Reproductive Health最新文献

{"title":"Impact of social support and breastfeeding success on the self-efficacy levels of adolescent mothers during the postpartum period.","authors":"Veysel Can, Mehmet Bulduk, Emine Kurt Can, Nesrullah Ayşin","doi":"10.1186/s12978-025-01960-z","DOIUrl":"https://doi.org/10.1186/s12978-025-01960-z","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to explore the relationship between social support, breastfeeding success, and breastfeeding self-efficacy levels in adolescent mothers, as well as the factors affecting breastfeeding self-efficacy.</p><p><strong>Methods: </strong>Following ethical approval, The Socio-Demographic Data Form, the Breast Milk and Breastfeeding Information Form, the Multidimensional Scale of Perceived Social Support (MSPSS), the Breastfeeding Self-Efficacy Short Form Scale (BFSES) and the LATCH Breastfeeding Diagnostic and Assessment Scale were used to collect data and the study was completed with 163 participants.</p><p><strong>Results: </strong>The rate of exclusive breastfeeding was found to be 41.1%. Mothers who exclusively breastfed their babies had higher scores on the MSPSS, LATCH, and BFSES scales. Additionally, breastfeeding self-efficacy levels were higher among mothers who initiated breastfeeding within 1 h after birth. The study also found positive correlations between social support, breastfeeding success, and breastfeeding self-efficacy.</p><p><strong>Conclusions: </strong>In conclusion, social support networks, including partners, mothers, and mothers-in-law, should be incorporated into breastfeeding training programs to help adolescent mothers leverage these resources effectively.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"19"},"PeriodicalIF":3.6,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190307","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":"Who is to blame for the 'problem' of teenage pregnancy? Narratives of blame in two South African communities.","authors":"Zoe Duby, Brittany Bunce, Chantal Fowler, Kate Bergh, Kim Jonas, Nevilene Slingers, Catherine Mathews, Fareed Abdullah","doi":"10.1186/s12978-025-01958-7","DOIUrl":"https://doi.org/10.1186/s12978-025-01958-7","url":null,"abstract":"<p><strong>Background: </strong>The framing of teenage pregnancy in social discourse influences the way in which adolescent girls and young women (AGYW) are treated, the extent to which they are supported, and to which they are able to engage with services and enact pregnancy prevention behaviours.</p><p><strong>Methods: </strong>Through the analysis of data from a qualitative study conducted in the South African communities of Newcastle in KwaZulu-Natal and Moretele in the North-West province, we explored narratives of blame for teenage pregnancy. Data derived from seventy-one in-depth interviews conducted with forty AGYW aged between 15 and 24, twenty-four parents/caregivers of AGYW, five service providers, ten school educators, and two other community members. Interpretation of data drew upon blame, attribution and framing theories.</p><p><strong>Findings: </strong>The overall framing of teenage pregnancy was overwhelmingly negative, with participants labelling it immoral and 'wrong'. Findings were arranged into key thematic areas that emerged in the data relating to blame for teenage pregnancy: the individual centred 'wrong-girl' and developmental discourses, in which blame was apportioned to AGYW for being immature, reckless, irresponsible, disobedient and greedy; the 'wrong-family' discourse in which blame was attributed to parents of AGYW for poor parenting and failing to adequately care for the adolescents in their responsibility; the 'wrong-men' discourse in which blame was attributed to men for luring AGYW into transactional sex, and for perpetrating gender-based violence; and lastly the 'wrong-society' discourse which attributed blame to contextual/structural factors such as poverty, a high volume of unregulated drinking establishments, and a lack of youth-friendly services.</p><p><strong>Conclusions: </strong>Policies, interventions and programmes focusing on adolescents' sexual and reproductive health need to carefully consider the framing and narratives of blame and responsibility. There is an urgent need to shift away from the individualised moralistic shaming of pregnant AGYW, towards a recognition of a complex interplay of multilevel factors that enable or constrain AGYW's agency. Policies and programmes should focus on both providing sufficient support to AGYW, while also addressing structural factors and harmful narratives and thus create the conditions necessary to enable AGYW to enact safe, informed, agentic and responsible decisions and behaviours about their own sexual and reproductive health.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"18"},"PeriodicalIF":3.6,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190308","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":"Machine learning analysis of the relationships between traumatic childbirth experience with positive and negative fertility motivations in Iran in a community-based sample.","authors":"Mahdieh Arian, Talat Khadivzadeh, Mahla Shafeei, Sedigheh Abdollahpour","doi":"10.1186/s12978-025-01952-z","DOIUrl":"10.1186/s12978-025-01952-z","url":null,"abstract":"<p><strong>Background: </strong>Psychologically traumatic childbirth leads to short and long-term negative impacts on a woman's health and impacts future reproductive decisions. Considering the importance of fertility growth and strengthening positive fertility motivations in …, this community-based study was conducted to investigate the relationship between traumatic childbirth history and positive and negative fertility motivations.</p><p><strong>Methods: </strong>The present cross-sectional study was conducted on 900 women of reproductive age. Sampling lasted from March 21 to September 23, 2023, using multi-stage and convenient sampling from health-treatment centers in …. History of pregnancy and childbirth, DSM-A criterion, and Miller's questionnaire were used to collect data. For data analysis, Python software was used for machine learning and elastic net analysis was conducted in a nested cross-validation framework.</p><p><strong>Results: </strong>Of the 900 women participating in this study, 387 reported a history of traumatic birth and 513 reported no history of traumatic birth. The positive and negative fertility motivations have a significant relationship with the previous history of traumatic childbirth. Elastic network modeling predicts using RMSE, MAE and R-squared that religious beliefs, married duration, and women's education have the greatest increasing effect on positive fertility motivation. Drug addiction, traumatic childbirth, and abortion history have the greatest effect on increasing negative fertility motivation.</p><p><strong>Conclusions: </strong>Positive and negative fertility motivations are significantly affected by the history of traumatic childbirth. Therefore, in countries that want to grow their population, preventing traumatic childbirth and providing counseling interventions should be placed in the priorities of maternal care.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"16"},"PeriodicalIF":3.6,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123329","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":"Individual, household, and community-level factors associated with high-risk fertility behaviour among Nigerian women: secondary analysis of the 2018 demographic and health survey data.","authors":"Michael Ekholuenetale, Chimezie Igwegbe Nzoputam, Amadou Barrow, Amit Arora","doi":"10.1186/s12978-025-01956-9","DOIUrl":"10.1186/s12978-025-01956-9","url":null,"abstract":"<p><strong>Background: </strong>High-risk fertility behaviour (HRFB) remains a significant public health concern in Nigeria, contributing to increase in maternal and child morbidity and mortality. The existence of HRFB presents significant barrier to accomplishing the Sustainable Development Goals. The objective of this study was to examine the prevalence and contextual factors of HRFB among Nigerian women.</p><p><strong>Methods: </strong>In this study, cross-sectional data with national representativeness from the 2018 Nigeria demographic and health survey (NDHS) were used. The sample was made up of 21,792 women aged 15-49 years selected from 1389 enumeration areas. A multilevel multivariable binary logistic regression model was utilised to examine the factors associated with HRFB.</p><p><strong>Results: </strong>The weighted prevalence of HRFB was 64% (95% CI 62-65%). Women having at least a secondary education had 14% (aOR = 0.86; 95% CI 0.77-0.98) reduction in the odds of HRFB when compared with women with at most a primary education. Muslim women had 20% (aOR = 1.20; 95% CI 1.06-1.36) increase in the odds of HRFB, when compared with the Christian women. Those who had 3-4 living children had 3.97 times higher odds of HRFB, when compared with women with no child (aOR = 3.97; 95% CI 2.92-5.40). Women aged 25-34 and 35-49 years had higher odds of HRFB when compared with women aged 15-24 years respectively. Women exposed to media use had 12% (aOR = 0.88; 95% CI 0.80-0.97) reduction in the odds of HRFB when compared with women not exposed to media use. The non-poor women had 12% (aOR = 0.88; 95% CI 0.79-0.99) reduction in the odds of HRFB when compared with poor women. Respondents from female-headed households had 21% reduction in the odds of HRFB when compared with those from households with male head (aOR = 0.79; 95% CI 0.69-0.92). The geographical region was significantly associated with HRFB among women.</p><p><strong>Conclusion: </strong>The high prevalence of HRFB among Nigerian women underscores the need for policies and programmes targeted to address the issue. Addressing socioeconomic factors, improving education and healthcare access, and promoting family planning could significantly reduce HRFB.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"17"},"PeriodicalIF":3.6,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123109","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":"Services availability and readiness assessment of adolescent sexual and reproductive health in primary healthcare facilities: evidence from selected districts in Ghana.","authors":"Michel Adurayi Amenah, Jacob Novignon, Ama Pokuaa Fenny, Irene A Agyepong, Tim Ensor","doi":"10.1186/s12978-025-01955-w","DOIUrl":"10.1186/s12978-025-01955-w","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Globally, adolescent health remains a public health priority given that adolescents often face unique vulnerabilities to health issues like mental disorders, substance abuse, and sexual health risks. In developing countries like Ghana, primary healthcare facilities (PHCs) are often the first point of contact for addressing these issues. However, there is a lack of literature examining the capacity of PHCs to address adolescent sexual and reproductive health (ASRH) issues. This study aims to fill this gap in the literature by assessing the availability and readiness of ASRH services within Ghana's PHCs.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The study utilized a multi-stage sampling approach to select 67 PHCs across four districts in the Greater Accra region, reflecting Ghana's broad demographic diversity. We employed the WHO's Services Availability and Readiness Assessment (SARA) tool to measure the availability and readiness of ASRH services. This framework focused on key domains including service availability and readiness, assessing aspects such as HIV testing, family planning, and availability of contraceptives and necessary staff training. Data analysis was conducted using Stata version 17.0, analysing frequencies and percentages to capture the extent of service provision across the selected facilities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The study highlighted significant disparities in the availability and readiness of essential ASRH services (HIV services, family planning, contraceptive pills, IUCD provisions, and male condoms) across selected districts and facility types. In Shai Osudoku, 65% of facilities offered a full range of selected ASRH services, the highest among the districts, whereas Ningo Prampram had the lowest at just 16%. In terms of facility types, 57% of CHPS facilities, 59% of health centres, and 44% of clinics provided all the selected ASRH services. Urban areas reported a 51% provision rate of these services, slightly less than the 54% observed in rural areas. Additionally, readiness disparities were evident: only 21% of urban facilities had adequate service guidelines compared to 29% in rural areas, and a higher percentage of rural facilities (46%) had trained staff, compared to 23% in urban areas.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This study examined the availability and readiness of ASRH services in PHCs across the Greater Accra region, revealing significant disparities by location and facility type. Particularly, rural and public facilities demonstrated a higher availability of ASRH services compared to urban and private facilities. These findings suggest an uneven distribution of resources and highlight a potential urban underutilization of public health services. Moreover, the study identified a critical lack of service guidelines and trained staff across many facilities, emphasizing the need for enhanced training and resource allocation to improve service readiness. Targeted interventions ar","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"14"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075311","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":"Knowledge of Ghana's liberal abortion law and use of modern contraceptives among women of reproductive age.","authors":"Maxwell Tii Kumbeni, Jeff Luck, S Marie Harvey","doi":"10.1186/s12978-025-01957-8","DOIUrl":"10.1186/s12978-025-01957-8","url":null,"abstract":"<p><strong>Background: </strong>Modern contraceptives have been widely promoted as an effective tool for birth control. They are highly effective for preventing unintended pregnancies thereby reducing the risk of abortions, maternal morbidities, and mortalities. Abortion or planned abstinence from sexual intercourse may be perceived as alternatives to the use of modern contraceptives. The aim of this study was to assess whether knowledge of the legal status of abortion, and knowledge of the monthly fertile period, were associated with the use of modern contraceptives among women of reproductive age in Ghana.</p><p><strong>Methods: </strong>We used nationally representative secondary data from the 2017 Ghana Maternal Health Survey. A weighted sample of 23,466 non-pregnant women aged 15-49 years were included in the study. Pearson chi-square and multivariable logistic regression analysis were conducted to assess the association between the independent and the outcomes variables. Sampling weight, cluster, and strata were applied at all levels of the analysis.</p><p><strong>Results: </strong>More than half (55.4%) lived in urban area, 80.1% were 20 years or older, 52.2% were multiparous women, 61.9% had secondary or higher education, and 34.5% were in the lower two wealth quintiles. We found no statistically significant association between knowledge of the legal status of abortion and use of modern contraceptives, or between knowledge of the monthly fertile period and use of modern contraceptives. Women with history of an induced abortion were 1.57 times as likely to use modern contraceptives compared to those with no history [adjusted odds ratio (aOR) 1.57, 95% CI 1.41-1.75]. Each additional increase in knowledge of a different modern contraceptive method was associated with 1.25 times increase in modern contraceptive use (aOR 1.25, 95% CI 1.22-1.29).</p><p><strong>Conclusions: </strong>Intensifying education on modern contraceptive methods and use, especially at abortion facilities, may help improve the uptake of modern contraceptives among women in Ghana.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"15"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075307","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":"Folic acid supplementation in European women of reproductive age and during pregnancy with excessive weight: a systematic review.","authors":"Federica Loperfido, Francesca Sottotetti, Irene Bianco, Dana El Masri, Beatrice Maccarini, Chiara Ferrara, Antonio Limitone, Hellas Cena, Rachele De Giuseppe","doi":"10.1186/s12978-025-01953-y","DOIUrl":"10.1186/s12978-025-01953-y","url":null,"abstract":"<p><strong>Objective: </strong>Neural tube defects (NTDs), well-known consequences of folate deficiency, are the second most common cause of serious birth defects, affecting approximately one in a thousand pregnancies in Europe. Maternal folate deficiency before conception and during early pregnancy has been suggested as the most important preventable risk factor for NTDs; thus women should be supplemented before conception with 0.4 mg of folic acid (FA) until the first trimester of gestation. Findings have described a positive association between elevated Body Mass Index (BMI) and birth defect risk; data on plasma folate levels in pregnant women with obesity have shown values lower than recommended because of a state of chronic low-grade inflammation, resulting in increased metabolic demands. Nowadays, disparities exist regarding the recommended dose of FA in women at risk, including women of childbearing age with excessive weight. Therefore, this systematic review aimed to investigate if European childbearing age/pregnant women with overweight/obesity are supplemented according to the current country-specific FA recommendations and whether the dosage of 5 mg recommended for pregnant women with obesity is effective in preventing NTDs.</p><p><strong>Methods: </strong>The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. An electronic database search of manuscripts was carried out in Web of Sciences, PubMed and Medline. The quality of the included studies was assessed by using the Quality Assessment for Diverse Studies statement.</p><p><strong>Results: </strong>Out of 1718 records identified, 8 manuscripts met all the inclusion criteria. Overall, the results showed that pregnant women with obesity adherent to FA recommendations ranged between 4% and 9.5%. Furthermore, the majority (61%) started the supplementation after conception, highlighting that European pregnant women are not particularly adherent to recommendations during the period of greatest need.</p><p><strong>Conclusions: </strong>The scarce adherence to the current guidelines shows an urgent need to standardize the recommendations across European countries. Particularly, women of childbearing age with excess weight should be monitored assessing serum folate, RBC folate, and homocysteine levels developing tailored supplementation protocols, to counteract the occurrence of NTDs.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"13"},"PeriodicalIF":3.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075255","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":"Reproductive health literacy scale: a tool to measure the effectiveness of health literacy training.","authors":"Maha Rauf, Zahra Goliaei, Lana Machta, Jenny Chang, Heike Thiel de Bocanegra","doi":"10.1186/s12978-025-01959-6","DOIUrl":"10.1186/s12978-025-01959-6","url":null,"abstract":"<p><strong>Background: </strong>Refugee women's reproductive health (RH) outcomes have been impacted by several factors, including experiencing war, lack of access to healthcare, and possible gender-based violence. After resettlement, low health literacy, financial difficulties, cultural and linguistic barriers, and unfamiliarity with the healthcare system also add to the preexisting barriers. Although several efforts have focused on health education and improving health literacy among refugee women, there has not been a validated tool to measure the effectiveness of these trainings and their possible impact. This study aims to adapt a culturally and linguistically appropriate survey that helps address this gap.</p><p><strong>Methods: </strong>We conducted a literature review to identify the existing tools and identified possible domains and items supporting RH literacy measures. The identified items were collected and adapted as a single scale with three domains: (a) general health literacy, measured with HLS-EU-Q6, (b) digital health literacy, measured with eHEALS, and (c) reproductive health literacy, measured through a composite of the Cervical Cancer Literacy Assessment Tool (C-CLAT) and the Refugee Reproductive Health Network (ReproNet) postpartum literacy scale. After content validity and face validity of the adapted scale, it was translated into Dari, Arabic, and Pashto and was administered to participants of RH literacy training sessions.</p><p><strong>Results: </strong>A total of 67 Dari, 53 Arabic, and 64 Pashto-speaking refugee women completed the survey. The mean scores obtained between the three language groups were similar in the domains of digital health literacy and reproductive health literacy (p > 0.05), whereas the scores for general health literacy were not (p > 0.05). The inter-item reliability score for the domains of general health literacy, digital health literacy and RH literacy across all three language groups was above α = 0.7.</p><p><strong>Conclusion: </strong>This scale addresses the need for validated tools to measure reproductive health literacy. It has the promise to provide a tool for assessing the effectiveness of health interventions on health literacy. Future applications can utilize this scale to investigate the differences in health literacy in refugee populations speaking Dari, Pashto, and Arabic.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"12"},"PeriodicalIF":3.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067467","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":"Examining the associations between social support and postpartum depression symptoms among adolescent mothers in Nairobi, Kenya.","authors":"Luwam T Gebrekristos, Anthony Idowu Ajayi, Allison K Groves, Caroline W Kabiru","doi":"10.1186/s12978-025-01943-0","DOIUrl":"10.1186/s12978-025-01943-0","url":null,"abstract":"<p><strong>Background: </strong>Globally, adolescent mothers are at increased risk for postpartum depression (PPD). In Kenya, 15% of adolescent girls become mothers before the age of 18. While social support can buffer a mother's risk of PPD, there are gaps in knowledge as to whether-and which types-of social support are protective for adolescent mothers in Kenya. Understanding the associations between support and postpartum depression symptoms among adolescent mothers can inform mental health interventions.</p><p><strong>Methods: </strong>Cross-sectional data of adolescent mothers ≤ 1 year postpartum (aged 14-19 years old) in an informal settlement in Nairobi, Kenya (N = 193) were used in analyses. Participants with scores ≥ 10 on the Patient Health Questionnaire-9 were classified as having postpartum depressive symptoms. To fully examine the different ways that social support might matter for adolescent mothers, we examined several domains of social support: child's father support during pregnancy, parental support during pregnancy, parental support of girl's education, membership in a social club, having a good female friend and having a supportive female adult one can turn to for help. We used bivariate and adjusted modified Poisson regression with robust standard errors to examine the associations between support measures and depressive symptoms, controlling for relevant covariates.</p><p><strong>Results: </strong>One-quarter of participants experienced postpartum depressive symptoms (24.9%). Adolescent mothers who reported their mothers or their fathers as being very supportive of girls' education had a lower risk of depressive symptoms (ARR 0.35, 95% CI 0.20-0.61; ARR:0.34, 95% CI 0.13-0.90, respectively) than those whose mothers or fathers were less supportive. Adolescent mothers who had a good female friend to confide in had decreased risk of depressive symptoms (ARR 0.61; 95% CI 0.37-0.99).</p><p><strong>Conclusions: </strong>Having a mother or father being very supportive of girls' education and having a good female friend reduced risk of depressive symptoms. With the unique challenges of early childbearing and high adolescent birth rates in Kenya, interventions which increase parental and peer support during pregnancy and the postpartum period could improve adolescent mothers' mental health.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"11"},"PeriodicalIF":3.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067475","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":"Correlations among hope, fertility quality of life and negative emotions for couples undergoing their first in vitro fertilization-embryo transfer: a cross-sectional analysis.","authors":"Hui Ye, Jing Zhao, Yujie Zou, Xiaorun Song, Mi Xu, Yu Zhang, Lili Zhang, Gaohua Wang","doi":"10.1186/s12978-025-01954-x","DOIUrl":"10.1186/s12978-025-01954-x","url":null,"abstract":"<p><strong>Background: </strong>The global incidence of infertility is increasing, and infertility has become an important medical and social issue. With the widespread application of in vitro fertilization-embryo transfer (IVF-ET) technology, the mental health problems of patients undergoing this treatment have gradually attracted widespread attention. The purpose of this study was to explore the relationships among the level of hope, the fertility quality of life and negative emotions of patients who underwent IVF-ET treatment for the first time to provide a scientific basis for subsequent psychological support interventions.</p><p><strong>Methods: </strong>This study was a cross-sectional survey conducted at the Reproductive Medicine Center of Renmin Hospital of Wuhan University. From February 2023 to October 2023, 1425 patients who received IVF-ET treatment for the first time participated in the questionnaire survey. The survey content included the General Information Questionnaire, the Fertility Quality of Life (FertiQoL) Questionnaire, and the Herth Hope Index (HHI). Pearson correlation analysis was used to examine the relationships among the level of hope, fertility quality of life, and negative emotions.</p><p><strong>Results: </strong>The survey included 805 women and 620 men representing 603 couples. The level of hope in patients undergoing IVF-ET treatment for the first time was positively correlated with fertility quality of life (r = 0.247, P < 0.01), and the level of hope was negatively correlated with negative emotions (stress: r = - 0.135, P < 0.01; anxiety: r = - 0.105, P < 0.01; depression: r = - 0.189, P < 0.01). Fertility quality of life was negatively correlated with negative emotions (stress: r = - 0.609, P < 0.01; anxiety: r = - 0.533, P < 0.01; depression: r = - 0.591, P < 0.01). Among couples undergoing IVF-ET treatment for the first time, the husband's level of hope (r = 0.131, P < 0.01), fertility quality of life (r = 0.372, P < 0.01), and negative emotions (stress: r = 0.181, P < 0.01; anxiety: r = 0.163, P < 0.01; depression: r = 0.210, P < 0.01) were positively correlated with those of his wife.</p><p><strong>Conclusions: </strong>In patients undergoing their first IVF-ET treatment, there is a significant correlation among hope, fertility quality of life, and negative emotions. Moreover, within couples, the levels of hope, fertility quality of life, and negative emotions of husbands and wives mutually influence each other. Enhancing the level of hope in this population is conducive to alleviating negative emotions and improving their fertility quality of life. The mutual influence of spouses should not be overlooked in clinical practice, and psychological support for both partners should be emphasized.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"10"},"PeriodicalIF":3.6,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060595","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}