Physical Activity During the Perinatal Period: Guidelines for Interventions During the Perinatal Period from the French National College of Midwives
AbstractThe aim of this review is to provide an update on the beneficial effects of regular physical activity and/or less sedentary behavior before, during, and after pregnancy, based on data from the scientific literature and the recommendations of expert committees. In the preconception period, it is recommended that women perform 30 minutes to 1 hour of moderate-to-high intensity physical activity per day, at least 5 days a week, and avoid the absence of any physical activity for 2 consecutive days. Pregnant women should: i) start or continue to perform moderate-intensity physical activity (up to 150 min/wk with at leas...
Source: Journal of Midwifery and Women's Health - December 8, 2022 Category: Midwifery Authors: Nathalie Boisseau Tags: Guidelines Source Type: research

Weight Changes, Nutritional Intake, Food Contaminants, and Supplements in Women of Childbearing Age, including Pregnant Women: Guidelines for Interventions during the Perinatal Period from the French National College of Midwives
AbstractAdequate maternal nutrition is crucial for a healthy pregnancy and optimal fetal growth. Many women in France of childbearing age start their pregnancy in an unfavorable nutritional status. Recent studies highlight the value of paying attention to weight issues from the preconceptional period. It is important to call attention to the need for folate supplementation and to promote a varied and balanced diet throughout pregnancy to cover essential nutritional needs. (Source: Journal of Midwifery and Women's Health)
Source: Journal of Midwifery and Women's Health - December 8, 2022 Category: Midwifery Authors: Marion Lecorguill é, Aurore Camier, Manik Kadawathagedara Tags: Guidelines Source Type: research

Use of Psychoactive Substances during the Perinatal Period: Guidelines for Interventions during the Perinatal Period from the French National College of Midwives
AbstractBased on their clinical practice and an extensive review of the literature, the authors propose a framework of procedures to be followed to provide services to all women of childbearing age who use psychoactive substances (alcohol, cannabis, cocaine, amphetamines, and opioids), especially during pregnancy or during the postpartum and breastfeeding periods, in view of their individual situations and environmental contexts. (Source: Journal of Midwifery and Women's Health)
Source: Journal of Midwifery and Women's Health - December 8, 2022 Category: Midwifery Authors: Corinne Chanal, Evelyne Mazurier, B érénice Doray Tags: Guidelines Source Type: research

Strong Start Innovation: Equitable Outcomes Across Public and Privately Insured Clients Receiving Birth Center Care
DiscussionThe midwifery-led birth center model of care complemented by peer counselors demonstrated a pathway to achieve health equity. (Source: Journal of Midwifery and Women's Health)
Source: Journal of Midwifery and Women's Health - December 8, 2022 Category: Midwifery Authors: Diana Jolles, Lauren Hoehn ‐Velasco, Lisa Ross, Susan Stapleton, Jennie Joseph, Jill Alliman, Kate Bauer, Ebony Marcelle, Jennifer Wright Tags: Research Article Source Type: research

Melanated Group Midwifery Care: Centering the Voices of the Black Birthing Community
AbstractAccess to safe and dignified pregnancy, childbirth, and postpartum experiences is a fundamental right for all pregnant and postpartum people. In the United States, systemic racism fuels distrust and disengagement in a health care system that continues to dehumanize the Black community. The respectful maternity care literature explains how these systemic, structural, and institutional failings produce maternal health disparities and expose a pattern whereby Black women receive less adequate maternity care. The implementation of trustworthy policies and practices is urgently needed because no single intervention has ...
Source: Journal of Midwifery and Women's Health - December 8, 2022 Category: Midwifery Authors: Kylea Liese, Karie Stewart, Pam Pearson, Saria Lofton, Tayo Mbande, Crystal Patil, Li Liu, Stacie Geller Tags: Innovations from the Field Source Type: research

A Model of True CHOICES: Learnings from a Comprehensive Sexual and Reproductive Health Clinic in Tennessee that Provides Abortions and Opened the City's First Birth Center
CHOICES: Memphis Center for Reproductive Health staff is passionate about ensuring that everyone has access to the full continuum of comprehensive reproductive health care (including abortion, gender-affirming care, miscarriage management, and community birth) regardless of race, gender identity, sexual orientation, HIV status, economic status, or religious beliefs. Memphis, Tennessee, has a history of limited community birth options (birthing outside of hospital walls). In 2017, when home birth services were added to CHOICES and plans for opening Memphis ’ first freestanding birth center were being imagined, it was inte...
Source: Journal of Midwifery and Women's Health - December 6, 2022 Category: Midwifery Authors: Nikia Grayson, Nicole Quinones, Talita Oseguera Tags: Innovations from the Field Source Type: research

Joyce Roberts: Midwifery Scholar, Educator, Legend, and Friend
(Source: Journal of Midwifery and Women's Health)
Source: Journal of Midwifery and Women's Health - December 6, 2022 Category: Midwifery Authors: Mary Ellen Stanton, Lisa Hanson, Carrie Klima, Lisa Kane Low Tags: Editorial Source Type: research

After Your Baby is Born: What to Expect Postpartum
(Source: Journal of Midwifery and Women's Health)
Source: Journal of Midwifery and Women's Health - December 1, 2022 Category: Midwifery Tags: Share with Women Source Type: research

The Early Care Model for Initiation of Perinatal Care: “I Actually Felt Listened To”
This article provides an overview of the Early Care model experience. (Source: Journal of Midwifery and Women's Health)
Source: Journal of Midwifery and Women's Health - November 30, 2022 Category: Midwifery Authors: Michele Augur, Simon Adriane Ellis, Juniper Moon Tags: Innovations from the Field Source Type: research

Smooth Transitions: Enhancing Interprofessional Collaboration when Planned Community Births Transfer to Hospital Care
AbstractIn Washington state, planned community births are attended by direct entry licensed midwives (LMs) and certified nurse-midwives (CNMs). The most recently published vital statistics data from 2018 reported that 3.6% of the 84,648 births in Washington occurred at home or in freestanding birthing centers. Approximately 16.2% of planned home birth and birth center clients experience intrapartum or early postpartum transfer to the hospital, while 1.8% of their newborns do. The safety of and satisfaction with these types of referrals depends on multisystem processes performed by a variety of health care professionals. Sm...
Source: Journal of Midwifery and Women's Health - November 27, 2022 Category: Midwifery Authors: Karen Hays, Melissa Denmark, Audrey Levine, Roberta Haynes Regt, H. Frank Andersen, Karen Weiss Tags: Innovations from the Field Source Type: research

Experiential Training Workshops for Group Antenatal Care in Malawi
This article describes an experiential learning-based training workshop that was implemented as part of an ongoing effectiveness-implementation trial of a Centering-based group ANC model in Blantyre District, Malawi. We provide a blueprint for conducting group ANC facilitator trainings that, in addition to imparting knowledge, effectively builds confidence and buy-in to this paradigm-changing approach to ANC delivery. This blueprint can be adapted for use in designing and implementing group health care across settings in the United States and globally. (Source: Journal of Midwifery and Women's Health)
Source: Journal of Midwifery and Women's Health - November 26, 2022 Category: Midwifery Authors: Ashley Gresh, Elizabeth T. Abrams, Ellen Chirwa, Diana L. Jere, Elizabeth Chodzaza, Genesis Chorwe ‐Sungani, Ursula Kafulafula, Esnath Kapito, Dhruvi R. Patel, Rohan D. Jeremiah, Carrie S. Klima, Amy MacDonald, Kathleen F. Norr, Crystal L. Tags: Innovations from the Field Source Type: research

Strengthening Interprofessional Collaboration to Improve Transfers Between a Freestanding Birth Center and an Academic Medical Center
This article will present strategies implemented through the ongoing collaboration between birth center and hospital health care providers. These include adopting a shared electronic health record, clinical practice guidelines that align across birth sites, preparing birth center patients prenatally for the possibility hospital transfer, the presentation of a united team across birth sites, clear and widely disseminated communication pathways for hospital admission and patient handoff, and ongoing opportunities for interteam communication, collaboration, and education. These strategies may benefit similar midwifery practic...
Source: Journal of Midwifery and Women's Health - November 26, 2022 Category: Midwifery Authors: Kathleen Danhausen, Hannah L. Diaz, Manola A. McCain, Madeleine McGinigle Tags: Innovations from the Field Source Type: research

Dyadic Care Mobile Units: A Collaborative Midwifery and Pediatric Response to the COVID ‐19 Pandemic
AbstractOften dubbed thefourth trimester, the first 6 weeks of the postpartum period is a critical time that sets the stage for future health outcomes for both women and children. Leading maternal and child health advocates agree that intervention in the first 6 weeks of life is crucial. Although most new parents prioritize their newborn's well-care, many postpartum patients do not attend appointments for themselves, missing critical opportunities for identification and treatment of leading causes of maternal morbidity and mortality. Racial disparities in rates of postpartum complications highlight the increased importance...
Source: Journal of Midwifery and Women's Health - November 25, 2022 Category: Midwifery Authors: Cara McGuinness, Julie Mottl ‐Santiago, Melissa Nass, Lillian Siegel, Onyemaechi C. Onyekwu, Alice Cruikshank, Rosha Forman, Grace Weir Tags: Innovations from the Field Source Type: research

The 5D Cycle for Health Equity: Combining Black Feminism, Radical Imagination, and Appreciative Inquiry to Transform Perinatal Quality Improvement
AbstractToo often, quality improvement initiatives are rooted in the health care system's oppressive structures and hierarchies. Transformative quality improvement models that embody the wisdom and liberatory potential of oppressed groups areneeded to address the alarming inequities within perinatal health. Inspired by experiences with Appreciative Inquiry, a possibility-focused change model, and frustrated by the limits of traditional quality improvement, the author sought new approaches to perinatal quality improvement. Inquiry into Black feminist recommendations for perinatal quality improvement and the principles of ra...
Source: Journal of Midwifery and Women's Health - November 25, 2022 Category: Midwifery Authors: Lauren A. Arrington Tags: Innovations from the Field Source Type: research

Midwives ’ and Other Perinatal Health Workers’ Perceptions of the Black Maternal Mortality Crisis in the United States
This study aimed to identify how perinatal health workers, especially midwives, explained US Black maternal mortality and morbidity and what ameliorative measures they suggested across categories of primary social determinants, health care access, and provider practices.MethodsUsing a mixed closed-ended and open-ended researcher-designed exploratory survey, 227 perinatal health workers responded to a series of questions probing views of causation and strategies for improvement. The closed-ended responses were summarized. Open-ended responses were analyzed using basic categorical and thematic coding.ResultsPerinatal health ...
Source: Journal of Midwifery and Women's Health - November 23, 2022 Category: Midwifery Authors: Melva Craft ‐Blacksheare, Peggy Kahn Tags: Research Article Source Type: research