Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
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J Obstet Gynecol Neonatal Nurs · Sep 2014
Review Comparative StudySafe management of chronic pain in pregnancy in an era of opioid misuse and abuse.
Safe and effective management of chronic pain in pregnancy is challenging. Use of over-the-counter analgesics, opioids, opioid substitution therapies, complementary and alternative therapies, antidepressants, and anxiolytics each have benefits and risks for the mother and neonate that must be considered. Because of their potency, opioids are often used despite associated risks for adverse effects, abuse, diversion, and addiction. Development of a pain management protocol for the counsel and care of pregnant women with pain is necessary.
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J Obstet Gynecol Neonatal Nurs · Sep 2014
Multicenter StudyBarriers and facilitators to implementing the Baby-Friendly hospital initiative in neonatal intensive care units.
To explore manager, educator, and clinical leader perceptions of barriers and facilitators to implementing Baby-Friendly practice in the neonatal intensive care unit (NICU). ⋯ Despite identifying numerous barriers, participants recognized the potential value of expanding the Baby-Friendly Hospital Initiative (BFHI) to the NICU setting. Recommendations include promoting BFHI as a facilitator of family-centered care, interdisciplinary staff education, increasing access to lactation consultants, and establishing a group of NICU champions dedicated to BFHI implementation.