Fetal Heart Monitoring
(Source: AWHONN Lifelines)
Source: AWHONN Lifelines - December 18, 2015 Category: Nursing Tags: AWHONN Position Statement Source Type: research

Sharing Knowledge to Promote Evidence‐Based Practice Around the World
(Source: AWHONN Lifelines)
Source: AWHONN Lifelines - December 18, 2015 Category: Nursing Tags: AWHONN News & Views Source Type: research

Preventing Fetal Alcohol Spectrum Disorders
(Source: AWHONN Lifelines)
Source: AWHONN Lifelines - December 18, 2015 Category: Nursing Authors: Summer Hunt Tags: Bulletin Board Source Type: research

Salpingectomy and Ovarian Cancer Prevention
Abstract Ovarian cancer is a major health concern for women. Women are often diagnosed late in the course of the disease, making the mortality rate high. Currently, screening methods for ovarian cancer are limited and, therefore, prevention methods remain an area of focus for researchers. Recent research has examined the salpingectomy and tubal ligation/sterilization as a prevention method for ovarian cancer. This column takes a second look at two recent research studies that examine salpingectomy and tubal ligation/sterilization as a method of ovarian cancer risk reduction. (Source: AWHONN Lifelines)
Source: AWHONN Lifelines - December 18, 2015 Category: Nursing Authors: Allyssa L. Harris Tags: A Second Look Source Type: research

Reducing the Risk of Alcohol Use Disorders in Women
Abstract Nurses and other clinicians help women to examine their lifestyles and consider changes to promote optimum health. When the question is about drinking alcohol, what is appropriate to recommend? While moderate intake may be beneficial for cardiovascular and bone health, drinking more than the recommended amount increases the risk of harmful effects. This column examines guidelines for moderate alcohol consumption for women, reviews the assessment process and demonstrates an example of a brief intervention. A program of screening, brief intervention and referral to treatment (termed SBIRT by the Substance Abuse and ...
Source: AWHONN Lifelines - December 18, 2015 Category: Nursing Authors: Susanne Astrab Fogger Tags: Well Woman Source Type: research

Postresuscitation Care and Pretransport Stabilization of Newborns Using the Principles of STABLE Transport
Abstract The practice of perinatal regionalization is designed to ensure that newborns are born in facilities with a care level designation that is consistent with expected pregnancy outcomes. Regionalization practices have resulted in lower neonatal mortality and morbidity rates. However, despite regionalization efforts, approximately 10 percent of newborns will require some level assistance with breathing, and a few (<1 percent) will require resuscitation in the birthing room. After resuscitation, many of these newborns require acute transport to a different facility. This column provides an overview of principles fro...
Source: AWHONN Lifelines - December 18, 2015 Category: Nursing Authors: Sandra Bellini Tags: 28 Days Source Type: research

Strategies for Providing Low‐Cost Water Immersion Therapy With Limited Resources
Abstract At our university‐affiliated medical center, a major renovation of the women's health and birthing unit resulted in the temporary loss of the permanent tub used for water immersion therapy during labor. Because 40 percent of the women in the nurse‐midwifery practice utilize hydrotherapy, we undertook a rigorous search for an interim solution. We developed a safe and cost‐effective strategy that can be easily replicated and utilized by others to provide hydrotherapy for laboring women. (Source: AWHONN Lifelines)
Source: AWHONN Lifelines - December 18, 2015 Category: Nursing Authors: Brenda Brickhouse, Christine Isaacs, Meghann Batten, Amber Price Tags: In Practice Source Type: research

An Evidence Review and Model for Prevention and Treatment of Postpartum Posttraumatic Stress Disorder
Abstract Postpartum posttraumatic stress disorder (P‐PTSD) is a variant of posttraumatic stress disorder (PTSD) that, although relatively prevalent, is under‐researched. Up to one‐third of women in the United States describe childbirth as traumatic, with 9 percent of women meeting the criteria for PTSD outlined by the American Psychiatric Association. These statistics are sobering in light of common use of analgesia during birth as well as hospital birth environments promoting family‐centered maternity care. How can a seemingly natural event, such as childbirth, be associated with PTSD? This review includes a descr...
Source: AWHONN Lifelines - December 18, 2015 Category: Nursing Authors: Jane Vesel, Bonnie Nickasch Tags: CNE Source Type: research

Implementing the Mother‐Baby Model of Nursing Care Using Models and Quality Improvement Tools
Abstract As family‐centered care has become the expected standard, many facilities follow the mother‐baby model, in which care is provided to both a woman and her newborn in the same room by the same nurse. My facility employed a traditional model of nursing care, which was not evidence‐based or financially sustainable. After implementing the mother‐baby model, we experienced an increase in exclusive breastfeeding rates at hospital discharge, increased patient satisfaction, improved staff productivity and decreased salary costs, all while the number of births increased. Our change was successful because it was guid...
Source: AWHONN Lifelines - December 18, 2015 Category: Nursing Authors: Vicki Brockman Tags: Features Source Type: research

Using Skin‐to‐Skin Contact to Increase Exclusive Breastfeeding at a Military Medical Center
Abstract Evidence shows that early formula supplementation leads to early weaning from exclusive breastfeeding. We implemented an evidence‐based practice project on skin‐to‐skin contact (SSC) for healthy term newborns at a large military treatment facility in an effort to decrease formula supplementation in the early postpartum period. Military women face unique challenges when it comes to breastfeeding. SSC in the early postpartum period is an effective intervention to increase exclusive breastfeeding during the hospital stay and foster future positive breastfeeding outcomes. Through this project, staff knowledge of...
Source: AWHONN Lifelines - December 18, 2015 Category: Nursing Authors: Kimberly N. Hughes, Jann Rodriguez‐Carter, Jennifer Hill, Dena Miller, Crystal Gomez Tags: Features Source Type: research

More Intensive Blood Pressure Management May Save Lives
(Source: AWHONN Lifelines)
Source: AWHONN Lifelines - December 18, 2015 Category: Nursing Authors: Jennifer Hellwig Tags: On the Edge Source Type: research

Sharing Knowledge to Promote Evidence ‐Based Practice Around the World
(Source: AWHONN Lifelines)
Source: AWHONN Lifelines - December 17, 2015 Category: Nursing Tags: AWHONN News & Views Source Type: research

Strategies for Providing Low ‐Cost Water Immersion Therapy With Limited Resources
Abstract At our university‐affiliated medical center, a major renovation of the women's health and birthing unit resulted in the temporary loss of the permanent tub used for water immersion therapy during labor. Because 40 percent of the women in the nurse‐midwifery practice utilize hydrotherapy, we undertook a rigorous search for an interim solution. We developed a safe and cost‐effective strategy that can be easily replicated and utilized by others to provide hydrotherapy for laboring women. (Source: AWHONN Lifelines)
Source: AWHONN Lifelines - December 17, 2015 Category: Nursing Authors: Brenda Brickhouse, Christine Isaacs, Meghann Batten, Amber Price Tags: In Practice Source Type: research

Implementing the Mother ‐Baby Model of Nursing Care Using Models and Quality Improvement Tools
Abstract As family‐centered care has become the expected standard, many facilities follow the mother‐baby model, in which care is provided to both a woman and her newborn in the same room by the same nurse. My facility employed a traditional model of nursing care, which was not evidence‐based or financially sustainable. After implementing the mother‐baby model, we experienced an increase in exclusive breastfeeding rates at hospital discharge, increased patient satisfaction, improved staff productivity and decreased salary costs, all while the number of births increased. Our change was successful because it was guid...
Source: AWHONN Lifelines - December 17, 2015 Category: Nursing Authors: Vicki Brockman Tags: Features Source Type: research

Using Skin ‐to‐Skin Contact to Increase Exclusive Breastfeeding at a Military Medical Center
Abstract Evidence shows that early formula supplementation leads to early weaning from exclusive breastfeeding. We implemented an evidence‐based practice project on skin‐to‐skin contact (SSC) for healthy term newborns at a large military treatment facility in an effort to decrease formula supplementation in the early postpartum period. Military women face unique challenges when it comes to breastfeeding. SSC in the early postpartum period is an effective intervention to increase exclusive breastfeeding during the hospital stay and foster future positive breastfeeding outcomes. Through this project, staff knowledge of...
Source: AWHONN Lifelines - December 17, 2015 Category: Nursing Authors: Kimberly N. Hughes, Jann Rodriguez ‐Carter, Jennifer Hill, Dena Miller, Crystal Gomez Tags: Features Source Type: research