MCN. The American journal of maternal child nursing
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Choosing to breastfeed is a decision with far-reaching benefits; strengthened immune systems, all-encompassing nutrition, and fostering healthy attachment. For these and other reasons, some mothers are reluctant to wean their child due to a subsequent pregnancy. Mothers may breastfeed throughout their second pregnancy, give birth to their second child, and simultaneously breastfeed two children. This practice is known as tandem breastfeeding. ⋯ Through research and case-series interviews, we developed implications for nursing practice. Nurses must be informed and supportive of mothers' decisions to tandem breastfeed.
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This descriptive, observational study explored the practice of airway clearance of the term newborn at birth. The American Academy of Pediatrics, the American Heart Association, and the European Resuscitation Council have established guidelines for suctioning the well newborn. ⋯ There was a lack of adherence to established clinical guidelines for newborn airway clearance. Further study is needed to identify education of airway clearance guidelines. Specific protocols such as safe suctioning methods, correct device use, and observation of complications associated with airway management need to be developed to support a newborn's healthy transition at birth.
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To investigate the relationship between depressive symptoms and preterm birth (PTB) while adjusting for social support, both general and from the father of the baby. ⋯ Women with CES-D scores ≥23 were almost twice more likely to have PTB compared with women with CES-D scores <23. Referrals for mental healthcare providers might benefit women with symptoms of depression and improve birth outcomes. Nurses should encourage women to seek support beyond the father of the baby.
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MCN Am J Matern Child Nurs · Sep 2018
Psychosocial Factors and Preterm Birth Among Black Mothers and Fathers.
Black women are more likely to live in disadvantaged neighborhoods and experience racial discrimination and psychological stress compared with White women. These factors have been related to preterm birth (PTB). However, research is limited on the associations of disadvantaged neighborhoods, racial discrimination, and psychological stress among expectant Black fathers and PTB. This review focuses on what is known about psychosocial factors in relation to PTB among Black parents. ⋯ Maternal-child nurses are in the position to assess these psychosocial factors among expectant parents. Nurses should also assess risk factors for PTB for both expectant parents and provide support to couples who are at risk for PTB.