Seminars in reproductive medicine最新文献

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Preconception Health in the Workplace: An Opportunity to Support Equitable Access to Education. 工作场所的孕前健康:支持公平接受教育的机会。
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2022-07-01 Epub Date: 2022-06-27 DOI: 10.1055/s-0042-1750132
Briony Hill, Melissa Savaglio, Claire Blewitt, Kiran Ahuja, Pragya Kandel, Seonad Madden, Andrew P Hills, Helen Skouteris
{"title":"Preconception Health in the Workplace: An Opportunity to Support Equitable Access to Education.","authors":"Briony Hill,&nbsp;Melissa Savaglio,&nbsp;Claire Blewitt,&nbsp;Kiran Ahuja,&nbsp;Pragya Kandel,&nbsp;Seonad Madden,&nbsp;Andrew P Hills,&nbsp;Helen Skouteris","doi":"10.1055/s-0042-1750132","DOIUrl":"https://doi.org/10.1055/s-0042-1750132","url":null,"abstract":"<p><p>Preconception health is a key determinant of pregnancy and offspring outcomes, but challenges reaching people during preconception are frequently cited by health professionals. This article highlights the workplace as an important setting for promoting equitable access to preconception health-related information and education to support optimal well-being before pregnancy. Workplaces can support equitable access to education and knowledge for preconception health: (1) due to the high engagement of reproductive-age women in the workforce and (2) by reaching vulnerable or high-risk population groups who may otherwise face barriers to accessing preconception health information. Literature that explicitly investigates workplace delivery of preconception health promotion programs is scarce. However, workplace health promotion more broadly is associated with improved corporate competitiveness, productivity, and strengthened employee-employer relationships. Workplace health promotion activities may also address social determinants of health and improve employee well-being outcomes. The opportunity for workplaces to benefit from an increase in the bottom line makes workplace health promotion programs more attractive, but organizational support and stakeholder engagement are needed to facilitate the design and delivery of successful workplace preconception health education programs. Such programs have the potential to facilitate health gains for women and their families.</p>","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":" ","pages":"199-204"},"PeriodicalIF":2.7,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40403877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Interconception Health: Improving Equitable Access to Pregnancy Planning. 怀孕期间保健:改善获得怀孕计划的公平机会。
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2022-07-01 Epub Date: 2022-07-28 DOI: 10.1055/s-0042-1744517
Kirsten I Black, Philippa Middleton, GradDip LibSt, Tanvir M Huda, Sukanya Srinivasan
{"title":"Interconception Health: Improving Equitable Access to Pregnancy Planning.","authors":"Kirsten I Black,&nbsp;Philippa Middleton,&nbsp;GradDip LibSt,&nbsp;Tanvir M Huda,&nbsp;Sukanya Srinivasan","doi":"10.1055/s-0042-1744517","DOIUrl":"https://doi.org/10.1055/s-0042-1744517","url":null,"abstract":"<p><p>Challenges remain with the implementation of preconception care, as many women do not plan their pregnancies and clinicians do not initiate preconception consultations. However, the interconception period may present a more opportune time to address health issues that impact on pregnancy outcomes and may influence future conceptions. It is also an important time to focus on pregnancy complications that may influence a person's health trajectory. This review discusses the evidence pointing to a need for greater attention on interconception health and focuses on five areas of care that may be particularly important in affecting equitable access to good care before a subsequent pregnancy: interpregnancy intervals, contraception, weight, nutrition, and gestational diabetes follow-up. Several programs internationally have developed models of care for interconception health and this review presents one such model developed in the United States that explicitly seeks to reach vulnerable populations of women who may otherwise not receive preconception care.</p>","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":" ","pages":"184-192"},"PeriodicalIF":2.7,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40639991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding the Psychological Impacts of Teenage Pregnancy through a Socio-ecological Framework and Life Course Approach. 通过社会生态框架和生命历程方法了解少女怀孕的心理影响。
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2022-03-01 Epub Date: 2022-01-06 DOI: 10.1055/s-0041-1741518
Kathleen P Tebb, Claire D Brindis
{"title":"Understanding the Psychological Impacts of Teenage Pregnancy through a Socio-ecological Framework and Life Course Approach.","authors":"Kathleen P Tebb,&nbsp;Claire D Brindis","doi":"10.1055/s-0041-1741518","DOIUrl":"https://doi.org/10.1055/s-0041-1741518","url":null,"abstract":"<p><p>The relationship between mental health and teenage pregnancy is complex. Mental health can be both an antecedent and contributing factor to teenage pregnancy and a concurrent factor wherein pregnancy itself can contribute to depression. Expectant and parenting teens (EPT) are faced with the simultaneous challenges of pregnancy and parenting while navigating the developmental tasks of adolescence which increases their risk for mental health problems. In addition, adolescents growing up in stressful community or home situations where their parents experienced depression, further places them and their children at greater risk of repeated patterns over time. However, adverse mental health outcomes are not inevitable. The socio-ecological model combined with a life course perspective provides a framework for understanding the complexity of risk and protective factors at multiple levels that influence knowledge, attitudes, behaviors, and other health outcomes later in life and across generations. This approach has important implications for reducing adolescents' risk of an unintended/mistimed pregnancy and improving mental health and other outcomes for EPT. This paper describes the prevalence of mental health problems in EPT and using a socio-ecological framework and life course perspective explains variations in mental health outcome among EPT. Implications for interventions and innovative approaches are also discussed.</p>","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":" ","pages":"107-115"},"PeriodicalIF":2.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39651646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Contraception in Adolescents. 青少年避孕。
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2022-03-01 Epub Date: 2021-09-09 DOI: 10.1055/s-0041-1735629
Shandhini Raidoo, Marit Pearlman Shapiro, Bliss Kaneshiro
{"title":"Contraception in Adolescents.","authors":"Shandhini Raidoo,&nbsp;Marit Pearlman Shapiro,&nbsp;Bliss Kaneshiro","doi":"10.1055/s-0041-1735629","DOIUrl":"https://doi.org/10.1055/s-0041-1735629","url":null,"abstract":"<p><p>Adolescents are at risk for unwanted pregnancy when they become sexually active, and contraception is an important part of mitigating this risk. Use of contraceptive methods, and long-acting reversible contraceptive methods such as implants and intrauterine devices in particular, has increased among adolescents. Although sexual activity has declined and contraceptive use has increased among adolescents in the United States in recent years, the unintended pregnancy rate remains high. All of the currently available contraceptive methods are safe and effective for adolescents to use; however, adolescents may have specific concerns about side effect profiles and unscheduled bleeding that should be addressed during contraceptive counseling. Healthcare providers should prioritize adolescents' needs and preferences when approaching contraceptive counseling, and also consider the unique access and confidentiality issues that adolescents face when accessing contraception.</p>","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":" ","pages":"89-97"},"PeriodicalIF":2.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39398600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Disorders of Puberty in Girls. 女孩青春期障碍。
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2022-03-01 Epub Date: 2021-09-24 DOI: 10.1055/s-0041-1735892
Aviva B Sopher, Sharon E Oberfield, Selma F Witchel
{"title":"Disorders of Puberty in Girls.","authors":"Aviva B Sopher,&nbsp;Sharon E Oberfield,&nbsp;Selma F Witchel","doi":"10.1055/s-0041-1735892","DOIUrl":"https://doi.org/10.1055/s-0041-1735892","url":null,"abstract":"<p><p>Puberty is the process through which reproductive competence is achieved and comprises gonadarche and adrenarche. Breast development is the initial physical finding of pubertal onset in girls and typically occurs between 8 and 13 years. Menarche normally occurs 2 to 3 years after the onset of breast development. Pubertal onset is controlled by the gonadotropin-releasing hormone pulse generator in the hypothalamus; however, environmental factors such as alterations in energy balance and exposure to endocrine-disrupting chemicals can alter the timing of pubertal onset. Improvement in nutritional and socioeconomic conditions over the past two centuries has been associated with a secular trend in earlier pubertal onset. Precocious puberty is defined as onset of breast development prior to 8 years and can be central or peripheral. Delayed puberty can be hypogonadotropic or hypergonadotropic and is defined as lack of breast development by 13 years or lack of menarche by 16 years. Both precocious and delayed puberty may have negative effects on self-esteem, potentially leading to psychosocial stress. Patients who present with pubertal differences require a comprehensive assessment to determine the underlying etiology and to devise an effective treatment plan.</p>","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":" ","pages":"3-15"},"PeriodicalIF":2.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39469277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Addressing Adolescent Relationship Abuse in the Context of Reproductive Health Care. 在生殖保健范围内处理青少年关系虐待问题。
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2022-03-01 DOI: 10.1055/s-0041-1741519
Maya I Ragavan, Romina L Barral, Kimberly A Randell
{"title":"Addressing Adolescent Relationship Abuse in the Context of Reproductive Health Care.","authors":"Maya I Ragavan,&nbsp;Romina L Barral,&nbsp;Kimberly A Randell","doi":"10.1055/s-0041-1741519","DOIUrl":"https://doi.org/10.1055/s-0041-1741519","url":null,"abstract":"<p><p>Adolescent relationship abuse (ARA) is a significant public health issue that includes physical, sexual, psychological and cyber abuse, reproductive coercion, and/or sexual exploitation within an intimate relationship in which one or both partners is a minor. ARA is associated with numerous negative outcomes that include all domains of health. Many negative outcomes of ARA are related to reproductive and sexual health (RSH); thus, reproductive health care providers must be equipped to recognize and address ARA. This article will review the epidemiology and outcomes of ARA, followed by a discussion of means to robustly address ARA in health care settings. We recommend a strengths-based approach that promotes healthy adolescent relationships, connects adolescents experiencing ARA to harm reduction resources, and equips adolescents to serve as a resource for their peers.</p>","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":"40 1-02","pages":"146-154"},"PeriodicalIF":2.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9885502/pdf/nihms-1865102.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9374321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Female Hyperandrogenism in Elite Sports and the Athletic Triad. 精英运动和运动三位一体中的女性高雄激素症。
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2022-03-01 Epub Date: 2021-10-11 DOI: 10.1055/s-0041-1736337
Angelica Lindén Hirschberg
{"title":"Female Hyperandrogenism in Elite Sports and the Athletic Triad.","authors":"Angelica Lindén Hirschberg","doi":"10.1055/s-0041-1736337","DOIUrl":"https://doi.org/10.1055/s-0041-1736337","url":null,"abstract":"<p><p>Essential hyperandrogenism seems to be overrepresented in female elite athletes. This applies to mild forms such as polycystic ovary syndrome, as well as rare differences/disorders of sex development (DSD). The reason is likely a selection bias since there is increasing evidence that androgens are beneficial for athletic performance by potent anabolic effects on muscle mass and bone mass, and stimulation of erythropoiesis. XY DSD may cause a greatly increased production of testosterone in the male range, that is, 10 to 20 times higher than the normal female range. The established regulations concerning the eligibility of female athletes with severe hyperandrogenism to compete in the female classification remain controversial. The most common cause of menstrual disorders in female athletes, however, is probably an acquired functional hypothalamic disturbance due to energy deficiency in relation to energy expenditure, which could lead to low bone mineral density and increased risk of injury. This condition is particularly common in endurance and esthetic sports, where a lean body composition is considered an advantage for physical performance. It is important to carefully evaluate endocrine disturbances and menstrual disorders in athletes since the management should be specific according to the underlying cause.</p>","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":" ","pages":"32-41"},"PeriodicalIF":2.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39530887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adolescent Sexual and Reproductive Health: Two-Volume Series (Part 1). 青少年性健康和生殖健康:两卷本系列(第1部分)。
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2022-03-01 Epub Date: 2022-06-30 DOI: 10.1055/s-0041-1742148
Tania S Burgert, Kathleen M Hoeger
{"title":"Adolescent Sexual and Reproductive Health: Two-Volume Series (Part 1).","authors":"Tania S Burgert,&nbsp;Kathleen M Hoeger","doi":"10.1055/s-0041-1742148","DOIUrl":"https://doi.org/10.1055/s-0041-1742148","url":null,"abstract":"","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":" ","pages":"1-2"},"PeriodicalIF":2.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40572513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adolescent Sexual and Reproductive Health: Two-Volume Series (Part 2). 青少年性健康和生殖健康:两卷本系列(第2部分)。
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2022-03-01 Epub Date: 2022-06-30 DOI: 10.1055/s-0041-1742147
Tania S Burgert, Kathleen M Hoeger
{"title":"Adolescent Sexual and Reproductive Health: Two-Volume Series (Part 2).","authors":"Tania S Burgert,&nbsp;Kathleen M Hoeger","doi":"10.1055/s-0041-1742147","DOIUrl":"https://doi.org/10.1055/s-0041-1742147","url":null,"abstract":"","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":" ","pages":"87-88"},"PeriodicalIF":2.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40572514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adolescent Fertility Preservation: Where Do We Stand Now. 青少年生育保护:我们现在的处境如何?
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2022-03-01 Epub Date: 2021-10-22 DOI: 10.1055/s-0041-1735891
Snigdha Alur-Gupta, Michelle Vu, Wendy Vitek
{"title":"Adolescent Fertility Preservation: Where Do We Stand Now.","authors":"Snigdha Alur-Gupta,&nbsp;Michelle Vu,&nbsp;Wendy Vitek","doi":"10.1055/s-0041-1735891","DOIUrl":"https://doi.org/10.1055/s-0041-1735891","url":null,"abstract":"<p><p>Adolescence is a period of flux for many body systems. While fertility potential typically increases after menarche, there are diseases where the opposite occurs and fertility preservation options need to be considered early. In cases of cancer, options vary by pubertal status and can include ovarian tissue cryopreservation, oocyte cryopreservation, sperm cryopreservation, and testicular tissue cryopreservation. Much remains to be learned about fertility and preservation options in those with differences in sexual development (DSDs); however, depending on the form of DSD, fertility preservation may not be necessary. Similarly, traditional fertility counseling in children with galactosemia may need to be changed, as data suggest that fertility rates attributed to other causes of premature ovarian insufficiency may not be as applicable to this disease. Adolescents with Turner's syndrome are at high risk for premature ovarian failure; therefore, it is important to consider options as early as possible since ovarian reserves are depleted quickly. On the other hand, transgender and gender diverse adolescents may even be able to undergo fertility preservation after starting hormone therapy. In all cases, there are additional ethical components including technical/surgical risks in childhood, offering experimental therapies without creating false hope and evaluating children's consent and assent capabilities that must be considered.</p>","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":" ","pages":"69-78"},"PeriodicalIF":2.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39552055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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