Sandra Maldonado
Bacterial vaginosis (BV) is characterized by changes in the vaginal flora caused by an elevated pH, resulting in symptoms of vaginal discharge, odor, and irritation. BV affects all women, including Dominican women who have specific cultural beliefs regarding vaginal health hygiene. Due to the prevalence of this condition and cultural norms that may influence how women respond to the diagnosis of BV, it is important to understand the factors that may promote the development of BV and that may influence women's choices of treatment options...
February 15, 2024: Nursing for Women's Health
Kirsten Wisner, Carrie Holschuh
Intermittent auscultation (IA) is an evidence-based method of fetal surveillance during labor for birthing people with low-risk pregnancies. It is a central component of efforts to reduce the primary cesarean rate and promote vaginal birth (American College of Obstetricians and Gynecologists, 2019; Association of Women's Health, Obstetric and Neonatal Nurses, 2022a). The use of intermittent IA decreased with the introduction of electronic fetal monitoring, while the increased use of electronic fetal monitoring has been associated with an increase of cesarean births...
February 15, 2024: Nursing for Women's Health
Jennifer Shiroff
Just less than half of the pregnancies in the United States are unintended. Unintended pregnancy rates are greatest among women younger than 24 years, women of color, and those who have incomes less than 200% of the federal poverty level. Additionally, options to terminate a pregnancy are restricted or limited in some states. In July 2023, the U.S. Food and Drug Administration approved norgestrel (Opill) as the first over-the-counter oral contraceptive pill available in the United States. Norgestrel is indicated specifically for the prevention of pregnancy, contains only progesterone, and is indicated for daily oral use...
February 9, 2024: Nursing for Women's Health
Arenlila Jamir, Sangeeta Kharde, Anita Dalal
OBJECTIVE: To assess the attitudes of first-time fathers toward their role during their wives' prenatal period. DESIGN: Cross-sectional study. SETTING: Tertiary care hospital in South India. PARTICIPANTS: First-time fathers accompanying their pregnant wives to an antenatal clinic. METHODS: Participants were surveyed to collect information on their attitudes toward their role during the prenatal period...
February 9, 2024: Nursing for Women's Health
Julie A Javernick
Vasomotor symptoms of menopause, more commonly called hot flashes and night sweats, affect up to 80% of individuals going through the menopausal transition. Hormone therapy with estrogen and often progesterone is the most effective treatment for these symptoms. Many people, however, cannot take estrogen or do not want to take hormones. Many individuals seek nonhormonal, over-the-counter treatment options that have little safety and efficacy information to support their use. In March 2023, the U.S. Food and Drug Administration approved fezolinetant (Veozah), a neurokinin 3 receptor antagonist for the treatment of vasomotor symptoms of menopause...
February 2024: Nursing for Women's Health
Kristine DiCarlo, Lisa Whiffen
OBJECTIVE: To implement the 5Ps Screen for Alcohol/Substance Use tool and the screening, brief intervention, and referral to treatment (SBIRT) process into clinical practice to determine if enhanced training would improve perinatal providers' adherence to universal screening. DESIGN: A quality improvement project using a pre- and postintervention design. SETTING/LOCAL PROBLEM: Three community-based, outpatient obstetrics and gynecology clinics in southeastern Massachusetts...
January 26, 2024: Nursing for Women's Health
Bridget J Frese
A nurse and midwife shares 10 lessons she has learned by working at the bedside of birth.
January 25, 2024: Nursing for Women's Health
Cheryl Roth, Kathy Priester, Wendy Rosen, Melissa Reardon, Kristen Ramsey, Sandra L Hering, R Curtis Bay
OBJECTIVE: To evaluate content validity (CV) and interrater reliability (IRR) of an acuity scoring tool developed for the couplet care/postpartum/nursery patient population and to determine if there was agreement between supervisor or director scoring and staff scoring. DESIGN: A scoring tool to assess the acuity of the couplet care/postpartum/nursery patients was developed. SETTING: Two hospitals: one Level 2 hospital one Level 3 hospital...
January 24, 2024: Nursing for Women's Health
Rebecca Koerner, Kaitlyn Rechenberg, Kailey Rinaldi, Allyson Duffy
OBJECTIVE: To examine the difference in prevalence of self-reported anxiety symptoms throughout pregnancy compared to clinical diagnosis of an anxiety disorder by a provider. DESIGN: Secondary data analysis of a prospective cohort study of 50 pregnant individuals. SETTING/LOCAL PROBLEM: Pregnant individuals commonly experience heightened anxiety symptoms, which are associated with adverse perinatal outcomes. However, a diagnosis of an anxiety disorder by a health care provider is less common, which may result in insufficient mental health intervention...
January 23, 2024: Nursing for Women's Health
Catherine M Hill, Heidi Collins Fantasia, Shawana Burnette
OBJECTIVE: To measure the impact of an evidence-based guideline on respectful maternity care on nurses' attitudes and beliefs about childbirth practices. DESIGN: A quality improvement pilot project with a pretest/posttest design examining the attitudes and beliefs of intrapartum nurses about childbirth practices of respectful care. SETTING: High-risk intrapartum unit at a tertiary care center in the southeastern United States. PARTICIPANTS: A convenience sample of 130 registered nurses were invited to participate, and nine completed the pre- and posttests...
January 13, 2024: Nursing for Women's Health
Darci N Johnson, Salil Patel, Elisabeth D Howard, Melissa R Bowley
In this commentary, we present an overview of the accelerating trend toward community-based models for pregnancy care. Doula services, as part of community care programs, are the major target for new coverage changes. Obstetric professionals who include community care providers in their treatment plans can benefit from these local resources in the prenatal, birthing, and postpartum stages of patient management. Including community care programs may help achieve goals of improving health outcomes and health equity...
January 9, 2024: Nursing for Women's Health
(no author information available yet)
No abstract text is available yet for this article.
December 20, 2023: Nursing for Women's Health
Natalie Robbins, Kayla Harvey, Mary Moller
OBJECTIVE: To examine the effect of an Emotional Freedom Techniques (EFT) group intervention on perceived stress, depression, and anxiety symptoms in women in the postpartum period. DESIGN: A one-group pre- and posttest quasi-experimental design. SETTING/LOCAL PROBLEM: Postpartum depression (PPD) and anxiety affect nearly one in five women in the first 12 months after childbirth. The COVID-19 pandemic was associated with a significant worsening of symptoms of PPD, stress, and anxiety in this population...
December 13, 2023: Nursing for Women's Health
Heidi Collins Fantasia
Publication of doctor of nursing practice scholarly projects is an important way to disseminate clinically relevant scholarship to support evidence-based practice.
December 13, 2023: Nursing for Women's Health
Susan Kau
A nurse's experience caring for conjoined twins has a lasting impact.
December 13, 2023: Nursing for Women's Health
Maryum Zaidi, Heidi Collins Fantasia, Rebecca Penders, Ainat Koren, Comfort Enah
Immigrant women in the United States are at an elevated risk of poor maternal health outcomes due to cultural, linguistic, or socioeconomic barriers that may lead to critical delays in obtaining adequate health care. Ensuring access to high-quality, culturally appropriate perinatal health care is crucial to improve the health and well-being of immigrant mothers and their children. Various aspects of perinatal health care for immigrant women can be improved through community engagement strategies. Barriers can be addressed by involving community members in designing and delivering culturally appropriate maternal health services...
December 7, 2023: Nursing for Women's Health
Chelsea M Cieslak
Respiratory syncytial virus (RSV) infects nearly all infants in their first year of life and is the leading cause of hospitalization for infants younger than 1 year of age in the United States. Historically, the only option for RSV prevention was palivizumab. However, not all infants are eligible for palivizumab, it requires multiple doses per RSV season, and it is costly. In July 2023, the U.S. Food and Drug Administration approved nirsevimab for the prevention of RSV-associated lower respiratory tract infections for all infants...
December 6, 2023: Nursing for Women's Health
Kaci Hughes, Kristin Gianelis
OBJECTIVE: To improve screening for perinatal mood and anxiety disorders (PMAD) and follow-up care while balancing team workload. DESIGN: Four rapid plan-do-study-act cycles were implemented over 8 weeks. SETTING/LOCAL PROBLEM: At baseline, only 2% of patients with PMAD were identified at a rural obstetric clinic, and none (n = 0 of 50) received screening with a validated tool. Of the 12 patients who had a current or prior history of PMAD, 92% (n = 11) were not screened for self-harm, and 67% (n = 8) received no referral...
December 5, 2023: Nursing for Women's Health
Brittany Motter
OBJECTIVE: To develop and examine the implications of formalized education with staff and familial caregivers on skin-to-skin in relation to neonatal hypoglycemia, including the impact on NICU admission rate, exclusive breastfeeding, and glucose gel administration. DESIGN: Evidence-based practice (EBP) project with a comparison of data pre-/postintervention. SETTING/LOCAL PROBLEM: Implemented at a large health system in the mid-Atlantic, including four hospitals with postpartum care units...
December 5, 2023: Nursing for Women's Health
Heidi Collins Fantasia
Nurses must consider the complex and intersecting issues that affect the health of individuals and work toward a collective goal of health equality.
December 2023: Nursing for Women's Health
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