Effects of Nurse Staffing on Missed Breastfeeding Support in Maternity Units With Different Nurse Work Environments.

Purpose: To examine the effect of nurse staffing in varying work environments on missed breastfeeding teaching and support in inpatient maternity units in the United States.

Background: Breast milk is the optimal food for newborns. Teaching and supporting women in breastfeeding are primarily a nurse's responsibility.

System-Level Improvements in Work Environments Lead to Lower Nurse Burnout and Higher Patient Satisfaction.

Background: Burnout among nurses is associated with lower patient satisfaction, yet few system-level solutions have been identified to improve outcomes.

Purpose: The purpose of this study was to examine the relationship between nurse burnout and patient satisfaction and determine whether work environments are associated with these outcomes.

Methods: This study was a cross-sectional analysis of 463 hospitals in 4 states.

Nurse Engagement in Shared Governance and Patient and Nurse Outcomes.

Objective: The objectives of this study were to examine differences in nurse engagement in shared governance across hospitals and to determine the relationship between nurse engagement and patient and nurse outcomes.

Background: There is little empirical evidence examining the relationship between shared governance and patient outcomes.

Methods: A secondary analysis of linked cross-sectional data was conducted using nurse, hospital, and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey data.

Difference in quality of life in women with urge urinary incontinence compared to women with stress urinary incontinence.

Introduction: We evaluated whether women with urge urinary incontinence (UUI) have lower quality of life (QOL) than women with other forms of urinary incontinence.

Methods: Patients completed three validated questionnaires when presenting for evaluation at a urogynecology practice and were divided into four groups based on their responses: those with symptoms of stress urinary incontinence (SUI), UUI, both SUI and UUI (mixed UI), and neither SUI nor UUI (controls).

Results: A total of 465 women were included: 53 women with UUI (11.

Advanced maternal age is an independent risk factor for intrauterine growth restriction.

Reports on the association between advanced maternal age (AMA) and intrauterine growth restriction (IUGR) are conflicting. Our objective was to determine if AMA is an independent risk factor for IUGR. Our case-control study compared cases with IUGR (birthweight<10th percentile for gestational age) and a control group without IUGR.

Transvaginal ultrasonography of the cervix to predict preterm birth in women with uterine anomalies.

Objective: Women with uterine anomalies have higher rates of preterm birth, but the reason for this has not been elucidated. Transvaginal ultrasound examination has been shown to be an accurate test for the prediction of preterm birth but has not been studied specifically in this population.

Methods: Pregnant women with uterine anomalies were followed prospectively with transvaginal ultrasound examination of the cervix, performed between 14 and 23 6/7 weeks of gestation.

The treatment of ductal carcinoma in situ of the breast.

As screening mammography has become more frequently used to screen asvmptomatic women, the diagnosis of ductal carcrinoma in situ (DCIS) has become commonplace. Its treatment remains contentious, ranging from mastectomy to local excision alone. The goal of treatment for DCIS is breast conservation, however, as many as 25% of women with this diagnosis may require mastectomy.

Nonpalpable breast lesions: biopsy methods and patient management.

Mammography has become a major, if not the best available, diagnostic tool for the early detection of breast cancer. Screening has progressed substantially from the anecdotes of physicians in the early 1970s, that is, the assumption that "if I can't feel it, it's not there." Although controversy continues regarding the earliest age at which screening mammography truly lowers the death rate from breast cancer, the fact that mammography detects breast cancer years before it might be discovered as a mass in the breast cannot be challenged.

Gestational carrier pregnancy.

Objective: To evaluate the results of a gestational carrier program in terms of pregnancy rates in fresh and cryopreserved cycles.

Design: Retrospective analysis.

Setting: Private IVF program.