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Full-Text Articles in Medicine and Health Sciences

Breastfeeding Effects With Early Intervention For Ankyloglossia (Tongue-Tie), Hope L. Adams Jan 2016

Breastfeeding Effects With Early Intervention For Ankyloglossia (Tongue-Tie), Hope L. Adams

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Background: Anklyoglossia or tongue-tie in infants often goes undiagnosed primarily due to the lack of knowledge for assessing tongue-tie thus disrupting a successful breastfeeding experience. Education, diagnosis, and treatment of ankyloglossia are vital in order to create a successful breastfeeding outcome. Purpose: To determine the effects of breastfeeding with early intervention for ankyloglossia (tongue-tie). Theoretical/Conceptual Framework: Benner’s concept of Novice to Expert allows nurses to develop skills over time through education and personal experiences. Weidenbach’s concept of The Helping Art of Clinical Nursing applies to direct patient care, teaching, and advice. Methods: Cumulative Index to Nursing and Allied Health Literature …


Patient Normothermia As It Relates To Surgical Site Infections In General Surgical Cases, Helen M. Claudon Jan 2016

Patient Normothermia As It Relates To Surgical Site Infections In General Surgical Cases, Helen M. Claudon

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Background: Approximately 54.4 million inpatient surgical procedures are performed annually in the United States (CDC, 2016). Unfortunately, 500,000-750,000 surgical site infections (SSI) are reported annually (Roesler et al., 2010). A legacy study completed by Kurz et al. (1996) suggested maintaining normothermia during surgery may help decrease SSI. However, few recent studies have been conducted confirming these findings. Purpose: To review current literature for association between normothermia and SSI in adult patients undergoing general surgery. Results: Studies were identified (n = 21) examining association between body temperature normothermia control and SSI in general surgical cases. These studies were analyzed using Betty …


Birth Centers And Underserved Populations, Michelle M. Dabrowski Jan 2016

Birth Centers And Underserved Populations, Michelle M. Dabrowski

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Background: Disadvantaged women in the United States experience disparities in prenatal and birth related health outcomes. Purpose: The purpose of this literature review is to answer the question, “Can freestanding birth centers (FBC) improve outcomes for disadvantaged populations?” Results: FBCs do improve outcomes for disadvantaged populations in mode of delivery, low birth weight, prematurity, breastfeeding continuance, enhanced social support, and decreased familial stress, without additional risk for adverse outcomes. FBCs showed a demonstrable financial benefit through decreased facility fees, delivery charges, and fewer costs associated with the adverse health outcomes of cesarean sections, low birth weight, and premature infants. Conclusion: …


Centering Pregnancy: The Maternal And Neonatal Benefits Of Group Prenatal Care, Trisha Lynn Nelson Jan 2016

Centering Pregnancy: The Maternal And Neonatal Benefits Of Group Prenatal Care, Trisha Lynn Nelson

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Background/Purpose: Centering Pregnancy is a type of group prenatal care that allows women to meet and receive their prenatal care together. The groups meet ten times during the pregnancy and focuses on different aspects of prenatal care. This critical review of the literature focuses on maternal and neonatal benefits of group prenatal care over traditional one-on-one care. A secondary analysis looks at how group prenatal care affects adolescents, women of low socioeconomic status, and minority ethnicities. The Social Learning Theory by Albert Bandura was utilized to look at Centering Pregnancy. The Social Learning Theory states that learning in a group …


Non-Pharmacologic Antenatal Interventions To Reduce Or Prevent Postpartum Depression, Jenny Rebecca Olson Jan 2016

Non-Pharmacologic Antenatal Interventions To Reduce Or Prevent Postpartum Depression, Jenny Rebecca Olson

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Background/Purpose: The purpose of this paper is to critically examine the literature in order to identify whether there are non-pharmacologic antenatal interventions that are effective in reducing or preventing postpartum depression. Theoretical Framework: Cheryl Beck’s theory, Teetering on the Edge: A Substantive Theory of Postpartum Depression, was the theoretical framework used in this paper. Beck’s theory was based on 18 months of studying women with postpartum depression from symptom onset thru the recovery process. During her research, Beck identified four stages to describe the progression of postpartum depression: Encountering terror, dying of self, struggling to survive, and regaining control. Methods: …


Delayed Cord Clamping Impact On Transitional Outcomes Of The Newborn, Ann E. Rice Jan 2016

Delayed Cord Clamping Impact On Transitional Outcomes Of The Newborn, Ann E. Rice

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Background: Currently in the United States, after a baby is born, the umbilical cord is immediately clamped; this is a routine obstetric procedure despite lack of evidence supporting this practice (Elchenbaum-Pikser, 2009). The practice of cord clamping varies with each provider from immediate cord clamping, to delayed cord clamping (which can vary from 1 to 5 minutes) to cord clamping after pulsation of the cord ceases. The procedure of cord clamping is a practice choice made by each medical provider and is based largely on personal preference, not evidence. Purpose: The purpose of this review and synthesis of literature is …


Safety For Women Opting For Tolac Versus An Elective Repeat Cesarean Section, Nicole Marguerite Rothgarn Jan 2016

Safety For Women Opting For Tolac Versus An Elective Repeat Cesarean Section, Nicole Marguerite Rothgarn

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Background/Purpose: TOLAC is the trial of labor after cesarean. VBAC is the successful birth after cesarean. The aim of this paper is to establish safety for women opting for the trial of labor after a primary cesarean. The purpose is to be able to determine how we can better counsel our women opting for TOLAC to improve the worldwide cesarean rate. Theoretical/Conceptual Framework: Imogene King’s theory of goal attainment is used to show the correlation between the patient and the midwife thorough the journey of pregnancy. The ultimate goal is to use the four paradigm’s Imogene describes to achieve a …


The Potential Benefits And Risks Of Antidepressant, Antipsychotic And/Or Mood Stabilizing Medications Use In Pregnancy: A Critical Review Of The Literature, Brittany Kaye Schultz Jan 2016

The Potential Benefits And Risks Of Antidepressant, Antipsychotic And/Or Mood Stabilizing Medications Use In Pregnancy: A Critical Review Of The Literature, Brittany Kaye Schultz

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Background: Medication use in pregnancy walks a fine line between safety of the mother and adverse effects in the developing fetus. Medications are prescribed to either help the mother maintain mental stability or they are discontinued out of fear of fetal harm. Many providers hope that the shift in hormones during pregnancy will fulfill the medications requirement in the non-pregnant state but this is not always the case. Is a discontinuation in medications upon a positive pregnancy test warranted? Purpose: To determine if antipsychotics, mood stabilizers, and antidepressants should be continued or discontinued during pregnancy or if they negatively impact …


The Use Of Supplemental Progesterone In Preventing Preterm Birth In High-Risk Women: A Critical Review Of The Literature, Leah Marie Schroeder Jan 2016

The Use Of Supplemental Progesterone In Preventing Preterm Birth In High-Risk Women: A Critical Review Of The Literature, Leah Marie Schroeder

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Background: Twelve percent of births in the United States occur before 37 weeks of gestation and therefore are considered preterm births (Norwitz, 2015). While the ability to identify women at risk for preterm birth has improved dramatically over the past three decades, the application of primary and secondary interventions has failed to reduce the incidence of preterm delivery, which has actually been on the rise (Norwitz, 2015). Preterm birth is a phenomenon that needs to be reduced not only in the United States, but also across the world. Purpose: To determine to what extent the use of supplemental progesterone in …


The Benefits Of Hydrotherapy During Labor, Karen M. Sonnenburg Jan 2016

The Benefits Of Hydrotherapy During Labor, Karen M. Sonnenburg

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Background: There are many holistic options available to help women cope with the discomforts of labor including pain and anxiety. The use of hydrotherapy during labor is supported by The American College of Nurse-Midwives (2014) due to its many benefits including providing alternative pain relief measures to women during their labor and actual birth (Harper, 2014). Purpose: The purpose of this critical review of the literature is to identify and analyze the benefits of the use of hydrotherapy during labor including the use of showers, water immersion (immersion to the nipple line) and regular bathtubs. Results: Nineteen articles were selected …


Non-Antibiotic Alternatives For Reducing Antepartum Group B Streptococcus Colonization, Rebecca M. Smith Jan 2016

Non-Antibiotic Alternatives For Reducing Antepartum Group B Streptococcus Colonization, Rebecca M. Smith

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Background: Streptococcus agalactiae (known as Group B strep, or GBS) is a bacterium that resides in the gastrointestinal tract and/or vaginal canal and is typically benign, but during pregnancy and birth it can potentially colonize the neonate, causing early-onset group B streptococcal disease (EOGBSD) of the neonate. The use of antibiotics has reduced the morbidity and mortality associated with neonatal infections, but it is not an entirely effective means of preventing the infections and the development of antibiotic resistance may render antibiotics ineffective for this purpose. Alternative methods of preventing GBS colonization are in use by consumers and out-of-hospital birth …


The Use Of Nitrous Oxide In The Management Of Labor Pain: Safet And Effiacy, Jennifer Ruth Christensen Jan 2016

The Use Of Nitrous Oxide In The Management Of Labor Pain: Safet And Effiacy, Jennifer Ruth Christensen

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Background: All women will experience pain while going through childbirth. The pain is caused by pressure and stretching on the uterus and visceral organs, lack of oxygen during uterine contractions, and musculoskeletal and perineal stretching. Difficulty coping with pain leads to an increase in catecholamines, which further complicates the labor process and can contribute to long term psychological consequences. Up to 75% of women in other countries use nitrous oxide, a colorless odorless gas, to manage their labor pain. In the United States, the options for managing labor pain have consisted of non-pharmacological methods such as massage, breathing and relaxation …