Journal of midwifery & women's health最新文献

{"title":"Acute Cystitis in a Transfeminine Patient: Assessment and Treatment of Urinary Tract Symptoms","authors":"Janell Senda CNM, DNP, FNP-C,&nbsp;Julia C. Phillippi CNM, PhD","doi":"10.1111/jmwh.13696","DOIUrl":"10.1111/jmwh.13696","url":null,"abstract":"<p>Management of acute cystitis in a transfeminine patient is discussed as an example of treatment of urinary tract infections (UTIs). The case is an introduction for clinicians who typically care for cisgender women and wish to expand the populations they serve to include care of gender-diverse individuals. This is supportive of the 2021 American College of Nurse-Midwives Position Statement on Health Care for Transgender and Gender Non-Binary People. Possible differential diagnoses for urinary symptoms in transfeminine patients are discussed, as well as relevant history taking, examination skills, and treatment guidelines for acute cystitis of patients with penises along with discussion of basic care for transgender individuals seeking midwifery or primary care services.</p>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 1","pages":"163-168"},"PeriodicalIF":2.1,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13696","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515450","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":"Implementing Best Practice When Screening Birthing People for a Substance Use Disorder","authors":"Sheila Kaufman CNM, WHNP-BC, MSN,&nbsp;Patricia D. Suplee RNC-OB, PhD,&nbsp;Damali M. Campbell-Oparaji MD,&nbsp;Julie Blumenfeld CNM, DNP","doi":"10.1111/jmwh.13697","DOIUrl":"10.1111/jmwh.13697","url":null,"abstract":"<p>Screening for substance use disorder (SUD) is an essential part of antepartum care. Best practice for screening requires the use of a validated tool early in pregnancy to identify those at risk and to connect them with counseling and treatment. In many health systems and practices, urine toxicology testing is erroneously employed as a SUD screening tool despite consistent recommendations against its routine use. The results are often misinterpreted as diagnostic of SUD and can have harmful downstream effects for pregnant and birthing people. This Clinical Rounds reviews the tools available for evidence-based SUD screenings in pregnancy care, pitfalls of urine toxicology testing, and ways in which midwifery care is well-positioned to implement evidence-based screening practices in pregnancy care.</p>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"69 6","pages":"952-957"},"PeriodicalIF":2.1,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515452","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":"Societal Discrimination, Vigilance, and Patient-Provider Relationships Among Perinatal Women: A Mixed Methods Study","authors":"Katherine I. Tierney PhD,&nbsp;Ellen Wagenfeld-Heintz PhD,&nbsp;Cynthia Bane PhD,&nbsp;Silvia Linares MD,&nbsp;Megan Sandberg MD,&nbsp;Drew Moss MD,&nbsp;Abby Duerst MD,&nbsp;Claudia Walters MD,&nbsp;Terra Bautista BA,&nbsp;Lynette Gumbleton BA,&nbsp;Catherine L. Kothari PhD","doi":"10.1111/jmwh.13700","DOIUrl":"10.1111/jmwh.13700","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>In the United States, maternal mortality is high and patterned by race and socioeconomic status (SES). Patient-provider relationships and societal discrimination have been separately associated with poor maternal outcomes, but it is not clear how such mechanisms may be interrelated. Thus, the present study investigates how societal experiences of discrimination are associated with and manifest in patient-provider relationship quality among perinatal women.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study uses a mixed methods design with an explanatory-sequential approach. First, a path analysis using structural equation modeling of a cross-sectional representative survey of 244 perinatal women in Kalamazoo County, Michigan, was conducted. Second, a thematic qualitative analysis was conducted of focus groups composed of survey participants (n = 34).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the quantitative analyses, race and SES were associated with experiences of societal discrimination in the expected directions (race: b, 1.87; SE, 0.58; <i>P</i> = .001; SES: b, 2.18; SE, 0.60; <i>P</i> &lt; .001), discrimination positively predicted vigilant behaviors (b, 0.81; SE, 0.15; <i>P</i> &lt; .001), and more vigilant behaviors predicted worse patient-provider relationship quality (b, 0.18; SE, 0.07; <i>P</i> &lt; .001). In the qualitative findings, we found detailed accounts linking provider discrimination, vigilance, and patient-provider relationships among focus groups composed of only women of color (n = 9).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Overall, the quantitative analyses find support for the conceptual model showing race and SES are associated with societal discrimination, which is associated with vigilant behaviors and, in turn, quality of patient-provider relationships. The qualitative analyses provide preliminary evidence for how these pathways manifest in care settings and demonstrate the importance of establishing trust in patient-provider relationships, especially among women of color.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 2","pages":"247-258"},"PeriodicalIF":2.1,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13700","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484395","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":"El embarazo no planificado: ¿Qué debo hacer?","authors":"","doi":"10.1111/jmwh.13678","DOIUrl":"https://doi.org/10.1111/jmwh.13678","url":null,"abstract":"&lt;p&gt;Si ha quedado embarazada pero no planeaba estarlo, será necesario decidir si desea continuar con el embarazo. Recuerde que no está sola, esto es una situación común ya que en los Estados Unidos aproximadamente la mitad de las personas que quedan embarazadas no planeaban estarlo. Si piensa que está embarazada, es importante consultar a un proveedor de atención médica para verificar si esto es el caso.&lt;/p&gt;&lt;p&gt;Cuando uno descubre que está embarazada, es normal estar emocional e incluso tener sentimientos encontrados. Es posible que se sienta asustada, enojada, feliz o emocionada. Lo primero será decidir si quiere seguir embarazada, o si prefiere interrumpir el embarazo. Si decide continuar con el embarazo, deberá decidir si va a querer criar al niño o si prefiere un plan de adopción. Si decide interrumpir el embarazo, es posible que necesite elegir qué tipo de aborto se realizará. Estas decisiones son importantes y sólo usted puede hacerlas. Es probable que querrá saber todo lo posible acerca de sus opciones antes de llegar a una decisión.&lt;/p&gt;&lt;p&gt;La crianza de los hijos es una gran responsabilidad, y ser madre tiene sus momentos felices y también difíciles. Los niños necesitan mucha atención y cuidado. Si decide criar a este bebé, será responsable de la vida de su hijo en todos los sentidos y su vida tendrá que cambiar de muchas maneras.&lt;/p&gt;&lt;p&gt;La adopción es un acuerdo legal entre usted y otra(s) persona(s) las cuales se convertirán en los padres legales de su bebé. Las personas quienes eligen un plan de adopción para su hijo(a) a menudo lo hacen porque sienten que otro hogar podrá brindarle más a su bebé de lo que ellas mismas podrían. Si usted decide por un plan de adopción, podrá elegir cuánto contacto desea tener con su hijo después de la adopción (desde ningún contacto hasta contacto regular). Una agencia de adopción o un abogado (o ambos) le brindaran apoyo pare encontrar un hogar para su bebé. Es muy importante que un profesional en el ámbito de adopción asesore su situación y le brinde consejo antes de que usted tome una decisión permanente.&lt;/p&gt;&lt;p&gt;Hay 2 tipos de aborto. En la etapa temprana del embarazo, es posible tomar medicamentos de receta los cuales consiguen que el cuerpo elimine el embarazo. Este proceso es algo similar a un aborto espontáneo. Otra opción es que un proveedor médico evacue el tejido del embarazo (aborto quirúrgico). A este procedimiento también se le conoce como “aspiración”, “legrado”, o “dilatación y evacuación”. En los primeros meses de embarazo el aborto quirúrgico es simple y se puede realizar en una clínica o consultorio médico. Si el embarazo va más adelantado, el aborto quirúrgico debe realizarse en un hospital o clínica. Dependiendo en el estado en el cual uno viva, el acceso al aborto puede estar muy restringido o, incluso, prohibido. Quizás tendrá que viajar a otro estado para recibir un aborto. Si es menor de edad (18 años) y no puede decirle a sus padres que quiere un aborto, es posible que pueda conversa","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"69 5","pages":"811-812"},"PeriodicalIF":2.1,"publicationDate":"2024-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13678","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142435297","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":"Sex and Gender Variables in Data Set Creation and Data Cleaning for Inclusive and Accurate Reproductive Health Research and Quality Improvement","authors":"Julia C. Phillippi CNM, PhD,&nbsp;Andrew Wiese PhD, MPH,&nbsp;Sarah F. Loch MPH,&nbsp;Wei-Qi Wei MD, PhD,&nbsp;Henry H. Ong PhD,&nbsp;Gilbert Gonzales PhD, MHA,&nbsp;Stephen W. Patrick MD, MPH, MS","doi":"10.1111/jmwh.13698","DOIUrl":"10.1111/jmwh.13698","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Existing data is often used for reproductive research and quality improvement. Electronic health records (EHRs) with a single data field for sex and gender conflate sex assigned at birth, genotype, gender identity, and the presence of anatomic tissue and organs. This is problematic for inclusion of transgender and gender-diverse populations in research. This article discusses considerations with a single-item sex and gender variable drawn from EHR records and describes an audit to determine variable validity as a criterion for inclusion or exclusion in perinatal research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Individuals with a live birth at a large academic medical center from 2010 to 2022 were identified via electronic query, and records with male demographic information were reviewed to validate (1) the patient's date of birth and delivery date in the EHR matched the medical record number, (2) male sex and gender demographic information, and (3) male gender terms in EHR notes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All health records of male birthing individuals (n = 8) had EHR evidence of giving birth within the health system during the timeframe, and the date of birth matched the medical record number of the EHR. All had male gender in the EHR demographic information. Six patients did not have any male gender terms in available EHR notes, only female gender terms. Two records had recent notes using male gender terms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Current EHRs may not have reliable data on the gender and sex of gender-diverse individuals. A single sex and gender variable drawn from EHRs should not be used as inclusion or exclusion criteria for health research or quality improvement without additional record review. EHRs can be updated to collect more data on sex, gender identity, and other relevant variables to improve research and quality improvement.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"70 1","pages":"131-136"},"PeriodicalIF":2.1,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13698","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335315","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":"ACNM Fellows Inducted in 2024","authors":"","doi":"10.1111/jmwh.13688","DOIUrl":"10.1111/jmwh.13688","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"69 5","pages":"630-632"},"PeriodicalIF":2.1,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335313","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 American College of Nurse-Midwives Lifetime Visionary Award 2024: Marsha Elaine Caldwell Jackson, CNM, MSN, FACNM","authors":"","doi":"10.1111/jmwh.13694","DOIUrl":"10.1111/jmwh.13694","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"69 5","pages":"629"},"PeriodicalIF":2.1,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335317","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, September/October 2024","authors":"Abby Howe-Heyman CNM, PhD","doi":"10.1111/jmwh.13693","DOIUrl":"10.1111/jmwh.13693","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"69 5","pages":"796-805"},"PeriodicalIF":2.1,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335316","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":"Research and Professional Literature to Inform Practice, September/October 2024","authors":"Amy Alspaugh CNM, PhD, MSN","doi":"10.1111/jmwh.13692","DOIUrl":"10.1111/jmwh.13692","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"69 5","pages":"790-795"},"PeriodicalIF":2.1,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142304990","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":"Midwifery Information at Your Fingertips: The Journal of Midwifery & Women's Health Online","authors":"Melissa D. Avery CNM, PhD","doi":"10.1111/jmwh.13689","DOIUrl":"10.1111/jmwh.13689","url":null,"abstract":"&lt;p&gt;Are you one of the many American College of Nurse-Midwives (ACNM) members who reads the &lt;i&gt;Journal of Midwifery &amp; Women's Health&lt;/i&gt; (&lt;i&gt;JMWH&lt;/i&gt;) when your copy of arrives in the mail every 2 months? If so, you are in a small majority. A &lt;i&gt;JMWH&lt;/i&gt; March 2024 ACNM member survey revealed that just over 50% of respondents read the Journal when it arrives in their mailbox. However, you may be missing out on &lt;i&gt;JMWH&lt;/i&gt;’s online offerings, including earlier access to excellent research and scholarship.&lt;/p&gt;&lt;p&gt;Did you know that articles are published online in &lt;i&gt;Early View&lt;/i&gt; as soon as the publication processes are complete? This occurs before an article appears in a print issue and lands in your mailbox. Newly published articles can be found on the Journal's homepage at jmwh.org. Along with finding the most recently published articles online, readers can check and see which articles have been cited or downloaded most often. ACNM members and other readers can sign up to receive alerts with article links as soon they are published online. Email alerts can be selected for monthly, weekly, or daily notification. ACNM members can also locate instructions on the &lt;i&gt;JMWH&lt;/i&gt; homepage to access all &lt;i&gt;JMWH&lt;/i&gt; articles back to our 1955 founding via the ACNM website.&lt;/p&gt;&lt;p&gt;ACNM members receive the electronic table of contents (eTOC) via email when each new compiled issue goes up online, a few weeks before the hard copy arrives in the mail. ACNM membership staff can help members who have had an email address change, or who may have opted out of an association email, and thus are not receiving the eTOC.&lt;/p&gt;&lt;p&gt;Under the &lt;i&gt;About&lt;/i&gt; dropdown menu on the homepage, readers can find information about the &lt;i&gt;JMWH&lt;/i&gt; Editors and Editorial Board. The &lt;i&gt;JMWH&lt;/i&gt; Aims and Scope, our recent &lt;i&gt;Statement of Inclusivity&lt;/i&gt;, and other helpful information are also available.&lt;/p&gt;&lt;p&gt;The &lt;i&gt;JMWH&lt;/i&gt; column &lt;i&gt;Ask the Midwife&lt;/i&gt;, available via handouts that can be downloaded or printed freely, is a great resource to share with your patients. &lt;i&gt;Ask the Midwife&lt;/i&gt; is located on both the homepage, and at a separate link from the homepage &lt;i&gt;Ask the Midwife&lt;/i&gt; dropdown menu. This is a frequently used &lt;i&gt;JMWH&lt;/i&gt; resource.&lt;/p&gt;&lt;p&gt;The &lt;i&gt;JMWH&lt;/i&gt; website has information about the Journal to help authors, welcome and support peer reviewers, and share collections of our recent work on current topics with readers. From the &lt;i&gt;JMWH&lt;/i&gt; homepage &lt;i&gt;Contribute&lt;/i&gt; dropdown menu, authors can link to &lt;i&gt;JMWH&lt;/i&gt; Instructions for Authors and the &lt;i&gt;JMWH&lt;/i&gt; Preparation and Style Guide, invaluable resources for preparing manuscripts for submission. Authors can find information about citations and full text views of their article by linking to the article on the website. Likewise, individuals interested in becoming a peer reviewer or who are current reviewers can find resources and helpful information about peer review and &lt;i&gt;JMWH&lt;/i&gt;.&lt;/p&gt;&lt;p&gt;&lt;i&gt;JMWH&lt;/i&gt; leadership provides a num","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"69 5","pages":"633"},"PeriodicalIF":2.1,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13689","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142304989","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}