Journal of midwifery & women's health最新文献

{"title":"Implementation of Comprehensive Dyadic Perinatal Care During the Postnatal Year","authors":"Katie T. Kivlighan CNM, PhD,&nbsp;Sarah R. Weinstein CNM, IBCLC, MN, PhD,&nbsp;Nicholas Edwardson MS, PhD,&nbsp;Michele Burtner CNM, IBCLC, MS, MPH,&nbsp;Maria R. Fisher CNM, IBCLC, MSN, MPH,&nbsp;Amelia Henning CNM, IBCLC, MSN,&nbsp;Hayley Hoffman CNM, IBCLC, MSN,&nbsp;Emily Swisher-Rosa CNM, WHNP, IBCLC, MSN,&nbsp;C. Melissa Morelli-Walsh CNM, IBCLC, PhD","doi":"10.1111/jmwh.70158","DOIUrl":"10.1111/jmwh.70158","url":null,"abstract":"<p>The United States is experiencing a high societal burden of pregnancy-related and infant morbidity and mortality during the postnatal year. These trends are inherently linked because the 2 members of the parent-infant dyad are interdependent for their well-being. Several systemic factors contribute to suboptimal health outcomes, including health care siloes under the medical specialization paradigm, multiple care transitions, and lack of care coordination during the postnatal year. Despite the clear positive impact of breastfeeding on parent and child health outcomes, as a dyadic specialty, lactation care does not have an obvious home within the siloed United States health care system. The objective of this article is to propose implementation of a comprehensive dyadic care model for birthing parents and infants during the postnatal year, including a focus on provider-level lactation management. Practical issues, such as clinic workflows, financial sustainability, workforce development solutions, and scope of practice issues are discussed. Midwives are ideally positioned to be leaders in the provision of dyadic perinatal care during the postnatal year, with long-term implications for parent and infant health.</p>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 5","pages":"869-876"},"PeriodicalIF":2.8,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70158","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537541","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 Effect of Lemon Aromatherapy on Nausea and Vomiting During Pregnancy: A Systematic Review","authors":"Zahra Rafiei MSc,&nbsp;Nima Radkhah MSc,&nbsp;Parvin Dehghan PhD,&nbsp;Elham Karimi MSc","doi":"10.1111/jmwh.70135","DOIUrl":"10.1111/jmwh.70135","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Women who are pregnant frequently suffer from nausea and vomiting, which can profoundly impact their well-being and quality of life. As a promising complementary approach, lemon aromatherapy has attracted attention for its potential to relieve these symptoms. This systematic review examines the efficacy of lemon essential oil aromatherapy in reducing nausea and vomiting among pregnant individuals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>PubMed/MEDLINE, Web of Science, Scopus, and Google Scholar were systematically searched. Eligible studies were selected, and relevant data were then extracted. Methodological quality was also assessed using the Cochrane Risk of Bias 2 tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five studies were finally included, with overall methodological quality ranging from low to moderate. Most studies reported significant reductions in the severity and frequency of nausea and vomiting, commonly measured using the Pregnancy-Unique Quantification of Emesis scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Lemon aromatherapy may be an effective and safe complementary therapy in reducing nausea and vomiting during pregnancy. However, current evidence is limited by small sample sizes, potential bias, and methodological weaknesses. Further high-quality randomized controlled trials are needed to establish evidence-based clinical recommendations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 5","pages":"820-826"},"PeriodicalIF":2.8,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148019745","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":"Visualizing the Role of Midwives in Planetary Health: A Proposed Graphic Model","authors":"Monica Streater CNM, DNP, APRN","doi":"10.1111/jmwh.70159","DOIUrl":"10.1111/jmwh.70159","url":null,"abstract":"<p>Climate change and ecological degradation pose growing threats to public health, with profound consequences for birthing individuals and fetal and newborn outcomes. Planetary health provides a framework for understanding the interdependence between environmental systems and human well-being, underscoring the responsibility of health care professionals to engage in sustainable and equitable care practices. Midwives, with their holistic, preventive, and relationship-centered approach, are well suited to respond to these challenges. This article introduces a graphic model that illustrates how midwifery practice contributes to planetary health through the integration of ecological awareness, social justice, and community-centered care. Informed by planetary health principles and midwifery philosophies and core competencies, the model highlights the profession's role in addressing interconnected environmental, social, and health challenges in a sustainable manner. Although attention to social and environmental determinants of health has long been central to midwifery, planetary health concepts have not yet been systematically embedded in midwifery education or clinical frameworks. The proposed model makes visible the ways planetary health is already reflected in midwifery practice while identifying opportunities for expansion, including attention to environmental exposures and advocacy for climate-resilient care systems. By visually articulating the relationship between midwifery and planetary health, the model serves as a tool for reflection, education, and action, supporting midwives in advancing care grounded in ecological responsibility and social equity.</p>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 5","pages":"862-868"},"PeriodicalIF":2.8,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70159","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148427700","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":"Midwifery Scholarship on the Move: JMWH Positioned for the Future","authors":"Melissa D. Avery CNM, PhD","doi":"10.1111/jmwh.70192","DOIUrl":"https://doi.org/10.1111/jmwh.70192","url":null,"abstract":"&lt;p&gt;Looking back over 5 years as the &lt;i&gt;Journal of Midwifery &amp; Women's Health&lt;/i&gt; (&lt;i&gt;JMWH&lt;/i&gt;) Editor-in-Chief (EiC) in preparation for welcoming the next EiC, I am confident &lt;i&gt;JMWH&lt;/i&gt; is positioned well for the future. The world of scholarly publishing has changed rapidly in recent years. Significant reductions in print advertising along with other forces have led to the move away from print to online-only publishing. &lt;i&gt;JMWH&lt;/i&gt; will complete the process in December 2026. At the same time, access to journals has been changing from paid subscriptions funded by individual subscribers to open access funded by authors, their grants, or their universities through transformational agreements with publishers, making articles available to anyone with internet access.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; The advent of generative artificial intelligence (GenAI) using large language models trained on large volumes of published text is changing multiple aspects of editorial practice. Our editorial team has been consistently looking ahead.&lt;/p&gt;&lt;p&gt;A full turnover of the senior editors in late 2021 meant launching a brand-new editorial team in 2022 to produce the 6 annual issues of &lt;i&gt;JMWH&lt;/i&gt; and innovate to move the journal forward. Linda Hunter and Ira Kantrowitz-Gordon, Deputy Editors, and Laura Bolte, Managing Editor, have been talented and steady partners throughout that time. We have continued to publish bimonthly issues in a timely manner, aiming to support new and returning authors as well as peer reviewers respectfully and responsively. In partnership with our peer reviewers, we tightened our peer and editorial review processes and reduced the time from manuscript receipt to online publication by 34 days, a 17% decrease. Along the way, the &lt;i&gt;JMWH&lt;/i&gt; Editorial Board Leadership Team (senior editors and associate editors) wrote the journal's first &lt;i&gt;Statement of Inclusivity&lt;/i&gt;&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; and considered the very large questions related to appropriately querying authors, reviewers, and editorial teams about their identities to understand who is publishing in &lt;i&gt;JMWH&lt;/i&gt;, reviewing manuscripts, and making editorial and policy decisions.&lt;/p&gt;&lt;p&gt;A &lt;i&gt;JMWH&lt;/i&gt; innovation in 2022 was renaming the 2-page patient handout (formerly &lt;i&gt;Share with Women&lt;/i&gt;) to &lt;i&gt;Ask the Midwife&lt;/i&gt; (ATM). The ATM team was expanded with guidance from the leadership team. A large number of ATM columns have been updated in content, including an intentional move to gender-inclusive language in all new and revised ATM articles. ATM is one of the most downloaded &lt;i&gt;JMWH&lt;/i&gt; article types; midwives and others have access to freely share these informational pieces with their patients. Lindsey Wilson and Lucinda Canty, Contributing Editors, and Lisa Hanson, Associate Editor, have moved these documents forward, and you are using them! Alongside that team, Asssociate Editor Ali Cocco and Contributing Editor Jenifer Fahey have partnered with a small group of bilingual midwives to ","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 5","pages":"703-704"},"PeriodicalIF":2.8,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70192","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149163231","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 Providing Women Postpartum Care by Health Care Providers in the First 12 Months After Childbirth: A Systematic Qualitative Meta-Aggregation Review","authors":"Maryam Rouhi PhD,&nbsp;Silvana Bettiol PhD,&nbsp;Sarah Prior PhD,&nbsp;Narges Rouhi PhD,&nbsp;Theodora Dedo Azu PhD,&nbsp;Christine Stirling PhD,&nbsp;Lynne Staff PhD,&nbsp;Linda Jones PhD,&nbsp;Antigoni Leftherioti MPH,&nbsp;Patricia Nicholson PhD","doi":"10.1111/jmwh.70142","DOIUrl":"10.1111/jmwh.70142","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Postpartum care is crucial for maternal and infant health but remains inconsistently administered. This systematic qualitative review aimed to synthesize health care providers’ perspectives by exploring the barriers and facilitators experienced by health care providers in administering optimal maternal care during the first 12 months after childbirth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic qualitative meta-aggregation review was conducted using the Joanna Briggs Institute methodology. Peer-reviewed qualitative studies from January 2010 to April 2024 were retrieved from MEDLINE, CINAHL, Embase, and Web of Science. Findings were mapped onto the Behavioral Model of Health Services Use.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-three studies were included. Four key themes emerged: (1) professional barriers associated with administering quality health care, (2) organizational and systemic challenges in postpartum care (structural, policy, and resources barriers), (3) facility levels of services and their influence on decision-making, and (4) client's factors impacting their postpartum. Facilitators included interprofessional teamwork, training, and continuity of care. Key facilitators that supported health care providers in administering postpartum maternal care included interprofessional teamwork, targeted training, and continuity of care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Postpartum care continues to be fragmented and underprioritized at individual, organizational, and systemic levels, limiting the quality and continuity of maternal care. Addressing these challenges requires strengthened provider training, improved referral systems, culturally sensitive care, and integrated, team-based approaches. Policy reforms that prioritize postpartum care as a core component of the maternal health care continuum are essential to improving maternal outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 5","pages":"820-840"},"PeriodicalIF":2.8,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70142","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148267593","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":"Early Career Midwives’ Recommendations to Improve Clinical Education: “Honestly, We Just Need to Do Better”","authors":"Amy Alspaugh CNM, PhD, RN,&nbsp;Laura E. Britton-Purdy PhD, RN,&nbsp;Laura D. Lindberg PhD,&nbsp;Julie Blumenfeld CNM, DNP, RN","doi":"10.1111/jmwh.70160","DOIUrl":"10.1111/jmwh.70160","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The Accreditation Commission for Midwifery Education determines the accreditation criteria and ongoing evaluation for midwifery education programs, which ensures program quality, including clinical education experiences. Increasing evidence about the deficits and strengths in clinical education experience can improve the evaluation process. Little is known about which elements of clinical education are most valued by early career midwives. The purpose of this research was to identify early career midwives’ recommendations to improve clinical education.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We surveyed early career certified nurse-midwives (CNMs) and certified midwives (CMs) who were certified between 2019 to 2024 (n = 640) using an electronic mailing list with the American Midwifery Certification Board. We conducted a thematic analysis on 371 (58%) responses to the open-ended question, “What recommendations do you have to improve the clinical education experience?”</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Recommendations were grouped into 3 themes: (1) programs should protect students from short and long-term harm by securing vetted, trained preceptors and ensuring clinical education promotes balance and prevents burnout; (2) programs should take a more active role in securing and overseeing clinical education; and (3) national accrediting and professional organizations as well as midwifery education programs should lead systemic reform to strengthen midwifery clinical education, including revisions to current clinical requirements and rethinking its funding and structure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Study findings highlight multiple actionable steps for improving US midwifery clinical education. Investing time, resources, and oversight into preceptor preparation is critical to ensure midwifery students learn in safe, welcoming environments. Ensuring that high quality clinical education is available and accessible to all midwifery students is necessary to sustain and grow the workforce.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 5","pages":"732-739"},"PeriodicalIF":2.8,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70160","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148427797","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":"Mixed-Methods Study of the Impact of Interpersonal Trauma on Midwives’ Professional Practice: “Of Course it Affects My Work”","authors":"Jenna A. LoGiudice CNM, RN, PhD,&nbsp;Mickey Sperlich CPM, PhD, MSW,&nbsp;Ogechi Kalu PhD,&nbsp;Julia Seng CNM, PhD","doi":"10.1111/jmwh.70133","DOIUrl":"10.1111/jmwh.70133","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;In the United States, there is a high prevalence of sexual violence, with more than half of women and nearly one in 3 men affected. Individuals who have experienced such interpersonal trauma (IPT), one or more adverse childhood experiences (ACEs), or discrimination have higher rates of chronic and mental health concerns. Midwifery care hinges on connection, and midwives may themselves be survivors or be currently experiencing IPT. The purpose of this study is to understand the lived experiences of midwives who are survivors of IPT or discrimination and how these experiences impact their professional work.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A convergent mixed-methods approach was followed. Certified nurse-midwives (CNMs), certified midwives, and certified professional midwives (CPMs) practicing in the United States were recruited and asked to respond to an open-ended prompt via Research Electronic Data Capture, describing and providing specific examples of how being a survivor impacts their midwifery practice. Validated scales to measure ACEs, posttraumatic stress disorder (PTSD), and everyday discrimination were administered. Colaizzi's descriptive phenomenology and descriptive statistics were used for data analysis.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Forty-nine midwives (n = 38 CNMs; n = 11 CPMs) with an average of 15.6 years’ experience completed the study. Over 50% experienced 4 or more ACEs, and 55.1% experienced adult sexual assault. Six qualitative themes emerged: (1) shaped me—“My trauma is a significant part of what called me to midwifery”; (2) the arc of healing matters—“Memories will come up”; (3) allows me to identify survivors and empathize—“I feel I can enter into that space with them”; (4) trauma-informed care—“I am particularly mindful about consent and putting the power in the patients’ hands”; (5) layers of discrimination—“Is there anyone who is a midwife in our country who has not experienced discrimination?”; and (6) working within broken systems and lacking supports—“What's the point of asking the question and not addressing the issue?”&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Discussion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Results from this study indicate that midwives are also survivors of ACEs and adult traumas and suffer from PTSD. For some, the decision to become a midwife was influenced by their past traumas. Midwives’ professional work continues to shape their trauma recovery and the care they provide throughout their career. Supportive work environments are essential for midwife trauma survivors so they can provide the highest level of patient care while also attending to their own well-be","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 5","pages":"705-716"},"PeriodicalIF":2.8,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793258","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":"Effects of Transcutaneous Electrical Nerve Stimulation on Pain and Menstrual Symptoms in Primary Dysmenorrhea: A Placebo-Controlled Study","authors":"Esra Ünal PhD","doi":"10.1111/jmwh.70138","DOIUrl":"10.1111/jmwh.70138","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Primary dysmenorrhea, with a prevalence of 45% to 95%, is a common gynecological condition that significantly affects women's daily functioning and quality of life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This randomized, single-masked study compared the effects of transcutaneous electrical nerve stimulation (TENS) on pain intensity and menstrual symptoms in women with primary dysmenorrhea using a 3-arm design including TENS (n = 31), placebo (n = 31), and no-intervention control (n = 31) groups. TENS was administered in two 20-minute sessions on the same day during the first 3 days of menstruation. Pain intensity was measured using the Visual Analog Scale (VAS), and menstrual symptoms were assessed with the Daily Menstrual Symptom Rating (DMSR) scale. Between-group differences in postintervention outcomes were analyzed using analysis of covariance, adjusting for baseline values. The trial was prospectively registered at ClinicalTrials.gov (NCT06741059).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After baseline adjustment, significant between-group differences were observed in pain intensity and menstrual symptoms. Adjusted posttest VAS scores were lowest in the TENS group, followed by the placebo group and the control group (<i>P</i> &lt; .001), with a large effect size (partial η² = 0.428). Adjusted posttest DMSR scores were significantly lower in the TENS group compared with the control group (<i>P</i> &lt; .01) with a large effect size (partial η² = 0.160); however, no significant difference was observed between the TENS and placebo groups. Pain scores in the placebo group were also lower than those in the control group, indicating a notable placebo effect.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>TENS represents a safe, accessible, and patient-centered option for short-term menstrual pain management beyond placebo effects in primary dysmenorrhea.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 5","pages":"769-777"},"PeriodicalIF":2.8,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70138","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201799","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":"Midwives and Obstetrician-Gynecologists in the US Maternity Care System: Complementary Growth","authors":"Jennifer Vanderlaan CNM, PhD, MPH,&nbsp;Melva Thompson-Robinson DrPH","doi":"10.1111/jmwh.70146","DOIUrl":"10.1111/jmwh.70146","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Persistent shortages in the US maternity care workforce have prompted repeated policy calls to expand access to midwifery. Federal and professional organizations have positioned midwives as potential substitutes for obstetrician-gynecologists to fill gaps created by declining obstetric capacity. Economic theory suggests professions may operate as substitutes, complements, or independently. If midwives and obstetrician-gynecologists are substitutes, growth in one would offset the other; if complements, both would expand together; and, if independent, workforce changes would be unrelated. Determining which relationship exists is critical for efficient workforce investment and planning, particularly as national efforts to address maternity care shortages intensify. The aim of this study was to measure the correlation between the growth of the midwifery and obstetrician-gynecologist workforces to determine whether they have functioned as substitutes, compliments, or independent professions within the US maternity care system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a retrospective analysis of workforce changes between 2011 and 2023 using data from the Area Health Resources File, the American Midwifery Certification Board, and CDC WONDER. Workforce density was calculated as providers per 1,000 live births. Correlation coefficients between changes in midwife and obstetrician-gynecologist density were estimated nationally and stratified by state regulatory environments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Between 2011 and 2023, both obstetrician-gynecologist density and midwife density increased. Changes in midwife and obstetrician-gynecologist density were positively correlated (<i>r</i> = 0.63; <i>P</i> &lt;  .001), indicating complementary workforce growth. This relationship persisted across states with independent and restricted midwifery regulations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Midwives and obstetrician-gynecologists function as complementary professions in the US maternity workforce, with growth in one profession associated with growth in the other. Workforce planning and policy should account for the complementary relationship between midwives and obstetrician-gynecologists. Integrated funding strategies, reimbursement models, and workforce projections may better support access to high-quality maternal health care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 5","pages":"782-791"},"PeriodicalIF":2.8,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70146","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148311241","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 Child Abuse Prevention and Treatment Act: Implications for Midwifery Practice and a Call to Action","authors":"Grace Lesser CNM, WHNP-BC, MBA, MPH,&nbsp;Jessica Pipitone CNM, MSN,&nbsp;Sharon Ostfeld-Johns MD, IBCLC","doi":"10.1111/jmwh.70102","DOIUrl":"10.1111/jmwh.70102","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 4","pages":"506-510"},"PeriodicalIF":2.8,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655559","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}