Sexual & Reproductive Healthcare最新文献

Maternal outcomes among women with type 1 diabetes in Sweden. A population-based cohort study 瑞典1型糖尿病妇女的孕产结局一项基于人群的队列研究

IF 1.7 3区医学

Sexual & Reproductive Healthcare Pub Date : 2026-03-01 Epub Date: 2026-01-27 DOI: 10.1016/j.srhc.2026.101193

Alexandra Goldberg , Eva Wiberg-Itzel , Joanna Tingström , Cecilia Ekéus

{"title":"Maternal outcomes among women with type 1 diabetes in Sweden. A population-based cohort study","authors":"Alexandra Goldberg , Eva Wiberg-Itzel , Joanna Tingström , Cecilia Ekéus","doi":"10.1016/j.srhc.2026.101193","DOIUrl":"10.1016/j.srhc.2026.101193","url":null,"abstract":"<div><h3>Objective</h3><div>Type 1 diabetes (T1D) increases the risk of pregnancy complications due to hyperglycemia and vasculopathy, leading to higher rates of preeclampsia and obstetric interventions. A contemporary reassessment of maternal and obstetric outcomes in women with T1D is needed, considering care for women with T1D in Sweden is inequitable. This study aimed to investigate maternal and obstetric outcomes among women with T1D in Sweden.</div></div><div><h3>Methods</h3><div>In this population-based cohort study, data from the Swedish Medical Birth Register were used to compare maternal and obstetric outcomes among women with and without T1D. The study included all primiparous women with singleton births beyond 22 + 0 gestational weeks and a planned vaginal delivery between 2010 and 2022 (N = 558 546). Logistic regression analyses were performed, and results are presented as adjusted odds ratios (aORs) with 95% confidence intervals (CIs).</div></div><div><h3>Results</h3><div>Among the study population, 2749 women had T1D and 555 797 did not. After adjustment, women with T1D had increased odds of preeclampsia (aOR 5.57; 95% CI 5.07–6.16), induction of labor (aOR 6.62; 95% CI 6.11–7.18), cesarean section (aOR 4.71; 95% CI 4.35–5.11), and shoulder dystocia (aOR 11.81; 95% CI 9.20–15.17). Elevated risks were also observed for vacuum extraction, prolonged labor, fetal distress, and postpartum endometritis.</div></div><div><h3>Conclusions</h3><div>Women with T1D face substantially higher risks of pregnancy complications and birth interventions compared with women without T1D. These findings underscore the importance of tailored preconception and perinatal care, as well as targeted interventions to improve maternal and obstetric outcomes in T1D.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"47 ","pages":"Article 101193"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077776","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

Outcomes of labor induction in primiparous women with unfavorable cervical status at gestational week 41 and beyond. Does the Bishop score matter? 妊娠41周及以上宫颈状况不良的初产妇引产的结果。毕晓普的得分重要吗？

IF 1.7 3区医学

Sexual & Reproductive Healthcare Pub Date : 2026-03-01 Epub Date: 2026-01-14 DOI: 10.1016/j.srhc.2026.101183

Ragnheidur Rósa Ólafsdóttir , Anna Eckerdal Toll , Maria Jonsson , Cecilia Ekéus

{"title":"Outcomes of labor induction in primiparous women with unfavorable cervical status at gestational week 41 and beyond. Does the Bishop score matter?","authors":"Ragnheidur Rósa Ólafsdóttir , Anna Eckerdal Toll , Maria Jonsson , Cecilia Ekéus","doi":"10.1016/j.srhc.2026.101183","DOIUrl":"10.1016/j.srhc.2026.101183","url":null,"abstract":"<div><div><strong>Objectives</strong>: In Sweden, induction practices have shifted, and since 2020, national guidelines recommend induction of labor (IOL) at 41 gestational weeks. This study aimed to examine mode of delivery, childbirth experience and breastfeeding initiation among primiparous undergoing IOL at gestational week ≥41+0 with a Bishop score (BS) of 0–5.</div><div><strong>Material and methods</strong>: This cohort study was based on prospectively collected data from medical records of 348 healthy primiparous with singleton pregnancies who underwent IOL at ≥ 41 + 0 weeks of gestation with a BS of 0–5. Outcomes included mode of delivery, childbirth experience, and breastfeeding. Women were divided into two categories according to their cervical status: very unfavorable score (BS 0–3) and moderately unfavorable score (BS 4–5). Outcomes were compared using descriptive statistics and logistic regression, with odds ratios (OR) and 95% confidence intervals (CI).</div><div><strong>Results</strong>: Emergency cesarean section (CS) was significantly more frequent among women with BS 0–3 compared to BS 4–5 (23% vs. 11%; OR 2.58, 95% CI 1.30–5.11). A negative childbirth experience (VAS < 5) was reported twice as often in the BS 0–3 group (20% vs. 10%; OR 2.08, 95% CI 1.03–4.20). No significant differences were found in the initiation of breastfeeding.</div><div>Conclusions.</div><div>Induction of labor in healthy primiparous with a BS of 0–3 at or beyond 41 weeks is associated with an increased risk of emergency cesarean section and negative childbirth experience. These findings underscore the clinical importance of various degrees of cervical ripeness before induction.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"47 ","pages":"Article 101183"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977720","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

Reframing underserved young women’s access to reproductive services: Extending Wier et al.’s review through a life-course, gender-inclusive and digital lens 重塑服务不足的年轻女性获得生殖服务的途径：通过生命历程、性别包容和数字视角扩展Wier等人的综述。

IF 1.7 3区医学

Sexual & Reproductive Healthcare Pub Date : 2026-03-01 Epub Date: 2025-12-13 DOI: 10.1016/j.srhc.2025.101177

Endah Fitriasari, Muhammad Taufan Umasugi

引用次数: 0

Unintended pregnancies in the Global South: The role of gender equality and economic empowerment 南半球的意外怀孕：性别平等和经济赋权的作用。

IF 1.7 3区医学

Sexual & Reproductive Healthcare Pub Date : 2026-03-01 Epub Date: 2025-12-20 DOI: 10.1016/j.srhc.2025.101178

Bwalya Bupe Bwalya , Clifford Obby Odimegwu

{"title":"Unintended pregnancies in the Global South: The role of gender equality and economic empowerment","authors":"Bwalya Bupe Bwalya , Clifford Obby Odimegwu","doi":"10.1016/j.srhc.2025.101178","DOIUrl":"10.1016/j.srhc.2025.101178","url":null,"abstract":"<div><h3>Introduction</h3><div>Millions of women in the Global South face unintended pregnancies, undermining their reproductive health, rights, and well-being, and increasing maternal health risks. These challenges perpetuate poverty and inequality. Although economic empowerment and gender equality are recognised as key predictors, their individual and combined effects on unintended pregnancies in this region remain insufficiently explored.</div></div><div><h3>Methodology</h3><div>The study analysed pooled, weighted normalised Demographic and Health Survey (DHS) data from 2015 to 2022 across 51 Global South countries, encompassing 432,130 currently pregnant women aged (15–49 years). Descriptive and bivariate analyses were conducted. Exploratory factor analysis was used to identify latent constructs of economic empowerment and gender equality, and binary logistic regression was used to assess their association with unintended pregnancy.</div></div><div><h3>Results</h3><div>Nearly a quarter of pregnancies (22.4 %) are unintended in the Global South. Latin America and the Caribbean have the highest rates (47.3 %), followed by Africa (29.0 %), and South/Southeast Asia with the lowest (10.3 %). Women’s economic empowerment and gender equality emerged as significant factors in reducing unintended pregnancies. Specifically, economic independence, reproductive health autonomy, and household autonomy were associated with lower odds of unintended pregnancies (AOR = 0.76; AOR = 0.83, and AOR = 0.95; p < 0.001), remaining strong predictors even after accounting for other socioeconomic and bio-demographic variables.</div></div><div><h3>Conclusion</h3><div>To reduce unintended pregnancies, policies should enhance women’s access to microcredit, promote shared household decision-making, and integrate gender empowerment into reproductive health programmes. However, the effectiveness of these interventions varies by region. For improved outcomes, policies must also address broader societal and structural factors.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"47 ","pages":"Article 101178"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145914141","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

A critical review of methodological approaches in contraceptive counselling research: Insights and concerns on the study by Conceição et al. (2025) 对避孕咨询研究方法的批判性回顾：对concep<s:1>等人（2025）的研究的见解和关注。

IF 1.7 3区医学

Sexual & Reproductive Healthcare Pub Date : 2026-03-01 Epub Date: 2025-12-12 DOI: 10.1016/j.srhc.2025.101176

Muhammad Taufan Umasugi

引用次数: 0

Adaptation and efficacy of a cultural competency training program for Icelandic midwives: A mixed-methods pilot study 冰岛助产士文化能力培训项目的适应性和有效性：一项混合方法的试点研究。

IF 1.7 3区医学

Sexual & Reproductive Healthcare Pub Date : 2026-03-01 DOI: 10.1016/j.srhc.2026.101200

Edythe L. Mangindin , Helga Gottfreðsdóttir , Kathrin Stoll , Franka Cadée , Helga Zoega , Emma M. Swift

{"title":"Adaptation and efficacy of a cultural competency training program for Icelandic midwives: A mixed-methods pilot study","authors":"Edythe L. Mangindin , Helga Gottfreðsdóttir , Kathrin Stoll , Franka Cadée , Helga Zoega , Emma M. Swift","doi":"10.1016/j.srhc.2026.101200","DOIUrl":"10.1016/j.srhc.2026.101200","url":null,"abstract":"<div><h3>Objective</h3><div>Cultural competency training programs have been taught in many countries to ensure safe, high-quality maternity care for migrant women. This study describes the adaptation and efficacy of the Operational Refugee and Migrant Maternal Approach (ORAMMA) cultural competency program to the Icelandic context.</div></div><div><h3>Methods</h3><div>Adaptation of the training program involved translation of material and critical review of the ORAMMA teaching material by Icelandic midwives with experience in caring for migrant women. Changes were made to incorporate Icelandic laws, healthcare services, social support and research. To assess efficacy, an explanatory sequential mixed-methods design was implemented consisting of a quasi-experimental design and focus group interviews. Through convenience sampling, 12 midwives and 15 midwifery students participated. First, cultural competency of 27 participants was evaluated with a one group pretest–posttest design. Wilcoxon and McNemar tests were used to compare scores. Then, semi-structured focus group interviews with 12 midwives were conducted one month after training and analysed through qualitative descriptive analysis.</div></div><div><h3>Results</h3><div>Pretest and posttest scores showed that participants had statistically significantly higher median scores (p < 0.05) on items measuring self-perceived cultural competency (Median = 24 vs. 25), skills (Median = 5 vs. 6), attitude (Median = 7 vs. 9) and knowledge (Median = 18 vs 22). Qualitative descriptive analysis revealed themes of “practical and useful information”, “more understanding and empathy” and “increased confidence”.</div></div><div><h3>Conclusion</h3><div>Findings show that the program can be successfully adapted to a Nordic context and improve midwives’ cultural competency. They may inform policy and practice regarding implementation of training programs.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"47 ","pages":"Article 101200"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367613","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

Women’s satisfaction and experiences with water birth compared with conventional birth 妇女对水中分娩与常规分娩的满意度与体验

IF 1.7 3区医学

Sexual & Reproductive Healthcare Pub Date : 2026-03-01 Epub Date: 2026-01-26 DOI: 10.1016/j.srhc.2026.101190

Elina Hummel , Maria Nordin , Natalie Safrani , Magdalena Elfving , Matilda Alton , Sahruh Turkmen

{"title":"Women’s satisfaction and experiences with water birth compared with conventional birth","authors":"Elina Hummel , Maria Nordin , Natalie Safrani , Magdalena Elfving , Matilda Alton , Sahruh Turkmen","doi":"10.1016/j.srhc.2026.101190","DOIUrl":"10.1016/j.srhc.2026.101190","url":null,"abstract":"<div><h3>Objective</h3><div>To compare women’s experience and satisfaction with water birth versus conventional birth.</div></div><div><h3>Methods</h3><div>We conducted a prospective cohort study of 132 low-risk pregnant women in Västernorrland County, Sweden (Nov 2022–Apr 2025), including 75 water births and 57 conventional vaginal births. Eligibility required spontaneous or induced labour, singleton pregnancies in cephalic presentation, and Swedish language proficiency. Background variables (maternal age, BMI, parity, gestational age, education) were recorded. Maternal and neonatal outcomes were obtained from medical records, while satisfaction with care during birth was measured using a visual analog scale (VAS) and childbirth experience was assessed using the Childbirth Experience Questionnaire (CEQ). Group comparisons and clinically relevant differences were analyzed.</div></div><div><h3>Results</h3><div>The demographic characteristics of the two groups did not differ significantly. Women in the water birth group reported higher total CEQ scores (14.7 vs. 14.1, P = 0.002), particularly in the domains of Own Capacity (3.25 vs. 2.88, P < 0.001) and Perceived Safety (3.83 vs. 3.67, P = 0.02). They also reported significantly higher VAS scores (10 vs. 9, P = 0.03). However, after adjusting for potential confounders, no significant associations were found between water birth and the CEQ domains or VAS scores. Additionally, there were no significant differences in adverse maternal or neonatal outcomes, including postpartum bleeding, perineal tears, Apgar scores, cord blood gas analyses, or neonatal intensive care unit admissions.</div></div><div><h3>Conclusions</h3><div>Water birth showed higher satisfaction and experience scores than conventional birth, though not directly attributable to the method. Similar clinical outcomes suggest it is a safe alternative for appropriately selected low-risk women.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"47 ","pages":"Article 101190"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077778","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

Real-time reflections during induction of labor: A qualitative study of women’s perspectives 引产过程中的实时反射：女性视角的定性研究。

IF 1.7 3区医学

Sexual & Reproductive Healthcare Pub Date : 2026-03-01 Epub Date: 2026-01-30 DOI: 10.1016/j.srhc.2026.101194

Kjersti Engen Marsdal , Stine Bernitz , Ingvil Krarup Sørbye , Mirjam Lukasse

{"title":"Real-time reflections during induction of labor: A qualitative study of women’s perspectives","authors":"Kjersti Engen Marsdal , Stine Bernitz , Ingvil Krarup Sørbye , Mirjam Lukasse","doi":"10.1016/j.srhc.2026.101194","DOIUrl":"10.1016/j.srhc.2026.101194","url":null,"abstract":"<div><h3>Background</h3><div>The World Health Organization emphasizes the importance of a positive childbirth experience for future mental health. Induction of labor (IOL) is increasingly common and may increase the risk of negative childbirth experiences. To separate the IOL experience from later events during labor, we collected women’s real-time reflections during the IOL process.</div></div><div><h3>Objective</h3><div>This study aimed to explore and describe what is important to women during IOL, based on their in-the-moment reflections.</div></div><div><h3>Methods</h3><div>As part of the Labor Induction Inpatient and Outpatient (LINO) project, we conducted a qualitative study from February 2021 to December 2022 at two Norwegian maternity wards. The study included healthy women expecting a healthy baby, who responded to a daily questionnaire during their IOL process. Data were analyzed using content analysis as described by Graneheim and Lundman.</div></div><div><h3>Results</h3><div>We identified with one overarching theme: The need to feel secure when facing the unfamiliar and life-altering experience of childbirth, along with three categories: 1) Demanding mental processes, 2) The crucial role of supportive relationships, and 3) Essential practical needs. Women highlighted the importance of having their partners present, receiving comprehensive information, and choosing their preferred care setting for emotional and medical security.</div></div><div><h3>Conclusion</h3><div>To support women during, it is essential to meet their fundamental need for both medical and emotional security. Ensuring access to healthcare professionals, partner support, and comprehensive information can enhance their well-being. Adapting care to support these needs can help improve women’s experiences with IOL.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"47 ","pages":"Article 101194"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151303","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

Demographic differentials in births assisted by trained midwives in Nineteenth-Century Sweden: What difference did it make for infant survival? 19世纪瑞典由训练有素的助产士接生的人口统计学差异：对婴儿存活率有何影响？

IF 1.7 3区医学

Sexual & Reproductive Healthcare Pub Date : 2026-03-01 Epub Date: 2025-12-28 DOI: 10.1016/j.srhc.2025.101181

Lena Karlsson

{"title":"Demographic differentials in births assisted by trained midwives in Nineteenth-Century Sweden: What difference did it make for infant survival?","authors":"Lena Karlsson","doi":"10.1016/j.srhc.2025.101181","DOIUrl":"10.1016/j.srhc.2025.101181","url":null,"abstract":"<div><h3>Objectives</h3><div>This study examines the influence of social and demographic factors on the utilization of trained midwives in Sweden during the latter half of the nineteenth century. It also examines differences in neonatal, post-neonatal, and child mortality between births attended by trained midwives and those without such assistance.</div></div><div><h3>Methods</h3><div>The analysis is based on population data covering 116,597 births. Logistic regression models were used to estimate the association between midwifery, background characteristics, and mortality outcomes.</div></div><div><h3>Results</h3><div>The findings reveal substantial regional variation in the use of trained midwives throughout the study period. Births attended by trained midwives were more common among high-risk births and among married women compared to unmarried women. Regarding mortality, the results show an increased risk of post-neonatal mortality during the first period (1860–1869), and a decreased risk of neonatal mortality during the final period (1890–1894).</div></div><div><h3>Conclusion</h3><div>The study highlights the evolving role of trained midwives in childbirth practices in 19th-century Sweden and their contribution to reducing infant mortality, which coincided with the introduction of antiseptic methods from 1880 onward.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"47 ","pages":"Article 101181"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145914115","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

Transitioning to midwifery models of care: An evidence-based imperative for sexual and reproductive health 向助产护理模式过渡：基于证据的性健康和生殖健康的必要性。

IF 1.7 3区医学

Sexual & Reproductive Healthcare Pub Date : 2026-03-01 Epub Date: 2026-01-15 DOI: 10.1016/j.srhc.2026.101184

Justine Le Lez , Anna af Ugglas , Malin Bogren

{"title":"Transitioning to midwifery models of care: An evidence-based imperative for sexual and reproductive health","authors":"Justine Le Lez , Anna af Ugglas , Malin Bogren","doi":"10.1016/j.srhc.2026.101184","DOIUrl":"10.1016/j.srhc.2026.101184","url":null,"abstract":"<div><div>Progress in reducing preventable maternal and newborn mortality, morbidity, and stillbirths has stalled globally, highlighting fundamental limitations in prevailing maternity care models. Despite substantial investment, many systems remain fragmented, overly medicalised, and insufficiently respectful, with widespread reports of mistreatment and unnecessary interventions that compromise quality of care and women’s experiences. This Editorial argues that transitioning to midwifery models of care is an evidence-based imperative for advancing sexual and reproductive health and achieving Sustainable Development Goals 3.1 and 3.2. Midwifery models—particularly continuity of midwife care—prioritise person-centred, respectful, and relationship-based care, support physiological processes, and reserve interventions for clinical need. Robust evidence demonstrates that these models improve maternal and newborn outcomes, reduce obstetric interventions and mistreatment, enhance women’s satisfaction, and are cost-effective. Global agencies have increasingly endorsed midwifery models as central to universal health coverage and health equity, yet implementation remains constrained by hierarchical systems, restrictive regulations, and underinvestment in the midwifery workforce. This Editorial calls for sustained political commitment, enabling policy and regulatory frameworks, strengthened midwifery leadership, and meaningful engagement with women and communities. Aligning maternity services with midwifery models of care is both an ethical obligation and a practical pathway to improving outcomes and experiences for women, newborns, and families worldwide.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"47 ","pages":"Article 101184"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013766","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