Prelicensure Nursing Students' Attitudes Regarding Breastfeeding Education.

Breast milk feeding is vital to the health outcomes of the breastfeeding dyad. Nurses have a significant role to promote, educate, and support breastfeeding practices for breastfeeding dyads in diverse settings. Nurses should also promote breastfeeding awareness to normalize breastfeeding as the optimal food for infants.

Artificial neural network approaches to identify maternal and infant risk and asset factors using Peridata.Net: a WI-MIOS study.

Objective: To analyze PeriData.Net, a clinical registry with linked maternal-infant hospital data of Milwaukee County residents, to demonstrate a predictive analytic approach to perinatal infant risk assessment.

Materials And Methods: Using unsupervised learning, we identified infant birth clusters with similar multivariate health indicator patterns, measured using perinatal variables from 2008 to 2019 from  = 43 969 clinical registry records in Milwaukee County, WI, followed by supervised learning risk-propagation modeling to identify key maternal factors.

Uncertainty and perinatal post-traumatic stress disorder in the neonatal intensive care unit.

Parents of infants in the neonatal intensive care unit (NICU) are at increased risk of developing perinatal post-traumatic stress disorder (PPTSD), a mental health condition known to interfere with healthy parental and infant attachment. Feelings of uncertainty about illness have been theorized as an antecedent to post-traumatic stress, however the relationship has not been explored in parents of infants requiring care in the NICU. The purpose of this prospective study was to explore parental uncertainty during and after NICU discharge and the relationship between uncertainty and PPTSD.

An Adaptation of the Skin Safety Model to Guide Diaper Dermatitis Research in the NICU.

Diaper dermatitis is an ever-present condition among infants. Little is known about the prevalence among infants in the NICU. This article presents an adaptation of the skin safety model (SSM) for the infant in the NICU.

Maintaining Maternal-Newborn Safety During the COVID-19 Pandemic.

COVID-19, the disease caused by the SARS-CoV-2 virus, was declared a global pandemic by the World Health Organization on March 11, 2020. In addition to older individuals and those with underlying chronic health conditions, maternal and newborn populations were also identified as being at greater risk. It became critical for hospitals and clinicians to maintain the safety of individuals in the facility and minimize the transmission of COVID-19 while continuing to strive for optimized outcomes by providing family-centered care.

An Integrative Review of Clinical Characteristics of Infants With Diaper Dermatitis.

Background: Diaper dermatitis (DD) severity is demonstrated by the degree of erythema and skin breakdown. Many studies describe diaper dermatitis, but lack a full description of clinical characteristic (CC) involvement.

Purpose: The purpose of this literature review is to explore the descriptions of CC of infants with DD provided within infant DD literature.

Infant illness severity and perinatal post-traumatic stress disorder after discharge from the neonatal intensive care unit.

Background: Risk factors for perinatal posttraumatic stress disorder (PTSD) among parents of an infant in the NICU have varied in previous literature. The relationships between perception of illness severity and objective measures of illness severity with PTSD are not well understood.

Aims: To determine if PTSD among parents after an infant NICU discharge can be predicted by 1) objective measures of infant illness severity or 2) perceptions of infant illness severity.

A Concept Analysis of Parental Uncertainty in Illness of an Infant.

Background: The concept of uncertainty in illness has been well described and applied to many different areas of nursing and other disciplines. Specifically, parental uncertainty in illness of an infant is a meaningful concept that has specific attributes and implications. A current concept analysis that considers the changing healthcare setting, historical conceptual inconsistencies, and a lack of information concerning parents of infants is needed.

Maternal ABO Blood Type and Factors Associated With Preeclampsia Subtype.

Background: The pathophysiology of preeclampsia remains unclear. The disorder is heterogeneous, and the pathophysiology may vary by subtype. Identification of relevant biomarkers will help to better elucidate the pathophysiologic basis of each preeclampsia subtype.

Facilitating Colostrum Collection by Hospitalized Women in the Early Postpartum Period for Infant Trophic Feeding and Oral Immune Therapy.

Administration of colostrum for early trophic feedings and colostrum oral immune therapy for neonates in the NICU is essential to enhance gut maturation and lower risk of infections. However, it is often difficult for women to collect early colostrum because of its thick viscosity and low volume. Women may be unable to sit upright during pumping sessions because of postsurgical pain, acute or chronic illness, or birth complications and may need assistance.

Engaging African American Women in Community-Based Health Promotion Programs: Key-Informant Recommendations.

This explorative qualitative study describes the lived experiences of urban-dwelling African American (AA) women who participated in a nurse-led community-based health-promotion program for up to 20 years. Data were collected using semistructured interviews and analyzed using a phenomenological approach. Two central themes arose, the program facilitated behavior change and supported retention and recruitment.

Concept Analysis of Growth Failure in Preterm Infants in the NICU.

Growth failure has not been consistently defined for preterm infants, which contributes to unclear clinical guidelines for optimal growth and development. Therefore, the purpose of this concept analysis was to identify all uses and attributes of the concept, present model and contrary cases, identify antecedents and consequences, define empirical referents, and provide an operational definition of growth failure among preterm infants in the NICU.

Nurses' Own Birth Experiences Influence Labor Support Attitudes and Behaviors.

Objective: To describe the attitudes of intrapartum nurses about the importance of and intent to provide professional labor support (PLS); barriers to PLS, such as perceived subjective norms and perceived behavioral control; and relationships among attitudes, behaviors, and nurse and site characteristics.

Design: A cross-sectional, mixed-methods, descriptive design was guided by the Theory of Planned Behavior.

Setting: Three hospital sites in one region of a single Midwestern state.

Domperidone for Treatment of Low Milk Supply in Breast Pump-Dependent Mothers of Hospitalized Premature Infants: A Clinical Protocol.

Mothers of hospitalized premature infants who choose to provide breast milk are at increased risk of an inadequate breast milk supply. When nonpharmacologic interventions to increase milk supply fail, clinicians are faced with limited options. There is no current evidence to support the use of herbal galactogogues in this population and a black box warning for metoclopramide for potential serious side effects.

Understanding Genetics and Pediatric Cardiac Health.

Unlabelled: Congenital heart defects (CHD) continue to be the most prevalent birth defect that occurs worldwide in approximately 6-8 of every 1,000 live births. High rates of morbidity and mortality in infants, children, and adults living with CHD place a growing need for health care professionals (HCPs) to better understand potentially modifiable genetic and environmental influences. This paper will present examples of research and governmental initiatives that support genetics education and research and a review of known genetic factors associated with CHD development.

Breast care during pregnancy.

In 1972, breast care during pregnancy by nurses primarily concentrated on preparation of the nipples for breastfeeding. There is now a vast amount of research evidence that demonstrates the positive impact breastfeeding has on maternal and infant health. In this article, we compare the principles of 1972 with contemporary research-based information.

The reproductive life plan as a strategy to decrease poor birth outcomes.

The purpose of this article is to discuss the importance of implementing a life course perspective model that includes a reproductive life plan to improve health outcomes, especially in populations at risk for adverse outcomes. A reproductive life plan is a comprehensive strategy that can be incorporated into nursing practice at all levels to improve birth outcomes. Health care providers, especially nurses, should incorporate reproductive life planning into their daily encounters with patients.

Using Fetal and Infant Mortality Reviews to improve birth outcomes in an urban community.

Objective: To describe the implementation of a Fetal and Infant Mortality Review (FIMR) in a small urban community to improve perinatal birth outcomes.

Design: Descriptive study.

Setting: Urban community within a Wisconsin city, population 85,000.

The Beginning Breastfeeding Survey: measuring mothers' perceptions of breastfeeding effectiveness during the postpartum hospitalization.

No current breastfeeding assessment tool assesses the mother's perception of breastfeeding effectiveness during the early postpartum. Psychometric analysis of a new tool, the Beginning Breastfeeding Survey (BBS), in a multi-racial sample of 131 women revealed a coefficient alpha of .90.

Excessive weight loss in breastfed infants during the postpartum hospitalization.

Objective: To examine differences in breastfeeding frequency, voids, and stools in infants with weight losses < or > or =7% during the postpartum hospitalization.

Design: Secondary analysis of data from a primary psychometric study examining the Mother Infant Breastfeeding Progress Tool (MIBPT).

Setting: A midwestern community hospital in a multicultural racially diverse community.

Maternal prepregnancy body mass index and delivery of a preterm infant in missouri 1998-2000.

Objective: To determine risk of delivering a preterm infant (<37 weeks) in overweight/obese women.

Design: Descriptive.

Sample: Population-based sample of 169,881 singleton Missouri birth certificate records for 1998-2000.

Assessment of breastfeeding and infant growth.

The purpose of this article is to provide information for health care professionals to guide the assessment of feeding and growth in breastfed infants. Tools to assist in the assessment of breastfeeding are discussed, as well as infant weight, infant test-weighing, elimination, and growth patterns. We present in detail the research surrounding the development of infant growth charts and the potential for inaccurate assessment.

Mother-Infant Breastfeeding Progress Tool: a guide for education and support of the breastfeeding dyad.

Objective: To describe the development of the Mother-Infant Breastfeeding Progress Tool to be used at the bedside by nurses to guide ongoing support and education for the mother-baby dyad.

Design: Cross-sectional study.

Setting: Community hospital in a Midwestern city.

Fetal growth curves: does classification of weight-for-gestational age predict risk of hypoglycemia in the term newborn?

Our objective was to determine whether classification of birth weight as small, average, or large for gestational age using published fetal growth curves is predictive of a term infant's risk of hypoglycemia. This prospective, descriptive study measured and plotted birth weight measurements on six published fetal growth curves to classify infant birth weight as small, average, or large for gestational age. Glucose levels were measured 2 hours after birth to determine the prevalence of hypoglycemia.