Women and Birth最新文献

{"title":"“How are you going to remove that cobweb?” Midwifery Services Framework implementation in Zambia: A case study","authors":"Kirsty Hughes ,&nbsp;Bwalya Mabo ,&nbsp;Shree Mandke ,&nbsp;Andrea Nove","doi":"10.1016/j.wombi.2025.101889","DOIUrl":"10.1016/j.wombi.2025.101889","url":null,"abstract":"<div><h3>Background</h3><div>The Midwifery Services Framework (MSF) was devised by the International Confederation of Midwives (ICM) as an evidence-based tool to guide the process of improving sexual, reproductive, maternal, and newborn health services through strengthening and developing the midwifery workforce. The MSF was updated in 2020 and implemented in Zambia in 2020–2023. This study examined the process of MSF implementation in Zambia from the perspectives of individuals and organisations involved in implementation.</div></div><div><h3>Methods</h3><div>We used an Appreciative Inquiry approach to collect qualitative data from nine stakeholders via semi-structured interviews, including representatives of all organizations involved in implementation. Guided by a process evaluation framework, a content analysis was undertaken on the data.</div></div><div><h3>Results</h3><div>The process of MSF implementation achieved or contributed to positive results at a policy and health system level. This study identified factors that contributed to these successes, including: political will, alignment with national planning cycles and existing health system structures, broad stakeholder engagement, and intentional efforts to ensure contextualisation and local ownership of the process. Still more could have been achieved with: even broader stakeholder engagement, better understanding of key midwifery and health system concepts, and stronger data systems.</div></div><div><h3>Conclusion</h3><div>Future efforts to implement the MSF and other investments in strengthening the midwifery workforce should take note of these key success factors and intentionally ‘design them in’ from the outset.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101889"},"PeriodicalIF":4.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511682","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":"Barriers and facilitators for implementation of continuity of midwife care: A review of reviews","authors":"Gila Zarbiv ,&nbsp;Saritte Perlman ,&nbsp;Moriah E. Ellen","doi":"10.1016/j.wombi.2025.101892","DOIUrl":"10.1016/j.wombi.2025.101892","url":null,"abstract":"<div><h3>Background</h3><div>Continuity of Midwife Care (CoMC) significantly improves maternal and neonatal outcomes, including reducing mortality. However, global implementation remains limited, hindered by various barriers and facilitators across healthcare settings. This review of reviews synthesizes existing evidence on barriers and facilitators to CoMC implementation using the Consolidated Framework for Implementation Research (CFIR) as an analytical tool.</div></div><div><h3>Methods</h3><div>Following the Joanna Briggs Institute (JBI) methodology, a review of reviews was conducted. Comprehensive searches of Embase, Medline, CINAHL, and grey literature identified reviews published between 2013 and 2024 that addressed CoMC implementation. Data were categorized by CFIR 2.0 domains: innovation characteristics, outer setting, inner setting, characteristics of individuals, and implementation processes.</div></div><div><h3>Results</h3><div>Six reviews met inclusion criteria. Barriers to CoMC were systemic and included hierarchical power dynamics, limited midwife autonomy, workforce shortages, and inadequate policy support. Facilitators were more context-specific, influenced by healthcare infrastructure and resources. Key facilitators included supportive leadership, collaborative care models, and national guidelines promoting CoMC.</div></div><div><h3>Conclusion</h3><div>Barriers to CoMC are deeply embedded in healthcare systems, while facilitators are highly dependent on local contexts. Bridging the evidence-practice gap requires applying implementation science methodologies, such as CFIR, to inform policy and intervention strategies. Collaboration between countries with similar healthcare systems can foster knowledge-sharing and adaptation of successful CoMC models. These findings offer actionable insights for policymakers and healthcare professionals to advance CoMC integration globally.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101892"},"PeriodicalIF":4.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534103","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":"Are the birth outcomes from a midwifery antenatal and postnatal service (MAPS) comparable to midwifery group caseload practice: A retrospective cohort study","authors":"Lyndall Mollart ,&nbsp;Alison Gibberd ,&nbsp;Elysse Prussing ,&nbsp;Nicole Hainsworth ,&nbsp;Katharine Gillett ,&nbsp;Allison Cummins","doi":"10.1016/j.wombi.2025.101870","DOIUrl":"10.1016/j.wombi.2025.101870","url":null,"abstract":"<div><div>Midwifery continuity of care has demonstrated improved outcomes for mothers and babies including higher rates of spontaneous vaginal birth and more positive birth experiences, with health services cost savings, than non-continuity of care. However, midwives report challenges with continuity of care, such as on-call for labour/birth. Health services have responded with a new model, Midwifery Antenatal and Postnatal Service (MAPS), with care from a known midwife only during pregnancy and the early postnatal period. Women in the MAPS model have intrapartum care by rostered birth suite midwives (potentially unknown to the woman) whereas Midwifery Group Practice have a known midwife.</div></div><div><h3>Aim</h3><div>To determine if MAPS is associated with similar perinatal outcomes for women and babies as the Midwifery Group Practice (MGP) model.</div></div><div><h3>Methods</h3><div>A retrospective study was undertaken using de-identified routinely collected maternity data. All women who booked in and gave birth with MGP or MAPS at one hospital in New South Wales, Australia between April 2022 - April 2023. Descriptive and inferential statistics were used to describe the data.</div></div><div><h3>Results</h3><div>A total of 1303 births were analysed (MGP=349, MAPS =954). The MGP cohort were more likely to experience spontaneous labour (&lt; 0.001) with local anaesthesia or no analgesia, vaginal births without instruments (&lt;0.001), and exclusive breastfeeding at discharge (0.004) compared to MAPS births.</div></div><div><h3>Conclusion</h3><div>Continuity of care with a known midwife (antenatal, labour/birth, and postnatal) was associated with less intervention and improved breastfeeding rates as supported by international literature. Future research is needed comparing MAPS to standard fragmented midwifery care.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101870"},"PeriodicalIF":4.4,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143436398","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":"Midwives experience of working with maternity assistants: A qualitative study","authors":"Carol Crevacore ,&nbsp;Annie De Leo ,&nbsp;Peta Fisher ,&nbsp;Sara Bayes","doi":"10.1016/j.wombi.2025.101885","DOIUrl":"10.1016/j.wombi.2025.101885","url":null,"abstract":"<div><h3>Introduction</h3><div>The midwifery workforce is essential for delivering safe, high-quality maternity care, however, global staffing shortages pose significant challenges. To address these issues, incorporating midwifery assistants, including undergraduate midwifery students into the model of care has been proposed as a strategy to support midwives and maintain effective service delivery.</div></div><div><h3>Aim</h3><div>This study explores the Registered Midwives' experiences working with Midwifery Assistants (MAs) in an Australian tertiary maternity service.</div></div><div><h3>Methods</h3><div>This study employed a qualitative exploratory design and was conducted using semi-structured interviews with 9 midwives who had experienced working with MAs in the tertiary maternity care setting.</div></div><div><h3>Results</h3><div>The discussion highlighted three main themes from the experiences of these midwives working with MAs in tertiary maternity settings. Firstly, all types of MAs are valuable, though their scope of practice and initial knowledge base vary. Secondly, MAs enable midwives to focus on midwifery care, though their potential could be expanded. Finally, undergraduate midwifery student working as MAs gain valuable professional experience, benefiting both themselves and the midwives they assist, despite concerns about role blurring.</div></div><div><h3>Discussion</h3><div>Midwives are essential in maternal and newborn care, however, declining numbers in Australia, result in maternity care models needing review. Maternity assistants can be integrated into care models, providing vital support. While MAs help midwives focus on clinical tasks, role blurring, and limited numbers can be challenges. Expanding MA roles, especially for midwifery students, may enhance care quality and reduce midwives' workload.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101885"},"PeriodicalIF":4.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403247","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":"The preparedness and readiness of rural and remote primary care midwives working in low- and middle-income countries: A scoping review","authors":"Kristen Graham ,&nbsp;Samantha Colquhoun ,&nbsp;Christine LaBond ,&nbsp;Tambri Housen ,&nbsp;Hlengiwe Mohale ,&nbsp;Sai Campbell ,&nbsp;Linda Sweet","doi":"10.1016/j.wombi.2024.101866","DOIUrl":"10.1016/j.wombi.2024.101866","url":null,"abstract":"<div><h3>Background</h3><div>A well-prepared and supported midwifery workforce is essential to providing quality maternal and neonatal health care in rural and remote communities in low- and middle-income countries.</div></div><div><h3>Aim</h3><div>To identify the extent and type of research related to the preparedness and readiness of primary care midwives working in rural and remote settings in low- and middle-income countries.</div></div><div><h3>Methods</h3><div>We conducted a scoping review of primary research literature published between 2010 and 2023.</div></div><div><h3>Findings</h3><div>We identified 62 papers for inclusion, reported in two sections. Section 1 scopes the 52 papers discussing midwives' preparedness and readiness challenges, enablers and recommendations for the rural and remote context in low- and middle-income countries. We report the findings under four categories: 1). Professional preparation and competence; 2). Supportive work environments; 3). Ready, willing, and able; and 4). Governance, policy, and regulation. Section 2 scopes the 16 papers that evaluated strategies to strengthen midwives' preparedness and readiness in rural and remote contexts of low- and middle-income countries. We report these findings under three categories: 1). Education, training, and mentoring; 2). Readiness through technology: and 3). Midwifery workforce. Six papers are relevant to both sections.</div></div><div><h3>Discussion</h3><div>There is limited research evidence on primary care midwives' rural and remote preparedness and readiness in low- and middle-income countries. However, the existing literature demonstrates that midwives need contextually relevant education, training, and support in providing quality care in rural and remote health care environments in low- and middle-income countries.</div></div><div><h3>Conclusion</h3><div>Further investments are required to improve primary care midwives' preparedness and readiness for rural and remote low- and middle-income country settings.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101866"},"PeriodicalIF":4.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143394629","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":"Who plans to give birth with a doula? Demographic factors and perceptions of birth","authors":"Yael Benyamini ,&nbsp;Selen Tovim ,&nbsp;Heidi Preis","doi":"10.1016/j.wombi.2025.101880","DOIUrl":"10.1016/j.wombi.2025.101880","url":null,"abstract":"<div><h3>Problem</h3><div>Research has demonstrated the benefits of continuous care during childbirth, particularly with doula support. However, much less is known about the factors underlying pregnant women’s plans to have doula support.</div></div><div><h3>Background</h3><div>Doulas provide one-on-one continuous care, emotional support, and advocacy, in a culturally sensitive way.</div></div><div><h3>Aim and questions</h3><div>We aimed to investigate the characteristics of pregnant women who consider doula support and whether it is related to their birth experiences, beliefs and concerns, including fear of childbirth and of the staff, beliefs about birth as a natural and as a medical process, and expectations of motherhood.</div></div><div><h3>Method</h3><div>A cross-sectional study, in which pregnant women (<em>N</em> = 1593) recruited in prenatal clinics completed questionnaires regarding socio-demographics, obstetric history, beliefs and concerns about birth, maternal expectations, and their plans for mode and place of birth and for having doula care.</div></div><div><h3>Findings</h3><div>Women who planned to have doula care were more likely to be nulliparous and to plan a more natural birth. A doula plan was more prevalent among recent immigrants, religious women, women who viewed birth as natural and not as medical, and were concerned about the staff’s attitude and control during birth.</div></div><div><h3>Discussion</h3><div>In a medicalised maternity care system, women who view birth as natural birth and who have concerns regarding the care they will receive, are more likely to plan doula care.</div></div><div><h3>Conclusion</h3><div>Understanding the factors related to a doula plan may uncover unmet needs, particularly the need for culturally sensitive care and support for women’s personal choices.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101880"},"PeriodicalIF":4.4,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143379247","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 baby-friendly hospital initiatives on breastfeeding outcomes: Systematic review and meta-analysis","authors":"Ying Wei Fan ,&nbsp;Heidi Sze Lok Fan ,&nbsp;Jeffery Sheung Yu Shing ,&nbsp;Hoi Lam Ip ,&nbsp;Daniel Yee Tak Fong ,&nbsp;Kris Yuet Wan Lok","doi":"10.1016/j.wombi.2025.101881","DOIUrl":"10.1016/j.wombi.2025.101881","url":null,"abstract":"<div><h3>Background</h3><div>The Baby-Friendly Hospital Initiative (BFHI) is a global effort promoting the Ten Steps to support breastfeeding in maternity-care facilities.</div></div><div><h3>Aim</h3><div>This study examined the effect of BFHI on breastfeeding outcomes, focusing on initiation rates, exclusive breastfeeding durations, and factors influencing its effectiveness.</div></div><div><h3>Methods</h3><div>A systematic review and meta-analysis were conducted by searching nine databases (1991 to February 2024). Included studies were experimental, quasi-experimental, or observational studies, with sites implementing the full BFHI or at least three steps. Two reviewers independently screened studies, assessed risk of bias, and extracted data. Random-effects models were used for pooled results, with subgroup analyses based on BFHI status and country income level.</div></div><div><h3>Discussion</h3><div>Eighty-six studies were included. Infants in BFHI hospitals were more likely to be exclusively breastfed at ≤ 3 months (OR= 1.77; 95 % CI: 1.37–2.29) and 3–6 months (OR= 1.82; 95 % CI: 1.26–2.61). Higher rates of any breastfeeding were observed at ≤ 3 months (OR= 1.48; 95 % CI: 1.17–1.87), 3–6 months (OR= 1.75; 95 % CI: 1.18–2.61) and at &gt; 6 months (OR= 2.34; 95 % CI: 1.04–5.27).</div></div><div><h3>Conclusions</h3><div>BFHI implementation positively impacts breastfeeding outcomes, with both short- and long-term effects. Partial implementation also correlates with higher exclusive breastfeeding rates. Insignificant differences across income levels may reflect the limited number of studies in low-and middle- income countries. Further research with longer-term follow up is needed to confirm long-term effects.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101881"},"PeriodicalIF":4.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143215516","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":"Enhancing Midwifery and lactation support for women in natural disasters and humanitarian crises","authors":"Qorinah Estiningtyas Sakilah Adnani ,&nbsp;Maeve Anne O'Connell ,&nbsp;Jodine Chase ,&nbsp;Neha Mankani ,&nbsp;Guldane Damla Kaya ,&nbsp;Caroline SE Homer","doi":"10.1016/j.wombi.2025.101884","DOIUrl":"10.1016/j.wombi.2025.101884","url":null,"abstract":"","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101884"},"PeriodicalIF":4.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143215798","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":"The continuity relationship makes caring for women with anxiety and depression easier, but it is also a heavy responsibility","authors":"Allison Cummins ,&nbsp;Tanika Eaves ,&nbsp;Elizabeth Newnham ,&nbsp;Sarah Melov ,&nbsp;Carolyn Hilsabeck ,&nbsp;Kathleen Baird ,&nbsp;Elysse Prussing ,&nbsp;Dharmintra Pasupathy","doi":"10.1016/j.wombi.2025.101886","DOIUrl":"10.1016/j.wombi.2025.101886","url":null,"abstract":"<div><h3>Background</h3><div>Perinatal depression and anxiety, experienced by about 20 % of women, are a risk factor for associated morbidities for mothers and babies, including risk of suicide and preterm birth. Traditionally this group of women have not been able to access midwifery continuity of care despite the known benefits.</div></div><div><h3>Aim</h3><div>This study aims to explore the experiences of midwives providing continuity of care to women with perinatal mental health disorders and women’s experiences of receiving care in a continuity of care model.</div></div><div><h3>Methods</h3><div>We used a mixed methods design incorporating a qualitative exploratory study using a qualitative descriptive approach [1] to understand midwives experiences. We also explored the women’s experience of receiving continuity of care and observed mothers interacting with their babies. The quantitative data was collected using the Parenting Interactions with Children Checklist of Observations (PICCOLO) [2], described in detail below, to measure these interactions.</div></div><div><h3>Results</h3><div>Two overarching themes were generated: Continuity is protective, with subthemes Safe in their hands, Healing from previous trauma and Sustaining breastfeeding; and Having exceptional care deserves equitable access, with sub-themes Having your choices respected, Having a meaningful birth experience, Providing exceptional care requires support.</div></div><div><h3>Conclusion</h3><div>This study adds to current literature that indicates midwifery continuity of care as emotionally protective, which is particularly important for women with perinatal mental health conditions and may have ongoing positive effects that foster wellbeing. Experienced as providing ‘exceptional’ care, our findings demonstrate an urgent need to increase access to such models, and ensuring midwives have equally ‘exceptional’ training, support and referral pathways, to ensure their sustainability.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101886"},"PeriodicalIF":4.4,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139390","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":"A qualitative analysis of Australian midwifery students’ perspectives of Midwifery Practice Experience: Characteristics that enhance or diminish clinical education placements","authors":"L. Kearney ,&nbsp;D. Bloxsome ,&nbsp;S. Hunter ,&nbsp;A. Brown ,&nbsp;S. Cooper ,&nbsp;F. Bogossian","doi":"10.1016/j.wombi.2025.101887","DOIUrl":"10.1016/j.wombi.2025.101887","url":null,"abstract":"<div><h3>Background</h3><div>Midwifery education in Australia faces challenges in combining theoretical and practical experiences, with reports of inconsistent support and supervision during Midwifery Practice Experience (MPE), alongside significant financial and personal costs to students. National evaluation and improvement initiatives are essential to ensure that midwifery students receive effective and high-quality clinical learning opportunities.</div></div><div><h3>Aim</h3><div>This study aimed to answer two research questions: 1) How do midwifery students describe their Midwifery Practice Experiences? 2) What are the characteristics of Midwifery Practice Experiences that enhance or diminish midwifery student learning?</div></div><div><h3>Methods</h3><div>National midwifery student survey data, collected through the National Placement Evaluation Centre. Data were inclusive of the 2023 calendar year. Data entered as ‘free text’ responses were analysed thematically.</div></div><div><h3>Findings</h3><div>A total of 795 midwifery students completed the Placement Evaluation Tool (PET-Midwifery) during the data collection period, with 297 (37.4 %) providing a ‘free text’ response. Students were enrolled in 17 Australian Universities and represented every State and Territory except for the Australian Capital Territory. Positive experiences were linked to a sense of belonging and effective supervision, while negative experiences were tied to feeling unwelcomed and inconsistent learning opportunities. The study highlighted the personal impact of attending placements and identified the need for improved student support and preparation.</div></div><div><h3>Conclusions</h3><div>Based upon a national survey of midwifery student perspectives of MPE, placement satisfaction was generally high with effective supervision and a sense of belonging. However negative experiences included reports of unwelcoming environments with a need for culture change and interventional education approaches.</div></div>","PeriodicalId":48868,"journal":{"name":"Women and Birth","volume":"38 2","pages":"Article 101887"},"PeriodicalIF":4.4,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139389","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}