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

{"title":"Relationships Among Pelvic Congestion Syndrome Pain, Daily Activities, and Quality of Life","authors":"Sarah E. Patel,&nbsp;Steven R. Chesnut","doi":"10.1016/j.jogn.2024.03.002","DOIUrl":"10.1016/j.jogn.2024.03.002","url":null,"abstract":"<div><h3>Objective</h3><p>To examine women’s experiences of pelvic congestion syndrome (PCS) pain.</p></div><div><h3>Design</h3><p>Descriptive, cross-sectional.</p></div><div><h3>Setting</h3><p>Online questionnaires in a Facebook PCS support group.</p></div><div><h3>Participants</h3><p>Convenience sample of 143 women who self-identified as being diagnosed with PCS.</p></div><div><h3>Methods</h3><p>We recruited women through a social media support group and invited them to participate in a self-reported questionnaire. We collected demographic information and used the McGill Pain Questionnaire to elicit responses related to pain quality, pain intensity, quality of life, and satisfaction with health care. We analyzed data using descriptive statistics and correlation coefficients.</p></div><div><h3>Results</h3><p>Respondents characterized their PCS pain as exhausting, stabbing, sharp, shooting, and tender. Respondents indicated that 19 of 24 daily activities increased PCS pain, whereas only 5 reduced PCS pain. Pain intensity was negatively related to the quality of life, health satisfaction, sleep, and sexual relationships.</p></div><div><h3>Conclusion</h3><p>Chronic pelvic pain from PCS severely affected quality of life among respondents. These findings suggest a difference in the presentation of PCS from historical pain depictions and further highlight the need to identify pain profiles to increase timely and precise diagnosis. Further research is needed to evaluate interventions to increase the quality of life for women with PCS.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 4","pages":"Pages 416-426"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140612450","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":"Use of Behavioral Health Treatment Among Parenting Women With Opioid Use Disorder in the United States","authors":"Stacey E. Iobst,&nbsp;Priscilla Novak,&nbsp;Mir M. Ali","doi":"10.1016/j.jogn.2024.01.004","DOIUrl":"10.1016/j.jogn.2024.01.004","url":null,"abstract":"<div><h3>Objective</h3><p>To examine use of mental health treatment, substance use disorder treatment, and perceived barriers to treatment by whether a major depressive episode occurred during the past year among parenting women with opioid use disorder.</p></div><div><h3>Design</h3><p>Secondary analysis of survey data from the National Survey on Drug Use and Health, 2015–2019.</p></div><div><h3>Setting</h3><p>United States.</p></div><div><h3>Participants</h3><p>Women aged 18 to 44 years with opioid use disorder and at least one child in the household.</p></div><div><h3>Methods</h3><p>We computed descriptive statistics for demographic characteristics, treatment by major depressive episode status, and barriers to treatment by major depressive episode status. We conducted multinomial logistic regression to examine associations among demographic characteristics, major depressive episode status, and type of treatment.</p></div><div><h3>Results</h3><p>Of the 36% of respondents in our weighted sample (<em>N</em> ≈ 254,300) who experienced major depressive episode, 35% received substance use disorder and mental health treatment, and 27% did not receive any form of treatment. We found that identification as a person of color was significantly associated with a lower relative risk of receiving any type of treatment. Frequently reported barriers to treatment included affordability, access, and stigma.</p></div><div><h3>Conclusion</h3><p>Respondents with opioid use disorder and co-occurring major depressive episode did not obtain necessary treatment. Barriers to treatment, including affordability, access to treatment, and stigma, need to be addressed, particularly among women of color.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 4","pages":"Pages 355-367"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693566","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":"Sleep and Mood Among Women With Histories of Depression When They Used a Responsive Infant Bassinet During the COVID-19 Pandemic","authors":"Patricia Gellasch,&nbsp;Maria Torraca,&nbsp;Michele L. Okun","doi":"10.1016/j.jogn.2024.02.006","DOIUrl":"10.1016/j.jogn.2024.02.006","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the experiences of women with histories of depression who used a responsive infant bassinet during the first 6 months after birth during the COVID-19 pandemic.</p></div><div><h3>Design</h3><p>Secondary qualitative descriptive study with analytic expansion.</p></div><div><h3>Setting</h3><p>United States.</p></div><div><h3>Participants</h3><p>Women (<em>N</em> = 139) who gave birth up to 6 months previously and had histories of depression.</p></div><div><h3>Methods</h3><p>We used Kyngäs’s method of inductive content analysis to analyze 109 open-ended responses that were collected between August 2020 to November 2021 as part of a previously conducted longitudinal study of women who used a responsive bassinet.</p></div><div><h3>Results</h3><p>Most participants indicated that the responsive bassinet improved their infants’ sleep, which, in turn, subjectively improved their sleep and mood. External stressors and challenges presented barriers to good sleep for the participants and their infants, and participants described how these challenges contributed to their symptoms related to mood. When participants reported that they used the responsive bassinet, they shared that their infants were swaddled in the supine sleep position. Participants who did not use the bassinet commonly reported unsafe sleep practices. We identified seven themes from the data: <em>Improved Maternal Sleep Quality</em>, <em>Barriers to Good Maternal Sleep, Mood and Sleep Go Hand and Hand</em>, <em>External Stressors Impair Mood, Improved Infant Sleep Quality</em>, <em>Barriers to Good Infant Sleep,</em> and <em>Safe Sleep Positioning</em>.</p></div><div><h3>Conclusion</h3><p>These findings can be used to inform clinicians on how a responsive bassinet may offer women at high risk for postpartum depression improved sleep and instrumental support. Future researchers should use validated measures to objectively evaluate rates of postpartum depression and sleep quality in high-risk women when using a responsive bassinet.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 4","pages":"Pages 406-415"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0884217524000352/pdfft?md5=5cbeb0443fde2dbb7981d27b681f21db&pid=1-s2.0-S0884217524000352-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327375","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}

{"title":"Educating Pregnant Women About the Dangers of Extreme Heat and Air Pollution","authors":"Kathryn Atkin,&nbsp;Georgina Christopulos,&nbsp;Rachel Turk,&nbsp;Jean M. Bernhardt,&nbsp;Katherine Simmonds","doi":"10.1016/j.jogn.2024.01.005","DOIUrl":"10.1016/j.jogn.2024.01.005","url":null,"abstract":"<div><p>Climate change poses a serious threat to the health and well-being of pregnant women and their developing fetuses. Certain populations are at greater risk of adverse outcomes from air pollution, a contributing factor to climate change. In addition, heightened exposure to extreme heat, a consequence of climate change, exacerbates the existing health care inequities in the United States. Nurses, midwives, and other health care clinicians are uniquely positioned to reduce the harmful effects of climate change by educating pregnant women and their families and advocating for systems and policies that can decelerate climate change. The purpose of this article is to provide resources for clinicians to use in educating pregnant women about the risks of extreme heat and air pollution, their potential effects on pregnancy and neonatal outcomes, and strategies to help mitigate risk. We conclude with implications for practice, opportunities for advocacy, and areas for future research.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 4","pages":"Pages 438-446"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725034","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":"Noninvasive Prenatal Test Results Indicative of Maternal Malignancies: A Nationwide Genetic and Clinical Follow-Up Study","authors":"Ellise D. Adams PhD, RN","doi":"10.1016/j.jogn.2024.05.140","DOIUrl":"10.1016/j.jogn.2024.05.140","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 4","pages":"Pages 320-323"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263298","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":"Support Needs of Labor and Delivery Nurses After Traumatic Experiences","authors":"Catherine Crawford,&nbsp;Jessica R. Williams","doi":"10.1016/j.jogn.2024.01.008","DOIUrl":"10.1016/j.jogn.2024.01.008","url":null,"abstract":"<div><h3>Objective</h3><p>To examine the effect of psychological distress, overall distress, and institutional support following a traumatic workplace event on absenteeism, turnover intention, and resilience among labor and delivery nurses.</p></div><div><h3>Design</h3><p>A quantitative cross-sectional survey.</p></div><div><h3>Setting</h3><p>Online distribution from January 13, 2021, to February 2, 2021.</p></div><div><h3>Participants</h3><p>A nationwide convenience sample of labor and delivery nurses recruited from the Association of Women’s Health, Obstetric and Neonatal Nurses (<em>N</em> = 171).</p></div><div><h3>Methods</h3><p>Participants completed a survey that included the Second Victim Experience and Support Tool–Revised and the Second Victim Support Desirability survey. We compared available versus desired support options using descriptive analyses. We examined levels of psychological distress and lack of institutional support in relation to turnover intention, absenteeism, and resilience using multiple regression analyses.</p></div><div><h3>Results</h3><p>Participants identified and described various traumatic experiences in the workplace, including neonatal and maternal death, complicated births, and workplace violence. Participants indicated that the available support services did not meet their needs. Psychological distress, overall distress, and lack of institutional support were associated with absenteeism and turnover, whereas only institutional support was associated with resilience.</p></div><div><h3>Conclusion</h3><p>Labor and delivery nurses encounter various traumatic events in the workplace, and the support services provided after an event do not meet their needs. Additional research is needed to understand the scope of the problem and investigate best practices to assist labor and delivery nurses following traumatic events.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 4","pages":"Pages 383-396"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139887479","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":"Sex Workers’ Experiences of Screening for Intimate Partner Violence","authors":"Jessica L. Zemlak,&nbsp;Kamila A. Alexander,&nbsp;Deborah Wilson,&nbsp;Randi Singer,&nbsp;Joni S. Williams,&nbsp;Susan G. Sherman","doi":"10.1016/j.jogn.2024.02.005","DOIUrl":"10.1016/j.jogn.2024.02.005","url":null,"abstract":"<div><h3>Objective</h3><p>To examine experiences of intimate partner violence (IPV) screening among women who sell sex.</p></div><div><h3>Design</h3><p>A qualitative descriptive study.</p></div><div><h3>Setting</h3><p>Telephone interviews during the COVID-19 pandemic (June 2020 to October 2020).</p></div><div><h3>Participants</h3><p>Women aged 18 to 49 years who sold or traded sex for food, drugs, money, or shelter at least three times during the past 3 months before recruitment (<em>N</em> = 22).</p></div><div><h3>Methods</h3><p>We used individual, semistructured telephone interviews to collect data about participants’ experiences with IPV and IPV screening during health care encounters. We used reflexive thematic analysis to examine these data.</p></div><div><h3>Results</h3><p>We identified two overarching themes related to IPV screening experiences: <em>Preferences for IPV Screening</em> and <em>Barriers to Disclosure of IPV Experiences</em>. Participants described a preference for IPV screening done face-to-face with providers who show a genuine interest in their responses. Stigma was a barrier of IPV disclosure.</p></div><div><h3>Conclusion</h3><p>Health care providers are a trusted safety net for disclosure of IPV experiences. Providing screening in a trauma-informed, nonstigmatizing manner may facilitate disclosure of IPV by women who sell sex. Future research among marginalized populations is needed to examine ways to address IPV in clinical settings with a harm reduction empowerment lens.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 4","pages":"Pages 397-405"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140126846","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 Justice as an Alternative to the Pregnancy Planning Paradigm for Teens","authors":"Lee SmithBattle,&nbsp;Louise H. Flick","doi":"10.1016/j.jogn.2024.02.009","DOIUrl":"10.1016/j.jogn.2024.02.009","url":null,"abstract":"<div><p>In this critical commentary, we describe the many limitations of the pregnancy planning paradigm as applied to pregnant and parenting teens. We describe how this paradigm, in characterizing pregnancies as intended or unintended, has shaped campaigns to prevent teen pregnancy and remains largely embedded in formal sex education and family planning programs in the United States. We argue that a paradigm shift is long overdue and describe how the reproductive justice framework addresses the limitations of the pregnancy planning paradigm. Although reproductive justice is endorsed by a growing number of organizations, recommended policies face formidable obstacles given that comprehensive sex education, contraception, and legal abortion are increasingly at risk in a post-<em>Dobbs</em> world.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 4","pages":"Pages 345-354"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140598544","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)00233-8","DOIUrl":"https://doi.org/10.1016/S0884-2175(24)00233-8","url":null,"abstract":"","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 4","pages":"Page A4"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141593976","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":"Mixed-Methods Assessment of Maternal Anxiety During the First 8 Weeks After Birth","authors":"Mary G. Hoberg,&nbsp;Jill R. Demirci,&nbsp;Susan M. Sereika,&nbsp;Michele D. Levine,&nbsp;Annette DeVito Dabbs","doi":"10.1016/j.jogn.2024.01.003","DOIUrl":"10.1016/j.jogn.2024.01.003","url":null,"abstract":"<div><h3>Objective</h3><p>To describe and compare the experiences of postpartum anxiety among women with generalized anxiety and postpartum-specific anxiety.</p></div><div><h3>Design</h3><p>Prospective, longitudinal, mixed methods.</p></div><div><h3>Setting</h3><p>Academic tertiary center in the mid-Atlantic United States. Study activities were remote.</p></div><div><h3>Participants</h3><p>Women at 1 to 8 weeks after birth (<em>N</em> = 34).</p></div><div><h3>Methods</h3><p>We used mobile surveys to measure daily anxiety ratings and responses to open-ended, theory-driven questions about anxiety. We used the cutoff scores on the State–Trait Anxiety Inventory and Postpartum Specific Anxiety Scale administered 8 weeks after birth to determine the presence of generalized and postpartum-specific anxiety. Participants’ responses were analyzed with qualitative description and sorted by anxiety questionnaire scores at 8 weeks after birth. We compared qualitative findings between participants with generalized anxiety and postpartum-specific anxiety.</p></div><div><h3>Results</h3><p>Participants with generalized anxiety had high levels of overwhelm and felt ill-equipped to handle daily stressors, whereas those with postpartum-specific anxiety felt adept at coping. Participants with generalized anxiety lacked emotional and physical support, and those with postpartum-specific anxiety reported more physical but variable emotional support. Sources of daily anxiety in participants with postpartum-specific anxiety were infant-centric (e.g., infant health, end of maternity leave, breastfeeding), whereas anxiety sources for participants with generalized anxiety were varied (e.g., self-health, partner concerns). Participants with generalized anxiety versus postpartum-specific anxiety were more likely to be multiparous and have comorbid depression symptoms.</p></div><div><h3>Conclusion</h3><p>Symptoms, levels of perceived support, and sources of anxiety differed between participants with generalized versus postpartum-specific anxiety. Our findings can inform postpartum anxiety screening strategies and support interventions.</p></div>","PeriodicalId":54903,"journal":{"name":"Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing","volume":"53 4","pages":"Pages 368-382"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139677425","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}