Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing最新文献

{"title":"Reviewer Acknowledgment","authors":"","doi":"10.1016/S0884-2175(26)00032-8","DOIUrl":"10.1016/S0884-2175(26)00032-8","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 2","pages":"Pages 111-112"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147427872","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":"At Your Service","authors":"","doi":"10.1016/S0884-2175(26)00015-8","DOIUrl":"10.1016/S0884-2175(26)00015-8","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 2","pages":"Page A4"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147427834","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":"Meta-ethnography of the Breastfeeding Experiences of Women in the Workforce","authors":"Confidence Chekwubechukwu Francis-Edoziuno,&nbsp;Ashwag Alhabodal,&nbsp;Anita Frimpomaa Oppong,&nbsp;Ruth F. Lucas,&nbsp;Cheryl Tatano Beck","doi":"10.1016/j.jogn.2025.09.003","DOIUrl":"10.1016/j.jogn.2025.09.003","url":null,"abstract":"<div><h3>Objective</h3><div>To provide a conceptual understanding of the breastfeeding experiences, challenges, and support needs of women in the workforce.</div></div><div><h3>Data Sources</h3><div>PubMed, CINAHL, and PsycINFO.</div></div><div><h3>Study Selection</h3><div>We included reports of primary qualitative studies that were published from 2014 to 2024 in which researchers described the breastfeeding experiences of women in the workforce. We selected 13 reports for inclusion with a combined sample size of 188 women aged 20 to 48 years.</div></div><div><h3>Data Extraction</h3><div>We extracted the following data from included studies: methodological characteristics (sample size, qualitative design, data analysis, data collection, and length of interview), demographic characteristics of participants (country, age group, employment setting/type, nature of work, and length of paid leave), direct participant quotes, and key concepts and themes about the breastfeeding experiences of women in the workforce.</div></div><div><h3>Data Synthesis</h3><div>Using a published method for meta-ethnography, we synthesized the extracted data and identified four overarching themes, each with three subthemes: <em>Juggling Milk and a Paycheck</em> (subthemes: <em>Torn Between Desk and Cradle, The Balancing Act,</em> and <em>Milk on the Clock</em>), <em>The Emotional Dance of Motherhood</em> (subthemes: <em>Hearts Full, Minds at Ease; Shadows of Exhaustion;</em> and <em>Against the Odds</em>), <em>The Village in Question (</em>subthemes<em>: Whispers and Judgments, Absent Anchors,</em> and <em>Hands That Hold</em>), and <em>The Policy Pendulum</em> (subthemes: <em>Written But Not Real, Clocking Out From Care,</em> and <em>When Care and Career Collide: Influence on Work</em>). These themes and subthemes highlighted logistical challenges, inadequate workplace policies, the importance of supportive environments, women’s emotional stress, and women's resilience.</div></div><div><h3>Conclusion</h3><div>Our findings indicate that structural, emotional, social, and policy-related factors shaped the breastfeeding experiences of the participants in the included articles. We emphasize the need for targeted interventions and workplace policies to optimize breastfeeding experiences and outcomes among women in the workforce.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 2","pages":"Pages 149-160.e6"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314289","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":"Outcomes Related to the Use of Intrauterine Devices Inserted Immediately After Birth","authors":"Erin Allbaugh-Murders,&nbsp;Martha O. Rojo,&nbsp;Nirvana Manning","doi":"10.1016/j.jogn.2025.09.004","DOIUrl":"10.1016/j.jogn.2025.09.004","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the removal and expulsion rates of intrauterine devices (IUDs) inserted immediately after delivery of the placenta 1 year after birth.</div></div><div><h3>Design</h3><div>Retrospective chart review.</div></div><div><h3>Setting</h3><div>University of Arkansas for Medical Sciences (UAMS) Women and Infant Service Line.</div></div><div><h3>Participants</h3><div>Patients who gave birth and elected to receive IUDs at UAMS from August 1, 2021 to September 30, 2023 (<em>N</em> = 641).</div></div><div><h3>Methods</h3><div>We collected data from charts of patients who received IUDs within 10 min of delivery of the placenta. We analyzed and reported the de-identified data using descriptive statistics.</div></div><div><h3>Results</h3><div>The overall IUD removal rate was 10.3% (<em>n</em> = 66), the expulsion rate was 5.1% (<em>n</em> = 33), and 84.5% (<em>n</em> = 542) of the IUDs remained in place.</div></div><div><h3>Conclusion</h3><div>Our organization achieved low IUD removal and expulsion rates. One potential explanation is that our providers received structured education on immediate postpartum IUD insertion techniques and used prenatal patient-centered counseling practices. Our findings highlight the need for further study of our approach to improve outcomes related to IUD insertion immediately after delivery of the placenta.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 2","pages":"Pages 143-148"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145423505","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":"Continuous Labor Support Position Statement","authors":"Association of Women’s Health, Obstetric and Neonatal Nurses","doi":"10.1016/j.jogn.2025.10.001","DOIUrl":"10.1016/j.jogn.2025.10.001","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 2","pages":"Pages e1-e4"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702876","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":"Awareness of the Vaginal Microbiome and Willingness to Undergo Vaginal Microbiota Transplant","authors":"Ellie Kroeger,&nbsp;Caeli Malloy,&nbsp;Chen X. Chen,&nbsp;Kaboni Whitney Gondwe,&nbsp;Kendra Kamp","doi":"10.1016/j.jogn.2025.10.009","DOIUrl":"10.1016/j.jogn.2025.10.009","url":null,"abstract":"<div><h3>Objective</h3><div>To examine awareness of the vaginal microbiome and vaginal microbiota transplant, willingness to undergo vaginal microbiota transplant, and factors that influence the decision to undergo the procedure.</div></div><div><h3>Design</h3><div>Cross-sectional descriptive survey study.</div></div><div><h3>Setting</h3><div>Online distribution from October 2024 to January 2025.</div></div><div><h3>Participants</h3><div>Respondents (<em>N</em> = 210) who self-identified as women (<em>n</em> = 198), men (<em>n</em> = 2), gender nonconforming (<em>n</em> = 14), transgender (<em>n</em> = 3), other (<em>n</em> = 2), and not specified (<em>n</em> = 2) and had vaginas.</div></div><div><h3>Methods</h3><div>The survey included questions about patient demographics, gynecologic and pelvic symptoms and conditions, and vaginal microbiota transplantation awareness and willingness. We used descriptive statistics to summarize the quantitative data and conducted conventional content analysis to examine responses to open-ended questions about factors to undergo vaginal microbiota transplantation.</div></div><div><h3>Results</h3><div>Most respondents (<em>n</em> = 176, 83.8%) had not heard of vaginal microbiota transplant. However, more than 50% of respondents were willing or very willing to undergo vaginal microbiota transplantation for each presented indication: prevent yeast infections, bacterial vaginosis, or cytolytic vaginosis (<em>n</em> = 131, 62.4%); reduce risk of sexually transmitted infections (<em>n</em> = 130, 61.9%); alleviate menstrual pain (<em>n</em> = 126, 60.0%); prevent urinary tract infections (<em>n</em> = 126, 60.0%); alleviate vaginal symptoms (<em>n</em> = 120, 57.1%); prevent preterm births (<em>n</em> = 119, 56.7%). We identified five categories from 180 responses about factors that influenced the decision to undergo vaginal microbiota transplantation: <em>Evidence, Procedure Logistics, Health Care Factors, Personal Factors,</em> and <em>Donor Health.</em></div></div><div><h3>Conclusion</h3><div>Increased awareness about the vaginal microbiome and vaginal microbiota transplantations is necessary. Factors that influence willingness to undergo the procedure should be addressed in designing and implementing this new intervention.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 2","pages":"Pages 183-190.e1"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432988","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":"Scoping Review of Health Literacy Interventions for Pregnant Women in Developing Countries","authors":"Zama Mkhonta,&nbsp;Yu-Yun Hsu,&nbsp;Maggie Dumsile Dlamini","doi":"10.1016/j.jogn.2025.10.008","DOIUrl":"10.1016/j.jogn.2025.10.008","url":null,"abstract":"<div><h3>Objective</h3><div>To identify and describe health literacy interventions for pregnant women in developing countries, including characteristics, implementation strategies, and cultural adaptations.</div></div><div><h3>Data Sources</h3><div>MEDLINE, Embase, Cochrane Library, CINAHL, Education Resources Information Center, reference lists, and Google Scholar.</div></div><div><h3>Study Selection</h3><div>We considered reports of studies published from the inception of each database through December 24, 2024. We included studies in which researchers evaluated interventions designed to improve health literacy among pregnant women who received antenatal care in clinical or community settings. We included studies regardless of language. We excluded conference abstracts, essays, dissertations, review articles, and studies that did not meet inclusion criteria after full-text review.</div></div><div><h3>Data Extraction</h3><div>We extracted information on author(s), year of publication, country, study design, setting, type of intervention, delivery strategies, factors influencing health literacy, and reported outcomes.</div></div><div><h3>Data Synthesis</h3><div>We grouped and described studies according to the reported interventions. We included 23 studies conducted across Africa (<em>n</em> = 18), Asia (<em>n</em> = 4), and the Caribbean (<em>n</em> = 1). Identified interventions included group-based education (<em>n</em> = 8), one-on-one education (<em>n</em> = 11), mobile health interventions (<em>n</em> = 5), peer educator–based programs (<em>n</em> = 1), and community-based approaches (<em>n</em> = 3). Most interventions were delivered within antenatal care clinics, and some were delivered in community settings. Participatory strategies, such as storytelling, role-playing, and culturally tailored communication, were commonly used.</div></div><div><h3>Conclusion</h3><div>Health literacy interventions strengthen communication, knowledge, and health-care-seeking behaviors; however, challenges related to access to health care services, sustainability, and cultural adaptation underscore the need for intervention designs that meet local health care contexts in developing countries.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 2","pages":"Pages 161-172.e14"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145440288","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":"Addressing Gaps in Reproductive Health Data That Affect Practice, Policy, and Research","authors":"Caitlin Dreisbach","doi":"10.1016/j.jogn.2026.01.006","DOIUrl":"10.1016/j.jogn.2026.01.006","url":null,"abstract":"<div><div>Reproductive health data are foundational to understanding health trajectories across the lifespan, yet persistent gaps in availability, measurement, and linkage constrain clinical care, public health surveillance, and research. In this column, I examine barriers to the collection of comprehensive reproductive health data, including structural and political constraints, privacy and consent challenges, inconsistent documentation practices, and recent disruptions to publicly available datasets. I review how these gaps affect the assessment of menstrual health, contraception, pregnancy, postpartum outcomes, and midlife reproductive transitions, and disparities in morbidity and mortality. I present an agenda for strengthening reproductive health data infrastructure through standardized measurement, improved linkage across systems, and coordinated leadership to support evidence-based practice, policy, and research across the reproductive lifespan.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"55 2","pages":"Pages 117-129"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144699","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":"Management of Birth With the Fetus in the Occiput Posterior Position by Midwives in Sweden.","authors":"Anna Lindgren, Hanna Grundström, Marie Oscarsson, Kristina Kernell, Pia Tingström","doi":"10.1016/j.jogn.2026.01.008","DOIUrl":"https://doi.org/10.1016/j.jogn.2026.01.008","url":null,"abstract":"<p><strong>Objective: </strong>To explore midwives' experiences of managing childbirth with the fetus in the occiput posterior position.</p><p><strong>Design: </strong>Qualitative study using focus groups with midwives.</p><p><strong>Setting: </strong>Six clinics in southeast Sweden.</p><p><strong>Participants: </strong>Twenty-six midwives who took part in six focus groups.</p><p><strong>Methods: </strong>The study was conducted between May and December 2022. Reflexive thematic analysis was used to analyze the interviews, and each focus group consisted of three to six members.</p><p><strong>Results: </strong>The overarching theme, Midwifery in the Face of Uncertainty, and three subthemes, Putting the Clinical Puzzle Together, Navigating an Unpredictable Birth Process, and Traveling Together, represented the experiences of the participants. The participants put together clinical \"puzzle pieces\" to assess the position of the fetus, but challenges in accurately determining the occiput posterior position through external palpation highlighted the need for improved skills. The participants navigated unpredictable progress of birth and balanced intervention strategies to encourage rotation, but no single approach guaranteed success.</p><p><strong>Conclusion: </strong>Uncertainty regarding palpation of the fetus, the need for optimal support for women with fetuses in the occiput posterior position, and the need for effective communication emerged as recurring needs throughout the study. Increased understanding of the clinical context of the occiput posterior position and education and training in palpation techniques for midwives and students are essential to promote positive birth experiences.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277811","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":"Perspectives of Nurses and Midwives Regarding Factors That Contribute to and Protect Women From Disrespect and Abuse During Labor.","authors":"Fatima A Alzyoud, Jill Augustus Dapremont, Melissa Anne DuBois","doi":"10.1016/j.jogn.2026.01.007","DOIUrl":"https://doi.org/10.1016/j.jogn.2026.01.007","url":null,"abstract":"<p><strong>Objective: </strong>To explore intrapersonal, interpersonal, and organizational factors that contribute to disrespect and abuse of women in labor by nurses and midwives in the United States.</p><p><strong>Design: </strong>Qualitative descriptive design.</p><p><strong>Setting: </strong>Anonymous online survey.</p><p><strong>Participants: </strong>Nurses and midwives (N = 124: 90 nurses and 36 midwives) who cared for women in labor during hospital births in the United States for at least 2 years.</p><p><strong>Methods: </strong>We used convenience and snowball sampling to recruit participants for an anonymous online survey. This study represents the qualitative strand of a mixed-methods approach guided by Patient Abuse in Healthcare Theory. We analyzed the data using reflexive thematic analysis.</p><p><strong>Results: </strong>We identified eight themes that represented contributing and protective factors for disrespect and abuse of women in labor by nurses and midwives. Three themes represented factors that contributed to disrespect and abuse: Manifestations of Personal and Ethical Shortcomings in Clinical Conduct; Systemic and Structural Deficiencies as Catalysts for Disrespectful Conduct; and Patient, Family, and Interactional Friction. Five themes represented factors that were protective and deterred disrespect and abuse: Leadership Commitment and Enforced Accountability, Investment in the Work Environment and Resources, Staff Competencies, Well-being, and Self-awareness, Adherence to Professional and Ethical Standards, and Patient Empowerment and Education.</p><p><strong>Conclusion: </strong>Our findings support the Patient Abuse in Healthcare Theory and show how intrapersonal, interpersonal, and organizational factors contribute to and mitigate disrespect and abuse of women during labor by nurses and midwives in the United States from their own perspectives. We recommend future researchers investigate interventions designed to address these factors and foster respectful maternity care.</p>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259642","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}