Physiologic Changes in Pregnancy Worksheet

Article Review Student’s Name Institution Course Name Instructor Date Article Review Article 1: Coffman (2019) – The NP’s Role in Promoting and Supporting Breastfeeding Coffman (2019) emphasizes that the nurse practitioner is a clinical expert and a relationship educator related to breastfeeding support. The most vigorous point was the argument of not providing information but rather how and when information will be provided as the key to the success of breastfeeding. The article criticizes the idea that education on breastfeeding starts once they have delivered a baby and instead states that NPs need to act during prenatal check-ups and influence expectations, confidence, and intention. This re-contextualizes breastfeeding not as a maternal decision that is made at birth, but as a lifelong event that needs to be preemptively directed. One of the lessons is the focus on the self-efficacy theory. Coffman connects the results of breastfeeding practices to maternal confidence and perceived support and not knowledge deficiencies. This is noteworthy as it drives NPs out of a teaching model that is task-oriented to an approach based on coaching. The article also criticizes the issue of inconsistent messaging among healthcare professionals as it was found to be one of the key obstacles to breastfeeding continuation. Analytically, this demonstrates a system-based failure and not a patient-based failure which supports the assumption of the NP playing the role of a facilitator of uniformly based evidence-based instructions. I would put this into practice by discussing breastfeeding on all prenatal visits, irrespective of the gestational age. Rather than providing generic guidance, I would evaluate the belief and fears of patients as well as their cultural norms and past experiences during feeding. The focus on breastfeeding issues normalisation proposed by Coffman including pain, issues with latch and fatigue will directly influence my counseling of patients, as the issues will be viewed as normal and something that can be solved and dealt with instead of indicators of failure. On the other hand, I would also use this article to support the implementation of institutional breastfeeding policies and interdisciplinary education in a bid to align nurses, physicians, and lactation consultants. Overall, the work by Coffman strengthens the role of the NP to educate the patients and to transform clinical settings to facilitate the continuation of breastfeeding. Article 2: Mohrbacher (2015) – Hi-Tech Breastfeeding Tools: Meeting the Needs of Today’s Parents Mohrbacher (2015) gives a critical analysis of the growing role of technology in breastfeeding support and reconsiders digital tools not as a ...