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Our objective was to examine the relationship between pregnancy desire among female adolescents and their perception of desire for pregnancy in their male partners. This is an observational cross-sectional study which examined 92 surveys administered to adolescent women between the ages of 14 to 19 years at two obstetrical care services serving a population from limited socioeconomic backgrounds. Participants were all pregnant or awaiting pregnancy test results. Participants were asked about their levels of pregnancy happiness and desire and their partners' levels of pregnancy happiness and desire. Spearman's correlation coefficient was calculated and discordant pairs were examined with McNemar's test. Logistic regression was utilized to examine the relationship between male and female pregnancy happiness and desire. We found that there was a significant correlation between the adolescents' feelings about pregnancy and their perceptions of their male partners' feelings about pregnancy (0.326; P = .004). McNemar's test indicated that male partners were significantly more likely to be reported to feel positively about the pregnancy than female partners (P = .017). Female adolescents who reported male partners who felt positively about the pregnancy were four times as likely to report having desired their pregnancy now or sooner (odds ratio [OR] = 4.35). We conclude that male partners may impact adolescent pregnancy desire. Further prospective studies are needed and male-focused adolescent pregnancy interventions should be developed.

The US is the only developed country in the world with rising maternal mortality. This article discusses factors that contribute to this rise, disparities in maternal mortality, and steps nurses can take to help reverse this worsening trend. [ABSTRACT FROM AUTHOR]

This article focuses on the two universally recommended vaccines during pregnancy--Tdap and infl uenza--and how NPs can advocate for the appropriate vaccination of this patient population. [ABSTRACT FROM AUTHOR]

The article discusses the significant role played by nurses in patients experiencing placental abruption. Topics include the meaning of placental abruption, associated risk factors such as drug use, cigarette smoking, and poor nutrition, and the assessment of vital signs, oxygen saturation and level of consciousness by the assigned nurse. Also mentioned is information on the patient's continuing care during the postpartum period.

The article explores the health risks of obesity to mother and baby during pregnancy, labor and delivery. It states that nurses should develop a trusting relationship with an obese pregnant patient in order to encourage her to seek prenatal care and make healthy changes in her lifestyle. It is also important that they deliver information concerning her health in a factual, kind and nonjudgmental manner. INSETS: What's obesity?;Special considerations for patients who become pregnant after...;Close-up on four tests.

The article presents a study which assessed pregnant adolescents' desire for pregnancy and examined whether there were opportunities for preconception care for pregnant adolescents with desired pregnancies. The samples used were medical records for 108 pregnant women below the age of 19. It was found that most of the adolescents had not wanted a pregnancy during the pregnancy diagnosis. It is noted that nurses who offer care to adolescents have a chance to talk about future pregnancies and to use healthcare visits to teach about preconception health.

The article offers the insights of professional organizations in the U.S. regarding planned home births, on how to help women make a choice, and guidelines for improving patient safety. The organizations that offered their views include the National Center for Health Statistics, the American College of Obstetricians and Gynecologists (ACOG), and the American College of Nurse Midwives. Topics include the role of nurses in home births, informed consent, and criteria for planned home birth.

The article provides an answer to a question about the main concerns in managing parvovirus in a patient who is at 16 weeks of gestation.