Journal of midwifery & women's health最新文献

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An Integrative Review of Adverse Childhood Experiences and Reproductive Traumas of Infertility and Pregnancy Loss 不孕症和流产的不良童年经历和生殖创伤的综合综述。
IF 2.7 4区 医学
Journal of midwifery & women's health Pub Date : 2023-11-28 DOI: 10.1111/jmwh.13585
Alison Swift PhD, MSN, RN, CNE, Madison Berry BSN, RN, Madeline Fernandez-Pineda PhD, MSN, APRN, WHNP-BC, Amanda Haberstroh PhD, MLIS, AHIP
{"title":"An Integrative Review of Adverse Childhood Experiences and Reproductive Traumas of Infertility and Pregnancy Loss","authors":"Alison Swift PhD, MSN, RN, CNE,&nbsp;Madison Berry BSN, RN,&nbsp;Madeline Fernandez-Pineda PhD, MSN, APRN, WHNP-BC,&nbsp;Amanda Haberstroh PhD, MLIS, AHIP","doi":"10.1111/jmwh.13585","DOIUrl":"10.1111/jmwh.13585","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Adverse childhood experiences (ACEs) can lead to chronic diseases and mental health conditions; however, less is known about the associations of ACEs to the reproductive traumas of infertility and pregnancy loss. The purpose of this integrative review was to explore relationships between ACEs and the reproductive traumas of infertility and pregnancy loss.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We <b>s</b>earched PubMed, SocINDEX, PsycINFO, and CINAHL databases in December 2021 and 2022. Inclusion criteria were qualitative or quantitative research, systematic or integrative reviews, or meta-analysis articles in English that were peer-reviewed and full-text, addressing any ACE from the ACE Checklist and infertility or pregnancy loss. A total of 20 articles were included in the review. We used Whittemore and Knafl's integrative review framework, Preferred Reporting Items for Systematic Reviews and Meta-analyses for reporting, and Covidence software for data management. A quality appraisal using Joanna Briggs Institute critical appraisal tools was performed. Relevant data were extracted into a matrix for iterative comparison.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty studies were included in the review. Results support there may be an association between pregnancy loss and infertility in women with a history of ACE, although results are mixed between infertility and ACEs. We also identified other concepts related to ACEs and the reproductive traumas of infertility and pregnancy loss and include racial and ethnically diverse populations, social determinants of health, modifiable risk factors, and stress appraisals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Midwives and other women's health care providers should be aware that ACEs may be associated with pregnancy loss and infertility, although additional research is needed to further explore the relationships with infertility, mental health, and hypothalamic-pituitary-adrenal axis dysregulation from allostatic load. Trauma-informed care and the development of effective interventions are warranted for women who experience ACEs. Providers should consider earlier interventions, including emotional services, for women with a history of ACE or reproductive trauma.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13585","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138447625","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}
引用次数: 0
Systematic Reviews to Inform Practice, November/December 2023 系统审查为实践提供信息,2023年11月/ 12月。
IF 2.7 4区 医学
Journal of midwifery & women's health Pub Date : 2023-11-28 DOI: 10.1111/jmwh.13595
Nena R. Harris CNM, PhD, FNP-BC, CNE, Abby Howe-Heyman CNM, PhD
{"title":"Systematic Reviews to Inform Practice, November/December 2023","authors":"Nena R. Harris CNM, PhD, FNP-BC, CNE,&nbsp;Abby Howe-Heyman CNM, PhD","doi":"10.1111/jmwh.13595","DOIUrl":"10.1111/jmwh.13595","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138447627","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}
引用次数: 0
Midwifery Practice Leaders’ Experiences of Practice Changes Early in the COVID-19 Pandemic: A Qualitative Exploration COVID-19大流行早期助产实践领导者的实践变革经验:质性探索
IF 2.7 4区 医学
Journal of midwifery & women's health Pub Date : 2023-11-21 DOI: 10.1111/jmwh.13584
Meredith Chapman RN, MSN, MBA, Emily Cowley Evans RN, PhD, WHNP-BC, Maryann H. Long CNM (ret.), PhD
{"title":"Midwifery Practice Leaders’ Experiences of Practice Changes Early in the COVID-19 Pandemic: A Qualitative Exploration","authors":"Meredith Chapman RN, MSN, MBA,&nbsp;Emily Cowley Evans RN, PhD, WHNP-BC,&nbsp;Maryann H. Long CNM (ret.), PhD","doi":"10.1111/jmwh.13584","DOIUrl":"10.1111/jmwh.13584","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The coronavirus disease 2019 (COVID-19) pandemic generated considerable upheaval in all sectors of the US health care system, including maternity care. We focused this inquiry on midwifery practice leaders’ experiences and perspectives on changes that occurred in their practices early in the pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a qualitative descriptive study using thematic analysis. The data were responses to an open-ended question in a survey of pandemic-related employment and clinical practice changes. Findings are presented from a constructivist perspective, describing the experiences and perspectives of a group of US midwifery practice leaders during the initial phase of the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two main themes emerged from the analysis: demands on midwives and driving forces. Demands on midwives were 3-fold: clients’ needs, modification of care, and midwives’ needs. These encompassed the psychological, physical, and emotional toll that caring for women during the pandemic placed on midwives. Driving forces were those entities that spurred and directed change and included regulations, institutions, financial logistics, and team dynamics. Survey respondents in community (home and birth center) practices reported substantial increases in inquiries and client volume, and many respondents expressed concern about withdrawal of students from clinical placements.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Midwifery practices experienced profound changes in their work environments during the COVID-19 pandemic, with both positive and negative characteristics. These challenges in providing birth care were similar to those reported in other countries. Results indicated existing guidance for maternity care during emergencies did not meet clients’ needs. Coordinated planning for maternity care in future prolonged health emergencies should incorporate best practices and include midwives in the process.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138178348","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}
引用次数: 0
Communication Between Pregnant People of Color and Prenatal Care Providers in the United States: An Integrative Review 美国有色人种孕妇和产前护理提供者之间的沟通:一项综合评价。
IF 2.7 4区 医学
Journal of midwifery & women's health Pub Date : 2023-11-14 DOI: 10.1111/jmwh.13580
Amy H. Goh CNM, MPhil, Molly R. Altman CNM, PhD, MPH, Lucinda Canty CNM, PhD, Joyce K. Edmonds PhD, MPH, RN
{"title":"Communication Between Pregnant People of Color and Prenatal Care Providers in the United States: An Integrative Review","authors":"Amy H. Goh CNM, MPhil,&nbsp;Molly R. Altman CNM, PhD, MPH,&nbsp;Lucinda Canty CNM, PhD,&nbsp;Joyce K. Edmonds PhD, MPH, RN","doi":"10.1111/jmwh.13580","DOIUrl":"10.1111/jmwh.13580","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Racism and discrimination negatively affect patient–provider communication. Yet, pregnant people of color consistently report being discriminated against, disrespected, and ignored. The purpose of this integrated review was to identify studies that examined communication between pregnant people of color and their prenatal care providers and evaluate the factors and outcomes arising from communication.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We searched the PubMed, Embase, CINAHL, and PsychINFO databases for studies published between 2001 and 2023. Articles were eligible for inclusion if they reported on primary research conducted in the United States, were written in English, and focused on patient–provider communication with a sample that included pregnant people of color, defined as those who self-identified as Black, African American, Hispanic, Latina/x/e, Indigenous, American Indian, Asian, Asian American, Native Hawaiian, and/or Pacific Islander American. Twenty-six articles were included in the review. Relevant data were extracted and compiled into an evidence table. We then applied the rating scale of the Johns Hopkins Evidence-Based Practice model to assess the level of evidence and quality of the studies. Themes were identified using a memoing technique and organized into 3 a priori categories: factors, outcomes, and recommendations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two overarching themes emerged from our analysis: racism/discrimination and unmet information needs. Subthemes were then identified as factors, outcomes, or recommendations. Factors included provider behaviors, language barriers, structural barriers, provider type, continuity of care, and fear. Outcome themes were disrespect, trust, decision-making power, missed appointments, and satisfaction with care. Lastly, culturally congruent care, provider training, and workforce development were categorized as recommendations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Inadequate communication between prenatal care providers and pregnant people of color continues to exist. Improving access to midwifery education for people of color can contribute to delivering perinatal care that is culturally and linguistically aligned. Further research about digital prenatal health communication is necessary to ensure equitable prenatal care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13580","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92158128","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}
引用次数: 0
Combined Hormonal Birth Control 联合激素避孕。
IF 2.7 4区 医学
Journal of midwifery & women's health Pub Date : 2023-11-14 DOI: 10.1111/jmwh.13590
{"title":"Combined Hormonal Birth Control","authors":"","doi":"10.1111/jmwh.13590","DOIUrl":"10.1111/jmwh.13590","url":null,"abstract":"<p>Combined hormonal birth control comes in the form of pills, a patch, or a vaginal ring. These birth control methods contain 2 hormones: estrogen and progestin. You will need a prescription from your health care provider for any of the combined hormonal birth control methods.</p><p>The hormones in combined hormonal birth control stop your body from releasing an egg from your ovaries. These hormones also cause the mucus in your cervix (opening from your vagina to your uterus) to get thicker. This makes it harder for the sperm to reach the egg.</p><p>When combined hormonal birth control is used perfectly, less than 1 of every 100 people will get pregnant each year. In the United States, about 9 of every 100 people using combined hormonal birth control get pregnant every year because not everyone uses the method perfectly every time.</p><p>These methods are simple and easy to use. You may stop them on your own whenever you want. Most people are able to get pregnant as soon as they stop using a combined hormonal method. Many people will have shorter, lighter periods with less cramping when using this type of birth control. You may also have less acne, less unwanted hair growth, fewer premenstrual symptoms (PMS), and fewer migraines, especially if your headaches usually happen near the time of your period. You will have a lower risk of cancer in your uterus, ovaries, and colon for many years after using these methods.</p><p>If you use combined hormonal birth control, you have a slightly increased chance of having a blood clot in one of your legs or lungs, heart attack, or stroke. These problems are more likely for people who already have medical problems that increase the chance of these complications. Because of these risks, it is important to talk with your health care provider about your personal and family health history and if this method is right for you.</p><p>You may have nausea, headaches, breast tenderness, mild changes in mood and breakthrough bleeding (bleeding between your periods) while you use combined hormonal birth control. If you use the vaginal ring, you may have an increase in vaginal discharge or vaginal irritation. If you use the patch, you may have skin irritation where you place the patch. Side effects are most common during the first 3 months and then often go away.</p><p>Yes, some people with high blood pressure, diabetes, risk factors for blood clots, and other conditions should not use combined hormonal birth control methods, which is why you need to talk to your health care provider. Your provider will review your medical history before prescribing combined hormonal birth control or recommending a different method.</p><p>You take a combined birth control pill every day. You should take the pill at the same time every day to be most effective.</p><p>The hormonal patch is a small, sticky patch that is placed on your skin. You may put it on your upper arm, back, stomach, or buttock. You will wear your patch for 1 week and p","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13590","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92158127","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}
引用次数: 0
Planning Your Family: Developing a Reproductive Life Plan 计划你的家庭:制定生育生活计划。
IF 2.7 4区 医学
Journal of midwifery & women's health Pub Date : 2023-11-14 DOI: 10.1111/jmwh.13592
{"title":"Planning Your Family: Developing a Reproductive Life Plan","authors":"","doi":"10.1111/jmwh.13592","DOIUrl":"10.1111/jmwh.13592","url":null,"abstract":"<p>A reproductive life plan is a guide for you to decide if or when you would like to start a family. It is a set of goals you set for yourself to determine if you want to have children, when you want to have children, and under what conditions you would like to have children. The plan can be started when you feel you are ready and can be changed at any time you decide. You have the right to decide what you feel is right for yourself and should never feel that you are being forced to make decisions about whether or not to have children. You will want to review your reproductive life plan at least once a year or more frequently as your relationships or goals may change. Be sure to discuss your reproductive life plan with your health care provider. Your provider can provide information to help you develop your plan and meet the goals you set for yourself.</p><p>Planning ahead can help you avoid getting pregnant when you don't want to be pregnant and also be in good health if and when you do decide to become pregnant. Getting pregnant when you did not plan it can be a problem, or it can turn into a happy event. Planning pregnancy leads to healthier pregnancies, and healthier families.</p><p>Although many people talk about wanting to have a family, not everyone wants to have children. More and more people are childless by choice (also known as childfree). Whether to have children is a personal choice that only you can make. It's okay not to want children! If you never want to get pregnant, it is important to make sure you always use very effective birth control, such as an intrauterine device, the birth control implant, tubal sterilization (having your tubes tied), or your male partner having a vasectomy.</p><p>Each state has different laws about pregnancy and the right to make a decision about abortion. It is important to know the current laws in your state.</p><p>The first step is to decide if you want to have children. The next step is to answer questions about your plans for having children. There are 2 sets of questions depending on whether or not you want to have children.</p><p>After considering these important questions, talk about your plans for having or not having children in more depth with your partner, family, and health care provider. A reproductive life plan is important and can help you have a healthy baby and a less stressful pregnancy if you want to have children. It can also help you avoid pregnancy if you do not want to have children.</p><p>Flesch-Kincaid reading level 7.2</p><p>Approved October 2023. This handout replaces “Planning Your Family: Developing a Reproductive Life Plan” published in Volume 56, Issue 5, September/October 2011.</p><p>This page may be reproduced for noncommercial use by health care professionals to share with clients. Any other reproduction is subject to the Journal of Midwifery &amp; Women's Health's approval. The information and recommendations appearing on this page are appropriate in most instances, ","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13592","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92158129","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}
引用次数: 0
Contraception and Abortion Care for People Living With HIV: A Clinical Guide for Reproductive Health Practitioners 艾滋病毒感染者的避孕和堕胎护理:生殖健康从业者的临床指南。
IF 2.7 4区 医学
Journal of midwifery & women's health Pub Date : 2023-10-30 DOI: 10.1111/jmwh.13575
Lanbo Yang MD, Rebecca H. Allen MD, MPH, Mary Catherine Cambou MD, Karin Nielsen-Saines MD, MPH, Benjamin P. Brown MD, MS
{"title":"Contraception and Abortion Care for People Living With HIV: A Clinical Guide for Reproductive Health Practitioners","authors":"Lanbo Yang MD,&nbsp;Rebecca H. Allen MD, MPH,&nbsp;Mary Catherine Cambou MD,&nbsp;Karin Nielsen-Saines MD, MPH,&nbsp;Benjamin P. Brown MD, MS","doi":"10.1111/jmwh.13575","DOIUrl":"10.1111/jmwh.13575","url":null,"abstract":"<p>People capable of pregnancy are disproportionately affected by HIV. Family planning needs and services are often unmet in this population, and clinical care guidelines regarding contraceptive options and abortion care are not well elucidated. Individuals living with HIV often face unique barriers in accessing contraception and abortion services due to internalized stigma, medically complex care (eg, drug–drug interactions, adverse effects of antiretroviral therapy), and distrust of health care providers. There is also a lack of clarity among reproductive health, primary, and infectious disease care providers on best-practice contraceptive counseling and contraceptive care for individuals living with HIV, given limited opportunities to enhance expertise in reproductive infectious disease. In this review, we summarize existing and updated evidence and clinical considerations regarding contraceptive counseling and abortion care in this population.</p>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13575","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71416330","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}
引用次数: 0
Relationships Between Strong Black Woman Belief, Coping Behaviors, Perceived Social Support, and Psychological Distress Symptoms for Black Mothers After Stillbirth 死产后黑人母亲的坚强黑人女性信仰、应对行为、社会支持感和心理困扰症状之间的关系。
IF 2.7 4区 医学
Journal of midwifery & women's health Pub Date : 2023-10-30 DOI: 10.1111/jmwh.13576
Carrie J. Henry CNM, PhD, RN, Ursula Kelly PhD, APRN, ANP-BC, PMHNP-BC, Anne L. Dunlop MD, MPH, Sudeshna Paul PhD, MS, Rasheeta D. Chandler PhD, RN, FNP-BC, Lauren Christiansen-Lindquist PhD, MPH, Mi-Kyung Song PhD, RN
{"title":"Relationships Between Strong Black Woman Belief, Coping Behaviors, Perceived Social Support, and Psychological Distress Symptoms for Black Mothers After Stillbirth","authors":"Carrie J. Henry CNM, PhD, RN,&nbsp;Ursula Kelly PhD, APRN, ANP-BC, PMHNP-BC,&nbsp;Anne L. Dunlop MD, MPH,&nbsp;Sudeshna Paul PhD, MS,&nbsp;Rasheeta D. Chandler PhD, RN, FNP-BC,&nbsp;Lauren Christiansen-Lindquist PhD, MPH,&nbsp;Mi-Kyung Song PhD, RN","doi":"10.1111/jmwh.13576","DOIUrl":"10.1111/jmwh.13576","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Psychological distress symptoms (symptoms of depression, anxiety, and posttraumatic stress) are common following stillbirth. Black women who experience stillbirth are less likely to seek support than White women, consistent with the strong Black woman (SBW) construct, which expects Black women to tolerate stress and trauma gracefully, without seeking help.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this cross-sectional study we sought to determine the relative contributions of SBW belief, perceived lack of social support, and culturally relevant coping behaviors to psychological distress symptoms in Black women bereaved by stillbirth. We partnered with a stillbirth support organization to recruit a sample of 91 Black women bereaved by stillbirth in the 3 years prior to study participation. The online study survey measured SBW belief, culturally relevant coping behaviors, perceived social support, and psychological distress symptoms along with sociodemographics, pregnancy history, and stillbirth characteristics. We used stepwise selection in multiple linear regression to determine the relative contributions of SBW belief, perceived social support, and coping behaviors to measures of psychological distress symptoms in our sample.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Higher SBW belief, lower perceived social support, and higher collective coping (coping behaviors involving other people) were associated with increases in all 3 measures of psychological distress symptoms, controlling for age and other traumatic events.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Further understanding of the influence of SBW belief on Black women's psychological distress following stillbirth may assist with the development of culturally appropriate interventions to mitigate psychological distress symptoms in this group.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71416365","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}
引用次数: 0
Privileging Midwives for Abortion Care 享有堕胎护理特权的助产士。
IF 2.7 4区 医学
Journal of midwifery & women's health Pub Date : 2023-10-18 DOI: 10.1111/jmwh.13577
Keeley McNamara CNM, MSN, Marisa Poverman CNM, WHNP-BC, MSN, Marisa Nádas MD, MPH, Michaela Mallow MPH, Sharon Gerber MD, MPH
{"title":"Privileging Midwives for Abortion Care","authors":"Keeley McNamara CNM, MSN,&nbsp;Marisa Poverman CNM, WHNP-BC, MSN,&nbsp;Marisa Nádas MD, MPH,&nbsp;Michaela Mallow MPH,&nbsp;Sharon Gerber MD, MPH","doi":"10.1111/jmwh.13577","DOIUrl":"10.1111/jmwh.13577","url":null,"abstract":"<p>Since the US Supreme Court overturned <i>Dobbs v Jackson</i>, expanded access to abortion has been critical. Abortion is safe, and related complications are rare. The safety of abortion provision by advanced practice clinicians (APCs) is well documented. Despite the increase in targeted restrictions for patients and clinicians in many states post-<i>Dobbs</i>, in recent years there have been meaningful gains in recognition and codification of abortion as part of an expanded scope of practice for APCs. Thus, creating a formal written pathway for midwives to obtain privileges in abortion provision could also improve abortion access. In New York City's public health care system, the largest in the United States, midwives provide a significant portion of perinatal and gynecologic care. Yet, until recently, a process to privilege midwives in the provision of abortion services did not exist. In response, midwives and physicians at a large New York City hospital system sought key stakeholder support to develop a pathway for certified nurse-midwives and certified midwives, licensed midwives in New York state, to obtain the necessary training needed for independent abortion provision. This article describes the development of a midwifery-led pilot program to improve abortion access by increasing the availability of trained midwifery abortion providers, along with the results of staff meetings exploring attitudes toward abortion care by APCs. We report our safety statistics from this pilot program and share existing evidence for safety of abortion provision by midwives and other APCs.</p>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242661","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}
引用次数: 0
ACNM Fellows Inducted in 2023 ACMM研究员于2023年入职。
IF 2.7 4区 医学
Journal of midwifery & women's health Pub Date : 2023-10-09 DOI: 10.1111/jmwh.13563
{"title":"ACNM Fellows Inducted in 2023","authors":"","doi":"10.1111/jmwh.13563","DOIUrl":"10.1111/jmwh.13563","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41184657","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}
引用次数: 0
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