{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T09:25:21Z","timestamp":1785489921463,"version":"3.56.0"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R18HS027260"],"award-info":[{"award-number":["R18HS027260"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Despite the universal nature of postpartum vaginal bleeding after childbirth and the importance of managing vaginal bleeding in the postpartum period to monitor health status, little is known about the information or products that birthing individuals are provided. Investigating current practices may offer insights to enacting more supportive and equitable postpartum care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the patterns and content of vaginal bleeding counseling provided to birthing parents while on a postnatal inpatient unit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Observational study of inpatient postpartum care. Birthing parents and their companions consented to video and audio recording of themselves, their infants, and healthcare team members during their postnatal unit stay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Following IRB approval and in coordination with clinicians at a tertiary hospital in the southeastern United States, data were collected with 15 families from August to December 2020. A multidisciplinary team coded video and audio data from each family from 12\u2009h before hospital discharge. This analysis evaluates patterns of vaginal bleeding counseling timing, content, and language concordance and thematic content of this communication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Birthing parent participants were self-identified Hispanic White ( n\u2009=\u20096), non-Hispanic Black ( n\u2009=\u20095), non-Hispanic White ( n\u2009=\u20093), and non-Hispanic multi-race ( n\u2009=\u20091). Six were Spanish-speaking and eight had cesarean section births. The timing, content, and language concordance of vaginal bleeding communication varied, with these topics mainly addressed in the hour preceding discharge. Twelve of the 15 birthing parents had communication on these topics between 2 and 5 times, 2 had one exchange, and 1 had no counseling on postpartum bleeding observed. Four of the six Spanish-speaking birthing parents had counseling on these topics that was not language concordant. Postpartum vaginal bleeding management involved the themes of access to products, patient safety, and meaningful counseling. There was a lack of adequate access, variation in accurate and respectful care, and a busy clinical environment with differences in information provided.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Findings suggest that there are opportunities to strengthen clinical practices for more consistent, proactive, and language concordant vaginal bleeding and subsequent menstrual care postpartum. Menstrual equity is an important part of dignified and safe care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057241274897","type":"journal-article","created":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T08:53:24Z","timestamp":1725958404000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Postpartum menstrual equity: Video and audio analysis of vaginal bleeding counseling during postpartum inpatient care at a southeastern US tertiary hospital"],"prefix":"10.1177","volume":"20","author":[{"given":"Shilpa M","family":"Darivemula","sequence":"first","affiliation":[{"name":"Division of General Obstetrics and Gynecology, Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2868-2472","authenticated-orcid":false,"given":"Kelley EC","family":"Massengale","sequence":"additional","affiliation":[{"name":"Diaper Bank of North Carolina, Durham, NC, USA"},{"name":"National Diaper Bank Network, New Haven, CT, USA"},{"name":"Alliance for Period Supplies, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4001-5947","authenticated-orcid":false,"given":"Catalina","family":"Montiel","sequence":"additional","affiliation":[{"name":"Neonatal-Pediatric Medicine, Department of Pediatrics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison M","family":"Stuebe","sequence":"additional","affiliation":[{"name":"Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"},{"name":"Collaborative for Maternal and Infant Health, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"},{"name":"Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5214-2287","authenticated-orcid":false,"given":"Kristin P","family":"Tully","sequence":"additional","affiliation":[{"name":"Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"},{"name":"Collaborative for Maternal and Infant Health, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,9,8]]},"reference":[{"key":"bibr1-17455057241274897","volume-title":"Periods gone public: taking a stand for menstrual equity","author":"Weiss-Wolf J","year":"2017"},{"key":"bibr2-17455057241274897","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0231415"},{"key":"bibr3-17455057241274897","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2017-000405"},{"key":"bibr4-17455057241274897","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2021.3089"},{"key":"bibr5-17455057241274897","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003060"},{"key":"bibr6-17455057241274897","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-021-01133-8"},{"key":"bibr7-17455057241274897","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2023.0085"},{"key":"bibr8-17455057241274897","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-020-01149-5"},{"key":"bibr9-17455057241274897","volume":"16","author":"Weiss-Wolf J.","year":"2021","journal-title":"Marie Clare"},{"key":"bibr10-17455057241274897","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-047711"},{"key":"bibr11-17455057241274897","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.03.032"},{"key":"bibr12-17455057241274897","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2022.103359"},{"key":"bibr13-17455057241274897","unstructured":"King PL, Bamel D, Adams KM. 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