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Journal of Perinatal & Neonatal Nursing

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https://www.readbyqxmd.com/read/29965826/a-standardized-approach-to-electronic-fetal-monitoring-in-critical-care-obstetrics
#1
Rebecca L Cypher
From the periphery, pregnancy is a common event in women of childbearing age. Normal anatomic and physiologic adaptations occur and, in most cases, will result in ideal maternal-fetal outcomes. Yet, every day, obstetric clinicians are facing complex pregnancies with complicated life-threatening conditions or coexisting medical and surgical problems that not only alter maternal physiology but also impact fetal survival. A challenge in this population is individualizing maternal-fetal care in critical care women while integrating medical-surgical specialties in creating an interdisciplinary team with similar management goals...
June 29, 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29939882/caring-about-preemies-safe-sleep-capss-an-educational-program-to-improve-adherence-to-safe-sleep-recommendations-by-mothers-of-preterm-infants
#2
Donna A Dowling, Sarah Gutin Barsman, Paula Forsythe, Elizabeth G Damato
Preterm infants born before 37 weeks' gestation die of sudden infant death syndrome (SIDS) at a rate more than double that of term infants. There is a need for SIDS prevention programs tailored to the specific needs of parents of high-risk infants. The purpose of this study was to pilot test an online educational module addressing SIDS risk-reduction recommendations (RRRs) for parents of preterm infants. This study was conducted in a 44-bed transitional care unit at a level IV NICU in the Midwest. A repeated-measures design was used...
June 22, 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29939881/mothers-at-risk-factors-affecting-maternal-postpartum-length-of-stay
#3
Lucy Van Otterloo, Cynthia Connelly, Jeffrey Gould, Anisha Abreo, Elliott Main
Perinatal complications linked to maternal comorbidities contribute to increased healthcare utilization through an extended postpartum length of stay (LOS). Understanding factors influencing postpartum LOS may minimize the adverse effects associated with comorbidities and complications. The purpose of this study was to identify risk factors with the greatest odds of increasing postpartum LOS. Linked 2008-2009 hospital discharge and birth certificate data were used to examine comorbidities and complication codes in 1 015 424 births...
June 22, 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29782435/biobehavioral-responses-of-preterm-infants-to-conventional-and-swaddled-tub-baths-a-randomized-crossover-trial
#4
Patrícia de Freitas, Mariana Bueno, Diane Holditch-Davis, Hudson Pires Santos, Amélia Fumiko Kimura
Bathing is a routine care procedure that exposes preterm infants to prolonged handling, which could cause stress and potentially disrupt infants' biobehavioral responses. The aim of this double-blind randomized crossover trial was to compare the preterm infant's body temperature, heart rate (HR), peripheral capillary oxygen saturation (SpO2), salivary cortisol levels, and sleep-wake states during and after swaddled and conventional tub baths. Forty-three infants born at 32 to 36 weeks postmenstrual age, weighing 2225 g or less, were enrolled in the study...
May 18, 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29782439/the-positive-association-between-duration-of-skin-to-skin-contact-and-blood-glucose-level-in-full-term-infants
#5
Yuki Takahashi, Koji Tamakoshi
The aim of this study was to evaluate the contribution of the duration of skin-to-skin contact (SSC) on blood glucose levels at 2 hours after birth in healthy full-term infants. This observational study was done at one of the baby-friendly hospitals located in Aichi, Japan in 2009. Sixty newborn infants who were born vaginally from uncomplicated pregnancies were participated. All infants were held SSC within 5 minutes. All data regarding neonatal information, blood glucose levels at 2 hours of age, and maternal information were obtained from their medical history...
May 17, 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29782438/a-qualitative-study-on-midwives-perceptions-of-physiologic-birth-in-singapore
#6
Cassandra Yuit Wah Wong, Shefaly Shorey, Kelly Liew, Hong-Gu He, Serena S L Koh
Midwives are advocates for parturients, and their actions and attitudes can influence a woman's experience during childbirth. Hence, it is valuable to examine midwives' perceptions of physiologic birth in an obstetric-led environment. A descriptive, qualitative study design was utilized. Semistructured face-to-face interviews were conducted with 10 registered midwives from the birthing suite of a public hospital in Singapore. Data were analyzed using thematic analysis. Three major themes were (1) perceptions of physiologic birth, (2) perceived facilitators of physiologic birth, and (3) perceived barriers to physiologic birth...
May 17, 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29782437/skin-injuries-and-chlorhexidine-gluconate-based-antisepsis-in-early-premature-infants-a-case-report-and-review-of-the-literature
#7
Valentina Vanzi, Rosanna Pitaro
Early premature infants are subjected to many invasive procedures in neonatal intensive care units, and effective skin antisepsis is an essential step in caring for these vulnerable patients. Nevertheless, preterm infants have an anatomically and physiologically immature skin and preserving their skin integrity is essential to avoid the risk of local and systemic complications. Skin particularities of newborns reduce the list of available antiseptics in neonatology. Chlorhexidine gluconate (CHG) has excellent antiseptic properties and its antimicrobial efficacy cannot be understated, but there is great concern about its use for premature infants, referring to the risk of development skin injuries, such as skin erythema, burns, and blisters...
May 17, 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29782436/effectiveness-of-the-neonatal-discharge-program-for-very-low-birth-weight-infants-on-parental-efficacy-and-psychological-distress
#8
Lakshmi Shandra Bos, Shefaly Shorey, Tamill Salvee Kulantaipian, Jane S P Sng, Wilson W S Tam, Serena S L Koh
This pilot study aimed to (i) evaluate the effectiveness of a neonatal discharge program, (ii) identify relationships between parent and infant factors and parental efficacy and psychological distress, and (iii) identify ways to improve the neonatal discharge program. A quasiexperimental 1-group pretest/posttest design was used. Through consecutive sampling, 42 participants were recruited. Data were collected using self-report questionnaires. Self-administering instruments gathered data on parental efficacy and psychological distress as well as feedback and recommendations on the intervention...
May 17, 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29689021/thinking-about-teaching
#9
Jan M Kriebs
No abstract text is available yet for this article.
April 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29689020/factors-that-influence-human-milk-feeding-at-hospital-discharge-for-preterm-infants-in-a-tertiary-neonatal-care-center-in-taiwan
#10
Chia-Ming Pai, Wai-Tim Jim, Hsiang-Yu Lin, Chyong-Hsin Hsu, Hsin-An Kao, Han-Yang Hung, Chun-Chih Peng, Jui-Hsing Chang
Human milk is considered optimal nutrition for newborn infants, especially preterm infants, and it can lessen morbidity in this population. Human milk feeding at hospital discharge may encourage breastfeeding at home. This study evaluated the incidence and predictive factors of human milk feeding of preterm infants at discharge. It included all preterm infants with gestational age of less than 37 weeks who were admitted to the Mackay Memorial Hospital in Taiwan from January to December 2010 who survived to discharge...
April 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29689019/sustained-breastfeeding-and-related-factors-for-late-preterm-and-early-term-infants
#11
Joan Esper Kuhnly
The purpose of this pilot study was to determine the prevalence of sustained breastfeeding in late preterm and early term breastfeeding infants at 1 and 2 months of age and to identify the factors that were related to sustained breastfeeding. Subjects were identified through purposive sampling and completed the Breastfeeding Self-Efficacy Scale and data were collected on lactation support, hospital course details, and demographic factors. At 1 and 2 months of age, structured telephone interviews determined the current feeding status and postdischarge lactation support...
April 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29689018/beyond-bfhi-the-spatz-10-step-and-breastfeeding-resource-nurse-model-to-improve-human-milk-and-breastfeeding-outcomes
#12
Diane L Spatz
A report released by the World Health Organization states that worldwide less than 10% of birth occur in hospitals certified through the Baby-Friendly Hospital Initiative. Furthermore, the Baby-Friendly Hospital Initiative's primary focus is on breastfeeding for healthy, mother-infant dyads. This article provides alternative models for implementing evidence-based care during maternal-infant separation so that mothers can achieve their personal breastfeeding goals. These include the Spatz 10-step model for human milk and breastfeeding in vulnerable infants and the Breastfeeding Resource Nurse model...
April 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29689017/implementing-a-breastfeeding-toolkit-for-nursing-education
#13
(no author information available yet)
No abstract text is available yet for this article.
April 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29689016/implementing-a-breastfeeding-toolkit-for-nursing-education
#14
Catherine Folker-Maglaya, Maureen E Pylman, Kimberly A Couch, Diane L Spatz, Penny R Marzalik
All health professional organizations recommend exclusive breastfeeding for at least 6 months, with continued breastfeeding for 1 year or more after birth. Women cite lack of support from health professionals as a barrier to breastfeeding. Meanwhile, breastfeeding education is not considered essential to basic nursing education and students are not adequately prepared to support breastfeeding women. Therefore, a toolkit of comprehensive evidence-based breastfeeding educational materials was developed to provide essential breastfeeding knowledge...
April 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29689015/antenatal-breastfeeding-education-and-support-summary-and-analysis-of-2-cochrane-publications
#15
Noelle Jacobsen
Key breastfeeding outcomes identified by the World Health Organization, the United Nations Children's Fund, the American Academy of Pediatrics, and Healthy People 2020 include early initiation, any such feeding at 6 months of age, and exclusivity. Broader themes in the current literature include infants who ever breastfed and overall duration. Healthcare providers need to know what current practices demonstrate effectiveness. A review of 2 Cochrane articles on which interventions impact these selected outcomes does not reveal any significant implications for clinical practice...
April 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29689014/baby-friendly-as-a-regional-collaborative-quality-improvement-project-in-an-academic-medical-center-environment
#16
Martha J Krauss, Michelle Sharp
In 2012, the state of South Carolina lacked any Baby-Friendly designated hospitals. The Medical University of South Carolina had a strong lactation service since 2002 but continued to struggle with improving breastfeeding rates. The Baby-Friendly Hospital Initiative was the catalyst to increase breastfeeding rates at this academic medical center. In 2012, membership in the Best Fed Beginnings Learning Collaborative heightened awareness of the importance of interdisciplinary collaboration. Participation in the regional collaborative provided evidence-based breastfeeding education and best clinical practices that supported the maternal-infant dyad...
April 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29689013/how-does-the-united-states-rank-according-to-the-world-breastfeeding-trends-initiative
#17
(no author information available yet)
No abstract text is available yet for this article.
April 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29689012/incorporating-father-friendly-breastfeeding-language-in-maternity-settings
#18
Jarold T Johnston
The purpose of this commentary is to provide perinatal providers with the tools they need to incorporate fathers into the breastfeeding relationship. Research shows that engaged fathers increase initiation rates, decrease the rate of breastfeeding complications that lead to premature cessation, and increase the duration and exclusivity of a mother's breastfeeding efforts. Despite this evidence, studies frequently show that fathers report being ignored or excluded from breastfeeding education. This is likely an oversight on the behalf of perinatal providers rather than a conscious effort...
April 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29689011/response-to-letter-to-the-editor-and-immunization-facts-for-parents
#19
Sara E Rostas
No abstract text is available yet for this article.
April 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29689010/delegation-legal-issues-for-clinicians
#20
(no author information available yet)
No abstract text is available yet for this article.
April 2018: Journal of Perinatal & Neonatal Nursing
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