Journal of Obstetrics and Gynaecology最新文献

{"title":"Physiotherapy with kinesiotherapy and physical agents to reduce postpartum diastasis recti: a randomised trial.","authors":"Delgado Alexandre, Marinho Geyson, Revorêdo Lígia de Oliveira, Silva Victor Mariano, Freire Patrícia Prazeres Balbino, Luane Taisa da Costa Barros, Nizza Karina Roxana, Carreiro Eneida de Morais, da Silva Eliane Maria, da Silva Bianca Santana, Meyer Patrícia Froes","doi":"10.1080/01443615.2025.2608346","DOIUrl":"10.1080/01443615.2025.2608346","url":null,"abstract":"<p><strong>Background: </strong>Diastasis recti abdominis (DRA) is characterised by a separation of the rectus abdominis muscles, which is common in the postpartum period. This randomised controlled trial investigated the effects of a physiotherapy protocol combining abdominal exercises and physical agents-namely electromagnetic shock waves, transfer of energy capacitive and resistive (TECAR) therapy, and neuromuscular electrical stimulation-on reducing the inter-rectus distance in women with DRA six months after childbirth.</p><p><strong>Methods: </strong>Sixty women diagnosed with DRA were randomised into three groups: kinesiotherapy (Group A); electromagnetic shock waves, TECAR therapy, and neuromuscular electrostimulation (Group B); and a combination of both (Group C). The inter-rectus distance (IRD) of participants was assessed before and after treatment, with re-evaluation conducted sixty days after the initial assessment, using ultrasound and abdominal perimeter measurements.</p><p><strong>Results: </strong>group C showed a 0.80 cm reduction in supraumbilical IRD when compared with Group B. In the infraumbilical region, Group C had a 0.74 cm reduction compared to Group A and 0.85 cm compared to Group B. Regarding abdominal perimeter, Groups B and C showed greater reductions in the infraumbilical circumference than Group A, with mean differences of approximately 10 cm. No significant differences were observed in the supraumbilical and umbilical regions.</p><p><strong>Conclusions: </strong>the combination of kinesiotherapy and physical agents is more effective in reducing inter-rectus distance and abdominal circumference than either approach alone in postpartum women with diastasis recti abdominis.</p>","PeriodicalId":16627,"journal":{"name":"Journal of Obstetrics and Gynaecology","volume":"46 1","pages":"2608346"},"PeriodicalIF":1.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146030034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of gestational serum adiponectin with postpartum glycaemic outcomes in GDM: a prospective cohort study.","authors":"SiYan Zhong, MingFu Dai","doi":"10.1080/01443615.2026.2654547","DOIUrl":"10.1080/01443615.2026.2654547","url":null,"abstract":"<p><strong>Background: </strong>This study investigated the association between gestational serum adiponectin (APN) levels and postpartum glycaemic outcomes in women with gestational diabetes mellitus (GDM).</p><p><strong>Methods: </strong>A total of 96 GDM patients were enrolled. Baseline demographic and biochemical data were collected. Serum APN levels were measured longitudinally across three gestational stages and postpartum using an enzyme-linked immunosorbent assay. Based on 1-year follow-up data, patients were classified into favourable (normal glucose metabolism) and unfavourable (prediabetes or type 2 diabetes mellitus [T2DM]) outcome groups. Statistical analyses included <i>t</i>-tests, non-parametric tests, Cox proportional hazards models, and Kaplan-Meier survival curves to assess the associations between APN levels and outcomes.</p><p><strong>Results: </strong>At 1-year follow-up, 54.17% had favourable outcomes with higher APN levels, while 45.83% had unfavourable outcomes characterised by older age, higher BMI, and a higher prevalence of family history. T2DM patients had lower APN than those with prediabetes. Cox regression identified postpartum APN as an independent protective factor (Hazard Ratio [HR] = 0.720, 95% confidence interval [CI]: 0.60-0.85, <i>P</i> < 0.001), with each 1-μg/mL increase reducing risk by 27%. Significant risk factors included age (HR = 1.10, 95% CI: 1.01-1.20), pre-pregnancy BMI (HR = 2.06, 95% CI: 1.03-4.14), family history (HR = 2.58, 95% CI: 1.22-5.46), fasting glucose (HR = 1.41, 95% CI: 1.17-1.70), and 1-hour OGTT glucose (HR = 1.20, 95% CI: 1.02-1.40). The low-APN group showed significantly higher cumulative incidence of metabolic dysfunction.</p><p><strong>Conclusions: </strong>Gestational APN levels are strongly associated with postpartum metabolic outcomes in GDM. Low APN is an independent risk factor for adverse outcomes, and its dynamic changes reflect metabolic recovery capacity.</p>","PeriodicalId":16627,"journal":{"name":"Journal of Obstetrics and Gynaecology","volume":"46 1","pages":"2654547"},"PeriodicalIF":2.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of hysteroscopic metroplasty on IVF outcomes in women with T-shaped uterus: a retrospective cohort study.","authors":"Cihan Karadağ, Gökçenur Karakelleoğlu, Levent Çelik, Kazibe Koyuncu","doi":"10.1080/01443615.2026.2699350","DOIUrl":"10.1080/01443615.2026.2699350","url":null,"abstract":"<p><strong>Background: </strong>T-shaped uterus is associated with impaired reproductive outcomes, and the role of hysteroscopic metroplasty remains unclear. This study aimed to evaluate the impact of hysteroscopic metroplasty on in vitro fertilisation (IVF) outcomes in women with T-shaped uterus and unexplained infertility.</p><p><strong>Methods: </strong>This retrospective cohort study included 105 women with unexplained infertility and hysteroscopically confirmed T-shaped uterus who underwent IVF between 2021 and 2024. The primary outcome was live birth rate (LBR). Unexplained infertility was defined as failure to conceive despite normal ovulation, tubal patency, and semen parameters. Fifty-six patients underwent hysteroscopic metroplasty prior to IVF, while 49 proceeded directly to IVF without surgical correction. All patients were treated using a standardised antagonist protocol with frozen embryo transfer. Implantation, biochemical pregnancy, clinical pregnancy, miscarriage, and live birth rates were compared between groups.</p><p><strong>Results: </strong>Baseline demographic characteristics, ovarian reserve parameters, and IVF cycle features were comparable between groups. Implantation rates did not differ significantly (46.4% vs. 42.8%, p = 0.122). The biochemical pregnancy rate was lower in the metroplasty group (5% vs. 16%, p = 0.012). However, clinical pregnancy rate (41% vs. 26.5%, p = 0.024) and live birth rate (33.9% vs. 18.3%, p = 0.016) were significantly higher in women who underwent metroplasty. Miscarriage rates were similar between groups.</p><p><strong>Conclusions: </strong>Hysteroscopic metroplasty was associated with improved clinical pregnancy and live birth rates in women with T-shaped uterus undergoing IVF. Prospective randomised studies are warranted to confirm these findings. However, the observed improvement may reflect a combined effect of anatomical cavity restoration and endometrial injury associated with the surgical procedure.</p>","PeriodicalId":16627,"journal":{"name":"Journal of Obstetrics and Gynaecology","volume":"46 1","pages":"2699350"},"PeriodicalIF":2.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148436856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of prolonged decision-to-delivery interval in emergency caesarean section in Northern Uganda: a historical cohort study.","authors":"Henry Ochola, Ronnie Omoro, Paul Buga, Emintone Ayella Odong, Oscar Ocaya, Rogers Kajabwangu, Nelly Atim, Harriet Akello, Judith Praiselyn Acayo, Doris Ekwem, Jovia Namuddu, Derrick Mukurasi, Enock Lukyamuzi, Hudson Onen, Maurine Lenia, Martha Gimono, Emily Webb, Oona Campbell, Ronald Komata, Jerom Okot, Emmanuel Ochola, Sande Ojara","doi":"10.1080/01443615.2026.2685034","DOIUrl":"10.1080/01443615.2026.2685034","url":null,"abstract":"<p><strong>Background: </strong>Delays in decision-to-delivery interval (DDI) during emergency caesarean section (CS) may increase the risk of adverse maternal and neonatal outcomes. Evidence on health-system and provider-related factors influencing DDI in low-resource settings remains limited. We examined whether surgeon cadre, operating theatre location, and the presence of intern healthcare professionals were associated with prolonged DDI in a tertiary hospital in Northern Uganda.</p><p><strong>Methods: </strong>We conducted a historical cohort study at St. Mary's Hospital Lacor, a tertiary hospital in Northern Uganda, involving women who underwent emergency CS (6 September 2022 to 1 June 2024). Logistic regression was used to examine the association between prolonged DDI (≥60 minutes) and surgeon cadre, operating theatre location, and intern presence, adjusting for confounders. Effect modification by emergency CS indication was assessed.</p><p><strong>Results: </strong>Of the 760 participants enrolled (median DDI was 51 minutes [IQR: 36-67]), 36.0% had prolonged DDI. Emergency CS performed by junior doctors had twice the odds of prolonged DDI compared to fully-licensed doctors (adjusted odds ratio [aOR]: 2.07; 95% CI: 1.38-3.10). Theatre location and presence of interns showed no association with prolonged DDI (aOR: 0.89; 95% CI: 0.61-1.28) and (aOR: 0.71; 95% CI: 0.50-1.02), respectively. There was no statistically significant evidence that these associations differed by the CS indication.</p><p><strong>Conclusions: </strong>Emergency CS performed by junior doctors was associated with increased odds of prolonged DDI compared with procedures performed by fully-licensed doctors. These findings highlight the importance of strengthening supervision, mentorship and emergency obstetric training for junior doctors in resource-limited settings. Operating theatre location and the presence of intern healthcare professionals were not significantly associated with prolonged DDI.</p>","PeriodicalId":16627,"journal":{"name":"Journal of Obstetrics and Gynaecology","volume":"46 1","pages":"2685034"},"PeriodicalIF":2.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148226151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A 3.6:1 myo-inositol to D-chiro-inositol ratio and antioxidant-based food supplement before IVF improves fertility in women with PCOS: a pilot observational retrospective cohort study.","authors":"Pedro Belchín Fernández, Virginia Calvente, Maria Jose Gómez Roso, Eva González Expósito, Ana Silván Bueno, Maya Aparicio Fluge, Daniel Ordoñez Pérez","doi":"10.1080/01443615.2026.2681759","DOIUrl":"10.1080/01443615.2026.2681759","url":null,"abstract":"<p><strong>Background: </strong>PCOS is frequently associated with metabolic disturbances, including a high prevalence of insulin resistance and compensatory hyperinsulinemia, which can impair reproductive outcomes. Previous evidence indicates that combining myo-inositol and D-chiro-inositol in a specific 3.6:1 ratio may support ovarian physiology and reproductive performance in women with PCOS. This study aimed to evaluate whether taking a 3.6:1 MYO:DCI inositol-based supplement enriched with antioxidants for at least 1 month prior to controlled ovarian stimulation could improve IVF-ICSI outcomes.</p><p><strong>Methods: </strong>A retrospective observational cohort study was conducted, including 92 women diagnosed with PCOS according to the Rotterdam criteria. Patients were allocated to 2 groups: those who used the MYO:DCI 3.6:1 antioxidant-containing supplement (Group 1) and those who followed conventional supplementation (Group 2). Outcomes assessed included ovarian response, fertilization rates, blastocyst development and pregnancy results.</p><p><strong>Results: </strong>The number of retrieved oocytes (21.5 in Group 1 vs. 20.7 in Group 2; <i>p</i> = 0.56) and the metaphase II oocyte rate (72.06% in Group 1 vs. 71.23% in Group 2; <i>p</i> = 0.68) were comparable between both groups. Notably, Group 1 achieved higher fertilization rates (77.66% vs. 71.61%; <i>p</i> = 0.0314) and a lower proportion of cycles without at least one good-quality blastocyst to transfer (4.35% vs. 17.39%; <i>p</i> = 0.0450). In addition, both clinical and ongoing pregnancy rates were significantly improved in the supplemented group (54.39% vs. 42.65%; <i>p</i> = 0.0203; 45.61% vs. 36.76%; <i>p</i> = 0.0033).</p><p><strong>Conclusion: </strong>This observational pilot study suggests that a pre-treatment with 3.6:1 MYO:DCI ratio and antioxidant-based supplement taken for at least 1 month prior to ovarian stimulation may improve oocyte quality and increase pregnancy rates. These findings, while promising, require confirmation in larger prospective trials.</p>","PeriodicalId":16627,"journal":{"name":"Journal of Obstetrics and Gynaecology","volume":"46 1","pages":"2681759"},"PeriodicalIF":2.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating AI in postoperative rehabilitation of axillary web syndrome after breast cancer surgery: ChatGPT vs DeepSeek.","authors":"Qun Cheng, Weiwei Lou, Gue Mou, Yali Liu","doi":"10.1080/01443615.2026.2695784","DOIUrl":"https://doi.org/10.1080/01443615.2026.2695784","url":null,"abstract":"<p><strong>Objective: </strong>To systematically compare two generative artificial intelligence (AI) models, ChatGPT and DeepSeek in the rehabilitation management for axillary web syndrome (AWS) following breast cancer surgery; to assess their potential value in supporting clinical rehabilitation decision-making.</p><p><strong>Methods: </strong>Five virtual cases, based on real clinical scenarios and representing varying levels of complexity and functional impairment, were constructed. Three rehabilitation medicine specialists independently evaluated the models' responses using a standardised scoring rubric. Assessment dimensions included diagnostic accuracy, comprehensiveness of evaluation, individualisation of treatment planning, safety and risk awareness, evidence-based support, and clarity of logic. Additional analyses examined clinical reasoning depth, error patterns, and differences in response style.</p><p><strong>Results: </strong>Both models demonstrated high inter-rater reliability. For overall clinical competency scores, DeepSeek performed significantly better than ChatGPT. DeepSeek showed superior performance in diagnostic accuracy (<i>P</i> = 0.006), comprehensiveness of evaluation (<i>P</i> = 0.034), and individualisation of therapeutic planning (<i>P</i> = 0.005). DeepSeek maintained robust performance across cases of varying complexity, with particularly strong advantages in diagnostically challenging cases and those involving concomitant lymphedema. ChatGPT more frequently exhibited generalised treatment recommendations and omissions in differential diagnoses, whereas DeepSeek, despite occasionally provided recommendations with lower levels of evidence, had a lower overall error rate. DeepSeek generated more actionable and context-specific responses, often including concrete exercise prescriptions and technical details. It also outperformed ChatGPT in reasoning chain completeness, depth of evidence justification, and mechanistic explanation rationality.</p><p><strong>Conclusion: </strong>In this exploratory pilot study based on a limited number of virtual cases, DeepSeek demonstrates relatively better performance than ChatGPT in AWS rehabilitation decision support. However, findings should be interpreted cautiously, and further validation in real-world clinical settings is required.</p>","PeriodicalId":16627,"journal":{"name":"Journal of Obstetrics and Gynaecology","volume":"46 1","pages":"2695784"},"PeriodicalIF":2.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal hyperoxygenation in foetal congenital heart disease: current evidence and clinical uncertainties.","authors":"Maria Elisa Martini Albrecht, Gustavo Yano Callado, Edward Araujo Júnior","doi":"10.1080/01443615.2026.2649057","DOIUrl":"https://doi.org/10.1080/01443615.2026.2649057","url":null,"abstract":"","PeriodicalId":16627,"journal":{"name":"Journal of Obstetrics and Gynaecology","volume":"46 1","pages":"2649057"},"PeriodicalIF":1.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147499264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Weight-gain-for-gestational-age z-score in twin pregnancies in China and its association with preterm birth: a retrospective cohort study.","authors":"Ying Hu, Shuqi Zhu, Jia Liu, Die Hong, Hong Wen, Lu Chen, Xixi Chen, Yuqing Zou, Jingjing Liu, Danqing Chen, Lu Qi, Zhaoxia Liang","doi":"10.1080/01443615.2026.2703754","DOIUrl":"https://doi.org/10.1080/01443615.2026.2703754","url":null,"abstract":"<p><strong>Background: </strong>To evaluate the association between the weight-gain-for-gestational-age z-score and preterm birth (PTB) in a large Chinese twin pregnancy cohort.</p><p><strong>Methods: </strong>A hospital-based retrospective study included 2832 twin pregnancies between January 1, 2015, and December 31, 2019. The primary composite outcome was defined as PTB. The total gestational weight gain was converted into z-score, and logistic regression models were used to examine the associations between z-scores and PTB.</p><p><strong>Results: </strong>We developed a weight-gain-for-gestational-age z-score to determine the gestational weight gain during twin pregnancies in Chinese women. Low (<P25) and high (≥P75) z-scores were associated with a higher risk for spontaneous PTB (SPTB) than scores between the 25th and 75th percentiles (adjusted odds ratio [OR]: 1.35, 95% confidence interval [CI]: 1.05-1.74; 1.28, 0.99-1.66; respectively). Similarly, low z-scores (1.40, 1.12-1.76) and high z-scores (1.97, 1.57-2.47) were also associated with an increased risk for iatrogenic PTB (IPTB). Normal weight subgroups exhibited comparable outcomes. In addition, z-scores between the 25th and 75th percentiles indicated an equivalent total gestational weight gain at 37 weeks of 15.8-20.9 kg for underweight, 14.6-20.3 kg for normal weight, and 11.8-18.6 kg for overweight or obese women, which are narrower than the 2009 IOM recommendation.</p><p><strong>Conclusions: </strong>Our findings indicate that inadequate gestational weight gain, as evaluated by the z-score, is associated with a significantly increased risk for SPTB, whereas inadequate and excessive gestational weight gain are associated with a significantly increased risk for IPTB, in a large Chinese twin pregnancy cohort.</p>","PeriodicalId":16627,"journal":{"name":"Journal of Obstetrics and Gynaecology","volume":"46 1","pages":"2703754"},"PeriodicalIF":2.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148520358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of uterine fibroids: opinions on interventions and the future of services in the United Kingdom-a pilot survey.","authors":"Natalie Cooper, Rebecca McMurray, Mehrnoosh Aref-Adib, Funlayo Odejinmi","doi":"10.1080/01443615.2026.2706672","DOIUrl":"https://doi.org/10.1080/01443615.2026.2706672","url":null,"abstract":"<p><strong>Background: </strong>Uterine fibroids are the most common tumour of the female genital tract and represent a major cause of gynaecological morbidity. Management options have expanded in recent years, including minimally invasive surgical techniques and emerging medical and incisionless therapies. However, access to these treatments may vary geographically. This study aimed to explore current practice patterns, availability of interventions, and clinician perspectives on the future organisation of fibroid services in the United Kingdom.</p><p><strong>Methods: </strong>A pilot survey of UK gynaecologists was conducted using an online questionnaire developed by a focus group of clinicians with expertise in fibroid management. The survey assessed availability of treatment modalities, imaging preferences, surgical practices, and opinions on service organisation. The questionnaire was disseminated through the British Society for gynaecological endoscopy newsletter and at the society's 2024 annual scientific meeting. Responses were analysed using descriptive statistics.</p><p><strong>Results: </strong>Fifty UK-based clinicians were included in the analysis. Established surgical interventions, including abdominal, laparoscopic, and hysteroscopic myomectomy, were widely available. However, access to newer technologies varied between regions. Radiofrequency ablation was available in five of nine regions represented, while high-intensity focused ultrasound was not available to any respondents. Most clinicians reported access to MRI for fibroid mapping, although specialist ultrasound availability was more variable. Minimally invasive myomectomy was performed by 60% of respondents. The majority supported referral to specialised centres when local expertise was unavailable. Most respondents favoured multidisciplinary discussion for complex cases and supported a more centralised model of fibroid care.</p><p><strong>Conclusion: </strong>This survey highlights variation in access to fibroid treatments across the UK and identifies support among clinicians for more structured and centralised fibroid services. These findings support the need for further national evaluation and service development to improve equitable access to comprehensive fibroid care.</p>","PeriodicalId":16627,"journal":{"name":"Journal of Obstetrics and Gynaecology","volume":"46 1","pages":"2706672"},"PeriodicalIF":2.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148620548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antenatal psychological interventions may ameliorate postpartum depression: a systematic review and meta-analysis.","authors":"Yuying Chen, Bin Zhao, Zhaoyuan Chen","doi":"10.1080/01443615.2026.2651874","DOIUrl":"10.1080/01443615.2026.2651874","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to systematically evaluate the effects of psychological interventions during pregnancy on the intervention outcomes and incidence rate in women with postpartum depression.</p><p><strong>Methods: </strong>Databases (PubMed, Medline, Web of Science, Cochrane Library, EMBASE) were searched from inception to December 2024 for randomised controlled trials assessing prenatal psychological interventions (e.g., mindfulness, psychosocial support) in pregnant women without severe mental illness. Primary outcomes included Edinburgh Postnatal Depression Scale (EPDS), Patient Health Questionnaire-9 (PHQ-9), Perceived Stress Scale-10 (PSS-10), Spielberger State-Trait Anxiety Inventory (STAI) scores, and PPD incidence within 6 weeks postpartum. Quality was assessed using the Cochrane risk-of-bias tool; meta-analysis was performed with RevMan 5.3.</p><p><strong>Results: </strong>A total of 10 articles were included, with 6700 study subjects in total, including 3345 in the intervention group and 3355 in the control group, all of which were randomised controlled trials. The incidence rate of postpartum depression in the intervention group was significantly reduced (OR = 0.73, 95% CI [0.57-0.95], <i>P</i> = 0.02). The scores of EPDS, PHQ-9, PSS-10, and STAI in the intervention group were all lower than those in the control group.</p><p><strong>Conclusion: </strong>Psychological interventions during pregnancy can significantly reduce postpartum depression-related scale scores and incidence rates, and improve depressive symptoms, anxiety, and perceived stress. However, due to the heterogeneity of intervention types, this study cannot determine the optimal intervention method and thus provides preliminary evidence for clinical prevention. Clinicians should select interventions based on resource availability and individual characteristics of pregnant women, while future studies should focus on direct comparisons of different intervention types to provide more targeted guidance.</p>","PeriodicalId":16627,"journal":{"name":"Journal of Obstetrics and Gynaecology","volume":"46 1","pages":"2651874"},"PeriodicalIF":2.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}