Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
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J Obstet Gynecol Neonatal Nurs · May 2012
Comparative StudyClinically identified postpartum depression in Asian American mothers.
To identify the clinical diagnosis rate of postpartum depression (PPD) in Asian American subgroups (Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese) compared to non-Hispanic Whites. ⋯ In this insured population, PPD diagnosis rates were lower among Asian Americans, with variability in rates across the individual Asian American subgroups. It is unclear whether these lower rates are due to underreporting, underdiagnosis, or underutilization of mental health care in this setting.
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J Obstet Gynecol Neonatal Nurs · May 2012
Comparative StudyA cross-sectional analysis of the effect of patient-controlled epidural analgesia versus patient controlled analgesia on postcesarean pain and breastfeeding.
To assess patient controlled epidural analgesia (PCEA) versus patient controlled analgesia (PCA) for postcesarean analgesia and to determine the impact of analgesic modality on breastfeeding in the first 24 hours postpartum. ⋯ Patient-controlled epidural anesthesia confers greater pain control postcesarean than PCA. Women with greater pain are less likely to breastfeed six or more times within the first 24 hours. This could potentially affect duration of breastfeeding. Intraprofessional measures to improve pain management are warranted.
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J Obstet Gynecol Neonatal Nurs · Mar 2012
ReviewPrevention is the key to maintaining gynecologic health during deployment.
Researchers have indicated that since Operation Desert Storm, the majority of gynecologic problems exhibited during deployment are from vaginal and urinary tract infections and menstrual disorders. The purpose of this article is to provide an overview of military women's health issues during military operations and summarize current knowledge and recommendations to promote their gynecologic health needs while deployed. Military women would benefit from predeployment health-promotion programs that focus on preventive measures to enhance gynecologic health while deployed.
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J Obstet Gynecol Neonatal Nurs · Mar 2012
Comparative StudyOpioid dependency in pregnancy and length of stay for neonatal abstinence syndrome.
To examine opioid replacement therapy in pregnancy and effect on neonatal outcomes, including length of hospital stay for neonatal abstinence syndrome. ⋯ These findings are consistent with previous research on the simultaneous use of methadone and benzodiazepines during pregnancy and provide further direction for the treatment of opioid dependency during pregnancy. Harm reduction strategies for opioid-dependent pregnant women in substance abuse treatment with MMT may one day include guidance on daily treatment doses and recommendations to avoid the concomitant use of benzodiazepines to lessen NAS. Breastfeeding should be recommended to shorten length of stay. Understanding perinatal and neonatal outcomes of pregnant women on methadone or buprenorphine will help to identify optimal treatment for opioid dependency in pregnancy.