International Journal of Reproductive Medicine最新文献

{"title":"Integration of HIV-Sexual Reproductive Health Services for Young People and the Barriers at Public Health Facilities in Mbarara Municipality, Southwestern Uganda: A Qualitative Assessment.","authors":"Cecilia Akatukwasa,&nbsp;Francis Bajunirwe,&nbsp;Simpson Nuwamanya,&nbsp;Noel Kansime,&nbsp;Emmanuel Aheebwe,&nbsp;Imelda K Tamwesigire","doi":"10.1155/2019/6725432","DOIUrl":"https://doi.org/10.1155/2019/6725432","url":null,"abstract":"<p><strong>Background: </strong>Sexual and Reproductive Health (SRH) and HIV risk behaviors for young people are intertwined. This rationalizes the need for integration of HIV and SRH services within the health care system, especially in countries with high HIV burden. In this study, we explored the current status of HIV-SRH integration for young people and barriers of integration from different stakeholders at public health facilities in Mbarara Municipality, southwestern Uganda.</p><p><strong>Methods: </strong>We conducted an exploratory qualitative study at public health facilities in Mbarara district of southwestern Uganda. Data were collected among young people (n=48), health care providers (n=63), and key informants (n=11). We used in-depth interviews and focus group discussions to collect the data. Coding and analysis of qualitative data were done using Atlas.ti.</p><p><strong>Results: </strong>Overall there was no differentiation of HIV-SRH services between adults and young people. Integration of HIV-SRH services was reported at all facility levels; however, there was poor differentiation of services for the young persons and adults. Integrated HIV and SRH services for young people were acknowledged to improve access to information and risk perception, improve continuity of care, and reduce cost of services and would also lead to improved client-health worker relationships. The potential barriers to achieving HIV-SRH integration included individual provider characteristics like lack of training and attitudes, generic health system challenges like low staffing levels, poor infrastructure with lack of space and privacy to deliver these services. At the policy level vertical programing and unclear policies and guidelines were identified as challenges.</p><p><strong>Conclusion: </strong>Our study shows integration of HIV and SRH services exists in general but services for adults and young people are blended or poorly differentiated. Significant health system barriers need to be overcome to achieve differentiation of the services for young people and adults.</p>","PeriodicalId":14379,"journal":{"name":"International Journal of Reproductive Medicine","volume":"2019 ","pages":"6725432"},"PeriodicalIF":0.0,"publicationDate":"2019-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/6725432","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37247709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Potential of Hormonal Contraception to Influence Female Sexuality.","authors":"Filipa de Castro Coelho, Cremilda Barros","doi":"10.1155/2019/9701384","DOIUrl":"10.1155/2019/9701384","url":null,"abstract":"<p><p>The association between female sexual function and hormonal contraception is controversial. Recognition and management of sexual side effects in women using hormonal contraceptives are challenging. An unsatisfactory number of studies report the influence of the available contraceptives on female sexuality. This article provides an updated narrative review regarding the effect and the magnitude of the impact that hormonal contraceptives play in female sexual function.</p>","PeriodicalId":14379,"journal":{"name":"International Journal of Reproductive Medicine","volume":"2019 ","pages":"9701384"},"PeriodicalIF":0.0,"publicationDate":"2019-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37290682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cervical Cancer Screening: Assessment of Perception and Utilization of Services among Health Workers in Low Resource Setting.","authors":"C C Ifemelumma,&nbsp;C C Anikwe,&nbsp;B C Okorochukwu,&nbsp;F A Onu,&nbsp;J A Obuna,&nbsp;B N Ejikeme,&nbsp;O P Ezeonu","doi":"10.1155/2019/6505482","DOIUrl":"https://doi.org/10.1155/2019/6505482","url":null,"abstract":"<p><strong>Background: </strong>Cervical cancer is a preventable disease and the most common cancer among women in Nigeria.</p><p><strong>Objectives: </strong>To appraise the perception and utilization of cervical cancer screening services among female nurses in Federal Teaching hospital, Abakaliki.</p><p><strong>Materials and methods: </strong>A cross-sectional study was done using semi-structured questionnaires on 408 consenting female nurses. Data was represented using simple percentages, charts, and Chi-square.</p><p><strong>Results: </strong>Of the 408 questionnaires shared, 388 were correctly and completely filled and analyzed. The respondents in this study showed good knowledge of cervical cancer as all (388) were aware that cervical cancer is a preventable disease of public health concern. Majority of them, 179 (46.1%) were between 21 and 30 years of age. The most common symptom of cervical cancer identified was postcoital bleeding (57%). Nursing training was the most common (73.5%) source of cervical cancer information. Utilization of cervical cancer screening was poor in this study as only 20.6% of the respondents had ever undergone screening. The most common reason for nonscreening was that they have not thought of it (28.4%).</p><p><strong>Conclusion: </strong>Despite the high level of awareness of cervical cancer screening, utilization remains low. There is, therefore, the need for cervical cancer education for the nurses to help improve utilization.</p>","PeriodicalId":14379,"journal":{"name":"International Journal of Reproductive Medicine","volume":"2019 ","pages":"6505482"},"PeriodicalIF":0.0,"publicationDate":"2019-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/6505482","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37040680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intended Pregnancy as a Predictor of Good Knowledge on Birth Preparedness and Complication Readiness: the Case of Northern Ethiopia Pregnant Mothers.","authors":"Haile Zewdu Tsegaw,&nbsp;Endeshaw Admassu Cherkos,&nbsp;Marta Berta Badi,&nbsp;Muhabaw Shumye Mihret","doi":"10.1155/2019/9653526","DOIUrl":"https://doi.org/10.1155/2019/9653526","url":null,"abstract":"<p><strong>Background: </strong>Maternal mortality remains unacceptably high in developing countries. One key strategy to reduce such mortality is utilization of birth preparedness and complication readiness (BP/CR) and creating awareness of BP/CR is an important step for pregnant women, their families, and the community. However, there was limited to no evidence regarding the community's awareness on BP/CR in the study area. Therefore, this study aimed to assess knowledge on BP/CR and associated factors among pregnant women in Debremarkos town, Northwest Ethiopia, 2017.</p><p><strong>Methods: </strong>A Community based cross-sectional study was conducted from July 1 to 30/2017. A total of 441 pregnant women were included in the study. Structured and pretested questionnaire was administered through face to face interview to collect the data. Simple random sampling technique was used to select the study participants. The data were entered in to Epinfo version 7.0 and then exported to SPSS version 20.0 for analysis. Both bivariate and multivariable logistic regression model were fitted. Crude and adjusted odds ratio with 95 % confidence interval have been computed and variables with p-value < 0.05 were considered statistically significance<i>. Results</i>. The proportion of pregnant women having good knowledge on birth preparedness and complication readiness was found to be 45.2 with 95%CI (40.4, 50.0). In the multivariable analysis, having history of childbirth (AOR=2.17;95%CI:1.18,4.00), having intended pregnancy (AOR=2.13;95%CI: 1.16, 3.90), being governmental employee ( AOR=6.50; 95%CI: 2.50, 16.87), and having Antenatal care visits (AOR=5.50; 95%CI:2.2,13.70) were factors which were independently and significantly associated with good knowledge on birth preparedness and complication readiness.</p><p><strong>Conclusion: </strong>Proportion of pregnant women having good knowledge on birth preparedness and complication readiness was low. Putting emphasis on intended pregnancy and antenatal care visit was recommended.</p>","PeriodicalId":14379,"journal":{"name":"International Journal of Reproductive Medicine","volume":"2019 ","pages":"9653526"},"PeriodicalIF":0.0,"publicationDate":"2019-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/9653526","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36999535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency Contraceptives: Knowledge and Practice towards Its Use among Ethiopian Female College Graduating Students.","authors":"Kirubel Minsamo Mishore,&nbsp;Abebaw Demissie Woldemariam,&nbsp;Solomon Assefa Huluka","doi":"10.1155/2019/9397876","DOIUrl":"https://doi.org/10.1155/2019/9397876","url":null,"abstract":"<p><strong>Introduction: </strong>Ethiopia has a high incidence of unwanted pregnancies and incomplete and unsafe abortions, particularly among adolescents. This can be avoided by using different contraceptive methods including emergency contraceptives (EC). This study aimed to assess the knowledge and practice of EC among female college graduating students in Harar, Eastern Ethiopia.</p><p><strong>Methods: </strong>Institution based cross-sectional study was conducted on 214 female students selected from two randomly selected colleges. Data was collected using a self-administered questionnaire and analyzed using SPSS for Windows version 20.1. Level of significance was taken at P <0.05.</p><p><strong>Results: </strong>The mean (±SD) age of the participants was 21.06 (±2.14) years. Of the 200 (93.5%) study participants who had ever heard of ECs, 140 (70.0%) had good knowledge. Among the 214 graduating female students, 66 (33.0%) had ever used EC. Being above the age of 20 years old, father's and mother's literacy were found to be determinants of knowledge of EC. Moreover, knowledge was the only determinant factor of practice of EC.</p><p><strong>Conclusion: </strong>Most of the respondents had relatively good knowledge of EC. The study revealed that female students of older age and higher educational status of parents had higher knowledge and practice of EC.</p>","PeriodicalId":14379,"journal":{"name":"International Journal of Reproductive Medicine","volume":"2019 ","pages":"9397876"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/9397876","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36923944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adherence to Iron-Folate Supplementation and Associated Factors among Pastoralist's Pregnant Women in Burji Districts, Segen Area People's Zone, Southern Ethiopia: Community-Based Cross-Sectional Study.","authors":"Negussie Boti,&nbsp;Tezera Bekele,&nbsp;Wanzahun Godana,&nbsp;Eskeziyaw Getahun,&nbsp;Feleke Gebremeskel,&nbsp;Behailu Tsegaye,&nbsp;Bilcha Oumer","doi":"10.1155/2018/2365362","DOIUrl":"https://doi.org/10.1155/2018/2365362","url":null,"abstract":"<p><strong>Background: </strong>Iron deficiency anemia among pregnant women is one of the most common public health problems in developing country particularly in Ethiopia. Iron/folic acid supplementation with optimal adherence is the main cost-effective strategy for prevention and control of iron deficiency anemia in pregnant women. However, level of adherence to iron/folic acid supplementation and its associated factors were not well identified in study area. Therefore, the aim of this study was to determine the level of adherence to iron/folic acid supplementation and associated factors among pregnant women in Burji Districts, southern Ethiopia.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted among 317 pregnant women in Burji Districts from March to April 2017 using interviewer administered questionnaires. Data were entered into Epi Info 3.5.1 and exported to SPSS version 20.0 for analysis. Binary and multivariable logistic regression was used to identify factors associated with iron/folic acid supplementation. Adjusted odds ratio (AOR) with 95% confidence interval (CI) and p-value <0.05 were used to declare statistical significance.</p><p><strong>Results: </strong>Among women participating in the study, 163(51.4%) were adherent to iron/folate acid supplementation. Factors significantly associated with adherence to iron and folic acid supplementation were maternal educational status (AOR: 2.47, 95% CI: 1.13-4.97), early registration for ANC (AOR: 2.49, 95% CI: 1.45 - 4.27), history of anemia during current pregnancy (AOR: 2.02, 95% CI: 1.09-3.72), and knowledge about iron and folic acid supplementation (AOR: 1.96, 95% CI: 1.02-3.76). Forgetfulness and fear of side effects were among the leading reasons of pregnant women for nonadherence to iron and folic acid supplementation.</p><p><strong>Conclusions: </strong>This study revealed that adherence to iron /folic acid supplementation was found to be 51.4%. Maternal educational status, early registration for ANC, history of anemia during current pregnancy, and knowledge about iron and folic acid supplementation were significant factors associated with adherence to iron/folic acid supplementation among pastoralist's pregnant women. Therefore, anemia prevention strategy should include strengthening giving awareness, counseling, strengthening community health education, and participation in health programs which are necessary to improve the uptake of iron/folic acid supplements.</p>","PeriodicalId":14379,"journal":{"name":"International Journal of Reproductive Medicine","volume":"2018 ","pages":"2365362"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/2365362","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36952339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Access to Reproductive Health Services and Maternal Perceptions on Family Planning in an Indigenous Guatemalan Valley.","authors":"Lauren Ashley Lambert,&nbsp;Jeremy Brittingham Hatcher,&nbsp;Xinyu Wang","doi":"10.1155/2018/7879230","DOIUrl":"https://doi.org/10.1155/2018/7879230","url":null,"abstract":"<p><p><i>Objective.</i> To identify reproductive health barriers and perceptions regarding family planning among mothers in ten rural communities of Guatemala. <i>Methods.</i> Data were collected from 85 women in a Nutrition Recuperation Project (NRP) conducted by a freestanding nonprofit clinic in Palajunoj Valley, Guatemala. All nonpregnant women participating in the NRP were eligible for enrollment in this study, and NRP staff members aided in their enrollment. Participants were interviewed and data were entered into a structured questionnaire. Data analysis was conducted using R version 1.1.456. <i>Results.</i> After asking participants if they believed fertility is higher on certain days, only 5 women (5.9%) correctly identified these days as occurring in the middle of the menstrual cycle. 35 women (41.2%) practiced some form of family planning, and 27 (31.8%) reported that they do not know of a place where they could obtain a contraceptive method. <i>Conclusion.</i> There is a lack of education regarding family planning methods in this valley, and the levels of contraception use are below average for rural Guatemala. These findings may implicate substantial health risks for women and children in the valley, and they support the pertinence of education-based interventions in the area of reproductive health behaviors.</p>","PeriodicalId":14379,"journal":{"name":"International Journal of Reproductive Medicine","volume":"2018 ","pages":"7879230"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/7879230","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36952795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis and Treatment in a Tertiary Hospital of a Series of Complex Genital Malformations Corresponding to Double Uterus with Obstructed Hemivagina and Ipsilateral Renal Agenesis.","authors":"Júlia Kefalás Troncon,&nbsp;Júlio César Rosa-E-Silva,&nbsp;Rayssa Miranda,&nbsp;Francisco José Candido-Dos-Reis,&nbsp;Omero Benedicto Poli-Neto,&nbsp;Antônio Alberto Nogueira","doi":"10.1155/2018/3806856","DOIUrl":"https://doi.org/10.1155/2018/3806856","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the clinical features, diagnostic routine, treatment, and prognosis of patients with double uterus with obstructed hemivagina and ipsilateral renal agenesis at a University Hospital.</p><p><strong>Methods: </strong>A retrospective study analyzing the medical charts of outpatients with similar complex genital malformations seen at the University Hospital of the Ribeirão Preto Medical School from 1994 to 2015.</p><p><strong>Results: </strong>Fourteen patients were included in this retrospective study, all presenting with double uterus with obstructed hemivagina and ipsilateral renal agenesis. The main symptom was dysmenorrhea occurring shortly after menarche, and pelvic ultrasound was the examination of choice. The treatment consisted of resection of the vaginal septum, complemented by an abdominal approach in 5 cases. Complications of the syndrome observed in this case series included severe endometriosis, pelvic abscess, need for hysterectomy, and salpingectomy.</p><p><strong>Conclusions: </strong>Severe dysmenorrhea shortly after menarche is a typical symptom of this kind of malformation, even though the diagnosis of patients who present with fistulization of the vaginal septum can be delayed due to milder clinical features. Pelvic ultrasound can be considered the first-choice examination in diagnostic routine. Relief of pain and prevention of complications can be achieved successfully in most cases by resection of the vaginal septum.</p>","PeriodicalId":14379,"journal":{"name":"International Journal of Reproductive Medicine","volume":"2018 ","pages":"3806856"},"PeriodicalIF":0.0,"publicationDate":"2018-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/3806856","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36842962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Histological Pattern of Endometrial Biopsies in Women with Abnormal Uterine Bleeding in a Hospital in North Central Nigeria.","authors":"Ifeyinwa Mary Asuzu,&nbsp;Olaejirinde Olaniyi Olaofe","doi":"10.1155/2018/2765927","DOIUrl":"10.1155/2018/2765927","url":null,"abstract":"<p><p>The study is a retrospective cross-sectional study carried out in the Department of Pathology of Premier Hospital, Abuja, on specimens received over a one-year period. Four hundred and eighty-six samples of endometrial biopsies and curettings from women presenting with abnormal uterine bleeding sent to the histopathology laboratory were analyzed. The most common biopsies were those of product of conception which accounted for 304 cases (62.6%). Most of the cases of endometrial hyperplasia were typical. Endometritis and chorioamnionitis were the inflammatory conditions seen. Twenty-three women had molar pregnancies. The most common cause of abnormal uterine bleeding in this population is retained products of conception. There may be need to retrain some of the staff involved in the management of pregnancy related complications. There is need to further evaluate pregnancy related complications to ascertain the causes and circumstances responsible for them so as to appropriately direct interventional protocols.</p>","PeriodicalId":14379,"journal":{"name":"International Journal of Reproductive Medicine","volume":"2018 ","pages":"2765927"},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/2765927","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36741053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Pharmacology of Hormonal Emergency Contraceptive Pills.","authors":"Celia M J Matyanga,&nbsp;Blessing Dzingirai","doi":"10.1155/2018/2785839","DOIUrl":"https://doi.org/10.1155/2018/2785839","url":null,"abstract":"<p><p>Emergency contraceptives play a major role in preventing unwanted pregnancy. The use of emergency contraceptives is characterized by myths and lack of knowledge by both health professionals and users. The main objective of this paper is to summarize the clinical pharmacology of hormonal methods of emergency contraception. A literature review was done to describe in detail the mechanism of action, efficacy, pharmacokinetics, safety profile, and drug interactions of hormonal emergency contraceptive pills. This information is useful to healthcare professionals and users to fully understand how hormonal emergency contraceptive methods work.</p>","PeriodicalId":14379,"journal":{"name":"International Journal of Reproductive Medicine","volume":"2018 ","pages":"2785839"},"PeriodicalIF":0.0,"publicationDate":"2018-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/2785839","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36700756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}