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Maternal, Child Health and Neonatal Nursing Commons

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The Importance Of Access To Benefits Under The Family Medical Leave Act For Low-Income Families For Bonding And Attachment Facilitation With A Fragile Infant And The Role Of The Social Worker, Theresa Stewart Moran 2014 Fordham University

The Importance Of Access To Benefits Under The Family Medical Leave Act For Low-Income Families For Bonding And Attachment Facilitation With A Fragile Infant And The Role Of The Social Worker, Theresa Stewart Moran

21st Century Social Justice

Lack of universal family leave discriminates against low-income families with infants who require care in the Neonatal Intensive Care Unit. Birth complications tend to occur more frequently in families living with low socioeconomic status, placing a disproportionate burden on an already vulnerable population. Parents in this group tend to be employed in jobs that do not include the benefit of parental leave. Considering that attachment relationships form as the result of bonding transactions during a critical time in development, limiting contact curtails secure attachment. This, combined with other risk factors, increase the odds of lifelong negative outcomes. Family leave policy ...


How Do Black Nulliparous Women Cognitively Construct Birth?, Marianne F. Moore 2014 Texas Medical Center Library

How Do Black Nulliparous Women Cognitively Construct Birth?, Marianne F. Moore

UT SON Dissertations (Open Access)

A focused ethnography was conducted to determine the cognitive constructions about birth described by nulliparous Black women in an urban area of the Southwestern US; also, during postpartum, how do these women reconcile expectations with the actual birth? Semi-structured interviews were conducted before birth and after birth.

Women, 16 or older, 17 - 33 weeks carrying a singleton fetus and without anomalies or problems like pre-gestational diabetes, NYHA Cardiac Class III/IV, cancer, renal failure, or sickle cell anemia that eliminated vaginal birth were sequentially recruited and sampled in an affiliated ultrasound clinic. Women scheduled for an anatomy scan were approached ...


Factors Associated With Abnormal Weights In Infants In The First Year Of Life: Results From The 2010 National Ambulatory Medical Care Survey, Nikaela R. LaRossa 2014 University of Connecticut

Factors Associated With Abnormal Weights In Infants In The First Year Of Life: Results From The 2010 National Ambulatory Medical Care Survey, Nikaela R. Larossa

Honors Scholar Theses

Purpose: To examine the predictors associated with abnormal infant weights for lengths in the first year of life as seen in ambulatory care settings.

Data Sources: A secondary data analysis was conducted using the 2010 National Ambulatory Medical Care Survey (NAMCS), in which practitioners documented single patient visits. World Health Organization (WHO) growth charts and recommendations were used to evaluate infant weight for length. Of the total visits, 603 infants were less than one year old, and 595 infants were within the length range of the WHO growth charts. Of the 595 cases, 13.6% were underweight, 5.5% were ...


Transitioning To Motherhood After Trauma: Interacting With The Healthcare System, Karen E. Haines 2014 Western University

Transitioning To Motherhood After Trauma: Interacting With The Healthcare System, Karen E. Haines

University of Western Ontario - Electronic Thesis and Dissertation Repository

Little is known about the interactions with the healthcare system among women with past interpersonal trauma accessing maternal health care. The purpose of this study was to critically examine the experiences of women with past interpersonal trauma as they interacted with the healthcare system during the transition to motherhood. A critical feminist perspective informed by Relational-Cultural Theory was used to guide this secondary analysis of 29 interview transcripts from: (a) Aboriginal women, (b) refugees, and (c) survivors of childhood sexual abuse. Four themes emerged: 1. Birthing a healthy baby: the common relational thread; 2. Receiving physical care over the emotional ...


The Baby Friendly Hospital Initiative, Kathryn E. Brackett 2014 Liberty University

The Baby Friendly Hospital Initiative, Kathryn E. Brackett

Senior Honors Theses

Abstract

The Baby-Friendly Hospital Initiative (BFHI) is a worldwide movement started by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) that is aimed at providing hospitals with a certification that guarantees the best possible patient-centered care for mothers and infants. It focuses on breastfeeding as optimal infant nutrition, and implements strategies to encourage and support mothers to breastfeed their infants exclusively for six months after birth. The Ten Steps to Successful Breastfeeding are a set of 10 simple, easy to understand guidelines developed by WHO and UNICEF for implementing this initiative in the hospital setting ...


Coming Home: The Use Of Skilled Nursing Visits On Recently Discharged Nicu Patients, Brittany Mattson 2014 College of Saint Benedict and Saint John’s University

Coming Home: The Use Of Skilled Nursing Visits On Recently Discharged Nicu Patients, Brittany Mattson

Celebrating Scholarship & Creativity Day

This research analyzes the facility’s use of skilled nursing visits of premature infants and recommends the best practice to support positive patient outcomes.


Women’S Understanding Of The Effects Of Obesity On Pregnancy, Rachel A. Daniel 2014 Liberty University

Women’S Understanding Of The Effects Of Obesity On Pregnancy, Rachel A. Daniel

Senior Honors Theses

Obesity is a serious issue and is becoming a significant problem around the world. Obesity in general causes and complicates many health problems. As obesity increases in the population at large, the incidence of obesity in pregnancy continues to increase. Obesity during pregnancy has been linked in numerous studies to multiple complications, and the issues and risks have been clearly established. Also becoming pregnant or having multiple pregnancies increases the likelihood of developing obesity. Obese women of childbearing age many times do not even know these risks exist. There is a need to educate these women before they become pregnant ...


Evaluation Of The Care Program At Goodall Hospital’S Center For Women’S Health, Nicole Hutzler, Lindsey Stockwell 2014 University of Southern Maine

Evaluation Of The Care Program At Goodall Hospital’S Center For Women’S Health, Nicole Hutzler, Lindsey Stockwell

Thinking Matters

The purpose of this descriptive study is to gain a better understanding of the characteristics that can affect depression and overall compliance in prenatal care. Researchers anticipate that women’s involvement in the CARE Program will lead to a decrease in depression scores measured between the first and second trimester. The continued assessment and support provided by the CARE Coordinator is also expected to lead to fewer untreated cases of perinatal and postpartum depression.


Long-Term Home Visiting With Vulnerable, Young Mothers: Impacts On Public Health Nurses, Anne L. Dmytryshyn 2014 McMaster University

Long-Term Home Visiting With Vulnerable, Young Mothers: Impacts On Public Health Nurses, Anne L. Dmytryshyn

Open Access Dissertations and Theses

The Nurse-Family Partnership (NFP) is a targeted, nurse home visitation program for young, low-income, first time mothers. While the effectiveness of the NFP has been established in the context of the US, and is currently being evaluated in the Canadian public health care system, little has been done to document how work of this nature influences or impacts public health nurses (PHNs), an essential component of this program delivery model, on both professional and personal levels. This qualitative interpretive descriptive study explored PHNs’ experiences of long-term home visiting a targeted population of young, vulnerable mothers in a Canadian NFP program ...


Implementation Of A Mhealth Program Within A Homeless Population Of Young Mothers, Maureen Byrnes 2014 Seton Hall University

Implementation Of A Mhealth Program Within A Homeless Population Of Young Mothers, Maureen Byrnes

Seton Hall University Final Projects

Purpose: Despite major medical advancements and education, more than 500,000 babies are born prematurely and an estimated 28,000 infants die before their first birthday annually (www.marchofdimes.com/peristats). New Jersey’s infant mortality rate appears exemplary when compared to the United States overall infant mortality rate. Yet, New Jersey’s infant mortality rate, preterm birth rate and low birth rate by mother’s race reveal a far greater risk for infants born to a mother who is African American (www.nj.gov/health/epht/outcome.shtml). The need for innovative approaches to improving New Jersey’s maternal-infant ...


Student Experiences And Beliefs Regarding Normal Physiologic Birth, Alicia N. Harris 2014 Rhode Island College

Student Experiences And Beliefs Regarding Normal Physiologic Birth, Alicia N. Harris

Honors Projects Overview

Lamaze International identifies six care practices used to promote, protect, and support the normal physiologic process of birth (Lamaze, 2007; Lamaze, 2014). These practices include: allowing labor to begin on its own; allowing freedom of movement throughout labor; providing continuous labor support; avoiding routine interventions; promoting spontaneous pushing in upright or gravity-neutral positions; and not separating mother and baby with unlimited breastfeeding opportunities. These care practices were adopted for nurses (Romano & Lothian, 2008) to support the normal physiologic birth (NPB.) The disparity between this recognized standard of care and the reality of nursing student education in the maternity clinical setting is explored through a survey of 59 nursing students. The survey elicited responses regarding: 1) educational experiences with NPB in the maternity clinical practicum; 2) experiences with each of the care practices in the maternity clinical practicum; and 3) beliefs about NBP in the clinical setting. The findings indicated a gap between evidence-based ...


Develop A Sudden Infant Death Syndrome (Sids) Education Package In Jordan: Using Participatory Action Research Approach To Create Ripple Of Change, Shereen Hamadneh, Jehan Hamadneh 2013 Edith Cowan University

Develop A Sudden Infant Death Syndrome (Sids) Education Package In Jordan: Using Participatory Action Research Approach To Create Ripple Of Change, Shereen Hamadneh, Jehan Hamadneh

eCULTURE

IInfant mortality is high in Jordan, a developing country in the Middle East, at 19 per 1000 live births. Most mortality risk factors are preventable. The SIDS incidence rate has also been extrapolated as 11.22 per 1000 live births [1]. This is much higher than the United State of America (USA), a developed country (0.54 per 1000 live births) [2]. Most of modifiable SIDS risk factors can be reduced by increasing knowledge, change behaviors and practices regarding SIDS risks and prevention measures.

There has not been a major investment in educating Jordanians about SIDS. Heath care providers ...


Influence Of Motivation On The Efficacy Of Natural Family Planning, Richard J. Fehring, Mary Schneider, Mary Lee Barron, Jessica E. Pruszynski 2013 Marquette University

Influence Of Motivation On The Efficacy Of Natural Family Planning, Richard J. Fehring, Mary Schneider, Mary Lee Barron, Jessica E. Pruszynski

Randomized Comparison of Two Internet-Supported Methods of Natural Family Planning

Purpose: Mutual motivation is recognized as essential for effective behavioral methods of family planning. Few studies have studied this factor in family planning efficacy. The purpose of this study was to determine the influence of mutual motivation on unintended pregnancy rates of couples who used natural family planning (NFP) methods to avoid pregnancy.

Study Design and Methods: Using an online taught NFP method, 358women and ( their male partners) indicated “how much” and “how hard” they wished to avoid pregnancy on a scale of 0-10 before each menstrual cycle charted over 12 month of use. This motivation scale is used in ...


Sonographic Findings In Acute Uterine Inversion, John C. Smulian MD, MPH, Joseph D. DeFulvio DO, Liany C. Diven MD, Jose Luiis Terrazas MD 2013 Lehigh Valley Health Network

Sonographic Findings In Acute Uterine Inversion, John C. Smulian Md, Mph, Joseph D. Defulvio Do, Liany C. Diven Md, Jose Luiis Terrazas Md

Department of Obstetrics & Gynecology

We present a case of acute uterine inversion in the third stage of labor in which critical management decisions were facilitated by ultrasound imaging in the operating room. Identification of the ovary and adnexa pulled into the inclination of the inversion allowed successful diagnosis and guidance of uterine replacement.


Taking Family Centered Care To A Whole New Level: Babycam, Cathy L. Bailey RN, MS, CRNP 2013 Lehigh Valley Health Network

Taking Family Centered Care To A Whole New Level: Babycam, Cathy L. Bailey Rn, Ms, Crnp

Patient Care Services / Nursing

No abstract provided.


Tamiah N. Mccoy - African American Women’S Birth Stories As Told To African American Women Interviewers, Tamiah N. McCoy 2013 Marquette University

Tamiah N. Mccoy - African American Women’S Birth Stories As Told To African American Women Interviewers, Tamiah N. Mccoy

Ronald E. McNair Scholars Program 2013

Background: A woman’s birth story allows each woman to tell her own perspectives about her experience of bringing a child into the world. As healthcare providers, it is always important to value listening to and learning from our clients. Researchers systematically analyzing birth stories can yield insights on ways to improve birthing experiences for women. This is especially important for African American women, who differentially encounter the most numerous health disparities of any racial group, with twice as much infant mortality than other groups.

Purpose: This study examined birth stories of African American women in order to gain insights ...


Randomized Comparison Of Two Internet-Supported Fertility Awareness Based Methods Of Family Planning, Richard J. Fehring, Mary Schneider, Kathleen Raviele, Dana Rodriguez, Jessica E. Pruszynski 2013 Marquette University

Randomized Comparison Of Two Internet-Supported Fertility Awareness Based Methods Of Family Planning, Richard J. Fehring, Mary Schneider, Kathleen Raviele, Dana Rodriguez, Jessica E. Pruszynski

Randomized Comparison of Two Internet-Supported Methods of Natural Family Planning

Background: The aim was to compare the efficacy and acceptability of two Internet-supported fertility-awareness-based methods of family planning.

Study design: Six hundred and sixty-seven women and their male partners were randomized into either an electronic hormonal fertility monitor (EHFM) group or a cervical mucus monitoring (CMM) group. Both groups utilized a Web site with instructions, charts and support. Acceptability was assessed online at 1, 3 and 6 months. Pregnancy rates were determined by survival analysis.

Results: The EHFM participants (N=197) had a total pregnancy rate of 7 per 100 users over 12 months of use compared with 18.5 ...


Integrating Evidence For Excellence In The Care Of Women And Newborns - The Evidence-Based Fellows² Program (Poster), Jennifer King RNC, BSN 2013 Lehigh Valley Health Network

Integrating Evidence For Excellence In The Care Of Women And Newborns - The Evidence-Based Fellows² Program (Poster), Jennifer King Rnc, Bsn

Patient Care Services / Nursing

No abstract provided.


Perception, Expression And Management Of The Pain Of Childbirth, Mary H. Christenson 2013 Liberty University

Perception, Expression And Management Of The Pain Of Childbirth, Mary H. Christenson

Senior Honors Theses

In order to be a competent nurse on an American labor and delivery unit it is important to have an understanding of the pain of childbirth. This includes a thorough understanding of pain as a sensation and its manifestation during the birthing experience. An understanding of pain is useless, however, unless standardized pain assessment practices are used. The most accurate pain assessment is associated with a general understanding of cultural trends in pain perception and expression. Along with culture, other factors also influence how a woman senses and copes with the pain of labor. Anxiety is one of these influential ...


The Effects Of Nursing Care On The Patient Experiencing A Stillborn Birth, Katherine Totten 2013 Liberty University

The Effects Of Nursing Care On The Patient Experiencing A Stillborn Birth, Katherine Totten

Senior Honors Theses

Childbirth has the potential of being one of the most joyous and fulfilling experiences a woman goes through in her entire life. Being a mom, driving the kids to soccer practice, and sitting around the Christmas tree with the family can easily be seen as an ideal life. Conversely, the negative experiences with childbirth are rarely discussed. There is an overlooked category: moms who conceive but lose the baby in the womb. Not only are these women overlooked, but also the hospital care they receive proves inconsistent with the latest research. Nurses and doctors should be aware of the latest ...


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