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Ask the Midwife Contributors Ad 问问助产士撰稿人广告吧
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2025-12-19 DOI: 10.1111/jmwh.70059
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引用次数: 0
The American College of Nurse-Midwives Lifetime Visionary Award 2025: Saraswathi Vedam, CNM, PhD, FACNM 2025年美国护士助产士学院终身梦想奖:Saraswathi Vedam, CNM,博士,FACNM。
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2025-12-07 DOI: 10.1111/jmwh.70064
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引用次数: 0
ACNM Fellows Inducted in 2025 ACNM院士于2025年入会
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2025-12-05 DOI: 10.1111/jmwh.70062
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引用次数: 0
Abstracts from Research Forums Presented at the American College of Nurse-Midwives’ 70th Annual Meeting 美国护士助产士学院第70届年会研究论坛摘要
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2025-11-27 DOI: 10.1111/jmwh.70065
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引用次数: 0
Innovative Approaches in Midwifery Education Part 1 (2025-002JMWH) 助产教育的创新方法第1部分(2025-002JMWH)
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2025-11-27 DOI: 10.1111/jmwh.70066

This continuing education (CE) issue has been approved by the American College of Nurse-Midwives (ACNM) for 20 contact hours inclusive of 0 pharmacology contact hours. All CE submissions must be received online by [December 31, 2027].

ACNM is an approved provider of CE for certified nurse-midwives/certified midwives (CNMs/CMs). ACNM contact hours are accepted for the American Midwifery Certification Board (AMCB) Certificate Maintenance Program (CMP) and for National Certification Corporation (NCC) certification maintenance. Other professional groups may recognize ACNM contact hours as well. Health care providers who are not CNMs/CMs should check with their certifying and licensing agencies.

The evaluation and test questions are included here for your reference. Test questions and evaluation must be completed online to receive CE.

The evaluation questions must be answered online to receive CE.

1. Accuracy of content: Poor Fair Good Excellent

2. Currency of content: Poor Fair Good Excellent

3. Relevancy of topics: Poor Fair Good Excellent

4. Were the learning objectives for this CE activity met by the material you read? Yes No

If your answer is no, what suggestions do you have?

5. Was this CE activity an effective method of acquiring CE for you? Yes No

If your answer is no, what suggestions do you have?

这个继续教育(CE)问题已被美国护士助产士学院(ACNM)批准为20个接触小时,包括0个药理学接触小时。所有行政长官提交的作品必须在2027年12月31日前在线收到。ACNM是经批准的认证护士助产士/认证助产士(CNMs/CMs)的CE提供者。美国助产认证委员会(AMCB)证书维护计划(CMP)和国家认证公司(NCC)认证维护接受ACNM的联系时间。其他专业团体也可能认可ACNM的联络时间。非cnm /CMs的医疗保健提供者应向其认证和许可机构查询。评估和测试的问题包含在这里供您参考。考试问题和评估必须在线完成才能获得CE。评估问题必须在线回答才能获得CE.1。内容准确性:差,一般,好,优秀。内容货币:差公平好卓越3。主题相关性:差,一般,好,优秀。你所阅读的材料是否达到了本活动的学习目标?如果你的答案是否定的,你有什么建议?这个活动对你来说是获得CE的有效方法吗?如果你的答案是否定的,你有什么建议?
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引用次数: 0
Systematic Reviews to Inform Practice, November/December 2025 为实践提供信息的系统审查,2025年11月/ 12月
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2025-11-25 DOI: 10.1111/jmwh.70061
Nena R. Harris CNM, PhD, FNP-BC, CNE, Beth G. McManis CNM, PhD, MS, Abby Howe-Heyman CNM, PhD
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引用次数: 0
Innovations to Support Growth in Midwifery Education 支持助产教育发展的创新。
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2025-11-25 DOI: 10.1111/jmwh.70063
Melissa D. Avery CNM, PhD
<p>Welcome to the first of 2 theme issues highlighting <i>Innovations in Midwifery Education</i>. The last time the <i>Journal of Midwifery & Women's Health</i> focused on midwifery education was a special supplement to the November/December 2016 issue on Clinical Education. The call for proposals for manuscripts resulting in Parts I and II of <i>Innovations in Midwifery Education</i> was in direct response to a request from the Directors of Midwifery Education to share current advancements. Part II will be published in print in Spring 2026; many of those articles are already published online at jmwh.org.</p><p>Presenting a collection of articles on midwifery education could not be more timely. The number of midwifery education programs is growing. A review of the 49 midwifery programs listed on the Accreditation Commission for Midwifery Education (ACME) website reveals that 4 of those programs received preaccreditation status (initial approval to admit students and begin a midwifery program) in 2025.<span><sup>1</sup></span> In addition, a May 2025 ACME website notice requesting third party comments about pending midwifery program reviews includes 3 institutions with preaccreditation site visits scheduled during the remainder of 2025, potentially adding 3 new preaccredited programs in early 2026.<span><sup>2</sup></span> The number of midwifery program graduates is also growing. The American Midwifery Certification Board reports an overall 64% increase in new certified nurse-midwives/certified midwives (CNM/CMs) since 2000. More recently, 643 new CNM/CMs were certified in 2020, and 750 were certified in 2024.<span><sup>3</sup></span></p><p>The growth in midwifery programs and certification of more midwives comes as the call to integrate midwifery more completely in the US health care system is being amplified. The World Health Organization recently called for global transitioning to midwifery models of care, within interprofessional systems, so that women would “receive equitable, person-centred, respectful, integrated and high-quality care, provided and coordinated by midwives working within collaborative interdisciplinary teams.”<span><sup>4</sup></span><sup>(p5)</sup> The Centers for Medicare and Medicaid Services is currently funding the Transforming Maternal Health program to improve maternity care outcomes for persons insured under Medicaid while reducing costs in 15 states over the next 10 years.<span><sup>5</sup></span></p><p>Respected publications have highlighted the ability of midwives to expand access to care and help improve outcomes in the United States. In 2019, the highly regarded <i>Scientific American</i> published an editorial titled <i>The U.S. Needs More Midwives for Better Maternity Care</i>.<span><sup>6</sup></span> The Commonwealth Fund's May 2023 issue brief on advancing health equity described how midwives could address the maternal health crisis in the Unted States.<span><sup>7</sup></span> That same year, the <i>A
这些主题问题是为CNM/CM读者提供继续教育的机会,根据具体的专业要求,也可能为其他人提供继续教育的机会。虽然这些主题主要是关于助产士的,为助产士写的,由助产士写的,但其他卫生保健专业教育工作者也会对这些主题感兴趣,并打算广泛阅读。享受学习新东西!如果你是一名教育工作者,请欣赏助产学和其他医疗保健专业教育的这些进步,因为我们在美国教育了更多的助产士。如果你主要是一名临床医生或政策倡导者,花点时间回顾文章,考虑一下你可能有机会促进助产学教育的发展。你能指导一个学生,担任导师,在薪酬公平或州立法倡导方面的合作伙伴,或者自愿花一些时间与这些学习者分享你的专业知识吗?她们是我们助产行业的未来。Melissa D. Avery, CNM,首席博士
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引用次数: 0
Understanding Perspectives of Midwifery Education from Black and Indigenous Community Stakeholders: “We're Working in a System That Was Not Intended for Us” 从黑人和土著社区利益相关者的角度理解助产教育:“我们正在一个不适合我们的系统中工作”。
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2025-11-18 DOI: 10.1111/jmwh.70057
Molly R. Altman CNM, PhD, MPH, Takara Washington CNM, DNP, Sumaya Uthmaan RN, BSN, Makeda Akoma CD, Binta Niang MSM, LM, Cecilia Gilmore CNM, ND, DNP, Letitia Salazar Monk CNM, DNP, CLC, CH, ARNP, L'Oréal Kennedy MD, DNP, Victoria Fletcher CNM, MSN, ARNP

Introduction

Evidence is growing to support why a racially diverse midwifery workforce is needed; however, very few studies have examined how this should occur. Specifically, little research has examined the lived experiences of Black and Indigenous stakeholders in midwifery education, whose experiences and insight should serve as a cornerstone to re-envision education structures.

Methods

We conducted reflexive thematic analysis using secondary data from 4 focus groups of Black and Indigenous community stakeholders of midwifery education: prospective students, current students, alumni, and community birth workers.

Results

Analysis yielded the themes of (1) acknowledging midwifery's history and origination, (2) centering Black and Indigenous learners in midwifery education, (3) needing a more inclusive version of midwifery, and (4) increasing access to midwifery education.

Discussion

Findings from this study lend a valuable perspective in what stakeholders within midwifery education, mainly prospective students, current students, alumni, and community birth workers, have experienced in interacting within the education systems and what they hope to see changed in the future. By integrating historically excluded voices into curriculum design, institutions can create an education system that not only diversifies the workforce but also upholds the values of cultural competency, justice, and community-centered care.

越来越多的证据支持为什么需要一个种族多样化的助产人员队伍;然而,很少有研究调查这是如何发生的。具体来说,很少有研究考察助产教育中黑人和土著利益相关者的生活经历,他们的经验和见解应该作为重新设想教育结构的基石。方法:我们使用来自4个焦点小组的辅助数据进行反思性专题分析,这些小组是来自助产教育的黑人和土著社区利益相关者:准学生、在校生、校友和社区分娩工作者。结果:分析得出以下主题:(1)承认助产学的历史和起源;(2)以黑人和土著学习者为中心进行助产教育;(3)需要一个更具包容性的助产学版本;(4)增加助产学教育的可及性。讨论:本研究的发现为助产教育的利益相关者提供了一个有价值的视角,主要是未来的学生、在校生、校友和社区分娩工作者,他们在教育系统内的互动中经历了什么,以及他们希望在未来看到什么变化。通过将历史上被排斥的声音纳入课程设计,机构可以创建一个教育体系,不仅使劳动力多样化,而且维护文化能力、正义和以社区为中心的关怀的价值观。
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引用次数: 0
Emergency Contraception 紧急避孕法
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2025-11-18 DOI: 10.1111/jmwh.70060
<p>Emergency contraception is any method of birth control that prevents pregnancy after unprotected sex (no birth control method used). Emergency contraception can include pills (ECPs) or an intrauterine device (IUD) put in the uterus (womb). Although ECPs may be called “morning-after pills,” they can be taken up to several days after unprotected sex (usually up to 5 days) and still prevent pregnancy.</p><p>Birth control methods can fail, a person may forget to take their birth control pills, they may not want to use birth control, or a condom may break. In some cases, individuals may not plan to have sex or may be forced to have sex. Someone's partner might pressure them to get pregnant when they don't want to be pregnant. Their partner might also interfere with their birth control method.</p><p>The most common ECP contains a hormone (levonorgestrel) that is also found in birth control pills. The brand names are Plan B, Next Choice, and My Way. You will take 1 or 2 pills, depending on the brand you get. It is best if you take ECPs within 3 days of unprotected sex. You can take this ECP up to 5 days after having unprotected sex to prevent most pregnancies. It works better the sooner you take it.</p><p>Another type of ECP contains a medication (ulipristal) that is only available with a prescription for users of all ages. The brand name is Ella. This medicine uses a different drug but still has the same effect on your body. You can take it up to 5 days after unprotected sex, and it prevents pregnancy very well.</p><p>You can also use regular birth control pills as ECPs as long as they contain both of the hormones estrogen and progestin. If you use regular birth control bills as ECPs, you will have to take several pills at one time. Talk to your health care provider to find out how many pills you need to take based on your prescription.</p><p>A different method of emergency contraception is having an IUD put in your uterus. This is very effective (99%) in stopping pregnancy. You can get an IUD put in during a regular office visit. It is not a special procedure. It should be placed within 5 days of unprotected sex. An IUD has to be put in by a health care provider. This might be a good option if you want a long-term form of birth control that works well.</p><p>Most likely, emergency contraception stops you from having an egg, changes vaginal discharge so that sperm have a difficult time reaching the egg, or changes the lining of the uterus, preventing the fertilized egg from implanting itself in the uterus.</p><p>Yes, emergency contraception is very safe. Even users who cannot take birth control pills can safely use ECPs. There is no risk of birth defects or harm to the baby by taking ECPs even if you are pregnant already or if you get pregnant soon after taking the pills.</p><p>The most common side effect of ECPs is nausea (with or without vomiting) that lasts for a few days. Your health care provider can give you a prescription for medicine to prev
紧急避孕是指在无保护性行为(不使用任何避孕方法)后防止怀孕的任何避孕方法。紧急避孕包括避孕药(ECPs)或将宫内节育器(IUD)放入子宫(子宫)。虽然ecp可能被称为“事后避孕药”,但它们可以在无保护的性行为后几天服用(通常长达5天),仍然可以防止怀孕。避孕方法可能会失败,一个人可能会忘记服用避孕药,他们可能不想使用避孕措施,或者避孕套可能会破裂。在某些情况下,个人可能不打算发生性行为或可能被迫发生性行为。有些人的伴侣可能会在他们不想怀孕的时候强迫他们怀孕。他们的伴侣也可能会干扰他们的避孕方法。最常见的ECP含有一种激素(左炔诺孕酮),这种激素也存在于避孕药中。品牌名称是Plan B, Next Choice和My Way。你要吃1到2片,这取决于你买的牌子。最好在无保护性行为后3天内服用ecp。你可以在无保护的性行为后5天内服用ECP,以防止大多数怀孕。越早服用效果越好。另一种类型的ECP含有一种药物(ulipristal),只有在处方下才能获得,适用于所有年龄段的用户。品牌名称是Ella。这种药使用了不同的药物,但对你的身体仍然有同样的效果。你可以在无保护的性行为后5天服用,它可以很好地防止怀孕。你也可以使用常规避孕药作为ecp,只要它们同时含有雌激素和黄体酮。如果你使用常规避孕药作为ecp,你将不得不一次服用几粒药。和你的医疗保健提供者谈谈,根据你的处方找出你需要服用多少药片。另一种紧急避孕方法是将宫内节育器放入子宫。这对停止怀孕非常有效(99%)。你可以在定期的诊所就诊时植入宫内节育器。这不是一个特殊的程序。它应该在无保护的性行为后5天内放置。宫内节育器必须由卫生保健提供者放置。如果你想长期有效地控制生育,这可能是一个不错的选择。最有可能的是,紧急避孕会阻止你生育卵子,改变阴道分泌物,使精子难以到达卵子,或者改变子宫内膜,阻止受精卵在子宫内植入。是的,紧急避孕是非常安全的。即使不能服用避孕药的人也可以安全地使用ecp。即使你已经怀孕或服药后不久怀孕,服用ECPs也不会有出生缺陷或对婴儿造成伤害的风险。ecp最常见的副作用是持续数天的恶心(伴有或不伴有呕吐)。你的医生会给你开一些预防恶心的药。如果你没有处方,你可以使用非处方的晕车或恶心药。其他可能的副作用包括乳房胀痛、阴道出血或点滴出血、痉挛、头痛或头晕。在服用ECPs的周期中,您的月经可能会有所不同。它可能会有点重,时间更长,或者比正常情况早一点或晚一点。副作用通常很轻微,而且很快就会消失。如果您对服用ECP后的症状感到担忧,请立即联系您的医疗保健提供者。紧急避孕不如常规避孕方法有效。如果在合适的时间使用,紧急避孕的效果是75%到99%。常规的避孕措施,如避孕药或注射(Depo-Provera),其有效性高达99%。这些药物有时放在药剂师的柜台后面,所以如果你在使用它们之前需要更多的信息,你可以问药剂师要。如果你想服用艾拉,你需要从你的医疗保健提供者那里得到处方。你可以向你的医疗保健提供者索要处方,以备不时之需。服用ECPs后不久,您将能够再次怀孕。你可能需要使用屏障方法,比如避孕套,直到月经来临时。你还应该确保你有一个可靠的避孕措施,以防止你将来怀孕。这样,如果你在没有计划的情况下发生性行为,你仍然受到保护。和你的医疗保健提供者谈谈你可以采取的避孕措施。卫生保健提供者必须在无保护的性行为发生后5天内置入宫内节育器。宫内节育器的一个优点是,你将有有效的节育持续长达10年。当你打电话预约时,一定要说你想要紧急避孕的宫内节育器,这样他们就可以为你的就诊做准备,并确保你在5天内安排好时间。宫内节育器不能防止性传播感染。 你的医生可能会在插入时提供性传播感染筛查。Flesch-Kincaid等级7.8级2025年10月批准。本讲义取代2012年11月/ 12月第57卷第6期发表的“紧急避孕”。本讲义可以复制用于非商业用途,供卫生保健专业人员与患者分享,但不允许对讲义进行修改。本讲义中的信息和建议不能替代医疗保健。向您的医疗保健提供者咨询有关您和您的健康的具体信息。
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引用次数: 0
Research and Professional Literature to Inform Practice, November/December 2025 研究和专业文献为实践提供信息,2025年11月/ 12月
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2025-11-17 DOI: 10.1111/jmwh.70054
Rebecca R. S. Clark CNM, PhD, MSN, RN, WHNP-BC
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引用次数: 0
期刊
Journal of midwifery & women's health
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