Nursing for Women''s Health最新文献

{"title":"Effects of Preeclampsia on Birth Perception and Postpartum Depression Among Women of Infants in Neonatal Intensive Care.","authors":"Cheryl Anderson, Taylor Vera","doi":"10.1016/j.nwh.2026.05.008","DOIUrl":"10.1016/j.nwh.2026.05.008","url":null,"abstract":"<p><strong>Objective: </strong>To examine the effects of preeclampsia on birth perception and postpartum depression (PPD) among women with infants admitted into a NICU.</p><p><strong>Design: </strong>A cross-sectional, descriptive study.</p><p><strong>Setting: </strong>An online platform recruited participants across the United States.</p><p><strong>Participants: </strong>Of 877 participants, 367 reported preeclampsia with current/past infants in the NICU.</p><p><strong>Methods: </strong>Participants took part via an online researcher-developed website. They rated their perception of birth and completed the Edinburgh Postnatal Depression Scale. Descriptive statistics revealed characteristics of the sample. Linear regression examined relationships between the variables and the predictive ability of preeclampsia and mental health.</p><p><strong>Results: </strong>A high number of women reported preeclampsia and past or current depression. Significant relationships between preeclampsia, birth perception, gestational age, and birth mode were found. Regression analysis revealed preeclampsia to have significant but little effect (1.7% variance) on birth perception and a nonsignificant effect on PPD. Additional analysis showed that gestational age, birth mode, and PPD together explained 18.9% of the variance for birth perception, and birth perception explained 4.8% of the variance for PPD.</p><p><strong>Conclusion: </strong>Little noted variance implies that many other factors impact birth perception and PPD other than preeclampsia, thus additional research is suggested. However, noted relationships can help guide necessary assessments, inquiries, and education. For high-risk women, a more positive birth perception and the best mental and physical health outcomes can be promoted via an interdisciplinary team of maternal-child health, mental health, and medical providers for immediate and follow-up assessments and monitoring.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473393","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":"Clinical, Ethical, and Practical Implications of Prenatal Genetics for Nurses: Part I.","authors":"Catleya Bedard-Dureza, Brenna Morse","doi":"10.1016/j.nwh.2026.05.006","DOIUrl":"10.1016/j.nwh.2026.05.006","url":null,"abstract":"<p><p>Prenatal genetic testing provides families with critical information regarding fetal genetic disorders and structural anomalies. As testing options expand, nurses must navigate a range of complex clinical, ethical, and systemic considerations that shape how tests are selected, conducted, and applied to treatment planning. This article discusses prenatal genetic screening and diagnostic modalities and their implications for nursing practice. It is critically important to offer comprehensive pretest and posttest counseling and to address uncertainty surrounding prenatal genetic testing. Provider shortages, time constraints in clinical settings, and evolving policies create barriers to equitable access to genetics care. Nurses play a pivotal role in supporting informed decision-making, promoting health literacy, and addressing equity in prenatal genetic care.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473417","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":"Closing the Educational Gap: Engaging Partners in Maternal Sepsis Recognition After Unscheduled Cesarean Birth.","authors":"Dianna Grace Riquelme-Tesalona","doi":"10.1016/j.nwh.2026.05.005","DOIUrl":"10.1016/j.nwh.2026.05.005","url":null,"abstract":"<p><p>Maternal sepsis accounts for 5% of obstetric intensive care unit admissions and 23% of in-hospital maternal deaths in the United States, 63% of which are preventable. Individuals who undergo unscheduled cesarean birth face elevated postoperative infection risk, yet partners and support persons are rarely included in discharge sepsis education. During recovery, the birthing person simultaneously manages surgical pain, sedation effects, and neonatal care demands, all of which can delay early sepsis recognition. This article presents an evidence-based framework for nurses to deliver partner-focused sepsis education following unscheduled cesarean birth, addressing timing, content, communication strategies, clinical tools, and documentation. Incorporating partners into routine postoperative nursing care is a practical, high-impact intervention that supports earlier recognition, reduces care-seeking delays, and may prevent maternal deaths.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473435","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":"When a Child in Labor Becomes \"Routine\": Reclaiming Ethical Alarm as Women's Health Nursing Advocacy in the Philippines.","authors":"Noriel Palo Calaguas, Michael James Q Milner, Saira R Carreon, Jennelyn L Gaza, Eldlaine Charlotte G Pascual, Princess Arvi F Pineda","doi":"10.1016/j.nwh.2026.05.003","DOIUrl":"10.1016/j.nwh.2026.05.003","url":null,"abstract":"<p><p>Early adolescent pregnancy (10-14 years old) is an urgent equity and safeguarding concern, reflecting avoidable and unjust disparities in access to education, sexual and reproductive health services, and protection from violence. In this commentary, we examine the care of a 13-year-old primigravida in a Philippine labor unit and argue that the most consequential clinical risk is not obstetric complexity alone but the normalization of early adolescent childbirth within routine nursing practice. In high-volume settings where adolescent admissions are normalized and safeguarding pathways are not always visible, ethical alarm-the clinician's recognition of moral and safeguarding significance-may be absorbed into workflow rather than mobilized as advocacy. Drawing on cultural safety and reflexive practice, we position discomfort as clinical data and outline practice-forward actions centered on safeguarding, dignity, and equity.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425182","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":"Addressing Disparities Through Telehealth for Preeclampsia Care in Asia: An Integrative Review.","authors":"Nisa Nur Hasanah, Raditya Bagus Septian","doi":"10.1016/j.nwh.2026.02.009","DOIUrl":"10.1016/j.nwh.2026.02.009","url":null,"abstract":"<p><strong>Objective: </strong>To explore the implementation of telehealth for the management of preeclampsia in pregnant women in Asia.</p><p><strong>Data sources: </strong>A systematic search was conducted across four major databases: PubMed, Scopus, ScienceDirect, and ProQuest, for articles published between August 2015 and 2025.</p><p><strong>Study selection: </strong>Eligibility criteria included original research articles discussing the implementation, use, or evaluation of telehealth interventions for pregnant women with preeclampsia in Asia. Risk of bias was assessed for individual studies using the Joanna Briggs Institute critical appraisal tools.</p><p><strong>Data extraction: </strong>Data extraction was performed using a standardized form to record study characteristics (author, year, country, and aim), participants, details of telehealth implementation, outcomes, and primary findings.</p><p><strong>Data synthesis: </strong>Thirteen studies were included in the review, comprising 431,871 participants. The included evidence was geographically diverse, with studies originating from 5 countries, most being conducted in India (n = 4) and Pakistan (n = 4). The study designs included qualitative studies (n = 4), cohort studies (n = 2), randomized controlled trials (n = 3), cross-sectional studies (n = 2), and mixed methods studies (n = 2). The extracted data were synthesized using thematic analysis, resulting in four themes: (a) Impact of telehealth on maternal care and neonatal health outcomes, (b) Efficiency and feasibility of telehealth in preeclampsia management, (c) Positive user experiences with telehealth, and (d) Barriers and challenges in telehealth implementation. Most studies reported improvements in maternal monitoring, timely interventions, and increased patient satisfaction.</p><p><strong>Conclusion: </strong>Telehealth is a feasible and effective strategy for preeclampsia management in Asia, characterized by improved maternal and perinatal outcomes and high user acceptance. Telehealth shows strong potential for long-term integration, particularly in regions with geographic and resource constraints. Overcoming implementation barriers is essential to ensure equity and accessibility in maternal health care.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425173","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":"Midwifery Continuity of Care Supports Shared Decision-Making in Pregnancy With Mild Uterine Prolapse: A Qualitative Case Report.","authors":"Cristina Lumia, Gaia Rosa, Adele Zurlo, Marzia Serafini","doi":"10.1016/j.nwh.2026.05.004","DOIUrl":"10.1016/j.nwh.2026.05.004","url":null,"abstract":"<p><p>Mild uterine prolapse during pregnancy can complicate counseling regarding mode of birth and challenge women's confidence in pelvic floor safety. This case report describes the care of a multiparous woman with first-degree uterine prolapse and persistent urinary hesitancy following a postpartum urinary retention episode. She was followed within a midwifery continuity of care model and a coordinated multidisciplinary pathway, including obstetric, urogynecologic, and pelvic floor physiotherapy support. Although the woman initially requested an elective cesarean, iterative counseling within a trusted care relationship supported shared decision-making and attempted vaginal birth. She experienced a spontaneous vaginal birth at term with stable postpartum pelvic floor findings without persistent urinary dysfunction. A postpartum interview illustrated how continuity of midwifery care facilitated trust, reframed perceived risk, and supported confidence in future maternity. This case highlights the potential role of midwifery continuity in supporting shared decision-making when clinical risk is low but experiential vulnerability is high.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425194","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":"More Than an Effective Latch.","authors":"Jennifer Taylor","doi":"10.1016/j.nwh.2026.04.007","DOIUrl":"10.1016/j.nwh.2026.04.007","url":null,"abstract":"<p><p>A nurse reflects on the importance of breastfeeding support and breast care following the birth of their first child.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425157","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":"Perinatal Care Experiences as Voiced by Black Women Birthing in an Urban Academic Medical Center","authors":"Nicole Arciniega MSN, RNC-OB, CLC, CCE,&nbsp;Brittaney Vaughn MSN, C-EFM, IBCLC,&nbsp;Jennifer A. Sledge PhD, MSW","doi":"10.1016/j.nwh.2025.11.007","DOIUrl":"10.1016/j.nwh.2025.11.007","url":null,"abstract":"<div><h3>Objective</h3><div>To center the experiences of Black birthing women and their perceptions of the care they received in the perinatal period.</div></div><div><h3>Design</h3><div>Qualitative descriptive.</div></div><div><h3>Setting</h3><div>Phone interviews with patients at an urban academic medical center.</div></div><div><h3>Participants</h3><div>Twelve participants who self-identified as Black women and had received perinatal care at the study site within the past 6 months were interviewed.</div></div><div><h3>Methods</h3><div>Semistructured interviews were used in which participants described their experiences with care in the prenatal, peripartum, and postpartum care spaces at the study site. The interview transcripts were analyzed using basic inductive content analysis to identify themes and subthemes.</div></div><div><h3>Results</h3><div>We identified four major themes: <em>Shared Decision-Making</em>, <em>Education</em>, <em>Support</em>, and <em>Respectful Communication</em>. The experiences communicated by the participants were overwhelmingly positive, which stands in contradiction to current nationwide data reflecting the birth experiences of patients in the same demographic.</div></div><div><h3>Conclusion</h3><div>Patient experience is best evaluated by listening to the stories and perspectives of Black women themselves and including them in the development of interventions designed to improve their interaction with perinatal care. This can be achieved through patient-centered care practices that prioritize shared decision-making, education, support, and respectful communication. A care team that recognizes the unique needs and priorities of their patients is better able to meet those needs and cultivate positive birth experiences.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 3","pages":"Pages 186-192"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662570","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":"School Nurses Are Women’s Health Nurses Too","authors":"Whitney Dixon","doi":"10.1016/j.nwh.2026.03.002","DOIUrl":"10.1016/j.nwh.2026.03.002","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 3","pages":"Pages 254-256"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718554","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":"Influence of Hospital Policy and Nurse Competency on Rates of Skin-to-Skin Contact in Neonates","authors":"Holiday H. Solly,&nbsp;Amy J. Lisanti,&nbsp;Ariel Kamen,&nbsp;Diane L. Spatz","doi":"10.1016/j.nwh.2025.11.005","DOIUrl":"10.1016/j.nwh.2025.11.005","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the relationship between the existence of a skin-to-skin contact (SSC) policy and rates of SSC implementation after cesarean and vaginal births at U.S. hospitals.</div></div><div><h3>Design</h3><div>Cross-sectional secondary data analysis of the 2022 Centers for Disease Control and Prevention Maternity Practices in Infant Nutrition and Care survey.</div></div><div><h3>Setting and Participants</h3><div>Eligible participants were hospitals in the United States (or a U.S. territory) with active inpatient maternity units that provided labor and birth services in 2021. Among the 2,779 eligible hospitals, 1,994 (71.8%) responded, with the highest response rates in Nebraska (94%) and the lowest in Puerto Rico (40%).</div></div><div><h3>Methods</h3><div>Descriptive statistics, chi-square tests, and hierarchical logistic regression were used to assess the relationship between hospital SSC policies and SSC rates by birth mode. Mediation analysis was used to evaluate whether nurse competency influenced the relationship between policy and SSC rates. The primary outcome was at least an 80% SSC implementation rate after vaginal or cesarean birth. Confounders included the Baby-Friendly designation, facility type, and whether the hospital is a teaching hospital.</div></div><div><h3>Results</h3><div>Hospitals without an SSC policy for both vaginal births (odds ratio [OR] = 0.35; 95% confidence interval [CI] [0.24, 0.51]) and cesarean births (OR = 0.46; 95% CI [0.32, 0.67]) had significantly lower odds of SSC rates exceeding 80%. A significant indirect effect of nurse competency was observed in the relationship between hospital SSC policy and SSC rates after cesarean (indirect effect = −1.27; Sobel <em>z</em> = −4.66; <em>p</em> &lt; .001) and vaginal birth (indirect effect = −1.18; Sobel <em>z</em> = −4.13; <em>p</em> &lt; .001).</div></div><div><h3>Conclusion</h3><div>Hospital policy and nurse training have positive effects on SSC rates. Formal policies and nurse competency can be used to decrease gaps and improve maternal–infant outcomes.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"30 3","pages":"Pages 203-213"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582690","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}