Pub Date : 2024-09-01DOI: 10.1016/j.jogn.2024.05.136
Objective
To explore the relationship between symptoms of postpartum depression and the number of remote visitations among mothers of infants in the NICU.
Design
Retrospective cohort study.
Setting
NICU in a medical university in Iwate, Japan.
Participants
A total of 89 mothers of infants who spent more than 1 month in the NICU from June 2021 to December 2022.
Methods
Participants completed the Edinburgh Postnatal Depression Scale (EPDS) at 4 days and 1 month after birth. We used a one-way analysis of variance with Tukey–Kramer or Games–Howell post hoc tests to examine differences in postpartum depression among three groups based on the frequency of remote visitation: frequent visitation, rare visitation, or no visitation.
Results
Of the 89 mothers, 41 scored 9 points or higher on the EPDS conducted 4 days after birth; among them, 14 did not visit, 13 rarely visited, and 14 frequently visited the NICU remotely through a web camera. The rare visitation group had significantly higher EPDS scores 1 month after birth (M = 9.7, SD = 5.2) than the frequent (M = 5.3, SD = 3.7) and no visitation (M = 5.1, SD = 4.2) groups (p < .05). The rare visitation group demonstrated lower improvement on the EPDS than the frequent and no visitation groups (nonsignificant).
Conclusion
It is unclear whether remote visitation reduces symptoms of postpartum depression; however, the frequency of remote visitation could be assessed to identify at-risk mothers in need of social support.
{"title":"Relationship Between Frequency of Remote Visitation and Postpartum Depression in Mothers of Hospitalized Neonates During the COVID-19 Pandemic","authors":"","doi":"10.1016/j.jogn.2024.05.136","DOIUrl":"10.1016/j.jogn.2024.05.136","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the relationship between symptoms of postpartum depression and the number of remote visitations among mothers of infants in the NICU.</p></div><div><h3>Design</h3><p>Retrospective cohort study.</p></div><div><h3>Setting</h3><p>NICU in a medical university in Iwate, Japan.</p></div><div><h3>Participants</h3><p>A total of 89 mothers of infants who spent more than 1 month in the NICU from June 2021 to December 2022.</p></div><div><h3>Methods</h3><p>Participants completed the Edinburgh Postnatal Depression Scale (EPDS) at 4 days and 1 month after birth. We used a one-way analysis of variance with Tukey–Kramer or Games–Howell post hoc tests to examine differences in postpartum depression among three groups based on the frequency of remote visitation: frequent visitation, rare visitation, or no visitation.</p></div><div><h3>Results</h3><p>Of the 89 mothers, 41 scored 9 points or higher on the EPDS conducted 4 days after birth; among them, 14 did not visit, 13 rarely visited, and 14 frequently visited the NICU remotely through a web camera. The rare visitation group had significantly higher EPDS scores 1 month after birth (<em>M</em> = 9.7, <em>SD</em> = 5.2) than the frequent (<em>M</em> = 5.3, <em>SD</em> = 3.7) and no visitation (<em>M</em> = 5.1, <em>SD</em> = 4.2) groups (<em>p</em> < .05). The rare visitation group demonstrated lower improvement on the EPDS than the frequent and no visitation groups (nonsignificant).</p></div><div><h3>Conclusion</h3><p>It is unclear whether remote visitation reduces symptoms of postpartum depression; however, the frequency of remote visitation could be assessed to identify at-risk mothers in need of social support.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 5","pages":"Pages 554-561"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141231703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/S0884-2175(24)00267-3
{"title":"At Your Service","authors":"","doi":"10.1016/S0884-2175(24)00267-3","DOIUrl":"10.1016/S0884-2175(24)00267-3","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 5","pages":"Page A4"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142228714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.jogn.2024.07.001
Joyce K. Edmonds, Vanessa Leutenegger MScN. RM
{"title":"Switzerland’s Midwifery Model of Postpartum Care","authors":"Joyce K. Edmonds, Vanessa Leutenegger MScN. RM","doi":"10.1016/j.jogn.2024.07.001","DOIUrl":"10.1016/j.jogn.2024.07.001","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 5","pages":"Pages 447-450"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.jogn.2024.04.003
Objective
To explore how young women with histories of maltreatment describe their experiences and decisions around infant feeding.
Design
Secondary qualitative analysis using supplementary analysis.
Setting
Washington, DC; Baltimore, MD; and their respective suburbs.
Participants
Young women with histories of being abused or neglected as children or adolescents and who gave birth to one child before age 19 years (N = 9).
Methods
We collected data through in-depth semistructured interviews and analyzed them using reflexive thematic analysis.
Results
The analysis resulted in three themes: Infant Feeding Intention, Identifying Challenges and Persistence, and Pivoting to What Is Feasible. Participants felt that breastfeeding was valuable and wanted to be able to breastfeed their children. They continued to provide human milk through painful latches and a lack of support and guidance, but formula became the only viable option for many of them.
Conclusion
Despite wanting to breastfeed and continuing through barriers, many participants could not continue to breastfeed as long as they wanted because of a systemic lack of support. These findings indicate a need to support young women with histories of maltreatment through increased and consistent access to lactation support providers and trauma-informed care. Nurses and other clinicians are uniquely positioned to support young women with histories of maltreatment to overcome barriers related to breastfeeding.
{"title":"Resilient Infant Feeding Among Young Women With Histories of Maltreatment and Poor Support","authors":"","doi":"10.1016/j.jogn.2024.04.003","DOIUrl":"10.1016/j.jogn.2024.04.003","url":null,"abstract":"<div><h3>Objective</h3><p>To explore how young women with histories of maltreatment describe their experiences and decisions around infant feeding.</p></div><div><h3>Design</h3><p>Secondary qualitative analysis using supplementary analysis.</p></div><div><h3>Setting</h3><p>Washington, DC; Baltimore, MD; and their respective suburbs.</p></div><div><h3>Participants</h3><p>Young women with histories of being abused or neglected as children or adolescents and who gave birth to one child before age 19 years (<em>N</em> = 9).</p></div><div><h3>Methods</h3><p>We collected data through in-depth semistructured interviews and analyzed them using reflexive thematic analysis.</p></div><div><h3>Results</h3><p>The analysis resulted in three themes: <em>Infant Feeding Intention</em>, <em>Identifying Challenges and Persistence</em>, and <em>Pivoting to What Is Feasible</em>. Participants felt that breastfeeding was valuable and wanted to be able to breastfeed their children. They continued to provide human milk through painful latches and a lack of support and guidance, but formula became the only viable option for many of them.</p></div><div><h3>Conclusion</h3><p>Despite wanting to breastfeed and continuing through barriers, many participants could not continue to breastfeed as long as they wanted because of a systemic lack of support. These findings indicate a need to support young women with histories of maltreatment through increased and consistent access to lactation support providers and trauma-informed care. Nurses and other clinicians are uniquely positioned to support young women with histories of maltreatment to overcome barriers related to breastfeeding.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 5","pages":"Pages 511-521"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.jogn.2024.07.002
Stacey E. Iobst PhD, RNC-OB, C-EFM, Kara R. Skelton PhD, MA Ed
{"title":"Reconsidering Breastfeeding Recommendations in the Context of Cannabis Use to Support Health Equity","authors":"Stacey E. Iobst PhD, RNC-OB, C-EFM, Kara R. Skelton PhD, MA Ed","doi":"10.1016/j.jogn.2024.07.002","DOIUrl":"10.1016/j.jogn.2024.07.002","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 5","pages":"Pages 451-458"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.jogn.2024.04.005
Objective
To describe and interpret Indigenous women’s experiences of postpartum depression (PPD) from the perspectives of community advisory board members.
Design
Qualitative, descriptive design with a community-engagement approach.
Setting
Virtual group interviews.
Participants
Community advisory board members (N = 8) who were tribal employees, citizens of the tribe, and/or family members of citizens who had detailed knowledge of PPD among Indigenous women and issues surrounding their care.
Methods
In video- and audio-recorded virtual group interviews, we asked participants questions using a semistructured interview guide. We used qualitative content analysis to generate results.
Results
Major themes included The “Who, What, and Where” of PPD in Indigenous Women; Meanings Attributed to PPD in Indigenous Women; Realities of PPD Care in the Chickasaw Nation; and Feasibility, Acceptability, Perceived Barriers, and Facilitators of a Future Collaboration.
Conclusion
The participants identified next steps for addressing PPD in the Chickasaw Nation: raise awareness of PPD among providers, patients, and families; improve messaging about PPD to decrease stigma and normalize mental health care; and develop or adapt a culturally appropriate and relevant tool to screen for PPD in Indigenous women.
{"title":"Collaboration With Tribal Stakeholders to Explore Care for Postpartum Depression in the Chickasaw Nation","authors":"","doi":"10.1016/j.jogn.2024.04.005","DOIUrl":"10.1016/j.jogn.2024.04.005","url":null,"abstract":"<div><h3>Objective</h3><p>To describe and interpret Indigenous women’s experiences of postpartum depression (PPD) from the perspectives of community advisory board members.</p></div><div><h3>Design</h3><p>Qualitative, descriptive design with a community-engagement approach.</p></div><div><h3>Setting</h3><p>Virtual group interviews.</p></div><div><h3>Participants</h3><p>Community advisory board members (<em>N</em> = 8) who were tribal employees, citizens of the tribe, and/or family members of citizens who had detailed knowledge of PPD among Indigenous women and issues surrounding their care.</p></div><div><h3>Methods</h3><p>In video- and audio-recorded virtual group interviews, we asked participants questions using a semistructured interview guide. We used qualitative content analysis to generate results.</p></div><div><h3>Results</h3><p>Major themes included <em>The “Who, What, and Where” of PPD in Indigenous Women</em>; <em>Meanings Attributed to PPD in Indigenous Women</em>; <em>Realities of PPD Care in the Chickasaw Nation</em>; and <em>Feasibility, Acceptability, Perceived Barriers, and Facilitators of a Future Collaboration</em>.</p></div><div><h3>Conclusion</h3><p>The participants identified next steps for addressing PPD in the Chickasaw Nation: raise awareness of PPD among providers, patients, and families; improve messaging about PPD to decrease stigma and normalize mental health care; and develop or adapt a culturally appropriate and relevant tool to screen for PPD in Indigenous women.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 5","pages":"Pages 491-502"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.jogn.2024.02.007
{"title":"Assessment and Care of the Late Preterm Infant","authors":"","doi":"10.1016/j.jogn.2024.02.007","DOIUrl":"10.1016/j.jogn.2024.02.007","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 5","pages":"Pages e1-e62"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140332329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.jogn.2024.04.006
Objective
To describe the unique challenges faced by rural pregnant women with intersecting substance use disorder (SUD) and unmet social needs.
Design
Secondary qualitative data analysis with an analytic expansion approach.
Setting
Hospital system in northern New England.
Participants
Four rural women with food insecurity who were in recovery for SUD (three were pregnant and one had given birth in the past 15 weeks).
Methods
In the primary qualitative descriptive study, we interviewed 14 women about their experience of food insecurity during the perinatal period, including facilitators and barriers to being screened and accessing referrals for food insecurity and other social needs during prenatal care. This secondary analysis centered on the perspectives of four participants who reflected specifically on receiving material and mental health support through the integration of prenatal care and SUD treatment.
Results
Rural women with SUD who experience social needs during pregnancy have difficulty accessing appropriate prenatal care and maintaining treatment engagement due to intersecting factors (e.g., food and housing insecurity and transportation) and psychological (e.g., mental health challenges, social isolation, and stigma) factors. Participants emphasized the importance of integrating social support within prenatal and substance use care to promote physical and mental health and engagement in SUD treatment.
Conclusion
In line with The Joint Commission’s 2022 policy recommendations for universal social determinants of health screening, we support one-stop clinical and social care for pregnant women who face intersecting barriers to health, such as SUD and unmet social needs. Nurses can play an important role in care coordination for people with complex medical and social determinants of health screening needs. This approach is especially relevant to rural areas, where food, housing, and transportation insecurity rates are greater than nonrural areas.
目标描述交叉存在药物使用障碍 (SUD) 和未满足社会需求的农村孕妇所面临的独特挑战.设计采用分析扩展法进行二次定性数据分析.研究地点新英格兰北部的医院系统.参与者四名患有食物不安全并正在接受 SUD 康复治疗的农村妇女（其中三人怀孕，一人在过去 15 周内分娩）.方法在主要的定性描述研究中，我们采访了 14 名妇女，了解她们在围产期的食物不安全经历，包括在产前护理期间接受食物不安全筛查和获得转介及其他社会需求的促进因素和障碍。本二次分析集中于四位参与者的观点，她们特别反映了通过整合产前护理和 SUD 治疗获得物质和心理健康支持的情况。结果在怀孕期间有社会需求的患有 SUD 的农村妇女很难获得适当的产前护理和保持治疗参与，原因在于交叉因素（如食物和住房不安全及交通）和心理因素（如心理健康挑战、社会隔离和污名化）。与会者强调了在产前护理和药物使用护理中整合社会支持以促进身心健康和参与 SUD 治疗的重要性。结论根据联合委员会 2022 年提出的关于普及健康社会决定因素筛查的政策建议，我们支持为面临交叉健康障碍（如 SUD 和未满足的社会需求）的孕妇提供一站式临床和社会护理。护士可以在护理协调方面发挥重要作用，以满足具有复杂的医疗和健康社会决定因素筛查需求的人群。这种方法与农村地区尤其相关，因为农村地区的食物、住房和交通不安全率高于非农村地区。
{"title":"Intersecting Substance Use Disorder and Unmet Social Needs in Rural Pregnant Women","authors":"","doi":"10.1016/j.jogn.2024.04.006","DOIUrl":"10.1016/j.jogn.2024.04.006","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the unique challenges faced by rural pregnant women with intersecting substance use disorder (SUD) and unmet social needs.</p></div><div><h3>Design</h3><p>Secondary qualitative data analysis with an analytic expansion approach.</p></div><div><h3>Setting</h3><p>Hospital system in northern New England.</p></div><div><h3>Participants</h3><p>Four rural women with food insecurity who were in recovery for SUD (three were pregnant and one had given birth in the past 15 weeks).</p></div><div><h3>Methods</h3><p>In the primary qualitative descriptive study, we interviewed 14 women about their experience of food insecurity during the perinatal period, including facilitators and barriers to being screened and accessing referrals for food insecurity and other social needs during prenatal care. This secondary analysis centered on the perspectives of four participants who reflected specifically on receiving material and mental health support through the integration of prenatal care and SUD treatment.</p></div><div><h3>Results</h3><p>Rural women with SUD who experience social needs during pregnancy have difficulty accessing appropriate prenatal care and maintaining treatment engagement due to intersecting factors (e.g., food and housing insecurity and transportation) and psychological (e.g., mental health challenges, social isolation, and stigma) factors. Participants emphasized the importance of integrating social support within prenatal and substance use care to promote physical and mental health and engagement in SUD treatment.</p></div><div><h3>Conclusion</h3><p>In line with The Joint Commission’s 2022 policy recommendations for universal social determinants of health screening, we support one-stop clinical and social care for pregnant women who face intersecting barriers to health, such as SUD and unmet social needs. Nurses can play an important role in care coordination for people with complex medical and social determinants of health screening needs. This approach is especially relevant to rural areas, where food, housing, and transportation insecurity rates are greater than nonrural areas.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 5","pages":"Pages 485-490"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141134021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.jogn.2024.05.137
Poliana de Barros Medeiros, Kristen Haakons, Helen Liley, Christine Andrews, Adrienne Gordon, Vicki Flenady
Objective
To evaluate the frequency and interrelationships among neonatal near miss (NNM) criteria and the anticipated workload for audits in high-income countries.
Design
Observational retrospective descriptive study.
Setting
Tertiary maternal and neonatal units at Mater Mothers’ Hospital, Brisbane, Queensland, Australia.
Participants
Cases of stillbirths (n = 483), neonatal deaths (n = 203), and live births (n = 66,353) from January 2016 to July 2022 (N = 67,039).
Methods
We identified eight prespecified NNM criteria nominated by perinatal experts. Primary outcomes were NNM frequency, their interrelationships, and related workload. We used descriptive statistics and analysis of variance and considered p < .05 significant.
Results
We found 2,243 unique NNM cases (33.7/1,000 live births). The NNM ratio per 1,000 live births according to each of the eight criteria were: unplanned resuscitation at birth (25.09/1,000 live births), birth asphyxia needing surveillance for hypoxic ischemic encephalopathy (8.46/1,000 live births), metabolic acidosis at birth (8.04/1,000 live births), advanced resuscitation at birth (3.68/1,000 live births), seizures and/or stroke (0.96/1,000 live births), severe intraventricular hemorrhage and/or cerebellar hemorrhage (0.95/1,000 live births), moderate to severe hypoxic ischemic encephalopathy (0.9/1,000 live births), and severe birth trauma (0.44/1,000 live births). Almost one third of NNM cases met more than one criterion. Anticipated workload for monthly NNM audits varied from 0.04 to 2.8 cases per 1,000 live births.
Conclusion
Different sets of NNM criteria considerably alter the frequency of NNMs and the anticipated workload for NNM audits. Their interrelationships are likely attributable to the fact that some of the criteria are risk factors for or are part of the causal pathway for other NNM criteria. These findings can assist with the determination of a pragmatic NNM definition considering the feasibility of NNM audits in high-income countries.
{"title":"Retrospective Observational Study of the Frequency and Interrelationships Among Neonatal Near Miss Criteria","authors":"Poliana de Barros Medeiros, Kristen Haakons, Helen Liley, Christine Andrews, Adrienne Gordon, Vicki Flenady","doi":"10.1016/j.jogn.2024.05.137","DOIUrl":"10.1016/j.jogn.2024.05.137","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the frequency and interrelationships among neonatal near miss (NNM) criteria and the anticipated workload for audits in high-income countries.</p></div><div><h3>Design</h3><p>Observational retrospective descriptive study.</p></div><div><h3>Setting</h3><p>Tertiary maternal and neonatal units at Mater Mothers’ Hospital, Brisbane, Queensland, Australia.</p></div><div><h3>Participants</h3><p>Cases of stillbirths (<em>n</em> = 483), neonatal deaths (<em>n</em> = 203), and live births (<em>n</em> = 66,353) from January 2016 to July 2022 (<em>N</em> = 67,039).</p></div><div><h3>Methods</h3><p>We identified eight prespecified NNM criteria nominated by perinatal experts. Primary outcomes were NNM frequency, their interrelationships, and related workload. We used descriptive statistics and analysis of variance and considered <em>p</em> < .05 significant.</p></div><div><h3>Results</h3><p>We found 2,243 unique NNM cases (33.7/1,000 live births). The NNM ratio per 1,000 live births according to each of the eight criteria were: unplanned resuscitation at birth (25.09/1,000 live births), birth asphyxia needing surveillance for hypoxic ischemic encephalopathy (8.46/1,000 live births), metabolic acidosis at birth (8.04/1,000 live births), advanced resuscitation at birth (3.68/1,000 live births), seizures and/or stroke (0.96/1,000 live births), severe intraventricular hemorrhage and/or cerebellar hemorrhage (0.95/1,000 live births), moderate to severe hypoxic ischemic encephalopathy (0.9/1,000 live births), and severe birth trauma (0.44/1,000 live births). Almost one third of NNM cases met more than one criterion. Anticipated workload for monthly NNM audits varied from 0.04 to 2.8 cases per 1,000 live births.</p></div><div><h3>Conclusion</h3><p>Different sets of NNM criteria considerably alter the frequency of NNMs and the anticipated workload for NNM audits. Their interrelationships are likely attributable to the fact that some of the criteria are risk factors for or are part of the causal pathway for other NNM criteria. These findings can assist with the determination of a pragmatic NNM definition considering the feasibility of NNM audits in high-income countries.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 5","pages":"Pages 572-580"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.jogn.2024.07.006
Oliwier Dziadkowiec PhD
{"title":"Evaluation of Systematic Reviews and Meta-analyses","authors":"Oliwier Dziadkowiec PhD","doi":"10.1016/j.jogn.2024.07.006","DOIUrl":"10.1016/j.jogn.2024.07.006","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 5","pages":"Pages 459-463"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号