Janis M. Miller
Janis M. Miller, PHD, RN, APRN
University of Michigan School of Nursing
400 North Ingalls Building
Ann Arbor, MI 48109-5482
Scholarly Expertise / Activity
- Recovery from tissue trauma of the pelvic floor (bone, muscle, nerve) from obstetric labor complication with secondary prevention of pelvic organ prolapse and urinary incontinence
- Mechanistic insights about behavioral treatment of urinary incontinence
- Effects of dietary intake, type and amount of beverages, in relation to lower urinary tract symptoms such as overactive bladder or urge incontinence
- Collaboration to expand research capacity through a the newly emerging Evangelical University in Africa-Panzi Foundation research hub, Bukavu, Democratic Republic of the Congo
Dr. Miller's expertise lies in the treatment of pelvic floor disorders in women, such as pelvic organ prolapse, incontinence, or pain. As an investigator within the Pelvic Floor Research Group at the University of Michigan Health System, an internationally recognized team working to improve the understanding and treatment of pelvic floor disorders, Dr. Miller is part of the team whose research findings have produced cutting edge prevention and treatment strategies in nursing practice. In her own practice as a Nurse Practitioner, Dr. Millers draws on her particular expertise, working at the Taubman Obstetrics & Gynecology pelvic floor specialty clinic, which includes the Michigan Healthy Healing after Delivery Program.
Current Research Grants and Programs:
- P50 HD044406 002 (Miller PI) 09/31/07– 07/31/13 (no cost extension) Maternal Birth-Related Neuromuscular Injury and Recovery II Common Name: Evaluating Maternal Recovery from Labor and Delivery II (EMRLD2) Goal:1) Determine the validity of commonly accepted risk factors for levator ani injury on first vaginal birth, 2) Establish sensitivity of case-finding for injury through retrospective chart review, 3) Describe variance in levator ani injury severity in the face of obstetric risk factors, 4) Document natural history of levator ani injury resolution from early postpartum (6 weeks) to late postpartum (6-months), and 5) Test the extent to which resolution of pelvic floor disorders symptoms early and late are predicated on first-birth levator ani disruption. Role: PI of project 2
- R03 NR012510-01A1 (Kane Low; Miller Co-Investigator) 03/01/2011 - 2/28/2013 Spontaneous vs. Directed Pushing: Analysis of Audiotapes of 2nd Stage Labor Common Name: Goal: Explore maternity care providers’ rationale and description of clinical indicators that effect how they manage second stage labor to be protective of the pelvic floor (levator ani muscle). Investigate the relationship between women’s actual labor response to various coaching styles and risk for incontinence postpartum.
- R01 NR012011-01 (Sampselle, Miller Co-Investigator) 9/28/2010 – 6/30/2015 Translating Unique Learning for Incontinence Prevention Goal: This longitudinal RCT tests two forms of delivery in behavioral interventions to see if there is equivalence in preventing urinary incontinence using an educational DVD or a group behavioral program. As Co-Investigator, I am responsible for over-site of two embedded educational components that I have previously developed, including the “Knack maneuver.” This maneuver employs learned timing of volitional levator ani contraction to suppress both urge and stress-type leakage.
- U01NR004061 15A1 (Harlow, Miller Co-Investigator) 5/1/09 – 4/30/14 Perimenopause, Bone and Arthritis in African Americans Common Name: Study of Women’s Health Across the Nation (SWAN IV Michigan) Goal: To continue to characterize the impact of menopause among Caucasian and African American women in relation to bone status, arthritis and blood pressure. This well-known longitudinal trial, nearly two decades in operation, now for the first time includes survey data on prolapse. The relationship of prolapsed to prior well-documented life events, such as lifestyle, hormonal and obstetric information, will greatly enhance our knowledge about risk factors and natural history.
Dr. Miller currently teaches Pathophysiology (N502) and Data Management and Statistics (N603).
Notable Awards / Honors
- First Prize for Epidemiology and Outcomes (co-author on the abstract), International Continence Society - 35th Annual Meeting , 2005
- American Urogynecological Society Best Clinical Paper Award, 2010
- Exemplary Team Award, University of Michigan, 2008
- Poster Honorable Mention, NIDDK Symposium Clinical Research, 2009
- Best Poster Award, American Urogynecology, 2009
- Best Paper Award, American Urogynecology, 2009
- Post-Master's Certificate ANP, School of Nursing, University of Michigan, Ann Arbor, MI, 2001
- Postdoc, Institute of Gerontology, University of Michigan, Ann Arbor, MI, 1999
- PhD, University of Michigan, Ann Arbor, MI, 1996
- MSN, Loyola University of Chicago, IL, 1988
- BSN, Goshen College, Goshen, IN, 1981
- Brincat C, DeLancey JO, Miller JM. Does urethral closure pressure differ between women with and without levator ani muscle defects after first birth? Int urogynecol J. 2011 May 27. [Epub ahead of print]. PMID: 21617981.
- Brandon C, Jacobson J, Low L, Park L, DeLancey JO, Miller J. Pubic bone injuries after first childbirth: utility of MR in detection and differential diagnosis of structural injury. Ultrasound Obstet Gynecol 2011; Jul 4.doi: 10.1002/usog9082 [epub ahead of print]. PMID: 21728205.
- Zielinksi R, Kane Low L, Miller J. Validity and reliability of a scale to measure genital body image image. Journal of Sex & Marital Therapy. 2011; 60(2): 115-123.
- Zielinksi R, Ackerson K, Misiunas R, Miller JM. Feasibility of a longitudinal study of women anticipating first pregnancy and assessed by multiple pelvic exams: Recruitment and retention challenges. Contemporary Clinical Trials 2010;31(6): 544-8. PMID: 20713182.
- Kearney R, Mbehan, Keane D, Miller J, Delancey J,,Co'herlihy: Levator ani injury in primiparous women with forceps delivery for fetal distress, forceps for second stage arrest, and spontaneous delivery. Internat’l J. of Gynec Obstet; 2010; 111(1): 19-22.
- Miller J, Brandon C, Jacobson J, Kane-Low L, Zielinski R., Ashton-Miller J, DeLancey J. MRI findings in patients at high risk for pelvic floor injury studied serially post-vaginal childbirth. Am J Roentgenol 2010; 195(3): 786-91. PMID: 20729461
- Yousuf A, DeLancey JO, Brandon CJ, Miller JM. Pelvic Floor Recovery in Primiparous Women at 1 Month Compared to 7 Months After Vaginal Delivery. Am J Obstet Gynecol. 2009;201(5):514.e1-7. PMID: 19683686.
- Miller J, Sampselle C, Ashton-Miller J, Son G, DeLancey J. Clarification and confirmation of the effect of volitional pelvic floor muscle contraction to preempt urine loss (the Knack maneuver) in stress incontinent women. Int Urogynecol J. 2008;19:773-782.
- DeLancey JO, Morgan DM, Fenner DE, Kearney R, Guire K, Miller JM, Hussain H, Umek W, Hsu Y, Ashton-Miller JA. Comparison of levator ani muscle defects and function in women with and without pelvic organ prolapse. Obstet Gyneco. 2007;109(2):295-301
- DeLancey JO, Miller J, Kearney R, Howard D, Reddy P, Umek W, Guire K, Margulies R, Ashton-Miller J. Vaginal birth and de novo stress incontinence; Relative contributions of urethral dysfunction and support loss. Obstet Gyneco. 2007;110(2 Pt 1):354-62.
- Kearney R, Miller J, DeLancey J. Interrater reliability and physical examination of the pubovisceral portion of the levator ani muscle, validity comparisons using MR imaging. Neurourol Urodyn. 2006;25(1):50-4.
- Kearney R, Miller J, Ashton-Miller J, DeLancey J. Obstetrical factors associated with levator ani muscle injury after vaginal birth. Obstet Gyneco. 2006;107(1):144-149.
- Miller JM, Umek WH, DeLancey JO, Ashton-Miller JA. Can women increase urethral closure pressures without their pubococcygeus muscles? Am J Obstet Gynecol. 2004;191(1):171-5.
- Miller JM, Ashton-Miller JA, DeLancey JO. Quantification of cough-related urine loss using the paper towel test. Obstet Gyneco. 1998;91(5):705-9.