Nursing for Women''s Health最新文献

{"title":"Perceptions of Supportive Factors for Reducing Risk of Maternal Mortality Among Women With Substance Use Disorders in a Rural Setting","authors":"Kalyn M. Renbarger,&nbsp;Greta Slater,&nbsp;Barbara Phelps,&nbsp;Leann Brewer","doi":"10.1016/j.nwh.2024.03.004","DOIUrl":"10.1016/j.nwh.2024.03.004","url":null,"abstract":"<div><h3>Objective</h3><div>To describe perceptions of supportive factors for reducing the risk of maternal mortality among women with substance use disorders (SUDs) in a rural setting.</div></div><div><h3>Design</h3><div>Qualitative descriptive design.</div></div><div><h3>Setting/Local Problem</h3><div>Participants were recruited from a rural setting in a U.S. Midwest state where rates of maternal substance use and maternal mortality are high.</div></div><div><h3>Participants</h3><div>Sixteen participants were recruited from a maternal residential substance use treatment center.</div></div><div><h3>Intervention/Measurements</h3><div>Semistructured interviews were used during which participants described their perceptions of maternal mortality and their related experiences. We analyzed the transcribed interviews using a basic inductive content analysis to yield themes and subthemes.</div></div><div><h3>Results</h3><div>We identified three main themes: <em>Social Networks</em>, <em>Respectful Perinatal Care</em>, and <em>Residential Substance Use Treatment</em>.</div></div><div><h3>Conclusion</h3><div>Our findings suggest that nurses and other health care providers should be knowledgeable of resources to increase the social networks of women with SUD, recognize and manage the biases and judgments they may hold against women with SUD, and advocate for and refer women with SUD to residential substance use treatment.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 5","pages":"Pages 356-365"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972048","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":"A Cross-Sectional Comparative Study of Vaginal Microbiota and Spontaneous Abortion at a Tertiary Care Hospital in North Karnataka, India","authors":"Babita Belgundkar,&nbsp;Sangeeta Kharde,&nbsp;Suneel Dodamani,&nbsp;Shivani Tendulkar","doi":"10.1016/j.nwh.2024.04.006","DOIUrl":"10.1016/j.nwh.2024.04.006","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the vaginal microbiome in women who have undergone spontaneous abortion with a gestational age of less than 20 weeks to that of women who have a continued pregnancy of the same gestational age.</div></div><div><h3>Design</h3><div>Cross-sectional comparative research design.</div></div><div><h3>Setting</h3><div>The study was conducted in a tertiary care hospital of North Karnataka, India. In this rural area, many women lack awareness of prenatal care and women’s health information. Given rising rates of spontaneous abortion, studying the impact of the vaginal microbiome on pregnancy outcomes is crucial for raising local awareness.</div></div><div><h3>Participants</h3><div>Two hundred women; 100 experienced spontaneous abortion within 20 weeks’ gestation, and 100 maintained pregnancy with the same gestational age.</div></div><div><h3>Measures</h3><div>Vaginal swab was used to detect participants’ vaginal microbiota. DNA was extracted from the vaginal samples; the 16S ribosomal RNA sequencing method was used to identify the organisms present.</div></div><div><h3>Results</h3><div>A pathogen detection rate of 13.15% (<em>n</em> = 200 women) was found in vaginal cultures. The percentages of bacterial detection in women who had spontaneous abortion and those whose pregnancies continued were 19.9% and 7.9%, respectively (<em>p</em> &lt; .05). Compared to women who sustained their pregnancy, women who experienced spontaneous abortion had five common species: <em>Escherichia coli</em> (48%), <em>Enterococcus faecalis</em> (28%), <em>Enterococcus faecium</em> (12%), <em>Pseudomonas fluorescens</em> (7%), and <em>Pseudomonas cedrina</em> (5%); the most prevalent species among those with sustained pregnancy were <em>Lactobacillus iners</em> (58%), <em>Lactobacillus crispatus</em> (32 %), and <em>E. coli</em> (10%; <em>p</em> &lt; .05).</div></div><div><h3>Conclusion</h3><div>The vaginal microbiomes of women with spontaneous abortion were more varied and irregularly distributed with bacteria. The bacteria identified could affect a woman’s pregnancy outcome and perhaps be associated with spontaneous abortion. It is vital for nurses to provide education to women who are in the fertile period regarding prenatal screening, sexually transmitted infections, and perineal care.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 5","pages":"Pages 375-380"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113128","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":"Optimizing Maternal and Neonatal Outcomes in Perinatal Patients With Diabetes: AWHONN Practice Brief Number 21","authors":"An official practice brief from the Association of Women’s Health, Obstetric and Neonatal Nurses.","doi":"10.1016/j.nwh.2024.05.001","DOIUrl":"10.1016/j.nwh.2024.05.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 5","pages":"Pages e14-e16"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297926","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":"Perceptions of Sleep Quality, Fatigue, and Cognition Among Women Shift Workers.","authors":"Kathy L Nelson, Jean E Davis, Michael Wirth, Saher Karim Choudhary, Karen E Wickersham","doi":"10.1016/j.nwh.2024.06.003","DOIUrl":"10.1016/j.nwh.2024.06.003","url":null,"abstract":"<p><strong>Objective: </strong>To explore the perceptions of sleep quality, levels of fatigue, and cognitive executive function in women shift workers.</p><p><strong>Design: </strong>Qualitative, descriptive study of a sample of participants who participated in a cross-sectional, mixed-methods study.</p><p><strong>Setting: </strong>Online focus groups.</p><p><strong>Participants: </strong>Women shift workers (N = 14) recruited from the southeastern United States.</p><p><strong>Methods: </strong>Four focus groups were conducted using the Zoom online videoconferencing platform. Transcripts were coded inductively, and data were analyzed using a thematic analysis approach.</p><p><strong>Results: </strong>Five major themes were developed from the data: Lots of Sleep Lost, Day Sleep Difficulties, Negative Consequences, Missing Out, and Not in My Own Thoughts.</p><p><strong>Conclusion: </strong>Shift work is associated with sleep loss, which has a negative impact on women's emotional, mental, and physical health. Further nursing science investigation into strategies to enable women to improve their sleep quality, sleep quantity, and social/domestic environment is warranted. Education to increase sleep knowledge and decrease accidents and errors that can result from insufficient sleep is vital.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373085","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":"Diagnosis Experiences in Individuals With Lean Polycystic Ovary Syndrome.","authors":"Melissa Masters, Kenlee Dropping, Amie Parry-Jones, Rachel Sinley","doi":"10.1016/j.nwh.2024.05.003","DOIUrl":"10.1016/j.nwh.2024.05.003","url":null,"abstract":"<p><strong>Objective: </strong>To examine the diagnosis experience in an international sample of people with lean polycystic ovary syndrome (PCOS).</p><p><strong>Design: </strong>Cross-sectional study with open-ended questions.</p><p><strong>Setting: </strong>Online.</p><p><strong>Participants: </strong>A total of 150 people with lean PCOS who met eligibility criteria.</p><p><strong>Measurements/intervention: </strong>An electronic survey was distributed on social media. Survey questions were adapted from previously published research. Categorical data were analyzed as count and proportions. Chi-square tests were used to examine factors associated with diagnosis experience satisfaction. Post hoc analysis was conducted using adjusted standardized residuals. Statistical significance was set at p < .05. Qualitative data were analyzed with an inductive thematic approach.</p><p><strong>Results: </strong>Approximately 49.0% (n = 72) of participants reported diagnosis experience dissatisfaction, 72.8% (n = 99) disagreed that there is adequate information about lean PCOS, and 80.2% (n = 109) disagreed that health professionals have adequate knowledge about lean PCOS. Significant associations were found between length of time to diagnosis and diagnosis satisfaction (p = .001, χ² = 18.133, df = 4, Cramer's V = 0.258) and number of medical professionals seen and diagnosis satisfaction (p < .001, χ² = 18.095, df = 2, Cramer's V = 0.362). Main PCOS concerns included irregular menstrual cycles (n = 108, 72.0%), hormone imbalance (n = 97, 64.7%), and anxiety (n = 74, 49.3%). Qualitative analyses revealed that participants received limited PCOS management information and felt providers were dismissive of them.</p><p><strong>Conclusion: </strong>The diagnosis experience for people with lean PCOS includes high feelings of dissatisfaction. Opportunities exist to expand education about lean PCOS among students and clinicians, provide quality resources to support lifestyle modification in patients with lean PCOS, and listen to the needs of each individual. Future research should further examine the lean subset of people with PCOS.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356030","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":"Erratum.","authors":"","doi":"10.1016/j.nwh.2024.08.001","DOIUrl":"10.1016/j.nwh.2024.08.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142056867","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":"Exploring the Feasibility, Acceptability, and Potential Benefits of the Mom Movement Intervention (MOMmi)","authors":"","doi":"10.1016/j.nwh.2024.01.006","DOIUrl":"10.1016/j.nwh.2024.01.006","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the feasibility, acceptability, and potential benefits associated with a mind–body intervention and varied delivery styles among women during the postpartum period.</p></div><div><h3>Design</h3><p>Mixed-methods feasibility study.</p></div><div><h3>Setting</h3><p>Fraser Valley, British Columbia, Canada.</p></div><div><h3>Participants</h3><p>Forty-three women (93% White), with an average age of 32.1 (<em>SD</em> = 2.9) years, who had given birth within the last 6 months.</p></div><div><h3>Methods</h3><p>Participants were randomized to three physical activity groups. Validated questionnaires were administered before and after the 12-week intervention. Attendance and feasibility metrics and qualitative semistructured interviews were conducted to assess the intervention.</p></div><div><h3>Results</h3><p>The intervention and trial were partially feasible, and retention to the intervention was high; however, adherence as assessed by attendance was lower than expected. There was high acceptability among those in the group-based, in-person intervention. There was moderate acceptability among those in the individual, home-based asynchronous program.</p></div><div><h3>Conclusion</h3><p>Findings highlight the necessity of better understanding what is desired by this population or simply providing more options to participants so that we can tailor physical activity to their needs and provide the necessary support.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 4","pages":"Pages 264-276"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1751485124000850/pdfft?md5=97cd9817aaf179d430dae8b3039da175&pid=1-s2.0-S1751485124000850-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141088983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information for Readers","authors":"","doi":"10.1016/S1751-4851(24)00134-X","DOIUrl":"10.1016/S1751-4851(24)00134-X","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 4","pages":"Page A4"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141952392","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":"Assessment and Care of the Late Preterm Infant","authors":"","doi":"10.1016/j.nwh.2024.02.004","DOIUrl":"10.1016/j.nwh.2024.02.004","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 4","pages":"Pages e13-e74"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433066","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":"Having Enough Milk to Sustain a Lactation Journey: A Call to Action","authors":"","doi":"10.1016/j.nwh.2024.02.007","DOIUrl":"10.1016/j.nwh.2024.02.007","url":null,"abstract":"<div><p>The rates of human milk feeding are suboptimal worldwide. Recommendations for healthy, term mother–infant dyads include early breastfeeding initiation, frequent skin-to-skin contact, and frequent breastfeeding. The normal physiology of lactation can be affected by prenatal factors such as diabetes, obesity, and excessive gestational weight gain. Furthermore, birth-related factors such as early-term gestation, stressful labor, unscheduled cesarean birth, and postpartum hemorrhage can additionally disrupt recommended practices such as early initiation of breastfeeding and skin-to-skin contact. Given that the first 2 to 3 days postpartum are critical to achieving timely secretory activation and establishing an adequate volume of milk, a proactive approach to care can include building awareness of risk factors and development of protocols for the effective early initiation of lactation.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 4","pages":"Pages 256-263"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1751485124000904/pdfft?md5=a7e0fc89dda1d0d51b4360dbc994d732&pid=1-s2.0-S1751485124000904-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141186981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}