Maternal Mortality in the Delta Region of the United States
Conclusion/Implications for Nursing PracticeOverall maternal mortality is significantly greater in the Delta region of the United States than in the non‐Delta region. After controlling for maternal race/ethnicity, age, marital status, and education, the risk of maternal death remains 16% higher in the Delta region.This study provides a statistical representation of a long‐held belief that the risk of maternal mortality in a medically underserved area of low socioeconomic status within the United States is significantly higher than in other areas of the country. Health disparities and socioeconomic differences likely pl...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Barbara L. Smith, Adam T. Sandlin, Tommy M. Bird, Susan C. Steelman, E.F. Magann Tags: Childbearing Source Type: research

Implementation of Universal Postpartum Screening on a High‐Risk L&D Unit Specializing in Delivering Babies with Birth Defects
Conclusion/Implications for Nursing PracticeFindings demonstrated that standardized postpartum screening for women with fetuses with confirmed anomalies is paramount. The success of this screening tool is dependent on nurses’ commitment to presenting the tool in a standardized manner as part of routine postpartum care. The information received can assist rapid assessment and implementation of therapeutic interventions prior to a woman's SDU discharge. This could ultimately help promote effective coping skills to manage her emotional well‐being during the neonatal ICU hospitalization and mediate a possible exacerbation ...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Joanna C.M. Cole, Michelle Olkkola, K. Starr Lynch, Kelsey Berger, Julie Moldenhauer, Lori Howell Tags: Childbearing Source Type: research

Risks, Triggers, and Protective Factors Related to the Expression of Ovarian Cancer
Conclusion/Implications for Nursing PracticeOvarian cancer is a multifaceted disease with expression dependent upon accumulated risk factors over a lifetime. Understanding the relationships between genetic, biological, behavioral, developmental, and environmental factors is a first step in earlier detection of pathology. Recommendations for future research, public awareness campaigns, and the health care of women are contingent upon a more comprehensive model for identifying women at risk for developing ovarian cancer. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Sandra K. Cesario Tags: Women's Health Source Type: research

Use of Reproductive Life Plans among Men and Women of Childbearing Age
Conclusion/Implications for Nursing PracticeFindings suggest that knowledge, attitudes and use of RLPs are uncertain, at best. Clarifying the concept of RLPs is crucial to the development of health care interventions to promote knowledge and use of RLPs. Further studies should be conducted to assess the effect of RLPs on use of PCC and the reduction of unintended pregnancy. The RLP is a valid concept, but education and policy issues must be addressed to improve rates of use. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Lorraine Byrnes Tags: Women's Health Source Type: research

Informing Future Interventions for Physical Activity and Depression Symptoms After Stillbirth
Conclusion/Implications for Nursing PracticePhysical activity may serve as a unique opportunity to help bereaved women cope with the multiple mental and physical sequelae after stillbirth. This study provides data to inform health care providers about the potential role of physical activity in bereavement and recovery for women after stillbirth. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Jennifer L. Huberty Tags: Women's Health Source Type: research

Risk Groups for Cardiovascular Disease in a Multiethnic Group of Midlife Women
Conclusion/Implications for Nursing PracticeAlthough the risk groups need to be confirmed with further studies, the findings specifically indicate certain characteristics of midlife women that need to be considered and targeted in future preventive and/or treatment interventions for CVDs. Thus, health care providers need to consider these characteristics of midlife women in their future preventive and/or treatment interventions. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Eun‐Ok Im Tags: Women's Health Source Type: research

The Influence of Skin‐to‐Skin Contact after Cesarean on Breastfeeding Rates, Infant Feeding Responses, and Maternal Satisfaction
Conclusion/Implications for Nursing PracticeThe findings suggest that SSC after cesarean may decrease breastfeeding initiation time, increase the rates of breastfeeding duration and exclusivity, enhance infant feeding responses, and further promote maternal satisfaction. The incorporation of SSC immediately after birth is considered beneficial for all newborns and mothers and should be implemented in all hospital environments. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Caitlin C. Conroy, Barbara H. Cottrell Tags: Newborn Care Source Type: research

Factors Contributing to Infant Overfeeding in Low‐Income Immigrant Hispanic Mothers
Conclusion/Implications for Nursing PracticeFuture intervention efforts should focus primarily on the promotion of healthy feeding practices that encourage and support exclusive breastfeeding among this ethnic group. A clearer understanding of the socioeconomic and cultural contexts that promote conditions for infants becoming overweight is necessary for developing culturally sensitive screening tools to assess infants at risk and promoting targeted preventive interventions that begin early in life and are meaningful to Latina mothers. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Diana C. Cartagena Tags: Newborn Care Source Type: research

Feasibility of a Bilingual, Interactive, Computer‐Based Breastfeeding Support Program for Rural Hispanic Women
Conclusion/Implications for Nursing PracticeWe identified factors that affect breastfeeding practices among rural Hispanic women, which were then used to guide the development of a bilingual, interactive, touch screen, computer‐based, breastfeeding education program. The prototype was well accepted, and participants were able to navigate through the program with ease. Based on these assessments, the program has been further refined and is currently being evaluated to determine whether it is effective in changing breastfeeding behavior in this population. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Susan Wilhelm, Trina Aguirre Tags: Childbearing Source Type: research

A Randomized Controlled Trial of the Influence of Intermittent Versus Continuous Bladder Catheterization on Labor Outcomes
Conclusion/Implications for Nursing PracticeIntermittent catheters only as needed appear to be best practice for bladder management in laboring women with epidurals. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Barbara Wilson Tags: Childbearing Source Type: research

Effectiveness of Postpartum Education in the Reducing Symptoms of Postpartum Depression
Conclusion/Implications for Nursing PracticeThese results suggest that the postpartum period is important for identifying women at risk for depression, but that education during this time may not be effective. Further study is needed to determine a more appropriate time and method of intervening to ensure adequate care. Limited nursing time during the brief hospitalization may be better spent on implementing a mechanism for ensuring adequate follow‐up after discharge for women at risk. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Deborah McCarter‐Spaulding, Stephen Shea Tags: Childbearing Source Type: research

Broadening the Horizons on Predictors of Discharge Teaching, Discharge Readiness, and Postdischarge Outcomes
Conclusion/Implications for Nursing PracticeThese data provide evidence of the critical role of the nurse in educating patients and families to facilitate a smooth transition home after childbirth. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Gabriella Malagon‐Maldonado, Jacqueline B. Hiner, Monika Lanciers Tags: Childbearing (CB) Source Type: research

A Path Analysis of Intimate Partner Violence, Depression, and the Quality of Life Among Thai Women
Conclusion/Implications for Nursing PracticeBecause of resulting high IPV rates, nurses in Thailand and elsewhere should conduct routine screening for IPV among Thai women who attend OB/GYN units. If IPV is identified, depression and the quality of life of the women should be assessed. Early care and treatment for IPV victims should be initiated. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Ratchneewan Ross, Pimpanitta Saenyakul, Carolyn Kleman Tags: Women's Health Source Type: research

Forced Sex, Alcohol Use, and Sexual Consent Among College Women
Conclusion/Implications for Nursing PracticeCommunication of sexual consent between partners has the potential to be misinterpreted if not clear and direct. Concurrent alcohol use may lead to difficulty refusing sexual activity and a poorly communicated refusal that could be misinterpreted. Providers need to understand all characteristics that contribute to sexual risks and forced sex among college women and have individualized discussions about sexual risk behaviors that address coercion and violence. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Heidi Collins Fantasia, Melissa Sutherland, Holly B. Fontenot Tags: Women's Health Source Type: research

Reproductive Coercion and Partner Violence Among College Women
Conclusion/Implications for Nursing PracticePregnancy coercion and birth control sabotage occur among college women often in the context of intimate partner violence. Many women seek health care during the college years, and there are multiple opportunities for interactions between nurses and college women. In addition to screening and counseling for intimate partner violence, college health providers need to assess for reproductive coercion and tailor contraceptive counseling discussions accordingly. Nurses who provide women's health care should assess status of relationships, occurrence of violence, coercion, and ability...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Melissa Sutherland, Heidi Collins Fantasia, Holly B. Fontenot Tags: Women's Health Source Type: research