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Journal of Midwifery & Women's Health

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https://www.readbyqxmd.com/read/28632955/the-hallmarks-of-midwifery-connect-this-diverse-pharmacology-continuing-education-theme-issue
#1
EDITORIAL
Frances E Likis
No abstract text is available yet for this article.
May 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28632954/pharmacology-2017-028
#2
(no author information available yet)
No abstract text is available yet for this article.
May 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28632953/updates-to-the-us-food-and-drug-administration-regulations-for-mifepristone-implications-for-clinical-practice-and-access-to-abortion
#3
Katherine E Simmonds, Margaret W Beal, Meghan K Eagen-Torkko
This article provides information on recent changes in the US Food and Drug Administration (FDA) labeling and safety regulations for mifepristone (Mifeprex). The revised label now permits midwives, advanced practice nurses, and physician assistants to order and prescribe mifepristone, eliminating the requirement for physician supervision. The updated label also extends eligibility for use from 49 to 70 days' gestation and decreases the number of required visits from 3 to 2. The recommended dose of mifepristone has been reduced, and the dosage, timing, and route of administration for misoprostol have also been changed to reflect current research...
May 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28561959/review-of-efficacy-of-complementary-and-alternative-medicine-treatments-for-menopausal-symptoms
#4
REVIEW
Thea R Moore, Rachel B Franks, Carol Fox
Complementary and alternative medicine (CAM) treatments have been used for thousands of years around the world. There has been increased interest in utilizing CAM for menopausal symptoms since the release of results of the Women's Health Initiative elucidated long-term adverse effects associated with hormone therapy. Women looking for more natural or safer means to treat hot flushes, night sweats, and other menopausal symptoms often turn to CAM such as yoga, phytoestrogens, or black cohosh. Yet there have been few well-conducted studies looking at the efficacy of these treatments...
May 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28561915/migraines-in-women-current-evidence-for-management-of-episodic-and-chronic-migraines
#5
REVIEW
Angela Deneris, Peggy Rosati Allen, Emily Hart Hayes, Gwen Latendresse
Migraine headache is a disabling brain disorder that affects millions of women in the United States. Many migraine sufferers are undertreated. Both inadequate treatment and overuse of abortive migraine medication can contribute to progression from episodic to chronic migraine disorders. A significant number of migraine headaches or severity of episodic migraine headaches warrants treatment with prophylactic medications for prevention. This clinical update reviews the pathophysiology and diagnosis of migraine headaches in women, discusses the efficacy of abortive and chronic pharmacologic treatment, and examines strategies to prevent progression from episodic migraine to chronic migraine...
May 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28561914/opioid-use-disorder-in-pregnancy
#6
REVIEW
Van Roper, Kim J Cox
Opioid use disorder (OUD) in pregnancy has increased significantly in the past 10 years. Women with OUD may often be undertreated or untreated because of limited accessibility to treatment, particularly in rural areas. Because detoxification is not recommended during pregnancy due to the potential for adverse outcomes in the fetus and a high risk of relapse for the woman, more primary care providers need to be well versed in opioid-assisted therapy. In addition, recent changes in Food and Drug Administration regulations now allow nurse practitioners and physician assistants with specialized training to provide buprenorphine treatment for pregnant women with OUD in primary care settings...
May 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28556603/taking-care-of-your-health
#7
(no author information available yet)
No abstract text is available yet for this article.
May 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28556599/updates-from-the-literature-may-june-2017
#8
Sharon Bond
No abstract text is available yet for this article.
May 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28556579/abortion
#9
(no author information available yet)
No abstract text is available yet for this article.
May 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28556573/initiating-intrapartum-nitrous-oxide-in-an-academic-hospital-considerations-and-challenges
#10
Laura Migliaccio, Robyn Lawton, Lawrence Leeman, Amanda Holbrook
A 50%-50% mixture of nitrous oxide and oxygen has long been used for managing pain during labor in many countries, but only recently has this intrapartum analgesic technique become popular in the United States. Nitrous oxide is considered minimal sedation and a safe pain management alternative. Many facilities are now interested in providing laboring women this analgesic option. The process of establishing use of nitrous oxide in a large institution can be complicated and may seem daunting. This brief report describes the challenges that occurred during the process of initiating nitrous oxide for pain management during childbirth at an academic medical center and discusses various committee roles...
May 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28556534/current-resources-for-evidence-based-practice-may-june-2017
#11
Nicole S Carlson
No abstract text is available yet for this article.
May 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28556499/the-2015-us-food-and-drug-administration-pregnancy-and-lactation-labeling-rule
#12
REVIEW
Mary C Brucker, Tekoa L King
As of 2015, the US Food and Drug Administration (FDA) discontinued the pregnancy risk categories (ABCDX) that had been used to denote the putative safety of drugs for use among pregnant women. The ABCDX system has been replaced by the FDA Pregnancy and Lactation Labeling Rule (PLLR) that requires narrative text to describe risk information, clinical considerations, and background data for the drug. The new rule includes 3 overarching categories: 1) pregnancy, which includes labor and birth; 2) lactation; and 3) females and males of reproductive potential...
May 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28556464/tobacco-harms-nicotine-pharmacology-and-pharmacologic-tobacco-cessation-interventions-for-women
#13
REVIEW
L Kim Baraona, Dawn Lovelace, Julie L Daniels, Linda McDaniel
Firsthand and secondhand tobacco use is linked to a multitude of harmful illnesses, adverse perinatal outcomes, and death. Cessation attempts among women may be hampered by their unique biologic response to nicotine. Current research has revealed epigenetic changes from intrauterine nicotine exposure that have intergenerational consequences. Multiple studies have demonstrated the efficacy of various pharmacologic tobacco cessation interventions in conjunction with behavioral counseling. Based on this evidence, the US Preventative Services Task Force (USPSTF) 2015 guideline recommends pharmacologic therapy for all nonpregnant persons who smoke in addition to behavioral counseling...
May 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28544336/regulation-of-controlled-substance-prescribing-an-overview-for-certified-nurse-midwives-and-certified-midwives
#14
Kathryn Osborne
In addition to the regulation of prescriptive authority and prescribing practices conducted by individual states, the prescription of controlled substances is also regulated at the federal level by the US Drug Enforcement Administration (DEA). While there are variations in state laws relative to controlled substance prescribing, federal law is uniform across states as established by the Controlled Substances Act (21 United States Code ยง 801-890) and the DEA Regulations (Title 21, Code of Federal Regulations)...
May 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28498631/marijuana-use-in-pregnancy-concerns-in-an-evolving-era
#15
Megan E Foeller, Deirdre J Lyell
Marijuana is the most commonly used illicit drug in pregnancy, and the prevalence of use during pregnancy is increasing in the United States. Although much of the existing research investigating marijuana use in pregnancy is limited by study design and confounding factors, a growing accumulation of data suggests adverse outcomes. Studies have identified associations with decreased birth weight, increased spontaneous preterm birth, and impaired neurodevelopment among children and adults with in utero exposure...
May 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28498553/fundamentals-of-clinical-pharmacology-with-application-for-pregnant-women
#16
REVIEW
Avinash S Patil, Jessica Sheng, Sarah K Dotters-Katz, Maria S Schmoll, Mitchell Onslow, Rebecca C Pierson
Medication use is common in pregnancy, yet for most medications the optimal formulation and dosage have not been described specifically for pregnant women. Often, adverse effects are only discovered anecdotally or after extensive off-label use occurs. Since pharmacologic research that includes pregnant women is sparse and animal studies are often not applicable to the human fetus, providers must use knowledge of drug behavior and normal physiologic changes of pregnancy to personalize treatment for pregnant women...
May 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28485536/an-innovative-framework-to-improve-teratogenic-medication-risk-counseling
#17
Swati Shroff, Melissa McNeil, Sonya Borrero
Health care providers in the Veterans Affairs system are caring for a growing number of women of childbearing age. Prior research shows that a significant number of women veterans are prescribed category D or X teratogenic medications. However, the majority do not receive teratogenic risk or contraceptive counseling. In order to improve teratogenic medication prescribing practices at the Veterans Affairs Pittsburgh Healthcare System, we developed a framework called TARCC to guide primary care providers through appropriate teratogenic risk counseling...
May 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28485526/selective-serotonin-reuptake-inhibitors-as-first-line-antidepressant-therapy-for-perinatal-depression
#18
REVIEW
Gwen Latendresse, Christina Elmore, Ann Deneris
One in 7 women experience depression during the prenatal and/or postpartum period. Nonpharmacologic approaches are known to be as effective as pharmacologic therapies for mild to moderate depression. However, for women who suffer from moderate to severe depression, antidepressant therapy may be the best option, in combination with nonpharmacologic approaches. Considering the substantial negative impact of untreated perinatal depression, providers of prenatal care need to be prepared to diagnose depression, prescribe first-line antidepressants, and refer to other professionals...
May 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28419711/writing-for-the-journal-of-midwifery-women-s-health-beyond-research
#19
EDITORIAL
Frances E Likis
No abstract text is available yet for this article.
March 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28419710/updates-from-the-literature-march-april-2017
#20
Nancy A Niemczyk
No abstract text is available yet for this article.
March 2017: Journal of Midwifery & Women's Health
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