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245		0	_aMCN The American Journal of Maternal/Child Nursing
260			_aPhiladelphia : _bWolters Kluwer Health, _c2020
300			_a137-192 pages : _bcolor illustrations ; _c27 cm.
490			_vMCN The American Journal of Maternal/Child Nursing, Volume 45, Issue 3, May/June 2020
504			_aIncludes bibliographical references.
505			_aPerinatal Anxiety and Depression in Minority Women -- Navigating a Minefield: Meta-Synthesis of Teen Mothers' Breastfeeding Experience -- Vitamin D Deficiency and Sleep Quality in Minority Pregnant Women -- Kangaroo Care for Hospitalized Infants with Congenital Heart Disease -- Teaching Father-Infant Massage during Postpartum Hospitalization: A Randomized Crossover Trial -- Post-Traumatic Stress, Depression, and Quality of Life in Women with Peripartum Cardiomyopathy.
520			_a[Article Title: Perinatal Anxiety and Depression in Minority Women / Susan Gennaro, Caitlin O╩╝Connor, Elizabeth Anne McKay, Anne Gibeau, Melanie Aviles, Jacqueline Hoying and Bernadette Mazurek Melnyk, p. 138-144] Abstract: Depression and anxiety are common during pregnancy and are experienced at higher rates among women who are racial and ethnic minorities. Because depression and anxiety influence maternal and infant outcomes, intervening to improve perinatal mental health should be a priority for all healthcare providers. However, in the United States, a number of barriers including lack of mental health providers, lack of perinatal behavioral health systems, and stigma, limit access to care. Universal screening has been recommended and here we examine how universal screening can help nurses improve the mental health of childbearing women. Interventions that are currently in use to improve perinatal anxiety and depression are reviewed and include: psychopharmacology, cognitive behavioral therapy, interpersonal psychotherapy, and mindfulness. Recommendations for future research and healthcare system changes are made.;[Article Title: Navigating a Minefield: Meta-Synthesis of Teen Mothers' Breastfeeding Experience / Lee SmithBattle, Wisitsri Phengnum and Sasinun Punsuwun, p. 145-154] Abstract: Teen mothers have lower rates of breastfeeding duration and exclusivity than older mothers. A growing body of qualitative research on teen mothers' experience helps to explain these disparities. Following a systematic search to identify relevant research, we synthesized the findings from 22 primary studies to conclude that teen mothers navigate a minefield that undermines their intention to breastfeed and their breastfeeding confidence and skill. This metaphorical minefield reflects competing norms for infant feeding and good mothering, as evident in mixed support from teens' social networks; fragmented and stigmatizing healthcare; and spaces that are inhospitable to teen mothers and breastfeeding mothers in general.In recognition of this minefield, we urge clinicians to: respect teen mothers' infant feeding decisions; develop collaborative relationships based on the principles of patient-centered and strength-based care; challenge stigmatizing healthcare practices; welcome teen mothers and their significant others to clinical settings; and press health systems to fully implement probreastfeeding policies. We also recommend further study to extend our knowledge about teen mothers' breastfeeding experiences.;[Article Title: Vitamin D Deficiency and Sleep Quality in Minority Pregnant Women / Jennifer Woo, Susan Penckofer, Carmen Giurgescu and Paul E Yeatts, p. 155-160] Abstract: Purpose: To examine if vitamin D deficiency was associated with poor sleep quality in a sample of African American and Hispanic pregnant women. We also examined if race moderates the relationship between serum 25(OH)D levels and sleep quality among participants in this sample. Study design and methods: Using a cross-sectional design, a sample of 115 African American and Hispanic pregnant women were enrolled from a federally qualified health center in the Midwest. Women completed questionnaires and had blood drawn for serum 25(OH)D levels between 24- and 32 weeks gestation. The questionnaires included demographic characteristics, the Pittsburgh Sleep Quality Index, and dietary vitamin D and calcium intake. Results: The overall regression model indicated that the predictors explained 17% of variance in sleep quality (F(5, 103) = 4.10, p = .002, R = 0.17). Serum 25(OH)D levels were significant predictors of sleep quality after controlling for covariates (i.e., race, maternal age, prepregnancy body mass index, gestational age at data collection). Race did not moderate the association between serum 25(OH)D levels and sleep quality among women in this sample. Clinical implications: Pregnant women should be screened for vitamin D deficiency. Women who have vitamin D deficiency should be provided vitamin D supplementation. Vitamin D supplementation may be a simple solution to enhance sleep quality at this critical time in a woman's life.;[Article Title: Kangaroo Care for Hospitalized Infants with Congenital Heart Disease / Amy Jo Lisanti, Alessandra Buoni, Megan Steigerwalt, Michelle Daly, Stephanie McNelis and Diane L Spatz, p. 163-168] Abstract: Background: Kangaroo care (KC), or skin-to-skin care, occurs when an infant is dressed in a diaper and held to a parent's bare chest. This form of holding has been shown to have many benefits for hospitalized infants and has been shown to be a safe and feasible intervention to support infants with congenital heart disease. Despite known benefits, KC was not implemented routinely and consistently in our cardiac center for infants with congenital heart disease. The purpose of this project was to support use of KC as a nursing intervention for hospitalized infants with congenital heart disease and their parents. Methods: A KC quality improvement committee formed to develop strategies to increase frequency of KC, including the creation of a new nursing policy and procedure on KC for infants, adaptation of the electronic health record to facilitate KC documentation, education, and supporting translation of KC into practice through the cardiac center's first Kangaroo-A-Thon. Results: Twenty-six nurses initiated KC 43 times with 14 patients over the 8-week period for the Kangaroo-A-Thon. No adverse events were reported as a result of infants being held by their parents in KC. Conclusion: Our local initiative provided preliminary evidence that KC can be safely integrated into standard care for hospitalized infants with congenital heart disease. Formal standards and procedures, along with creative initiatives such as a Kangaroo-A-Thon, can be a first step toward fostering the translation of KC into practice.;[Article Title: Teaching Father-Infant Massage during Postpartum Hospitalization: A Randomized Crossover Trial / Carol Suchy, Gloria Morgan, Susan Duncan, Susan Villar, Frieda Fox and Dana N Rutledge, p. 169-175] Abstract: Purpose: The purpose of this study was to evaluate acceptability and impact of infant massage video instruction on fathers' behaviors in early postpartum. Methods: A randomized crossover design was used. Participants were fathers of healthy term infants born at a Magnet hospital in Southern California. Measures included a demographic survey, Father-to-Infant Bonding Scale, Father-Infant Observation Scale, and postdischarge phone interview. Study nurses observed father-infant interactions for 5 minutes. Fathers were randomized to one of two groups: fathers in group 1 saw the massage video before they were observed with their infants and fathers in group 2 saw the video after. Fathers completed the Bonding Scale at baseline in person and again within a week of discharge by phone. Statistics were descriptive and comparative. Responses to interview questions were categorized and described. Results: Ninety-eight fathers aged 18 to 44 years participated. Over half of fathers identified as Hispanic and the majority spoke English at home. Most fathers had positive responses to infants on individual Bonding Scale items. Fathers differed significantly in observed interactions with infants depending upon timing of massage instruction; fathers observed immediately after the video had more total interactions, specifically fingertip touching. Poststudy evaluations were predominantly positive. Clinical implications: We found a brief infant massage instruction offered by video was well accepted by fathers and increased observed father-infant interactions. ;[Article Title: Post-Traumatic Stress, Depression, and Quality of Life in Women with Peripartum Cardiomyopathy / Jo Ann Donnenwirth, Rosanna Hess and Ratchneewan Ross, p. 176-182] Abstract: Purpose: Peripartum cardiomyopathy, a traumatic life-threatening type of heart failure, occurs in the last trimester of pregnancy or shortly after childbirth. Little is known about psychological or emotional conditions women experience with peripartum cardiomyopathy. The purpose of this study was to examine relationships among post-traumatic stress, depression, and quality of life in women with peripartum cardiomyopathy. Design and methods: This cross-sectional, correlational survey study included 28 participants recruited via public notice on Facebook.
520			_aParticipants completed the Horowitz Impact of Events Scale, the Center for Epidemiology Scale-Depression 20, and the Ferrans & Powers Quality of Life Index-Cardiac Version-IV. Results: Post-traumatic stress correlated significantly and positively with depression (r = .809, p < .001). Post-traumatic stress and depression correlated significantly and inversely with quality of life (r = -.455, p = .015), (r = -.544, p = .003), respectively. All participants measured positive for depression. Participants with lower education scored higher on post-traumatic stress and depression, whereas those unemployed or disabled registered a lower quality of life. Clinical implications: Nurses, midwives, and physicians caring for women with cardiomyopathies must be vigilant for evidence of post-traumatic stress, depression, and poor quality of life. Targeted antenatal and postnatal support could be vital to emotional and psychological recovery.
650			_aNURSING
942			_2lcc _cSER
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