{"title":"Expanding the Conceptualization of Bereavement in the Perinatal Period.","authors":"Rana Limbo, Natasha Nurse-Clarke","doi":"10.1016/j.jogn.2025.07.003","DOIUrl":"https://doi.org/10.1016/j.jogn.2025.07.003","url":null,"abstract":"<p><p>The authors propose the expansion of the concept of perinatal bereavement to include the effects of traumatic childbirth, mistreatment during childbirth, and maternal death.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144719177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reproductive Agency in an Era of Falling Fertility Rates.","authors":"Joyce K Edmonds","doi":"10.1016/j.jogn.2025.07.002","DOIUrl":"https://doi.org/10.1016/j.jogn.2025.07.002","url":null,"abstract":"<p><p>JOGNN's Editor in Chief explores the global decline in fertility rates in the context of reproductive agency and considers implications of this trend for perinatal nurses and midwives.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144719178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sook Jung Kang, Woon Young Hwang, Hyunju Dan, Sue Kim, Kwang-Pil Ko
{"title":"Factors Associated With Gestational Weight Gain Among Nurses in Korea.","authors":"Sook Jung Kang, Woon Young Hwang, Hyunju Dan, Sue Kim, Kwang-Pil Ko","doi":"10.1016/j.jogn.2025.06.005","DOIUrl":"https://doi.org/10.1016/j.jogn.2025.06.005","url":null,"abstract":"<p><strong>Objective: </strong>To identify risk factors associated with inadequate and excessive gestational weight gain (GWG) among nurses in Korea.</p><p><strong>Design: </strong>Secondary analysis of data from the Korea Nurses' Health Study, a nationwide prospective cohort study.</p><p><strong>Setting: </strong>Online surveys distributed from 2014 to 2023 in Korea.</p><p><strong>Participants: </strong>Nurses (N = 296) who gave birth in the past year.</p><p><strong>Methods: </strong>We categorized GWG using guidelines from the Institute of Medicine and conducted bivariate and logistic regression analyses to identify factors associated with inadequate and excessive GWG.</p><p><strong>Results: </strong>Among participants, 40.2% had inadequate GWG, 36.1% had adequate GWG, and 23.7% had excessive GWG. We found significant differences in GWG based on pre-pregnancy body mass index (BMI) and weekly overtime hours worked. As age increased, the odds of excessive GWG decreased (odds ratio (OR) = 0.89, 95% confidence interval (CI) [0.79, 0.99]), whereas higher levels of fatigue were associated with increased odds (OR = 1.08, 95% CI [1.01, 1.15]) of excessive GWC.</p><p><strong>Conclusion: </strong>Our study suggests that health care providers should consider ethnicity, pre-pregnancy BMI, overtime work hours, age, and fatigue levels when educating and caring for pregnant nurses. Although the findings reflect a specific maternal population of Korean nurses, they may inform care for similar working women. We recommend that information about GWG be incorporated into prenatal education, visits, checklists, and counseling for women who are pregnant or planning to become pregnant.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Discrimination and Regular Source of Care as Equity Factors Associated With Health and Stress During the Extended Postpartum Period.","authors":"Lorraine O Walker, Nicole Murry, Heather Becker","doi":"10.1016/j.jogn.2025.06.004","DOIUrl":"https://doi.org/10.1016/j.jogn.2025.06.004","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the frequency of racial/ethnic and gender discrimination and lack of a regular source of care in the postpartum period and to examine how these factors were related to health and stress in the postpartum period.</p><p><strong>Design: </strong>Cross-sectional survey study.</p><p><strong>Setting: </strong>Online research panels in the United States.</p><p><strong>Participants: </strong>Survey respondents (N = 427: 424 women, 1 transgender man, 1 non-binary individual, and 1 individual for whom gender was missing).</p><p><strong>Methods: </strong>Equity items included racial/ethnic discrimination, gender discrimination, and lack of a regular care source. Health outcomes included a global measure of physical and mental health, perceived stress, and postpartum-specific stress. We analyzed the data using correlational and hierarchical regression analyses adjusted for covariates.</p><p><strong>Results: </strong>Racial/ethnic discrimination was reported by 15.2% of respondents, gender discrimination was reported by 45.9% of respondents, and lack of a regular source of care was reported by 13.9% of respondents. After adjusting for covariates, equity factors accounted for 1.8% of the variance in physical health (p < .05), 3.4% in mental health (p = .001), 5.0% in perceived stress (p < .001), and 7.8% in postpartum-specific stress (p < .001). The only significant equity factor significantly associated with physical and mental outcomes was gender discrimination.</p><p><strong>Conclusion: </strong>Nearly half of respondents reported that they experienced gender discrimination. Gender discrimination was significantly related to worse health and higher stress. Nurses can aid women in dealing with gender discrimination by providing information about rights and resources.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Magdalena Panek, Aleksandra Warchoł, Tomasz Tomasik, Sandra Nęcka
{"title":"Case Report of Citrobacter koseri Sepsis in a Newborn That Resulted in Brain Death.","authors":"Magdalena Panek, Aleksandra Warchoł, Tomasz Tomasik, Sandra Nęcka","doi":"10.1016/j.jogn.2025.06.003","DOIUrl":"https://doi.org/10.1016/j.jogn.2025.06.003","url":null,"abstract":"<p><p>In this report, we describe the case of a newborn with a rare neonatal infection caused by Citrobacter koseri, which followed a fulminant course. Unfortunately, despite prompt initiation of the sepsis treatment protocol by the health care team, the newborn developed significant complications that affected the central nervous system. As a result, palliative care was instituted, and brain death was declared on the 12th day of life, 6 days after the onset of the first symptoms of the infection. We discuss the epidemiology of C. koseri infection; the therapeutic management of sepsis, including the role of the nurse; and the ethical considerations involved in clinical decision-making. We present this case to encourage reflection on strategies to detect subtle signs of infection and respond early in a critical effort to prevent severe complications.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Crystal Modde Epstein, Thomas P McCoy, Angela M Kabbe, Kierra Sattler
{"title":"Effects of Sociospatial Inequality on Exposure to Stress, Symptoms of Depression, and Cortisol Rhythms in Pregnancy.","authors":"Crystal Modde Epstein, Thomas P McCoy, Angela M Kabbe, Kierra Sattler","doi":"10.1016/j.jogn.2025.06.002","DOIUrl":"10.1016/j.jogn.2025.06.002","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effect of sociospatial inequality on exposure to stress, symptoms of depression, and cortisol rhythms during pregnancy.</p><p><strong>Design: </strong>Secondary analysis of a cross-sectional observational study.</p><p><strong>Setting: </strong>Outpatient women's health clinic in an urban midwestern region of the United States.</p><p><strong>Participants: </strong>Pregnant women in the second trimester of pregnancy (N = 67).</p><p><strong>Methods: </strong>We performed a secondary analysis of salivary cortisol samples to compute average daily cortisol rhythms (diurnal slope, area under the curve, mesor, amplitude, and acrophase). We measured sociospatial inequality using the index of concentration at the extremes based on zip-code-level data from the American Community Survey. We used mixed-effects cosinor regression to examine the association among sociospatial inequality, exposure to stress, symptoms of depression, and cortisol rhythms, adjusting for multiple covariates.</p><p><strong>Results: </strong>Sociospatial inequality was significantly associated with demographic variables (age, race, and education) and mental health variables (exposure to stress and symptoms of depression). We found a statistically significant curvilinear association between income-related sociospatial inequality and cortisol rhythms.</p><p><strong>Conclusions: </strong>Participants who lived in areas of extreme income-related deprivation and privilege had higher amplitude cortisol rhythms, which potentially reflects heightened biological sensitivity to context, whereas women living in more moderate environments showed buffered cortisol rhythms.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12240462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}