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Monday,
Sep 27 - AWHONN's Block Party
Sunday, September 26, 2010
Title: Promoting Family Centered Care: Getting Preeclamptic Moms Together with Their Babies
Discipline: Women’s Health (WH), Childbearing (CB), Advanced Practice (AP)
Learning Objectives:
Submission Description:- To provide a way for preeclamptic patients to bond with their ill neonate.
- Nurses in labor and delivery will state at least three reasons why it is important to promote maternal newborn bonding.
- Patients will express satisfaction and feelings of empowerment by visiting their newborn in the NICU.
Promoting Family Centered Care:
Bringing Preeclamptic Moms Together with Their Babies
Rationale for program: As complex and intensive as the care is for postpartum patients receiving magnesium sulfate, it is equally important to ensure that maternal newborn bonding is facilitated. According to Barbara Moran, PhD, CNM, a mother friendly hospital should provide education to all mothers, including those with sick or premature newborns or infants with congenital problems, to touch, hold, breastfeed, and care for their babies to the extent compatible with their conditions. (2007) The success of family centered care starts with the participation of the nurses. The implementation of family centered care can be difficult, but it has positive effects for both the mother and newborn. As long as the mother’s safety is protected while the magnesium sulfate is infusing, there is no reason for this patient to be kept from her newborn baby.
Purpose for program: Preeclampsia is the leading cause of premature delivery (Tsigas, 2006) therefore, many of these babies are admitted to the Neonatal Intensive Care Unit (NICU) or Progressive Care Nursery (PCN). Patients diagnosed with preeclampsia are often treated with magnesium sulfate, thus requiring the new mother to remain in Labor & Delivery until the completion of the therapy (approximately 24 hours). This delays the involvement of the mother in the care of her newborn and mother infant bonding. The purpose of this program is to provide a way to begin maternal newborn bonding as soon as possible and embrace family centered care for these preeclamptic patients.
Proposed change:
Implications for Nursing Practice: Current evidence demands the close observation of postpartum patients receiving magnesium sulfate therapy. At the same time nurses are charged with the responsibility to facilitate maternal infant bonding during the immediate postpartum period. In order for the nursing staff to facilitate both safety and family centered care, nurses must be educated, flexible, and willing to put these principles into practice. Documentation of this protocol will hopefully lead other hospitals to adopt similar practices.
Bringing Preeclamptic Moms Together with Their Babies
Rationale for program: As complex and intensive as the care is for postpartum patients receiving magnesium sulfate, it is equally important to ensure that maternal newborn bonding is facilitated. According to Barbara Moran, PhD, CNM, a mother friendly hospital should provide education to all mothers, including those with sick or premature newborns or infants with congenital problems, to touch, hold, breastfeed, and care for their babies to the extent compatible with their conditions. (2007) The success of family centered care starts with the participation of the nurses. The implementation of family centered care can be difficult, but it has positive effects for both the mother and newborn. As long as the mother’s safety is protected while the magnesium sulfate is infusing, there is no reason for this patient to be kept from her newborn baby.
Purpose for program: Preeclampsia is the leading cause of premature delivery (Tsigas, 2006) therefore, many of these babies are admitted to the Neonatal Intensive Care Unit (NICU) or Progressive Care Nursery (PCN). Patients diagnosed with preeclampsia are often treated with magnesium sulfate, thus requiring the new mother to remain in Labor & Delivery until the completion of the therapy (approximately 24 hours). This delays the involvement of the mother in the care of her newborn and mother infant bonding. The purpose of this program is to provide a way to begin maternal newborn bonding as soon as possible and embrace family centered care for these preeclamptic patients.
Proposed change:
- Revise magnesium sulfate policy to allow for maternal infant visitation, as long as not prohibited by maternal status.
- Increasing nursing awareness of the most recent evidenced based practice supporting family centered care.
Implications for Nursing Practice: Current evidence demands the close observation of postpartum patients receiving magnesium sulfate therapy. At the same time nurses are charged with the responsibility to facilitate maternal infant bonding during the immediate postpartum period. In order for the nursing staff to facilitate both safety and family centered care, nurses must be educated, flexible, and willing to put these principles into practice. Documentation of this protocol will hopefully lead other hospitals to adopt similar practices.
