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Excerpt: In their recent study [ 1 ], Lavesson et al. concluded, “In febrile parturients, neither maternal nor fetal temperatures dropped after paracetamol, but paracetamol halted an increasing trend and stabilized the fetal temperature. The effect of paracetamol on maternal temperature was inconclusive”. This conclusion, however, is not supported by the data in the study, in that the calculation of case and control temperature differences demonstrates clear fetal and maternal temperature decreases after paracetamol.

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Introduction & Background Black infant mortality rate is 122% higher than that of non-Hispanic white infants. In a 2021 CDC study, Black women’s maternal mortality rate was 69.9 deaths per 100,000 live births, 2.6 times the rate for non-Hispanic White women. Purpose Statement & Research Question The purpose of our research was to explore reasons why Black maternal mortality is higher than White and non-Hispanic populations and what contributing health disparities are causing higher mortality rates in black infants and mothers compared to their non-Hispanic white counterparts, in the United States. Literature Review: We found articles under 5 years old from Cinhal database. Findings Examples of inclusion and exclusion criteria in our studies included: ages between 18-39, whether they had hypertension during pregnancy, or were between 22-43 weeks of gestation. Main findings from our studies include mistrust between health providers and the black pregnant women negatively impacted their adherence to safe sleep practice, and 32% of women in another study reported that they were not able to initiate their first prenatal care visit as early as preferred due to a myriad of barriers. Conclusions & Nursing Interventions The take-home message of our studies was that disparities are multifactorial. Some major nursing implications we found are that perinatal nurses should assess the psychological wellbeing in Black women throughout pregnancy and advocate for Black women who report high levels of stress, depressive symptoms, or psychological distress.

Simulation is a critical component of nursing education. It provides a safe environment to practice and evaluate skills, supplements clinical hours, and removes barriers to a well-rounded education. Nurses are expected to be educators as part of our scope of practice, and simulation can facilitate this. One topic of nursing importance is lactation education, as breastfeeding has been shown to have multiple benefits for both mother and baby. National rates of exclusive breastfeeding for the first 6 months do not currently meet CDC recommendations. The pedagogy known as the Protégé Effect suggests that learning can be improved through teaching. Breastfeeding is a topic that inherently involves patient education but is currently given minimal attention in most nursing curricula. The purpose of this thesis is primarily to determine whether breastfeeding education within simulation improves student self-efficacy and secondarily, to explore the ramifications on clinical performance. A literature review was conducted across CINAHL, MEDLINE, Applied Science & Technology Source, ERIC, ScienceDirect, and Google Scholar to find studies comparing breastfeeding education to student self-efficacy within a simulated environment. Inclusion criteria included medical and nursing students at undergraduate- and graduate-level education, full text, written in English, and any student-led teaching opportunities about lactation and breastfeeding. After critical appraisal, 8 qualitative and quantitative articles were included in the study. Current literature strongly suggests breastfeeding simulations improve self-efficacy, but the findings are preliminary in nature. More research is needed. Including breastfeeding education in simulation can better prepare nursing students to assume their role as educators.

The purpose of this research is to evaluate the coping strategies of families and childbearing women after intrauterine fetal demise and early infant death. The secondary purpose is to examine the effect of grieving strategies after intrauterine fetal demise compared to early infant death on time until subsequent pregnancy in women of childbearing age. A literature review exploring parental grief and coping strategies to cope with loss and its effect on the subsequent pregnancy was conducted from various online databases. All reviewed articles in the analysis indicated that coping strategies consist of a diverse number of mechanisms during the bereavement process. Results show that positive mechanism such as talking about the experience of fetal and infant death was beneficial in the grieving journey and showed a positive correlation to a shorter time to subsequent pregnancy. Identification of strategies to improve mental health in women after fetal demise and early infant death are of value to pregnancy counseling following demise and improving time to conception outcomes after emotional trauma caused by perinatal loss. There is great value in understanding the connection between conception after the early death of an infant and intrauterine fetal demise in helping healthcare providers support family planning goals.