfaction Scale–Revised between 24 hours and 23 days after birth. We calculated descriptive statistics and Spearman’s ρ correlation coefficients to evaluate associations among variables. We used multiple linear regression to evaluate perceived stress as a mediator between racial discrimination and birth satisfaction.</div></div><div><h3>Results</h3><div>Racial discrimination had a positive association with perceived stress (β = 2.445, <em>p</em> = .03), and perceived stress had a negative association with birth satisfaction (β = –0.221, <em>p</em> = .02). Racial discrimination had no significant direct effect on birth satisfaction (β = –0.091, <em>p</em> = .94); therefore, perceived stress did not mediate the relationship.</div></div><div><h3>Conclusion</h3><div>More experiences of discrimination over the life span were associated with higher levels of perceived stress. Participants who reported higher levels of perceived stress reported lower levels of birth satisfaction. Our study adds to the body of knowledge regarding associations between racial discrimination and perceived stress and perceived stress and birth satisfaction.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages 658-668"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332609","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(24)00308-3","DOIUrl":"10.1016/S0884-2175(24)00308-3","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Page A4"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663742","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":"Supporting Authors for Whom English Is an Additional Language to Promote Diversity Inclusion and Equity in Nursing Scholarship","authors":"Forgive Avorgbedor,&nbsp;Jamille Nagtalon-Ramos,&nbsp;Abby Britt,&nbsp;Natasha Nurse-Clarke,&nbsp;Deepika Goyal","doi":"10.1016/j.jogn.2024.08.003","DOIUrl":"10.1016/j.jogn.2024.08.003","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 6","pages":"Pages 585-589"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301330","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":"Approval of the First Nonprescription Oral Contraceptive Pill","authors":"Summer Sherburne Hawkins","doi":"10.1016/j.jogn.2024.08.001","DOIUrl":"10.1016/j.jogn.2024.08.001","url":null,"abstract":"<div><p>In July 2023, the U.S. Food and Drug Administration approved Opill (norgestrel 0.075 mg), a progestin-only tablet to prevent pregnancy to be used without a prescription. Although progestin-only birth control pills were approved in 1973, it has taken 50 years for the first oral contraceptive pills to be sold over the counter. In this column, I review the evidence on the barriers to access oral contraceptive pills, the efficacy, preferences and support of a nonprescription progestin-only pill, the cost, and policy implications for health insurance coverage. I conclude with recommendations from professional organizations on over-the-counter access to hormonal contraception.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 5","pages":"Pages 464-476"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996967","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":"Women’s Experiences of Mechanical Balloon Catheter Induction With Self-Traction","authors":"Isabelle Landry,&nbsp;Roseline Galipeau,&nbsp;Amélie Gervaise,&nbsp;Valérie Bohémier,&nbsp;Diane Croteau,&nbsp;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}

{"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}

{"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> &lt; .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}

{"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}