Nursing for Women''s Health最新文献

Objective

To explore the evidence on the impact of extended use of intrauterine devices (IUDs) use among women of reproductive age.

Data Sources

Electronic resource databases used were PubMed, CINAHL, and Google Scholar. Peer-reviewed articles published during 2012 to 2022 were considered.

Article Selection

Ten articles met the criteria and included data for a total of 7,420 women.

Data Extraction

Data were extracted from each study using the subheadings “Author/Date,” “Participants,” “Methods,” “Interventions,” and “Outcomes.” Additionally, the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines were used to guide data extraction.

Data Synthesis

Common themes were identified among each of the articles that supported the purpose of this integrative review, such as adverse effects, perceived effectiveness, pregnancy prevention, and cost effectiveness of extended use of IUDs.

Conclusion

The available evidence supports the notion that extending IUD use beyond the original time frame approved by the U.S. Food and Drug Administration is safe and effective with minimal side effects. However, there remains a paucity of evidence examining this topic.

Objective

To evaluate the application of Modified Early Obstetric Warning Criteria (MEOWC) in the immediate postpartum period and to generate a preliminary predictive model for postpartum maternal morbidity.

Design

Retrospective case–control study that was conducted from January 2017 to January 2020. A total of 2,762 births occurred during the study period.

Setting

Obstetrics unit of a general hospital located in the Nakhon Si Thammarat province of Thailand.

Participants

Three hundred charts of complete health records for women in the first 24 hours postbirth were used in the study. Severe maternal morbidity indicators from the Centers for Disease Control and Prevention as well as corresponding International Classification of Diseases, 10th Revision–Clinical Modification codes during birth and postpartum hospitalizations were used to define maternal morbidity. Case and control individuals were matched in an approximate 1:2 fashion based on the year when the birth occurred.

Measurements

Outcomes measurement was carried out using three data record forms—personal data, obstetric history, and MEOWC. To estimate the risks, logistic regression was performed, and a receiver operating characteristic curve was derived to evaluate the model’s performance.

Results

One hundred cases of maternal morbidity that occurred in the immediate postpartum period were identified and matched with 200 control cases. Women with MEOWC during the immediate postpartum were much more likely to experience subsequent postpartum maternal morbidity than were women without the criteria. MEOWC were a moderate predictor of postpartum maternal morbidity.

Conclusion

MEOWC are associated with increased odds of postpartum maternal morbidity. However, these findings should be validated in a prospective cohort to develop a predictive model that is effective for use in immediate postpartum care.

Objective

To synthesize the current literature surrounding breastfeeding and homelessness, and to determine the impact of disparities in this population.

Data Sources

An integrative search was conducted using Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and using the search terms “breastfeeding” and “homelessness” throughout electronic databases PubMed, CINAHL, and Scopus.

Study Selection

Inclusion criteria were articles published in English from January 2007 to September 2022. Exclusion criteria were studies published more than 15 years ago, studies published in a language other than English, opinion articles, and irrelevance to breastfeeding and homelessness. The initial search yielded 100 results. After removing duplicates and articles because of irrelevance, the final number of articles for this synthesis was seven.

Data Extraction

Data were extracted from each article, critically appraised using Joanna Briggs Institute criteria, and summarized in a table of evidence.

Data Synthesis

Three common themes were identified: Decreased Breastfeeding Initiation Rates and Duration in the Homeless Population, Impact of Community and Clinical Support, and Breastfeeding Practices Influenced by Individual Factors.

Conclusion

Providers and nurses should refer patients to the Special Supplemental Nutrition Program for Women, Infants, and Children; use techniques to instill a parent’s intent to breastfeed; provide early breastfeeding education; promote breastfeeding initiation within 1 hour of birth; and encourage peer support groups. Although current researchers provide insight into potential barriers and interventions, more research is needed to gain additional data on how to overcome identified barriers to breastfeeding.

Migraine is a painful neurological disorder that disproportionately affects women and has a significant impact on quality of life. This article summarizes the critical role of women's health nurses in supporting young adult women with migraine during major life transitions. Nurses can advocate for workplace or school disability accommodations for women with migraine. Nurses can also support young adult women with migraine by providing education about available treatment that becomes available after an individual’s 18th birthday. Women’s health nurses can also provide counseling on healthy lifestyle habits to sustain through life transitions, such as guidance on safe alcohol consumption and wellness approaches to migraine management. Through these interventions, women’s health nurses can help women with migraine to succeed personally, professionally, and academically while effectively managing migraine symptoms.

Comprehensive fertility care has been reduced in many parts of the United States following the U.S. Supreme Court decision in June 2022 in the Dobbs v. Jackson Women’s Health Organization case, which eliminated the constitutional right to abortion. Because of this change, there is an increasing need and desire among many for fertility planning as women want to understand their health, including their reproductive health. This commentary outlines the importance of fertility planning, how fertility planning affects fetal and maternal outcomes, and what people need to know about fertility planning. Guidance is offered on the role of nurses in supporting and advocating for individuals in their desire for fertility planning.

Objective

To explore and synthesize women’s experiences of interpersonal violence during the COVID-19 pandemic.

Data Sources

The MEDLINE, Ovid, Embase, Cochrane, Web of Science, and CINAHL databases were searched to identify articles published between December 2019 and November 2022.

Study Selection

Seventeen peer-reviewed studies were included, for a total of 2,046 women.

Data Extraction

Data were extracted using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines.

Data Synthesis

COVID-19 brought many challenges for women experiencing interpersonal violence. Women reported worsening of abuse during the pandemic. The pandemic led to severe economic challenges, which eventually precipitated more abuse. Additionally, women experienced mental health distress from social isolation and increased surveillance and control from their abusive partners. Several factors affected their ability to access health care and support services; these included limited availability of services, fear of contracting the virus, and an abusive partner who restricted their movement outside the home.

Conclusion

The pandemic presented multiple challenges and additional stressors for women who experienced interpersonal violence during pandemic-related restrictions on services, gatherings, and work and school outside of the home. The findings from this review signify the need to raise public awareness about violence against women and to plan for coordinated efforts to decrease violence against women and address victims’ needs in the event of future pandemics or other public health emergencies.