{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T03:18:42Z","timestamp":1777519122451,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Medical Acupuncture"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Lay midwives attend most births at home in Guatemala facing many challenges with limited resources. Current research demonstrates that acupressure can reduce preterm contractions and encourage post-term labor. Sharing acupressure techniques with lay midwives could improve birth outcomes in Guatemala. The purpose of this study was to deliver an educational session for lay midwives to assess their learning and satisfaction with acupressure, and its feasibility and usefulness in their work.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Two acupressure protocols were designed based on the clinical expertise of University of Utah College of Nursing faculty and extant literature. Demographic data and a pretest were conducted, followed by a focus group and various educational activities. A post-test was administered, and participants were given Spanish-language, laminated Reminder Cards with acupressure point illustrations to reinforce knowledge retention as the group had a low literacy rate. This study was IRB approved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Eleven lay midwives participated (all female, average age 52 with an average of 21 years of lay midwifery experience). Lay midwives lacked knowledge about acupressure before the educational session and were eager to learn. Afterward, most participants recalled six points to discourage preterm labor and six points to encourage post-term labor on a post-test, and expressed an intent to use their new acupressure knowledge with patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>This sample of lay midwives eagerly embraced new acupressure information and demonstrated increased knowledge after this educational intervention. Next steps would be to continue to expand lay midwife knowledge and skills in response to their request for acupressure interventions for retained placenta.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/acu.2023.0139","type":"journal-article","created":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T11:01:30Z","timestamp":1723028490000},"page":"264-271","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Teaching Guatemalan Lay Midwives Acupressure: Outcomes and Lessons Learned"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9116-6369","authenticated-orcid":false,"given":"Lisa J.","family":"Taylor-Swanson","sequence":"first","affiliation":[{"name":"College of Nursing, University of Utah, Salt Lake City, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Bell","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Utah, Salt Lake City, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen","family":"Tu","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Utah, Salt Lake City, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashlee Taft","family":"Nelson","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Utah, Salt Lake City, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline Sariah","family":"Howell","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Utah, Salt Lake City, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cinnamon","family":"Geppelt","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Utah, Salt Lake City, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5114-2857","authenticated-orcid":false,"given":"Joan","family":"Boccino","sequence":"additional","affiliation":[{"name":"Pacific College of Health and Science, New York, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Buffy","family":"Taylor","sequence":"additional","affiliation":[{"name":"WHNP Fusion Pharmacy, Millcreek, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriela","family":"Alvarez","sequence":"additional","affiliation":[{"name":"Refuge International, San Raymundo, Guatemala."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Citkovitz","sequence":"additional","affiliation":[{"name":"New England School of Acupuncture, Massachusetts College of Pharmacy and Health Sciences, Worcester, Massachusetts, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly","family":"Johnson","sequence":"additional","affiliation":[{"name":"Refuge International, San Raymundo, Guatemala."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeannette","family":"Villalta","sequence":"additional","affiliation":[{"name":"Alliance Community Services, Salt Lake City, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly","family":"Garcia","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Utah, Salt Lake City, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,10,21]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"CIA. The world factbook. Country Summary: Guatemala May 30 2024. Available from: https:\/\/www.cia.gov\/the-world-factbook\/countries\/guatemala\/summaries"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.18-0518"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32225-6"},{"key":"e_1_3_4_5_2","unstructured":"The World Bank. Improving maternal and neonatal health in the department of Solol\u00e1 Guatemala. May 23 2017. Available from: https:\/\/www.worldbank.org\/en\/results\/2017\/03\/23\/improving-maternal-neonatal-health-solola#:\u223c:text=Guatemala%20has%20the%20highest%20rate [Last accessed: June5 2024]."},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.5812\/ircmj.28691"},{"key":"e_1_3_4_7_2","first-page":"548","volume-title":"Varney\u2019s Midwifery","author":"Marowitz A","year":"2018","unstructured":"Marowitz A. Complications during labor and birth. In: Varney\u2019s Midwifery. (King TL, , Brucker MC, , Osborne K, , Jevitt CM. Eds.) 6th ed. Jones & Bartlett Learning: Burlington, Massachusetts; 2018:548-552.","edition":"6"},{"issue":"1","key":"e_1_3_4_8_2","first-page":"51","article-title":"An update and systematic review on the treatment of primary dysmenorrhea","volume":"23","author":"Sharghi M","year":"2019","unstructured":"Sharghi M, , Mansurkhani SM, , Ashtary-Larky D, et al. An update and systematic review on the treatment of primary dysmenorrhea. JBRA Assist Reprod, 2019; 23(1):51\u201357; doi: 10.5935\/1518-0557.20180083","journal-title":"JBRA Assist Reprod"},{"key":"e_1_3_4_9_2","first-page":"861","volume-title":"Varney\u2019s Midwifery","author":"Anderson CM","year":"2018","unstructured":"Anderson CM, , Avery MC. Anatomy and physiology during labor and birth. In: Varney\u2019s Midwifery. (King TL, , Brunker MC, , Osborne K, , Jevitt CM. Eds.), 6th ed. Jones & Bartlett Learning; Burlington, Massachusetts, 2018:861.","edition":"6"},{"key":"e_1_3_4_10_2","first-page":"775","volume-title":"Varney\u2019s Midwifery","author":"Reedy NJ","year":"2018","unstructured":"Reedy NJ, , Bowers E, , King TL, et al. Pregnancy-related conditions. In: Varney\u2019s Midwifery. 6th ed. Jones & Bartlett Learning: Burlington, Massachusetts; 2018:775-818.","edition":"6"},{"issue":"10","key":"e_1_3_4_11_2","first-page":"CD002962","article-title":"Acupuncture or acupressure for induction of labour","volume":"10","author":"Smith CA","year":"2017","unstructured":"Smith CA, , Armour M, , Dahlen HG. Acupuncture or acupressure for induction of labour. Cochrane Database Syst Rev, 2017; 10(10):CD002962; doi: 10.1002\/14651858.cd002962.pub4","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19010060"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2017.00111"},{"key":"e_1_3_4_14_2","unstructured":"Melrood L. Guatemala Acupuncture and Medical Aid Project (GUAMAP). Tuscon AZ; 2006. Available from: https:\/\/cdc.thehcn.net\/prommisepractice\/inded\/view?pid=480 [Last accessed: June5 2024]."},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/sd.185"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2018.02.012"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.5334\/aogh.3577"},{"key":"e_1_3_4_18_2","unstructured":"Microsoft Excel. 2018. Available from: https:\/\/office.microsoft.com\/excel"},{"key":"e_1_3_4_19_2","first-page":"1","article-title":"Victimization and distress in indigenous Maya women: A qualitative investigation of gender-based violence and mental health outcomes in rural Guatemala","author":"Rogg MC","year":"2023","unstructured":"Rogg MC, , Pezzia C. Victimization and distress in indigenous Maya women: A qualitative investigation of gender-based violence and mental health outcomes in rural Guatemala. J Fam Violence, 2023:1\u201315; doi: 10.1007\/s10896-023-00500-2","journal-title":"J Fam Violence"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-15-00266"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/1043659619889114"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/NMC.0b013e3182387c0a"},{"issue":"3","key":"e_1_3_4_23_2","first-page":"8387","article-title":"Pretest-Posttest evaluation of change in knowledge and knowledge retention after educational activities with low-literacy lay midwives in Urban Guatemala","volume":"24","author":"Garcia K","year":"2023","unstructured":"Garcia K, , Gee J. Pretest-Posttest evaluation of change in knowledge and knowledge retention after educational activities with low-literacy lay midwives in Urban Guatemala. Journal of Academy of Health Sciences, 2023; 24(3):8387.","journal-title":"Journal of Academy of Health Sciences"},{"issue":"3","key":"e_1_3_4_24_2","article-title":"An observational study of teaching methods with low-literacy comadronas in urban Guatemala","volume":"21","author":"Garcia K","year":"2022","unstructured":"Garcia K. An observational study of teaching methods with low-literacy comadronas in urban Guatemala. Canadian Journal of Midwifery Research and Practice, 2022; 21(3).","journal-title":"Canadian Journal of Midwifery Research and Practice"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1089\/acu.2023.0023"}],"container-title":["Medical Acupuncture"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/acu.2023.0139","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/acu.2023.0139","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/acu.2023.0139","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:07:24Z","timestamp":1777392444000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/acu.2023.0139"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":24,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1089\/acu.2023.0139"],"URL":"https:\/\/doi.org\/10.1089\/acu.2023.0139","relation":{},"ISSN":["1933-6586","1933-6594"],"issn-type":[{"value":"1933-6586","type":"print"},{"value":"1933-6594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]}}}