Journal of midwifery & women's health最新文献

{"title":"Taking Care of Your Mental Health","authors":"","doi":"10.1111/jmwh.13735","DOIUrl":"https://doi.org/10.1111/jmwh.13735","url":null,"abstract":"<p>Mental health is how you think, feel, act, and handle emotions. It includes your psychological, emotional, and social well-being. Your mental health affects your physical health, relationships, and ability to do daily activities. It influences how you cope with life and stress, learn and work, and make decisions. Taking care of your mental health is important for staying healthy, having good relationships, handling stress well, and adapting to change and difficult times.</p><p>\u0000 </p><p>If you are experiencing times of stress or loss, consider working with a mental health professional especially if you are having trouble performing your daily activities. Talk to your health care provider if you are experiencing any of the above symptoms. They may recommend talk therapy and/or medication. Insurance often pays for access to therapy. If you have thoughts of hurting yourself or someone else, get help right away. Go to the closest emergency room or call 911. You can also call the National Suicide Prevention Lifeline 24 hours a day at 1-800-273-TALK (8255), or the Suicide and Crisis Lifeline 988 available in English or Spanish.</p><p>Flesch Kincaid reading level 6.8</p><p>Approved December 2024.</p><p>This handout may be reproduced for noncommercial use by health care professionals to share with patients, but modifications to the handout are not permitted. The information and recommendations in this handout are not a substitute for health care. Consult your health care provider for information specific to you and your health.</p>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 1","pages":"189-190"},"PeriodicalIF":2.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13735","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143362974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Index of ACNM Documents and Publications, January 2025","authors":"","doi":"10.1111/jmwh.13737","DOIUrl":"https://doi.org/10.1111/jmwh.13737","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 1","pages":"7-10"},"PeriodicalIF":2.1,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13737","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perinatal Suicide","authors":"Pamela J. Reis CNM, PhD","doi":"10.1111/jmwh.13738","DOIUrl":"10.1111/jmwh.13738","url":null,"abstract":"&lt;p&gt;The tragedy of preventable perinatal deaths among birthing people continues to take its toll on our nation. This includes death by suicide during the perinatal period as a profound and leading cause of maternal mortality. Mental health disorders are the leading cause of maternal mortality in the United States according to the most recent data from the Centers for Disease Control and Prevention (CDC).&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; The CDC defines deaths due to mental health conditions as those because of suicide, overdose, or drug poisoning related to substance use disorder (SUD), and other deaths determined by morbidity and mortality review committees to be related to a mental health condition, including SUD.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; Suicide during the perinatal period accounts for approximately 7% of deaths during pregnancy and 20% of postpartum deaths, shockingly surpassing death by postpartum hemorrhage or hypertensive disorders.&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt; The purpose of this commentary is to highlight current literature in perinatal suicide and to provide guidance and resources for clinicians.&lt;/p&gt;&lt;p&gt;Pregnancy-related deaths because of mental health conditions are described as any death due to a maternal health condition, such as depression or other psychiatric illnesses and SUD and drug overdose (intentional or not intentional). Death by suicide includes unintentional and accidental drug overdose, as well as instances for which the intent to die by suicide is known.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;It is not uncommon for mental health disorders such as depression, anxiety, and bipolar disorder to begin or worsen during pregnancy and the postpartum period.&lt;span&gt;&lt;sup&gt;4&lt;/sup&gt;&lt;/span&gt; The spectrum of suicide disorders is more prevalent among birthing people with a history of depression or bipolar disorder.&lt;span&gt;&lt;sup&gt;4&lt;/sup&gt;&lt;/span&gt; The &lt;i&gt;Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition&lt;/i&gt; (&lt;i&gt;DSM-5&lt;/i&gt;) published in 2013, introduced suicidal behavior disorder (SBD) under conditions for further study, defining SBD as a self-initiated sequence of behaviors leading to one's own death within the previous 24-month period.&lt;span&gt;&lt;sup&gt;5&lt;/sup&gt;&lt;/span&gt; Unfortunately, the clinical usage of the definition of SBD for predicting death by suicide has not resulted in a decrease in suicide, and the diagnosis and manifestations of SBD and its association with suicidal ideation and other self-harming behaviors is unclear. The American Psychiatric Association's latest release, the &lt;i&gt;DSM-5-Text Revision&lt;/i&gt;, published in 2022, did not elaborate on the SBD diagnosis in a manner that clinicians and researchers found especially useful, and was ultimately moved from Conditions for Further Study to Other Conditions That May Be a Focus of Clinical Attention. The rationale for this change was that suicide did not strictly meet the criteria for a mental health disorder, but instead was a behavior with diverse causes.&lt;span&gt;&lt;sup&gt;5&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;Determining t","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 1","pages":"13-16"},"PeriodicalIF":2.1,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13738","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic Reviews to Inform Practice, January/February, 2025","authors":"Abby Howe-Heyman CNM, PhD,&nbsp;Nena R. Harris CNM, PhD, FNP-BC, CNE","doi":"10.1111/jmwh.13736","DOIUrl":"https://doi.org/10.1111/jmwh.13736","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 1","pages":"176-185"},"PeriodicalIF":2.1,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13736","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"World Health Organization Calls for Transition to Midwifery Models of Care to Improve Outcomes for Women and Newborns","authors":"Melissa D. Avery CNM, PhD","doi":"10.1111/jmwh.13739","DOIUrl":"10.1111/jmwh.13739","url":null,"abstract":"&lt;p&gt;As we welcome 2025 and begin celebrating 70 years of the American College of Nurse-Midwives (ACNM) and the &lt;i&gt;Journal of Midwifery &amp; Women's Health (JMWH)&lt;/i&gt;, a recent World Health Organization (WHO) report&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; should be in the hands of every practicing midwife. In the United States in particular, this position paper can help promote midwifery care models at the federal, state, local, and health system practice levels. WHO recommends a transition to midwifery care models worldwide, linked to a strategy of primary health care as part of attaining universal health coverage.&lt;/p&gt;&lt;p&gt;WHO urges moving from fragmented and risk-focused care approaches to midwifery models of care so that women and newborns receive “equitable, person-centred, respectful, integrated and high-quality care, provided and coordinated by midwives working within collaborative interdisciplinary teams”&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt;&lt;sup&gt;(p8)&lt;/sup&gt; prior to pregnancy through the postpartum period. The report notes that while the terms &lt;i&gt;women&lt;/i&gt; and &lt;i&gt;mothers&lt;/i&gt; are used, the recommendations are inclusive of all individuals identifying as women and all persons who give birth. Although improvements have been made in maternal and neonatal outcomes globally, many challenges remain. Improvements are needed in both access to health care and the provision of high-quality care. In addition, inappropriate use of medical interventions is highlighted as a barrier to improving perinatal outcomes.&lt;/p&gt;&lt;p&gt;Midwifery models of care are defined as those consistent with midwifery philosophy and where the care is provided by autonomous midwives who are educated, licensed, and regulated. Midwives provide high-quality care that is person-centered, based on a relationship between the midwife and the woman, promotes physiologic processes, with interventions used only when needed. Care is coordinated within resourced and functional health systems where interprofessional teams function with respect and trust. These care models are modifiable to be used in all care settings and related contexts.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;Principles of midwifery models of care include (1) access to equitable and human rights–based care for all women and newborns, (2) person-centered and respectful care in a partnership between women and midwives, (3) high-quality care consistent with midwifery philosophy, (4) care provided by autonomous, educated, regulated midwives throughout health systems, and (5) midwives are integrated into interprofessional care teams.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; By using models incorporating these principles, WHO believes a transition to midwifery models can save lives, improve women's and newborns' health outcomes, improve satisfaction with care, reduce health inequities, promote women's rights, and maximize the use of health care resources.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;In making the case for midwifery care models, the WHO report synthesizes recent research and other repo","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 1","pages":"11-12"},"PeriodicalIF":2.1,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13739","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"¿Qué es una partera?*","authors":"","doi":"10.1111/jmwh.13731","DOIUrl":"https://doi.org/10.1111/jmwh.13731","url":null,"abstract":"&lt;p&gt;Las parteras en los Estados Unidos (EE. UU.) proporcionan servicios de atención médica a individuos en todas las etapas de la vida. Colaboran con sus pacientes/clientes en la toma de decisiones importantes sobre su salud. Trabajan en conjunto con otros miembros del equipo de atención médica cuando es necesario. También pueden ser proveedoras de atención primaria.&lt;/p&gt;&lt;p&gt;Es importante aclarar que el término “partera” en Latinoamérica no corresponde a la profesión de partería que se practica en EE. UU. El tipo de educación, el proceso de acreditación para ejercer esta profesión, la percepción cultural, el respaldo legal, y la relación con otros profesionales de la salud y con los centros de salud que tienen las parteras en EE.UU son diferentes que en muchas otras partes del mundo. Las parteras en EE. UU. tienen un alcance profesional que es parecido al de los gineco-obstetras, aunque con diferencias importantes.&lt;/p&gt;&lt;p&gt;Las &lt;b&gt;enfermeras parteras certificadas&lt;/b&gt; (CNM, por sus siglas en inglés) y &lt;b&gt;parteras certificadas&lt;/b&gt; (CM, por sus siglas en inglés) se han educado en programas acreditados y han aprobado un examen de certificación nacional. Deben tener una licencia para practicar en el estado donde trabajan. Tanto las CNM como las CM atienden a sus pacientes en todos los tipos de centros de salud, incluyendo los hospitales, los centros de maternidad, clínicas o consultorios, y también en el hogar. Proporcionan atención general durante el embarazo (seguimiento prenatal) y durante el parto, atención de salud reproductiva y también cuidado primario. Pueden recetar la mayoría de los medicamentos. Tanto las CNM como las CM pueden cuidar a los recién nacidos durante los primeros 30 días de vida.&lt;/p&gt;&lt;p&gt;Las &lt;b&gt;parteras certificadas profesionales&lt;/b&gt; (CPM, por sus siglas en inglés) pueden haber tenido capacitación como aprendices o pueden haberse graduado de un programa de educación acreditado. Han tomado un examen de certificación nacional diferente al que toman las CNM o las CM. Las CPM proveen cuidado durante el embarazo, el nacimiento y después del parto en entornos comunitarios, usualmente en centros de maternidad o en los hogares. También proveen cuidado de los recién nacidos. No pueden recetar la mayoría de los medicamentos. Tampoco trabajan en hospitales.&lt;/p&gt;&lt;p&gt;La mayoría de las parteras en EE. UU. son CNM y tienen licencia en los 50 estados. No todos los estados conceden licencia a las CM ó a las CPM.&lt;/p&gt;&lt;p&gt;Las parteras proveen atención durante el embarazo, el trabajo de parto, el nacimiento y el posparto. También atienden a bebés recién nacidos. Las CNM y las CM cuidan a aproximadamente 1 de cada 10 mujeres que dan a luz cada año en EE. UU. Además de ser expertas en salud reproductiva, las CNM y las CM proveen atención primaria de salud. Los cuidados que brindan incluyen exámenes físicos anuales, planificación familiar, cuidado durante la menopausia, detección y tratamiento de infecciones de transmisión sexual y otros problemas de salud. Las ","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 1","pages":"187-188"},"PeriodicalIF":2.1,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13731","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research and Professional Literature to Inform Practice, January/February 2025","authors":"Rebecca R. S. Clark CNM, PhD, MSN, RN","doi":"10.1111/jmwh.13734","DOIUrl":"https://doi.org/10.1111/jmwh.13734","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 1","pages":"169-175"},"PeriodicalIF":2.1,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13734","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143362992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges in Antenatal Care (2024-002JMWH)","authors":"","doi":"10.1111/jmwh.13718","DOIUrl":"10.1111/jmwh.13718","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"69 6","pages":"985-987"},"PeriodicalIF":2.1,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142788219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges for Antepartum Care of the Individual with Perinatal Substance Use: An Empirical Integrative Review of Novel Approaches to Improve Care","authors":"Lauren Taylor Narbey CNM, MSN, WHNP-BC,&nbsp;Alice Curtis Cline CNM, MSN","doi":"10.1111/jmwh.13714","DOIUrl":"10.1111/jmwh.13714","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Perinatal substance use continues to rise across the United States presenting unique challenges to providing antepartum care. Polysubstance use, limited and late engagement in health care, co-occurring mood disorders, and several social barriers are well documented. This review seeks to summarize these barriers and present novel approaches to caring for this high-risk population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Inclusion criteria for this study focused on peer-reviewed articles that explicitly detailed a direct impact on the provision or receipt of antenatal care in the setting of substance use within the United States that were published in the last 5 years. PubMed and Web of Science were used to find applicable articles. Of the 156 articles found, 10 relevant articles were selected for the final empirical integrative review that entailed data evaluation using the Mixed Methods Appraisal Tool (MMAT) and thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>10 review articles met inclusion; 3 were qualitative, 6 were quantitative and nonrandomized, and one was quantitative descriptive. Six articles met MMAT quality criteria, and there were significant limitations in every article. Topics included opioid use disorder (n = 6), general substance use (n = 3), and tobacco use (n = 1). Themes included integrated models of prenatal care, colocated care, resource coordination, and peer support along with the role of the perinatal health care professional and consistent use of a substance use screening tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>A comprehensive and multidisciplinary care model is necessary to meet the complex and urgent needs of individuals with perinatal substance use that not only meets recommendations for opioid maintenance therapy or substance use cessation but the important areas of accessibility and interpersonal support. Future research should focus on the development, implementation, and evaluation of new models of care for this vulnerable population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"69 6","pages":"863-874"},"PeriodicalIF":2.1,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Center M Pilot Trial: Integrating Preventive Mental Health Care in Routine Prenatal Care","authors":"Ellen L. Tilden CNM, PhD,&nbsp;Taylor Shank PhD,&nbsp;Catherine Polan Orzech MA LMFT,&nbsp;Leah R. Holmes BA,&nbsp;Ravyn Granados BA,&nbsp;Sayehsadat Moosavisahebozamani MS,&nbsp;David Starr MBA,&nbsp;Aaron B. Caughey PhD, MD,&nbsp;Alice M. Graham PhD,&nbsp;Kristen L. Mackiewicz Seghete PhD","doi":"10.1111/jmwh.13709","DOIUrl":"10.1111/jmwh.13709","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Perinatal depression is a leading cause of preventable US maternal morbidity and mortality. Although Mindfulness-Based Cognitive Therapy for Perinatal Depression (MBCT-PD) is highly effective, it faces significant scalability challenges. Center M, a brief, group-based, mindfulness-based cognitive behavioral therapy (CBT) intervention, is an adaptation of MBCT-PD designed to overcome these challenges. The purpose of this pilot study was to evaluate Center M's preliminary acceptability, feasibility, mechanisms of action, and efficacy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this mixed-methods pilot study, data were collected from 99 pregnant people at 3 time points: preintervention, postintervention, and 6-weeks postpartum (Clinical Trials no. NCT06525922). Participants engaged in 4 one-hour, weekly group telehealth Center M sessions facilitated by social workers. Participants strengthened mindfulness CBT skills using home practice materials between group sessions. Data included self-report measures evaluating depressive symptoms, mindfulness skills, and emotion regulation. Satisfaction was assessed via focus groups or surveys.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Depressive symptoms significantly decreased preintervention to postintervention (Patient Health Questionnaire-8 score: preintervention mean [SD] 5.02 [3.52], postintervention mean [SD] 4.23 [2.84]; <i>P</i> = .03), and mindfulness capacity significantly increased preintervention to 6 weeks postpartum (Five Facets of Mindfulness Questionnaire score: preintervention mean [SD] 125.56 [18.68], 6 weeks postpartum mean [SD] 130.10 [17.15]; <i>P</i> = .004). Linear regression analyses indicate that higher mindfulness at 6 weeks postpartum significantly predicted fewer depression symptoms at 6 weeks postpartum (β, −0.07; 95% CI, −0.123 to −0.021, <i>R²</i> = 0.22; <i>P</i> = .006). Reduction in the use of maladaptive emotion regulation was significantly associated with decreased depressive symptoms at 6 weeks postpartum (β, 0.21; 95% CI, 0.048 to 0.376, <i>R²</i> = .21; <i>P</i> = .012). Qualitative themes indicated high Center M acceptability and appeal.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Our findings support the feasibility, acceptability, and appeal of Center M. Results suggest Center M may be effective in reducing depression and enhancing mindfulness skills. Future research must confirm these initial findings to more widely address Center M implementation capacity and sustainability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"69 6","pages":"906-916"},"PeriodicalIF":2.1,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}