Journal of midwifery & women's health最新文献

{"title":"Research and Professional Literature to Inform Practice, May/June 2025","authors":"Nancy A. Niemczyk CNM, PhD, Emily G. Roy SN","doi":"10.1111/jmwh.13769","DOIUrl":"https://doi.org/10.1111/jmwh.13769","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 3","pages":"510-514"},"PeriodicalIF":2.1,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13769","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144300289","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":"A Community-Centered and Antiracist Model of Whole-Person Perinatal Care: Beloved Birth Black Centering","authors":"MariaDelSol De Ornelas MSPH,&nbsp;Kim G. Harley MPH, PhD,&nbsp;Danielle Davis MPA,&nbsp;Anna Gruver MSW, LCSW,&nbsp;Dana Cruz Santana MSW, MPH,&nbsp;Krista Hayes,&nbsp;Martha Tesfalul MD,&nbsp;Jyesha Wren CNM, MS","doi":"10.1111/jmwh.13761","DOIUrl":"10.1111/jmwh.13761","url":null,"abstract":"<p>Beloved Birth Black Centering (Beloved) is a community-centered and antiracist model of whole-person perinatal care, created by and for Black people in Alameda County, California. In 2019, a diverse group of birth equity advocates within Oakland's public safety net health care system and public health department came together to design Beloved, following the leadership of Black midwives, public health practitioners, physicians, and doulas. Beloved centers the expertise and vision of Black women and birthing people while working to redefine Black perinatal care and transform Black birthing experiences and outcomes. Growing evidence documents Black women and birthing peoples’ experiences, needs, and preferences for perinatal care. They seek to be respected, heard, believed, the autonomy to make informed decisions, and have access high quality care and supportive resources. Beloved aims to center these needs and preferences and provide whole-person perinatal care so Black women and birthing people not only survive—they thrive. Beloved bundles 5 evidence-informed strategies (referred to as the <i>Gold-Package of Black Love</i>) into its model of whole-person perinatal care: midwifery-led group perinatal care; racially-concordant care; wrap-around support; childbirth education; and doula services. Each evidence-informed strategy has been referenced as a need and preference by Black women and birthing people and has been found to protect against at least one pregnancy-related complication. The model aims to provide patients with holistic social support, high quality person-centered care, and antiracist approaches to care. The founders of Beloved took an asset-based approach and partnered with local community organizations and Black entrepreneurs to implement Beloved during the COVID-19 pandemic despite the inherent challenges of innovating new models in under-resourced, safety net health care systems. The model's development, implementation, theoretical underpinnings, and theory of change are described. Additionally, we discuss key lessons from implementation and future directions for research, quality improvement, sustainability, and community engagement.</p>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 3","pages":"468-475"},"PeriodicalIF":2.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13761","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144113122","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":"Person-Centered Perinatal Health Care and Empowerment During Pregnancy, Birth, and Postpartum: A Cross-Sectional Mixed-Methods Analysis","authors":"Rebecca Woofter MPH,&nbsp;Renee Clarke MPH, RN,&nbsp;Prisca C. Diala MD,&nbsp;Molly R. Altman CNM, PhD, MPH,&nbsp;Patience A. Afulani PhD, MBChB, MPH","doi":"10.1111/jmwh.13760","DOIUrl":"10.1111/jmwh.13760","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>In the United States, Black birthing people report poor-quality health care and face adverse maternal and infant outcomes. Empowerment to advocate with health care providers could help improve outcomes for birthing people of color. The literature is, however, sparse on factors associated with empowerment in the perinatal period. We examined the association between person-centered care and feeling empowered to advocate with health care providers across the perinatal period.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data are from 265 postpartum birthing persons who completed an online survey in 2020. The survey included validated scales for Person-Centered Prenatal Care (PCPC) and Person-Centered Maternity (labor and birth) Care (PCMC), feelings of empowerment to advocate with health care providers, and an open-response question regarding empowerment. Multivariable logistic regression models and qualitative thematic analysis were conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A majority of the sample was Black, married, had one child, had college degrees, had private insurance, and gave birth in a hospital with midwives. Overall, about 75% of the sample felt empowered to advocate with health care providers during prenatal care, birth, and postpartum. On average, participants scored 84 of 100 on the standardized PCPC scale and 90 of 100 on the standardized PCMC scale. Each one-point increase in PCPC score was associated with 11% higher odds of feeling empowered during prenatal care. Each one-point increase in PCMC score was associated with 8% higher odds of feeling empowered during both birth and postpartum. Respect and dignity drove the association between PCPC and empowerment during prenatal care, whereas communication and autonomy drove the association between PCMC and empowerment. Qualitative responses emphasized the importance of communication and respect from health care providers, autonomy, and social support from partners and doulas on empowerment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Person-centered perinatal health care is associated with feeling empowered to advocate with health care providers during prenatal care, birth, and postpartum. Effective communication and autonomy are vital for fostering patient empowerment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 3","pages":"476-485"},"PeriodicalIF":2.1,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13760","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096467","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":"Influence of the Practice of the Pilates Method on Pain Perception During Pregnancy: A Quasiexperimental Study","authors":"Carmen Feria-Ramirez CNM, PhD,&nbsp;Juan D. Gonzalez-Sanz CNM, PhD,&nbsp;Rafael Molina-Luque PhD,&nbsp;Guillermo Molina-Recio PhD","doi":"10.1111/jmwh.13748","DOIUrl":"10.1111/jmwh.13748","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The physiologic changes associated with pregnancy often result in pain, impacting the quality of life. Therefore, it is crucial to prevent and manage this pain through appropriate health care, including guidance on physical exercise. One of the currently recommended interventions is the Pilates method. However, health care professionals caring for pregnant women must have the necessary knowledge, tools, and resources to advise their patients. This study aimed to examine the impact of Pilates method practice on pregnancy-related pain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A quasiexperimental study was conducted in multiple primary care centers between November 2018 and December 2019. Participants (n = 107) self-selected to receive a Pilates program (experimental group; n = 38) or their usual care (control group; n = 69). The presence or absence of pelvic, dorsal, and abdominal pain was evaluated as an outcome measure. The results were compared after the intervention, using descriptive, bivariate, and multivariate statistics. The study was registered at ClinicalTrials.gov (NTC04431102).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Pilates method practice was associated with decreased presence of pelvic pain (odds ratio [OR], 2.73; 95% CI, 1.18-4.51; <i>P</i> = .02) and abdominal pain (OR, 5.24; 95% CI, 2.23-12.35; <i>P</i> &lt; .001). No statistically significant difference was found for the presence of dorsal pain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Pilates appears to be a promising tool for enhancing well-being during pregnancy by reducing pelvic and abdominal pain. It would be beneficial to involve other professionals trained in the Pilates method or, in the future, to train midwives to implement this intervention in birth and parenting programs within primary care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 3","pages":"404-413"},"PeriodicalIF":2.1,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13748","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065518","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":"A Pilot Randomized Controlled Trial of a Multimodal Wellness Intervention for Perinatal Mental Health","authors":"Ellen Goldstein PhD, MFT,&nbsp;Mariam Keita MSN, RN,&nbsp;Christabel Koomson BS,&nbsp;Nathan Tintle PhD,&nbsp;Kirby Adlam CNM, PhD, APRN-FPA,&nbsp;Erin Farah CNM, PhD, FPA-APRN,&nbsp;Mary Dawn Koenig CNM, PhD, RN","doi":"10.1111/jmwh.13754","DOIUrl":"10.1111/jmwh.13754","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Evidence has shown that pregnant women who report high rates of psychologic stress are at increased risk for perinatal complications. We conducted a pilot randomized controlled trial (RCT) of a multimodal wellness intervention (MWI) composed of motivational interviewing and mental wellness skills to examine feasibility and acceptability of MWI and to compare changes in subjective measures of psychological and socioemotional outcomes among pregnant women through early postpartum.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Between March 2023 and February 2024, eligible pregnant individuals aged 18 and older, at 10 to 24 weeks’ gestation, and English-speaking were recruited from a university-affiliated federally qualified health center (FQHC) in a large metropolitan area. Forty participants were randomized 1:1 to 4 weekly individual (45-60 minutes) virtual sessions of MWI or prenatal education control. Patient-reported perinatal distress and wellness indicators were interview-administered at baseline, postintervention, 2 months postintervention, and 6 weeks postpartum. This study was registered at ClinicalTrials.gov (NCT05718479).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean (SD) age of participants was 27.9 (5.7) years. Most participants identified as Black or African American (70%) pregnant women, with three-quarters being seen for prenatal services at an FQHC. The mean (SD) number of completed intervention sessions was 3.3 (1.3), with 75% of participants completing all 4 sessions. All participants reported being satisfied with the intervention, with 73% who were very satisfied and 86.7% who found the program very useful. MWI versus prenatal education demonstrated medium- to large-sized effects on reducing anxiety from mild to minimal symptoms and resulted in significantly increased health-promoting behaviors (eg, exercise, sleep, nutrition) at follow-up timepoints.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Findings suggest that MWI was feasible and acceptable, in addition to demonstrating larger reductions in anxiety and greater increases in health-promoting behaviors compared to prenatal education among pregnant women. Further exploration of efficacy outcomes would require a larger sample size to detect more precise effects of MWI on psychological and socioemotional functioning during the perinatal period.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 3","pages":"442-451"},"PeriodicalIF":2.1,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13754","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061140","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 on Women's Health at the NIH and the Journal of Midwifery & Women's Health's Commitment to Evidence and Inclusion in Scholarship","authors":"Melissa D. Avery CNM, PhD,&nbsp;Lisa Hanson CNM, PhD","doi":"10.1111/jmwh.13753","DOIUrl":"https://doi.org/10.1111/jmwh.13753","url":null,"abstract":"&lt;p&gt;As the premier biomedical research funding agency in the United States, the National Institutes of Health (NIH) conducts intramural research and supports extramural research through 21 institutes and 5 centers.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; Examples of funded studies that have contributed substantially to improved health outcomes include studies developing and testing innovative cancer treatments that inform treatment protocols.&lt;/p&gt;&lt;p&gt;The &lt;i&gt;NIH-Wide Strategic Plan for Women's Health Research&lt;/i&gt; was published in December 2024.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; This document provides a broad approach to guide scientists and others engaged in the federal enterprise for women's health research. Overall, the NIH commitment is to expanding knowledge about women's health across all disease states and health conditions, enhancing women's inclusion in clinical trials, examining how sex and gender influence health, and conducting research within a context of health across important life phases such as pregnancy and menopause. As experts in women's health, this document is valuable for midwifery researchers, clinicians, and policy experts alike.&lt;/p&gt;&lt;p&gt;The strategic plan is far-reaching, encompassing goals related to research, data systems, research training, basic and translational science, and community engagement. These goals emphasize the need to understand impacts of disease on women's health, including a focus on sex, gender, and health disparities, as well as social and cultural influences on women's health. The use of cutting-edge research methods, data analysis and interpretation, and evolving artificial intelligence tools is encouraged. Research training is recommended to focus on enhancing preparation of new researchers who will generate new knowledge about the impact of sex and gender on health, as well as increasing the number of women scientists conducting research. The enhancement of women's health research should also include understanding the influence of sex and gender on cellular function as well as system level physiologic processes, including those that are specific to pregnancy and menopause. The focus on community includes research training in community-engaged research approaches, implementation science, and a systemic approach to understanding how sex and gender impact women's health, including health disparities.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;The NIH strategic goals for women's health research are important to research conducted by midwives and thus to midwifery practice. More midwives prepared to conduct research as principal investigators is critical to advancing the scholarly basis for our practice and model of care. Midwifery scientists, doctoral students, and postdoctoral fellows may find guidance in the strategic plan to inform their programs of research.&lt;/p&gt;&lt;p&gt;As we began to analyze the strategic plan to present its potential to guide midwives and midwifery research for the future, the very foundation of federal research funding of t","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 2","pages":"197-199"},"PeriodicalIF":2.1,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13753","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143801319","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":"Perinatal Substance Use Disorder Educational Content in US Midwifery Training Programs: A Survey","authors":"Meagan Thompson CNM, DNP, APRN, PMHNP-BC,&nbsp;Casey Tak PhD,&nbsp;Jessica Ann Ellis CNM, PhD, APRN,&nbsp;Melissa Saftner CNM, PhD, APRN","doi":"10.1111/jmwh.13755","DOIUrl":"10.1111/jmwh.13755","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Perinatal substance use disorders (PSUDs) are a leading cause of maternal mortality and morbidity during the pregnancy and postpartum periods. This study aims to assess the incorporation of PSUD training in midwifery education programs and provide actionable recommendations for enhancing midwifery training.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional survey was administered to US certified nurse-midwifery and certified midwifery education program directors regarding the didactic and clinical education their students received.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 35 of 39 programs that responded to the survey. Findings indicate that most midwifery programs provide didactic content, but less than half of midwifery programs provide clinical experiences for their students. Most programs provide didactic content covering nicotine and tobacco cessation, perinatal alcohol use, epidemiology of substance use disorders, and screening for substance use disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Program directors identified several barriers to enhanced PSUD education and clinical experience for their students, including lack of dedicated perinatal addiction clinicians, lack of faculty expertise, lack of time in the curriculum, and lack of time by faculty, among others.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 4","pages":"624-628"},"PeriodicalIF":2.3,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic Reviews to Inform Practice, March/April 2025","authors":"Nena R. Harris CNM, PhD, FNP-BC, CNE,&nbsp;Abby Howe-Heyman CNM, PhD","doi":"10.1111/jmwh.13756","DOIUrl":"https://doi.org/10.1111/jmwh.13756","url":null,"abstract":"&lt;p&gt;Age-related pregnancy outcomes on both ends of the childbearing spectrum can reflect differences in risk factors for certain maternal or neonatal conditions. Congenital anomalies include structural and functional defects that develop during pregnancy and are the most common cause of neonatal and infant morbidity and mortality.&lt;sup&gt;1&lt;/sup&gt; Although numerous research studies have demonstrated a relationship between advanced maternal age and chromosomal anomalies, data on the association with nonchromosomal congenital anomalies (NCAs) have provided inconsistent findings.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt;&lt;sup&gt;,&lt;/sup&gt;&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; For example, a 2017 study found no association between maternal age and major congenital anomalies and may reflect an “all or nothing”&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt;&lt;sup&gt;(p 221)&lt;/sup&gt; survival of fetuses with normal anatomy. Furthermore, studies examining very young maternal age (&lt;20 years) is limited and have indicated associations with a limited number of birth defects, namely those of the abdominal wall.&lt;span&gt;&lt;sup&gt;4&lt;/sup&gt;&lt;/span&gt; Population data demonstrating increased maternal age at birth in recent decades warrant a closer look at the role of maternal age in the prevalence of NCAs.&lt;span&gt;&lt;sup&gt;5-7&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;Recognizing that no previous meta-analysis has specifically examined the relationship between maternal age and NCAs, Pethő et al&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; conducted a systematic review and meta-analysis to explore maternal age as a key factor in occurrence of NCAs. The study protocol was submitted to the International Prospective Register of Systematic Reviews. They included studies that collected data on associations between maternal age and congenital anomalies. They excluded studies that highlighted chromosomal anomalies as well as case reports and cohort and case control studies. The authors hypothesized that very young and more advanced ages would be associated with higher rates of NCAs.&lt;/p&gt;&lt;p&gt;Their analysis was based on 72 population-based studies conducted from 1967 through 2021 with population sizes ranging from 4220 to almost 25 million. Most studies were from the United States (n = 29), European countries (n = 14), China (n = 7), and Canada (n = 4), with the remaining from countries throughout Southeast Asia, South America, Australia, and other regions. The authors compared age groups &lt;20, 30 to 35, &gt;35, and &gt;40 years with the reference group of age 20 to 30 years. The prevalence of NCAs was the primary outcome of the analysis; secondary outcomes included defects of various organ systems and common birth defects.&lt;/p&gt;&lt;p&gt;Accounting for all NCAs, the authors found an increased risk of all studied NCAs due to age &gt;35 (risk ratio [RR], 1.31; 95% CI, 1.07-1.61) and, notably, age &gt;40 (RR, 1.44; 95% CI,1.25-1.66). The increased risk of total NCAs for age &gt;40 years was significant when examined individually without the influencing effects of chromosomal anomalies (RR, 1.25; 95% CI, 1.08-1.4","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 2","pages":"362-374"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13756","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143801323","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, March/April 2025","authors":"Amy Alspaugh CNM, PhD, MSN","doi":"10.1111/jmwh.13750","DOIUrl":"https://doi.org/10.1111/jmwh.13750","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 2","pages":"356-361"},"PeriodicalIF":2.1,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13750","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143801731","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":"Provider-Led Interventions to Reduce Congenital Cytomegalovirus","authors":"Erin Trisko CNM, MS,&nbsp;Kayla Gosnell CNM, MS,&nbsp;Taneesha Douglas CNM, MS, MBA,&nbsp;Katrina Wu CNM, PhD","doi":"10.1111/jmwh.13749","DOIUrl":"10.1111/jmwh.13749","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Cytomegalovirus (CMV) infection immediately before or during pregnancy can infect a fetus transplacentally, causing congenital CMV (cCMV). cCMV can cause miscarriage, stillbirth, growth restriction, neurodevelopmental delay, hearing, and vision impairment. This integrative review examined original research to better inform health care providers on methods for reducing cCMV infections.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Database searching to identify original research pertaining to cCMV prevention in CINAHL, PubMed, and Nursing and Allied Health in January 2024 produced an initial 417 initial studies. Final extraction included 34 studies that met inclusion criteria for analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three relevant themes emerged: education, screening, and treatment. Messaging and education focused on risk reduction as most effective for behavioral changes. Maternal screening did not predict cCMV in low-risk women; however, it did diagnose early-stage maternal infections. Initiation of treatment closer to infection diagnosis demonstrated better outcomes. The 2 main treatment options for maternal infection were valacyclovir 8 g daily orally and CMV-hyperimmunoglobulin (HIG) 100 or 200 units per kilogram via intravenous (IV) infusion at varying frequency. Research on the efficacy of valacyclovir showed reductions in the incidence of cCMV without adverse maternal effects. Reduction in neonatal transmission and adverse sequelae were more likely with the 200 units per kilogram dosing of IV administration of HIG-CMV compared with the lower dose of 100 units per kilogram.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>cCMV is often overlooked and untreated. Education in a variety of formats is effective at increasing provider knowledge and reducing infection rates by influencing maternal behavior. Screening recommendations are inconsistent but can be used as a tool to identify those pregnant individuals at highest risk, which could facilitate early diagnosis and prompt treatment. Maternal administration of medications such as valacyclovir and HIG-CMV have been shown to reduce the incidence of cCMV. Treatment options for CMV infection in pregnancy and resources for patient education are available and can reduce transmission to the neonate.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 4","pages":"576-592"},"PeriodicalIF":2.3,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13749","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733819","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}