Journal of midwifery & women's health最新文献

{"title":"Research on Women's Health at the NIH and the Journal of Midwifery & Women's Health's Commitment to Evidence and Inclusion in Scholarship","authors":"Melissa D. Avery CNM, PhD, Lisa Hanson CNM, PhD","doi":"10.1111/jmwh.13753","DOIUrl":"https://doi.org/10.1111/jmwh.13753","url":null,"abstract":"<p>As the premier biomedical research funding agency in the United States, the National Institutes of Health (NIH) conducts intramural research and supports extramural research through 21 institutes and 5 centers.<span><sup>1</sup></span> Examples of funded studies that have contributed substantially to improved health outcomes include studies developing and testing innovative cancer treatments that inform treatment protocols.</p><p>The <i>NIH-Wide Strategic Plan for Women's Health Research</i> was published in December 2024.<span><sup>2</sup></span> This document provides a broad approach to guide scientists and others engaged in the federal enterprise for women's health research. Overall, the NIH commitment is to expanding knowledge about women's health across all disease states and health conditions, enhancing women's inclusion in clinical trials, examining how sex and gender influence health, and conducting research within a context of health across important life phases such as pregnancy and menopause. As experts in women's health, this document is valuable for midwifery researchers, clinicians, and policy experts alike.</p><p>The strategic plan is far-reaching, encompassing goals related to research, data systems, research training, basic and translational science, and community engagement. These goals emphasize the need to understand impacts of disease on women's health, including a focus on sex, gender, and health disparities, as well as social and cultural influences on women's health. The use of cutting-edge research methods, data analysis and interpretation, and evolving artificial intelligence tools is encouraged. Research training is recommended to focus on enhancing preparation of new researchers who will generate new knowledge about the impact of sex and gender on health, as well as increasing the number of women scientists conducting research. The enhancement of women's health research should also include understanding the influence of sex and gender on cellular function as well as system level physiologic processes, including those that are specific to pregnancy and menopause. The focus on community includes research training in community-engaged research approaches, implementation science, and a systemic approach to understanding how sex and gender impact women's health, including health disparities.<span><sup>2</sup></span></p><p>The NIH strategic goals for women's health research are important to research conducted by midwives and thus to midwifery practice. More midwives prepared to conduct research as principal investigators is critical to advancing the scholarly basis for our practice and model of care. Midwifery scientists, doctoral students, and postdoctoral fellows may find guidance in the strategic plan to inform their programs of research.</p><p>As we began to analyze the strategic plan to present its potential to guide midwives and midwifery research for the future, the very foundation of federal research funding of t","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 2","pages":"197-199"},"PeriodicalIF":2.1,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13753","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143801319","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, March/April 2025","authors":"Nena R. Harris CNM, PhD, FNP-BC, CNE, Abby Howe-Heyman CNM, PhD","doi":"10.1111/jmwh.13756","DOIUrl":"https://doi.org/10.1111/jmwh.13756","url":null,"abstract":"<p>Age-related pregnancy outcomes on both ends of the childbearing spectrum can reflect differences in risk factors for certain maternal or neonatal conditions. Congenital anomalies include structural and functional defects that develop during pregnancy and are the most common cause of neonatal and infant morbidity and mortality.<sup>1</sup> Although numerous research studies have demonstrated a relationship between advanced maternal age and chromosomal anomalies, data on the association with nonchromosomal congenital anomalies (NCAs) have provided inconsistent findings.<span><sup>1</sup></span><sup>,</sup><span><sup>2</sup></span> For example, a 2017 study found no association between maternal age and major congenital anomalies and may reflect an “all or nothing”<span><sup>3</sup></span><sup>(p 221)</sup> survival of fetuses with normal anatomy. Furthermore, studies examining very young maternal age (<20 years) is limited and have indicated associations with a limited number of birth defects, namely those of the abdominal wall.<span><sup>4</sup></span> Population data demonstrating increased maternal age at birth in recent decades warrant a closer look at the role of maternal age in the prevalence of NCAs.<span><sup>5-7</sup></span></p><p>Recognizing that no previous meta-analysis has specifically examined the relationship between maternal age and NCAs, Pethő et al<span><sup>1</sup></span> conducted a systematic review and meta-analysis to explore maternal age as a key factor in occurrence of NCAs. The study protocol was submitted to the International Prospective Register of Systematic Reviews. They included studies that collected data on associations between maternal age and congenital anomalies. They excluded studies that highlighted chromosomal anomalies as well as case reports and cohort and case control studies. The authors hypothesized that very young and more advanced ages would be associated with higher rates of NCAs.</p><p>Their analysis was based on 72 population-based studies conducted from 1967 through 2021 with population sizes ranging from 4220 to almost 25 million. Most studies were from the United States (n = 29), European countries (n = 14), China (n = 7), and Canada (n = 4), with the remaining from countries throughout Southeast Asia, South America, Australia, and other regions. The authors compared age groups <20, 30 to 35, >35, and >40 years with the reference group of age 20 to 30 years. The prevalence of NCAs was the primary outcome of the analysis; secondary outcomes included defects of various organ systems and common birth defects.</p><p>Accounting for all NCAs, the authors found an increased risk of all studied NCAs due to age >35 (risk ratio [RR], 1.31; 95% CI, 1.07-1.61) and, notably, age >40 (RR, 1.44; 95% CI,1.25-1.66). The increased risk of total NCAs for age >40 years was significant when examined individually without the influencing effects of chromosomal anomalies (RR, 1.25; 95% CI, 1.08-1.4","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 2","pages":"362-374"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13756","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143801323","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, March/April 2025","authors":"Amy Alspaugh CNM, PhD, MSN","doi":"10.1111/jmwh.13750","DOIUrl":"https://doi.org/10.1111/jmwh.13750","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 2","pages":"356-361"},"PeriodicalIF":2.1,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13750","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143801731","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":"Choosing Where to Give Birth","authors":"","doi":"10.1111/jmwh.13751","DOIUrl":"https://doi.org/10.1111/jmwh.13751","url":null,"abstract":"<p>Everyone has the right to give birth in a safe place where they feel comfortable. You can choose to give birth at home, in a birth center, or in a hospital. The decision is an important one based on your health and preferences. Talk to your provider about benefits and risks to you and your baby based on your chosen birth setting.</p><p>If you choose a home birth, you will have regular visits with a midwife during your pregnancy. Sometimes they will come to your home for the visits. Sometimes you may go to an office or clinic. When your labor begins, the midwife will come to your home. You will need to prepare your home for the birth. This includes getting some supplies. The midwife will bring the needed birthing equipment and a few medications to care for you and your baby. The midwife and another person trained in newborn care will be present when you give birth. The midwife will usually stay for several hours after your baby is born to make sure you are both doing well.</p><p>A birth center is a home-like space set up for labor and birth. Birth centers may be freestanding (in a building or house located away from a hospital) or attached to a hospital. Your prenatal visits and birth will occur with a midwife at the birth center. They will provide the supplies, equipment, and medications you might need. You usually stay in the birth center for several hours after you give birth.</p><p>Most people in the United States give birth in a hospital even if they are healthy. Hospitals offer different types of care during pregnancy. Some hospitals have separate areas for labor and postpartum care. Others have special rooms where a person can labor, give birth, and then stay until they go home. A tour of the hospital's labor and delivery area and discussion with the staff will help you find out what services your hospital offers.</p><p>You may want to consider costs of each setting and what services your insurance will cover. The following lists can help you choose the birth setting that is best for you.</p><p><b>Key Differences in the 3 Birth Settings</b>\u0000 \u0000 </p><p>Flesch-Kincaid Reading level 7.2</p><p>Approved February 2025. Replaces “Choosing Where to Give Birth” published in Volume 61, Issue 2, March/April 2016</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 2","pages":"377-378"},"PeriodicalIF":2.1,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13751","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143801368","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":"Oral Health During Pregnancy","authors":"","doi":"10.1111/jmwh.13752","DOIUrl":"https://doi.org/10.1111/jmwh.13752","url":null,"abstract":"<p>Oral health, the health of your teeth and gums, is important before, during, and after pregnancy. Normal changes that occur during pregnancy can affect the teeth and gums. These include hormone changes, nausea and vomiting, and changes in your diet and lifestyle.</p><p>During pregnancy, the placenta releases the hormones progesterone and estrogen. The increases in these hormones can cause changes in your mouth. This can lead to swelling or bleeding of the gums, loosening of the teeth, and increases in saliva. Progesterone and estrogen increase the risk of infection, cavities, and damage to the structures that support the teeth. Changes to the immune system during pregnancy increase the chance of infections that can affect the health of teeth and gums. Most issues can be prevented if you take good care of your mouth and will go away after the birth of the baby. However, if you have severe problems with your mouth before pregnancy, they may get worse and need more treatment.</p><p>Dental care during pregnancy is safe and recommended to improve oral and general health. Most people don't get the treatment they need. It is also important for your baby's health. Teeth cleaning, dental x-rays, and most dental treatments can be safely done when you are pregnant. Make sure your dentist knows that you are pregnant. If medications for infection or pain are needed, your dentist can prescribe safe choices for you and your baby. Tell your dentist or health care provider about any changes in your mouth, teeth, or gums you have noticed since you became pregnant. Your dentist will determine if x-rays are needed. Your belly should be covered with a lead apron during x-rays to protect you and your baby.</p><p>Flesch-Kincaid Grade Level: 6.6</p><p>Approved February 2025. This handout replaces “Dental Care in Pregnancy” published in Volume 59, Number 1, January/February 2014 and “Oral Health: Keeping Your Mouth Clean and Healthy” published in Volume 56, Number 2, March/April 2011.</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 2","pages":"375-376"},"PeriodicalIF":2.1,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13752","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143801433","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":"The OptiBreech Trial Feasibility Study: A Qualitative Inventory of the Roles and Responsibilities of Breech Specialist Midwives","authors":"Siân M. Davies MSc,&nbsp;Alice Hodder BSc,&nbsp;Shawn Walker PhD,&nbsp;Natasha Bale MSc,&nbsp;Honor Vincent MA,&nbsp;Tisha Dasgupta MSc,&nbsp;Alexandra Birch MSc,&nbsp;Keelie Piper,&nbsp;Sergio A. Silverio MSc","doi":"10.1111/jmwh.13728","DOIUrl":"10.1111/jmwh.13728","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The safety of vaginal breech birth is associated with the skill and experience of professionals in attendance, but minimal training opportunities exist. OptiBreech collaborative care is an evidence-based care bundle, based on previous research. This care pathway is designed to improve access to care and the safety of vaginal breech births, when they occur, through dedicated breech clinics and intrapartum support. This improved process also enhances professional training. Care coordination is accomplished in most cases by a key breech specialist midwife on the team. The goal of this qualitative inventory was to describe the roles and tasks undertaken by specialist midwives in the OptiBreech care implementation feasibility study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semistructured interviews were conducted with OptiBreech team members (17 midwives and 4 obstetricians; N = 21), via video conferencing software. Template analysis was used to code, analyze, and interpret data relating to the roles of the midwives delivering breech services. Tasks identified through initial coding were organized into 5 key themes in a template, following reflective discussion at weekly staff meetings and stakeholder events. This template was then applied to all interviews to structure the analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Breech specialist midwives functioned as change agents. In each setting, they fulfilled similar roles to support their teams, whether this role was formally recognized or not. We report an inventory of tasks performed by breech specialist midwives, organized into 5 themes: care coordination and planning, service development, clinical care delivery, education and training, and research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Breech specialist midwives perform a consistent set of roles and responsibilities to co-ordinate care throughout the OptiBreech pathway. The inventory has been formally incorporated into the OptiBreech collaborative care logic model. This detailed description can be used by employers and professional organizations who wish to formalize similar roles to meet consistent standards and improve care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 2","pages":"270-278"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13728","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076772","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":"Mothers’ Experiences of Institutional Betrayal During Childbirth and their Postpartum Mental Health Outcomes: Evidence From a Survey of New Mothers in the United States","authors":"Manali Kulkarni MS,&nbsp;Priya Fielding-Singh PhD","doi":"10.1111/jmwh.13725","DOIUrl":"10.1111/jmwh.13725","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The purpose of this descriptive study was to explore the relationship between the experience of institutional betrayal (IB) during childbirth and postpartum mental health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Women who had given birth within the last 3 years in the United States as of June 2021 were recruited via Qualtrics to complete an online survey. Participants (N = 588) answered questions about their birth experiences, including adverse medical events and experiences of IB. Multiple logistic regressions examined whether experiencing one or more types of IB was associated with receiving a diagnosis of a postpartum mental health condition, controlling for other theoretically relevant covariates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>More than one-third (39%) of respondents experienced one or more types of IB during childbirth, with a mean (SD) of 1.7 (0.47) and maximum of 2. Experiencing IB increased the odds of a postpartum mental health condition diagnosis by 2.86 (95% CI, 1.63-5.05; <i>P</i> &lt; .001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The findings suggest that experiencing IB may be one mechanism driving negative postpartum mental health outcomes. Health care providers and policymakers should be aware of the role that IB can play in women's birth experiences and consider how strategies to decrease instances of IB during childbirth may improve postpartum mental health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 2","pages":"292-300"},"PeriodicalIF":2.1,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13725","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070388","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":"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}