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Practical Neurology
The new guideline emphasizes early intervention and careful medication selection for pregnant patients with epilepsy, recommending lamotrigine, levetiracetam, and oxcarbazepine, while advising against valproic acid, phenobarbital, and topiramate.
Neurology May 21st 2024
Cleveland Clinic Journal of Medicine
Effective management of lactational mastitis requires distinguishing between symptoms that necessitate antibiotics and those that resolve with conservative measures, ensuring continued breastfeeding support.
Family Medicine/General Practice May 13th 2024
The New England Journal of Medicine
Peripartum cardiomyopathy presents a unique challenge in maternal health, with its late pregnancy symptoms often leading to delayed diagnosis. Understanding its hormonal and genetic underpinnings is vital for effective management.
Cardiology January 18th 2024
MCN: The American Journal of Maternal/Child Nursing
The article explores social interactions and institutional structures impacting the consistent practice of 24-hour rooming-in for new mothers and newborns in hospitals. Researchers employed an institutional ethnographic design, gathering data through semistructured interviews and unit observations from February 2020 to June 2021. Seven mother-baby nurses participated in interviews. Additionally, three on-unit observations lasting 2 hours each took place. From the collected data, the researchers unearthed a shared sentiment: “Baby-Friendly” practices don’t always equate to being “mother-friendly.” Three primary social interaction themes surfaced from the data analysis: viewing the mother as a patient, managing expectations, and inconsistent practices. The nurses’ perspectives revealed the complexity of managing maternal care while juggling newborn demands. Discrepancies in methods highlighted the need for standardized practices to maintain consistency across care provision. The analysis also identified three significant institutional factors that affect 24-hour rooming-in: rates of labor induction and cesarean births, nurse staffing, and nursery use monitoring. Labor induction and cesarean births often disrupt the smooth transition to rooming-in. Limited nurse staffing presents challenges in managing both mother and baby needs, while nursery use monitoring practices influence rooming-in implementation. The article’s findings provide critical insights into the daily organization and experience of 24-hour rooming-in from a […]
Hospitalist May 30th 2023