Nursing for Women''s Health最新文献

{"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":"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}

{"title":"The Best Decision","authors":"","doi":"10.1016/j.nwh.2024.04.001","DOIUrl":"10.1016/j.nwh.2024.04.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 4","pages":"Pages 320-322"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141051918","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":"Increasing Referral Acceptance for Women’s Health Services Among Hispanic Women","authors":"","doi":"10.1016/j.nwh.2024.02.005","DOIUrl":"10.1016/j.nwh.2024.02.005","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the effect of an individualized educational intervention on women’s health referral acceptance rates among Hispanic women.</p></div><div><h3>Design</h3><p>Quality improvement (QI) project.</p></div><div><h3>Setting/Local Problem</h3><p><span>Barriers to cervical cancer screening among Hispanic women include a lack of access to women’s health services and a lack of knowledge related to cervical </span>cancer risk factors<span><span><span>. Primary care providers at two medical clinics in eastern Pennsylvania did not routinely discuss </span>cervical cancer<span> risk factors, provide well-woman care, or perform cervical cancer screening during </span></span>office visits<span>. This gap in preventive care provided an opportunity for quality improvement.</span></span></p></div><div><h3>Participants</h3><p>A convenience sample of 65 self-identified Hispanic women presenting for primary care office visits.</p></div><div><h3>Intervention/Measurements</h3><p>Each consenting participant received a one-on-one education session lasting 5 to 10 minutes regarding individual risk factors for cervical cancer. Each woman was offered a referral for a well-woman examination, with or without cervical cancer screening. Data collection included the participant’s response to the offered referral.</p></div><div><h3>Results</h3><p>The majority of participants who received the educational intervention (96.9%, <em>n</em> = 63) accepted referrals for women’s health services.</p></div><div><h3>Conclusion</h3><p>An educational intervention discussing individual cervical cancer risk factors was associated with increased women’s health referral acceptance rates among Hispanic women.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 4","pages":"Pages 296-302"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960094","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":"Mothers’ Internet Journeys Through Social, Health Care, and Virtual Systems When Congenital Anomalies Are Diagnosed In Utero","authors":"","doi":"10.1016/j.nwh.2024.02.006","DOIUrl":"10.1016/j.nwh.2024.02.006","url":null,"abstract":"<div><h3>Objective</h3><p><span>To examine mothers’ internet usage, in conjunction with social, health care<span>, and virtual peer support navigations, when </span></span>congenital anomalies were diagnosed in utero.</p></div><div><h3>Design</h3><p>Qualitative descriptive, consisting of semistructured interviews.</p></div><div><h3>Setting</h3><p>Interview data were collected over Zoom; mothers participated from locations of their choosing.</p></div><div><h3>Participants</h3><p>Mothers of neonates<span> discharged postoperatively from NICUs<span> for uterine-diagnosed congenital anomalies<span>. The sample was purposefully recruited from private Facebook groups for parents of children with congenital anomalies.</span></span></span></p></div><div><h3>Intervention/Measurements</h3><p>Analysis was done with deductive coding using concepts from the third iteration of the systems engineering initiative for patient safety<span> theory. The a priori codes were health care, social, journey–benefit, journey–risk, task, and technology.</span></p></div><div><h3>Results</h3><p>Twenty-two mothers signed up for an interview; 12 completed an interview, and 10 did not. The majority (<em>n</em> = 8, 66%) were White, had a bachelor’s or graduate degree (<em>n</em> = 7, 58%) and were between 24 and 33 years of age (<em>n</em> = 8, 66%). Nine themes emerged: (a) <em>Providers cautioned searching for diagnosis information but encouraged private Facebook groups for peer support</em>, (b) <em>Mothers’ inquiries for their own care are lacking</em>, (c) <em>Search for information while recognizing parent-partner’s coping differences</em>, (d) <em>Pace information from friends and family with patience and appreciation</em>, (e) <em>Manage inquiries from friends and family with group sharing</em>, (f) <em>Private Facebook groups provide a means of receiving and giving peer support</em>, (g) <em>Exposure to difficult stories on Facebook is a risk of stress</em>, (h) <em>Select a NICU, learn about their children’s diagnoses, participate in virtual peer support</em>, and (i) <em>Device features frame search strategies</em>.</p></div><div><h3>Conclusion</h3><p>Mothers reflected on the internet as a burden and a source of support in their health care journeys. The ubiquity of internet access calls for mothers to include in their health care journeys the complexities of managing time spent on the internet.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 4","pages":"Pages 277-287"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072178","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":"Neonatal Nursing: Clinical Competencies and Education Guide, 8th edition","authors":"Association of Women's Health, Obstetric and Neonatal Nurses","doi":"10.1016/j.nwh.2024.03.002","DOIUrl":"10.1016/j.nwh.2024.03.002","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 4","pages":"Pages e75-e90"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604336","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}