Journal of midwifery & women's health最新文献

{"title":"Characteristics Associated With Tub Entry and Birth in Water Among People Planning a Waterbirth.","authors":"Emily Malloy, Amanda Luff, Jessica J F Kram, James Adefisoye, Marie Forgie, Valerie Oliver, MaryAnne Scherer, Cara Wolf, Devika Chakrabarti, Lisa Hanson","doi":"10.1111/jmwh.70180","DOIUrl":"10.1111/jmwh.70180","url":null,"abstract":"<p><strong>Introduction: </strong>Waterbirth is a pain relief option and a comfort measure not widely available in US hospitals. This study presents a secondary analysis of a randomized control trial of waterbirth examining participants' entry into the tub and final location of birth (water or non-water) to determine characteristics associated with successful waterbirth.</p><p><strong>Methods: </strong>We analyzed data from a hospital-based waterbirth study that was conducted at a large, urban, midwestern medical center. Among those planning a waterbirth who presented in labor at term, we compared participant and labor characteristics by tub entry during labor and completion of birth in water using Fisher's exact and Kruskal-Wallis tests.</p><p><strong>Results: </strong>Of 124 participants randomized to waterbirth, 96 were eligible for inclusion in this analysis, with 68 (71%) entering the tub during labor and 41 (43%) giving birth in water. Common reasons for not entering the tub included hypertension (n = 10) and desire for epidural analgesia (n = 10). Of those who entered and subsequently left the tub, 14 desired epidural analgesia and 4 required cesarean or operative vaginal birth. Participants who the tub had greater cervical dilatation at admission (4.3 vs 2.6 cm, P < .001). Those who entered the tub and gave birth in water were older (31.2 vs 27.5 y, P = .012), had greater dilatation at hospital admission (4.8 vs 3.6 cm, P = .023), and were more likely to be multiparous (56% vs 27%, P = .023). Participants who gave birth in water were also more likely to be married and have higher educational attainment.</p><p><strong>Discussion: </strong>Medical contraindications emerging after admission highlight labor unpredictability and the importance of ongoing assessment for waterbirth eligibility. Although characteristic differences related to tub entry were primarily physiologic, those related to giving birth in the tub also included sociodemographic differences. Future work should evaluate how labor support, clinical decision‑making, and structural factors shape equitable access to waterbirth.</p>","PeriodicalId":94094,"journal":{"name":"Journal of midwifery & women's health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889979","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":"Letter to the Editor: Comment on \"The Impact of Virtual Reality With Relaxation Music and Distraction Cards on Pain, Anxiety, and Satisfaction Levels of Women With an Intrauterine Device: A Randomized Controlled Trial\".","authors":"Yurika Saito, Yohei Kishi, Anri Inumaru, Jun Kako","doi":"10.1111/jmwh.70191","DOIUrl":"10.1111/jmwh.70191","url":null,"abstract":"","PeriodicalId":94094,"journal":{"name":"Journal of midwifery & women's health","volume":" ","pages":"943"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149070928","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":"Midwifery Provision of Home Birth Services.","authors":"Michelle Palmer, Victoria Gordon, Joanna Bronkema, Andrea Christianson, Priscilla Hall","doi":"10.1111/jmwh.70081","DOIUrl":"10.1111/jmwh.70081","url":null,"abstract":"<p><p>The number of individuals choosing to give birth at home has increased significantly in the United States over the past decade. It is essential to gain a greater understanding of the evidence regarding the provision of midwifery care to people considering this option. The safety of planned home birth continues to be debated and studied primarily through observational research both globally and within the United States. Findings from well-designed studies demonstrate that pregnant people who are essentially healthy at term with a singleton fetus and choose a planned home birth have positive outcomes and a lower rate of interventions during labor and birth; furthermore, there is no statistically significant impact on infant mortality when these births are attended by skilled health care providers. The purpose of this American College of Nurse-Midwives (ACNM) clinical bulletin is to provide information, including relevant research, ethics, informed decision-making, and quality assurance, to midwives and other birth providers to use when caring for people planning a home birth.</p>","PeriodicalId":94094,"journal":{"name":"Journal of midwifery & women's health","volume":" ","pages":"907-918"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147313721","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":"Intermittent Auscultation for Intrapartum Fetal Heart Rate Surveillance.","authors":"Kristen Ostrem-Niemcewicz, Jessica Holm, Lisa Kane Low","doi":"10.1111/jmwh.70079","DOIUrl":"10.1111/jmwh.70079","url":null,"abstract":"<p><p>Fetal heart rate surveillance is a standard component of intrapartum care. The fetal heart rate can be evaluated using intermittent auscultation or electronic fetal monitoring. Research that has compared these 2 strategies found them to be equivalent with respect to long-term neonatal outcomes. The purpose of this clinical bulletin by the American College of Nurse-Midwives is to review evidence for the use of intermittent auscultation and provide recommendations for intermittent auscultation technique, interpretation, and documentation.</p>","PeriodicalId":94094,"journal":{"name":"Journal of midwifery & women's health","volume":" ","pages":"887-894"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13655190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147313779","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":"Care For Individuals Desiring Vaginal Birth After Cesarean Birth.","authors":"Whitney Miller, Anjali Madeira, Gianna Fay, Kathryn Ault, Kari A Radoff, Michelle Palmer, Joanna Bronkema, Victoria Gordon, Andrea Christianson, Jessica Ellis","doi":"10.1111/jmwh.70080","DOIUrl":"10.1111/jmwh.70080","url":null,"abstract":"<p><p>Individuals with a prior cesarean birth may have limited choices or receive conflicting information related to either labor after cesarean (LAC) or elective repeat cesarean birth (ERCB), both of which are associated with potential benefits and risks to the birthing person and newborn. The purpose of this clinical bulletin by the American College of Nurse-Midwives (ACNM) is to offer evidence-based guidelines for midwives and other health care providers to use when caring for individuals considering LAC. This includes risk assessment, education that supports informed choices, shared decision-making, and clinical care. Considerations related to the site of birth are also provided.</p>","PeriodicalId":94094,"journal":{"name":"Journal of midwifery & women's health","volume":" ","pages":"895-906"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148414526","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":"Author Response: Reply to \"Comment on 'The Impact of Virtual Reality With Relaxation Music and Distraction Cards on Pain, Anxiety, and Satisfaction Levels of Women With an Intrauterine Device: A Randomized Controlled Trial'\".","authors":"Eylem Toker, Mine Gökduman Keleş","doi":"10.1111/jmwh.70193","DOIUrl":"10.1111/jmwh.70193","url":null,"abstract":"","PeriodicalId":94094,"journal":{"name":"Journal of midwifery & women's health","volume":" ","pages":"944-945"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149070893","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":"Development of 3D-Printed Perineal Laceration Trainers: Reusable Simulation Models for Midwifery Education.","authors":"Cathleen Hewlett-Masser, Falko Schoeneweiss, JoEllen Holt, Hannah Cole McGrew, Kendra Faucett, Emily Beck, Kim Dau, Julia C Phillippi","doi":"10.1111/jmwh.70173","DOIUrl":"https://doi.org/10.1111/jmwh.70173","url":null,"abstract":"","PeriodicalId":94094,"journal":{"name":"Journal of midwifery & women's health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148868571","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":"Experiences of Preceptors in Underserved Areas: A National Qualitative Study.","authors":"Cara Busenhart, Jenna A LoGiudice, Hannah Cole McGrew, Christy Evers, Katherine Ferrell Fouquier, Angélica Avellaneda-Leiva, Shannon Pirrie, Denise C Smith, Rebecca Fabian, Lisa Kane Low, Sharon Ruyak, Pam Reis, Julia Phillippi","doi":"10.1111/jmwh.70175","DOIUrl":"https://doi.org/10.1111/jmwh.70175","url":null,"abstract":"<p><strong>Introduction: </strong>Clinical education of midwifery students depends on preceptors to guide students' transition from theoretical knowledge to safe beginning practice. However, there is limited information on the experiences for clinical preceptors working in sites serving rural and medically underserved communities. The purpose of this qualitative study was to understand the experiences of midwives working in lower-resource areas who also act as clinical preceptors for students enrolled in midwifery education programs accredited by the Accreditation Commission for Midwifery Education.</p><p><strong>Methods: </strong>Semistructured qualitative interviews were conducted along with the collection of preceptor and clinical practice site demographic data. A convenience sample of midwives who have served in a clinical preceptor role within the last 5 years were recruited. Interview questions were developed collaboratively by faculty and grant staff from 10 academic institutions receiving Maternity Care Nursing Workforce Expansion program funding from the Health Resources and Services Administration. Interviews were deidentified and analyzed by faculty and grant staff across 7 programs using qualitative research software and content analysis methodology by Krippendorff and the Standards for Reporting Qualitative Research.</p><p><strong>Results: </strong>Thirty-nine midwife preceptors participated in interviews, representing all US Census regions. Five key themes emerged from the analysis of preceptor-focused information: (1) needs, (2) barriers and (3) facilitators, (4) learning from past experiences, and (5) compensation.</p><p><strong>Discussion: </strong>Findings highlight the need for comprehensive support, clear communication, and meaningful recognition of preceptors' critical role in training the next generation of midwives. Investing in preceptor training and support at the national and policy level could enhance the quality of midwifery education in rural and underserved areas.</p>","PeriodicalId":94094,"journal":{"name":"Journal of midwifery & women's health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814470","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":"Women's Experiences of Community-Based Midwifery Care Provided by Independent Midwives in Turkey: A Qualitative Study Based on the World Health Organization Positive Childbirth Experience Framework.","authors":"Betül Uncu, Feyza Aktaş Reyhan, Elif Selimoğlu","doi":"10.1111/jmwh.70152","DOIUrl":"https://doi.org/10.1111/jmwh.70152","url":null,"abstract":"<p><strong>Introduction: </strong>Midwife-led birth models are gaining increasing acceptance because of their potential to promote respectful, woman-centered, and positive birth experiences. However, evidence regarding women's lived experiences of midwife-led births in Turkey is limited. This study aimed to investigate women's experiences, perceptions, and thoughts regarding midwife-led births in Turkey within the World Health Organization (WHO) Positive Birth Experience Framework.</p><p><strong>Methods: </strong>A qualitative descriptive design was employed. Semistructured interviews were conducted with 9 women from different regions of Turkey who experienced childbirth under the care of independent midwives. Purposive sampling ensured variation in age, parity, and birth setting. Interviews were audio-recorded, transcribed verbatim, and analyzed using inductive thematic analysis informed by the WHO Positive Birth Experience Framework.</p><p><strong>Results: </strong>Three main themes emerged from the analysis: (1) continuous and autonomous one-on-one midwife support from pregnancy through the postpartum period (4 subthemes); (2) a woman-centered, noninterventionist, and empowering birth experience (3 subthemes); and (3) advocating for an independent midwife model with a critical perspective on the health care system (3 subthemes). Women described midwife-led care as empowering, respectful, and emotionally supportive, emphasizing continuous presence, effective communication, trust, and shared-decision-making. Positive experiences were facilitated by individualized care and calm birth environments. However, participants also reported systemic barriers, limited institutional support, and unequal access to independent midwife-led services.</p><p><strong>Discussion: </strong>In general, women's experiences of midwife-led births were strongly aligned with the WHO Positive Birth Experience Framework, particularly in terms of emotional security, participation in the decision-making process, and perceived safety. However, structural constraints within the health care system may hinder the wider implementation and sustainability of midwife-led models. Strengthening continuity of care and institutional recognition of independent midwifery practice are essential.</p>","PeriodicalId":94094,"journal":{"name":"Journal of midwifery & women's health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148803640","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":"Strengthening the Midwifery Workforce Through State Investment in Midwifery Education: The New Jersey Midwifery Education Project.","authors":"Julie Blumenfeld, Amy Alspaugh, Elizabeth Auricchio, Laura Lindberg","doi":"10.1111/jmwh.70174","DOIUrl":"https://doi.org/10.1111/jmwh.70174","url":null,"abstract":"<p><p>State-level investment in midwifery education strengthens the workforce by addressing long-standing structural barriers in training and clinical education. We describe the development, implementation, and early outcomes of the New Jersey Midwifery Education Project (NJ-MEP), a state-funded initiative designed to sustain, expand, and diversify the midwifery workforce through targeted improvements in educational and training infrastructure. The NJ-MEP's successes illustrate how policy engagement, advocacy, and sustained public funding are effective mechanisms to support midwifery workforce development and diversification. Core components of the NJ-MEP include (1) financial and educational support for clinical preceptors; (2) financial investment in midwifery students through scholarships, mentoring, and academic coaching; (3) the creation of a dedicated midwifery simulation center; and (4) the development of a coordinated research agenda focused on clinical education quality and workforce development. Preceptor initiatives combine financial support with educational programming, including in-person workshops and an online learning platform. Student scholarship funding, combined with mentoring and academic coaching programs, reduces financial strain and supports student success. The simulation center expands access to hands-on learning across routine and high-acuity clinical scenarios while supporting interprofessional education. Finally, a growing body of research conducted under the auspices of the NJ-MEP reframes clinical precepting as a central educational and workforce system, thereby shaping training quality, equity, and long-term workforce viability. Together, these 4 components demonstrate the positive impact of a state-funded investment in midwifery education.</p>","PeriodicalId":94094,"journal":{"name":"Journal of midwifery & women's health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148803684","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}