Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
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J Obstet Gynecol Neonatal Nurs · Sep 2002
Current practice in oxytocin dilution and fluid administration for induction of labor.
To determine the types of intravenous fluids used to dilute oxytocin for labor induction in a national sample of obstetric units, as well as the extent to which these fluids reflect current published guidelines. ⋯ Although only 5 (2%) of the responding facilities indicated the use of 5% dextrose in water for both oxytocin dilution and the mainline intravenous solution, this may be clinically significant because of the serious nature of hyponatremia and the ease of its prevention. Nurses should be aware of the extent to which protocols for the infusion of oxytocin vary, despite what is documented as best practice and the potential consequences for their patients of implementing those protocols. Nurses who advocate for and participate in writing protocols that reflect the best-recommended practice for their patients will assist in ensuring that what is documented as best practice is actually implemented.
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J Obstet Gynecol Neonatal Nurs · Sep 2002
Historical ArticleThe power to terrify: eclampsia in 19th-century American practice.
Throughout the 19th century, eclampsia was among the most dreaded complications of pregnancy. Conflicts arose over proposed etiologies and therapeutic modalities. ⋯ The role of untrained and professional nurses in the lying-in room of an eclamptic woman emerges from the literature of the time. An appreciation of the history of eclampsia provides context for the modern obstetric nurse.
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J Obstet Gynecol Neonatal Nurs · May 2002
Case Reports GuidelineNeonatal resuscitation emergencies at birth: case reports, using NRP 2000 guidelines.
In 2000, the American Academy of Pediatrics and the American Heart Association formulated new international evidence-based guidelines for neonatal resuscitation. Whereas the earlier Neonatal Resuscitation Program guidelines incorporated a hierarchical approach to resuscitation, the revised program bases interventions on simultaneous assessment of breathing, heart rate, and color. Resuscitation success builds on the concepts of resuscitation readiness, knowledge and skills, teamwork, and self-efficacy. Six case reports illustrate revised Neonatal Resuscitation Program guidelines for managing selected resuscitation emergencies of newborns.
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J Obstet Gynecol Neonatal Nurs · Jan 2002
Multicenter StudyLabor support: nurses' self-efficacy and views about factors influencing implementation.
To develop and evaluate a questionnaire assessing nurses' self-efficacy for labor support and to describe nurses' perceptions of factors assisting and preventing the provision of labor support. ⋯ Phase 1 provided beginning evidence of the reliability and validity of the Self-Efficacy Labor Support Scale. Phase 2 found that L&D nurses' self-efficacy or confidence to provide labor support was high. Therefore, it is recommended that future attention needs to be focused on factors related to the provision of labor support (staffing, physical environment, teamwork, management support, and negative staff attitudes). Attention to organizational factors is vital if nurses are the professional group to provide the evidence-based practice of continuous support for women in labor.
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In 1998, 20.2% of the approximately 4 million births in the United States occurred via cesarean delivery. Routine antibiotic prophylaxis has significantly reduced morbidity, yet each year between 41,000 and 206,000 women develop a subsequent infection of the uterus or surgical incision. A thorough understanding of the pathophysiology and complex interaction of risk factors for metritis and wound infection is vital for perinatal nurses. Nurses have a critical role in the identification and treatment of postcesarean infection.