Reproductive Health最新文献

{"title":"Index pregnancy emotional fertility intention and its correlates in Ethiopia: evidence from a national women and newborns baseline survey.","authors":"Solomon Abrha Damtew, Tariku Dejene Demissie, Assefa Seme, Niguse Tadele Atnafu, Fitsum Tariku Fantaye, Mahari Yihdego Gidey, Kelemua Mengesha Sene, Bezawork Ayele Kassa, Hailay Gebremichael Gebrekidan, Tariku Tesfaye Bekuma, Aynaw Amogne, Solomon Shiferaw","doi":"10.1186/s12978-025-02076-0","DOIUrl":"https://doi.org/10.1186/s12978-025-02076-0","url":null,"abstract":"<p><strong>Background: </strong>Women´s index pregnancy emotional fertility intention was measured by asking the pregnant women how they would felt when they learned about their index pregnancy. Emotional health and couples´ communication are key during pregnancy and child birth with simultaneous minimization of reproductive coercion. Emotional fertility intention is critical for healthy and spaced pregnancies, as well as for better maternal and newborns outcomes. Besides, intentions to conceive and emotional fertility intention on pregnancy are the integral parts of women reproductive health (RH) right and can be considered as women decision-making ability over their fertility. Moreover, in low and middle-income countries including Ethiopia where the sole male´s dominance is culturally accepted and socially constructed, males take the lead in each decision making process including household-level decision, determining the family´s fertility and reproductive health service use. This dominance interferes with women fertility intention and their health status including their emotional feeling towards conception. In such a scenario, women are less likely for their say to be heard. Hence, this study aimed to determine pregnant women index pregnancy emotional fertility intention and to identify the associated covariates contributing to it in Ethiopia. This is a very critical step to generate and make actionable evidence available for the health ministry and relevant partners working on reproductive and women´s psycho-social health. This evidence could serve as an action point to empower women regarding their reproductive health right and the control over their fertility.</p><p><strong>Methods: </strong>Nationally representative cross sectional baseline data from the Ethiopian performance monitoring for action (Ethiopian PMA) cohort one survey, which enrolled and collected data from currently pregnant and 6 weeks postpartum women were used for this study. This study collected real time data on various sexual, reproductive, maternal and new born nationwide priority indicators using customized Open Data Kit Mobile application. These data were collected using standard pretested questionnaire prepared in English and the three local languages (Amharic, Afan Oromo and Tigrigna) by well experienced resident enumerators. This study was restricted to 2,236 pregnant women at the enrollment. Frequencies were computed to characterize pregnant women, and chi-square statistics was used to assess cell sample size adequacy. Multinomial logistics regression statistical modeling was fitted to identify correlates affecting index pregnancy women´s emotional fertility intention. Results were presented in the form of percentages and odds ratio with 95% Confidence Intervals. Candidate variables were selected using a p-value of 0.25. Statistical significance was declared at p-value of 0.05.</p><p><strong>Result: </strong>The overall proportion of index pregnancy emotional fer","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"139"},"PeriodicalIF":3.4,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761131","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":"Rethinking: Timely Access to Comprehensive Sexual and Reproductive Health Education within the Context of Seasonal Migration in the Urban Slum of the Greater Accra Region, Ghana-A Qualitative Exploratory Design.","authors":"Ransford Kwaku Afeadie, Emmanuel Ayetey Appiah","doi":"10.1186/s12978-025-02094-y","DOIUrl":"https://doi.org/10.1186/s12978-025-02094-y","url":null,"abstract":"<p><strong>Background: </strong>Although comprehensive sexuality education (CSE) is widely recognised as a key strategy for improving adolescent sexual and reproductive health and rights, significant gaps remain in its implementation, especially among out-of-school migrant adolescents affected by seasonal internal migration. This study sought to explore the experiences of this subgroup in accessing timely and comprehensive sexual and reproductive health education within the context of seasonal migration in the urban slums of the Greater Accra Region.</p><p><strong>Methods: </strong>The study adopted a qualitative exploratory design, guided by the socioecological model of health behavior. Urban slum communities relevant to the study were identified via criterion purposive sampling. The study was then publicised, and participants were recruited through formal and informal social networks, including youth groups. A total of 15 (fifteen) migrant adolescents were selected via convenience sampling, with the final sample size reached by data saturation. To gain a broader perspective, the study also included migrant peers and gatekeepers. Data collection involved 10 (ten) in-depth interviews (IDIs) with migrant adolescents, two (2) focus group discussions (FGDs), two (2) key informant interviews (KIIs) with peer network leaders, and one interview with a migrant gatekeeper.</p><p><strong>Results: </strong>Migrant adolescents face limited access to SRH education because of their absence in communities, resulting in a lack of confidence in SRH decision-making, leading to low confidence in SRH decision-making. Peer networks influence SRH choices, often reinforcing reliance on informal health providers for sexual information and addressing cultural barriers. Community outreach programs primarily target young mothers attending child welfare clinics rather than targeting wider community migrant adolescents.</p><p><strong>Conclusions: </strong>The paper concludes that migrants' mobility hinders access to SRH education, resulting in poor SRH knowledge and decision-making. This study underscores the need to address individual-, interpersonal-, and community-level factors. Seasonal migration should be acknowledged as a key social determinant of health and incorporated into national sexual and reproductive health (SRH) policies.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"140"},"PeriodicalIF":3.4,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761132","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":"Awareness and barriers to accessing sexual and reproductive healthcare services among Deaf women in Krachi West District of Ghana: a qualitative study.","authors":"John Kwame Agbenyeavu, Gilbert Eshun, Richard Gyan Aboagye, John Kuumuori Ganle","doi":"10.1186/s12978-025-02063-5","DOIUrl":"https://doi.org/10.1186/s12978-025-02063-5","url":null,"abstract":"<p><strong>Background: </strong>Although Ghana is one of the countries that has ratified the United Nations Convention on the Rights of Persons with Disabilities and enacted the Persons with Disabilities Act, women with disabilities across the country have continuously reported barriers to accessing sexual and reproductive healthcare services. Such barriers hinder the achievement of the United Nations Sustainable Development Goals 3 and 10, which aim to promote good health and well-being and reduce inequalities within and among countries, respectively. This study explored the awareness of sexual and reproductive healthcare (SRH) services and barriers to accessing them among Deaf women in the Krachi West District.</p><p><strong>Methods: </strong>This study employed a descriptive qualitative design, using in-depth interviews as the main data collection technique. Our study spanned from November 2021 to January 2022, and it included 13 Deaf women aged 15 to 49 in the Krachi West District of Ghana. The participants were selected using the purposive sampling method. Thematic content analysis was employed for data analysis, with QSR NVivo 12 software used for coding and developing themes.</p><p><strong>Results: </strong>All participants were aware of SRH services such as family planning, antenatal care, and postnatal services, with family members and partners being their primary sources of information. The study identified several key barriers to accessing these services, including financial constraints, high service costs, communication difficulties with healthcare providers, stigma, inappropriate attitudes from healthcare providers, and a lack of community support.</p><p><strong>Conclusion: </strong>The study found that all participants were aware of SRH services, although few made use of them. Socio-economic, health system, and community-level barriers, such as an inability to pay, communication gaps, negative attitudes from healthcare workers, and a lack of community support, hinder Deaf women from accessing SRH services. Our findings call for reorienting the health system to accommodate the SRH needs of women with hearing disabilities. Additionally, public education and sensitisation are needed to improve people's understanding of the SRH needs of persons with disabilities, such as Deaf women, and the importance of supporting their needs with the available resources.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"138"},"PeriodicalIF":3.4,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754128","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":"Changes in the utilization of prenatal and delivery services in the United States prior to, during, and after the COVID-19 pandemic.","authors":"Hannah Silverstein, Larissa Jennings Mayo-Wilson, Anna Austin","doi":"10.1186/s12978-025-02084-0","DOIUrl":"10.1186/s12978-025-02084-0","url":null,"abstract":"<p><strong>Background: </strong>Starting in March 2020, the COVID-19 pandemic strained the healthcare system in the United States, directly and indirectly changing the provision of many types of care, including maternity care. This paper describes longer-term changes in maternal health services utilization in the U.S. during the COVID-19 pandemic.</p><p><strong>Methods: </strong>Using United States monthly aggregated birth record data from 2016 to 2023, we examined changes in the average number of prenatal visits (overall and by delivery pay type) and total births (overall, by pay type, and by birthplace) before, during, and after the pandemic. We estimated monthly time series models replicating pre-pandemic patterns from January 2016 to February 2020. We then extended those models to predict monthly levels of each outcome had COVID-19 not occurred from March 2020 through December 2023. We compared observed and predicted levels from March 2020 onward, assessing differences associated with COVID-19.</p><p><strong>Results: </strong>There were persistent and significantly lower-than-expected levels of average number of prenatal care visit across all COVID-19 months. There was also a temporary significant drop in total births during 2020 that recovered to expected levels in 2021, except for an increase in the total self-pay births in 2023. Patterns by pay type were similar to the overall patterns observed. Total non-hospital births were significantly higher than expected for the entirety of the pandemic, with large increases in intentional home births.</p><p><strong>Conclusion: </strong>Most initial changes to maternity care persisted throughout and continued after the pandemic, resulting in lower levels of prenatal care visits and higher numbers of home births. These findings show sustained changes to maternity care provision and access prompted by COVID-19, which highlight how vulnerable maternity services are to healthcare disruptions and suggest prolonged effects on equitable access to safe care.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"136"},"PeriodicalIF":3.4,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144744479","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":"Influence of paternal education on maternal and child health outcomes in Sub-Saharan Africa: evidence from demographic and health surveys.","authors":"Joshua Okyere, Demisu Zenbaba Hey, Sanni Yaya","doi":"10.1186/s12978-025-02086-y","DOIUrl":"10.1186/s12978-025-02086-y","url":null,"abstract":"<p><strong>Background: </strong>Maternal and child health outcomes remain pressing challenges in Sub-Saharan Africa (SSA), characterized by persistently high under-five mortality and inadequate utilization of essential maternal healthcare services. While the impact of maternal education on these outcomes is well documented, the influence of paternal education remains underexplored. This study investigates the association between paternal education and maternal health service utilization, focusing on antenatal care (ANC) and skilled birth attendance (SBA), as well as child survival across 22 SSA countries.</p><p><strong>Methods: </strong>We conducted a cross-sectional analysis using nationally representative data from Demographic and Health Surveys (DHS) administered between 2013 and 2024 in 22 SSA countries. The study sample included a weighted total of 109,818 children aged 0-59 months and their mothers. Key outcomes included maternal healthcare utilization (≥ 4 ANC visits and SBA) and child survival. Paternal education was classified into three categories: no education, primary education, and secondary or higher education. Logistic and ordered logistic regression models were employed, adjusting for maternal, child, household, and regional covariates.</p><p><strong>Results: </strong>Overall, 96.5% (95% CI: 96.4-96.6%) of children survived to age five, while 61.8% of mothers reported ≥ 4 ANC visits and 73.8% had skilled birth attendance. Higher paternal education was significantly associated with increased maternal healthcare utilization. Women whose partners had secondary or higher education were nearly twice as likely to attend ≥ 4 ANC visits (AOR: 1.99; 95% CI: 1.91-2.07) and more likely to access SBA (AOR: 1.60; 95% CI: 1.52-1.67) than those whose partners had no education. Marked regional and socioeconomic disparities persisted, with Southern SSA showing more favorable outcomes than Central and Eastern regions.</p><p><strong>Conclusion: </strong>Paternal education is strongly associated with improved maternal healthcare utilization, which is itself linked to enhanced child survival in SSA. Although no direct relationship was found between paternal education and child survival, these findings underscore the indirect but influential role fathers play in shaping health outcomes. Targeted strategies that promote male educational attainment and actively involve fathers in maternal and child health interventions-particularly in underserved regions-are essential for reducing health disparities and improving outcomes across the region.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"137"},"PeriodicalIF":3.4,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144744480","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":"Advancing equity in cervical cancer screening for sexual and gender minoritized people assigned female at birth (SGM AFAB) in the United States: recommendations from healthcare equity leaders.","authors":"Merrily E LeBlanc, Emmett C Line, Jennifer Potter, Roberta E Goldman, S Bryn Austin, Madina Agénor","doi":"10.1186/s12978-025-02082-2","DOIUrl":"10.1186/s12978-025-02082-2","url":null,"abstract":"<p><strong>Background: </strong>Sexual and gender minoritized (SGM) people, including but not limited to lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people assigned female at birth (AFAB), experience a greater burden of cervical cancer relative to their heterosexual and cisgender counterparts. However, they face pronounced systemic barriers to regular cervical cancer screening. Although evidence-based clinical guidelines play an integral role in the implementation of preventive measures, existing United States (U.S.) cervical cancer screening guidelines do not consider the specific experiences, needs, and contexts of SGM AFAB people concerning cervical cancer outcomes nor cervical cancer screening. Thus, it is imperative to determine how cervical cancer screening guidelines can be revised to better address the unique and specific cervical cancer prevention needs of SGM AFAB people in the U.S.</p><p><strong>Methods: </strong>We conducted virtual key informant interviews to elicit recommendations for advancing SGM health equity in developing and implementing cervical cancer screening guidelines from healthcare equity leaders (N = 18), including half with expertise in SGM AFAB people's healthcare. Interviews were analyzed using a template-style thematic analysis approach to develop themes and sub-themes.</p><p><strong>Results: </strong>Healthcare equity leaders provided three key recommendations for advancing SGM health equity in the development and implementation of U.S. cervical cancer screening guidelines. Healthcare equity leaders recommended prioritizing community and person-centered strategies, including engaging SGM communities in the development of the guidelines and using SGM-affirming approaches in their implementation. Revising language that (re)produces harmful normative and exclusionary assumptions about gender and sexuality in the context of cervical cancer screening guidelines was also recommended. Lastly, leaders recommended a range of strategies to mitigate systemic barriers to cervical cancer screening among SGM AFAB people, including collecting and utilizing representative data on SGM AFAB people's needs, experiences, and contexts to develop the guidelines and ensure cultural responsiveness in the delivery of cervical cancer screening to SGM AFAB people across healthcare systems.</p><p><strong>Conclusion: </strong>This study's findings can contribute to improving and advancing health equity in cervical cancer screening for SGM AFAB populations through the community-centered development of inclusive, evidence-based guidelines and their person-centered implementation in clinical settings.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"135"},"PeriodicalIF":3.4,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144744478","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":"Psychosocial support during pregnancy: perceptions and expectations among pregnant teenagers in Ahvaz, Iran-a qualitative content analysis.","authors":"Setareh Yousefi, Simin Montazeri, Nahid Javadifar, Saeed Ghanbari","doi":"10.1186/s12978-025-02081-3","DOIUrl":"10.1186/s12978-025-02081-3","url":null,"abstract":"<p><strong>Background: </strong>Teenage pregnancy remains a major global concern, with profound effects on young mothers and their families. Understanding the specific needs and expectations of pregnant adolescents regarding psychosocial support is crucial for developing effective interventions. This study explores how pregnant adolescents perceive and what they expect from psychosocial support during pregnancy.</p><p><strong>Methods: </strong>A qualitative study was conducted in Ahvaz, Iran, from 2023 to 2024. Participants were selected using purposive sampling to ensure maximum diversity and included pregnant adolescents, family members, and healthcare providers. Data were gathered through 30 semi-structured, in-depth interviews and analyzed using conventional qualitative content analysis with MAXQDA 2020 software. To enhance validity, member checking was employed, allowing participants to verify the accuracy of the interpretations. Reliability was ensured by applying a consistent coding framework across all interviews.</p><p><strong>Results: </strong>The analysis revealed three major themes: Challenges and Burdens- Participants reported societal stigma, emotional instability, limited family support, autonomy conflicts, and health issues, highlighting a disconnect between societal expectations and their lived realities. Positive Experiences and Adaptations- Despite challenges, many adolescents described resilience, the joy of motherhood, emotional bonding, personal growth, and improved spousal relationships. These experiences underscore the importance of strengths-based psychosocial support. Support and Intervention Needs- Participants emphasized the need for tailored education, active family involvement, and culturally sensitive healthcare to provide holistic care for pregnant adolescents.</p><p><strong>Conclusions: </strong>These findings highlight the urgent need for culturally tailored interventions that address the unique developmental and psychosocial needs of adolescent mothers. Effective strategies should include targeted education, accessible counseling, active family engagement, and specialized training for healthcare providers. Implementing a comprehensive, strengths-based support framework is essential to promote the well-being and resilience of this vulnerable population.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"134"},"PeriodicalIF":3.4,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12291308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718351","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":"Availability and readiness of health facilities in Burkina Faso to provide antenatal care: trend analysis from 2012 to 2020.","authors":"Marie-Jeanne Offosse, Kadari Cissé, Désiré Somda, Anna Gage, Annie Haakenstad, Aduragbemi Banke-Thomas","doi":"10.1186/s12978-025-02072-4","DOIUrl":"10.1186/s12978-025-02072-4","url":null,"abstract":"","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"133"},"PeriodicalIF":3.6,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12288318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699347","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":"Does prolonged postpartum insusceptibility undercut the impact of postpartum family planning programming in Sub-Saharan Africa?","authors":"Sarah Eustis-Guthrie, Benjamin Williamson, Iqbal Shah","doi":"10.1186/s12978-025-02056-4","DOIUrl":"10.1186/s12978-025-02056-4","url":null,"abstract":"<p><p>Integrating family planning into postpartum care at health facilities is a well-regarded health intervention recommended by major organizations in the sexual and reproductive health space. However, several recent studies have found limited to no effects on rates of short-spaced pregnancies associated with these interventions. This paper will investigate the role of prolonged postpartum insusceptibility to pregnancy due to abstinence and breastfeeding alongside other factors in reducing the impact of increased postpartum contraceptive use, ultimately concluding that these factors may substantially reduce the efficacy of postpartum family planning programming at reducing unintended short-spaced pregnancies.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"132"},"PeriodicalIF":3.4,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12285070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691374","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":"Factors associated with adolescent pregnancy in Nyarugenge and Burera districts, Rwanda.","authors":"Sandra Isano, Ziad El Khatib, Karl Blanchet","doi":"10.1186/s12978-025-02077-z","DOIUrl":"10.1186/s12978-025-02077-z","url":null,"abstract":"","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"131"},"PeriodicalIF":3.6,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668188","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}