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

{"title":"Perceptions of Women in Opioid Recovery Regarding Policies and Laws on Sexual and Reproductive Health","authors":"Jessica L. Zemlak,&nbsp;Aleigha Barry,&nbsp;Nicole Mattson","doi":"10.1016/j.jogn.2024.06.006","DOIUrl":"10.1016/j.jogn.2024.06.006","url":null,"abstract":"<div><h3>Objective</h3><div>To explore perceptions of policies and laws on sexual and reproductive health among women in recovery from opioid use disorder (OUD).</div></div><div><h3>Design</h3><div>Qualitative descriptive.</div></div><div><h3>Setting</h3><div>Telephone interviews conducted in a midsized urban area in the midwestern region of the United States.</div></div><div><h3>Participants</h3><div>Twenty-two women ages 18 to 49 years who self-identified as being in recovery from OUD.</div></div><div><h3>Methods</h3><div>We conducted individual, semistructured telephone interviews and analyzed the data using reflexive thematic analysis.</div></div><div><h3>Results</h3><div>We identified three themes: <em>Barriers to OUD Treatment and Recovery</em>, <em>Pregnancy as a Gateway to Treatment and Recovery</em>, and <em>The Dobbs Effect</em>. Participants described OUD treatment barriers such as inadequate recovery resources for women and the criminalization of drug use. Many participants described pregnancy as a gateway to recovery because of improved access to treatment services and enhanced motivation for engaging in recovery. Participants described unintended pregnancy as a threat to recovery that made them seek woman-controlled contraceptive methods they could use without negotiating with a partner (e.g., intrauterine devices) after the Supreme Court overturned constitutionally protected access to abortion.</div></div><div><h3>Conclusion</h3><div>Opioid use disorder is a public and mental health crisis in the United States that affects reproductive-age women. Participants in our study closely connected recovery from OUD with sexual and reproductive health policy and laws. There is a need for regulation to support the unique needs of women in OUD treatment. The recent Supreme Court decision that overturned constitutionally protected abortion creates challenges for women in recovery from OUD. Nurses are ideally positioned to advocate for recovery and sexual and reproductive health policies and laws that improve the physical and mental health of women in recovery.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 1","pages":"Pages 50-59"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749796","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(24)00354-X","DOIUrl":"10.1016/S0884-2175(24)00354-X","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 1","pages":"Page A4"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143149584","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":"Case Report of Dysphoric Milk Ejection Reflex","authors":"Denise McGuinness,&nbsp;Timothy Frawley","doi":"10.1016/j.jogn.2024.11.003","DOIUrl":"10.1016/j.jogn.2024.11.003","url":null,"abstract":"<div><div>Dysphoric milk ejection reflex (D-MER) is a dysregulation of emotions (dysphoria) that can occur during the milk ejection reflex and during breastfeeding or expressing breast milk. Symptoms of D-MER present suddenly and can include hopelessness, sadness, nervousness, irritability, nausea, dread, palpitations, and a hollow feeling in the stomach. Although D-MER was first reported in 2007, it remains understudied to date and should not be confused with postnatal depression or anxiety disorders. Knowing that they are experiencing symptoms of a named condition is very supportive for women who experience D-MER. It is important that health care professionals who interact with the breastfeeding dyad be aware of D-MER so they can provide supportive care, manage symptoms, and protect the breastfeeding relationship. In this article, we describe the case of a woman who experienced D-MER while she breastfed her newborn.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 1","pages":"Pages 123-129.e2"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717836","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 Experiences of Women of Color Who Survived Severe Maternal Morbidity or Birth Complications","authors":"Cristina Chandra Mills,&nbsp;Eileen M. Condon,&nbsp;Cheryl Tatano Beck","doi":"10.1016/j.jogn.2024.10.004","DOIUrl":"10.1016/j.jogn.2024.10.004","url":null,"abstract":"<div><h3>Objective</h3><div>To develop a deeper understanding of the health care experiences of women of color affected by severe maternal morbidity (SMM) or birth complications in the United States and opportunities to improve the delivery of maternal health care.</div></div><div><h3>Data Sources</h3><div>PubMed, CINAHL, Embase, and Scopus.</div></div><div><h3>Study Selection</h3><div>We included qualitative studies on the experiences of pregnancy or childbirth among women of color in the United States published within the past 10 years (to reflect recent societal events and obstetric practices) in which researchers examined women’s experiences of SMM or birth complications.</div></div><div><h3>Data Extraction</h3><div>Five reports of qualitative research studies met inclusion criteria. We assessed the methodological quality of each study using the JBI (Joanna Briggs Institute) critical appraisal checklist for qualitative research. We extracted the following data from the included studies: participants’ demographic characteristics (i.e., race/ethnicity, age, experiences), methodological characteristics of the studies (i.e., sample size, research design, data collection, data analysis), and individual study metaphors (i.e., concepts, phrases, participant quotes) related to the overarching themes.</div></div><div><h3>Data Synthesis</h3><div>We used the meta-ethnographic approach of <span><span>Noblit and Hare (1988)</span></span> to critically examine studies, translate the studies into one another, and synthesize reciprocal translations. Four overarching themes emerged from the meta-synthesis: <em>Lack of Knowledge; Stigma, Discrimination, and/or Bias; Provider Communication Issues;</em> and <em>Barriers to Care and Services.</em> Each overarching theme had complicating factors, which represented factors that exacerbated problems, and mitigating factors, which represented factors that alleviated some negative experiences. Complex layers of varying demographic characteristics and social determinants of health shaped women’s individual experiences.</div></div><div><h3>Conclusion</h3><div>The experiences of women of color with SMM or complications during pregnancy and/or childbirth reveal shortcomings in the delivery of maternal health care. Findings suggest opportunities for improvement across various levels of the health care system. Further qualitative studies using high-quality methodology are needed on this topic given that the research is limited.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 1","pages":"Pages 38-49"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693796","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":"Longitudinal Analysis in Maternal Mental Health Research","authors":"Oliwier Dziadkowiec PhD","doi":"10.1016/j.jogn.2024.11.006","DOIUrl":"10.1016/j.jogn.2024.11.006","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 1","pages":"Pages 15-19"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774923","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":"Associations Among Lifetime Discrimination Typologies and Psychological Health in Black and Hispanic Women After Birth","authors":"Jihye Kim Scroggins,&nbsp;Maxim Topaz,&nbsp;Se Hee Min,&nbsp;Veronica Barcelona","doi":"10.1016/j.jogn.2024.07.004","DOIUrl":"10.1016/j.jogn.2024.07.004","url":null,"abstract":"<div><h3>Objective</h3><div>To identify lifetime discrimination typologies and examine their associations with psychological health outcomes among Black and Hispanic women after birth.</div></div><div><h3>Design</h3><div>Secondary analysis of the Community and Child Health Network study data.</div></div><div><h3>Participants</h3><div>A total of 1,350 Black and 607 Hispanic women.</div></div><div><h3>Methods</h3><div>We built two latent class models for Black and Hispanic women using eight indicator variables from different life domains of discrimination (childhood, family, work, police, education, housing, health care, and loans). We used bivariate and multiple regression analyses to examine the association among the identified typologies and postpartum depression and perceived stress at 6 months postpartum.</div></div><div><h3>Results</h3><div>We selected the three-class model with best fit indices and interpretability: no lifetime discrimination (<em>n</em> = 1,029; 76.22%), high childhood–family racial discrimination (<em>n</em> = 224, 16.59%), and moderate lifetime discrimination (<em>n</em> = 97, 7.19%) among Black women and no lifetime discrimination (<em>n</em> = 493, 81.22%), high childhood–family racial discrimination (<em>n</em> = 93, 15.32%), and high education discrimination (<em>n</em> = 21, 3.46%) among Hispanic women. The adjusted postpartum depression and perceived stress scores were significantly greater in Typologies 2 and 3 than Typology 1 in Black women. The adjusted perceived stress scores were significantly greater in Typologies 2 and 3 than Typology 1 in Hispanic women.</div></div><div><h3>Conclusion</h3><div>Lifetime discrimination experiences manifested in complex patterns. Women who experienced moderate to high discrimination across all or specific life domains had worse postpartum depression and perceived stress at 6 months after birth. It is crucial to address lifetime discrimination to improve maternal mental health.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 1","pages":"Pages 60-87"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142094229","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":"Mental Health Experiences of Muslim American Women During the Perinatal Period","authors":"Miriam Kanan,&nbsp;Nadia Quad,&nbsp;Xavier R. Ramirez,&nbsp;Nahida Nayaz Ahmed,&nbsp;Hsiang Huang,&nbsp;Karen M. Tabb,&nbsp;Shannon D. Simonovich","doi":"10.1016/j.jogn.2024.10.002","DOIUrl":"10.1016/j.jogn.2024.10.002","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the mental health experiences of Muslim American women in the perinatal period.</div></div><div><h3>Design</h3><div>Qualitative descriptive.</div></div><div><h3>Setting</h3><div>Telephone interviews.</div></div><div><h3>Participants</h3><div>Eighteen Muslim American women who gave birth in the last 12 months.</div></div><div><h3>Methods</h3><div>We used a semistructured guide to conduct individual interviews and thematic network analysis to identify key themes across the interviews.</div></div><div><h3>Results</h3><div>Participants had a mean age of 32.5 years, 83% were White, and 17% were Asian. Educational attainment ranged from high school diploma to doctorate degree (83% completed a bachelor’s degree or higher), and 83% reported U.S. citizenship. We identified four organizing themes: <em>Need for Tailored Mental Health Support</em>; <em>Challenging Screening Experiences</em>; <em>Mental Health Experiences That Affect Maternal–Infant Bonding</em>; and <em>Faith, Culture, and Mental Health</em>.</div></div><div><h3>Conclusion</h3><div>Findings underscore the need for culturally responsive mental health screening and enhanced support tailored to Muslim American women during the perinatal period. Health care providers should use culturally sensitive care approaches to build trust and enhance mental health outcomes.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 1","pages":"Pages 102-111"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632978","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":"Promoting Women’s Mental Health Across the Life Course","authors":"Shannon D. Simonovich PhD, RN,&nbsp;Kelly McGlothen-Bell PhD, RN, IBCLC, FAWHONN,&nbsp;Beverly Rossman PhD, RN","doi":"10.1016/j.jogn.2024.12.003","DOIUrl":"10.1016/j.jogn.2024.12.003","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 1","pages":"Pages 1-4"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873476","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":"Associations Between Menopause and Depression","authors":"Summer Sherburne Hawkins","doi":"10.1016/j.jogn.2024.12.004","DOIUrl":"10.1016/j.jogn.2024.12.004","url":null,"abstract":"<div><div>Menopause is a process of hormonal changes that typically starts in a woman’s mid- to late 40s and is associated with an increased risk of depression. However, whether the association is truly causal or purely correlational has been disputed for decades. In this column, I review the evidence on the associations between menopause and depression symptoms and diagnoses, the controversy, and the implications for research and practice. I conclude with information from professional organizations, but there are noted gaps in mental health resources for menopause.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 1","pages":"Pages 20-31"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840355","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":"Feasibility and Acceptability of the We See You, Sis Sister Circle for Black Women With Depression Symptoms","authors":"Kia Skrine Jeffers,&nbsp;Felica Jones,&nbsp;O. Kenrik Duru","doi":"10.1016/j.jogn.2024.11.002","DOIUrl":"10.1016/j.jogn.2024.11.002","url":null,"abstract":"<div><h3>Objective</h3><div>To test the feasibility and acceptability of We See You, Sis, a therapeutically grounded virtual sister circle intervention for Black women with depression symptoms.</div></div><div><h3>Design</h3><div>A two-group quasi-experimental design.</div></div><div><h3>Setting</h3><div>Virtual on the Zoom version 5.13 platform.</div></div><div><h3>Participants</h3><div>Black women who were at least 40 years of age, with current depression symptoms, who had reliable access to Zoom (<em>N</em> = 30).</div></div><div><h3>Method</h3><div>We See You, Sis is a virtual sister circle intervention that is therapeutically grounded in the core processes of Pulling Out of Fire, a culturally adapted version of acceptance and commitment therapy. Groups 1 and 2 received the 6-week intervention during Weeks 1 through 6 and 7 through 12, respectively. The main outcomes were feasibility (recruitment, retention, and completion) and acceptability. The theoretical framework of acceptability informed the focus group guide used to assess acceptability. We used thematic analysis to code the qualitative data and to identify salient themes across participants’ narratives.</div></div><div><h3>Results</h3><div>Recruitment (70%), retention (83.3%), and completion (82%) rates demonstrated that the intervention was feasible. Participants perceived the intervention to be acceptable, especially because it fit with their personal and collective values. We generated two overarching themes: <em>Becoming More Whole</em> and <em>Having a Trusted Space to Address Depression Symptoms and Related Experiences</em>, which represented the interconnected processes of personal growth and collective healing that occurred throughout the intervention.</div></div><div><h3>Conclusion</h3><div>The findings provide evidence to support the delivery of peer-delivered mental health interventions for middle-age and older Black women.</div></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"54 1","pages":"Pages 32-37.e3"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774922","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}