Nursing for Women''s Health最新文献

{"title":"Vilomah: A Name and Identity for a Woman Whose Child Has Died","authors":"Sandra K. Cesario","doi":"10.1016/j.nwh.2025.11.003","DOIUrl":"10.1016/j.nwh.2025.11.003","url":null,"abstract":"<div><div>There is no commonly used word in the English language to describe a woman whose child has died. This absence of terminology may contribute to complicated grief, poor maternal identity adaptation, and alteration of societal expectations following the death of a child. Grief and mourning are deeply intertwined with social and cultural contexts, including language, that dictate meaning and expressions of grief. <em>Vilomah</em>, meaning “against the natural order,” is proposed as a single word that captures this unique demographic group, similar to that of <em>widow</em> or <em>orphan</em>. A demographic label contributes to identity formation and has the potential to empower individuals and groups. A woman may become a vilomah at any age due to a variety of circumstances requiring individualized, targeted nursing interventions across the life span.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 2","pages":"Pages 158-167"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147366866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health-Related Quality of Life in Midlife and Older Women With Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders","authors":"Linda K. Anderson","doi":"10.1016/j.nwh.2025.09.006","DOIUrl":"10.1016/j.nwh.2025.09.006","url":null,"abstract":"<div><h3>Objective</h3><div>To identify factors associated with health-related quality of life (HRQOL) in midlife and older women with hypermobile Ehlers-Danlos syndrome/hypermobility spectrum disorders (hEDS/HSD).</div></div><div><h3>Design</h3><div>Online, cross-sectional survey.</div></div><div><h3>Setting</h3><div>Online survey was administered to participants in Ehlers-Danlos syndrome Facebook groups.</div></div><div><h3>Participants</h3><div>Women ages 40 years and older with a diagnosis of hEDS/HSD.</div></div><div><h3>Methods</h3><div>Online survey including demographic and health history; 36-Item Short-Form Health Survey (SF-36) to measure HRQOL; and free-text questions related to things that reduced and improved well-being.</div></div><div><h3>Results</h3><div>Sixty-six women (mean age, 55 years) participated in the survey. Symptom onset was in childhood, but treatment was not sought until their late 20s. The mean age at diagnosis was the mid-40s; thus, the diagnosis was delayed by more than 18 years from the time participants first sought treatment. Comorbidities were common, with 62% of participants reporting seven or more comorbid diagnoses. The SF-36 scores indicated a high symptom burden and poor HRQOL, with worse mean scores in the physical domains compared to the mental domains. Symptom severity, treatment restrictions, environmental factors, comorbidities, and interactions with health care providers influenced HRQOL.</div></div><div><h3>Conclusion</h3><div>Nursing has an emerging role in research and education related to genetic syndromes and heritable connective tissue disorders, including hEDS/HSD, in midlife and older women. Future research should address the complex relationships among physical, social, personal, and environmental factors to maximize HRQOL in this population.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 2","pages":"Pages 85-92"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intermittent Fasting as a Nonpharmacologic Strategy to Manage Polycystic Ovary Syndrome","authors":"Megan Devins","doi":"10.1016/j.nwh.2025.10.003","DOIUrl":"10.1016/j.nwh.2025.10.003","url":null,"abstract":"<div><div>Polycystic ovary syndrome (PCOS) is a metabolic disorder that affects 6% to 21% of women of reproductive age. It is characterized by hyperandrogenism, ano/oligo-ovulation, and ovarian cysts. Insulin resistance is a common finding among women with PCOS. To effectively manage PCOS, efforts must be focused on improving insulin resistance, as it has been noted to play a major role in a multitude of life-altering and life-threatening conditions. Intermittent fasting (IF) is a dietary intervention alternating between fasting and feasting. IF has been shown to improve insulin resistance, hyperinsulinemia, and hyperandrogenism, all of which contribute to the hormone imbalance and reproductive complications seen in women with PCOS. Current literature will be reviewed to demonstrate that IF may be a safe, nonpharmacologic intervention to manage PCOS.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 2","pages":"Pages 139-147"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acetaminophen During Pregnancy","authors":"","doi":"10.1016/S1751-4851(26)00054-1","DOIUrl":"10.1016/S1751-4851(26)00054-1","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 2","pages":"Pages 80-84"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147626220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives of Undergraduate Nursing Students Taking Combined and Separate Maternity and Pediatric Courses","authors":"Ann Marie Welsh,&nbsp;Patricia Brown-O’Hara","doi":"10.1016/j.nwh.2025.10.004","DOIUrl":"10.1016/j.nwh.2025.10.004","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the perceptions of undergraduate nursing students who took either combined or separate maternity and pediatric courses.</div></div><div><h3>Design</h3><div>Qualitative descriptive study.</div></div><div><h3>Setting</h3><div>Two 4-year Catholic universities in northeastern suburban Pennsylvania, both offering a traditional bachelor of science in nursing program. University A offers a five-credit combined maternity and pediatrics course (three didactic and two clinical credits). University B offers two separate courses in maternity and pediatrics (each with two didactic and two clinical credits).</div></div><div><h3>Participants</h3><div>A total of 22 bachelor of science in nursing students participated: 18 who completed the combined course (University A) and 4 who completed the separate courses (University B).</div></div><div><h3>Methods</h3><div>Focus groups were used for data collection. Benner’s concept theory From Novice to Expert served as the theoretical framework.</div></div><div><h3>Results</h3><div>Four themes emerged: <em>Negative/Positive Experience, Convenience and Time Limitations, Mixed Emotions About Entering the Novice Phase in Maternity and Pediatrics,</em> and <em>Course Revisions to Optimize Learning</em>.</div></div><div><h3>Conclusion</h3><div>The study highlights the impact of course structure on students’ learning and perceived preparedness for clinical practice. Students in a combined course reported feeling overwhelmed, whereas those in separate courses did not report negative feelings. This study fills the gaps in the literature and offers practical implications for nurse educators and curriculum developers. A closer academic partnership with clinical agencies is recommended to enhance student readiness and promote safe, high-quality care in maternity and pediatrics.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 2","pages":"Pages 112-119"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factor V Leiden and Venous Thromboembolism During Pregnancy and the Postpartum Period","authors":"Kelsey Carson Leibenhaut,&nbsp;Mindy B. Tinkle","doi":"10.1016/j.nwh.2025.09.005","DOIUrl":"10.1016/j.nwh.2025.09.005","url":null,"abstract":"<div><div>Factor V Leiden is a genetic mutation that is associated with increased risk of venous thromboembolism (VTE) and is the most common of the five inherited thrombophilias. VTE is a leading cause of maternal mortality in the United States, mostly due to mortality risk from pulmonary embolism. Factor V Leiden, particularly among homozygotes, figures significantly in the highest risk of VTE during pregnancy and the postpartum period. Current clinical guidelines from professional societies and international bodies often recommend different strategies for stratifying risk and reducing risk of VTE with thromboprophylaxis. This article provides an overview of the role of factor V Leiden and other risk factors for VTE during pregnancy and the postpartum period, approaches to screening and thromboprophylaxis, and practice implications for women’s health nurses.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 2","pages":"Pages 131-138"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses’ Attitudes Toward Patients With Perinatal Substance Use Disorder","authors":"Gail Elliott,&nbsp;April Messer,&nbsp;Thomas P. McCoy,&nbsp;Ratchneewan Ross","doi":"10.1016/j.nwh.2025.09.007","DOIUrl":"10.1016/j.nwh.2025.09.007","url":null,"abstract":"<div><h3>Objectives</h3><div>To determine the extent of stigmatizing attitudes among perinatal registered nurses in North Carolina, examine correlates of stigmatizing attitudes, and describe nurses’ attitudes about patients with perinatal substance use disorder (PSUD).</div></div><div><h3>Design</h3><div>Explanatory sequential mixed methods.</div></div><div><h3>Setting</h3><div>Participants were recruited through the North Carolina Board of Nursing and included nurses providing care to patients with PSUD in any care setting in North Carolina.</div></div><div><h3>Participants</h3><div>Eighty-three nurses licensed with the North Carolina Board of Nursing completed the survey; nine of these participants were interviewed.</div></div><div><h3>Methods</h3><div>Nurses’ attitudes were scored using the Modified Attitudes About Drug Use in Pregnancy (MADUP) scale, and a subsample completed semistructured interviews, which were transcribed and analyzed using thematic analysis.</div></div><div><h3>Results</h3><div>MADUP scale scores averaged 3.4 (<em>SD</em> = 0.8), and 33% of participants had stigmatizing attitudes toward patients with PSUD. Participants with a bachelor’s degree or higher had more positive attitudes than those with a diploma or associate degree (<em>b</em> = –0.603, 95% CI [–1.117, –0.088], <em>p</em> = .022). Three stages emerged from the qualitative data illustrating a continuum in which nurses are positioned related to their knowledge and attitudes toward patients with PSUD.</div></div><div><h3>Conclusion</h3><div>There is a need for integrated, standardized nursing care and structural education to mitigate stigma toward patients with PSUD and to ensure quality care. A larger national study is recommended for more generalizability of the results.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 2","pages":"Pages 102-111"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Giving Adhan","authors":"Alexis Gibbs","doi":"10.1016/j.nwh.2026.01.002","DOIUrl":"10.1016/j.nwh.2026.01.002","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 2","pages":"Pages 168-170"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scoping Review of Health Care–Seeking Behavior and Antenatal Care Visits Among Pregnant Adolescents in Low- and Middle-Income Countries","authors":"Siti Khuzaiyah PhD (Cand),&nbsp;Khadizah Haji Abdul-Mumin PhD,&nbsp;Sarena Haji Hashim PhD","doi":"10.1016/j.nwh.2025.09.004","DOIUrl":"10.1016/j.nwh.2025.09.004","url":null,"abstract":"<div><h3>Objective</h3><div>To review examined health care–seeking behavior (HSB) and antenatal care (ANC) visits among pregnant adolescents from the perspectives of maternity health care professionals in low- and middle-income countries (LMICs). HSB was defined as the willingness and actions of pregnant adolescents to seek and use ANC services.</div></div><div><h3>Data Sources and Study Selection</h3><div>Systematic searches in PubMed, ProQuest, Scopus, Wiley, Taylor &amp; Francis, and ScienceDirect for articles published in English between 2013 and 2024. Eligible studies included qualitative research in LMICs addressing health professionals’ perspectives on HSB and ANC. Of 2,149 records screened in Covidence, 1,043 duplicates were removed and 1,106 titles/abstracts reviewed. Twenty-nine full texts were assessed, and 14 studies were included. Data extraction captured study characteristics and health care professionals’ experiences.</div></div><div><h3>Data Extraction</h3><div>A standardized data extraction tool was used to capture key study characteristics, including author, year, country, study design, population, theoretical framework, and health care professionals’ experiences.</div></div><div><h3>Data Synthesis</h3><div>The findings highlight the need for adolescent-friendly ANC services. Health care professionals, particularly midwives, emphasized the importance of respectful, accessible care tailored to adolescents’ unique needs. However, many reported emotional strain and lack of specialized training to support this group. Although adolescents can make health decisions, access is often restricted by family control, stigma, and fear, especially for unmarried girls. Care seeking is more likely when adolescents experience health concerns, receive social support, and develop trust in providers. Barriers include financial hardship, limited knowledge, negative community or provider attitudes, cultural norms, long waiting times, policy constraints, and transportation challenges.</div></div><div><h3>Conclusion</h3><div>Emotional barriers, family dynamics, stigma, fear, financial and structural constraints, and limited provider capacity shape HSB and ANC use among pregnant adolescents in LMICs. To improve maternal outcomes among adolescents in LMICs, it is critical to implement adolescent-friendly ANC, enhance provider training, build trust, and address sociocultural and structural barriers to health care access.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 2","pages":"Pages 120-130"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146067479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information for Readers","authors":"","doi":"10.1016/S1751-4851(26)00049-8","DOIUrl":"10.1016/S1751-4851(26)00049-8","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 2","pages":"Page A4"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147626207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}