Journal of midwifery & women's health最新文献

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Systematic Reviews to Inform Practice, May/June 2026 为实践提供信息的系统审查,2026年5月/ 6月
IF 2.3 4区 医学
Journal of midwifery & women's health Pub Date : 2026-06-13 Epub Date: 2026-05-29 DOI: 10.1111/jmwh.70141
Abby Howe-Heyman CNM, PhD, Beth G. McManis CNM, PhD, MS, Nena R. Harris CNM, PhD
{"title":"Systematic Reviews to Inform Practice, May/June 2026","authors":"Abby Howe-Heyman CNM, PhD, Beth G. McManis CNM, PhD, MS, Nena R. Harris CNM, PhD","doi":"10.1111/jmwh.70141","DOIUrl":"https://doi.org/10.1111/jmwh.70141","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 3","pages":"474-484"},"PeriodicalIF":2.3,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148238268","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}
引用次数: 0
Black Women's Perceptions of Race-Concordant Midwifery Care and Home Birth: Liberation in Labor 黑人妇女对种族和谐助产护理和家庭分娩的看法:劳动中的解放。
IF 2.3 4区 医学
Journal of midwifery & women's health Pub Date : 2026-06-13 Epub Date: 2025-12-13 DOI: 10.1111/jmwh.70068
Kimberly Navarro PhD, CNM, WHNP-BC, RN
{"title":"Black Women's Perceptions of Race-Concordant Midwifery Care and Home Birth: Liberation in Labor","authors":"Kimberly Navarro PhD, CNM, WHNP-BC, RN","doi":"10.1111/jmwh.70068","DOIUrl":"10.1111/jmwh.70068","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Racial disparities in perinatal health continue to drive negative outcomes for Black women in the United States, often due to low-quality perinatal care. Few studies examine patients’ perceptions of perinatal care. This study explored Black women's experiences of pregnancy and home birth with race-concordant certified nurse-midwives and their perceptions of care quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This qualitative study used semistructured interviews with Black women who received perinatal and home birth care from Black certified nurse-midwives. Participants were recruited through referrals from midwives in California, Georgia, and New York. Eligible participants self-identified as Black women, received home birth care from a Black nurse-midwife, and provided informed consent. Interviews were conducted between August and November 2022, lasted approximately 60 minutes, and were audio-recorded. Transcripts were analyzed using thematic analysis guided by the Donabedian model. Codes were organized around care structure, process, and outcomes, and then refined into overarching themes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Ten participants described pregnancy and home birth experiences with race-concordant nurse-midwives. Most had experienced prior hospital births, which informed their decision to seek midwifery care. Analysis produced 3 themes: (1) holistic healing, in which midwives addressed physical, emotional, spiritual, and cultural needs in supportive home environments; (2) liberation through care, in which participants experienced autonomy and empowerment in contrast to prior medicalized births; and (3) race-concordant connections, in which shared racial identity fostered trust, comfort, and personalized relationships that participants perceived as high-quality care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Black women in this study perceived race-concordant home birth midwifery care as high quality, emphasizing holistic support, autonomy, and trust. These findings highlight the importance of culturally responsive, relationship-centered care in addressing persistent perinatal inequities. Increasing racial diversity within the midwifery workforce and expanding access to race-concordant care may improve Black women's perinatal experiences and outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 3","pages":"404-411"},"PeriodicalIF":2.3,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145746352","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}
引用次数: 0
Survivor Perspectives on Clinical Support for Intimate Partner Reproductive Coercion: An Exploratory Qualitative Study 幸存者对亲密伴侣生殖强迫的临床支持:一项探索性质的研究。
IF 2.3 4区 医学
Journal of midwifery & women's health Pub Date : 2026-06-13 Epub Date: 2026-03-23 DOI: 10.1111/jmwh.70093
Emily Newton-Hoe MPH, MPA, Carmen Esquivel BA, Kathryn E. Fay MD, MSc
{"title":"Survivor Perspectives on Clinical Support for Intimate Partner Reproductive Coercion: An Exploratory Qualitative Study","authors":"Emily Newton-Hoe MPH, MPA,&nbsp;Carmen Esquivel BA,&nbsp;Kathryn E. Fay MD, MSc","doi":"10.1111/jmwh.70093","DOIUrl":"10.1111/jmwh.70093","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Intimate partner reproductive coercion (IPRC) is a common form of violence that undermines reproductive autonomy through behaviors such as contraceptive sabotage and pregnancy pressure. Although clinicians have the potential to offer meaningful support, data are limited regarding durable, consistent harm reduction interventions. Incorporating survivor perspectives is essential to ground clinical responses in lived experience and the complexities of IPRC. This study aimed to identify survivor-informed strategies to support reproductive autonomy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted an exploratory qualitative study with individuals who spoke English or Spanish aged 18 to 50 years, were assigned female at birth, disclosed a history of IPRC, and received care at a large academic health care center in the Northeastern United States. Semistructured interviews were conducted via videoconference or telephone and recorded, transcribed, and analyzed using the Framework Method. This inductive, modified grounded theory–informed approach guided the development of survivor-informed propositions that deepen understanding of clinical encounters in the context of IPRC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty individuals participated in the study. Participants described IPRC as a spectrum of coercive behaviors rooted in control, gender norms, and cultural messaging. Social factors shaped experiences of IPRC and the perceived risks of clinical disclosure. Survivors identified clinical strategies that supported reproductive autonomy, including nonjudgmental language, confidentiality, access to discreet contraceptive options, and a range of communication styles. Suggestions for clinical approaches varied, highlighting the need for individualized, flexible care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Survivors emphasized that effective clinical care for IPRC must go beyond education or screening and instead adopt a whole-person, trauma-informed approach rooted in trust, empathy, and humility. Clinicians’ awareness of how structural and interpersonal factors intersect with experiences of IPRC may support more responsive and equitable care. Future research should explore how survivor-informed approaches affect outcomes across diverse clinical and community contexts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 3","pages":"379-387"},"PeriodicalIF":2.3,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505851","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}
引用次数: 0
A Single Menstrual Pain Question at Routine Antenatal Visits Flags Risk of Postpartum Depressive Symptoms: A Retrospective Cohort Study 一个单一的月经疼痛问题在常规产前检查标志产后抑郁症状的风险:一项回顾性队列研究。
IF 2.3 4区 医学
Journal of midwifery & women's health Pub Date : 2026-06-13 Epub Date: 2026-03-18 DOI: 10.1111/jmwh.70092
Takuma Yamada MD, Takeshi Murakoshi MD, PhD, Aki Nishiyama RM, Rena Suzuki RM, Hiroshi Adachi MD, PhD
{"title":"A Single Menstrual Pain Question at Routine Antenatal Visits Flags Risk of Postpartum Depressive Symptoms: A Retrospective Cohort Study","authors":"Takuma Yamada MD,&nbsp;Takeshi Murakoshi MD, PhD,&nbsp;Aki Nishiyama RM,&nbsp;Rena Suzuki RM,&nbsp;Hiroshi Adachi MD, PhD","doi":"10.1111/jmwh.70092","DOIUrl":"10.1111/jmwh.70092","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Postpartum depression (PPD) is a common and serious condition, and early identification of patients who are at risk during pregnancy is a clinical priority. Premenstrual mood disorders and dysmenorrhea have been associated with PPD, but routine diagnostic ascertainment is not always feasible. We evaluated whether a single yes/no question about menstrual pain can flag women at higher risk of PPD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This single-center, retrospective cohort study was performed at a tertiary perinatal unit. Menstrual pain was routinely documented during antenatal care and operationalized as a binary exposure (yes/no). The primary outcome was an Edinburgh Postnatal Depression Scale score greater than or equal to 9 at one month postpartum. We estimated adjusted odds ratios (aORs) using multivariable logistic regression, adjusting for maternal age, body mass index, infertility treatment, parity, number of fetuses, current smoking during pregnancy, and a history of mental illness. Adjusted risks were obtained by marginal standardization. The primary analysis used complete cases, with multiple imputation using 50 imputations as a sensitivity analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 5096 women, the crude risk of PPD was 5.3% in women without menstrual pain and 7.4% in those with menstrual pain. Menstrual pain was associated with PPD (aOR, 1.39; 95% CI, 1.09-1.77), and the results were similar with multiple imputation. The adjusted risk was 5.5% without menstrual pain and 7.2% with menstrual pain (absolute risk difference of 1.7 percentage points and a risk ratio of 1.3).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>A single yes/no question about menstrual pain identified women who were pregnant and at elevated risk of PPD. Given its minimal burden and high feasibility in midwifery workflows, this screen may support early psychosocial follow-up.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 3","pages":"439-444"},"PeriodicalIF":2.3,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147476750","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}
引用次数: 0
Facilitators and Barriers to Prenatal Exercise from the Biopsychosocial Perspective of Pregnant Individuals: “If You Keep Moving, Then You Won't Stop” 从怀孕个体的生物心理社会角度看产前锻炼的促进因素和障碍:“如果你继续运动,那么你就不会停下来”。
IF 2.3 4区 医学
Journal of midwifery & women's health Pub Date : 2026-06-13 Epub Date: 2026-01-08 DOI: 10.1111/jmwh.70078
Lauren Elizabeth Hicks PhD, RN, Elizabeth Williams PhD, RN, Lauren Bates-Fraser PhD, SeonAe Yeo PhD, RN
{"title":"Facilitators and Barriers to Prenatal Exercise from the Biopsychosocial Perspective of Pregnant Individuals: “If You Keep Moving, Then You Won't Stop”","authors":"Lauren Elizabeth Hicks PhD, RN,&nbsp;Elizabeth Williams PhD, RN,&nbsp;Lauren Bates-Fraser PhD,&nbsp;SeonAe Yeo PhD, RN","doi":"10.1111/jmwh.70078","DOIUrl":"10.1111/jmwh.70078","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Exercise during pregnancy benefits maternal and fetal health, yet many pregnant individuals struggle to maintain regular physical activity. Biological, psychological, and social factors, along with structural determinants of health, shape engagement, particularly among populations historically underrepresented in prenatal exercise research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This secondary analysis of the Prenatal Heart Smart trial examined motivational interviews from 108 pregnant individuals participating in a low-intensity exercise intervention involving walking or stretching 5 days a week during the last 10 weeks of pregnancy. Weekly motivational interviews evaluating importance and confidence ratings for exercise were collected on a 0 to 10 scale. Qualitative data were analyzed using content analysis, and quantitative data were analyzed descriptively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants rated exercise as highly important (mean [SD], 8.46 [1.71]) and expressed moderate-to-high confidence in engaging in it (mean [SD], 7.70 [1.98]). Fatigue, pain, and discomfort were common barriers, whereas accessible, home-based activities supported engagement. Psychological barriers included fear of overexertion, uncertainty about safety, and fluctuating motivation, whereas intrinsic motivation, stress relief, and routine formation facilitated consistency. Social support from partners, family, and health care providers encouraged participation, although many cited limited provider guidance and competing responsibilities as challenges. Structural determinants such as work demands and neighborhood safety further shaped engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Exercise during pregnancy is influenced by intersecting biological, psychological, social, and structural factors. Pregnant individuals may value exercise but lack the confidence, resources, and systemic support necessary to sustain it. Interventions should extend beyond education to include culturally responsive, accessible, and community-based approaches that strengthen confidence, social support, and structural equity to promote sustainable prenatal physical activity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 3","pages":"431-438"},"PeriodicalIF":2.3,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936913","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}
引用次数: 0
A Comparison of Physiologic Third-Stage Care, Expectant Management, and Oxytocin Prophylaxis in the Prevention of Postpartum Hemorrhage Following Physiologic Labor and Birth: A Systematic Review 生理性第三期护理、待产管理和催产素预防在预防生理性分娩后产后出血中的比较:一项系统综述。
IF 2.3 4区 医学
Journal of midwifery & women's health Pub Date : 2026-06-13 Epub Date: 2026-01-14 DOI: 10.1111/jmwh.70077
Vanessa Hébert RM, MA, Nancy Santesso PhD, Irina I. Oltean MSc, Giulia M. Muraca PhD, MPH, Elizabeth K. Darling PhD, RM
{"title":"A Comparison of Physiologic Third-Stage Care, Expectant Management, and Oxytocin Prophylaxis in the Prevention of Postpartum Hemorrhage Following Physiologic Labor and Birth: A Systematic Review","authors":"Vanessa Hébert RM, MA,&nbsp;Nancy Santesso PhD,&nbsp;Irina I. Oltean MSc,&nbsp;Giulia M. Muraca PhD, MPH,&nbsp;Elizabeth K. Darling PhD, RM","doi":"10.1111/jmwh.70077","DOIUrl":"10.1111/jmwh.70077","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This systematic review compared the effects of physiologic care or expectant management during the third stage of labor with oxytocin prophylaxis in preventing postpartum hemorrhage following physiologic birth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We searched MEDLINE, Embase, CINAHL, Web of Science, and Cochrane Central Register of Controlled Trials (to December 15, 2023), ClinicalTrials.gov (to July 8, 2024), and reference lists of eligible studies. We included randomized and nonrandomized studies of individuals who experienced physiologic birth or received minimal obstetric interventions. Two reviewers independently assessed eligibility and risk of bias. Random-effects meta-analyses were performed, and evidence certainty was evaluated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three randomized controlled trials and 4 nonrandomized studies (N = 7; 7091 participants) were included, with 3 studies contributing data to the quantitative analyses. For individuals with physiologic birth, low-certainty evidence from one nonrandomized study (3436 participants) suggests that physiologic third-stage care results in a large reduction in the risk of blood loss greater than 1000 mL compared with oxytocin (relative risk [RR], 0.29; 95% CI, 0.09-0.92; 18 fewer per 1000; 95% CI, 22 fewer to 2 fewer). In contrast, evidence from one randomized controlled trial (1686 participants) indicates that expectant management likely results in a large increase in the risk of excessive blood loss greater than 1000 mL (RR, 1.87; 95% CI, 1.36-2.57; 21 more per 1000; 95% CI, 9 more to 39 more; moderate certainty) compared with oxytocin but may not increase the risk of transfusion (low certainty) and results in little to no difference in well-being or breastfeeding (high certainty).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Compared with oxytocin, physiologic third-stage care may result in a large reduction in the risk of excessive blood loss, whereas expectant management likely results in a large increase. Further research is needed to improve evidence certainty, focus on patient-important outcomes, and enhance generalizability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 3","pages":"354-366"},"PeriodicalIF":2.3,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70077","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145968216","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}
引用次数: 0
Perspectives From Leaders in the Black Community on the Black Maternal Health Crisis: A Qualitative Landscape Analysis 黑人社区领导人对黑人孕产妇健康危机的看法:定性景观分析。
IF 2.3 4区 医学
Journal of midwifery & women's health Pub Date : 2026-06-13 Epub Date: 2026-03-29 DOI: 10.1111/jmwh.70094
Kaytura Felix MD, Jay Mawuli BSc, Alejandro McGhee MPhil, Marjorie Paloma MPH, Keshia M. Pollack Porter PhD, MPH
{"title":"Perspectives From Leaders in the Black Community on the Black Maternal Health Crisis: A Qualitative Landscape Analysis","authors":"Kaytura Felix MD,&nbsp;Jay Mawuli BSc,&nbsp;Alejandro McGhee MPhil,&nbsp;Marjorie Paloma MPH,&nbsp;Keshia M. Pollack Porter PhD, MPH","doi":"10.1111/jmwh.70094","DOIUrl":"10.1111/jmwh.70094","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>In response to disproportionately high rates of maternal mortality and morbidity, many Black people in the United States have sought alternative birthing options outside of hospitals, including home births and community birth centers. Leaders in Black perinatal health care are increasingly advocating for investments in systems that better support people who are pregnant and opt to give birth outside the hospital setting. Despite the disproportionate burden of maternal death and morbidity within Black communities, few studies have examined community-driven responses to this crisis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This qualitative study was conducted between January and October of 2023 to explore how the Black community was responding to the maternal health crisis. It consisted of structured and unstructured conversations with 57 experts, leaders, artists, and practitioners who were deeply knowledgeable about community approaches and an observation of one midwife who was Black and caring for 2 clients who were Black and postpartum in their homes. Thematic analysis of the interviews was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants perceived that the overemphasis on the negative mortality and morbidity statistics on people who are Black and birthing in the media, without a concomitant attention to the solutions, is harmful to that community and discourages childbearing. They described significant yet often ignored positive contributions of women who are Black and identified Black community midwifery as an important yet underresourced strategy. Direct observation of community midwifery care illustrated dominant themes of spirituality, support, and rest.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>These findings suggest that Black community midwifery is an important model of care that offers protective factors during the postpartum period, a time when people who are Black and birthing are most vulnerable to death and disease. Further investments and study into Black community midwifery are warranted to better understand perinatal crisis solutions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 3","pages":"388-394"},"PeriodicalIF":2.3,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70094","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577456","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}
引用次数: 0
Research and Professional Literature to Inform Practice, May/June 2026 研究和专业文献为实践提供信息,2026年5月/ 6月
IF 2.3 4区 医学
Journal of midwifery & women's health Pub Date : 2026-06-13 Epub Date: 2026-05-30 DOI: 10.1111/jmwh.70140
Amy Alspaugh CNM, PhD, MSN
{"title":"Research and Professional Literature to Inform Practice, May/June 2026","authors":"Amy Alspaugh CNM, PhD, MSN","doi":"10.1111/jmwh.70140","DOIUrl":"https://doi.org/10.1111/jmwh.70140","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 3","pages":"485-490"},"PeriodicalIF":2.3,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148238270","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}
引用次数: 0
Midwifery Students’ Experiences Obtaining Clinical Placements and Associations With Training Quality: “I Had to Figure It Out on My Own” 助产学学生获得临床实习的经历与培训质量的关系:“我必须自己弄清楚”。
IF 2.3 4区 医学
Journal of midwifery & women's health Pub Date : 2026-06-13 Epub Date: 2026-03-23 DOI: 10.1111/jmwh.70097
Laura D. Lindberg PhD, Julie Blumenfeld CNM, DNP, Katherine Tierney PhD, Amy Alspaugh CNM, PhD
{"title":"Midwifery Students’ Experiences Obtaining Clinical Placements and Associations With Training Quality: “I Had to Figure It Out on My Own”","authors":"Laura D. Lindberg PhD,&nbsp;Julie Blumenfeld CNM, DNP,&nbsp;Katherine Tierney PhD,&nbsp;Amy Alspaugh CNM, PhD","doi":"10.1111/jmwh.70097","DOIUrl":"10.1111/jmwh.70097","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Hands-on clinical education is essential to midwifery training, yet the US system relies heavily on informal networks of clinical preceptors. Challenges in securing placements may affect students’ preparedness and satisfaction with training, but empirical data are limited. This study examines how responsibility for and difficulty in securing clinical placements are associated with the early-career midwives’ reports of the quality of their midwifery clinical education.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a national cross-sectional survey in 2024 of certified nurse-midwives (CNMs) and certified midwives (CMs) who received American Midwifery Certification Board certification between 2019 and 2024. The primary independent variable measured the process of finding a clinical placement, combining the responsibility for finding a placement (school vs student) with the difficulty of securing it. Logistic and linear regressions assessed associations with multiple measures of training quality, adjusting for age, race/ethnicity, degree type, year of certification, and number of placements. Open-ended responses were analyzed thematically.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fewer than half of respondents (46.0%) reported that their school had primary responsibility for their placements, 37.8% arranged their own placements with difficulty, and 16.2% arranged their own placements without difficulty. Compared with other students, those who were able to find their own clinical placements without difficulty had higher-quality clinical education across all measured outcomes, including greater satisfaction, a greater sense of competence as a midwife, better clinical learning environments, and more positive perceptions of preceptor support and midwifery-aligned philosophy. Qualitative findings described high stress, lack of school support, and reliance on personal networks to secure placements.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The burden of finding clinical placements negatively affects student clinical training experiences. Variability and inequity in the current clinical placement system threaten the quality of midwifery education and, ultimately, the strength of the midwifery workforce. A structured, equitable, and formalized clinical placement system is needed to ensure consistent, high-quality midwifery education.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 3","pages":"395-403"},"PeriodicalIF":2.3,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70097","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505873","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}
引用次数: 0
Thank You to 2025 Peer Reviewers 感谢2025位同行评审
IF 2.3 4区 医学
Journal of midwifery & women's health Pub Date : 2026-06-13 DOI: 10.1111/jmwh.70130
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