An official practice brief from the Association of Women’s Health, Obstetric and Neonatal Nurses.
{"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":"Comparing the Efficacy of Foot Reflexology and Benson’s Relaxation on Anxiety and Physiologic Parameters After Cesarean Surgery","authors":"","doi":"10.1016/j.nwh.2024.02.008","DOIUrl":"10.1016/j.nwh.2024.02.008","url":null,"abstract":"<div><h3>Objective</h3><p>To compare the efficacy of foot reflexology and Benson’s relaxation on anxiety and physiologic parameters after cesarean surgery.</p></div><div><h3>Design</h3><p>Randomized controlled trial with three parallel arms.</p></div><div><h3>Setting</h3><p>Gynecologic ward of the Persian Gulf Martyrs Hospital in Bushehr, Iran, in 2020.</p></div><div><h3>Participants and interventions</h3><p>Women undergoing cesarean surgery (<em>n</em><span> = 135) were selected by convenience sampling and divided via block randomization into three groups of foot reflexology, Benson’s relaxation interventions, and control group (</span><em>n</em> = 45 in each group). Interventions were performed 2 hours after cesarean surgery.</p></div><div><h3>Measurements</h3><p>Spielberger’s State–Trait Anxiety Inventory, mercury sphygmomanometer<span><span>, and pulse oximeter were used to collect the data. Anxiety was measured before and 30 minutes after the intervention. Physiologic parameters were measured before the intervention and immediately, 30 minutes, and 60 minutes after the intervention. Data were analyzed using </span>inferential statistics.</span></p></div><div><h3>Results</h3><p>The mean score of situational anxiety after the intervention was significantly lower than before the intervention in the reflexology (<em>t</em> = 6.171; 95% confidence interval [CI] [5.66, 11.14]) and Benson’s relaxation groups (<em>t</em> = 7.362; 95% CI [5.91, 9.85]). However, changes in the control group were not significant (<em>t</em><span><span><span> = 1.674; 95% CI [–0.24, 2.55]). Decreases in anxiety scores were similar in the two intervention groups. After intervention, in most measurement times, respiratory rate and pulse rate decreased in the two intervention groups compared to the control group, and arterial </span>oxygen saturation and </span>systolic blood pressure increased.</span></p></div><div><h3>Conclusion</h3><p>Considering the effect of both interventions on decreasing anxiety and improving most physiologic parameters, it seems that foot reflexology and Benson’s relaxation can be recommended after cesarean surgery.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 4","pages":"Pages e1-e12"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141538691","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}