Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing最新文献_第7页

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

Relationship Between Frequency of Remote Visitation and Postpartum Depression in Mothers of Hospitalized Neonates During the COVID-19 Pandemic COVID-19 大流行期间住院新生儿母亲远程探视频率与产后抑郁之间的关系

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.2024.05.136

{"title":"Relationship Between Frequency of Remote Visitation and Postpartum Depression in Mothers of Hospitalized Neonates During the COVID-19 Pandemic","authors":"","doi":"10.1016/j.jogn.2024.05.136","DOIUrl":"10.1016/j.jogn.2024.05.136","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the relationship between symptoms of postpartum depression and the number of remote visitations among mothers of infants in the NICU.</p></div><div><h3>Design</h3><p>Retrospective cohort study.</p></div><div><h3>Setting</h3><p>NICU in a medical university in Iwate, Japan.</p></div><div><h3>Participants</h3><p>A total of 89 mothers of infants who spent more than 1 month in the NICU from June 2021 to December 2022.</p></div><div><h3>Methods</h3><p>Participants completed the Edinburgh Postnatal Depression Scale (EPDS) at 4 days and 1 month after birth. We used a one-way analysis of variance with Tukey–Kramer or Games–Howell post hoc tests to examine differences in postpartum depression among three groups based on the frequency of remote visitation: frequent visitation, rare visitation, or no visitation.</p></div><div><h3>Results</h3><p>Of the 89 mothers, 41 scored 9 points or higher on the EPDS conducted 4 days after birth; among them, 14 did not visit, 13 rarely visited, and 14 frequently visited the NICU remotely through a web camera. The rare visitation group had significantly higher EPDS scores 1 month after birth (<em>M</em> = 9.7, <em>SD</em> = 5.2) than the frequent (<em>M</em> = 5.3, <em>SD</em> = 3.7) and no visitation (<em>M</em> = 5.1, <em>SD</em> = 4.2) groups (<em>p</em> < .05). The rare visitation group demonstrated lower improvement on the EPDS than the frequent and no visitation groups (nonsignificant).</p></div><div><h3>Conclusion</h3><p>It is unclear whether remote visitation reduces symptoms of postpartum depression; however, the frequency of remote visitation could be assessed to identify at-risk mothers in need of social support.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 5","pages":"Pages 554-561"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141231703","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

At Your Service 为您服务

IF 1.8 4区医学

Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing Pub Date : 2024-09-01 DOI: 10.1016/S0884-2175(24)00267-3

引用次数: 0

Switzerland’s Midwifery Model of Postpartum Care 瑞士的助产士产后护理模式。

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.2024.07.001

Joyce K. Edmonds, Vanessa Leutenegger MScN. RM

引用次数: 0

Resilient Infant Feeding Among Young Women With Histories of Maltreatment and Poor Support 曾受虐待且缺乏支持的年轻女性对婴儿喂养的适应力。

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.2024.04.003

{"title":"Resilient Infant Feeding Among Young Women With Histories of Maltreatment and Poor Support","authors":"","doi":"10.1016/j.jogn.2024.04.003","DOIUrl":"10.1016/j.jogn.2024.04.003","url":null,"abstract":"<div><h3>Objective</h3><p>To explore how young women with histories of maltreatment describe their experiences and decisions around infant feeding.</p></div><div><h3>Design</h3><p>Secondary qualitative analysis using supplementary analysis.</p></div><div><h3>Setting</h3><p>Washington, DC; Baltimore, MD; and their respective suburbs.</p></div><div><h3>Participants</h3><p>Young women with histories of being abused or neglected as children or adolescents and who gave birth to one child before age 19 years (<em>N</em> = 9).</p></div><div><h3>Methods</h3><p>We collected data through in-depth semistructured interviews and analyzed them using reflexive thematic analysis.</p></div><div><h3>Results</h3><p>The analysis resulted in three themes: <em>Infant Feeding Intention</em>, <em>Identifying Challenges and Persistence</em>, and <em>Pivoting to What Is Feasible</em>. Participants felt that breastfeeding was valuable and wanted to be able to breastfeed their children. They continued to provide human milk through painful latches and a lack of support and guidance, but formula became the only viable option for many of them.</p></div><div><h3>Conclusion</h3><p>Despite wanting to breastfeed and continuing through barriers, many participants could not continue to breastfeed as long as they wanted because of a systemic lack of support. These findings indicate a need to support young women with histories of maltreatment through increased and consistent access to lactation support providers and trauma-informed care. Nurses and other clinicians are uniquely positioned to support young women with histories of maltreatment to overcome barriers related to breastfeeding.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 5","pages":"Pages 511-521"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089336","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

Reconsidering Breastfeeding Recommendations in the Context of Cannabis Use to Support Health Equity 在使用大麻的背景下重新考虑母乳喂养建议，以支持健康公平。

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.2024.07.002

Stacey E. Iobst PhD, RNC-OB, C-EFM, Kara R. Skelton PhD, MA Ed

引用次数: 0