Reproductive Health最新文献

{"title":"Measuring the effects of community polygyny on intimate partner violence: a multilevel modeling using nationally representative cross-sectional data.","authors":"Zacharie Tsala Dimbuene, Bright Opoku Ahinkorah, Dickson Abanimi Amugsi","doi":"10.1186/s12978-025-02037-7","DOIUrl":"https://doi.org/10.1186/s12978-025-02037-7","url":null,"abstract":"<p><strong>Background: </strong>Intimate partner violence (IPV) has received increasing attention the last three decades and it has been recognized as health, social, and human right issues across the world. Worldwide, sub-Saharan Africa is the most affected region. In the search of putative factors associated with IPV, women in polygamous marriages were found to be more exposed to IPV compared with those in monogamous marriages. However, previous research focused on polygyny at individual level; therefore, ignoring possible heterogeneity of the \"acceptance of polygyny\" across communities. This paper developed the concept of \"community polygyny\" in Central Africa and tested its associations with IPV. Furthermore, the paper tested interactions between the community polygyny and (i) polygyny at women's level; (ii) women's education; and (iii) urban residence.</p><p><strong>Methods: </strong>The paper used recent Demographic and Health Surveys of four countries in Central Africa (Democratic Republic of the Congo, Cameroon, Gabon, and Chad). Multilevel binary logistic regression analyses (additive and multiplicative models) were carried out. Findings were reported as adjusted odds ratios (aOR) at 95% Confidence Interval (95%CI).</p><p><strong>Main findings: </strong>Findings indicated an inverse-relationship between the percentage of women living in polygamous marriages and IPV. Indeed, the percentage of polygamous marriages was higher in Chad (34.3%) compared with the Democratic Republic of the Congo (18.6%), Cameroon (14.6%), and Gabon (13.9%). However, the percentage of women who experienced intimate partner violence in the last 12 months was lower in Chad (18.9%) compared with the Democratic Republic of the Congo (43.5%), Gabon (40.3%), and Cameroon (30.8%). In multivariate results, findings showed that a sizeable percentage of intraclass correlation (ICC) of IPV in the selected countries was explained at cluster level: ICC = 18.2% [95%CI: 15.0%-21.9%]; ICC = 14.3% [95%CI: ICC = 10.9%-18.5%]; ICC = 7.8% [95%CI: 5.3%-11.3%]; and ICC = 29.5% [95%CI: 23.7%-35.9%] in the Democratic Republic of the Congo, Cameroon, Gabon and Chad, respectively. Community polygyny (from Model 2) showed different patterns. In the DRC, it was positively and significantly associated with the likelihood of IPV (aOR = 2.890; 95%CI: 1.461-5.719). In contrast, it showed a negative association with IPV in Cameroon (aOR = 0.278; 95%CI = 0.143-0.539); in Gabon (aOR = 0.504; 95%CI = 0.237-1.074); and Chad (aOR = 0.749; 95%CI = 0.319-1.763).</p><p><strong>Conclusion: </strong>Findings from this study substantiates the importance of moving beyond individuals' characteristics and incorporating the collective mindset of polygyny to fully capture the effects of polygyny on intimate partner violence in Central Africa. Previous research pointed out the negative effects of polygyny at individual level. This study showed that community polygyny, since communities might differ on the accep","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"93"},"PeriodicalIF":3.6,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lived experiences of maternal near misses: a qualitative study in the Kilimanjaro Region, Tanzania.","authors":"Enna G Sengoka, Gunilla Björling, Michael J Mahande, Janet Mattsson, Gileard Masenga","doi":"10.1186/s12978-025-02018-w","DOIUrl":"10.1186/s12978-025-02018-w","url":null,"abstract":"<p><strong>Background: </strong>In recent years, Tanzania has significantly reduced maternal mortality rates; however, pregnant women in Tanzania still face severe health risks and complications. The rate of maternal near misses is nearly 60% higher in Tanzania compared to other low-income countries. Women who survive severe complications during pregnancy or childbirth may experience long-lasting adverse effects, such as poor physical health, impaired sexual function, psychological distress, and a decreased quality of life. Therefore, our research aimed to understand the lived experiences of Tanzanian women who survived severe maternal complications within their cultural and social context.</p><p><strong>Method: </strong>By using the Sub-Saharan Africa criteria for near misses, twelve (12) women who survived severe maternal complications were recruited between August and September 2022. The study utilized a descriptive qualitative design with an inductive approach to explore women's lived experiences of a maternal near miss. The participants were purposively sampled and interviewed face-to-face in the hospital or their homes six weeks after discharge from the hospital. Recorded interviews were transcribed and analysed using Graneheim and Lundman's content analysis.</p><p><strong>Results: </strong>The analysis revealed four themes and eight subthemes. The themes were living with severe maternal complications, impact on social life, perception of obstetric care services and person-centred care. The informants described pain experiences, weakness, fear, financial difficulties, neglect, long waiting times, and a lack of information. However, they also mentioned a need for increased awareness of danger signs, care satisfaction, and the importance of close relatives' social support.</p><p><strong>Conclusion: </strong>Maternal near misses have a great impact on women's physical, financial, and mental well-being. Women also experience long service waiting times, communication barriers, and neglect. Good healthcare, person-centred care, patient education, and psychological support can improve women's lived experiences.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"92"},"PeriodicalIF":3.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12107923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expanding access to safe ambulatory manual vacuum aspiration abortion up to 14+6 weeks following Argentina's legal reform: an observational study in the public health sector.","authors":"Biani Saavedra-Avendano, María Paula Botta, Dolores Chaumet, Berenice Macagno, Guillermo Antonio Ortiz-Avendano","doi":"10.1186/s12978-025-02036-8","DOIUrl":"10.1186/s12978-025-02036-8","url":null,"abstract":"<p><strong>Background: </strong>In December 2020, Argentina passed Law 27.610, legalizing elective abortion up to 14 + 6 weeks and beyond in cases of rape or health risks. This study aims to analyze the sociodemographic characteristics of users who opted or were referred for manual vacuum aspiration (MVA) services at an a ambulatory medical center in Argentina before and after the legal reform, and to assess the safety and effectiveness of outpatient MVA procedures for pregnancies up to 14 + 6 weeks.</p><p><strong>Methods: </strong>Observational study using clinical data from patients up to 14 + 6 weeks gestation (n = 1,861) who sought or were referred for outpatient MVA abortion at a public healthcare facility in Rosario, Argentina (2017-2023). We analyze changes in users' sociodemographic characteristics before and after the legal reform and assess the safety and effectiveness of ambulatory MVA abortion by gestational age (< 13 weeks vs. 13-14 weeks). A logistic regression tested associations between sociodemographic, procedural, and reproductive factors, and receiving MVA after 12 weeks.</p><p><strong>Results: </strong>Of the 1,861 MVA abortions, 85% (n = 1,590) were provided before 13 weeks' gestation, and 15% (n = 271) occurred between 13-14 weeks. After the legal reform, more users accessed outpatient MVA services beyond 12 weeks (7% vs. 22%; p < 0.05: before and after the legal change, respectively), including individuals with lower education levels (46% vs. 54%; p < 0.05:), informal employment (34% vs. 47%; p < 0.05), without healthcare insurance (72% vs. 90%; p < 0.05), and nulliparity (18% vs. 30%; p < 0.05). The success rate of ambulatory MVA abortion was 99.9%, with 0.4% (n = 7) adverse events; no statistically significant differences by gestational age groups (< 13 weeks vs. 13-14 weeks). The legal reform was positively associated with accessing MVA abortion after 12 weeks.</p><p><strong>Conclusions: </strong>The legal reform improved access to safe ambulatory MVA abortion services up to 14 + 6 weeks' gestation, particularly for socially disadvantaged users. MVA abortion, both before 13 weeks and at 13-14 weeks, demonstrated a high success rate (99.9%) with minimal adverse events.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"91"},"PeriodicalIF":3.6,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Delayed pregnancy disclosure, attributed social factors and implications for antenatal care initiation: a qualitative study among Ugandan women and their partners.","authors":"Hadija Nalubwama, Alison M El Ayadi, Cynthia C Harper, Josaphat Byamugisha, Dilys Walker, Alexander C Tsai, Blake Erhardt-Ohren, Umar Senoga, Paul J Krezanoski, Carol S Camlin, Alison B Comfort","doi":"10.1186/s12978-025-02040-y","DOIUrl":"10.1186/s12978-025-02040-y","url":null,"abstract":"<p><strong>Background: </strong>Pregnant women in Uganda access antenatal care later in pregnancy than recommended. One potential factor influencing timing of antenatal care initiation is delayed pregnancy disclosure affecting the social support needed to facilitate care-seeking. However, data exploring women's decisions to disclose their pregnancy and the consequences for antenatal care-seeking are limited. We sought to understand social norms around pregnancy disclosure among pregnant Ugandan women and their male partners to inform interventions promoting appropriate antenatal care initiation.</p><p><strong>Methods: </strong>In August-October 2020, we conducted in-depth interviews with 30 pregnant women and 15 male partners attending their first antenatal care visit at Kawempe National Referral Hospital, Kampala, Uganda. The female participants were purposively selected for their varying partnership status. We asked study participants about social norms around pregnancy disclosure, to whom they disclosed their pregnancy and when, whether pregnancy disclosure influenced social support they received and its implications for antenatal care initiation. We analyzed transcripts using deductive and inductive thematic analysis.</p><p><strong>Results: </strong>Most participants selectively disclosed their pregnancy once confirmed, preferring to first disclose to close, trusted social relations (e.g. partner and/or mother), followed by a delayed selective, phased disclosure to other social relations (e.g., friends, certain family members and neighbors). Most women preferred waiting to disclose until at least their second trimester. Common reasons for delayed pregnancy disclosure included mitigating social judgement of pregnancy, fear of witchcraft and curses adversely impacting maternal and neonatal health, and concern about mockery or anger. These concerns arose from perceived social norms around the appropriate age for pregnancy and competing school priorities; lack of social recognition of the partnership and/or an unstable partner/relationship; and jealousy from others' desired fertility. Several reported that delaying pregnancy disclosure reduced their access to the financial and informational support they needed for earlier antenatal care initiation.</p><p><strong>Conclusions: </strong>Many pregnant Ugandan women preferred only disclosing their pregnancy to close, trusted social ties while delaying disclosure to others. Delays in disclosure affected the social support they received thereby contributing to late antenatal care initiation. Targeted interventions to address factors contributing to delayed pregnancy disclosure may improve the timeliness of antenatal care and consequent maternal and neonatal outcomes.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"90"},"PeriodicalIF":3.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of COVID-19 lockdowns on unintended pregnancies among adolescent girls and young women in low- and middle-income countries: a scoping review.","authors":"Lara Teresa Lüdecke, Björn Ekman, Malachi Ochieng Arunda, Robert Bulamba, Alex Daama, Anna Mia Ekström, Emmanuel Kyasanku, Elin C Larsson, James Nkale, Jesper Sundewall","doi":"10.1186/s12978-025-02045-7","DOIUrl":"10.1186/s12978-025-02045-7","url":null,"abstract":"<p><strong>Background: </strong>The response to the COVID-19 pandemic involved various lockdown measures, including school closures, which significantly impacted young populations, particularly in low-and middle-income countries (LMICs). Given the well-known protective effect of regular school attendance on sexual and reproductive health and rights (SRHR), reports of disrupted education, compromised SRHR, and an increase in unintended pregnancies among adolescent girls and young women (AGYW 10-24 years) have caused major concerns. We conducted a scoping review to compile the available evidence of the impact of COVID-19 lockdown measures on unintended pregnancies among AGYW aged 10-24 in LMICs.</p><p><strong>Methods: </strong>The scoping review followed the five-stage framework by Arksey and O´Malley. A systematic search on two comprehensive databases, using search terms related to COVID-19 and unintended pregnancies, was conducted along with grey literature searches of articles in English language published between 2019 and 2024. The systematic review software Covidence was used for publication screening, selection and data extraction.</p><p><strong>Results: </strong>After deduplication, 241 publications were screened, and 72 full-text publications were assessed for eligibility. 13 publications from the database searches, citation searching and grey literature, were included. The scoping review included seven studies that applied quantitative methods, four that used qualitative approaches and the remaining two mixed methods. Five out of 13 publications were set in Uganda, two in Kenya and two in Nigeria, while six other countries were represented once. All included studies reported increases in pregnancies among AGYW during the COVID-19 period. School dropout among girls following a pregnancy was reported to have increased. Factors associated with unintended pregnancy were school closures, limited access to SRHR services including contraceptives, and increasing sexual encounters.</p><p><strong>Conclusion: </strong>School closures and other lockdown measures during the COVID-19 pandemic led to an increase in unintended pregnancies among AGYW in LMICs. The long-term consequences for these young individuals, their communities and to the broader society are still to be measured and available evidence is limited, few studies have applied robust study designs, and several relied on small sample sizes. Further research is needed to build a stronger evidence base for health and socio-economic impacts of school closures and lockdowns among young people.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"89"},"PeriodicalIF":3.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lifestyle factors and health outcomes associated with infertility in women: A case-control study using National Health Insurance Database.","authors":"Boyoung Jeon, Taeuk Kang, Sung Wook Choi","doi":"10.1186/s12978-025-02030-0","DOIUrl":"10.1186/s12978-025-02030-0","url":null,"abstract":"<p><strong>Background: </strong>Approximately one in six people is experiencing infertility at some point in their lives. In response, health insurance coverage for infertility treatments has been strengthened. However, studies examining lifestyle factors that affect infertility remain lacking, highlighting the need to generate objective evidence to address infertility issues using national-level datasets.</p><p><strong>Methods: </strong>The General Healthcare Screening Program dataset from National Health Insurance Service database was employed in this study to examine infertility and childbirth among women aged 22-49 years. In 2020, 25,333 women with infertility and 73,759 women who had given birth were initially identified. After applying propensity score matching for age, Charlson Comorbidity Index score, and income level, the final study population included 24,325 women with infertility and 24,325 women who with childbirth. Employing a case-control study design, lifestyle factors (drinking, smoking, and physical activity) and health checkup outcomes (underweight, overweight, hypertension, diabetes, kidney function, anemia, and menstrual disorders) were assessed in this study. Statistical analyses included chi-squared tests, t-tests, and logistic regression.</p><p><strong>Results: </strong>This study revealed significant risk factors for infertility: two high-risk lifestyle factors, including heavy drinking and smoking, and five health conditions, comprising underweight, hypertension, diabetes, kidney function loss, and menstrual disorders. Conversely, being overweight, not engaging in vigorous physical activity, and anemia were negatively associated with infertility.</p><p><strong>Conclusions: </strong>These findings underscore the need for lifestyle modifications and personalized preconception care to improve fertility outcomes.</p><p><strong>Trial registration: </strong>Not available.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"88"},"PeriodicalIF":3.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Menstrual hygiene knowledge and practices among adolescent schoolgirls in flood-affected rural Bangladesh.","authors":"Tamima Ahmed, Md Khalid Hasan, Tanjin Kabir Aunto, Taufique Ahmed, Dilara Zahid","doi":"10.1186/s12978-025-02041-x","DOIUrl":"10.1186/s12978-025-02041-x","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the level of knowledge and practices related to menstrual hygiene among adolescent schoolgirls in a flood-affected rural area of Bangladesh and identify the factors influencing their menstrual hygiene knowledge and practices.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in northern Bangladesh between May 25 and June 1, 2023, involving 448 adolescent girls in the flood-affected region. Data was collected through a self-administered descriptive questionnaire. The collected data was entered and analyzed using SPSS 26.0 (IBM SPSS, Chicago, IL, USA). Adjusted odds ratios (AOR) with 95% confidence intervals (CI) were used to determine significant variables through multivariate binary logistic regression models.</p><p><strong>Results: </strong>The study found that more than half (69%) of the in-school adolescent girls had good knowledge about menstrual hygiene, while only one-fourth (28.6%) demonstrated good menstrual hygiene practices. Remarkably, only 1.6% of the girls disposed of their used sanitary napkins in dustbins. The results also indicated that girls aged 17 to 19 [AOR = 7.78, 95% CI: 1.83-32.99] and those from middle-class families [AOR = 0.51, 95% CI: 0.31-0.85] showed a significant positive association with menstrual hygiene knowledge. Additionally, the study revealed that the respondents' mothers' education level, particularly having secondary or higher education [AOR = 1.69, 95% CI: 1.04-2.77], was significantly associated with better menstrual hygiene practices.</p><p><strong>Conclusions: </strong>The findings underscore the low level of menstrual hygiene practices among the respondents, emphasizing the urgent need for action. This highlights the urgency of enhancing awareness about the significance of adopting good menstrual hygiene practices. Therefore, it is imperative to incorporate menstrual hygiene knowledge and practices into school curricula and to organize meetings and sessions with schoolgirls' parents, stressing the importance of community support in addressing this issue.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"87"},"PeriodicalIF":3.6,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in the global burden of polycystic ovary syndrome from 1990 to 2021.","authors":"Tong Lin, Bingqin Xie, Juan Yang, Jinbang Xu, Fa Chen","doi":"10.1186/s12978-025-02016-y","DOIUrl":"10.1186/s12978-025-02016-y","url":null,"abstract":"<p><strong>Background: </strong>Polycystic ovary syndrome (PCOS) is a chronic, multifaceted condition influenced by epigenetic and environmental factors that is responsible for a significant proportion of anovulatory infertility cases. Here, we analyzed the global, regional, and national burdens of PCOS from 1990 to 2021 using data from the Global Burden of Disease 2021 (GBD 2021).</p><p><strong>Methods: </strong>Incidence, prevalence, and Disability-Adjusted Life Years (DALYs) data relevant to PCOS from 204 countries and 21 territories from 1990 to 2021 were obtained from the GBD 2021 study. Here, we considered age-standardized rates (per 100,000 individuals) with 95% uncertainty intervals (95% UIs) obtained from the aforementioned research and presented trends based on age and Socio-demographic Index (SDI) parameters.</p><p><strong>Results: </strong>In 2021, the global age-standardized incidence and prevalence rates of PCOS were 30.7 per 100,000 and 867.7 per 100,000, respectively, representing an increase of 26.77% and 28.21% since 1990. Additionally, age-standardized disability-adjusted life years stood at 7.6 per 100,000 globally in 2021, marking a 27.58% increase from 1990. Age-standardized prevalence of PCOS varied across countries, ranging from 93.1 to 3978.9 cases per 100,000 women, with Italy (3978.9), Japan (3104.7), and New Zealand (2789.7) having the highest rates. Notably, PCOS prevalence was noted to peak globally among females 15-19 years of age. Regions with a high SDI exhibited the highest age-standardized incidence (70.2), prevalence (1720.7), and DALY (15.2) rates of PCOS. Furthermore, a nonlinear correlation between PCOS burden and SDI was noted, with prevalence rates peaking around an SDI of approximately 0.9.</p><p><strong>Conclusion: </strong>Our findings highlight the growing global impact of PCOS and underscore the need for concerted efforts to attenuate the increasing global prevalence of this condition. Significantly divergent PCOS disease burdens were observed across different age groups and SDI regions, with high SDI regions bearing heavier burdens. The increased disease burden among younger age groups and regional disparities underscore urgency for targeted intervention and formulation of policies to effectively address this public health issue.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"86"},"PeriodicalIF":3.6,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of IVF/ICSI on grades of placenta accreta spectrum disorders and pregnancy outcomes.","authors":"Miao Hu, Lili Du, Lizi Zhang, Lin Lin, Yuliang Zhang, Shifeng Gu, Zhongjia Gu, JingYing Liang, Siying Lai, Yu Liu, Minshan Huang, Yuanyuan Huang, Qingqing Huang, Shijun Luo, Shuang Zhang, Dunjin Chen","doi":"10.1186/s12978-025-02031-z","DOIUrl":"10.1186/s12978-025-02031-z","url":null,"abstract":"<p><strong>Objective: </strong>IVF/ICSI is associated with an increased risk of placenta accreta spectrum disorders (PAS). Invasive PAS can result in significant adverse maternal and fetal outcomes. This study investigates the impact of IVF/ICSI on the severity grading of PAS and its correlation with pregnancy complications.</p><p><strong>Methods: </strong>Placenta accreta spectrum disorders (PAS) patients who underwent cesarean section at a single clinical center from January 2018 to March 2023 were retrospectively included in this study. Baseline characteristics and outcomes were compared between the IVF/ICSI group (154 cases) and the spontaneous conception group (820 cases). Binary logistic regression was used to explore the risk factors associated with adverse outcomes related to IVF/ICSI. A 1:1 ratio propensity score matching (PSM) was conducted to minimize selection bias between the two groups (123 cases per group). Data analysis was performed using SPSS (version 25.0) software.</p><p><strong>Results: </strong>PAS grading is not associated with IVF/ICSI (OR = 0.76, 95%CI: 0.45 ~ 1.27, P = 0.290). In contrast, a significant risk factor for postpartum hemorrhage (OR = 9.20, 95%CI: 2.68 ~ 9.22, P < 0.001) and red cells transfusion ≥ 4U (OR = 3.71,95%CI:1.21 ~ 11.33, P = 0.021) was observed in IVF/ICSI group. No additional adverse pregnancy outcomes arose as a result of IVF/ICSI.</p><p><strong>Conclusion: </strong>IVF/ICSI does not increase the depth of placental implantation in patients with placenta accreta spectrum (PAS); however, it is associated with a higher risk of postpartum hemorrhage and the need for blood transfusion. In clinical practice, special attention should be given to the prenatal management of these patients, along with ensuring adequate blood product reserves during delivery.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"85"},"PeriodicalIF":3.6,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parent-youth communication and associated factors on HIV/AIDS related issues in rural southern Ethiopia.","authors":"Tadele Dana Darebo, Eshter U Umwamikazi, Wudneh Baza, Berhanetsehay Teklewold, Zewudu Birhanu Mune, Mark Spigt","doi":"10.1186/s12978-025-02027-9","DOIUrl":"10.1186/s12978-025-02027-9","url":null,"abstract":"<p><strong>Background: </strong>In 2023, an estimated 39.0 million people globally were living with HIV, with young people aged 15-24 disproportionately accounting for 40% of new adult infections concentrated in sub-Saharan Africa, highlighting significant SRH challenges and risky sexual behaviors among youth worldwide. Parental communication plays a pivotal role in fostering positive sexual and reproductive health (SRH) outcomes, including HIV/AIDS. This study, conducted among rural South Ethiopian secondary schools, aimed to measure the extent of parental communication on HIV/AIDS-related matters and identify the factors influencing it.</p><p><strong>Methods: </strong>Using a cross-sectional, school-based design, data were gathered through a self-administered questionnaire, employing a clustering-based technique to select 577 youths from different schools. The analysis involved descriptive statistics, binary analysis, and multivariable logistic regression. Variables with a significance level of p-value ≤ 0.25 in the binary analysis were included in the logistic regression model. The adjusted odds ratio (AOR) at a 95% confidence interval (CI) was utilized to indicate independent factors.</p><p><strong>Results: </strong>The study revealed that 39% (95% CI = 35.02% to 42.98%) of youths experienced poor communication on HIV/AIDS related issues with their parents. Youths whose mothers could only read and write were 2.7 times more likely (AOR = 2.77; 95% CI: 1.23-6.25), and those whose mothers had only attended primary school were 4.6 times more likely (AOR = 4.63; 95% CI: 1.97-10.9) to have had poor communication compared to youths whose mothers had a secondary school education or higher. Additionally, youths whose mothers were housewives (AOR = 0.34; 95% CI: 0.16-0.71), merchants (AOR = 0.22; 95% CI: 0.09-0.50), or farmers (AOR = 0.23; 95% CI: 0.10-0.53) were 66%, 78%, and 77%, respectively, less likely to experience poor communication compared to youths whose mothers were daily laborers.</p><p><strong>Conclusion: </strong>This study underscores that a considerable proportion of youths in South Ethiopia face challenges in HIV/AIDS related communication. The findings advocate for targeted literacy interventions, particularly addressing mothers with lower educational status and those employed as daily laborers, to enhance SRH outcomes among rural adolescents. HIV/AIDS related information dissemination and co-production of literacy materials should be emphasized among rural settings.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"84"},"PeriodicalIF":3.6,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}