Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
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J Obstet Gynecol Neonatal Nurs · Nov 2012
Comparative StudyRelationships among neighborhood environment, racial discrimination, psychological distress, and preterm birth in African American women.
To (a) examine the relationships among objective and perceived indicators of neighborhood environment, racial discrimination, psychological distress, and gestational age at birth; (b) determine if neighborhood environment and racial discrimination predicted psychological distress; (c) determine if neighborhood environment, racial discrimination, and psychological distress predicted preterm birth; and (d) determine if psychological distress mediated the effects of neighborhood environment and racial discrimination on preterm birth. ⋯ Women's neighborhood environments and racial discrimination were related to psychological distress, and these factors may increase the risk for preterm birth.
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J Obstet Gynecol Neonatal Nurs · Nov 2012
Comparative StudyThe effect of delivery method on breastfeeding initiation from the The Ontario Mother and Infant Study (TOMIS) III.
To report on the relationship between delivery method (cesarean vs. vaginal) and type (planned vs. unplanned) and breastfeeding initiation in hospital and continuation to 6 weeks postpartum as self-reported by study participants. ⋯ Breastfeeding can be considered a coping strategy that serves to normalize an abnormal experience and allows the individual to once again assume control. These unexpected results warrant further investigation to understand why women make the decision to initiate breastfeeding, why they choose to continue breastfeeding, and how they can be supported to achieve exclusive breastfeeding as recommended for infants in the first 6 months.
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J Obstet Gynecol Neonatal Nurs · Nov 2012
Multicenter StudyPractice of primary elective cesarean upon maternal request in the commonwealth of virginia.
To evaluate the practice of on-demand elective cesarean delivery in Virginia. ⋯ The perception of labor and delivery managers in Virginia is that on-demand elective cesarean delivery is a patient-driven practice that does not appear to be influenced by hospital characteristics.
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J Obstet Gynecol Neonatal Nurs · Sep 2012
ReviewRecognizing myofascial pelvic pain in the female patient with chronic pelvic pain.
Myofascial pelvic pain (MFPP) is a major component of chronic pelvic pain (CPP) and often is not properly identified by health care providers. The hallmark diagnostic indicator of MFPP is myofascial trigger points in the pelvic floor musculature that refer pain to adjacent sites. Effective treatments are available to reduce MFPP, including myofascial trigger point release, biofeedback, and electrical stimulation. An interdisciplinary team is essential for identifying and successfully treating MFPP.
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J Obstet Gynecol Neonatal Nurs · Sep 2012
ReviewCentering as a model for group visits among women with chronic pelvic pain.
Providing comprehensive care for chronic pelvic pain is impeded by time and resource constraints of the standard health care visit. To provide patient education, psychosocial support, and health care assessment, we developed group visits for women with chronic pelvic pain using an evidence-based, holistic nursing approach. In this article, we describe the structure of group visits, the process of conducting Centering group visits focused on empowerment, and the content of a holistic curriculum for women with chronic pelvic pain.