Maternal, Child Health and Neonatal Nursing Commons^™

Choosing A Vaginal Birth After A Cesarean Rather Than A Repeat Elective Cesarean Delivery, Sydney Carter

Scholars Week

The VBAC (Vaginal Birth After Cesarean) rate has been increasing over the recent years. However, it is still a much lower rate as compared to 1996. During this time uterine rupture instances and maternal mortality rates were found to have increased. As a result, facilities over corrected and stopped offering VBACs as an option. Current research shows they are actually safer than a cesarean but most facilities do not offer this option. The purpose of this policy change is to increase the rate of VBACs by providing good education to expectant mothers through their nurses.

Delayed Newborn Bathing, Trisha Freudenberg

Scholars Week

Abstract:

The title of this paper is Delayed Newborn Bathing. The purpose of this project was to research the evidence and literature that supports the need for a delayed newborn bath. The project discusses the benefits of a delayed bath and what affect it has on the infant’s temperature, blood sugar/blood glucose, and exclusive breast feeding rates. Three evidence-based research studies have been presented within this project (“Impact on delayed newborn bathing one exclusive breastfeeding rates, glucose, and temperature stability, and weight loss”, “Initiative to improve exclusive breastfeeding by delaying the newborn bath”, and “Effects of delayed newborn bathing on …

Factors Associated With First Antenatal Care Booking Among Pregnant Women At A Reproductive Health Clinic In Tanzania: A Cross Sectional Study, Lucy Kisaka, Sebalda Leshabari

School of Nursing & Midwifery, East Africa

Background: Antenatal care (ANC) is a key basic intervention targeting maternal and perinatal morbidity and mortality. The World Health Organization (WHO) recommends the first ANC booking before 12 weeks of gestation. This enhances positive maternal and fetal outcomes through early detection of complications, prompt treatment, referral, and management of expected physiological changes. Despite high ANC coverage (98%), free contacts, and easy accessibility, little is known why few (24%) pregnant women in Tanzania book their first ANC-visit early. This study aimed to identify factors associated with first ANC booking among pregnant women in a Tanzanian reproductive health clinic.

Methods: Systematic …

The Lived Experience Of Pregnancy As A Black Woman In America: A Descriptive Phenomenological Case Study, Jodie C. Gary, Sharon L. Dormire, Jamil Norman, Idethia S. Harvey Drph

Journal of Interprofessional Practice and Collaboration

PURPOSE: Health disparities in childbearing black women in the United States have continued through multiple decades despite overall improvements in pregnancy-related outcomes for other ethnicities. Pregnancy outcomes for black women include greater risks of maternal mortality, severe morbidity, as well as preterm and low birthweight infants. From a person-centered perspective, the description of the lived experiences of adversity for pregnant black women is missing from the literature. This omission is believed to attribute to the continued health disparities in this population.

METHODS: While the study was originally designed using focus group methodology for data collection for a larger number of …

Safe Sleep, Katie Tracy, Sarah Valentine, Sophie Weyers, Krystal White

Nurse Presentations

Describes a project focused on the non-compliance of safe sleep practices in the ICN.

Kangaroo Care In The Icn, Taylor Disper, Johanna Moore, Nicole Westlie

Nurse Presentations

Describes a project focused on improving Kangaroo Care rates in the ICN.

Safe Sleep, Taylor Bishop, Rachel Bryant, Austin Howard, Karli Katzer, Olivia Parkhurst, Paige Pruitt, Sydney Smith

Nurse Presentations

This team focused on increasing the compliance with safe sleep on two floors of CMH.

The Training Support And Access Model Practice-Based Clinical Mentorship Program In Rwanda: Mentors' Perceptions Of Their Role, Marie Chantal Murekatete, Yolanda Babenko-Mould

Africa Western Collaborations Day 2020 Abstracts

No abstract provided.

Electronic Fetal Monitoring Credentialing Examination: The First 4000., Mark Tomlinson, Sara A Brumbaugh, Marin O'Keeffe, Richard L Berkowitz, Mary D'Alton, Michael Nageotte

Articles, Abstracts, and Reports

No abstract provided.

Every Drop Counts: Quantifying Blood Loss Can Lead To Early Detection And Intervention For Postpartum Hemorrhage, Christina Bouikidis

West Chester University Doctoral Projects

Abstract

A visual estimation has been the standard measurement for blood loss post vaginal or cesarean section delivery. Research has shown that visual estimation also known as estimated blood loss has led to an underestimation of total blood loss volume. This results in over 100,000 women per year in the United States that experience an adverse effect due to delayed recognition and treatment for postpartum hemorrhage. By quantifying blood loss, the volume is measured by a one to one ratio; one-gram weight is equal to one-milliliter blood volume. To promote the evidence-based practice of quantifying blood loss, a quality improvement …

Access And Utilization Of Prenatal Care In Florida And Its Effects On Preterm Birth, Corinne Audette

Electronic Theses and Dissertations, 2020-2023

Preterm birth in the United States is the leading cause of infant morbidity and mortality. The United States spends more per capita on healthcare than any other nation in the world, and still perinatal outcomes are disappointing when compared to other industrialized nations. Research and current clinical practice guidelines support the use of early and consistent prenatal care to lower risks for preterm birth, by acting as a key mechanism to monitor pregnancy and provide timely and appropriate interventions. Significant research has been completed to identify causative factors that lead to preterm birth. Overall, this literature has not had a …

Educational Interventions For Women And Their Support Persons On Breastfeeding Outcomes, Alexandra Cordell

Electronic Theses and Dissertations

n the United States breastfeeding duration and exclusivity rates are not at ideal levels, therefore there is a need to examine existing interventions. The purpose of this systematic review was to examine the effects of education and support interventions during the third trimester, immediate postpartum, and the first six months of life on breastfeeding duration and exclusivity from six weeks to six months. Inclusion criteria were (a) randomized controlled trials or controlled clinical trials, (b) pregnant and/or postpartum women, (c) lactation education and support interventions, (d) measurement of breastfeeding outcomes from six weeks to six months, and (e) published between …

Glycogen Storage Diseases-Time To Flip The Outdated Diagnostic Approach Centered On Liver Biopsy With The Molecular Testing, Sibtain Ahmed, Bushra Afroze

Department of Pathology and Laboratory Medicine

The glycogen storage diseases (GSDs) are a group of inherited metabolic disorders that result from a defect in any one of several enzymes required for either glycogen synthesis or glycogen degradation. The traditional diagnostic approach is based on the invasive hepatic or muscle biopsies, which are neither cost effective nor convenient. Molecular (gene testing) has emerged over the course of past few years as a robust alternative diagnostic tool, which not only confirms the diagnosis of GSDs but also clearly differentiates the types of GSDs allowing the initiation of the type-specific appropriate treatment for the particular type of GSDs. The …

Establishing Exclusive Breastfeeding And The Influence Of Hospital Support, Martha Monroe

Theses and Dissertations--Nursing

Maternal-child health authorities recommend that infants breastfeed exclusively for the first six months of life. Currently, 25% of infants in the United States do so. Breastfeeding specific care that mothers receive from their postpartum nurses and lactation specialists is integral to successfully initiating exclusive breastfeeding. Due to the time sensitive nature of establishing milk supply, interrupting the process of lactogenesis with supplementation puts infants at high risk for early termination of breastfeeding. The purpose of this dissertation is to examine the relationship of breastfeeding care received during the postpartum hospital stay, defined as the first 48-72 hours of life, and …

Impact Of Nicu Design On Feeding-Related Outcomes In Preterm Infants, Emma Kate Calvert

Theses and Dissertations--Communication Sciences and Disorders

Many NICUs around the country are moving away from traditional open-bay designs in favor of single-family rooms (SFRs) as more is understood about the impact of the sensory environment on neurodevelopment in preterm infants. SFRs house one infant and their family for the length of the infant’s stay and are associated with improvements in numerous outcomes, including increased milk intake and weight gain and earlier transition to enteral feeding. Oral feeding remains a critical requirement for NICU discharge; however, the impact of NICU design on feeding outcomes remains unknown.

The purpose of this study was to compare feeding outcomes between …

Effects Of Nonpharmacological Interventions On Outcomes In Neonates With Neonatal Abstinence Syndrome: A Systematic Review, Alexandrea Gray, Rachel Smith, Trina Miller, Nina Vaccaro, Ashlyn Milhoan

Williams Honors College, Honors Research Projects

Neonatal abstinence syndrome (NAS) is a growing issue in today’s society, especially in women of the childbearing age who use substances during pregnancy. As use of substances, such as opiates, increases in the United States, the healthcare industry has noticed a significant rise in the number of neonates born with symptoms of NAS withdrawal. Through the analysis and synthesis of research, the purpose of this paper is to appraise the evidence regarding the effects of supplemental nonpharmacological interventions, specifically rooming-in and breastfeeding, compared to standard pharmacological treatment, on NAS withdrawal symptoms. Twenty peer-reviewed research studies conducted between 2010 and 2018 …

Non-Pharmacological Interventions For Alcohol, Marijuana, And Opioid Use During Pregnancy: A Systematic Review, Hannah Safranek, Madeline Frausto, Amy King, Stoneking Madison

Williams Honors College, Honors Research Projects

The purpose of this review is to analyze evidence on prevalence of opioid, alcohol and marijuana use during pregnancy and answer the PICOT question: In pregnant women addicted to or using marijuana, opioids, and alcohol, how do non-pharmacological interventions, compared to standard care of pharmacological interventions alone, affect health outcomes in mothers and neonates between birth to hospital discharge? Diagnosis of substance use disorder is increasing and with it comes increased risk of complications to mother and neonate including neonatal abstinence syndrome (NAS), fetal alcohol syndrome (FAS) and other negative neonatal and maternal outcomes. Evidence was identified on the online …

Breastfeeding Issues Leading To Early Cessation, Brandy Kirstein

DNP Research Projects

Breastfeeding has come to the forefront in modern research as a necessary and important phenomenon to understand and address due to the vast amount of evidence revealing its health benefits for both Mom and baby. Disparities exist related to socioeconomic status, education level, poverty, young age, obesity, alcohol use, smoking, and living in rural areas. This project aims to discover the areas that need the most awareness and change specific to the state of Tennessee to increase the prevalence of exclusive breastfeeding for six months (EBF6) creating healthier future generations and society. This project was a non-experimental, retrospective, correlational design, …

External Barriers For Including Parents Of Preterm Infants In A Randomised Clinical Trial In The Neonatal Intensive Care Unit In Sweden: A Descriptive Study, Evalotte Mörelius, Emma Olsson, Charlotte Sahlén Helmer, Ylva Thernström Blomqvist, Charlotte Angelhoff

Research outputs 2014 to 2021

© Author(s) (or their employer(s)) 2020. Objectives Performing randomised controlled trials (RCTs) in neonatal intensive care is challenging in many ways. While restrictive inclusion criteria or busy study protocols are obvious barriers, external barriers leading to termination of a study are seldom discussed. The aim of this study was to describe barriers for inclusion of families in neonatal intensive care in an RCT aiming to evaluate the effects of continuous skin-to-skin contact on mood and sleep quality in parents of preterm infants, as well as the quality of parent-infant interaction and salivary cortisol concentrations at the time of discharge. Design …

I Was Determined To Breastfeed, And I Always Found A Solution: Successful Experiences Of Exclusive Breastfeeding Among Chinese Mothers In Ireland, John Kearney, Qianling Zhou, Haoyue Chen, Katherine Younger, Tanya M. Cassidy

Articles

Background: The prevalence of exclusive breastfeeding for at least 4 months was previously found to be very low among Chinese immigrants in Ireland, at 5.8% (Zhou et al., Front Public Health 6:351, 2018). This study investigates the successful experiences of Chinese mothers living in Ireland who exclusively breastfeed for between four and 6 months.

Methods: Participants were recruited from the sample of the Ireland Chinese Mother Survey. Qualitative in-depth interviews were conducted with fourteen participants in their homes or public places.

Results: A content analysis revealed that various factors contributed to a successful experience of exclusive breastfeeding among the group …

Barriers To Ghanaian Midwives’ Ability To Provide Quality Care: A Glaserian Grounded Theory Study, Yakubu Ismaila

Theses: Doctorates and Masters

The midwifery model of care that promotes the employment of trained and regulated midwives for the provision of maternal and neonatal care has been found to be beneficial, especially in Low and Middle-Income Countries that have high maternal and neonatal mortalities. Midwives in those setting are however, facing a myriad of barriers which negatively affect their ability to provide optimal care. Although Ghana is implementing the midwifery model of care, maternal and neonatal mortality remains high in the country. Little is known from the point of view of midwives, who are the primary providers of maternal and neonatal care, about …