Journal of midwifery & women's health最新文献

{"title":"Systematic Reviews to Inform Practice, May/June, 2024","authors":"Abby Howe-Heyman CNM, PhD","doi":"10.1111/jmwh.13648","DOIUrl":"10.1111/jmwh.13648","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141070765","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":"The Incidence of Intrahepatic Cholestasis of Pregnancy and its Maternal, Fetal, and Neonatal Adverse Outcomes: A Systematic Review and Meta-Analysis","authors":"Resmiye Kaya Odabaş PhD,&nbsp;Yasemin Sökmen PhD,&nbsp;Emre Dünder PhD,&nbsp;Ayten Taşpınar PhD","doi":"10.1111/jmwh.13640","DOIUrl":"10.1111/jmwh.13640","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Intrahepatic cholestasis of pregnancy (ICP) is a problem with an increasing incidence and negative maternal, fetal, and neonatal consequences. This problem is becoming increasingly important. This systematic review and meta-analysis aimed to determine the incidence of ICP and its adverse maternal, fetal, and neonatal adverse outcomes based on primary research studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This systematic review and meta-analysis used Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guidelines and was conducted between June and September 2023 using the following keywords: <i>obstetric cholestasis</i> OR <i>intrahepatic cholestasis</i> AND <i>pregnancy</i> OR <i>pregnant</i> OR <i>prenatal</i> OR <i>antenatal</i> OR <i>perinatal</i> OR <i>maternal</i> OR <i>fetal</i> OR <i>neonatal</i>. Quality assessment of the studies was performed using the Critical Appraisal Checklists developed by the JBI Institute. Data were synthesized using meta-analysis methods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analysis included 10 studies published between 2013 and 2023. The meta-analysis showed that the incidence of ICP was 1.7% (odds ratio [OR], 0.021; 95% CI, 0.012-0.027), whereas maternal, fetal, and neonatal adverse outcomes included cesarean birth (OR, 2.938; 95% CI, 1.467-5.881), preterm birth or preterm prelabor rupture of membranes (OR, 4.241; 95% CI, 1.996-9.009), hypertensive disorders of pregnancy (OR, 3.715; 95% CI, 1.545-8.929), maternal infection (OR, 3.301; 95% CI, 2.917-3.737), neonatal intensive care unit admission (OR, 2.715; 95% CI, 1.458-5.056), birth weight less than or equal to 2500 g (OR, 2.518; 95% CI, 1.296-4.892), and small for gestational age (OR, 1.915; 95% CI, 1.424-2.573).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This systematic review and meta-analysis revealed that ICP has a high incidence and several maternal, fetal, and neonatal adverse outcomes. Therefore, midwives and other health professionals must be aware of these outcomes and provide appropriate care to pregnant individuals with ICP.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946215","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":"Breastfeeding and Working","authors":"","doi":"10.1111/jmwh.13647","DOIUrl":"10.1111/jmwh.13647","url":null,"abstract":"<p>Congratulations on breastfeeding your baby! Your baby gets important health benefits from breastfeeding, and you can keep giving your baby breast milk when you go back to work. Continuing to breastfeed can keep your baby healthy so that you miss less work.</p><p>There are several things you might do just as you start back working to make breastfeeding easier. It might help to work part-time hours for a short time before going back to work full-time. It also can help if you can work from home for some of your work hours. Check to see if there are hours you can work that you could bring your baby to work. Start back to work on a Thursday or Friday so you and your baby have a few days to adjust before you start a full work week. If you can find child care close to your work, you can nurse your baby during your lunch break.</p><p>Get everything you need for pumping your breasts and storing breast milk together the night before you go to work. Pack your bag and the supplies you will need to pump as well as the baby's bag. You can also thaw the amount of breast milk you will need for the next day by putting it in the refrigerator the night before. Lay out clothes for both of you the night before so you have extra time in the morning to nurse your baby before going to work.</p><p>Start talking to your supervisor about your plan to breastfeed before you have your baby. Find out if your workplace has a program to help provide support for breastfeeding. If not, talk to them about creating such a program. Get tips from others in your company who have successfully breastfed while they returned to work. It might help to remind your supervisor that you may miss fewer days of work due to a sick child and have less health care costs if you keep breastfeeding. Ask if there is a place to pump and store breastmilk. Law requires most employers to provide break time and a private space to pump.</p><p>Your most important goal after the baby is born is to have enough breast milk. Feed your baby at least 8 to 12 times a day. After you have a good supply of breast milk for your baby, start pumping milk at least once a day at about the same time each day. This will help increase your milk supply and give you extra breast milk in the freezer for other times you want to give your baby a bottle. Pump after the feeding. Late at night and early in the morning usually provide the most milk. Don't worry if you get little or no milk at first. Your breasts will make more milk over time as you continue to pump. Start introducing a bottle to your baby at least a week or two before you return to work.</p><p>A high-quality double-sided electric breast pump is the best type of breast pump for those who work. You will be able to pump both breasts in 10 to 15 minutes. You can buy or rent your pump. The cost will be small compared to the cost of formula. Your local WIC office, health department, hospital, or health care provider can help you learn where to buy or rent your pump. Check ","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13647","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913438","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":"Vulvovaginal Candidiasis","authors":"","doi":"10.1111/jmwh.13650","DOIUrl":"10.1111/jmwh.13650","url":null,"abstract":"<p>Some yeast or fungus normally lives in a healthy vagina. When there is too much yeast, you can have vaginal burning and/or itching and sometimes a sticky or clumpy, white vaginal discharge. This is called a vulvovaginal candidiasis (VVC) infection or “yeast infection.”</p><p>Yeast can overgrow in the vagina for many reasons. Yeast grows best in dark, moist areas. Tight clothes, nylon underwear, and extra folds of skin make areas that are easy for yeast to grow. Yeast also grows when the normal bacteria in the vagina change. This can happen if you take antibiotics or when your hormones change. Hormones change when you take birth control pills or when you are pregnant. Yeast also likes sugar. If you eat too much sugar or have diabetes that is not controlled, yeast is more likely to overgrow. Yeast may overgrow if your immune system is weak like with HIV or medications like steroids.</p><p>Wear cotton underwear and change out of wet swimsuits or workout clothes quickly to keep moisture away from your vagina. Materials like nylon can keep the vagina moist. Avoiding the use of panty liners and tights or pantyhose may also prevent VVC. Do not douche. This removes good bacteria that protect your vagina from too much yeast. Do not insert any lotions or perfumes inside the vaginal, especially products that have heavy scents or chemicals. They may irritate your vagina.</p><p>Most yeast infections can be treated with over-the-counter medicine inserted into your vagina that comes as a cream, suppository, or tablet. The medicines listed here are used for 1 to 7 days. One-day treatments should only be used for mild infections. If you are having a lot of burning or itching, you will want to use the medicine for 3 or 7 days. If you are pregnant, you need to use a 7-day treatment. Use the medicine for the entire time, even if you feel better. Stopping the medicine too soon can cause the infection to come back. If the symptoms do not go away, contact your health care provider for further evaluation and treatment. There a few prescription creams and a pill that can also be used if needed.</p><p>Wash your hands before and after you use these medicines. Clean the outside of your vagina with warm water and dry well. Insert the medicine into your vagina while you are lying down at night before you go to sleep. This helps the medicine stay in your vagina for several hours.</p><p>Slight burning of the skin or vagina is normal with first contact. There usually are no other problems related to using these medicines. But, you should not use any medicine if you are allergic to it.</p><p>Many of these medicines are oil-based. If you put the medicine in your vagina and use a latex condom or diaphragm when you have sex, the medicine may cause breaks. In that case, either avoid sex while using the medicines or use another type of birth control.</p><p>\u0000 \u0000 </p><p>If you think this is your first VVC infection, you can try over-the-counter medication. If it ","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13650","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913441","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":"Social Safety for Black Women in Perinatal Health Care: A Concept Analysis","authors":"Kadeeja S. Murrell MS,&nbsp;Julie Fleury PhD","doi":"10.1111/jmwh.13642","DOIUrl":"10.1111/jmwh.13642","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Non-Hispanic Black women and their infants experience the worst pregnancy-related outcomes in the United States. Social safety is a health-relevant resource found in environments communicating safety, connectedness, inclusion, and protection. Approaches promoting social safety may be particularly relevant to preventing adverse perinatal health outcomes among Black women. However, there remains a lack of conceptual clarity. The purpose of this concept analysis was to provide a theoretical clarification of the concept social safety for Black women within perinatal health care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>PubMed, PsycINFO, and CINAHL were searched using Boolean search strategy. Retrieved articles were managed in Zotero. Duplicates were removed, and each article was assessed and categorized by both investigators. Articles reporting Black women's perinatal health care experiences were included. Thematic analysis guided by Rodgers’ evolutionary method identified defining attributes, antecedents, and consequences of social safety in perinatal care for Black women.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Social safety for Black women is defined as the process of feeling understood, respected, cared for, and in control in perinatal health care settings that make space, care for, and recognize strengths, thereby cultivating safety and empowerment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Social safety offers actionable insights for practice and research that have the potential to drive positive change in perinatal care delivery for Black women. Developing interventions and measurements that are valid, reliable, and reflect social safety are essential to promote positive experiences and equity in health care practices and policies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900613","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":"Peer Reviewer Acknowledgment","authors":"","doi":"10.1111/jmwh.13639","DOIUrl":"10.1111/jmwh.13639","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140838303","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":"Peer Reviewer Award","authors":"","doi":"10.1111/jmwh.13638","DOIUrl":"10.1111/jmwh.13638","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140838307","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":"Listening to Black Women's Perspectives of Birth Centers and Midwifery Care: Advocacy, Protection, and Empowerment","authors":"Shalom Anyiam RN,&nbsp;Jennifer Woo CNM, PhD, WHNP,&nbsp;Becky Spencer PhD, APRN, PMHNP-BC, IBCLC, PMH-C","doi":"10.1111/jmwh.13635","DOIUrl":"10.1111/jmwh.13635","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Black women in Texas experience high rates of adverse maternal outcomes that have been linked to health inequities and structural racism in the maternal care system. Birth centers and midwifery care are highlighted in the literature as contributing to improved perinatal care experiences and decreased adverse outcomes for Black women. However, compared with White women, Black women underuse birth centers and midwifery care. Black women's perceptions in Texas of birth center and midwifery care are underrepresented in research. Thus, this study aimed to highlight the views of Black women residing in Texas on birth centers and midwifery care to identify their needs and explore ways to increasing access to perinatal care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semistructured interviews were conducted with 10 pregnant and postpartum Black women residing in Texas. Questions focused on the women's access, knowledge, and use of birth centers and midwifery care in the context of their lived maternal care experiences. Interview transcripts were reviewed and analyzed using inductive, qualitative content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The Black women interviewed all shared experiences of discrimination and bias while receiving obstetric care that affected their interest in and overall perceptions of birth center and midwifery care. Participants also discussed financial and institutional barriers that impacted their ease of access to birth center and midwifery care services. Additionally, participants highlighted the need for culturally sensitive and respectful perinatal health care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The Black women interviewed in this study emphasized the prevalence of racism and discrimination in perinatal health care encounters, a reflection consistent with current literature. Black women also expressed a desire to use birth centers and midwifery care but identified the barriers in Texas that impede access. Study findings highlight the need to address barriers to promote equitable perinatal health care access for Black women.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140838864","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":"Nitrous Oxide Use for Pain in Labor, Conversion to Neuraxial Analgesia, and Birth Outcome","authors":"Susan DeJoy CNM (ret), PhD,&nbsp;Candice Killeen CNM, MS,&nbsp;Donna Jackson-Köhlin CNM, MSN,&nbsp;Audrey Psaltis CNM, MSN,&nbsp;Alexander Knee MS","doi":"10.1111/jmwh.13636","DOIUrl":"10.1111/jmwh.13636","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>A variety of labor pain management options is essential to patients and their care providers. Inhaled, patient controlled nitrous oxide (N₂O) is a valuable addition to these options. The purpose of this study was to examine laboring patient, newborn, and provider characteristics associated with N₂O use for pain relief in labor and to examine the association between N₂O, conversion to neuraxial analgesia, and cesarean birth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a retrospective observational cohort study of the first year of N₂O use in one large academic medical center. Patients at least 37 weeks’ gestation who were admitted for labor with intended vaginal birth from August 1, 2018, to June 30, 2019, were included (N = 2605). Laboring patient and newborn factors and their relationship to N₂O use were calculated as unadjusted and adjusted relative risks (RRs). Poisson regression was used to model the association between N₂O use and subsequent use of neuraxial analgesia and type of birth for both nulliparous and multiparous patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, 20.2% of patients used N₂O during labor. Multiparous patients were 24% less likely to use N₂O than nulliparous patients (RR, 0.76; 95% CI, 0.69-0.84). Use of N₂O did not differ significantly between patients cared for by midwives compared with patients cared for by physicians (RR, 0.95; 95% CI, 0.90-1.00). In multivariable modeling, N₂O use in multiparous patients was associated with a 17% decrease in use of neuraxial analgesia (RR, 0.83; 95% CI, 0.73-0.94). There was no association between N₂O use and use of neuraxial analgesia in nulliparous patients (RR, 0.99; 95% CI, 0.93-1.06). N₂O use was not associated with cesarean birth in either group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>N₂O is an important pain management option for laboring patients and those who care for them. Study results may assist midwives, physicians, and nurses in counseling patients about analgesia options.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140811552","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":"Hyperlipidemia Prevention and Management Utilizing Lifestyle Changes","authors":"L. Amy Giles CNM, DNP","doi":"10.1111/jmwh.13637","DOIUrl":"10.1111/jmwh.13637","url":null,"abstract":"<p>Hyperlipidemia incidence is on the rise and lifestyle behavior change is the first-line therapy. Left untreated, hyperlipidemia can result in cardiovascular disease leading to increased morbidity and mortality in persons worldwide. Evidence has demonstrated behavioral changes such as increased exercise, healthy nutrition, smoking cessation, alcohol abstinence, and other lifestyle modification interventions significantly decrease the incidence and severity of hyperlipidemia. The purpose of this article is to review the evidence of lifestyle interventions in preventing and managing hyperlipidemia and to suggest innovative ways to integrate those techniques into clinical practice. Recommendations on hyperlipidemia specific to pregnancy, polycystic ovary syndrome, and estrogen deficiency are also discussed.</p>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13637","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140811789","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}