Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
-
In the United States, intrapartum nurses are present at 99% of births. These nurses have a unique opportunity to positively affect a laboring woman's comfort and labor progress through the use of labor support behaviors. These nonpharmacologic nursing strategies fall into four categories: physical, emotional, instructional/informational, and advocacy. Implementation of these strategies requires special knowledge and a commitment to the enhanced physical and emotional comfort of laboring women.
-
J Obstet Gynecol Neonatal Nurs · Jan 2008
Sociodemographic and health-related determinants of breast and cervical cancer screening behavior, 2005.
To identify sociodemographic and health-related determinants of Breast and Cervical Cancer Screening behaviors and evaluate progress toward Healthy People 2010 cancer-related objectives. ⋯ The national health initiatives appear to benefit select American women (overall declining mortality rates from breast and cervical cancer); however, there seems to be a negative economy of scale with respect to age-as age increases, Breast and Cervical Cancer Screening declines and morbidity/mortality increases. Given this disparity, as of 2005, related Healthy People 2010 objectives remain unrealized.
-
J Obstet Gynecol Neonatal Nurs · Nov 2007
ReviewNew guidelines for maternal and neonatal resuscitation.
New evidence has prompted changes in our national cardiopulmonary resuscitation guidelines for both neonates and adult patients. The purpose of this article is to provide an overview of the changes recommended by the American Heart Association, Academy of American Pediatrics, and the American College of Obstetrics and Gynecology. In addition, a strategy for implementing these guidelines into practice is suggested.
-
J Obstet Gynecol Neonatal Nurs · Nov 2007
ReviewA review of issues surrounding medically elective cesarean delivery.
The rate of cesarean delivery has increased dramatically over the past decade. Medically elective cesareans are a major factor contributing to this rise. This article discusses the most recent evidence on the perinatal risks of cesarean delivery versus vaginal birth, the economic impact of elective cesarean delivery, and ethical principles related to cesareans performed without medical indication. ⋯ Available evidence does not lend support to a current shift in clinical practice. Research is needed to adequately compare outcomes of planned cesarean delivery and planned vaginal birth. Until evidence supports medically elective cesarean as a birth option that optimizes outcomes for low-risk mothers and their infants, obstetric care providers should continue to support evidenced-based decision making that includes advocacy for vaginal delivery as the optimal mode of birth.
-
J Obstet Gynecol Neonatal Nurs · Sep 2007
ReviewPostmenopausal women and the health consequences of obesity.
The health consequences of obesity include increased risk of heart disease, hypertension, diabetes, sleep apnea, cancer, osteoarthritis, and mental health problems. Postmenopausal women have reached an age when the incidence of chronic health conditions becomes more prevalent. ⋯ Thus, obese postmenopausal women stand at a crossroads between living the remainder of their lives in essentially good health or facing the likely onset of chronic diseases that might have been prevented. This article reviews the effects of obesity that have particular relevance for postmenopausal women.