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Observed Versus Predicted Vaginal Birth After Cesarean for Patients of a Community Health Center J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-09-17 Ann Ledbetter, Tracy Wandtke Herrmann, Karen Lupa, Menachem Graupe
IntroductionThe Maternal‐Fetal Medicine Units Network calculator for vaginal birth after cesarean (VBAC) probability was updated to exclude a race and ethnicity variable, but its impact on marginalized groups is unknown. We assessed the tool with attention to birth history and body mass index (BMI) in a predominately Hispanic cohort and examined the possible effect of discouraging labor after cesarean
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The Impact of Obesity on Childbirth Expectations J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-09-10 Tamara A. Messer, Fabienne Blank, Jean Anthony Grand‐Guillaume‐Perrenoud, Evelyne M. Aubry
IntroductionPositive childbirth expectations are crucial for fostering a positive labor experience and enhancing the health and well‐being of both the woman and her newborn. However, the impact of obesity on childbirth expectations remains underexplored. We aim to assess childbirth expectations in women living with obesity to enhance perinatal care tailored to their specific needs.MethodsUsing an adapted
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Preventing Vertical Transmission of Chagas Disease: An Emerging Public Health Issue in Perinatal Care J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-08-27 Sarah M. Hinton
Chagas [shah‐guhs] disease, caused by the Trypanosoma cruzi parasite, presents a growing concern for health care providers overseeing perinatal care in the United States due to existing and expanding vector‐borne transmission and population migration. This life‐threatening disease can be transmitted vertically during pregnancy, although adequate testing and treatment can effectively reduce morbidity
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Thirty Years of Midwifery Education in the Rural and Diverse State of New Mexico. J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-08-20 Katie T Kivlighan,Felina Ortiz,Laura Migliaccio,Barbara Overman,Sharon Ruyak,Julie Gorwoda,Kristen Ostrem,Amy Levi,Leah Albers
The purpose of this article is to discuss the evolution of the University of New Mexico (UNM) Nurse-Midwifery Education Program, its impact on New Mexico communities, and the vision moving forward for the program in a rural and culturally diverse state. New Mexico has a rich history of community-based midwifery and the UNM Nurse-Midwifery Education Program, founded in 1991, is rooted in this tradition
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Antepartum Preparation and Consent for Intrapartum Events: An Ethical Gap J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-08-12 Michele Megregian, Cathy L. Emeis, Ellen Tilden
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Midwifery Students’ Experiences of Bias in the Clinical Setting: Prevalence, Types, and Impact J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-08-08 Heidi Loomis, Barbara Hackley, Paula Alexander‐Delpech, Emily McGahey, Dana Perlman
IntroductionExposure to bias in clinical learning environments may undermine students’ confidence, cause emotional harm, impede learning, and potentially delay graduation. However, little is known about the prevalence of bias experienced by midwifery students in the United States. This cross‐sectional, descriptive study aimed to quantify clinical midwifery students’ experiences of bias based on 7 self‐identified
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History of Midwifery at Tuskegee: Vanguards of Midwifery Education J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-08-07 Sharon L. Holley, Stephanie Mitchell, Elizabeth G. Muñoz, Anne Z. Cockerham
Tuskegee, in Macon County, Alabama, has played an important role in Alabama's midwifery legacy and was home to 2 different midwifery education programs from the 1920s through the 1940s. In response to a 1918 state law requiring midwives to pass an examination to receive a practice permit in their county, stakeholders developed a four‐week course for Black Alabamian midwives on the grounds of Tuskegee
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Innovations in Preconception Care: Optimizing Health for All Individuals J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-08-06 Cynthia Nypaver, Amanda Yeager
Optimizing the overall health of individuals prior to pregnancy can improve both pregnancy and lifelong health outcomes. Despite extremely high financial expenditure on birth in the United States, maternal and infant mortality rates continue to rise. Moreover, significant racial and ethnic disparities persist in perinatal health outcomes. Preconception care, or health care provided before or between
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Canadian Midwives’ Experiences with Nutrition in Their Training and Practice: A Cross‐Sectional Study J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-08-06 Jordyn Butler, Yvana Sawaya, Jamie A. Seabrook, Janet Madill, Jasna Twynstra
IntroductionMidwives are primary prenatal care providers well‐positioned to offer nutrition advice to pregnant individuals; however, no Canadian study has assessed midwives’ experience with nutrition education. The objective of this study was to investigate Canadian midwives’ experiences with nutrition in their practice, their level of nutrition education, and their recommendations on select nutrition
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Disparities in Screening and Treatment Patterns for Depression and Anxiety During Pregnancy: An Integrative Review J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-07-26 Rachel Eakley, Audrey Lyndon
IntroductionSymptoms of untreated depression and anxiety during pregnancy are associated with serious adverse effects for the pregnant person, birth outcomes, and child development. However, pregnant persons are less likely to be screened and treated compared with nonpregnant people. In this systematic review, we aimed to explore individual, provider, and systems factors that impact screening, identification
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Clinical Applications of Fetal Cell‐Free DNA: State of the Science J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-07-26 Julie Knutson, Kathryn Anthony, Melissa L. Russo, Martha B. Kole‐White
Advances in technology have correlated with expanding prenatal genetic testing options for pregnant people. Leading medical organizations recommend cell‐free DNA as the most sensitive screening test for trisomies 13, 18, and 21, as well as for fetal sex chromosome aneuploidies. The commercially available testing options go beyond these recommended tests, and prenatal care professionals should be familiar
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Altered Abdominal Muscle Recruitment and Declined Physical Function in Postpartum Individuals With Pregnancy‐Related Pelvic Girdle Pain: A Matched Case‐Control Study J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-07-24 Sze Chee Chua, Meng‐Hsing Wu, Yi‐Liang Kuo, Kuan‐Yin Lin, Yi‐Ju Tsai
IntroductionThe influence of pregnancy‐related pelvic girdle pain (PPGP) on lumbopelvic muscles has not been comprehensively examined in postpartum individuals. Previous research also presented self‐reported activity limitations without objective measures.MethodsThirty postpartum individuals with PPGP (PPGP group) and 30 age‐, parity‐, and postpartum duration–matched asymptomatic individuals (healthy
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The Availability of Midwifery Care in Rural United States Communities J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-07-24 Emily C. Sheffield, Alyssa H. Fritz, Julia D. Interrante, Katy Backes Kozhimannil
IntroductionAccess to pregnancy‐related and childbirth‐related health care for rural residents is limited by health workforce shortages in the United States. Although midwives are key pregnancy and childbirth care providers, the current landscape of the rural midwifery workforce is not well understood. The goal of this analysis was to describe the availability of local midwifery care in rural US communities
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Oral Health Care Among Women in Perimenopause or Menopause: An Integrative Review J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-07-24 Namitha Thomas, Kath Peters, Kate O’ Reilly, Mariana S. Sousa, Ajesh George
IntroductionWomen in menopause are at a higher risk of developing oral health problems, affecting their overall quality of life. Several studies have identified the role of health care providers in addressing women's oral health needs across various phases of their lives, yet a review in the area of perimenopause and menopause has not been undertaken. Therefore, the aim of this review was to explore
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Understanding Positionality and Reflexivity in Scholarly Writing J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-07-24 Lucinda Canty, Ira Kantrowitz‐Gordon
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Presentation and Management of Postpartum Granulation Tissue: A Single‐Institution Retrospective Study J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-07-23 Bethany Kette, Allison Kumnick, Serenity Budd, Neha Gaddam, Nicholas Hazen
IntroductionAlthough the development of postpartum granulation tissue (PPGT) is an expected phase of healing of perineal and vaginal lacerations, the persistence of this tissue can result in delayed wound healing, pain, bleeding, and discharge. There is a paucity of information on the efficacy of the treatments used for pathologic PPGT. The objective of this study was to describe characteristics associated
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An Integrative Review Exploring Womens’ Experiences of Retraumatization Within Perinatal Services J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-07-22 Jennifer Gordon, Andrew Hunter, Fiona Callanan, Clare Kiely, Annmarie Grealish
IntroductionEvidence indicates that retraumatization has a detrimental effect for those women who are accessing perinatal services. One in five women worldwide has a history of childhood adversity. Between 18% and 34% of women experience trauma, which is a well‐known risk factor for the onset of chronic mental health disorders. There is a lack of evidence on women's experiences on retraumatization
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Research and Professional Literature to Inform Practice, July/August, 2024 J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-07-19 Nancy A. Niemczyk
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Gender and Sex Inclusive Approaches for Discussing Predicted Fetal Sex: A Call for Reflection and Research J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-07-18 Hannah Llorin, Tiffany Lundeen, Elizabeth Collins, Claudia Geist, Kyl Myers, Susanna R. Cohen, Kimberly Zayhowski
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Antenatal Care Visits, Institutional Births, and Associated Risk Factors in Afghanistan: Insights from the Multiple Indicator Cluster Survey 2022‐2023 J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-07-13 Jahar Bhowmik, Lakma Gunarathne, Sunil Bhar, Udayan Bhowmik, Raaj Kishore Biswas
IntroductionInsufficient use of antenatal care (ANC) services and institutional births services can elevate the maternal mortality risk in limited resource settings. Hence, the key objective of this study was to evaluate the potential association between the frequency of ANC visits and institutional birth services in Afghanistan, while also identifying other sociodemographic factors that may exert
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Systematic Reviews to Inform Practice, July/August 2024 J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-07-13 Nena R. Harris
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Midwives’ and Obstetric Physicians’ Practices Related to Pregnancy Nutrition Counseling: A Scoping Review J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-07-10 Katherine Erbe, Kylea Liese, Lisa Tussing‐Humphreys, Elizabeth Lerner Papautsky, Julienne Rutherford, Mary Dawn Koenig
IntroductionDietary intake during pregnancy impacts short‐ and long‐term maternal and fetal health outcomes. Dietary habits are highly individualized and influenced by contextual factors and social determinants of health within each person's lived environment. Midwives and other health care providers are well positioned to facilitate nutrition conversations and interventions with patients related to
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The Role of Midwives in US Perinatal Palliative Care: A Scoping Review J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-07-09 Robyn Schafer, Jenna A. LoGiudice, Pamela Hargwood, Abigail Wilpers
IntroductionPerinatal palliative care (PPC) is a rapidly growing and essential reproductive health care option for pregnant persons with a diagnosed life‐limiting fetal condition who continue their pregnancy. The provision of PPC is within the scope of basic midwifery competencies, and midwives are well‐positioned to make unique and valuable contributions to interprofessional PPC teams. However, little
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Patient‐Provider Trust as a Key Component of Prenatal Screening for Adverse Childhood Experiences (ACES): A Concept Analysis J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-07-01 Paige D. Gilliland, Jennifer E. Phipps, Breän Derret, Indira D'Souza, Stephanie Ha, Shwetha Patil, Leigh Ann Simmons
IntroductionThe concept of patient‐provider trust in prenatal adverse childhood experiences (ACEs) screening remains unexplored. This concept analysis illuminates the role of trust in prenatal ACE screening to improve patient‐provider relationships, increase patient uptake of ACE screening, and ensure that ACE screening is implemented in a strengths‐based, trauma‐informed way.MethodsA concept analysis
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Economic, Psychological, and Emotional Well‐Being of Pregnant Women During the COVID‐19 Pandemic J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-06-24 Kamal M. Eldeirawi, Victoria W. Persky, Cameron Zielke, Ellen Goldstein, Olivia Bimbi, Jennifer Saenz, Zane Mustafa, Tamara A. Jumah, Xavier R. Ramirez, Ali Aldirawi, Laurie Quinn, Rosalba Hernandez
IntroductionThe intersection between perinatal mental health and the coronavirus disease 2019 (COVID‐19) pandemic remains of significant public health importance. The current study examined the emotional and financial well‐being and predictors of elevated depressive symptoms among pregnant women during the COVID‐19 pandemic.MethodsThis online survey was conducted with 2118 women ≥18 years old who were
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An Integrated Approach to Address Perinatal Mental Health Within an Obstetrics Practice J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-06-24 Christina L. Felten, Kayla S. Smith, Melissa B. Aylesworth
Outpatient perinatal care providers (one certified nurse‐midwife, one nurse practitioner, and one physician assistant) at a high‐volume, suburban health system in southeastern Pennsylvania developed and implemented a care model to identify and care for patients at risk for perinatal and postpartum mental health conditions. The program, Women Adjusting to Various Emotional States (WAVES), was created
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Exploring Postpartum Pregnancy Prevention Behaviors Among Women Experiencing Homelessness: A Mixed‐Methods Analysis J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-06-22 Annalynn M. Galvin, Rebecca E. Bergh, Scott T. Walters, Melissa A. Lewis, Erika L. Thompson
IntroductionWomen experiencing homelessness are at higher risk of unintended pregnancy than women who are stably housed and may have unique reasons for not engaging in postpartum pregnancy prevention. This sequential explanatory mixed‐methods study aimed to examine reasons women experiencing homelessness may not engage in pregnancy prevention during the postpartum period.MethodsQuantitative 2016‐2019
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Conservative Interventions for Urinary Incontinence on Postpartum Women: A Systematic Review and Meta‐Analysis J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-05-29 Lixia Chen, Ying Han, Liang Wang, Han Zhang, Yanan Zheng, Rui Zhang, Ge Meng, Yin‐Ping Zhang, Daihong Ji
IntroductionUrinary incontinence (UI) is common in postpartum women and can lead to a reduced quality of life and withdrawal from fitness and exercise activities. Conservative management interventions such as pelvic floor muscle training (PFMT), use of vaginal cones, and biofeedback have been recommended as first‐line treatment. We aimed to explore the effects of conservative interventions on UI rate
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Role of Obstetric Violence and Patient Choice: Factors Associated With Episiotomy J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-05-25 Mounika Polavarapu, Dorian S. Odems, Sativa Banks, Shipra Singh
IntroductionIn the United States, 1 in 6 women reports obstetric violence in the form of physical and verbal abuse, coercion, and lack of informed consent. Despite recommendations against routine episiotomy, its use in the United States remains notable and varies considerably. This study aimed to analyze the various forms of obstetric violence associated with undergoing an episiotomy and having a choice
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Leading Stressors and Coping Strategies Associated With Maternal Physical and Mental Health During the Extended Postpartum Period J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-05-23 Lorraine O. Walker, Nicole Murry, Heather Becker, Yang Li
IntroductionA critical gap exists in understanding stressors and coping that affect women's health beyond 6 weeks postpartum. Using new stressor and coping scales tailored to postpartum women, we examined the relationship of postpartum‐specific stressors and coping to women's physical and mental health between 2 to 22 months after childbirth.MethodsA total of 361 women of diverse race, ethnicity, and
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Open Access in Scholarly Publishing: Where Does the Journalof Midwifery & Women's Health Fit In? J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-05-22 Melissa D. Avery
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Clinicians Address Gestational Weight Gain and Nutrition Using the International Federation of Gynecology and Obstetrics (FIGO) Nutrition Checklist J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-05-20 Nichele Salazar, Felina Ortiz, Alison Edie, Anne Miller
The negative effects of excessive gestational weight gain (GWG) and obesity during pregnancy are well documented in the literature. However, lack of time, education, comfort, and confidence among health care providers often make it difficult to provide proper nutrition and weight gain guidance for pregnant persons. In response, the International Federation of Gynecology and Obstetrics (FIGO) has developed
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Research and Professional Literature to Inform Practice, May/June 2024 J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-05-20 Rebecca R. S. Clark
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Social Media and Nutritional Guidelines in Pregnancy J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-05-20 Nora Drummond, Alexa Miller, Melia Kramer, Ruth Zielinski
IntroductionNutrition impacts health outcomes of pregnant people and their fetuses. Discussing nutrition with patients may be challenging for health care providers. In this vacuum, patients use social media for health information during pregnancy. Little is known about the type and quality of nutrition information that is available on social media. The aim of this study was to qualitatively explore
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Systematic Reviews to Inform Practice, May/June, 2024 J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-05-20 Abby Howe‐Heyman
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The Incidence of Intrahepatic Cholestasis of Pregnancy and its Maternal, Fetal, and Neonatal Adverse Outcomes: A Systematic Review and Meta‐Analysis J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-05-16 Resmiye Kaya Odabaş, Yasemin Sökmen, Emre Dünder, Ayten Taşpınar
IntroductionIntrahepatic cholestasis of pregnancy (ICP) is a problem with an increasing incidence and negative maternal, fetal, and neonatal consequences. This problem is becoming increasingly important. This systematic review and meta‐analysis aimed to determine the incidence of ICP and its adverse maternal, fetal, and neonatal adverse outcomes based on primary research studies.MethodsThis systematic
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Social Safety for Black Women in Perinatal Health Care: A Concept Analysis J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-05-09 Kadeeja S. Murrell, Julie Fleury
IntroductionNon‐Hispanic Black women and their infants experience the worst pregnancy‐related outcomes in the United States. Social safety is a health‐relevant resource found in environments communicating safety, connectedness, inclusion, and protection. Approaches promoting social safety may be particularly relevant to preventing adverse perinatal health outcomes among Black women. However, there
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Listening to Black Women's Perspectives of Birth Centers and Midwifery Care: Advocacy, Protection, and Empowerment J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-05-01 Shalom Anyiam, Jennifer Woo, Becky Spencer
IntroductionBlack women in Texas experience high rates of adverse maternal outcomes that have been linked to health inequities and structural racism in the maternal care system. Birth centers and midwifery care are highlighted in the literature as contributing to improved perinatal care experiences and decreased adverse outcomes for Black women. However, compared with White women, Black women underuse
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Nitrous Oxide Use for Pain in Labor, Conversion to Neuraxial Anesthesia and Birth Outcome J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-04-28 Susan DeJoy, Candice Killeen, Donna Jackson‐Köhlin, Audrey Psaltis, Alexander Knee
IntroductionA variety of labor pain management options is essential to patients and their care providers. Inhaled, patient controlled nitrous oxide (N2O) is a valuable addition to these options. The purpose of this study was to examine laboring patient, newborn, and provider characteristics associated with N2O use for pain relief in labor and to examine the association between N2O, conversion to neuraxial
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Hyperlipidemia Prevention and Management Utilizing Lifestyle Changes J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-04-28 L. Amy Giles
Hyperlipidemia incidence is on the rise and lifestyle behavior change is the first‐line therapy. Left untreated, hyperlipidemia can result in cardiovascular disease leading to increased morbidity and mortality in persons worldwide. Evidence has demonstrated behavioral changes such as increased exercise, healthy nutrition, smoking cessation, alcohol abstinence, and other lifestyle modification interventions
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The Association Between Unintended Pregnancy and Perinatal Outcomes in Low‐Risk Pregnancies: A Retrospective Registry Study in the Netherlands J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-04-25 Amke M.G. van Tintelen, Danielle E.M.C. Jansen, Sophie H. Bolt, J. Catja Warmelink, Corine J. Verhoeven, Jens Henrichs
IntroductionPeople with unintended pregnancies might be at increased risk of adverse perinatal outcomes due to structural factors, distress, or delayed prenatal care. Existing studies addressing this association yielded inconsistent findings. Using contemporary data from a large Dutch midwifery care registry, we investigated the association between unintended pregnancy ending in birth and neonatal
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Birth Experience Among Black Women in the United States: A Qualitative Meta‐Synthesis J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-04-02 Elizabeth J. Spurlock, Rita H. Pickler
IntroductionThere are striking disparities in perinatal health outcomes for Black women in the United States. Although the causes are multifactorial, research findings have increasingly identified social and structural determinants of health as contributors to perinatal disparities. Maltreatment during perinatal care, which is disproportionately experienced by Black women, may be one such contributor
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A Qualitative Exploration of Self‐Advocacy Experiences of Black Women in the Perinatal Period: Who Is Listening? J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-04-02 Teresa Hagan Thomas, Savannah Vetterly, Elizabeth B. Kaselitz, Willa Doswell, Betty Braxter
IntroductionBlack women face poor maternal health outcomes including being over 3 times more likely to die from pregnancy complications than White women. Yet the lived experience of how these women self‐advocate has not been clearly explored. The goal of this cross‐sectional qualitative study was to describe the lived experiences of Black women advocating for their needs and priorities during the perinatal
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Intrauterine Devices J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-04-01
What is an intrauterine device or IUD? An IUD is a small T-shaped device that is placed through your vagina and cervix into the top of your uterus (womb) by your health care provider. There are 2 kinds of IUDs, nonhormonal or hormonal: The copper IUD (Paragard) is effective for up to 10 years. It has no hormones. There are 4 similar hormonal IUDs (Mirena, Skyla, Kyleena, and Liletta). These IUDs are
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Systematic Reviews to Inform Practice, March/April 2024 J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-03-30 Nena R. Harris
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Research and Professional Literature to Inform Practice, March/April 2024 J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-03-29 Amy Alspaugh
GROUP PRENATAL CARE OFFERS A UNIQUE OPPORTUNITY TO TEACH MINDFULNESS-BASED CHILDBIRTH AND PARENTING Duncan LG, Zhang N, Santana T, et al. Enhancing prenatal group medical visits with mindfulness skills: a pragmatic trial with Latina and BIPOC pregnant women experiencing multiple forms of structural inequity. Published online October 10, 2023. Mindfulness. doi:10.1007/s12671-023-02227-z Mindfulness-based
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Influence of Food Security Status and Diet Quality on Maternal Gestational Weight Gain J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-03-29 Joshua R. Sparks, Candice A. Myers, Suzanne Phelan, Robert L. Newton, Shengping Yang, Leanne M. Redman
Recommended gestational weight gain (GWG) is crucial for health of women and their offspring. Food security status is hypothesized to influence diet quality and GWG. Therefore, we examined the relationship between diet quality and GWG by food security status.
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Celebrating Midwifery Globally: Intangible Cultural Heritage J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-03-28 Melissa D. Avery
In October 2023, and formally presented at their 18th meeting in December 2023, the Intergovernmental Committee for the Safeguarding of Intangible Cultural Heritage announced that Midwifery: Knowledge, Skills and Practices was selected to be included in the United Nations Educational, Scientific and Cultural Organization (UNESCO) List of the Intangible Cultural Heritage of Humanity. Selection of the
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Maintaining A Long‐Term Practice of Daily Pelvic Floor Muscle Exercises: What Do Childbearing Women Think? J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-03-23 Susan M. Yount‐Tavener, Rebecca A. Fay
IntroductionTo be effective, pelvic floor muscle therapy (PFMT) exercises should be intense, be practiced consistently, and include clinical support. Many women do not adhere to a consistent PFMT program, compromising the resolution or prevention of urinary incontinence (UI). This study aimed to answer 2 key questions: What prevents women from performing PFMT long term, and what can health care providers
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The Role of Passive Descent and Epidural Analgesia in Outcomes Associated With Prolonged Pushing Among Nulliparous Individuals in Midwifery Care J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-03-20 Elise N. Erickson, Sally R. Hersh, Mariah R. Wharton, Marit L. Bovbjerg, Ellen L. Tilden
IntroductionEfforts to reduce primary cesarean birth may include supporting longer second stages of labor. Although midwifery‐led care is associated with lower cesarean use, little has been published on associated outcomes of prolonged second stage (≥3 hours of pushing) for nulliparous individuals in US hospital‐based midwifery care. Epidural analgesia and the role of passive descent in midwifery‐led
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Improving Equitable Postpartum Care in an Urban Private Clinic with Predominantly Black Patients J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-03-19 Yannique Tello, Kristin A. Gianelis
IntroductionMaternal health disparities based on race, ethnicity, and socioeconomic factors exist in the United States, with Black women experiencing significantly worse outcomes. With much of perinatal morbidity and mortality attributed to the postpartum period, attention to equitable postpartum care is necessary for addressing this disparity.ProcessA rapid‐cycle quality improvement initiative was
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Implicit and Explicit Weight Bias among Midwives: Variations Across Demographic Characteristics J. Midwifery Womens Health (IF 2.1) Pub Date : 2024-03-15 Heather M. Bradford, Rebecca M. Puhl, Julia C. Phillippi, Mary S. Dietrich, Jeremy L. Neal
IntroductionWeight bias toward individuals with higher body weights is present in health care settings. However, there has been limited quantitative exploration into weight bias among perinatal care providers and its potential variations based on demographic characteristics. The aim of this study was to examine if the direction and extent of weight bias among midwives certified by the American Midwifery