Publications by authors named "Iobst S"

Background: Cannabis is the most commonly used federally illicit substance during pregnancy. Yet, little is known about women's lived experiences of being screened for cannabis use during pregnancy.

Objective: To explore perceptions of cannabis use during pregnancy and childbirth, including experiences of being screened for cannabis use during the intrapartum period.

View Article and Find Full Text PDF

The authors offer guidance to perinatal nurses and clinicians on how to assist patients who use cannabis and wish to breastfeed.

View Article and Find Full Text PDF

Purpose: To explore how perinatal nurses perceive the effects of visitor restrictions on patient care within a hospital setting.

Study Design And Methods: We distributed a cross-sectional survey online to perinatal nurses in May of 2022. Characteristics of respondents were analyzed using descriptive statistics.

View Article and Find Full Text PDF

Objective: To examine use of mental health treatment, substance use disorder treatment, and perceived barriers to treatment by whether a major depressive episode occurred during the past year among parenting women with opioid use disorder.

Design: Secondary analysis of survey data from the National Survey on Drug Use and Health, 2015-2019.

Setting: United States.

View Article and Find Full Text PDF

Introduction: The purpose of this study was to capture the experiences of postpartum people during the first wave of COVID-19, specifically their access to contraception and lactation support.

Methods: This cross-sectional study surveyed individuals in the United States who used the Ovia Pregnancy and Parenting app. The survey was administered via an email Web link sent to postpartum people who gave birth between March 1, 2020, and June 11, 2020.

View Article and Find Full Text PDF

Objective: To examine the relationships of three missed critical nursing care processes on labor and delivery units with reduced nursing time at the bedside and adequacy of unit staffing during the COVID-19 pandemic in the United States.

Design: A cross-sectional survey.

Setting: Online distribution from January 14 to February 26, 2021.

View Article and Find Full Text PDF

Purpose: To explore the perceived challenges, job satisfiers, and self-care of perinatal nurses in the United States during the COVID-19 pandemic.

Study Design And Methods: In May of 2021, a cross-sectional survey was distributed online to members of the Association of Women's Health, Obstetric, and Neonatal Nurses and the National Association of Neonatal Nurses. We calculated descriptive statistics on respondent characteristics and applied conventional content analysis to free-text comments.

View Article and Find Full Text PDF

Although active duty women (ADW) represent over 17% of the total U.S. Armed Forces, there are few evidence-based guidelines to promote the health of women who serve in contemporary military roles.

View Article and Find Full Text PDF

Introduction: The cesarean birth rate of 24.7% in the Military Health System (MHS) is lower than the national rate of 31.7%.

View Article and Find Full Text PDF

Objective: To examine the extent to which racial disparities exist in the perinatal outcomes of beneficiaries of the Military Health System (MHS).

Data Sources: We searched the PubMed, CINAHL, and Embase databases.

Study Selection: We selected articles published in English in peer-reviewed journals in which the authors examined race in relation to perinatal outcomes among beneficiaries of the MHS.

View Article and Find Full Text PDF

Purpose: Active duty (AD) women in the U.S. military experience challenges during childbearing owing to unique occupational demands.

View Article and Find Full Text PDF

Purpose: Women in the U.S. military encounter unique challenges during the perinatal period that are driven by military requirements for mission readiness.

View Article and Find Full Text PDF

Introduction: The purpose of this scoping review was to apply the Social Ecological Model for Military Women's Health to literature on unintended pregnancy (UIP) to answer the question: In United States active duty military women (population) with the potential for UIP (context), what is known about risk factors, prevention, and pregnancy outcomes (concepts)?

Methods: We conducted this review based on a PRISMA-ScR protocol registered a priori in Open Science Framework. Following a literature search of six databases and the grey literature, we used DistillerSR to manage data screening and data charting. The Social Ecological Model for Military Women's Health served as the theoretical framework to chart findings regarding UIP at the individual, microsystem, mesosystem, exosystem, and macrosystem levels.

View Article and Find Full Text PDF

Objective: To synthesize experimental and nonexperimental research on the relationship between nutrients and blood lead levels in pregnant women. We also performed a meta-analysis on a subgroup of studies on calcium and blood lead levels.

Data Sources: PubMed, Embase, and CINAHL databases were searched in July 2019.

View Article and Find Full Text PDF

Military service and deployment affect women differently than men, underscoring the need for studies of the health of women veterans and their receipt of health care services. Despite the large numbers of women who served during the 1990-1991 Gulf War, few studies have evaluated Gulf War illness (GWI) and other medical conditions specifically as they affect women veterans of the 1991 Gulf War. The objectives of the Gulf War Women's Health Cohort study are: (1) to establish the Gulf War women's cohort (GWWC), a large sample of women veterans who served in the 1990-1991 Gulf War and a comparison group of women who served in other locations during that period; and (2) to provide current, comprehensive data on the health status of women who served during the 1990-1991 Gulf War, and identify any specific conditions that affect Gulf War women veterans at excess rates.

View Article and Find Full Text PDF

A new national cohort of Gulf War (GW) veterans of 1,318 participants was created from the Veterans Affairs Cooperative Studies Program 585 Gulf War Era Cohort and Biorepository (GWECB) pilot study. However, female veteran health outcomes have not been reported separately for those deployed versus nondeployed to the 1990-1991 GW. Using data from the cooperative studies program (CSP) #585 GWECB, this study examined whether excess prevalence and patterns of Gulf War Illness (GWI) symptoms were present among female veterans who served during the GW compared with female veterans who did not deploy to the GW (GW-Era).

View Article and Find Full Text PDF

Background: Variation in hospital cesarean birth rates across the United States is likely because of differences in practitioner practice patterns. Yet, few studies conducted in the last twenty years have examined the relationships between practitioner characteristics and the use of intrapartum interventions and cesarean birth. The objective of this study was to examine associations among practitioner characteristics and the use of amniotomy, epidural, oxytocin augmentation, and cesarean birth in low-risk women with spontaneous onset of labor.

View Article and Find Full Text PDF

The Collaborative Care (CC) model of integrated care is an evidence-based, systematic approach in which primary care and behavioral health teams work together to deliver effective treatment for depression and other common mental illnesses in primary care settings. Because people experiencing homelessness have high rates of chronic medical conditions, mental illness and substance use disorders, interventions that integrate the physical, mental and social determinants of health have been shown to be effective to provide healthcare for this population in primary care outpatient settings. In this article we describe the implementation of a collaborative care program to treat depression in a population of adults experiencing homelessness and receiving primary care in a Federally Qualified Health Center (FQHC) located in Downtown Miami, Florida.

View Article and Find Full Text PDF

Purpose: Reducing primary cesarean births is a national priority in the United States. Recommendations include delaying admission of low-risk pregnant women to the hospital until they are in active labor, considered to be 6 cm cervical dilatation. How this recommendation affects decision-making during triage requires further exploration.

View Article and Find Full Text PDF

Purpose: Reducing primary cesarean births is a national priority in the United States. Recommendations include delaying admission of low-risk pregnant women to the hospital until they are in active labor, considered to be 6 cm cervical dilatation. How this recommendation affects decision-making during triage requires further exploration.

View Article and Find Full Text PDF

Introduction: Cesarean birth rates vary widely across hospitals in the United States, even among women who are considered low-risk for the procedure. This variation has been attributed to differences in health care provider practice, but few studies have explored patterns of labor management in relation to cesarean birth.

Methods: This was a retrospective observational study of 26,259 nulliparous, term, singleton gestation, vertex presentation births following spontaneous onset of labor.

View Article and Find Full Text PDF

Objective: Estimate and compare the prevalence of Gulf War Illness (GWI) in male and female Gulf War veterans using Centers for Disease Control and Prevention (CDC) and modified Kansas case definitions.

Methods: Data from the landmark CDC Air Force Study of GW Air Force veterans is used.

Results: Nearly half of the deployed veterans met the GWI CDC case definition compared with 14% of non-deployed veterans.

View Article and Find Full Text PDF

Background: Admission in early labor is associated with increased likelihood of cesarean birth, but the context in which this occurs is unclear. Previous research has explored the relationship between dilatation at admission and the use of single intrapartum interventions; however, the majority of women in the United States receive multiple intrapartum interventions. The objective of this study was to examine the associations among cervical dilatation at admission, intrapartum care, and birth mode in low-risk, nulliparous women with spontaneous onset of labor.

View Article and Find Full Text PDF