title: The perimenopausal period. Implications for nurse-midwifery practice.
abstract: As more women move into their 40s, it can be anticipated that nurse-midwives will be sought to continue to provide care and anticipatory guidance in the perimenopausal period. This article reviews definitions, demographics, physiology, and clinical manifestations of the perimenopausal period. In addition, management strategies other than hormone replacement therapy for the common discomforts of menopause are identified and discussed.
authors.affiliation: Woodruff School of Nursing, Emory University, Atlanta, GA 30322.
authors.forename: M
authors.initials: M
authors.lastname: Scharbo-DeHaan
authors.forename: M C
authors.initials: MC
authors.lastname: Brucker
mesh_terms: D005260:Female; D006801:Humans; D008593:Menopause / Q000502:physiology* / Q000523:psychology; D009721:Nurse Midwives; D015663:Osteoporosis, Postmenopausal / Q000517:prevention & control; D012648:Self Care / Q000379:methods