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Mcn-The American Journal of Maternal-Child Nursing最新文献

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Disparities in Preterm Infant Outcomes. 早产儿结局的差异。
IF 2.2 4区 医学 Q2 NURSING
Mcn-The American Journal of Maternal-Child Nursing
Pub Date : 2026-01-01 Epub Date: 2025-12-03 DOI: 10.1097/NMC.0000000000001158
Marliese Dion Nist
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引用次数: 0
Journal Article Writing: Preparation and Planning Can Enhance Success. 期刊文章写作：准备和计划可以提高成功。
IF 2.2 4区 医学 Q2 NURSING
Mcn-The American Journal of Maternal-Child Nursing
Pub Date : 2026-01-01 Epub Date: 2025-12-03 DOI: 10.1097/NMC.0000000000001155
Kelsie Barta
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引用次数: 0
Online Social Support for Medicaid-Eligible Pregnant Women. 为符合医疗补助条件的孕妇提供在线社会支持。
IF 2.2 4区 医学 Q2 NURSING
Mcn-The American Journal of Maternal-Child Nursing
Pub Date : 2026-01-01 Epub Date: 2025-12-03 DOI: 10.1097/NMC.0000000000001167
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引用次数: 0
Peanut Balls for Women during Labor: An Approach to Promote Vaginal Birth. 妇女在分娩期间使用花生球：一种促进阴道分娩的方法。
IF 2.2 4区 医学 Q2 NURSING
Mcn-The American Journal of Maternal-Child Nursing
Pub Date : 2026-01-01 Epub Date: 2025-12-03 DOI: 10.1097/NMC.0000000000001152
Ashley Preksta, Sheri Walker, Abigail Hebb, Yue Yin

Purpose: To analyze the effect of peanut balls for labor support on the nulliparous term singleton vertex (NTSV) cesarean and overall cesarean birth rates in our maternity service.

Study design and methods: Retrospective analysis of participants from a 30-bed maternity unit discharged between January 1, 2018, and December 31, 2023.

Results: Among 4,005 participants, those who used a peanut ball ( n = 1,680) during labor were significantly younger, more likely to be nulliparous, and more likely to give birth at term compared to nonpeanut ball users. Multivariable logistic regression showed that peanut ball use was associated with increased odds of vaginal birth (OR = 1.21, 95% CI [1.03, 1.43], p = .0239), after adjusting for age, gestational age, and parity. Age and gestational age were also significant predictors of vaginal birth, whereas race was not.

Clinical implications: Using peanut balls for labor support may support vaginal birth without compromising neonatal outcomes. Education for all members of the maternity team is an important aspect of implementing peanut balls for labor support. Continued implementation and evaluation of peanut ball use, along with other labor support strategies, shows potential for improving vaginal birth rates while maintaining safe neonatal outcomes.

目的：分析花生球助产对未产期单胎顶点（NTSV）剖宫产及总剖宫产率的影响。研究设计和方法：回顾性分析2018年1月1日至2023年12月31日出院的30张床位产科病房的参与者。结果：在4005名参与者中，与不使用花生球的人相比，在分娩过程中使用花生球的人（n = 1680）明显更年轻，更有可能无法分娩，更有可能足月分娩。多变量logistic回归显示，在调整了年龄、胎龄和胎次后，花生球的使用与阴道分娩的几率增加相关（OR = 1.21, 95% CI [1.03, 1.43], p = 0.0239）。年龄和胎龄也是阴道分娩的重要预测因素，而种族则不是。临床意义：使用花生球分娩支持可以支持阴道分娩而不影响新生儿结局。对产妇队伍全体成员的教育是实施花生球助产的一个重要方面。继续实施和评估花生球的使用，以及其他分娩支持策略，显示出在保持新生儿安全结局的同时提高阴道分娩率的潜力。
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引用次数: 0
A Three-Intervention Evidence-Based Bundle to Reduce Chorioamnionitis Among Patients with Prelabor Rupture of Membranes. 以证据为基础的三种干预措施减少分娩前胎膜破裂患者的绒毛膜羊膜炎。
IF 2.2 4区 医学 Q2 NURSING
Mcn-The American Journal of Maternal-Child Nursing
Pub Date : 2026-01-01 Epub Date: 2025-12-03 DOI: 10.1097/NMC.0000000000001161
Sonia Lander, Regina Cardaci, Sepideh Mehri, Jessica Deeb

Background: Chorioamnionitis has serious maternal-newborn risks. Risk factors include prelabor rupture of membranes (PROM), vaginal exams, and inadequate perineal hygiene. There may be opportunities to reduce chorioamnionitis with PROM and newborns affected by chorioamnionitis within the Joint Commission Measure of Unexpected Newborn Complications (PC-06) using an infection prevention bundle.

Problem: An internal audit found an increased incidence of newborns born to women with chorioamnionitis. Patients with PROM had a 6.2% chorioamnionitis rate compared to a 3.6% overall chorioamnionitis rate.

Interventions: A quality improvement project using an infection prevention bundle for PROM was implemented using three interventions: avoiding unnecessary vaginal exams in PROM diagnosis, hourly pericare with peripad changes, and hand hygiene compliance.

Results: Data were compared from first quarter 2023 before bundle implementation through third quarter 2023 post bundle implementation. The rate of chorioamnionitis was decreased among patients with PROM from 8.1% (9/111) in first quarter 2023 to 3.1% (4/126) in third quarter 2023. There were fewer newborns affected by chorioamnionitis within PC-06, from 9% (3/32) in first quarter 2023 to 7% (3/46) in third quarter 2023. PROM with chorioamnionitis within PC-06 was 0% (0/32) at first and (0/46) third quarter 2023.

Conclusions: Bundle adherence with PROM could help decrease chorioamnionitis and contribute to fewer newborn complications related to chorioamnionitis.

背景：绒毛膜羊膜炎具有严重的母婴风险。危险因素包括产前胎膜破裂（PROM）、阴道检查和会阴卫生不充分。在新生儿意外并发症联合委员会措施（PC-06）中，使用感染预防捆绑包可能有机会减少胎膜早破的绒毛膜羊膜炎和受绒毛膜羊膜炎影响的新生儿。问题：一项内部审计发现，患有绒毛膜羊膜炎的妇女所生的新生儿发病率增加。胎膜早破患者羊膜早破发生率为6.2%，而羊膜早破总体发生率为3.6%。干预措施：采用感染预防包对胎膜早破实施质量改进项目，采用三种干预措施：在胎膜早破诊断中避免不必要的阴道检查，每小时更换一次护套，遵守手部卫生。结果：从实施捆绑之前的2023年第一季度到实施捆绑后的2023年第三季度的数据进行了比较。胎膜早破患者的羊膜炎发生率从2023年第一季度的8.1%（9/111）降至2023年第三季度的3.1%（4/126）。PC-06地区新生儿绒毛膜羊膜炎发生率由2023年第一季度的9%（3/32）下降至2023年第三季度的7%（3/46）。PC-06胎膜早破合并绒毛膜羊膜炎在第一季度和第三季度分别为0%（0/32）和0%（0/46）。结论：胎膜原膜束粘附有助于减少羊膜原膜炎，减少新生儿羊膜原膜炎相关并发症。
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引用次数: 0
New Clinical Practice Guideline from the American College of Obstetricians and Gynecologists: Cervical Ripening in Pregnancy. 美国妇产科医师学会新临床实践指南：妊娠期宫颈成熟。
IF 2.2 4区 医学 Q2 NURSING
Mcn-The American Journal of Maternal-Child Nursing
Pub Date : 2026-01-01 Epub Date: 2025-12-03 DOI: 10.1097/NMC.0000000000001159
Kirsten Wisner
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引用次数: 0
Reviewer List 2025. 评审名单2025。
IF 2.2 4区 医学 Q2 NURSING
Mcn-The American Journal of Maternal-Child Nursing
Pub Date : 2026-01-01 Epub Date: 2025-12-03 DOI: 10.1097/NMC.0000000000001164
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引用次数: 0
Apgar Scores less than 7 at 5 Minutes for Term Newborns by Maternal Characteristics: United States Births 2024. 根据产妇特征，足月新生儿5分钟时Apgar评分低于7分：美国2024年出生。
IF 2.2 4区 医学 Q2 NURSING
Mcn-The American Journal of Maternal-Child Nursing
Pub Date : 2026-01-01 Epub Date: 2025-12-03 DOI: 10.1097/NMC.0000000000001151
Kathleen Rice Simpson
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引用次数: 0
Human Milk: Nature's Epigenetic Prescription. 母乳：大自然的表观遗传处方。
IF 2.2 4区 医学 Q2 NURSING
Mcn-The American Journal of Maternal-Child Nursing
Pub Date : 2026-01-01 Epub Date: 2025-12-03 DOI: 10.1097/NMC.0000000000001153
Lakshmi Prasanna Markonda
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引用次数: 0
Peanut Balls for Women during Labor: An Approach to Promote Vaginal Birth. 妇女在分娩期间使用花生球：一种促进阴道分娩的方法。
IF 2.2 4区 医学 Q2 NURSING
Mcn-The American Journal of Maternal-Child Nursing
Pub Date : 2026-01-01 Epub Date: 2025-12-03 DOI: 10.1097/NMC.0000000000001166
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引用次数: 0
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