Journal of Psychosomatic Obstetrics & Gynecology最新文献

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Experiences of young girls and women undergoing ovarian tissue cryopreservation: a systematic review and thematic synthesis. 年轻女孩和妇女经历卵巢组织冷冻保存的经验:系统回顾和专题综合。
IF 3.1 3区 医学
Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-12-01 DOI: 10.1080/0167482X.2022.2084376
Hajra Khattak, Hannah Woodman, Yousri Afifi, Christiani A Amorim, Simon Fishel, Ioannis Gallos, Arri Coomarasamy, Annie Topping
{"title":"Experiences of young girls and women undergoing ovarian tissue cryopreservation: a systematic review and thematic synthesis.","authors":"Hajra Khattak,&nbsp;Hannah Woodman,&nbsp;Yousri Afifi,&nbsp;Christiani A Amorim,&nbsp;Simon Fishel,&nbsp;Ioannis Gallos,&nbsp;Arri Coomarasamy,&nbsp;Annie Topping","doi":"10.1080/0167482X.2022.2084376","DOIUrl":"https://doi.org/10.1080/0167482X.2022.2084376","url":null,"abstract":"<p><p>The aim of this study was to explore the experiences of young girls and women who underwent or considered ovarian tissue cryopreservation (OTC) using a systematic review of qualitative studies with thematic synthesis framework. Major electronic databases: MEDLINE, EMBASE, the Cochrane Library, CINAHL and PsycINFO were searched from 1946 to May 2020 and reference lists of relevant articles were hand searched. Any studies that described a qualitative inquiry and highlighted the experiences of women with regards to OTC were included. Two independent reviewers screened the title and abstracts and made a selection against inclusion criteria. Main outcomes measures were experiences of women who have considered and/or undergone OTC, decision making in women who underwent or considered OTC and patient education. Nineteen studies were assessed for full text eligibility and four were included in analysis. 144 verbatim quotations from 85 participants in high income countries (UK, USA and Denmark) were included. Two studies adopted grounded theory approach, one phenomenology and one inductive content analysis. Four themes were generated; participants described their experiences as emotional, involving complex decision-making, helping them prepare for the long-term consequences of potentially losing their fertility and hormonal function, as well as their experience being educational. Additionally, the more practical aspects of the procedure such as OTC being invasive as well as costs implications were highlighted. Women and young girls are often involved in making time-sensitive decisions whether or not to undergo OTC. Healthcare professionals involved in the care of young girls and women undergoing this method need to also take into consideration the emotional wellbeing of the patients as well as the time and expertise it requires to help them make an informed decision.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10432951","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
Awareness and attitude toward oocyte cryopreservation for non-medical reasons: a study on women candidates for social egg freezing. 对非医学原因卵母细胞冷冻保存的认识和态度:社会卵子冷冻女性候选人的研究。
IF 3.1 3区 医学
Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-12-01 DOI: 10.1080/0167482X.2022.2090332
Maryam Hafezi, Nadia Zameni, Seyyedeh Zahra Nemati Aghamaleki, Reza Omani-Samani, Samira Vesali
{"title":"Awareness and attitude toward oocyte cryopreservation for non-medical reasons: a study on women candidates for social egg freezing.","authors":"Maryam Hafezi,&nbsp;Nadia Zameni,&nbsp;Seyyedeh Zahra Nemati Aghamaleki,&nbsp;Reza Omani-Samani,&nbsp;Samira Vesali","doi":"10.1080/0167482X.2022.2090332","DOIUrl":"https://doi.org/10.1080/0167482X.2022.2090332","url":null,"abstract":"<p><strong>Purpose: </strong>The present study was to investigate awareness and attitudes toward female fertility and aging, desire for a child and motherhood, and oocyte freezing for non-medical reasons among women candidates for Social Egg Freezing (SEF).</p><p><strong>Materials and methods: </strong>This was a cross-sectional study on all 216 women who sought oocyte cryopreservation for nonmedical reasons at Royan Institute. A 24-item self-administered questionnaire measured knowledge and attitudes to SEF. Responses were as yes/no or a 4-point Likert scale.</p><p><strong>Results: </strong>Only 40% of participants accurately indicated that having a sexual partner does not help to preserve their fertility. A quarter of women correctly recalled chance of pregnancy with unprotected intercourse during a period of a year, for women 20 to 40 years old. Only one-third of respondents accurately identified the age-related fertility decline at 35-39 years. Only 6.9% correctly mentioned the low chance of pregnancy after egg freezing at 35 years old. Almost a third of women knew that the age range of 31-35 years is the right age to freeze an egg with the highest chance of pregnancy. Aging and health of offspring were most influential in women's decisions on SEF.</p><p><strong>Conclusion: </strong>In conclusion, there was significant gaps in knowledge about age-related fertility decline, and egg cryopreservation conditions and its complications. It is crucial to impart to these women a better knowledge about fertility and a realistic picture about SEF, especially on the number of high-quality retrieved mature oocytes and live birth rates depend on women's age.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10424424","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: 3
Physiological and psychological stress responses to labor and delivery during COVID-19 pandemic: a cohort study. COVID-19大流行期间对分娩和分娩的生理和心理应激反应:一项队列研究
IF 3.1 3区 医学
Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-12-01 DOI: 10.1080/0167482X.2022.2030308
Aula Asali, Sivan Farladansky-Gershnabel, Noa Hasky, Michal Elbaz, Ami Fishman, Dorit Ravid, Amir Wiser, Tal Biron-Shental, Arie Berkovitz, Netanella Miller
{"title":"Physiological and psychological stress responses to labor and delivery during COVID-19 pandemic: a cohort study.","authors":"Aula Asali,&nbsp;Sivan Farladansky-Gershnabel,&nbsp;Noa Hasky,&nbsp;Michal Elbaz,&nbsp;Ami Fishman,&nbsp;Dorit Ravid,&nbsp;Amir Wiser,&nbsp;Tal Biron-Shental,&nbsp;Arie Berkovitz,&nbsp;Netanella Miller","doi":"10.1080/0167482X.2022.2030308","DOIUrl":"https://doi.org/10.1080/0167482X.2022.2030308","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate objective (saliva cortisol) and subjective (questionnaire) stress levels during the Coronavirus disease (COVID-19) pandemic compared to before the pandemic and their effects on obstetric and neonatal outcomes.</p><p><strong>Methods: </strong>This cohort study included 36 women with low-risk, singleton, term deliveries at a tertiary academic center during the COVID-19 pandemic and 49 who delivered before. Physiological stress was evaluated with salivary cortisol measurements, and emotional stress with stress scale questionnaires (0-10) during active and full dilation stages of labor, and 2-min postpartum. Cord blood cortisol and pH were obtained. Delivery mode, complications, and neonatal outcomes were evaluated.</p><p><strong>Results: </strong>Psychological stress was higher for the COVID-19 group compared to controls during full dilation (6.2<b> </b>±<b> </b>3.4 <i>vs.</i> 4.2<b> </b>±<b> </b>3, <i>p</i> = .009). The COVID-19 group had significantly lower cord cortisol levels (7.3<b> </b><i>vs.</i> 13.6<b> </b>mcg/dl, <i>p</i><b> </b>=<b> </b>.001). No differences were found regarding salivary cortisol level assessments at active, full dilation and 2-min post-delivery (<i>p</i><b> </b>=<b> </b>.584, <i>p</i><b> </b>=<b> </b>.254, <i>p</i><b> </b>=<b> </b>.829, respectively). No differences were found regarding pH<b> </b><<b> </b>7.1 (<i>p</i><b> </b>=<b> </b>.487), 1- and 5-min Apgar scores<b> </b><<b> </b>7 (<i>p</i><b> </b>=<b> </b>.179) and neonatal weight (<i>p</i><b> </b>=<b> </b>.958).</p><p><strong>Conclusions: </strong>Women who delivered during COVID-19 pandemic had higher stress levels at full dilation and lower cord cortisol levels, as may be expected after exposure to a chronic stressor.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10432390","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
Identifying women with fear of childbirth with the Dutch Fear of Birth Scale and its added value for consultations. 利用荷兰分娩恐惧量表识别分娩恐惧的妇女及其对咨询的附加价值。
IF 2.1 3区 医学
Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-12-01 Epub Date: 2021-12-15 DOI: 10.1080/0167482X.2021.2013797
I den Boer, Y M G A Hendrix, H Knoop, M G van Pampus
{"title":"Identifying women with fear of childbirth with the Dutch Fear of Birth Scale and its added value for consultations.","authors":"I den Boer, Y M G A Hendrix, H Knoop, M G van Pampus","doi":"10.1080/0167482X.2021.2013797","DOIUrl":"10.1080/0167482X.2021.2013797","url":null,"abstract":"<p><strong>Objectives: </strong>Determine whether the Fear of Birth Scale (FOBS) is a useful screening instrument for Fear of Childbirth (FoC) and examine the potential added value of screening by analyzing how often pregnant women discuss their FoC during consultation.</p><p><strong>Methods: </strong>This cross-sectional survey study included nulliparous pregnant women of all gestational ages, recruited <i>via</i> the internet, hospital and midwifery practices. The online questionnaires included the FOBS and Wijma Delivery Expectations Questionnaire version A (W-DEQ A). The latter was used as golden standard for assessing FoC (cutoff: ≥85).</p><p><strong>Results: </strong>Of the 364 included women, 67 (18.4%) had FoC according to the W-DEQ A. Using the FOBS with a cutoff score of ≥49, the sensitivity was 82.1% and the specificity 81.1%, with 111 (30.5%) women identified as having FoC. Positive predictive value was 49.5% and negative predictive value 95.3%. Of the women with FoC (FOBS ≥49), 68 (61.3%) did not discuss FoC with their caregiver.</p><p><strong>Conclusion: </strong>The FOBS is a useful screening instrument for FoC. A positive score must be followed by further assessment, either by discussing it during consultation or additional evaluation with the W-DEQ A. The majority of pregnant women with FoC do not discuss their fears, underscoring the need for screening.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10432660","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
Prevalence of anxiety and depression among pregnant women during the COVID-19 pandemic: a meta-analysis. COVID-19大流行期间孕妇焦虑和抑郁的患病率:一项荟萃分析
IF 3.1 3区 医学
Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-09-01 Epub Date: 2021-06-24 DOI: 10.1080/0167482X.2021.1929162
Masumeh Ghazanfarpour, Fereshteh Bahrami, Farzaneh Rashidi Fakari, Farzane Ashrafinia, Masoudeh Babakhanian, Mohammad Dordeh, Fatemeh Abdi
{"title":"Prevalence of anxiety and depression among pregnant women during the COVID-19 pandemic: a meta-analysis.","authors":"Masumeh Ghazanfarpour,&nbsp;Fereshteh Bahrami,&nbsp;Farzaneh Rashidi Fakari,&nbsp;Farzane Ashrafinia,&nbsp;Masoudeh Babakhanian,&nbsp;Mohammad Dordeh,&nbsp;Fatemeh Abdi","doi":"10.1080/0167482X.2021.1929162","DOIUrl":"https://doi.org/10.1080/0167482X.2021.1929162","url":null,"abstract":"<p><strong>Purpose: </strong>Coronavirus disease (COVID-19) is a newly emerged respiratory illness, which has spread around the world. Pregnant women are exposed to additional pressure due to the indirect adverse effects of this pandemic on their physical and mental health. Since the psychological wellness framework is weak in developing countries, it is likely that geographical factors affect the prevalence. Therefore, the goal of this meta-analysis is to investigate the prevalence of anxiety and depression among pregnant women during the COVID-19 pandemic.</p><p><strong>Methods: </strong>We searched databases including PubMed/MEDLINE, Web of Science, Cochrane Library for articles. The quality of studies was determined based on the STROBE checklist. I2 and Cochrane Q-test were used to determine heterogeneity. Fixed effects and/or random effects models were also employed to estimate pooled prevalence.</p><p><strong>Results: </strong>Since heterogeneity was fairly high in all analyses, the random effect model was used. According to the results of random effects in the meta-analysis, the pooled prevalence was 18.7% (95% CI: 0.06-0.36%; <math><msup><mrow><mi>I</mi></mrow><mrow><mn>2</mn></mrow></msup><mo>=</mo><mn>99</mn><mi>%</mi><mo>,</mo><mi>P</mi><mo><</mo><mn>0.001</mn></math>) for anxiety and 25.1% (95% CI: 0.18-0.33%; <math><msup><mrow><mi>I</mi></mrow><mrow><mn>2</mn></mrow></msup><mo>=</mo><mn>97</mn><mi>%</mi><mo>,</mo><mi> </mi><mi>P</mi><mo><</mo><mn>0.001</mn></math>) for depression. The results of continent subgroup analysis showed that the prevalence of anxiety was higher in western country (38%) than in Asia country (7.8%). The prevalence of anxiety in Italy (38%), Canada (56%), Pakistan (14%), Greece (53%), Sri Lanka (17.5%), and China (0.3-29%) and Iran 3.8% as well as the prevalence of depression in Canada (37%), Belgium (25%), Turkey (35.4%), Sri Lanka (19.5%), and China (11-29%) has been reported.</p><p><strong>Conclusion: </strong>Covid-19 may impose extra pressure on the emotional wellbeing of pregnant women. Therefore, there is an urgent need for resources to help mitigate anxiety and depression in pregnant women.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0167482X.2021.1929162","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39103048","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: 23
A cross-sectional study on prevalence of menstrual problems, lifestyle, mental health, and PCOS awareness among rural and urban population of Punjab, India. 印度旁遮普邦农村和城市人口月经问题、生活方式、心理健康和多囊卵巢综合征意识流行的横断面研究
IF 3.1 3区 医学
Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-09-01 Epub Date: 2021-08-27 DOI: 10.1080/0167482X.2021.1965983
Priya Sharma, Mandeep Kaur, Sachin Kumar, Preeti Khetarpal
{"title":"A cross-sectional study on prevalence of menstrual problems, lifestyle, mental health, and PCOS awareness among rural and urban population of Punjab, India.","authors":"Priya Sharma,&nbsp;Mandeep Kaur,&nbsp;Sachin Kumar,&nbsp;Preeti Khetarpal","doi":"10.1080/0167482X.2021.1965983","DOIUrl":"https://doi.org/10.1080/0167482X.2021.1965983","url":null,"abstract":"<p><strong>Introduction: </strong>Menstrual cycle gets affected by various modifiable risk factors. To assess prevalence of various types of menstrual problems, lifestyle and mental health status, identification of variables as predictors for menstrual problems and level of polycystic ovary syndrome (PCOS) awareness among rural and urban population of Punjab, the present study has been carried out.</p><p><strong>Methods: </strong>The study was conducted from November 2019 to July 2020 in the Malwa region of Punjab, India, with 2673 participants (15-25 years). Epidemiological information was collected using predesigned questionnaire along with depression, anxiety and stress (DASS-21) score mental health assessment tool. MS-Excel (2019) and IBM SPSS 18.0 (SPSS Inc., Chicago, IL) was used for statistical analysis.</p><p><strong>Results: </strong>The overall prevalence of different menstrual problems was 60.61%, with dysmenorrhea (50.64%) being most common problem. Body mass index (BMI), menarche age, physical activity, and mental health status are significant (<i>p</i> < 0.05) predictors of menstrual problem both in rural and urban population. Overall, only 3.30% subjects were aware about PCOS.</p><p><strong>Conclusion: </strong>Dysmenorrhea is the most common menstrual problem, both in rural and urban population. BMI, sedentary lifestyle, electronic gadgets usage, and mental health are associated with menstrual problems. Low awareness on PCOS indicates need to create awareness as the condition can be easily managed with early intervention.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39357002","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: 4
Relationships between anxiety induced by COVID-19 and perceived social support among Iranian pregnant women. 伊朗孕妇因COVID-19引起的焦虑与感知社会支持之间的关系
IF 3.1 3区 医学
Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-09-01 Epub Date: 2021-05-04 DOI: 10.1080/0167482X.2021.1918671
Vahideh Behmard, Narjes Bahri, Fatemeh Mohammadzadeh, Ali Delshad Noghabi, Nasrin Bahri
{"title":"Relationships between anxiety induced by COVID-19 and perceived social support among Iranian pregnant women.","authors":"Vahideh Behmard,&nbsp;Narjes Bahri,&nbsp;Fatemeh Mohammadzadeh,&nbsp;Ali Delshad Noghabi,&nbsp;Nasrin Bahri","doi":"10.1080/0167482X.2021.1918671","DOIUrl":"https://doi.org/10.1080/0167482X.2021.1918671","url":null,"abstract":"<p><strong>Background: </strong>The rapid spread of COVID-19 and the time needed to develop a vaccine or definitive treatment for the disease have caused great anxiety in communities, especially in pregnant women whose high levels of distress may have short and/or long-term maternal and fetal consequence. This study was conducted to investigate the relationship between anxiety induced by COVID-19 and perceived social support in Iranian pregnant women.</p><p><strong>Methods: </strong>This online cross-sectional study was conducted on 801 pregnant women from all over Iran in 2020. The data were collected using a demographic questionnaire, the multidimensional scale of perceived social support, and the coronavirus disease anxiety scale. A standard multiple linear regression model was used to identify the association between perceived social support and anxiety, controlling for possible confounding variables. Partial <i>r</i> was used as an estimate of effect size.</p><p><strong>Results: </strong>The mean anxiety score was 10.7 ± 8.0, in which its level was moderate in 122 (15.2%; 95% confidence interval (CI): 12.8-17.9%)) of the participants, and severe in 28 (3.4%; 95% CI: 2.3-5.0%) of them. The mean score of perceived social support was 48.2 ± 7.6. 6.9% (95% CI: 5.2-8.8%) and 93.1% (95% CI: 91.2-94.8%) of the participants reported mild and moderate levels of perceived social support, respectively. The results of the multiple linear model showed a significant negative correlation between perceived social support and anxiety levels in a way that for every 10 units increase in the perceived social support score, the anxiety level of pregnant women was decreased by 0.8 units (<i>B</i>= -0.08, <i>t</i>= -2.08, <i>p</i> = 0.037), which was a small effect size (partial <i>r</i> = -0.07).</p><p><strong>Conclusion: </strong>There was a small significant relationship between the perceived social support and COVID-19 anxiety. Further studies are required to identify associated factors of anxiety level during COVID-19 in pregnant women.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0167482X.2021.1918671","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38879535","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: 7
Correction to: Hizli et al., Hyperemesis gravidarum and depression in pregnancy: is there an association? 更正:Hizli等人,妊娠期妊娠剧吐与抑郁:有关联吗?
IF 3.1 3区 医学
Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-09-01 Epub Date: 2022-08-13 DOI: 10.1080/0167482X.2018.1446391
{"title":"Correction to: Hizli et al., Hyperemesis gravidarum and depression in pregnancy: is there an association?","authors":"","doi":"10.1080/0167482X.2018.1446391","DOIUrl":"https://doi.org/10.1080/0167482X.2018.1446391","url":null,"abstract":"","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40698508","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
Individualizing management in women's health - taking time to understand everyone's personal needs. 妇女健康的个性化管理——花时间了解每个人的个人需求。
IF 3.1 3区 医学
Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-09-01 DOI: 10.1080/0167482X.2022.2117920
Julie A Quinlivan, Mijke Lambregtse-van den Berg
{"title":"Individualizing management in women's health - taking time to understand everyone's personal needs.","authors":"Julie A Quinlivan,&nbsp;Mijke Lambregtse-van den Berg","doi":"10.1080/0167482X.2022.2117920","DOIUrl":"https://doi.org/10.1080/0167482X.2022.2117920","url":null,"abstract":"For many years we have appreciated that no two people experience pain or a variety of other symptoms the same way. It can be confusing as a clinician when one patient talks about excruciating agony and a second with a similar disease profile talks about a manageable discomfort. These divergences have frequently been explained as being due to cognitive factors or perception. However, the science remains unclear. In this edition we highlight why each patient must be managed as an individual. In some areas of medicine this is already well established. For example, we direct infectious disease pharmacology to the underlying cause of infection. In other areas it is emerging. For example, progress in understanding the mutations in specific tumors is helping redefine chemotherapy and immunotherapy for some malignancies. However, in other areas, especially pain, we still apply a general model of care. Yet we need to consider whether a more individualized approach may lead to better outcomes in women’s health. In a study by Barneveld et al., the authors explored how patient-specific affect impacts upon the lived pain experience in endometriosis [1]. Using 10 real time assessments across 7 days, women with endometriosis and healthy controls evaluated their perception of pain and affect. A concurrent and temporal relationship was identified. In some endometriosis patients this was almost linear, and in others less so. This suggests using real time assessments and managing according to both affect and pain perception may be required to enhance pain management [1]. If there is a strong relationship in an individual patient, then pain relief may be difficult to achieve without strategies that also promote a positive affect. In another study in this edition, Class, 2022 reported on a data linkage study involving the electronic medical records of 25,604 women evaluating the impact of overweight and obesity on the rate of cesarean section birth [2]. They found that cesarean section birth rates increased serially with each increase in body mass index category even after adjusting for maternal age, year of birth, gestational diabetes, and hypertensive disorders of pregnancy [2]. However, limiting gestational weight gain in overweight and obese women was able to mitigate the risk to some degree. How do we translate this into individualized care? Certainly, we should advise women that BMI does increase the risk of cesarean section birth and also advise that we can mitigate this risk to some degree through management of gestational weight gain. But should we go further and individualize advice to the woman’s circumstances? Rather than telling them of risks, can we instead ask how we can help work with them to reduce the risk of intervention in childbirth? Some women may seek reassurance that limiting weight gain in pregnancy is safe. Others may need help planning meals to optimize their diets. Others may just need our support. In an interesting study by Glidden et al.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40374774","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
Psychosocial outcomes of COVID-19 pandemic on healthcare workers in maternity services. COVID-19大流行对孕产妇服务医护人员的社会心理影响。
IF 3.1 3区 医学
Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-09-01 Epub Date: 2021-06-29 DOI: 10.1080/0167482X.2021.1940944
Recep Erin, Yeşim Bayoğlu Tekin
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引用次数: 5
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