Overview of Latest Evidence on Uterine Fibroids
Abstract Uterine fibroids are the most common type of benign gynecologic mass, and are present in up to 80 percent of women. Research exploring risk factors for fibroids presents conflicting or inconclusive findings. Symptoms for up to 50 percent of women experiencing fibroids include heavy menstrual bleeding, pelvic pressure or pain and gastrointestinal and genitourinary changes. Diagnosis is made by history and symptoms, physical examination and imaging. Several treatment options are available, and are based on symptoms, preferences and reproductive plans. Given the high prevalence of fibroids and the potential for women...
Source: AWHONN Lifelines - August 21, 2014 Category: Nursing Authors: William F. McCool, Dawn Durain, Meredith Davis Tags: CNE Feature Source Type: research

Dispelling Myths to Support Breastfeeding in Women With Postpartum Depression
Abstract Increasing attention is being paid to the possible connection between infant feeding practices and postpartum depression. Nurses caring for women and their families in the postpartum period might wonder how to best support the breastfeeding relationship if a woman has a history of depression. Using evidence from the scientific literature, this article dispels some myths regarding breastfeeding and depression, and provides suggested dialogue nurses can use when counseling women about depression and breastfeeding. (Source: AWHONN Lifelines)
Source: AWHONN Lifelines - August 21, 2014 Category: Nursing Authors: Tonia Olson, Angela Bowen Tags: Feature Source Type: research

A Quality Improvement Project Focused on Women's Perceptions of Skin‐to‐Skin Contact After Cesarean Birth
Abstract A quality improvement (QI) project was designed to identify women's perceptions of the benefits of skin‐to‐skin contact with newborns immediately following cesarean birth. Women reported positive experiences associated with skin‐to‐skin contact with their newborns. A major theme that emerged was that women who had cesarean birth felt that this QI project resulted in a birthing experience comparable to that of mothers who had vaginal deliveries. Participants also experienced decreased anxiety regarding the health and welfare of their newborns, as compared to a previous cesarean birth experience in which the...
Source: AWHONN Lifelines - August 21, 2014 Category: Nursing Authors: Judith Ann Moran‐Peters, Cheryl Robyn Zauderer, Susan Goldman, Jennifer Baierlein, April Eve Smith Tags: Feature Source Type: research

The Role of Nurses in Comprehensive Care Management of Pregnant Women With Drug Addiction
Abstract Drug addiction during pregnancy is a complex health and social issue that requires an interdisciplinary health care team providing nonjudgmental, comprehensive care. Critical challenges include onset of and attendance at prenatal care, potential obstetric complications, transition to extrauterine life and potential neonatal abstinence syndrome for the neonate, newborn feeding issues, postpartum depression and risk of relapse for women. (Source: AWHONN Lifelines)
Source: AWHONN Lifelines - August 21, 2014 Category: Nursing Authors: Amy E. McKeever, Sylvia Spaeth‐Brayton, Sarah Sheerin Tags: Feature Source Type: research

Addressing Adolescent Pregnancy With Legislation
This article aims to help nurses better understand current legislation that addresses adolescent pregnancy, and to encourage support of future adolescent pregnancy prevention legislation. (Source: AWHONN Lifelines)
Source: AWHONN Lifelines - August 21, 2014 Category: Nursing Authors: Tiffany M. Montgomery, Lori Folken, Melody A. Seitz Tags: Health Care Advocate Source Type: research

Cervical Cancer in Older Women
(Source: AWHONN Lifelines)
Source: AWHONN Lifelines - August 21, 2014 Category: Nursing Authors: Laurie LaRusso Tags: On the Edge Source Type: research

Leaning In
(Source: AWHONN Lifelines)
Source: AWHONN Lifelines - August 21, 2014 Category: Nursing Authors: Mallie A. Link Tags: Letters to the editor Source Type: research

Playing Well With Others
(Source: AWHONN Lifelines)
Source: AWHONN Lifelines - August 1, 2014 Category: Nursing Authors: Mary C. Brucker Tags: Perspectives Source Type: research

A Nurse's Sixth Sense
(Source: AWHONN Lifelines)
Source: AWHONN Lifelines - June 17, 2014 Category: Nursing Authors: Karen Schultz Tags: Reflections on Women's Health Source Type: research

Late Preterm Infant Toolkit in Action
(Source: AWHONN Lifelines)
Source: AWHONN Lifelines - June 17, 2014 Category: Nursing Tags: AWHONN News & Views Source Type: research

Examining Nurses’ Work Environments to Improve Safety
(Source: AWHONN Lifelines)
Source: AWHONN Lifelines - June 17, 2014 Category: Nursing Authors: Summer Hunt Tags: Bulletin Board Source Type: research

Clinical Indications Associated With Primary Cesarean Birth
Abstract Cesarean birth is the most common surgical procedure in the United States and is associated with increased morbidity and mortality when compared to vaginal birth. Of the more than 4 million births a year, one in three is now a cesarean. A better understanding of the clinical indications contributing to the current prevalence in primary cesarean rates can inform prevention strategies. This column takes a second look at two recent studies in which researchers evaluated the clinical indications associated with primary cesarean birth rates. (Source: AWHONN Lifelines)
Source: AWHONN Lifelines - June 17, 2014 Category: Nursing Authors: Joyce K. Edmonds Tags: A Second Look Source Type: research

Treatment of Dyspareunia Secondary to Vulvovaginal Atrophy
This article will provide an overview of ospemifene and its indications, side effects and implications for nurses. (Source: AWHONN Lifelines)
Source: AWHONN Lifelines - June 17, 2014 Category: Nursing Authors: Heidi Collins Fantasia Tags: Rx Source Type: research

The Role of the Nurse‐Physician Leadership Dyad in Implementing the Baby‐Friendly Hospital Initiative
Abstract The concept of the nurse‐physician leadership dyad incorporates the expertise of both nurses and physicians as leaders of change within health system environments. The leadership dyad model has been used traditionally in health care administrative settings to manage utilization of resources more effectively. Because the Baby‐Friendly designation requires major cultural shifts in long‐standing maternity care practices, an interdisciplinary approach to implementation is necessary. (Source: AWHONN Lifelines)
Source: AWHONN Lifelines - June 17, 2014 Category: Nursing Authors: Rose St. Fleur, Joyce McKeever Tags: In Practice Source Type: research

Implications of Psychoactive ‘Bath Salts’ Use During Pregnancy
Abstract Psychoactive bath salts (PABS) comprise a group of highly dangerous designer drugs showing a sharp escalation in reported U.S. exposures from 2010 through 2012, following rapid spread of the drug in Europe. Since a federal ban on the major ingredients in October 2011, numbers have declined. However, evidence from the United Kingdom shows an initial decline after the UK ban in 2010 with a 400 percent increase in reports by 2012. Actual information about the effect of PABS use on pregnant women and fetuses is almost nonexistent. Clinicians should be aware of the potential maternal, fetal and neonatal effects of PABS...
Source: AWHONN Lifelines - June 17, 2014 Category: Nursing Authors: Bobbe Ann Gray, Cindra Holland Tags: CNE Source Type: research