Journal of midwifery & women's health最新文献

{"title":"La Vaginosis Bacteriana (VB)","authors":"","doi":"10.1111/jmwh.70046","DOIUrl":"https://doi.org/10.1111/jmwh.70046","url":null,"abstract":"<p>Muchos tipos de bacterias viven en la vagina y la mantienen sana. La vaginosis bacteriana (VB) resulta cuando hay más bacterias dañinas que saludables en la vagina. La VB es la infección vaginal más común en mujeres de 15 a 44 años.</p><p>Muchas mujeres con VB no presentan síntomas. Es posible que tengas más flujo vaginal de lo habitual. Este flujo puede ser gris o blanco y tener olor a pescado. Este olor suele empeorar justo después de tener relaciones sexuales vaginales con un hombre. También puede haber ardor o picazón en la vagina o ardor al orinar.</p><p>No se sabe con certeza porque las mujeres contraen VB. Cualquier mujer puede contraer VB, pero suele presentarse en mujeres que han tenido relaciones sexuales con otra persona. Algunas mujeres tienen mayor probabilidad de contraer VB que otras. Las mujeres que tienen nuevas parejas sexuales, más de una pareja sexual o parejas sexuales femeninas tienen mayor probabilidad de contraer VB. Las mujeres con herpes genital tienen mayor probabilidad de contraer VB. Las duchas vaginales también aumentan la probabilidad de contraer VB.</p><p>La VB se trata con antibióticos. Puedes tomar pastillas o usar un medicamento vaginal. Toma todos tus medicamentos incluso si los síntomas desaparecen. Evita tener relaciones sexuales vaginales hasta que termines el medicamento. Los medicamentos vaginales pueden perforar los condones de látex y los diafragmas lo cual facilita el embarazo o el contagio de una infección de transmisión sexual (ITS) si tienes relaciones sexuales.</p><p>Las mujeres con VB tienen mayor probabilidad de tener bebés prematuros, de tener un bebé que pese menos de 2,5 kg al nacer y de contraer una infección uterina. Si presenta síntomas de VB durante el embarazo, se recomienda tratamiento. Los antibióticos son seguros para usted y su bebé durante el embarazo.</p><p>Debe comunicarse con su proveedor de atención médica si cree que podría tener una infección vaginal. Su profesional analizará su flujo vaginal para determinar si tiene VB, otra infección vaginal o una ITS. Todas estas infecciones pueden presentar síntomas similares, pero el tratamiento para cada una es diferente.</p><p>Approved October 2025.</p><p>Replaces “La Vaginosis Bacteriana” published in Volume 58, Issue 5, September/October 2013.</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><p>La información y las recomendaciones en este documento no sustituyen la atención médica. Consulte con su proveedor de atención médica para obtener información específica para usted y su salud.</p>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 6","pages":"989-990"},"PeriodicalIF":2.3,"publicationDate":"2025-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145779452","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 Impact of Virtual Reality with Relaxation Music and Distraction Cards on Pain, Anxiety, and Satisfaction Levels of Women with an Intrauterine Device: A Randomized Controlled Trial","authors":"Eylem Toker PhD,&nbsp;Mine Gökduman Keleş PhD","doi":"10.1111/jmwh.70048","DOIUrl":"10.1111/jmwh.70048","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Approximately 161 million women worldwide use intrauterine devices (IUDs), but insertion can cause pain and anxiety. This study examined the effects of virtual reality (nature video and music) and distraction cards on pain, anxiety, and satisfaction during IUD insertion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This randomized controlled study included 117 women undergoing IUD insertion, assigned randomly to 1 of 3 groups: virtual reality (nature video and music), distraction cards, or control (n = 39 each). Measures included a demographic form, the State-Trait Anxiety Scale, the Newcastle Satisfaction with Nursing Care Scale, and the Visual Analog Scale. These were administered to all 3 groups at 4 time points: (1) speculum insertion, (2) tenaculum application, (3) IUD insertion, and (4) 15 minutes after IUD insertion. Pulse rate and oxygen saturation were also recorded.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The women's mean (SD) age was 30.2 (6.5) years. A significant effect was observed for group assignment (<i>F</i>_2,114 = 18.754; η² = .248; <i>P</i> &lt; .001). A significant group*time interaction was found for anxiety (<i>F</i>_2,114 = 18.270; η² = .243; <i>P</i> &lt; .001) and pain scores (<i>F</i>_2,114 = 25.309; η² = .309; <i>P</i> &lt; .001). Anxiety scores were significantly higher in the control group than in the virtual reality and distraction card groups (<i>P</i> &lt; .001). After the procedure, anxiety increased in the control group but decreased significantly in the virtual reality group (<i>P</i> &lt; .001). Pain scores were also consistently higher in the control group across all time points (<i>P</i> &lt; .001). Pain peaked during IUD insertion in the distraction card and control groups but was significantly lower 15 minutes postinsertion than after tenaculum application. These pain and anxiety differences were clinically significant.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Using virtual reality and distraction cards during IUD insertion reduced pain and anxiety and increased satisfaction. Findings support the use of noninvasive, user-friendly techniques as complementary therapies during IUD insertions.</p>\u0000 \u0000 <p><b>ClinicalTrials.gov Identifier</b>: NCT05655052.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 1","pages":"104-112"},"PeriodicalIF":2.3,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145515314","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":"Trauma Exposure and Posttraumatic Stress Disorder in a Rural Perinatal Population","authors":"Michelle L. Miller PhD,&nbsp;Emma N. Cleary BA,&nbsp;Mahogany A. Monette MS,&nbsp;Rachel E. Emery MSN, FNP-BC, PMH-C,&nbsp;Anushay Ansari BA,&nbsp;Rilyn Wonnell,&nbsp;David M. Haas MD","doi":"10.1111/jmwh.70051","DOIUrl":"10.1111/jmwh.70051","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>There is very limited information on the rates of trauma exposure and posttraumatic stress disorder (PTSD) symptoms for perinatal individuals who live in rural settings. Increasing understanding of traumatic experiences among rural-dwelling pregnant individuals may be an important avenue through which midwives can help address the care disparities and poor outcomes in this population. This study aimed to implement screening and estimate prevalence rates of trauma exposure and perinatal PTSD symptoms among individuals at a Midwestern rural obstetric clinic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants completed a brief screening measure that assessed demographics, trauma exposure, mental health knowledge and experience, and PTSD symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 421 patients screened, the mean age was 26.8 years, and 69.6% identified as White and 11.9% identified as Latina. Over half endorsed trauma exposure (53.0%). The most common types of traumatic events were death of a close family member or friend (36.1%) and childhood sex abuse (14.3%). About 1 in 4 trauma-exposed patients (25.6%) scored above the clinical threshold for probable PTSD (≥3 on the Primary Care PTSD Screen for DSM-5). The most endorsed PTSD symptom type was internal and external avoidance of trauma-related stimuli (32.4%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>A history of trauma exposure and perinatal PTSD symptoms were more common than expected when compared with both overall perinatal and rural population PTSD prevalence rates. Specific considerations were identified that facilitated successful screening in our rural population. Future clinical research with rural populations should consider: (1) broad implementation of PTSD symptom screening of perinatal patients and creation of a workflow that establishes follow-up steps for patients who screen positive; (2) development of training and psychoeducational materials for health care providers and patients to facilitate connection with brief trauma interventions; and (3) support of trauma-informed, stepped care models with a range of disciplines and provider types to help manage perinatal PTSD symptoms.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 1","pages":"87-94"},"PeriodicalIF":2.3,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145498120","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":"Masaje Perineal En El Embarazo","authors":"","doi":"10.1111/jmwh.70047","DOIUrl":"https://doi.org/10.1111/jmwh.70047","url":null,"abstract":"&lt;p&gt;El perineo es la zona entre la abertura vaginal y el recto. Esta zona se estira al dar a luz y, en ocasiones, el perineo o la vagina se desgarran durante el nacimiento del bebé. Si su proveedor médico realiza una episiotomía durante el parto, es esta zona la que corta. Es posible que necesite puntos de sutura después del nacimiento del bebé si tiene un desgarro o si se le realiza una episiotomía.&lt;/p&gt;&lt;p&gt;Aproximadamente entre 4 y 8 de cada 10 mujeres que dan a luz por vía vaginal presentan algún desgarro en el perineo. Aproximadamente dos tercios de estas mujeres necesitarán puntos de sutura.&lt;/p&gt;&lt;p&gt;La mayoría de las mujeres no necesitan una episiotomía. Aunque eran comunes antes de la década de 1990, hoy en día rara vez se realizan. Sin embargo, en ocasiones, el profesional de la salud puede recomendar una episiotomía justo cuando nace el bebé. Por ejemplo, una episiotomía puede ser útil si es necesario que un bebé nazca pronto. Puede pedirle a su proveedor de atención médica que hable con usted sobre la episiotomía durante una visita prenatal.&lt;/p&gt;&lt;p&gt;Se han realizado numerosas investigaciones acerca la prevención del desgarro perineal durante el parto. Diversos estudios de investigación han demostrado que el masaje perineal durante las últimas semanas del embarazo puede reducir la probabilidad de un desgarro en las mujeres primerizas. Este masaje, en el que se utilizan dos dedos para estirar los tejidos perineales, se realiza por la mujer o su pareja en casa una o dos veces por semana durante las últimas 4 a 6 semanas del embarazo. En la siguiente página se explica cómo realizarlo. Por cada 15 mujeres que se realizan un masaje perineal, una evitará una episiotomía y un desgarro perineal que requiera puntos de sutura. Mientras se masajea, puede practicar la relajación de los músculos del perineo. Esto puede ayudarla a prepararse para la sensación de estiramiento y ardor que podría sentir cuando nazca la cabeza de su bebé. Relajar esta zona durante el parto puede ayudar a prevenir el desgarro.&lt;/p&gt;&lt;p&gt;El masaje parece funcionar mejor en algunas mujeres que en otras. Las mujeres primerizas, las mayores de 30 años y las que se han sometido a episiotomías presentan menos desgarros y desgarros menos graves cuando se realiza el masaje perineal durante las últimas semanas del embarazo.&lt;/p&gt;&lt;p&gt;¡Sí! A muchas mujeres les resulta más fácil que sus parejas les realicen este masaje. Consulte las instrucciones para el masaje perineal a continuación para obtener más información.&lt;/p&gt;&lt;p&gt;No que sepamos. Es gratis. No duele. Es fácil de hacer. Y a la mayoría de las mujeres no les molesta hacerlo. No se debe estirar el perineo hasta el punto de que duela ni masajearlo con demasiada frecuencia ya que puede lastimar la piel de esa zona. No se realice el masaje perineal más de una o dos veces por semana. Las mujeres que lo realizan con más frecuencia no tienen un menor riesgo de desgarro perineal. Consulte con su médico antes de comenzar el masaje perineal. Y si cree que ","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 6","pages":"987-988"},"PeriodicalIF":2.3,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145792425","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":"Policy Knowledge and Abortion Access for US Active-Duty Servicewomen: A Mixed-Methods Study","authors":"Caitlin Russell PhD, MBE, MSHP, WHNP-BC,&nbsp;Tiara Walz PhD, MHA, MBA, MSEd, FACHE,&nbsp;Laura Manzo PhD, MBA, MSN, CCRN,&nbsp;Shelby Mueller BSN,&nbsp;Sharon Messina,&nbsp;Sharon Arana,&nbsp;Keira Feng,&nbsp;Holly Harner PhD, MBA, MPH, RN, WHNP-BC, FAAN","doi":"10.1111/jmwh.70049","DOIUrl":"10.1111/jmwh.70049","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>More than 80,000 US military servicewomen are stationed in states enforcing abortion bans. US Department of Defense (DOD) policies must adhere to the Hyde Amendment, which restricts abortion coverage. Little research exists regarding active-duty servicewomen's (ADSW) knowledge of these policies or their experiences accessing abortion care. This study examines the reproductive health policy knowledge and lived experiences of ADSW who have accessed abortion care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A 24-item questionnaire was designed to measure reproductive health policy knowledge and explore reproductive health experiences among ADSW. Via secondary analysis, a subset of 178 participants self-reported obtaining an abortion while on active duty. A convergent mixed-methods design (quantitative and qualitative) was used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most participants (65%; n = 115) did not know TRICARE covered abortion costs in cases of rape or incest; 77% (n = 137) erroneously believed they required leadership permission to get an abortion; and 87% (n = 155) did not know they were entitled to convalescent leave to recover after an elective abortion. More than half (53%; n = 94) took personal leave to access abortion care; 46% (n = 82) traveled more than one hour; 48% experienced financial difficulties; 31% (n = 55) experienced negative professional repercussions; 16% (n = 29) received convalescent leave; 92% (n = 164) were not offered mental health counseling; and 77% (n = 137) felt they would have benefited from mental health counseling postabortion. Qualitative themes included a systemic lack of DOD abortion policy knowledge and lived experiences of accessing abortion care (eg, financial burdens, stigma).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Given the systemic lack of policy knowledge reported among study participants, the DOD should develop and implement a standardized abortion policy and access training for military health care professionals, leadership, and service members. Policies ensuring access to abortion should be adopted, codified, and implemented uniformly across all branches of service.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 1","pages":"46-53"},"PeriodicalIF":2.3,"publicationDate":"2025-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70049","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145454399","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 2","pages":"229-236"},"PeriodicalIF":2.3,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148099292","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 2","pages":"242-248"},"PeriodicalIF":2.3,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148100276","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":"Strengthening Perinatal Services Through Social Care: Outcomes of a Quality Improvement Initiative for a Health Center-Based Perinatal Care Program","authors":"Rebecca L. Emery Tavernier PhD, LP, PMH-C,&nbsp;Peyton Rogers MPH,&nbsp;Mia Shenkman,&nbsp;Aaliyah Moore BA,&nbsp;Briana Sailor BA,&nbsp;Veena Channamsetty MD,&nbsp;Yvette Highsmith MM,&nbsp;Margaret Flinter PhD, NP","doi":"10.1111/jmwh.70042","DOIUrl":"10.1111/jmwh.70042","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Given the prevalence and consequences of unmet social needs in perinatal populations, there is a critical demand for perinatal care that addresses social needs. To better support health systems in providing comprehensive social and perinatal care services, this quality improvement initiative uses the Donabedian model for care quality to describe the structure, process, and outcomes of embedding an innovative perinatal care program with integrated social care into an established primary care center.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Process</h3>\u0000 \u0000 <p>The Improving Maternal Outcomes Now! (IMON) program was designed to address the clinical and health-related social needs of patients at highest risk of maternal health disparities. The IMON program offers holistic prenatal and postpartum care through the provision of midwifery services, obstetrician support, intensive social needs support, and around-the-clock virtual care. Program implementation began in June 2023 at a federally qualified health center.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes</h3>\u0000 \u0000 <p>During the first 18 months of implementation, 102 pregnant patients received prenatal care. Forty-four percent of patients identified as Hispanic, with more than half (54%) reporting Spanish as their preferred language. Patients were highly engaged with program services. Nearly two-thirds of IMON patients (65%) initiated prenatal care in their first trimester, and most (91%) were assisted with social needs during or after pregnancy. A majority (88%) enrolled to receive adjunctive virtual care services. Among the 61 patients who gave birth, 77% did so vaginally, whereas the remaining 23% did so via cesarean birth. On average, patients gave birth at 39 weeks’ gestation, with only 5% giving birth preterm and 3% having a newborn that was small for gestational age.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Preliminary findings suggest that IMON can be implemented within a safety-net setting, with high patient engagement and social needs support. Early outcomes show promising maternal and neonatal health indicators.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 1","pages":"135-142"},"PeriodicalIF":2.3,"publicationDate":"2025-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145395959","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":"Barriers and Facilitators to Colposcopy Follow-up After Abnormal Cervical Cancer Screening: Qualitative Insights From an Urban Health Care Setting","authors":"Jaqueline Serrano Aguilar MD,&nbsp;Hunter K. Holt MD, MAS,&nbsp;Caroline Beshers MD,&nbsp;Kelley Baumann MPH,&nbsp;Maria Valle Coto MD,&nbsp;Gelila Goba MD, MPH,&nbsp;Priyanka Gokhale MD","doi":"10.1111/jmwh.70041","DOIUrl":"10.1111/jmwh.70041","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Delays to colposcopy increase the risk for cervical cancer development. Our study sought to understand the barriers and facilitators to follow-up after an abnormal cervical cancer screening test result.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>English-speaking adult patients who did not attend at least one of their scheduled appointments at an urban academic colposcopy clinic between June 2021 and June 2023 were eligible. Semistructured interviews were conducted, and thematic analyses using inductive and deductive coding were completed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty women were interviewed. The mean (SD) age was 34 (10) years, and participants mainly identified as non-Hispanic Black (60%). The mean (SD) time to colposcopy was 12.5 (11.9) months. Seven participants did not have a follow-up colposcopy at the time of the interview. Five categories of themes emerged at the individual, interpersonal, clinic, and system level, including (1) fear of pain and/or pelvic examinations, (2) patient-provider communication (including result communication), (3) clinic interactions (including presence of trainees and lack of continuity), (4) scheduling difficulties, and (5) system-level barriers such as loss of insurance coverage.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Barriers to follow-up care exist across multiple levels. A one-size-fits-all approach may be ineffective for facilitating follow-up; rather, a multipronged approach may be needed to improve adherence and reduce delays to follow-up care after an abnormal cervical cancer screening test result.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 1","pages":"39-45"},"PeriodicalIF":2.3,"publicationDate":"2025-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145395945","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 2","pages":"237-241"},"PeriodicalIF":2.3,"publicationDate":"2025-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148097267","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}