title: Trends in Perinatal Care and Implications for Frontline Nurse Leaders.
abstract: The perinatal trends presented in this article are based on recent topics from conferences, journals, the media, as well as from input from perinatal nurses. Trends in patient care are influenced by evidence known for decades, new research, emerging and innovative concepts in healthcare, patient and family preferences, and the media. Trends discussed in this article are rethinking the due date, birth outside the hospital setting, obstetric hospitalists as birth attendants, nitrous oxide for pain in childbirth, hydrotherapy and waterbirth in the hospital setting, delayed cord clamping, disrupters of an optimal infant microbiome, skin-to-skin care during cesarean surgery, and breast-sleeping and the breast-feeding dyad. In addition, the authors developed implications for perinatal nurses related to each trend. The goal is to stimulate reflection on evidence that supports or does not support current practice and to stimulate future research by discussing some of the current trends that may influence the care that perinatal nurses provide during the birthing year.
authors.affiliation: Texas Tech University Health Sciences Center School of Nursing, Lubbock (Dr Crenshaw); The University of Alabama in Huntsville School of Nursing (Dr Adams); and Family Way Publications, Houston, Texas (Ms Amis).
authors.forename: Jeannette T
authors.initials: JT
authors.lastname: Crenshaw
authors.forename: Ellise D
authors.initials: ED
authors.lastname: Adams
authors.forename: Debby
authors.initials: D
authors.lastname: Amis
mesh_terms: D015400:Clinical Nursing Research / Q000379:methods; D036861:Delivery, Obstetric / Q000379:methods / Q000451:nursing / Q000639:trends; D055318:Evidence-Based Nursing / Q000379:methods; D005260:Female; D006700:Home Childbirth / Q000379:methods / Q000451:nursing / Q000639:trends; D006801:Humans; D007231:Infant, Newborn; D017283:Neonatal Nursing / Q000379:methods; D018743:Perinatal Care / Q000379:methods / Q000458:organization & administration / Q000639:trends; D011247:Pregnancy