Journal of midwifery & women's health最新文献

{"title":"Systematic Reviews to Inform Practice, January/February, 2025","authors":"Abby Howe-Heyman CNM, PhD, Nena R. Harris CNM, PhD, FNP-BC, CNE","doi":"10.1111/jmwh.13736","DOIUrl":"https://doi.org/10.1111/jmwh.13736","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 1","pages":"176-185"},"PeriodicalIF":2.1,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13736","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363029","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":"World Health Organization Calls for Transition to Midwifery Models of Care to Improve Outcomes for Women and Newborns","authors":"Melissa D. Avery CNM, PhD","doi":"10.1111/jmwh.13739","DOIUrl":"10.1111/jmwh.13739","url":null,"abstract":"<p>As we welcome 2025 and begin celebrating 70 years of the American College of Nurse-Midwives (ACNM) and the <i>Journal of Midwifery & Women's Health (JMWH)</i>, a recent World Health Organization (WHO) report<span><sup>1</sup></span> should be in the hands of every practicing midwife. In the United States in particular, this position paper can help promote midwifery care models at the federal, state, local, and health system practice levels. WHO recommends a transition to midwifery care models worldwide, linked to a strategy of primary health care as part of attaining universal health coverage.</p><p>WHO urges moving from fragmented and risk-focused care approaches to midwifery models of care so that women and newborns receive “equitable, person-centred, respectful, integrated and high-quality care, provided and coordinated by midwives working within collaborative interdisciplinary teams”<span><sup>1</sup></span><sup>(p8)</sup> prior to pregnancy through the postpartum period. The report notes that while the terms <i>women</i> and <i>mothers</i> are used, the recommendations are inclusive of all individuals identifying as women and all persons who give birth. Although improvements have been made in maternal and neonatal outcomes globally, many challenges remain. Improvements are needed in both access to health care and the provision of high-quality care. In addition, inappropriate use of medical interventions is highlighted as a barrier to improving perinatal outcomes.</p><p>Midwifery models of care are defined as those consistent with midwifery philosophy and where the care is provided by autonomous midwives who are educated, licensed, and regulated. Midwives provide high-quality care that is person-centered, based on a relationship between the midwife and the woman, promotes physiologic processes, with interventions used only when needed. Care is coordinated within resourced and functional health systems where interprofessional teams function with respect and trust. These care models are modifiable to be used in all care settings and related contexts.<span><sup>1</sup></span></p><p>Principles of midwifery models of care include (1) access to equitable and human rights–based care for all women and newborns, (2) person-centered and respectful care in a partnership between women and midwives, (3) high-quality care consistent with midwifery philosophy, (4) care provided by autonomous, educated, regulated midwives throughout health systems, and (5) midwives are integrated into interprofessional care teams.<span><sup>1</sup></span> By using models incorporating these principles, WHO believes a transition to midwifery models can save lives, improve women's and newborns' health outcomes, improve satisfaction with care, reduce health inequities, promote women's rights, and maximize the use of health care resources.<span><sup>1</sup></span></p><p>In making the case for midwifery care models, the WHO report synthesizes recent research and other repo","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 1","pages":"11-12"},"PeriodicalIF":2.1,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13739","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019008","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":"¿Qué es una partera?*","authors":"","doi":"10.1111/jmwh.13731","DOIUrl":"https://doi.org/10.1111/jmwh.13731","url":null,"abstract":"<p>Las parteras en los Estados Unidos (EE. UU.) proporcionan servicios de atención médica a individuos en todas las etapas de la vida. Colaboran con sus pacientes/clientes en la toma de decisiones importantes sobre su salud. Trabajan en conjunto con otros miembros del equipo de atención médica cuando es necesario. También pueden ser proveedoras de atención primaria.</p><p>Es importante aclarar que el término “partera” en Latinoamérica no corresponde a la profesión de partería que se practica en EE. UU. El tipo de educación, el proceso de acreditación para ejercer esta profesión, la percepción cultural, el respaldo legal, y la relación con otros profesionales de la salud y con los centros de salud que tienen las parteras en EE.UU son diferentes que en muchas otras partes del mundo. Las parteras en EE. UU. tienen un alcance profesional que es parecido al de los gineco-obstetras, aunque con diferencias importantes.</p><p>Las <b>enfermeras parteras certificadas</b> (CNM, por sus siglas en inglés) y <b>parteras certificadas</b> (CM, por sus siglas en inglés) se han educado en programas acreditados y han aprobado un examen de certificación nacional. Deben tener una licencia para practicar en el estado donde trabajan. Tanto las CNM como las CM atienden a sus pacientes en todos los tipos de centros de salud, incluyendo los hospitales, los centros de maternidad, clínicas o consultorios, y también en el hogar. Proporcionan atención general durante el embarazo (seguimiento prenatal) y durante el parto, atención de salud reproductiva y también cuidado primario. Pueden recetar la mayoría de los medicamentos. Tanto las CNM como las CM pueden cuidar a los recién nacidos durante los primeros 30 días de vida.</p><p>Las <b>parteras certificadas profesionales</b> (CPM, por sus siglas en inglés) pueden haber tenido capacitación como aprendices o pueden haberse graduado de un programa de educación acreditado. Han tomado un examen de certificación nacional diferente al que toman las CNM o las CM. Las CPM proveen cuidado durante el embarazo, el nacimiento y después del parto en entornos comunitarios, usualmente en centros de maternidad o en los hogares. También proveen cuidado de los recién nacidos. No pueden recetar la mayoría de los medicamentos. Tampoco trabajan en hospitales.</p><p>La mayoría de las parteras en EE. UU. son CNM y tienen licencia en los 50 estados. No todos los estados conceden licencia a las CM ó a las CPM.</p><p>Las parteras proveen atención durante el embarazo, el trabajo de parto, el nacimiento y el posparto. También atienden a bebés recién nacidos. Las CNM y las CM cuidan a aproximadamente 1 de cada 10 mujeres que dan a luz cada año en EE. UU. Además de ser expertas en salud reproductiva, las CNM y las CM proveen atención primaria de salud. Los cuidados que brindan incluyen exámenes físicos anuales, planificación familiar, cuidado durante la menopausia, detección y tratamiento de infecciones de transmisión sexual y otros problemas de salud. Las ","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 1","pages":"187-188"},"PeriodicalIF":2.1,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13731","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363027","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 2025","authors":"Rebecca R. S. Clark CNM, PhD, MSN, RN","doi":"10.1111/jmwh.13734","DOIUrl":"https://doi.org/10.1111/jmwh.13734","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 1","pages":"169-175"},"PeriodicalIF":2.1,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13734","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143362992","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":"Respectful Maternity Care in the United States: A Scoping Review of the Research and Birthing People's Experiences","authors":"Morgan Richardson Cayama MPH,&nbsp;Cheryl A. Vamos PhD, MPH,&nbsp;Nicole L. Harris MA,&nbsp;Rachel G. Logan PhD, MPH,&nbsp;Allison Howard MLIS,&nbsp;Ellen M. Daley PhD, MPH","doi":"10.1111/jmwh.13729","DOIUrl":"10.1111/jmwh.13729","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Birthing people around the world experience mistreatment during labor and birth, contributing to adverse maternal health outcomes. The adoption of respectful maternity care (RMC) has been recommended to address this mistreatment and improve care quality. Most RMC and mistreatment research has been conducted internationally. The purpose of this scoping review was to (1) explore the extent of RMC research and (2) describe labor and birth experiences in the United States.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Embase, Scopus, and CINAHL databases were searched for concepts relating to RMC and mistreatment. A total of 66 studies met review inclusion criteria. Two reviewers screened titles, abstracts, and full-text articles. Data were extracted and categorized using the Bohren et al typology of mistreatment. Summary statistics and narrative summaries were used to describe study characteristics and birthing people's experiences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most studies represented national or urban samples and Western or Northeastern US regions. Few were from the South, and only one represented rural participants specifically. Few studies represented the unique experiences of justice-involved birthing people, and none represented sexual and gender minorities or Indigenous people. Qualitative methods were predominant. The most common forms of mistreatment included (1) poor rapport between women and health care providers (88% of studies), (2) stigma and discrimination (79%), and (3) a failure to meet professional standards of care (73%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The extent of mistreatment in the United States highlights the need for robust programs and policies targeting provision of RMC. Additional research is needed to better understand the experiences of additional minority communities and those living rural areas and in the Southern United States.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 2","pages":"212-222"},"PeriodicalIF":2.1,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13729","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985844","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":"Proactive Management of Lactation in the Birth Hospital to Ensure Long-Term Milk Production and Sustainable Breastfeeding","authors":"Diane L. Spatz PhD, RN-BC, FAWHONN,&nbsp;Salomé Álvarez Rodríguez RM, BSc, MSc,&nbsp;Sarah Benjilany RM, IBCLC, MSc,&nbsp;Barbara Finderle RM, MSc, IBCLC,&nbsp;Aleyd von Gartzen RM, BSc, IBCLC,&nbsp;Ann Yates RN, RM,&nbsp;Jessica Brumley CNM, PhD","doi":"10.1111/jmwh.13726","DOIUrl":"10.1111/jmwh.13726","url":null,"abstract":"<p>Individuals who are at risk of not achieving a full milk supply are often overlooked in scientific literature. There is available guidance to help establish an adequate milk supply for healthy individuals experiencing a physiologic labor and birth, and there are robust recommendations for the lactating parents of small, sick, and preterm newborns to ensure that these newborns can receive human milk. Missing from the literature are clinical practice guidelines that address the preexisting health, pregnancy, birth, or newborn-related risk factors for suboptimal lactation. This can include risk factors that impact secretory activation or newborns who may not attach and suckle effectively to provide the stimulation and removal necessary to reach full milk volume. Secretory activation can only occur after the birth of the newborn and the placenta, with milk volume being established during the first weeks of breastfeeding. Recognizing this gap, over the past 2 years, an international group of midwives led by a doctoral nurse scientist in lactation conducted an extensive literature review to identify the most significant risk factors that can disrupt normal physiologic lactation. Our group sought to establish proactive lactation management strategies to ensure long-term milk production. We developed an evidence-based perinatal operational breastfeeding plan alongside clinical pathways to guide health care professionals in assessment, care, and necessary education for families who present with risk. Our goal is for midwives and other health care professionals to integrate the perinatal operational breastfeeding plan into practice and use these pathways to ensure (1) timely and effective secretory activation, (2) building a milk supply as robust as feasible for personal situations and conditions, (3) more newborns receiving more human milk and (4) more families achieving their personal breastfeeding goals.</p>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 2","pages":"343-349"},"PeriodicalIF":2.1,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13726","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899924","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":"Defining Midwifery-Led Care in the United States Using Concept Analysis","authors":"Katie Page CNM, MSN,&nbsp;Julia Phillippi CNM, PhD,&nbsp;Cathy L. Emeis CNM, PhD,&nbsp;Allison Cummins RM, PhD,&nbsp;Brie Thumm CNM, PhD, MBA","doi":"10.1111/jmwh.13727","DOIUrl":"10.1111/jmwh.13727","url":null,"abstract":"<p>National health policy initiatives recommend increased integration of midwifery care in the United States to improve care quality and reduce maternal health disparities. However, the service models through which midwives provide midwifery care and produce quality outcomes are poorly understood. Midwifery-led care is a service model frequently associated with improved outcomes compared with other models. The service model has been infrequently or inconsistently studied in the Unites States and has been narrowly defined and applied to perinatal care. The purpose of this concept analysis was to evaluate the concept of midwifery-led care and expand the definition to guide midwifery practice, research, and health policy. The analysis followed Walker and Avant's methodology. Three attributes of midwifery-led care were identified: (1) midwife as the lead clinician; (2) person-midwife partnership; and (3) care embodies midwifery philosophy. Antecedents were (1) license to practice as a midwife; (2) a person needing or desiring sexual, reproductive, perinatal, or newborn care; (3) a person with low- or moderate-risk health status; (4) regulations and guidelines that support provision of midwifery care; and (5) reimbursement for services. Consequences of midwifery-led care included (1) improved maternal and neonatal outcomes, (2) patient satisfaction, and (3) reduced health care costs. The presented expanded definition of midwifery-led care is the first to use a systems level approach and explicitly center the person receiving care and the philosophical approach of midwifery care. Application of this definition is needed in theoretical and pragmatic research to classify midwifery-led care and other service models and compare patient- and organization-level outcomes.</p>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 2","pages":"223-234"},"PeriodicalIF":2.1,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13727","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901476","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":"Perceptions of Coping With Breastfeeding Pain: A Secondary Analysis","authors":"Megan Russell BSN, RN,&nbsp;Ruth Lucas PhD, RNC, CLS,&nbsp;Katherine Bernier Carney PhD, RN","doi":"10.1111/jmwh.13723","DOIUrl":"10.1111/jmwh.13723","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Although there are many known benefits of providing human milk to infants, breastfeeding-related pain is a significant reason for breastfeeding cessation. Breastfeeding-related pain is a unique experience due to breastfeeding's goal-directed purpose, repetitive nature, and socio-emotional reflections of successful parenting. Understanding how lactating parents cope with breastfeeding-related pain will inform clinical practice to encourage individuals to meet their lactation goals. The aim of this study was to evaluate how lactating parents view coping with breastfeeding-related pain to be different from coping with other types of pain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a secondary analysis of a pilot randomized control study of a breastfeeding pain self-management intervention. Data from 57 participants who breastfed and completed self-report surveys at 1, 2, and 6 weeks postpartum were included. We employed Boyatzis’ thematic analysis method to evaluate affirmative responses to “Is coping with breastfeeding pain different than coping with other pain?” We evaluated correlations between responses to coping with breastfeeding pain and pain severity scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We identified 3 main themes: (1) uncharted waters, (2) light at the end of the tunnel, and (3) parental role and responsibility. No significant differences were detected between the pain scores of individuals who viewed coping with breastfeeding to be different and those who did not.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Lactating parents reported an array of psychological coping strategies in response to breastfeeding-related pain. Coping processes were influenced by personal goals, parental role evaluations, and a desire to meet their infant's needs. Interventions during prenatal and postpartum care that incorporate individualized coping strategies could support breastfeeding goal attainment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 2","pages":"315-324"},"PeriodicalIF":2.1,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13723","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848705","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":"Unplanned Cesarean for Abnormal or Indeterminate Fetal Heart Tracing Varies Significantly by Race and Ethnicity","authors":"Elizabeth Langen MD,&nbsp;Althea Bourdeau MPH,&nbsp;Jessi Ems RN, BSN,&nbsp;Eliza Wilson-Powers MA,&nbsp;Lisa Kane Low CNM, PhD","doi":"10.1111/jmwh.13720","DOIUrl":"10.1111/jmwh.13720","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The US maternity care system achieves worse outcomes for birthing people identifying as Black versus White. Assessment of fetal well-being in labor is an area of perinatal care subject to significant interobserver variability and therefore may be at particular risk of medical racism influencing care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Statewide collaborative quality initiative data, focused on decreasing the nulliparous, term, singleton, vertex (NTSV) cesarean birth rate, were used to conduct a retrospective cohort study to assess differences in cesarean birth for nonreassuring fetal status between birthing people identifying as Black compared with White. Generalized linear mixed modeling with hospital as a random intercept was used for multivariate analyses accounting for birthing people clustering within hospitals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Between March 1, 2020, and December 31, 2022, 69,622 births were identified, 8291 (11.9%) of which were an unplanned cesarean with a primary indication of nonreassuring fetal heart tracing (cesarean for FHT). Race and ethnicity were significantly associated with a higher risk, after controlling for covariates: compared with White birthing people, birthing people of unknown race or ethnicity had 1.23 (95% CI 1.13-1.35) and Asian Pacific Islander birthing people had 1.55 times the odds (95% CI 1.37-1.76), whereas Black birthing people had 1.71 times the odds (95% CI 1.59-1.83) of birthing via unplanned cesarean for FHT. In adjusted analysis, prepregnancy diabetes, positive COVID-19 status at admission, elevated body mass index, and birthing in the Detroit Metro area were associated with cesarean for FHT. In an unplanned subgroup analysis of births within the Detroit Metro region, Black individuals remained significantly more likely to have an unplanned cesarean for FHT (aOR 1.63, 95% CI 1.48-1.79).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>After controlling for individual and hospital-level factors, cesarean for FHT was more common among non-Hispanic Black vs non-Hispanic White birthing people in this statewide cohort of NTSV births.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 2","pages":"279-291"},"PeriodicalIF":2.1,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13720","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848706","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":"Factors Associated With First-Trimester Prenatal Care Initiation In The United States: A Scoping Review","authors":"Melissa B. Eggen PhD, MPH,&nbsp;Dani LaPreze MLS, MS,&nbsp;Seyed Karimi PhD,&nbsp;Liza Creel PhD, MPH,&nbsp;Bertis Little PhD,&nbsp;Bridget Basile Ibrahim PhD, MA, RN, FNP-BC","doi":"10.1111/jmwh.13724","DOIUrl":"10.1111/jmwh.13724","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>First-trimester prenatal care is an important component of quality care during pregnancy and is associated with improved perinatal outcomes. Despite its importance, many pregnant people delay prenatal care initiation or receive no prenatal care. This scoping review assessed multilevel factors associated with first-trimester prenatal care initiation in the United States among studies that included a measure of prenatal care timing, using the socioecological model as an organizing framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A scoping review was conducted according to the Joanna Briggs Institute methodology for scoping reviews and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews guidelines for reporting. PubMed, Cochrane, Embase, CINAHL, and Social Sciences Abstracts were searched for peer-reviewed papers that focused on facilitators and barriers associated with first-trimester prenatal care initiation, were written in English, included a measure of prenatal care timing, and used data gathered after 2014.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 1469 articles identified in the search, 19 met inclusion criteria and were included in the final review. Articles described intrapersonal, interpersonal, and environmental-level barriers and facilitators of first-trimester prenatal care initiation including Medicaid expansion, immigration status, and the COVID-19 pandemic. Significant heterogeneity in the measurement of prenatal care timing existed across studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Our findings suggest that, although environmental domain factors have been impactful toward increasing population-level rates of first-trimester prenatal care initiation, benefits have not been equitable across sociodemographic factors. Increasing the proportion of pregnant people who initiate first-trimester prenatal care will require comprehensive efforts that address sociodemographic and contextual factors, including persistent structural and systemic barriers that cause and widen health disparities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 2","pages":"259-269"},"PeriodicalIF":2.1,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13724","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831528","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}