Journal of midwifery & women's health最新文献

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Honoring Mary Ann Shah, 1942-2026: Midwife, JMWH Editor, ACNM President 纪念玛丽·安·沙阿,1942-2026:助产士,JMWH编辑,ACNM主席
IF 2.3 4区 医学
Journal of midwifery & women's health Pub Date : 2026-06-13 Epub Date: 2026-05-26 DOI: 10.1111/jmwh.70143
Melissa D. Avery CNM, PhD
{"title":"Honoring Mary Ann Shah, 1942-2026: Midwife, JMWH Editor, ACNM President","authors":"Melissa D. Avery CNM, PhD","doi":"10.1111/jmwh.70143","DOIUrl":"https://doi.org/10.1111/jmwh.70143","url":null,"abstract":"<p></p><p>It is with a feeling of loss, many rich memories, and a sense of purpose that I share our collective loss of Mary Ann Shah in January 2026 and highlight her legacy. Mary Ann was an amazing midwife colleague who contributed so much to the midwifery profession over her career. She served in major positions within the American College of Nurse-Midwives (ACNM), most notably as the Editor-in-Chief of the <i>Journal of Nurse-Midwifery</i> (<i>JNM</i>) and as ACNM President. She welcomed me as a very new midwife to join the <i>JNM</i> peer review panel, and I am exceedingly grateful for her leadership, friendship, and legacy.</p><p>Mary Ann received a certificate in nurse-midwifery from New York Medical College Graduate School of Nursing in 1968. She practiced midwifery part-time at the Maternal and Infant Care Project at the New York City Department of Health during the years 1970 to 1978 and at Metropolitan Medical Associates in Englewood, New Jersey, during 1979 and 1980. One of Mary Ann's early contributions was to midwifery education. In 1973, she wrote a multiple-year grant to the National Institutes of Health and obtained funding to launch the Georgetown University midwifery program. In celebrating the fiftieth anniversary of the Georgetown midwifery program in 2025, the faculty presented the Innovation in Education Pioneer Award to Mary Ann Shah.</p><p>ACNM President Dorthea Lang appointed Mary Ann as Editor-in-Chief of <i>JNM</i>, now the <i>Journal of Midwifery & Women's Health</i> (<i>JMWH</i>), in 1975.<span><sup>1</sup></span> Many journal advances occurred under her leadership. Following an ACNM member survey in 1978, the prior Clinical Practice, Education, and Research Exchange columns were established to provide more informal exchanges as requested by members. Today, 2 research-focused columns support clinical practice, and a midwifery education column to share innovations was recently added. A peer review panel was launched in 1981, and thereafter, <i>JNM</i> was officially a peer-reviewed journal. The mother and child logo became the cover art in 1979 along with added pages to become 60 per issue and 360 annually. That increase was followed by a reformatting of page layout in 1996, resulting in 90 additional pages without a subsequent publication charge.<span><sup>1</sup></span> The mother and child cover design was reformatted in 1998 to allow for a spine accommodating <i>JMWH</i>-identifying information. <i>JNM</i>’s Best Paper Award was also launched that year.<span><sup>1</sup></span> Mary Ann was honored for her kind and supportive mentorship of authors by the creation of the Mary Ann Shah New Author Award in 2004. This award is given to a certified nurse-midwife (CNM)/certified midwife (CM) author who is first author of a research or review article for the first time. The Best Article Award transitioned to 2 awards, the Best Original Research Award and Best Original Review Article Award in 2012 resulting in 3 <i>JMW","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 3","pages":"328-329"},"PeriodicalIF":2.3,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70143","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148238212","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
Perineal Massage 会阴部的按摩
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.70139
{"title":"Perineal Massage","authors":"","doi":"10.1111/jmwh.70139","DOIUrl":"https://doi.org/10.1111/jmwh.70139","url":null,"abstract":"<p>Your perineum is the area of skin and muscle between your vaginal opening and your rectum. This area stretches when you give birth, and sometimes the perineum or vagina will tear as your baby is being born. If your health care provider cuts an episiotomy during your birth, it is in this area. You may need stitches after your baby is born if you have a tear or have an episiotomy. About 5 to 9 out of every 10 people who give birth vaginally will have some form of scrape, tear or cut (episiotomy) in their perineum. Rates are higher for people having their first baby. About two-thirds of these people will need some stitches.</p><p>Perineal massage uses 2 fingers to stretch the area between your vagina and rectum. It helps this area stretch more easily when your baby's head comes out. Some people like to do it at home by themselves, while others prefer to have their partner's help. Your health care provider can also do this in the late first stage (dilating) or second stage (pushing) of labor. Research shows that both perineal massage during pregnancy and during labor and birth can decrease perineal tearing and the need for an episiotomy during birth. Perineal massage can also shorten your first and second stage of labor and decrease your perineal pain after birth. You will also have a quicker recovery if you don't have a tear. If perineal massage is started during pregnancy, it can also decrease your chance of fecal incontinence (leaking stool) after birth.</p><p>Perineal massage has the most benefits if you start it in pregnancy. You can start around 35 weeks of pregnancy. Research suggests that once or twice a week is usually enough. Some providers suggest 3 or 4 times a week. One study found that doing perineal massage at least 7 times before birth gives the most benefit. Sessions should last about 5 to 10 minutes. Perineal massage seems to be most helpful for people having their first baby.</p><p>If you have genital herpes or a yeast or vaginal infection, check with your health care provider before beginning perineal massage. Otherwise, it is free and easy to do. It may burn or sting slightly in the beginning, but this shouldn't last long. It shouldn't cause pain. If you have placenta previa or a low-lying placenta or believe your amniotic fluid (bag of waters) is leaking, check with your health care provider before putting anything in your vagina.</p><p>An episiotomy is not necessary for most people. Although they were common before the 1990s, they are rarely done today. However, sometimes your health care provider may recommend an episiotomy just as your baby is being born. For example, an episiotomy can help if your baby needs to be born very quickly. You can ask your health care provider to talk with you about episiotomy during a prenatal visit.</p><p>Flesch-Kincaid Grade Level: 7.6</p><p>Approved May 2026. This handout replaces “Perineal Massage in Pregnancy” published in Volume 61, Issue 1, January/February 2016.</p><p>This handout may b","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 3","pages":"491-492"},"PeriodicalIF":2.3,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70139","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148238242","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
Barriers and Facilitators to Early Postpartum Blood Pressure Follow-Up After Hypertensive Disorders of Pregnancy: An Integrative Review 妊娠高血压疾病后早期产后血压随访的障碍和促进因素:一项综合综述。
IF 2.3 4区 医学
Journal of midwifery & women's health Pub Date : 2026-06-13 Epub Date: 2026-03-26 DOI: 10.1111/jmwh.70091
Jill C. Doyle CNM, MS, Christopher S. Lee PhD, RN, Lucinda Canty CNM, PhD
{"title":"Barriers and Facilitators to Early Postpartum Blood Pressure Follow-Up After Hypertensive Disorders of Pregnancy: An Integrative Review","authors":"Jill C. Doyle CNM, MS,&nbsp;Christopher S. Lee PhD, RN,&nbsp;Lucinda Canty CNM, PhD","doi":"10.1111/jmwh.70091","DOIUrl":"10.1111/jmwh.70091","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Hypertensive disorders of pregnancy (HDP) are a leading cause of preventable maternal morbidity and mortality in the United States. Because blood pressure (BP) often peaks after hospital discharge, clinical guidelines recommend BP evaluation within 7 to 10 days postpartum. Yet fewer than half of postpartum individuals with HDP receive this follow-up, with the lowest rates among Black and Hispanic individuals. This integrative review aimed to identify multilevel barriers, facilitators, and predictors of timely postpartum BP follow-up using an intersectionality framework to inform equity-focused care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>PubMed, CINAHL, Scopus, and Web of Science were searched in February 2025 for studies published between May 2018 and February 2025. Eligible studies included quantitative, qualitative, or mixed-methods research that examined BP evaluation within 10 days postpartum among individuals with HDP; case reports and studies without racial/ethnic data were excluded. Thirteen studies met the criteria. Data were extracted into an evidence table, appraised with the Johns Hopkins Evidence-Based Practice model, and analyzed to identify multilevel barriers, facilitators, and predictors of follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Barriers to follow-up included racial and ethnic inequities, inadequate insurance, socioeconomic disadvantage, and fragmented prenatal care. Facilitators included remote BP monitoring, nurse-led interventions, and supportive provider communication. Predictors such as HDP severity, cesarean birth, maternal age, and parity were associated with follow-up, reflecting structural and contextual influences on postpartum care engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Disparities in early postpartum BP follow-up are rooted in intersecting systems of racism, classism, and structural disadvantage. These findings align with prior research showing the benefits of remote BP monitoring but extend the literature by identifying populations that remain excluded. Equity-focused strategies, including remote BP monitoring, midwifery-led care, and policy reform, are urgently needed to improve postpartum outcomes and reduce disparities. Further research should evaluate how these strategies can be implemented to address structural barriers and engage populations most affected by HDP.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 3","pages":"330-343"},"PeriodicalIF":2.3,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70091","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517904","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
Effects of Lumbopelvic Exercise-based Interventions on Primary Dysmenorrhea: A Systematic Review and Meta-Analysis of Randomized Controlled Trials 腰盆腔运动干预对原发性痛经的影响:随机对照试验的系统回顾和荟萃分析。
IF 2.3 4区 医学
Journal of midwifery & women's health Pub Date : 2026-06-13 Epub Date: 2026-04-07 DOI: 10.1111/jmwh.70084
Mohammad Alghosi MSc, Mozhdeh Barati MSc, Parisa Sedaghati PhD, Hassan Daneshmandi PhD
{"title":"Effects of Lumbopelvic Exercise-based Interventions on Primary Dysmenorrhea: A Systematic Review and Meta-Analysis of Randomized Controlled Trials","authors":"Mohammad Alghosi MSc,&nbsp;Mozhdeh Barati MSc,&nbsp;Parisa Sedaghati PhD,&nbsp;Hassan Daneshmandi PhD","doi":"10.1111/jmwh.70084","DOIUrl":"10.1111/jmwh.70084","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Dysmenorrhea, with a prevalence of 45% to 95% globally, is the most common gynecologic symptom among women. This systematic review and meta-analysis aimed to evaluate the effectiveness of lumbopelvic exercise-based interventions on primary dysmenorrhea.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Randomized clinical trials comparing lumbopelvic exercise interventions against passive control groups were included. The Web of Science, PubMed, and Scopus databases were searched from their inception to April 25, 2025. Two authors independently selected studies, extracted data, and assessed quality, with a third author ensuring accuracy. The methodological quality of the included trials was evaluated using the Physiotherapy Evidence Database (PEDro) checklist. Meta-analyses were conducted in Comprehensive Meta-Analysis (version 3.0), calculating pooled effect sizes as Hedges’ <i>g</i> with 95% CIs using a random-effects model due to substantial heterogeneity (I<sup>2</sup> = 92.88%). Publication bias was assessed via funnel plots and Egger's test, with sensitivity analyses performed to verify the robustness of the results.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fourteen randomized clinical trials (n = 1078) were included in the systematic review, with 13 in the meta-analysis. Lumbopelvic interventions significantly reduced pain intensity (ES, −1.50; 95% CI, −2.06 to −.94; <i>P</i> = .001). Subgroup analysis showed a significant effect for active interventions (ES, −1.78; 95% CI, −2.47 to −1.09, <i>P</i> = .001) but not for passive interventions (ES, −.93; 95% CI, −1.91 to .05, <i>P</i> = .06), with no significant difference between them (Q-between = 1.65, <i>P</i> = .19). The nonsignificant result for passive interventions was not robust because a sensitivity analysis excluding one study yielded a significant effect (ES, −1.34; 95% CI, −1.99 to −.69, <i>P</i> = .001), suggesting efficacy is specific to the modality used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Lumbopelvic exercises reduce dysmenorrhea pain. Both active and passive methods are beneficial, allowing midwives and clinicians to customize treatment. However, findings should be viewed cautiously due to heterogeneity and limited evidence for passive interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 3","pages":"445-466"},"PeriodicalIF":2.3,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629653","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 Communication for Childbirth: A Practical Approach 分娩的助产沟通:一个实用的方法。
IF 2.3 4区 医学
Journal of midwifery & women's health Pub Date : 2026-06-13 Epub Date: 2026-02-03 DOI: 10.1111/jmwh.70069
Julie-Anne Fleet RM, PhD, Laura Whitburn PhD, Elizabeth Newnham RM, PhD, Allan Cyna PhD
{"title":"Midwifery Communication for Childbirth: A Practical Approach","authors":"Julie-Anne Fleet RM, PhD,&nbsp;Laura Whitburn PhD,&nbsp;Elizabeth Newnham RM, PhD,&nbsp;Allan Cyna PhD","doi":"10.1111/jmwh.70069","DOIUrl":"10.1111/jmwh.70069","url":null,"abstract":"<p>During labor and birth, inadvertent negative suggestions from care givers and support people are common and may lead to negative experiences known as nocebo effects. Counteracting nocebo effects with the use of effective communication techniques can reduce distress, enhance birth experiences, and improve health outcomes. There are very few examples in the literature describing how effective communication techniques can be used by midwives and other birth attendants when providing care to individuals in labor and birth. This article provides a practical structured communication approach to facilitate effective communication during childbirth using greeting; rapport; expectation; addressing concerns; tacit agreement (GREAT) and listening; acceptance; utilization; reframing and suggestion (LAURS) frameworks. GREAT represents a communication structure for any interaction, whereas LAURS represents an approach that builds rapport and reshapes perceptions and behaviors by providing a learnable structure to facilitate the practice and teaching of intuitive (subconscious) communication. These techniques can thus enable midwives to optimize the birth experience and avoid inadvertent nocebo effects. With unprecedented rates of birth trauma, more attention to conscious and subconscious forms of communication is needed to facilitate positive and humanizing birth experiences.</p>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 3","pages":"467-473"},"PeriodicalIF":2.3,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115210","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
Racial Differences in Prenatal Cannabis Screening Among Women at Elevated Risk for Substance Use and Sexually Transmitted Infections 药物使用和性传播感染高风险妇女产前大麻筛查的种族差异
IF 2.3 4区 医学
Journal of midwifery & women's health Pub Date : 2026-06-13 Epub Date: 2026-05-27 DOI: 10.1111/jmwh.70105
Kristina Countryman MPH, Ananda Sen PhD, Dongru Chen MS, Caron Zlotnick PhD, Okeoma Mmeje MD, MPH, MBA, Katherine J. Gold MD, MSW, MS, Golfo Tzilos Wernette PhD
{"title":"Racial Differences in Prenatal Cannabis Screening Among Women at Elevated Risk for Substance Use and Sexually Transmitted Infections","authors":"Kristina Countryman MPH,&nbsp;Ananda Sen PhD,&nbsp;Dongru Chen MS,&nbsp;Caron Zlotnick PhD,&nbsp;Okeoma Mmeje MD, MPH, MBA,&nbsp;Katherine J. Gold MD, MSW, MS,&nbsp;Golfo Tzilos Wernette PhD","doi":"10.1111/jmwh.70105","DOIUrl":"10.1111/jmwh.70105","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Cannabis use during pregnancy is rising, in part due to an increased perception of safety and legalization across the country. National guidelines recommend that clinicians universally screen for substance use, including cannabis use, during pregnancy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is a longitudinal study assessing cannabis use frequency and reasons for use at baseline and patient-clinician communication at 4 study timepoints. Data are drawn from a randomized controlled trial testing an innovative, technology-delivered brief intervention, <i>Health Check-up for Expectant Moms</i>, with 176 pregnant cisgender women (mean age, 30.2; SD, 5.02; 25.6% Black) reporting substance use risk, condomless sex, and multiple sexual partners. We used <i>t</i>-tests, chi-square tests, Fisher's exact tests, and logistic regression to analyze the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, 18.2% (n = 32) self-reported current cannabis use at baseline, and 26.1% (n = 46) reported past year use. The most cited reason for use was relaxation or tension relief. Black women were significantly more likely than White women to have reported being talked to by their clinician about cannabis use in general during pregnancy and breastfeeding at every timepoint (all timepoints <i>P</i> ≤ .01). Clustered logistic regression analysis also showed higher odds for Black women to have been talked to about cannabis use in general compared with White women (adjusted odds ratio, 4.09; 95% CI, 2.29-7.32; <i>P</i> &lt; .0001), and this significance prevailed even after adjusting for prior cannabis use.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Seeking relaxation or tension relief was the most cited reason for use during pregnancy. Results suggest a racial bias that led to significantly more Black women being asked about cannabis use during pregnancy or breastfeeding at every timepoint, as compared with White women. There is a need for systemic and clinician-level improvement in universal screening and counseling.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 3","pages":"344-353"},"PeriodicalIF":2.3,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.70105","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148045012","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
The LISTEN (Lactation Support afTer pEriNatal loss) Project: Pathways of Loss and Lactation Care in Italy LISTEN(围产期损失后的哺乳支持)项目:意大利损失和哺乳护理的途径。
IF 2.3 4区 医学
Journal of midwifery & women's health Pub Date : 2026-06-13 Epub Date: 2025-12-23 DOI: 10.1111/jmwh.70076
Claudia Ravaldi PhD, MD, Laura Mosconi RN, PsyD, Anna Adami MA, RM, Roberto Bonaiuti PhD, Ilaria Detassis BA, RM, Mariacecilia Ferrari BA, RM, Valentina Fracasso BA, RM, Francesca Frati MA, RM, Elisabetta Matricardi BA, RM, Serena Neri MA, RM, Laura Pirani MA, RM, Antonella Tarantino MA, RM, Noemi Tisbi BA, RM, Alfredo Vannacci PhD, MD
{"title":"The LISTEN (Lactation Support afTer pEriNatal loss) Project: Pathways of Loss and Lactation Care in Italy","authors":"Claudia Ravaldi PhD, MD,&nbsp;Laura Mosconi RN, PsyD,&nbsp;Anna Adami MA, RM,&nbsp;Roberto Bonaiuti PhD,&nbsp;Ilaria Detassis BA, RM,&nbsp;Mariacecilia Ferrari BA, RM,&nbsp;Valentina Fracasso BA, RM,&nbsp;Francesca Frati MA, RM,&nbsp;Elisabetta Matricardi BA, RM,&nbsp;Serena Neri MA, RM,&nbsp;Laura Pirani MA, RM,&nbsp;Antonella Tarantino MA, RM,&nbsp;Noemi Tisbi BA, RM,&nbsp;Alfredo Vannacci PhD, MD","doi":"10.1111/jmwh.70076","DOIUrl":"10.1111/jmwh.70076","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>In the aftermath of perinatal loss, the physiologic onset of lactation presents a complex array of emotional responses for women, including grief and despair. Effective lactation management is essential for maternal health, yet it is often inadequately addressed by health care professionals, potentially compromising the physical and psychological recovery of the bereaved mother. The aim of this study was to investigate how Italian health care providers support women in managing lactation after a perinatal loss.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study employed a web-based, cross-sectional design. Participants involved in perinatal bereavement care were asked to answer a survey consisting of 3 areas: sociodemographic information, knowledge and experience of perinatal loss, and lactation after perinatal loss.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 1227 health care professionals participated in this study. A significant majority (60.2%) had received formal training on perinatal loss care, expressing high satisfaction with an average score of 4.7 out of 5. However, less than half (42.5%) reported having a guideline for bereavement care in their workplace. Despite the opportunity, 25% of the respondents did not provide lactation information. Discussions predominantly centered on pharmacologic suppression of lactation in cases of stillbirth (89.5%) and neonatal death (83.8%), as well as complications associated with these events. Postdischarge follow-up was reported as lacking by 78.2% of the sample.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The discrepancy between the training of health care professionals and their practice highlights a critical need to enhance the implementation of bereavement care guidelines and follow-up support, underscoring the importance of integrating lactation management into the perinatal loss care continuum.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 3","pages":"422-430"},"PeriodicalIF":2.3,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145812488","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
IF 2.3 4区 医学
{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 2","pages":"173-177"},"PeriodicalIF":2.3,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148070861","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
IF 2.3 4区 医学
{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148072342","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
IF 2.3 4区 医学
{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":"71 2","pages":"184-186"},"PeriodicalIF":2.3,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148062546","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
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