Journal of midwifery & women's health最新文献

{"title":"Supporting Breastfeeding in the Setting of Perinatal Opioid Use Disorder.","authors":"Lindsey A Baksh, Stephanie M Hartwig","doi":"10.1111/jmwh.70122","DOIUrl":"10.1111/jmwh.70122","url":null,"abstract":"<p><p>Studies have shown that many pregnant women with opioid use disorder intend to initiate breastfeeding after giving birth. However, continuation rates beyond the initial postpartum hospitalization are low. Achieving and maintaining an antepartum breastfeeding plan may be complicated by the unique challenges that opioid-exposed dyads experience after birth. Stigma, inconsistent messaging about the safety of breastfeeding while on opioid agonist therapy, and institutional policies that separate the dyad can contribute to low continuation rates. Additionally, neonatal opioid withdrawal syndrome may include gastrointestinal, musculoskeletal, and neurological symptoms that can lead to difficulty establishing breastfeeding. Neonatal weight loss may require temporary supplemental formula use. The safety and benefits of breastfeeding in the setting of opioid agonist treatment for perinatal opioid use disorder is well established in the literature. This case reviews the safety and benefits of breastfeeding in the setting of perinatal opioid use disorder and provides evidence-based strategies to support the feeding preferences of these families.</p>","PeriodicalId":94094,"journal":{"name":"Journal of midwifery & women's health","volume":" ","pages":"668-673"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13460552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640983","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":"A Novel Hand-Sewn Cervical Model for Perinatal Skills Training.","authors":"Alyssa Warburton-Silva, Sahoko H Little","doi":"10.1111/jmwh.70126","DOIUrl":"10.1111/jmwh.70126","url":null,"abstract":"","PeriodicalId":94094,"journal":{"name":"Journal of midwifery & women's health","volume":" ","pages":"674-675"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13460893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147701018","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":"Community Midwifery Postpartum Care: National Data From Community Practice.","authors":"Ariana Thompson-Lastad, Marit L Bovbjerg, Jessica M Harrison, Tanya Khemet Taiwo, Elise Erickson, Melissa Cheyney","doi":"10.1111/jmwh.70149","DOIUrl":"10.1111/jmwh.70149","url":null,"abstract":"<p><strong>Introduction: </strong>The United States is a global anomaly in its lack of postpartum care. Community midwives' scope of practice generally includes maternal and infant care until 6 weeks after birth, although research on community midwifery postpartum care in the United States has been limited. The purpose of this analysis was to further describe community midwifery postpartum care using a national quantitative data set.</p><p><strong>Methods: </strong>This analysis uses data from the Midwives Alliance of North America Statistics Project, birth years 2004 to 2009. The data include 20,720 pregnancies, with home or birth center as the planned place of birth at the onset of labor. We used standard descriptive statistics. The main variables of interest to characterize postpartum care were the number of postpartum care visits and the number of weeks of postpartum care. We used Kruskal-Wallis tests to assess whether number of visits or number of weeks of postpartum care varied by subgroup.</p><p><strong>Results: </strong>Breastfeeding initiation occurred for 99.3% of infants; 83.8% were exclusively breastfeeding 6 weeks after birth. The median number of postpartum visits with midwives was 4 (IQR, 3-5). Only 0.7% (n = 142) had no postpartum visit with a midwife; 3.1% (n = 508) had only one visit. The median number of weeks of postpartum care with midwives was 6 (IQR, 6-7); one-third of families received midwifery care after 6 weeks postpartum. There were small but statistically significant differences in the median number of visits and the median weeks of care by payer, midwife credential, parity, hospital transfer, and state regulations.</p><p><strong>Discussion: </strong>Community midwives provide postpartum care consistent with World Health Organization guidelines. Future research should explore comprehensive, midwife-led postpartum care in diverse families, including after perinatal complications. Although a majority of US births will likely continue to occur in hospitals, community midwives could provide home-based postpartum care regardless of birth location.</p>","PeriodicalId":94094,"journal":{"name":"Journal of midwifery & women's health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148311217","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":"A Qualitative Exploration of Community-Based Perinatal Health Provider Perspectives About Patient Perinatal Care Experiences: In Their Own Words.","authors":"Tanika Eaves, Jennifer Dealy, Nicoletta Pellogrino, Elise Palumbo, Janelle Franklin, Grace Nieczezeweski","doi":"10.1111/jmwh.70144","DOIUrl":"https://doi.org/10.1111/jmwh.70144","url":null,"abstract":"<p><strong>Introduction: </strong>Mistreatment and disrespect in maternity care are a global human rights issue. Patients in maternity care from racialized groups, including Black, Indigenous, and Persons of Color (BIPOC), are more likely to report mistreatment and disrespect and suffer disproportionately from maternal mortality and perinatal complications. Community-based perinatal health and mental health providers may provide unique insight into the experiences of BIPOC birthing persons with implications for enhancing respectful maternity care.</p><p><strong>Methods: </strong>Focus group interviews were used to canvass 16 community-based perinatal health and mental health care providers about their experiences providing care for expectant, birthing, and early parenting BIPOC families.</p><p><strong>Results: </strong>Findings derived from qualitative coding informed by a grounded theory approach revealed 4 central themes: patient marginalization in health care settings, cultural mismatch within the perinatal workforce, barriers in patient education and care-seeking, and limited interprofessional awareness and collaboration.</p><p><strong>Discussion: </strong>A respectful maternity care approach to practice with interprofessional collaboration at its core is proposed as a best practice framework to address the sharp racial inequities in perinatal care experiences, including patient-provider communication, perinatal care-seeking behaviors, and maternal-infant health outcomes.</p>","PeriodicalId":94094,"journal":{"name":"Journal of midwifery & women's health","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240935","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":"Journal of Midwifery & Women's Health: Taking Action for Inclusion.","authors":"Lauren Arrington, Heather Bradford, Lucinda Canty, Meghan Eagen-Torkko, Melicia Escobar, Linda Hunter, Anjali Madeira, Melissa D Avery","doi":"10.1111/jmwh.70117","DOIUrl":"https://doi.org/10.1111/jmwh.70117","url":null,"abstract":"","PeriodicalId":94094,"journal":{"name":"Journal of midwifery & women's health","volume":"71 2","pages":"184-186"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647811","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":"Guiding Midwives to Precept Students: Two Evidence-Based Models.","authors":"Margaret C Taylor, Hannah L Diaz","doi":"10.1111/jmwh.70075","DOIUrl":"10.1111/jmwh.70075","url":null,"abstract":"<p><p>The success of midwifery education relies heavily on the time and expertise shared by experienced midwifery preceptors. Although there are several known and documented barriers to preceptor availability and willingness to participate in the education of future midwives, clinical education opportunities are crucial to midwifery education. Mentorship and training from preceptors not only benefit the students but also contributes to the development of a well-prepared, compassionate midwifery workforce. Advocates for growing the US midwifery workforce point to the alarming rate of maternity health care deserts, in which families lack access to maternity health care providers and maternity care services. Midwives are the logical solution to fill this health care gap, but this requires the growth of midwifery education programs and clinical preceptors. Recognizing the importance of precepting and easing the role of the preceptor with recommended teaching methods can lighten the burden and make the precepting experience more beneficial. Health profession education has used various preceptor models to guide learning interactions, but there is not a specific model for midwifery clinical education. Midwives need standardized, reliable, and consistent methods that engage students, promote critical thinking skills, and create positive learning experiences. In this article, we propose and discuss the use of 2 evidence-based models: the One-Minute Preceptor method and the Summarize, Narrow, Analyze, Probe, Plan, Select method to facilitate and support the role of the preceptor. Investing in preceptors is an investment in the future of quality midwifery care.</p>","PeriodicalId":94094,"journal":{"name":"Journal of midwifery & women's health","volume":" ","pages":"264-268"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13067915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145968156","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":"Building Effective and Equitable Global Midwifery Collaborations: Research, Education, and Clinical Learning.","authors":"Michelle Telfer, Rachel Zaslow, Sande Ojara, Joan Combellick, Scovia Nalugo Mbalinda","doi":"10.1111/jmwh.70039","DOIUrl":"10.1111/jmwh.70039","url":null,"abstract":"<p><p>The historically unidirectional movement of global health ideas, practices, and protocols from the Global North (United States, Canada, European countries, Japan, South Korea, Taiwan, Australia, New Zealand, and Israel) to the Global South (Latin American countries, African countries, the Middle East excluding Israel and Asia countries, and Oceania excluding those previously mentioned) has displaced local practice and produced little sustainable change. Actively addressing these unintended consequences, practitioners at Yale School of Nursing in the United States formed a sustainable, mutually beneficial partnership with Makerere University College of Health Sciences and Mother Health International community birth center in Atiak, Uganda, to reduce perinatal mortality in areas with the highest burden. Goals included establishing a collaborative midwifery education and research partnership; developing an interprofessional clinical rotation; and developing a blueprint for teaching the midwifery model of care in the Global South. The partnership has successfully produced outputs including midwifery education support, research, clinical training, interprofessional capacity building, and community integration within local health care systems. Lessons learned from program design, implementation, and evaluation can inform global learning collaborations that are multidirectional and lead to more equitable midwifery collaborations.</p>","PeriodicalId":94094,"journal":{"name":"Journal of midwifery & women's health","volume":" ","pages":"229-236"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13067919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145403481","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":"Innovations in Simulation: Scaffolding a Triage Experience.","authors":"Kathryn McDevitt, Rhea Freeman-Williams, Elizabeth Beth Robson, Catherine Daily, Kathryn Atkin","doi":"10.1111/jmwh.70067","DOIUrl":"10.1111/jmwh.70067","url":null,"abstract":"<p><p>Certified midwives, certified nurse-midwives, and women's health nurse practitioners (WHNPs) play a vital role in triaging pregnant patients in the ambulatory and inpatient settings. Demonstrating proficiency with this skill set requires time and experience. In an effort to provide students the opportunity to develop their triage skills, a triage activity was designed and implemented at a large, distance-based hybrid nurse-midwifery and WHNP program. The aim of this simulation was to help students integrate knowledge attained from their second specialty ambulatory care course with an online simulation activity designed to provide practical hands-on application. The 14-week ambulatory care course work focused on complex pregnancy care with weekly meetings in a live virtual classroom and included a clinical companion course. On the last day of the term, students were assigned to work in small groups with different rotating roles. Faculty assumed the role of the patient while using an interactive PowerPoint to bring the simulation to life. Students had the opportunity to rotate through different roles-nurse, provider, and consultant, and simulated triaging pregnant patients via telehealth, in the office, and hospital setting. After each scenario, faculty debriefed with the students about the approach and content. The intention was to offer a safe space to hone challenging skills, practice delegation of tasks, and sort through complex triage content. This article describes the implementation of this virtual triage simulation activity as a blueprint for other programs to adopt similar innovative educational experiences.</p>","PeriodicalId":94094,"journal":{"name":"Journal of midwifery & women's health","volume":" ","pages":"269-274"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13067926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145717134","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":"Advancing Nurse-Midwifery Education: A Quality Improvement Initiative for Competency-Based Intrapartum Skills Laboratories.","authors":"Deanna Womack, Melissa Stec","doi":"10.1111/jmwh.70029","DOIUrl":"10.1111/jmwh.70029","url":null,"abstract":"<p><strong>Introduction: </strong>Maternal morbidity and mortality rates in the United States and Georgia remain alarmingly high, exceeding those of many low-resource regions despite extensive interventions. Research highlights the role of competent midwifery care in addressing key contributing factors, such as limited health care access, insufficient prenatal care, and adverse social determinants of health. To expand the pool of qualified certified midwives and certified nurse-midwives, there is a pressing need for robust midwifery education programs, reliable and valid evaluation tools for student assessment, and documentation of skill development and confidence improvement among trainees.</p><p><strong>Process: </strong>To evaluate preparedness and competency, a quality improvement project was initiated to assess the effectiveness and efficiency of the intrapartum simulation laboratory. A modified version of the National League for Nursing Student Satisfaction and Self-Confidence in Learning tool was used. Third-semester midwifery students at Emory University School of Nursing in Atlanta, Georgia, completed pre- and postlaboratory surveys, which included a Likert scale to measure confidence in the simulation laboratory's ability to meet their educational needs. Qualitative questions were incorporated to identify suggestions for laboratory improvements.</p><p><strong>Outcomes: </strong>Statistically significant improvements were observed in midwifery students' pre- and postlaboratory assessments, particularly in their confidence regarding the skills reviewed, the alignment of simulation and laboratory time with their learning styles, and their trust in faculty members' ability to effectively teach essential midwifery practices.</p><p><strong>Discussion: </strong>The findings validate the effectiveness of intentional teaching strategies and innovative simulation technologies in enhancing midwifery education. Increasing the number of competent midwives in practice represents a critical step in addressing the persistently high maternal morbidity and mortality rates in the United States. These teaching approaches and technologies can also be applied to other midwifery simulation laboratories and adapted for use in other advanced practice registered nursing specialties.</p>","PeriodicalId":94094,"journal":{"name":"Journal of midwifery & women's health","volume":" ","pages":"283-289"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13067923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093365","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":"Evaluation of Educational Activity About Preeclampsia With Traditional Midwives in the Remote Petén Department of Guatemala.","authors":"Kimberly Garcia, Cheryl Armstrong, Jill Johnson, Lisa Taylor-Swanson, Eli Iacob, Kayla Madsen, Emily Flynn, Ashlee Taft Nelson","doi":"10.1111/jmwh.70050","DOIUrl":"10.1111/jmwh.70050","url":null,"abstract":"<p><strong>Introduction: </strong>The Guatemalan Ministry of Health has offered traditional midwives (TMs) training programs in Spanish since 1955. Many Guatemalan TMs speak indigenous dialects, with limited reading and writing skills, and may not fully comprehend this information. Additionally, TMs have previously requested instruction on how to measure blood pressure in order to improve outcomes for women developing preeclampsia. Prompt diagnosis of preeclampsia would enable TMs to make more timely decisions for transport to a hospital. The purpose of this quality improvement project therefore was to develop culturally sensitive oral educational activities in the native language of participants to improve their knowledge of preeclampsia and improve their skills in assessing blood pressure.</p><p><strong>Process: </strong>The project used an action research methodology based on Leininger's cultural care theory. Trainers employed a variety of teaching methods such as repetition, triangulation, role-plays, storytelling, hands-on practice, return demonstrations, and pictorial Preeclampsia Reminder Cards. During a 2-week period in August 2024, 179 TMs attended educational activities about preeclampsia in 11 groups located in the remote Petén. A 26-item written pretest and posttest was used to evaluate changes in knowledge about preeclampsia. An 11-item checklist was used to assess ability to correctly measure blood pressure.</p><p><strong>Outcomes: </strong>Among 179 TM participants, 49% were found to have limited reading and writing skills. Following the education methods, however, the group demonstrated a significant improvement in knowledge when comparing the 26-item pretest (N = 179, mean [SD], 16.02 [4.04]) with the posttest (mean [SD], 21.5 [4.69]); t₁₇₈ = 12.262; P < .001. Some participants with limited reading and writing skills were provided 1:1 assistance writing down answers they provided to the tests. Additionally, 94% correctly demonstrated all 11 items on a blood pressure assessment checklist. The majority of participants reported the educational activity was useable, feasible, and satisfying.</p><p><strong>Discussion: </strong>The success of these methods in educating TMs in remote Guatemala has wide-reaching implications for improving maternal and infant health outcomes in low- and middle-income countries.</p>","PeriodicalId":94094,"journal":{"name":"Journal of midwifery & women's health","volume":" ","pages":"212-221"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145530988","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}