{"title":"Journal Award Winners Ad 2025","authors":"","doi":"10.1111/jmwh.70045","DOIUrl":"https://doi.org/10.1111/jmwh.70045","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145297435","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":"Plan de Parto","authors":"","doi":"10.1111/jmwh.70003","DOIUrl":"https://doi.org/10.1111/jmwh.70003","url":null,"abstract":"<p>Un plan de parto es una declaración escrita de sus metas y de lo que es importante para usted durante su trabajo de parto y cuando esté dando a luz. Un plan de parto describe la experiencia que espera tener y cómo desea recibir apoyo de quienes le atienden.</p><p>Durante una de las consultas de seguimiento prenatal puede compartir y revisar su plan de parto con su partera u otro proveedor de atención prenatal. Cuando el plan esté completo, es posible que su proveedor querrá colocar una copia en su expediente prenatal. Usted también debería conservar una copia para compartirla con los proveedores que la cuiden cuando esté en trabajo de parto.</p><p><i>Ventajas</i>: Desarrollar un plan de parto le permite aprender acerca de sus opciones antes de estar en trabajo de parto y comunicar con sus proveedores y familia sus objetivos e ideas acerca de estas opciones. El revisar con su partera/proveedor de atención medica el plan de parto durante una visita prenatal le brinda la oportunidad de informarse acerca de los procedimientos de rutina en el lugar donde dará a luz antes del parto, lo cual le permite estar mejor preparada.</p><p><i>Desventajas</i>: Puede sentirse decepcionada si las cosas que enumera en su plan de parto no suceden. No hay certeza que su plan se llevará a cabo en todos los aspectos porque muchas cosas inesperadas pueden suceder durante el trabajo de parto y el nacimiento. Si su trabajo de parto se complica, puede necesitar intervenciones que quizás esperaba evitar.</p><p>Asistir a clases de preparación al parto, hablar con familiares o amigos que hayan dado a luz en el lugar donde usted dará a luz, hablar con una doula (persona de apoyo durante el embarazo y el parto), leer libros y buscar información en sitios web sobre el embarazo son algunas de las maneras de informarse acerca de las opciones disponibles para usted. También puede platicar con su proveedor y con amigos o familiares que tengan valores similares a los suyos mientras considera sus opciones. Puede visitar el hospital o centro de parto donde planea dar a luz para que le puedan explicar los procedimientos de rutina que puede anticipar.</p><p>Approved July 2025.</p><p>This handout may be reproduced for noncommercial use by health care professionals to share with patients, but modifications to the handoutare not permitted. The information and recommendations in this handout are not a substitute for health care. Consult your health careprovider for information specific to you and your health.</p><p>La información y las recomendaciones en este documento no sustituyen la atención médica. Consulte con su proveedor de atención médicapara obtener información específica para usted y su salud.</p>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 5","pages":"833-834"},"PeriodicalIF":2.3,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145297108","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}
Nicole Warren CNM, PhD, MPH, Briana E. Kramer CNM, MS, MPH, Cheri Wilson MA, MHS, CPHQ, Nikki Akparewa MSN, MPH, RN, Kelly M. Bower PhD, MSN, MPH
{"title":"Development, Implementation, and Evaluation of Implicit Bias Skill Building Sessions for Maternal Health Care Professionals","authors":"Nicole Warren CNM, PhD, MPH, Briana E. Kramer CNM, MS, MPH, Cheri Wilson MA, MHS, CPHQ, Nikki Akparewa MSN, MPH, RN, Kelly M. Bower PhD, MSN, MPH","doi":"10.1111/jmwh.70027","DOIUrl":"10.1111/jmwh.70027","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Maternal mortality and morbidity in the United States are marked by gross disparities linked to individual bias and systems-level factors. Implicit bias training is one strategy to address these disparities, and several states now require such education. Although evidence-based strategies to mitigate bias exist, these are not commonly integrated into training opportunities in clinical settings or evaluated for their impact on learners. We designed and evaluated an implicit bias skill building training program to address this gap.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used a quasiexperimental, multimethod evaluation to assess the outcomes of our program: reach, participant satisfaction, knowledge and acknowledgment of bias and its impacts, as well as behaviors to mitigate one's own and others’ biases. Survey and qualitative data from internal hospital facilitators provided added details about program satisfaction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>People who participated in didactic implicit bias training reported being more aware of their own and others’ biases and reported using more mitigation strategies than those who did not participate in any such training. Participants in the didactic training and at least one implicit bias skill building session reported using more mitigation strategies than people who completed the didactic training alone. Participants agreed that the training was relevant and motivated them to change their behavior.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Our results suggest there is potential value in adding skill building activities to maximize the impact of implicit bias training efforts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 5","pages":"740-748"},"PeriodicalIF":2.3,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182444","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":"Midwifery's Moment: Medicaid Partnerships Open Doors for Expansion and Integration","authors":"Melissa D. Avery CNM, PhD, Amy M. Kohl","doi":"10.1111/jmwh.70034","DOIUrl":"10.1111/jmwh.70034","url":null,"abstract":"<p>The Centers for Medicare & Medicaid Services (CMS) has officially launched new funding to assist a group of state Medicaid agencies in improving maternal and newborn health for individuals enrolled in Medicaid and the Children's Health Insurance Program (CHIP). Announced in December 2023, proposals were submitted in Fall 2024. The Transforming Maternal Health (TMaH) Model has opportunities for midwives and freestanding birth centers right at the top of the list.<span><sup>1</sup></span></p><p>The 15 states selected to receive funding were announced in January 2025. Those selected are Alabama, Arkansas, California, District of Columbia, Illinois, Kansas, Louisiana, Maine, Minnesota, Mississippi, New Jersey, Oklahoma, South Carolina, West Virginia, and Wisconsin. The 10-year, $17,000,000 funding provided to each of these states and the District of Columbia includes a 3-year preimplementation period for states to develop their model followed by 7 years of implementation.<span><sup>1</sup></span></p><p>The overall goal of the TMaH project is to help states improve perinatal outcomes while supporting health equity to reduce maternal and newborn health disparities within the Medicaid program. The project also aims to improve access, quality, and the experience for patients while reducing costs. It is well known that the United States spends more on perinatal and newborn health care than any other developed country and yet ranks at the bottom on health outcomes. It is also well known that countries with a well-integrated and robust midwifery workforce as part of their care system demonstrate better outcomes than the United States. Experts have commented that it will take much more funding plus coordination nationally and among states to make the strides needed for meeting the full TMaH objectives.<span><sup>2</sup></span> Others have offered a formal <i>Playbook</i> to support state Medicaid agencies in working toward the TMaH goals and implementing proposed solutions.<span><sup>3</sup></span></p><p>Why should midwives be excited about this project? The TMaH program is centered around 3 pillars: (1) access, infrastructure, workforce; (2) quality improvement and safety; and (3) whole-person care delivery. The proposed solution to the lack of access to all care providers identified in pillar 1 is to increase access to midwives and freestanding birth centers. The pillars provide many opportunities for midwives in the 15 states to engage the project teams in their state Medicaid offices and take actions to remove barriers to midwifery practice and birth centers.<span><sup>1</sup></span></p><p>Midwives, birth centers, and midwifery-led care models are central to the success of the TMaH program. Midwives must promote midwifery-led care into the broader, whole-person approach to pregnancy and postpartum care. Related to pillar 1, reimbursement for all licensed midwives at the same rate as physicians for the same type of care is essential. Paying freesta","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 5","pages":"693-694"},"PeriodicalIF":2.3,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70034","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145152260","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}
Kelly M. Bower PhD, MSN, MPH, RN, Briana E. Kramer CNM, MPH, MS, RN, Nicole Warren CNM, PhD, MPH, RN
{"title":"Designing a Statewide Hospital Equity Initiative: A Qualitative Formative Evaluation","authors":"Kelly M. Bower PhD, MSN, MPH, RN, Briana E. Kramer CNM, MPH, MS, RN, Nicole Warren CNM, PhD, MPH, RN","doi":"10.1111/jmwh.70026","DOIUrl":"10.1111/jmwh.70026","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Implicit bias training for health professionals is widely recommended as a strategy to mitigate maternal health inequities; however, evidence to support its efficacy is limited. Furthermore, experts recommend that bias training be embedded in a program of systems-level equity interventions. Although frameworks and broad recommendations for hospitals exist, there is limited actionable guidance for operationalizing effective maternal health equity programs in hospitals. This study aimed to gather data to inform the design and implementation of a statewide offering of implicit bias training and systems-level maternal health equity-focused interventions responsive to hospital needs and preferences, and expert input.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This qualitative formative evaluation consisted of in-depth interviews with maternal health leaders from Maryland birth hospitals and experts in maternal health equity to understand current maternal health equity work, recommended strategies, barriers, and facilitators of hospital-based implicit bias training and systems-level maternal health equity initiatives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seventeen interviews were conducted with birth hospital representatives and experts in maternal health equity. Hospital representatives reported limited prior work providing implicit bias training or implementing systems-level interventions. Participants recommended equity-focused interventions that align with existing health care improvement and maternal health equity recommendations. They also suggested implementation approaches aimed at leveraging facilitators and overcoming barriers of hospital-based settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Formative work in the design of maternal health equity initiatives can offer an expanded understanding of the actual barriers and needed support for hospitals and could improve effectiveness of these interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 5","pages":"733-739"},"PeriodicalIF":2.3,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088242","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":"Raynaud's Phenomenon of the Nipple: A Case Report of Postpartum Recurrence and Treatment","authors":"Jennifer Trebbin CNM, Tara A. Singh MD","doi":"10.1111/jmwh.70012","DOIUrl":"10.1111/jmwh.70012","url":null,"abstract":"<p>Raynaud phenomenon is a well-known condition that is characterized by episodic vasoconstriction of the extremities leading to pain and discoloration. It is more common among women than men and often results from exposure to cold or stress. Raynaud phenomenon can also affect the nipple during breastfeeding, causing severe pain and distress for the lactating individual and newborn, leading to premature cessation of breastfeeding. Raynaud phenomenon of the nipple is often confused with other breastfeeding pain causes, which can result in treatment oversights. The etiology of Raynaud phenomenon of the nipple is complex and thought to be caused by an interplay of hormones and stress in the peripartum period. Literature on this condition is limited, mostly consisting of case reports, and there are very little data about its recurrence in subsequent peripartum periods. Treatment options are similar to those for Raynaud phenomenon and, if initiated in a timely fashion, can allow breastfeeding to continue uninterrupted. This clinical rounds article presents a case report of Raynaud phenomenon of the nipple after a first birth and a reoccurrence during a subsequent (second) postpartum period. Discussion of the pathophysiology, clinical presentation, diagnostic tips, and appropriate treatment options are included.</p>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 5","pages":"807-811"},"PeriodicalIF":2.3,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076934","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":"Omega-3 Fatty Acids During Pregnancy","authors":"","doi":"10.1111/jmwh.70030","DOIUrl":"https://doi.org/10.1111/jmwh.70030","url":null,"abstract":"<p>During pregnancy, your baby gets most of their food from the foods you eat and vitamins you take. Omega-3 fatty acids (omega 3s) are an important family of building blocks needed during pregnancy and breastfeeding. The two most important omega-3s are DHA and EPA. Our bodies cannot make these fatty acids so we have to get them from food.</p><p>Omega-3s are important to health. They can lower blood pressure and reduce heart diseases and other health problems. Omega-3s improve your baby's eye and brain growth and early development. Taking in enough omega-3s can lower your baby's chances of being born to soon, or getting asthma and other allergic conditions. They also may lower your risk of depression after you have your baby (postpartum depression).</p><p>Only a few foods contain omega-3s. Fatty fish like salmon, sardines, and trout are the best sources. Omega-3s are also now added to certain foods (fortified) like some brands of eggs, milk, juice, and yogurt. Walnuts, flaxseed, chia seeds, seaweed and grass-fed beef all have DHA, just in lower amounts.</p><p>Because of mercury contamination of our oceans, rivers and lakes, almost all fish contain some mercury. Some fish contain too much mercury. Some fish may also have PCBs (polychlorinated biphenyls) and dioxin from industrial pollution. High amounts of mercury and PCBs in your body can cause problems with your baby's brain growth, so fish with high levels of these toxins should not be eaten during pregnancy. Check local advisories on the safety of fish from local waters. Fish advisories are available from your local health department and online from state agencies. The health benefits of eating low mercury fish during pregnancy outweigh the risks, so <b>DO</b> eat safe fish during pregnancy and while you are breastfeeding your baby.</p><p>Choose fish low in mercury. Remove skin and fat before cooking. Baking, broiling, steaming, or grilling fish lets the fat drain away and reduces PCBs in fish. Do not eat raw fish or shellfish.</p><p>Pregnant women and women who are breastfeeding should get about 200–300 mg of omega-3s per day. Since omega-3s stay in the body for a few days, eating 2 to 3 servings of fatty fish per week can give you the 200–300 mg per day needed. One serving is a 4 ounce portion of cooked fish. If you do not eat fish, or do not want to eat it every week, you can get fish oil as a pill or liquid you can swallow. Purified fish oil in pills or liquid form have all PCBs and dioxin removed. Read the label carefully to make sure there are at least 200 mg of omega-3s. Fish oil pills generally do not have side effects. Some women do say they have a fishy aftertaste with burping. There are other foods that contain DHA. If you prefer get your DHA through these sources, you will need to eat more of them or buy food that has been fortified to get the amount of DHA you need. Eating less fried and processed foods in your diet will help your body's ability to use the omega-3s you are taking ","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 5","pages":"835-836"},"PeriodicalIF":2.3,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145296970","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, September/October 2025","authors":"Nancy A. Niemczyk CNM, PhD","doi":"10.1111/jmwh.70020","DOIUrl":"https://doi.org/10.1111/jmwh.70020","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 5","pages":"815-818"},"PeriodicalIF":2.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145297609","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":"The Journal of Midwifery & Women's Health 2016–2025: Advancing Through Growth and Change","authors":"Melissa D. Avery CNM, PhD","doi":"10.1111/jmwh.70004","DOIUrl":"https://doi.org/10.1111/jmwh.70004","url":null,"abstract":"<p>In 2025, we celebrate the seventieth anniversary of the American College of Nurse-Midwives (ACNM) and the seventieth anniversary of the <i>Journal of Midwifery & Women's Health</i> (<i>JMWH</i>), as we publish the seventieth volume of <i>JMWH</i>. <i>JMWH</i>, the official journal of ACNM, began as the <i>Nurse-Midwife Bulletin</i> in 1955, then the <i>Bulletin of the American College of Nurse-Midwifery</i> in 1956, the <i>Bulletin of the American College of Nurse-Midwives</i> in 1969, when ACNM changed its name, and the <i>Journal of Nurse-Midwifery</i> in 1973.<span><sup>1</sup></span> Today, we celebrate the <i>Journal of Midwifery and Women's Health</i>, so named in 2000.</p><p>The only midwifery journal in the United States, <i>JMWH</i> publishes research and other scholarly articles to support the profession and practice of midwifery. Our authors are primarily midwives and from the United States. However, increasingly midwife authors are from countries outside the United States. Authors also represent nurses, including advanced practice nurses, as well as physicians, social workers, public health professionals, dentists, psychologists, pharmacists, and others. Although maintaining a strong focus on midwifery research, practice, policy, and education in the United States, <i>JMWH</i> is truly an international and interprofessional journal. <i>JMWH</i> leadership participates in the International Academy of Nursing Editors and was pleased to be included in their inaugural group of 13 journals named to the <i>Nursing Journal Hall of Fame</i> for achieving at least 50 years of sustained excellence in publication.</p><p>Two major changes occurred since the previous <i>JMWH</i> history update was published in 2015.<span><sup>2</sup></span> The first was a change to the cover of <i>JMWH</i> in 2019, the first since 1979. The purpose of the cover change was to better reflect the current profession, including our scope of practice as well as ACNM's commitment to inclusion and respect for diverse identities.<span><sup>3</sup></span> The second change was a complete transition in the editorial leadership of <i>JMWH</i>.<span><sup>4</sup></span> December 2021 marked the retirement of then editor-in-chief Frances E. Likis, who was named Editor Emeritus by the ACNM Board of Directors. Deputy Editors Tekoa King and Patricia Aikins Murphy also retired from their positions in Fall 2021. Following a 4-month editorial transition, Melissa Avery became editor-in-chief of <i>JMWH</i> in January 2022. Ira Kantrowitz-Gordon, who had assumed a one-year position as deputy editor in 2021, joined the new senior leadership team with Linda Hunter, who joined as deputy editor in Fall of 2021.</p><p>The number of manuscripts submitted to <i>JMWH</i> continues to increase. The number of new manuscripts submitted in 2016 was 355, increasing to 627 in 2020 when many journals received more manuscripts during the COVID-19 pandemic. Remaining steady after the height of t","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 4","pages":"541-544"},"PeriodicalIF":2.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869968","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}