Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
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J Obstet Gynecol Neonatal Nurs · Nov 2012
Comparative StudyRelationships among neighborhood environment, racial discrimination, psychological distress, and preterm birth in African American women.
To (a) examine the relationships among objective and perceived indicators of neighborhood environment, racial discrimination, psychological distress, and gestational age at birth; (b) determine if neighborhood environment and racial discrimination predicted psychological distress; (c) determine if neighborhood environment, racial discrimination, and psychological distress predicted preterm birth; and (d) determine if psychological distress mediated the effects of neighborhood environment and racial discrimination on preterm birth. ⋯ Women's neighborhood environments and racial discrimination were related to psychological distress, and these factors may increase the risk for preterm birth.
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J Obstet Gynecol Neonatal Nurs · Nov 2012
Comparative StudyFactors associated with differences in Canadian perinatal nurses' attitudes toward birth practices.
To test whether demographic characteristics predict registered nurses' attitudes toward birth practices. ⋯ Nurses' attitudes may be influenced by exposure in their workplaces to predominant care providers' birth practices. Research examining the relationships between nurses' workplace exposures, attitudes, and practice behaviors is needed to develop understanding about how nurses contribute to rates of intervention in maternity care.
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J Obstet Gynecol Neonatal Nurs · Nov 2012
Comparative StudyThe effect of delivery method on breastfeeding initiation from the The Ontario Mother and Infant Study (TOMIS) III.
To report on the relationship between delivery method (cesarean vs. vaginal) and type (planned vs. unplanned) and breastfeeding initiation in hospital and continuation to 6 weeks postpartum as self-reported by study participants. ⋯ Breastfeeding can be considered a coping strategy that serves to normalize an abnormal experience and allows the individual to once again assume control. These unexpected results warrant further investigation to understand why women make the decision to initiate breastfeeding, why they choose to continue breastfeeding, and how they can be supported to achieve exclusive breastfeeding as recommended for infants in the first 6 months.
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J Obstet Gynecol Neonatal Nurs · Nov 2012
Multicenter StudyPractice of primary elective cesarean upon maternal request in the commonwealth of virginia.
To evaluate the practice of on-demand elective cesarean delivery in Virginia. ⋯ The perception of labor and delivery managers in Virginia is that on-demand elective cesarean delivery is a patient-driven practice that does not appear to be influenced by hospital characteristics.