Maternal, Child Health and Neonatal Nursing Commons^™

Baby-Friendly Hospital Initiative’S Benefits, Effectiveness, And Relevance To Internship At A Women’S Hospital, Katherine Locke

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background: This review was conducted to analyze the benefits and effectiveness of the Baby-Friendly Hospital Initiative and compare it to my internship at a Baby-Friendly designated women’s hospital.

Purpose: The purpose of this review was to compile and compare existing research on Baby-Friendly Hospital Initiative to determine its benefits, effectiveness, and relevance to my internship.

Method: Two databases, CINAHL Complete and MEDLINE, were used to find a total of 18 peer-reviewed journal articles on Baby-Friendly Hospital Initiative benefits and effectiveness. Key words consisted of “baby friendly,” “hospital,” and “benefits or advantages.”

Results: The Baby-Friendly Hospital Initiative …

Tiny Tusk Internship: Barriers To Effective Breastfeeding Within Low Socioeconomic Populations, Catherine Johnson

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Tiny Tusk Breastfeeding and Infant Support is a program created to facilitate safe and quiet places for mothers to breastfeed at various events at the University of Arkansas. It serves as a platform to spread important and essential information about breastfeeding to mothers and reach various women all from different backgrounds and populations. The purpose of this review of literature is to identify barriers that women within low socioeconomic populations face that influence their decision to breastfeed. These barriers included lack of social support from family, friends, and healthcare providers; latch difficulty; and concerns of milk supply. Altogether, low-income women …

Erac (Enhanced Recovery After Cesarean): A Safer And More Efficient Recovery Protocol, Allison Deluca

Senior Honors Projects

No abstract provided.

Infertility: An Evaluation Of Treatment Modalities And Ethical Considerations, Elise Ferenczy

Senior Honors Theses

This thesis reviews a variety of options for treatment of infertility, along with ethical considerations for each. The basis for ethical concerns will be primarily a biblical worldview, as the goal is to support Christian couples in decisions regarding infertility treatment. The biblical worldview is outlined to provide readers with an understanding of its core principles, and the Bible is used as the primary source for ethical discussion. The most common etiologies of infertility are outlined, followed by treatment modalities grouped by category. While some modalities present very few ethical concerns, others require careful consideration in many regards. Many of …

Tiny Tusks Internship: The Marketing Of Infant Formula, Valeria De La Torre

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Less than half of the world’s infants and young children are breastfed despite the major benefits and recommendations by WHO. Commercial milk formula has been advertised so intensely that it has produced many misleading marketing styles that lead parents to believe commercial milk formula has better benefits than breastmilk. The United States is one of the few countries that have yet to act on WHO’s International Code of Marketing for Breastmilk to decrease the aggressive marketing styles in place. By only placing pictures of happy babies on the formula cans, it leads parents to believe that their baby would be …

Postpartum Health And Wellbeing, Tamara Black

Symposium of Student Scholars

Our project is testing the stress levels of women in postpartum. We developed surveys for women who have recently given birth and then do a two finger stress test.

Instilling Parental Confidence Through Text-Linked Educational Modules At 6 And 24 Weeks, Rachel Hage

Honors Scholar Theses

Background: Becoming a parent is one of the most demanding and intense social roles individuals can experience in their life (Vance & Brandon, 2017). A lack of maternal confidence and understanding of how to interact with their infant during the first six months of life may adversely affect their lifelong relationship.

Objective: To examine maternal descriptions of text-linked educational modules on infant development and play and their effect on maternal self-efficacy at 6 and 24 weeks.

Method: This study was a mixed-method approach of interviews collected as part of a larger randomized control intervention for mothers to manage their breast …

Virtual Visits In Routine Prenatal Care, Katrina K. Wu

MUSC Theses and Dissertations

Problem

One million pregnant persons in the United States do not receive early prenatal care or the recommended number of prenatal visits each year, and this gap in care access disproportionately affects people of color, those with lower incomes, and those living in rural communities. Telemedicine was widely utilized in prenatal care during the COVID-19 pandemic, and optimizing prenatal telemedicine has the potential to improve prenatal care access beyond the pandemic.

Purpose

This dissertation focused on examining the integration of virtual visits in routine prenatal care during the COVID-19 pandemic. The purpose of this dissertation was to:

Aim 1. Explore …

Improved Bonding & Maternal Self-Efficacy In The Nicu: A Scoping Review​, Alexandria Sneed Nauert Bsn, Rnc-Nic, Mckenleigh N. Hill Bsn, Rnc-Nic, Bobby Bellflower Dnsc, Nnp-Bc, Faanp

Doctor of Nursing Practice Projects

Purpose/Background

Mothers of infants admitted into the neonatal intensive care unit (NICU) are at risk for developing anxiety, depression, and post traumatic stress disorder (PTSD) related to their child’s hospitalization which impedes the mother-infant bonding and attachment process. Research shows that children of mothers suffering from these issues are more likely to develop their own behavioral, emotional and cognitive problems later in life. The purpose of this scoping review is to analyze the literature regarding methods to improve bonding and attachment between NICU patients and their mothers to improve long-term outcomes for the whole family.

Methods

The authors conducted a …

The Motherhood Crusade: Rural Low-Income Mothers, Support, And Empowerment, Christina Castellano

Dissertations

Previous research has shown that postpartum women with untreated mental health conditions are more likely to fail to manage their own health, have inadequate nutrition, abuse substances, experience abuse, be less responsive to their baby’s needs, have fewer positive interactions with their baby, experience difficulties breastfeeding, and question their abilities as a mother. Rural culture plays a complex role in the transition to motherhood, influencing whether mothers seek out and use resources. While more is known about location and access issues, less is known about how rural culture and, more specifically, how empowerment and social support impact postpartum experience. The …

Effectiveness Of Follow Up Phone Calls On Postpartum Women After Discharge: A Program Evaluation, Camille Williams

Dissertations

After an expectant mother gives birth, they are closely monitored for 48 to 72 hours after delivery and then discharged from the hospital. They are then typically seen by their physician for a postpartum follow up appointment within six to eight weeks for their postpartum follow up visit. Although complications during this postpartum period can still arise, postpartum women are rarely assessed during this time. Follow-up phone calls have been known to improve patient outcomes and communication between patients and providers once patients are discharged from the hospital. In January of 2020, the Mother/Baby Unit at a midwestern metropolitan hospital …

The Effects Of Loud Nicu Environments On Premature Infants And Interventions To Help Minimize Noise, Elsy Gramajo

Nursing | Student Research Posters

Noise in the Neonatal Intensive Care Unit (NICU) often exceeds recommended safe noise levels and has been found to have negative effects on premature infants and their health. Some of these effects can be changes in their heart rate, respiratory rate, and sleep patterns. In addition, negative effects, such as hearing loss, can cause permanent damage that impact children's long-term development. A preterm infant is an infant born before 37 weeks’ gestation. Being born prematurely comes with its own problems and many risks. Attempting to survive in an environment that causes more stress is not healing. Understanding the effects of …

Fatherhood And The Influence Of Spouses Postpartum Depression On Relationship Satisfaction, Emma Salinas

Nursing | Student Research Posters

Postpartum depression and the effects it has on women have long been well studied and documented, however, little research has been done on how this illness affects these women’s partners. Considering the significant amount of research conducted on postpartum depression (PPD) from the perspective of women and the increasing trend towards family-oriented approaches, it is vital to further undertake studies concentrating on the male perspective of coping with a partner who has PPD. This in turn opens a new and important area of research for the clinical psychology community. This research proposal aims to focus on fathers’ coping styles when …

Benefits Of Rooming-In On Infants With Neonatal Opioid Withdrawal Syndrome, Emma Ricioli

Nursing | Student Research Posters

Neonatal opioid withdrawal syndrome (NOWS) is a significant public health concern, affecting infants born to mothers who use opioids during pregnancy. Those exposed in-utero exhibit numerous signs of withdrawal after delivery including tremors, gastrointestinal distress, inconsolability, and poor feeding. Typical treatment for infants suffering from NOWS included direct admission to the neonatal intensive care unit (NICU) for close observation and pharmacological interventions. However, NICU stays can interfere with bonding and breastfeeding. They can also lead to increased lengths of stay, higher costs, and more invasive pharmacological treatments. These infants typically do not have any other concerning health issues besides NOWS …

The Effect Of Delivery Method On Breastfeeding Initiation And Duration, Mariana Carina Benitez

Nursing | Student Research Posters

There is a plethora of research focusing on the physical effects of each delivery method on a mother’s ability to initiate and sustain breastfeeding, however, there may be more psychosocial factors that influence a mothers decision to start and continue breastfeeding once they deliver. It is very common to be educated about breastfeeding after the baby has already been delivered, but it is often missed that education before may improve breastfeeding rates and increase mothers' breastfeeding self-efficacy rates. The primary purpose of this project is to evaluate the effectiveness of breastfeeding support groups that provide information, guidance, and social support …

Maternal Postnatal Depressive Symptoms And Its Effects On Infant Bonding, Tammy Nguyen

Nursing | Student Research Posters

The objective of this thesis is to gain insight on precipitating factors that increase postpartum mother’s depressive symptoms, including stress and anxiety, and how attachment is influenced. Maternal-infant bonding is defined as the emotional relationship and interaction between mother and infant. Postnatal depressive symptoms typically are under-diagnosed due to a lack of education and the stigma of believing that the effects are “normal” consequences of motherhood. Those affected may not seek professional help. Unrealistic expectations about bonding with their infants can have a negative mental health impact on mothers and influence infants’ behaviors. High expectations of needing to be a …

How Implicit Bias Leads To Racial Disparities In Maternal Care And Experiences, Mia Yee

Nursing | Student Research Posters

Background: Maternal mortality rates have decreased all over the world. However, in the United States, the maternal mortality rate has been steadily increasing. Women of color reportedly are forced to accept the burden of an unequal association between race and morbidity & mortality due to implicit discriminatory attitudes of healthcare professionals. Objective: To better understand the relationship between implicit bias and maternal care in the San Francisco Bay Area between non-Hispanic White & Black women and to explore racial disparities in their maternal narratives. A literature review was performed and a study is proposed. Future Directions: To Identify the differences …

Evidence-Based Change To Address Newborn Pain During Painful Procedures, Amy M. Hines

MSN Capstone Projects

This evidenced-based practice project sought to provide evidence to change a hospital policy on addressing pain during painful procedures on newborns with the use of nonpharmacological interventions. A literature search was conducted on three databases: PubMed, Cumulated Index to Nursing and Allied Health Literature, and Cochrane. Twelve pieces of literature were included: nine randomized control trials, one systemic review, one meta-analysis, and one correlational study. The literature reviewed showed a strong positive correlation between using nonpharmacological interventions and lower pain scores of newborns during painful procedures.

Making Breastfeeding Easier With Clinician Support, Katherine Laney

MSN Capstone Projects

This benchmark project provides a template for how to implement clinician support and education in an organization with obstetric and pediatric clinics and a hospital based on the PICOT: In first-time breastfeeding mothers (P), how does clinician driven support and education during the perinatal period (I) compared to no clinician assistance (C) affect the rate of continued breastfeeding (O) within the first 3 months postpartum (T). Research demonstrates that increased clinician support and education provided to the mothers during the perinatal period increases breastfeeding rates and self-efficacy. The project would initially last for approximately 12 weeks and follow women from …

Developing A Pediatric Weight Management Program In Primary Care, Alyssa Bosse

Masters Theses/Capstone Projects

The practicum was completed at Central Ohio Primary Care Physicians (COPC), a large group of physician owned primary care practices. COPC would like to start a program for pediatric weight management utilizing their three pediatric Registered Dietitian Nutritionists (RDNs). The first step was collecting data to see any improvements that are needed from the current nutrition program. The second step was reviewing the literature on pediatric weight management to ensure the new program is evidenced-based. All steps were evaluated by COPC leadership and collaborated with internal company resources.