<p>Si ha quedado embarazada pero no planeaba estarlo, será necesario decidir si desea continuar con el embarazo. Recuerde que no está sola, esto es una situación común ya que en los Estados Unidos aproximadamente la mitad de las personas que quedan embarazadas no planeaban estarlo. Si piensa que está embarazada, es importante consultar a un proveedor de atención médica para verificar si esto es el caso.</p><p>Cuando uno descubre que está embarazada, es normal estar emocional e incluso tener sentimientos encontrados. Es posible que se sienta asustada, enojada, feliz o emocionada. Lo primero será decidir si quiere seguir embarazada, o si prefiere interrumpir el embarazo. Si decide continuar con el embarazo, deberá decidir si va a querer criar al niño o si prefiere un plan de adopción. Si decide interrumpir el embarazo, es posible que necesite elegir qué tipo de aborto se realizará. Estas decisiones son importantes y sólo usted puede hacerlas. Es probable que querrá saber todo lo posible acerca de sus opciones antes de llegar a una decisión.</p><p>La crianza de los hijos es una gran responsabilidad, y ser madre tiene sus momentos felices y también difíciles. Los niños necesitan mucha atención y cuidado. Si decide criar a este bebé, será responsable de la vida de su hijo en todos los sentidos y su vida tendrá que cambiar de muchas maneras.</p><p>La adopción es un acuerdo legal entre usted y otra(s) persona(s) las cuales se convertirán en los padres legales de su bebé. Las personas quienes eligen un plan de adopción para su hijo(a) a menudo lo hacen porque sienten que otro hogar podrá brindarle más a su bebé de lo que ellas mismas podrían. Si usted decide por un plan de adopción, podrá elegir cuánto contacto desea tener con su hijo después de la adopción (desde ningún contacto hasta contacto regular). Una agencia de adopción o un abogado (o ambos) le brindaran apoyo pare encontrar un hogar para su bebé. Es muy importante que un profesional en el ámbito de adopción asesore su situación y le brinde consejo antes de que usted tome una decisión permanente.</p><p>Hay 2 tipos de aborto. En la etapa temprana del embarazo, es posible tomar medicamentos de receta los cuales consiguen que el cuerpo elimine el embarazo. Este proceso es algo similar a un aborto espontáneo. Otra opción es que un proveedor médico evacue el tejido del embarazo (aborto quirúrgico). A este procedimiento también se le conoce como “aspiración”, “legrado”, o “dilatación y evacuación”. En los primeros meses de embarazo el aborto quirúrgico es simple y se puede realizar en una clínica o consultorio médico. Si el embarazo va más adelantado, el aborto quirúrgico debe realizarse en un hospital o clínica. Dependiendo en el estado en el cual uno viva, el acceso al aborto puede estar muy restringido o, incluso, prohibido. Quizás tendrá que viajar a otro estado para recibir un aborto. Si es menor de edad (18 años) y no puede decirle a sus padres que quiere un aborto, es posible que pueda conversa
{"title":"El embarazo no planificado: ¿Qué debo hacer?","authors":"","doi":"10.1111/jmwh.13678","DOIUrl":"https://doi.org/10.1111/jmwh.13678","url":null,"abstract":"<p>Si ha quedado embarazada pero no planeaba estarlo, será necesario decidir si desea continuar con el embarazo. Recuerde que no está sola, esto es una situación común ya que en los Estados Unidos aproximadamente la mitad de las personas que quedan embarazadas no planeaban estarlo. Si piensa que está embarazada, es importante consultar a un proveedor de atención médica para verificar si esto es el caso.</p><p>Cuando uno descubre que está embarazada, es normal estar emocional e incluso tener sentimientos encontrados. Es posible que se sienta asustada, enojada, feliz o emocionada. Lo primero será decidir si quiere seguir embarazada, o si prefiere interrumpir el embarazo. Si decide continuar con el embarazo, deberá decidir si va a querer criar al niño o si prefiere un plan de adopción. Si decide interrumpir el embarazo, es posible que necesite elegir qué tipo de aborto se realizará. Estas decisiones son importantes y sólo usted puede hacerlas. Es probable que querrá saber todo lo posible acerca de sus opciones antes de llegar a una decisión.</p><p>La crianza de los hijos es una gran responsabilidad, y ser madre tiene sus momentos felices y también difíciles. Los niños necesitan mucha atención y cuidado. Si decide criar a este bebé, será responsable de la vida de su hijo en todos los sentidos y su vida tendrá que cambiar de muchas maneras.</p><p>La adopción es un acuerdo legal entre usted y otra(s) persona(s) las cuales se convertirán en los padres legales de su bebé. Las personas quienes eligen un plan de adopción para su hijo(a) a menudo lo hacen porque sienten que otro hogar podrá brindarle más a su bebé de lo que ellas mismas podrían. Si usted decide por un plan de adopción, podrá elegir cuánto contacto desea tener con su hijo después de la adopción (desde ningún contacto hasta contacto regular). Una agencia de adopción o un abogado (o ambos) le brindaran apoyo pare encontrar un hogar para su bebé. Es muy importante que un profesional en el ámbito de adopción asesore su situación y le brinde consejo antes de que usted tome una decisión permanente.</p><p>Hay 2 tipos de aborto. En la etapa temprana del embarazo, es posible tomar medicamentos de receta los cuales consiguen que el cuerpo elimine el embarazo. Este proceso es algo similar a un aborto espontáneo. Otra opción es que un proveedor médico evacue el tejido del embarazo (aborto quirúrgico). A este procedimiento también se le conoce como “aspiración”, “legrado”, o “dilatación y evacuación”. En los primeros meses de embarazo el aborto quirúrgico es simple y se puede realizar en una clínica o consultorio médico. Si el embarazo va más adelantado, el aborto quirúrgico debe realizarse en un hospital o clínica. Dependiendo en el estado en el cual uno viva, el acceso al aborto puede estar muy restringido o, incluso, prohibido. Quizás tendrá que viajar a otro estado para recibir un aborto. Si es menor de edad (18 años) y no puede decirle a sus padres que quiere un aborto, es posible que pueda conversa","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13678","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142435297","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":"The American College of Nurse-Midwives Lifetime Visionary Award 2024: Marsha Elaine Caldwell Jackson, CNM, MSN, FACNM","authors":"","doi":"10.1111/jmwh.13694","DOIUrl":"10.1111/jmwh.13694","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335317","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":"Research and Professional Literature to Inform Practice, September/October 2024","authors":"Amy Alspaugh CNM, PhD, MSN","doi":"10.1111/jmwh.13692","DOIUrl":"10.1111/jmwh.13692","url":null,"abstract":"","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142304990","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}
<p>Are you one of the many American College of Nurse-Midwives (ACNM) members who reads the <i>Journal of Midwifery & Women's Health</i> (<i>JMWH</i>) when your copy of arrives in the mail every 2 months? If so, you are in a small majority. A <i>JMWH</i> March 2024 ACNM member survey revealed that just over 50% of respondents read the Journal when it arrives in their mailbox. However, you may be missing out on <i>JMWH</i>’s online offerings, including earlier access to excellent research and scholarship.</p><p>Did you know that articles are published online in <i>Early View</i> as soon as the publication processes are complete? This occurs before an article appears in a print issue and lands in your mailbox. Newly published articles can be found on the Journal's homepage at jmwh.org. Along with finding the most recently published articles online, readers can check and see which articles have been cited or downloaded most often. ACNM members and other readers can sign up to receive alerts with article links as soon they are published online. Email alerts can be selected for monthly, weekly, or daily notification. ACNM members can also locate instructions on the <i>JMWH</i> homepage to access all <i>JMWH</i> articles back to our 1955 founding via the ACNM website.</p><p>ACNM members receive the electronic table of contents (eTOC) via email when each new compiled issue goes up online, a few weeks before the hard copy arrives in the mail. ACNM membership staff can help members who have had an email address change, or who may have opted out of an association email, and thus are not receiving the eTOC.</p><p>Under the <i>About</i> dropdown menu on the homepage, readers can find information about the <i>JMWH</i> Editors and Editorial Board. The <i>JMWH</i> Aims and Scope, our recent <i>Statement of Inclusivity</i>, and other helpful information are also available.</p><p>The <i>JMWH</i> column <i>Ask the Midwife</i>, available via handouts that can be downloaded or printed freely, is a great resource to share with your patients. <i>Ask the Midwife</i> is located on both the homepage, and at a separate link from the homepage <i>Ask the Midwife</i> dropdown menu. This is a frequently used <i>JMWH</i> resource.</p><p>The <i>JMWH</i> website has information about the Journal to help authors, welcome and support peer reviewers, and share collections of our recent work on current topics with readers. From the <i>JMWH</i> homepage <i>Contribute</i> dropdown menu, authors can link to <i>JMWH</i> Instructions for Authors and the <i>JMWH</i> Preparation and Style Guide, invaluable resources for preparing manuscripts for submission. Authors can find information about citations and full text views of their article by linking to the article on the website. Likewise, individuals interested in becoming a peer reviewer or who are current reviewers can find resources and helpful information about peer review and <i>JMWH</i>.</p><p><i>JMWH</i> leadership provides a num
{"title":"Midwifery Information at Your Fingertips: The Journal of Midwifery & Women's Health Online","authors":"Melissa D. Avery CNM, PhD","doi":"10.1111/jmwh.13689","DOIUrl":"10.1111/jmwh.13689","url":null,"abstract":"<p>Are you one of the many American College of Nurse-Midwives (ACNM) members who reads the <i>Journal of Midwifery & Women's Health</i> (<i>JMWH</i>) when your copy of arrives in the mail every 2 months? If so, you are in a small majority. A <i>JMWH</i> March 2024 ACNM member survey revealed that just over 50% of respondents read the Journal when it arrives in their mailbox. However, you may be missing out on <i>JMWH</i>’s online offerings, including earlier access to excellent research and scholarship.</p><p>Did you know that articles are published online in <i>Early View</i> as soon as the publication processes are complete? This occurs before an article appears in a print issue and lands in your mailbox. Newly published articles can be found on the Journal's homepage at jmwh.org. Along with finding the most recently published articles online, readers can check and see which articles have been cited or downloaded most often. ACNM members and other readers can sign up to receive alerts with article links as soon they are published online. Email alerts can be selected for monthly, weekly, or daily notification. ACNM members can also locate instructions on the <i>JMWH</i> homepage to access all <i>JMWH</i> articles back to our 1955 founding via the ACNM website.</p><p>ACNM members receive the electronic table of contents (eTOC) via email when each new compiled issue goes up online, a few weeks before the hard copy arrives in the mail. ACNM membership staff can help members who have had an email address change, or who may have opted out of an association email, and thus are not receiving the eTOC.</p><p>Under the <i>About</i> dropdown menu on the homepage, readers can find information about the <i>JMWH</i> Editors and Editorial Board. The <i>JMWH</i> Aims and Scope, our recent <i>Statement of Inclusivity</i>, and other helpful information are also available.</p><p>The <i>JMWH</i> column <i>Ask the Midwife</i>, available via handouts that can be downloaded or printed freely, is a great resource to share with your patients. <i>Ask the Midwife</i> is located on both the homepage, and at a separate link from the homepage <i>Ask the Midwife</i> dropdown menu. This is a frequently used <i>JMWH</i> resource.</p><p>The <i>JMWH</i> website has information about the Journal to help authors, welcome and support peer reviewers, and share collections of our recent work on current topics with readers. From the <i>JMWH</i> homepage <i>Contribute</i> dropdown menu, authors can link to <i>JMWH</i> Instructions for Authors and the <i>JMWH</i> Preparation and Style Guide, invaluable resources for preparing manuscripts for submission. Authors can find information about citations and full text views of their article by linking to the article on the website. Likewise, individuals interested in becoming a peer reviewer or who are current reviewers can find resources and helpful information about peer review and <i>JMWH</i>.</p><p><i>JMWH</i> leadership provides a num","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13689","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142304989","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}
During pregnancy, you can eat most of the same things that you normally eat when you are not pregnant. Your immune system is less strong during pregnancy. Especially in the first few months of your pregnancy, your baby can be hurt by toxins (poisons) or bacteria (germs). For this reason, you need to be aware of these food dangers and learn how to choose and prepare your food safely. The back side of this page has more information on each of the foods described below.
This page may be reproduced for noncommercial use by health care professionals to share with clients. Any other reproduction is subject to JMWH approval. The information and recommendations appearing on this page are appropriate in most instances, but they are not a substitute for medical diagnosis. For specific information concerning your personal medical condition, JMWH suggests that you consult your health care provider.
{"title":"Eating Safely During Pregnancy","authors":"","doi":"10.1111/jmwh.13690","DOIUrl":"10.1111/jmwh.13690","url":null,"abstract":"<p>During pregnancy, you can eat most of the same things that you normally eat when you are not pregnant. Your immune system is less strong during pregnancy. Especially in the first few months of your pregnancy, your baby can be hurt by toxins (poisons) or bacteria (germs). For this reason, you need to be aware of these food dangers and learn how to choose and prepare your food safely. The back side of this page has more information on each of the foods described below.</p><p>This page may be reproduced for noncommercial use by health care professionals to share with clients. Any other reproduction is subject to JMWH approval. The information and recommendations appearing on this page are appropriate in most instances, but they are not a substitute for medical diagnosis. For specific information concerning your personal medical condition, JMWH suggests that you consult your health care provider.</p>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13690","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142304987","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}
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 (LAC) with a low score.MethodsWe conducted a retrospective cohort study of LACs by patients who entered spontaneous or induced labor with a live, nonanomalous fetus in cephalic presentation between 2012 and 2022. Observed VBAC rates were compared with the mean predicted VBAC probability derived from the calculator. Areas under the curve (AUCs) were calculated for the entire cohort and for individuals with LAC with and without prior vaginal birth. A z‐test was used to determine the significance between VBAC rates in 4 BMI categories. The impact of discouraging LAC with VBAC probability below 70% was examined.ResultsA total of 400 people experienced 507 LACs, with 417 (82.2%) resulting in VBAC compared with a mean predicted probability of 71.2%. The AUC for all LACs was 0.76 (95% CI, 0.71‐0.81), whereas the AUC for LACs with prior vaginal birth was 0.70 (95% CI, 0.56‐0.85) and without was 0.60 (95% CI, 0.52‐0.67). Observed VBAC rates exceeded predicted rates for individuals with overweight and obese BMIs: <25 (79.6% vs 75.6%; P = .520), 25 to 30 (83.2% vs 71.9%; P = .007), 30 to 40 (82.7% vs 70.0%; P = .004), and ≥40 (82.8% vs 58.3%; P = .040). Discouraging LAC below 70% probability might have prevented 71 unsuccessful LACs, 160 initial VBACs, and 57 subsequent VBACs, decreasing the VBAC rate to 39.4% (200/507).DiscussionIn a predominately Hispanic cohort, the updated calculator underestimated VBAC potential for people with no vaginal birth history and/or an elevated BMI. Discouraging LAC based on low VBAC probability may prevent both initial and subsequent VBACs.
{"title":"Observed Versus Predicted Vaginal Birth After Cesarean for Patients of a Community Health Center","authors":"Ann Ledbetter, Tracy Wandtke Herrmann, Karen Lupa, Menachem Graupe","doi":"10.1111/jmwh.13687","DOIUrl":"https://doi.org/10.1111/jmwh.13687","url":null,"abstract":"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 (LAC) with a low score.MethodsWe conducted a retrospective cohort study of LACs by patients who entered spontaneous or induced labor with a live, nonanomalous fetus in cephalic presentation between 2012 and 2022. Observed VBAC rates were compared with the mean predicted VBAC probability derived from the calculator. Areas under the curve (AUCs) were calculated for the entire cohort and for individuals with LAC with and without prior vaginal birth. A z‐test was used to determine the significance between VBAC rates in 4 BMI categories. The impact of discouraging LAC with VBAC probability below 70% was examined.ResultsA total of 400 people experienced 507 LACs, with 417 (82.2%) resulting in VBAC compared with a mean predicted probability of 71.2%. The AUC for all LACs was 0.76 (95% CI, 0.71‐0.81), whereas the AUC for LACs with prior vaginal birth was 0.70 (95% CI, 0.56‐0.85) and without was 0.60 (95% CI, 0.52‐0.67). Observed VBAC rates exceeded predicted rates for individuals with overweight and obese BMIs: <25 (79.6% vs 75.6%; <jats:italic>P</jats:italic> = .520), 25 to 30 (83.2% vs 71.9%; <jats:italic>P</jats:italic> = .007), 30 to 40 (82.7% vs 70.0%; <jats:italic>P</jats:italic> = .004), and ≥40 (82.8% vs 58.3%; <jats:italic>P</jats:italic> = .040). Discouraging LAC below 70% probability might have prevented 71 unsuccessful LACs, 160 initial VBACs, and 57 subsequent VBACs, decreasing the VBAC rate to 39.4% (200/507).DiscussionIn a predominately Hispanic cohort, the updated calculator underestimated VBAC potential for people with no vaginal birth history and/or an elevated BMI. Discouraging LAC based on low VBAC probability may prevent both initial and subsequent VBACs.","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142262205","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}
Intimate partner violence (IPV), also called domestic violence, is when someone is in a relationship and is physically, sexually, or emotionally harmed by their partner. IPV can happen to anyone who is in a relationship. It doesn't matter how much money you have, your occupation, or where you live. Anyone can be in a relationship and not feel safe. Women experience higher rates of abuse. About one of every 3 women will be abused at some point in their life. Men, as well as gay or transgender people can also experience abuse. If you are unsure if you are in an abusive relationship, there are people that you can talk to confidentially about your situation. If you determine that you want help, there are resources that can support you and help you develop a plan to protect yourself and your family.
Abuse can be different in every case. Usually, one person wants power and control over someone else. Abuse can be physical, emotional, verbal, sexual, or financial. The actions or words are meant to scare someone or control them.
Almost everyone who is being abused does not think abuse is happening when it starts. Many people who abuse their partners were nice at the beginning of the relationship. No one wants to think that the person they love would hurt them. Your partner may try to make you feel that the abuse is your fault. It is important to remember that you are never to blame for someone abusing you.
This handout may be reproduced for noncommercial use by health care professionals to share with patients, but modifications to the handout are not permitted. The information and recommendations in this handout are not a substitute for health care. Consult your health care provider for information specific to you and your health.
{"title":"Intimate Partner Violence","authors":"","doi":"10.1111/jmwh.13691","DOIUrl":"10.1111/jmwh.13691","url":null,"abstract":"<p>Intimate partner violence (IPV), also called domestic violence, is when someone is in a relationship and is physically, sexually, or emotionally harmed by their partner. IPV can happen to anyone who is in a relationship. It doesn't matter how much money you have, your occupation, or where you live. Anyone can be in a relationship and not feel safe. Women experience higher rates of abuse. About one of every 3 women will be abused at some point in their life. Men, as well as gay or transgender people can also experience abuse. If you are unsure if you are in an abusive relationship, there are people that you can talk to confidentially about your situation. If you determine that you want help, there are resources that can support you and help you develop a plan to protect yourself and your family.</p><p>Abuse can be different in every case. Usually, one person wants power and control over someone else. Abuse can be physical, emotional, verbal, sexual, or financial. The actions or words are meant to scare someone or control them.</p><p>Almost everyone who is being abused does not think abuse is happening when it starts. Many people who abuse their partners were nice at the beginning of the relationship. No one wants to think that the person they love would hurt them. Your partner may try to make you feel that the abuse is your fault. It is important to remember that you are never to blame for someone abusing you.</p><p>This handout may be reproduced for noncommercial use by health care professionals to share with patients, but modifications to the handout are not permitted. The information and recommendations in this handout are not a substitute for health care. Consult your health care provider for information specific to you and your health.</p>","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jmwh.13691","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142304988","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}
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 version of the Childbirth Expectation Questionnaire (CEQ) in a nationwide online survey, we assessed expectations on childbirth of pregnant women living in Switzerland. We performed one‐way analysis of variance and independent t tests to analyze associations between childbirth expectations and women's characteristics such as body mass index (BMI). Binomial logistic regressions estimated the likelihood of positive birth expectations occurring based on individual and contextual factors.ResultsIn total, 961 pregnant women responded to the CEQ through social media. Increased BMI was associated with lower mean scores in overall birth expectations (P = .008), whereas women accompanied by midwives during pregnancy showed significantly increased mean scores (P < .001). Regression analysis revealed that women living with obesity were less likely to have positive expectations for their upcoming childbirth when compared with others (adjusted odds ratio [aOR], 0.63; 95% CI, 0.42‐0.95; P = .027). Conversely, midwifery care and plans for nonclinical births were associated with increased positive childbirth expectations (aOR, 3.65; 95% CI, 2.11‐6.32; P < .001 and aOR, 4.77; 95% CI, 3.37‐6.74; P < .001, respectively).DiscussionWomen living with obesity exhibited significantly lower childbirth expectations compared with other women, impacting birth outcomes and satisfaction. Midwife involvement correlated with more positive expectations, emphasizing their role in improving women's realistic expectations and fostering well‐being. Enhanced accessibility to models of care with midwifery continuity may be a crucial factor in promoting positive expectations among women living with obesity.
{"title":"The Impact of Obesity on Childbirth Expectations","authors":"Tamara A. Messer, Fabienne Blank, Jean Anthony Grand‐Guillaume‐Perrenoud, Evelyne M. Aubry","doi":"10.1111/jmwh.13685","DOIUrl":"https://doi.org/10.1111/jmwh.13685","url":null,"abstract":"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 version of the Childbirth Expectation Questionnaire (CEQ) in a nationwide online survey, we assessed expectations on childbirth of pregnant women living in Switzerland. We performed one‐way analysis of variance and independent <jats:italic>t</jats:italic> tests to analyze associations between childbirth expectations and women's characteristics such as body mass index (BMI). Binomial logistic regressions estimated the likelihood of positive birth expectations occurring based on individual and contextual factors.ResultsIn total, 961 pregnant women responded to the CEQ through social media. Increased BMI was associated with lower mean scores in overall birth expectations (<jats:italic>P</jats:italic> = .008), whereas women accompanied by midwives during pregnancy showed significantly increased mean scores (<jats:italic>P</jats:italic> < .001). Regression analysis revealed that women living with obesity were less likely to have positive expectations for their upcoming childbirth when compared with others (adjusted odds ratio [aOR], 0.63; 95% CI, 0.42‐0.95; <jats:italic>P</jats:italic> = .027). Conversely, midwifery care and plans for nonclinical births were associated with increased positive childbirth expectations (aOR, 3.65; 95% CI, 2.11‐6.32; <jats:italic>P</jats:italic> < .001 and aOR, 4.77; 95% CI, 3.37‐6.74; <jats:italic>P</jats:italic> < .001, respectively).DiscussionWomen living with obesity exhibited significantly lower childbirth expectations compared with other women, impacting birth outcomes and satisfaction. Midwife involvement correlated with more positive expectations, emphasizing their role in improving women's realistic expectations and fostering well‐being. Enhanced accessibility to models of care with midwifery continuity may be a crucial factor in promoting positive expectations among women living with obesity.","PeriodicalId":16468,"journal":{"name":"Journal of midwifery & women's health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142207354","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}
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