Journal of midwifery & women's health最新文献

{"title":"Improving Patient-Centered Postpartum Care Planning and Coordination Within a Federally Qualified Health Center","authors":"Audrey N. Patterson CNM, DNP, APRN,&nbsp;Ann M. Schaeffer CNM, DNP, M.Ed, CNE","doi":"10.1111/jmwh.70073","DOIUrl":"10.1111/jmwh.70073","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Inadequate postpartum care coordination may contribute to preventable maternal morbidity and mortality and misses a crucial opportunity to engage patients in their care after giving birth. More than half of pregnancy-related deaths occur between one week and one year postpartum, and health disparities are consistently observed for marginalized populations. The optimization of providing postpartum care must prioritize a person-centered approach and support the transition back to primary care in order to improve maternal health outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Process</h3>\u0000 \u0000 <p>A rapid-cycle quality improvement initiative was implemented over 8 weeks in a federally qualified health center serving a population with predominantly low risk medical needs. At baseline, only 53% of clinic patients attended a postpartum visit within 3 weeks of birth, and none had a care plan in place to facilitate the transition back into primary care. This initiative aimed to improve the patient experience of fourth trimester care planning and engagement to a mean score of 5 (from a baseline of 4.3 on a 6-point scale) on the modified 9-item Shared Decision Making Questionnaire (SDM-Q-9) in 8 weeks. Care coordination using a pregnancy care passport and a fourth trimester registry were implemented to support patient-centered engagement, evidence-based care, and to track outcomes related to care coordination progress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes</h3>\u0000 \u0000 <p>Engagement in postpartum care planning as a shared decision-making experience improved to a mean score of 5.8 on the SDM-Q-9 in eight weeks. The registry demonstrated a statistically significant improvement in fourth trimester visit scheduling and attendance (<i>P</i> &lt;.05), with the largest gains noted in the use of lactation services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This initiative employed patient-centered postpartum care planning and coordination to improve patient satisfaction, engagement, and access to health care services in the postpartum period, using tools that can be adapted for other settings. Future projects should explore the use of these interventions in higher-risk populations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 1","pages":"143-149"},"PeriodicalIF":2.3,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146069426","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":"Systematic Reviews to Inform Practice, January/February 2026","authors":"Beth G. McManis CNM, PhD, MS,&nbsp;Abby Howe-Heyman CNM, PhD,&nbsp;Nena R. Harris CNM, PhD, FNP-BC, CNE","doi":"10.1111/jmwh.70086","DOIUrl":"https://doi.org/10.1111/jmwh.70086","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 1","pages":"150-161"},"PeriodicalIF":2.3,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147315534","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":"Coming Soon: The Journal of Midwifery & Women's Health Moves Online-Only","authors":"Melissa D. Avery CNM, PhD","doi":"10.1111/jmwh.70088","DOIUrl":"10.1111/jmwh.70088","url":null,"abstract":"&lt;p&gt;The &lt;i&gt;Journal of Midwifery &amp; Women's Health&lt;/i&gt; (&lt;i&gt;JMWH&lt;/i&gt;) will become an online-only journal in 2027. This change is consistent with ongoing trends in the scholarly publishing industry. The formal process to institute this transition began in 2025 as American College of Nurse-Midwives (ACNM) members were formally invited to opt out of receiving their &lt;i&gt;JMWH&lt;/i&gt; subscription in print. Now, members who wish to receive &lt;i&gt;JMWH&lt;/i&gt; print issues in 2026 must opt-in to continue to receive the print version of &lt;i&gt;JMWH&lt;/i&gt;. ACNM members have been notified using multiple methods, including email notification and ads placed on the &lt;i&gt;JMWH&lt;/i&gt; web site at jmwh.org. Beginning in 2027, the Journal will no longer be available in print, except in cases where ACNM members choose to purchase print issues. Details for those wishing to pay for print access will be available later in 2026.&lt;/p&gt;&lt;p&gt;Many factors have led to the decision to move &lt;i&gt;JMWH&lt;/i&gt; online-only. Paid Journal subscriptions are becoming obsolete as advertising revenues decline and publishers shift the cost of publishing journals from subscribers to authors. Instead of subscribers paying for a print version of a scholarly journal a specific number of times per year, authors are increasingly being asked to pay article publication charges (APCs) when their manuscripts are accepted for publication. In the author payment model, published articles are Open Access (OA) and thus freely available to anyone with access to the internet. &lt;i&gt;JMWH&lt;/i&gt; remains a hybrid OA journal, which means authors can choose to publish OA by paying the APC. Authors may also publish in &lt;i&gt;JMWH&lt;/i&gt; without paying the APC in which case their article is available to any paid subscribers, ACNM members, subscribing libraries, and through individual articles fees charged by the publisher.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;The advantages and disadvantages of online plus print versus online-only publication are generally well known. Of course, using less paper and plastic, even if those may get recycled, is an environmental benefit. Benefits may also be accrued by reduced fossil fuel resources needed to transport print journal issues. Authors of a recent narrative synthesis discuss environmental and other impacts of the move to online-only publication. While the environmental impact benefit can be controversial in balancing the costs of electronic access such as energy use and electronic devices, the available evidence may support overall benefits of online-only.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;Journal articles are published online as soon as the production and proofing processes are complete. Articles are available to be read, and information can be used sooner, compared to waiting for print publication. Online processes already allow peer reviewers to complete their work more quickly and authors may find that the time from submission to publication is reduced. Readers are moving from print to online to access published mater","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70088","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004943","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":"Nitrous Oxide for Pain Relief in Labor","authors":"","doi":"10.1111/jmwh.70085","DOIUrl":"https://doi.org/10.1111/jmwh.70085","url":null,"abstract":"&lt;p&gt;Nitrous oxide is known by most people as “laughing gas.” Many dentists use it to help with pain during dental care. For labor pain, half nitrous oxide gas is mixed with half oxygen and breathed through a mask or a mouth-piece. Many people in Europe and other countries, such as Canada and Australia, use it to help cope with pain in labor. It is so common that in some countries as many as 8 in 10 people use nitrous oxide to help with labor pain. People in these countries have been using this method of pain relief in labor safely for many years. Nitrous oxide hasn't been used as often in the United States, but that is changing.&lt;/p&gt;&lt;p&gt;The nitrous oxide gas is mixed with oxygen in special equipment, and you breathe it through a mask or mouthpiece. You hold your own mask, so you decide when to use it and how much you need. You start to breathe in the gas mixture about 30 seconds before a contraction begins. Starting to breathe the gas before a contraction begins helps the gas to work best about the same time the contraction reaches its peak, so you get the greatest amount of relief. You take the mask or mouthpiece off between contractions and use it on and off as you choose.&lt;/p&gt;&lt;p&gt;How well nitrous oxide works is different for every person. At least half of the people who use it say it is helpful and they would choose to use it again. Some people say that it “takes the edge off” of the peak of the contractions, enough that they are able to better cope with their labor. Others report more pain relief. Nitrous oxide also lowers anxiety. This helps you feel less tense during contractions, which may also help you cope with pain better. Some people do not find nitrous oxide helpful enough or do not like the way it makes them feel. If you are one of these people, you may choose to try a different pain relief option to help your labor pain. Other pain relief methods can still be used after using nitrous oxide.&lt;/p&gt;&lt;p&gt;You might feel drowsy, lightheaded, or a little silly while you are using nitrous oxide. This is why it got the name laughing gas. Because you may feel a little unsteady, a family member or staff person should always be in the room while you are breathing the gas. These are common side effects that should go away quickly when you stop breathing the gas. Some people feel nauseous, and other medication can be given to make the nausea go away if needed. Rarely, people say they feel restless or confused at times.&lt;/p&gt;&lt;p&gt;You can pass out for a minute if you take in too much gas. For this reason, you should be the only person controlling the amount of gas you receive. When you are the only person holding the mask or mouthpiece, your hand will slip away from the mask or mouthpiece, and you will no longer breathe in the gas if you start to get sleepy. This protects you from passing out.&lt;/p&gt;&lt;p&gt;Nitrous oxide is the only pain relief method used for labor that is cleared from your body through your lungs. As soon as you pull the mask away, the effect of brea","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 1","pages":"169-170"},"PeriodicalIF":2.3,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70085","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146217319","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 2026","authors":"Amy Alspaugh CNM, PhD, MSN","doi":"10.1111/jmwh.70082","DOIUrl":"https://doi.org/10.1111/jmwh.70082","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 1","pages":"162-167"},"PeriodicalIF":2.3,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146223975","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":"Ask the Midwife Contributors Ad","authors":"","doi":"10.1111/jmwh.70059","DOIUrl":"https://doi.org/10.1111/jmwh.70059","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 6","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145792491","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 American College of Nurse-Midwives Lifetime Visionary Award 2025: Saraswathi Vedam, CNM, PhD, FACNM","authors":"","doi":"10.1111/jmwh.70064","DOIUrl":"10.1111/jmwh.70064","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 6","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145703209","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":"ACNM Fellows Inducted in 2025","authors":"","doi":"10.1111/jmwh.70062","DOIUrl":"https://doi.org/10.1111/jmwh.70062","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 6","pages":"845-848"},"PeriodicalIF":2.3,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145792419","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":"Prevalence and Determinants of Health Care Utilization Among Dutch Women in the First Year Postpartum","authors":"Annemarie de Jong-Bardelmeijer CM, MS,&nbsp;Janneke Gitsels CM, PhD,&nbsp;Corine Verhoeven CM, PhD,&nbsp;Esther Feijen-de Jong CM, PhD","doi":"10.1111/jmwh.70055","DOIUrl":"10.1111/jmwh.70055","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The first year after childbirth can be affected by persistent or new-onset maternal health problems related to pregnancy and childbirth, leading to a reduction in quality of life, maternal well-being, and mother-child bonding. Evidence on determinants of health care utilization among postpartum women is limited by generalizability or the focus on 6 weeks postpartum. This study aimed to examine the prevalence of maternal health problems and health care utilization and to identify the determinants of health care utilization among postpartum women in the Netherlands within the first year after childbirth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional design was used. Data were collected using a questionnaire from women 12 to 30 months postpartum in the Netherlands between March and May 2024. Health care utilization was measured as a proxy for health services. Nineteen potential determinants were derived from Andersen's behavioral model of health care utilization, of which 7 aligned with Levesque's complementary model of access to care and were analyzed using forward logistic regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the sample of 1268 responses, 89.6% reported health problems, and 94.2% utilized health care in the first year after childbirth. The most frequently reported health problem was (extreme) fatigue (51.4%). The most common health care provider consulted was a general practitioner (73.2%). The odds of health care utilization were lower when postpartum women were unaware of health care services (odds ratio, 0.40; 95% CI, 0.25-0.67).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The study demonstrated a high prevalence of health problems and health care use among Dutch postpartum women. Lack of awareness about the availability of health care was a key finding. Improving the dissemination of information about postpartum health care options may increase awareness of health problems beyond the immediate postpartum period. Additionally, findings emphasize the importance of long-term counseling in addressing potential health problems.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 1","pages":"113-125"},"PeriodicalIF":2.3,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12914622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145673245","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":"Abstracts from Research Forums Presented at the American College of Nurse-Midwives’ 70th Annual Meeting","authors":"","doi":"10.1111/jmwh.70065","DOIUrl":"https://doi.org/10.1111/jmwh.70065","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 6","pages":"849-852"},"PeriodicalIF":2.3,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145792545","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}