Sexual & Reproductive Healthcare最新文献

{"title":"Service trends among non-obstetrics/gynecology providers in the U.S.: Long-acting reversible contraception insertions, removals, and re-insertions","authors":"Kyle J. Moon ,&nbsp;Kathryn A. Hasenstab ,&nbsp;Ian Bryant ,&nbsp;Lenisa V. Chang ,&nbsp;Eric E. Seiber ,&nbsp;Alison H. Norris ,&nbsp;Saira Nawaz","doi":"10.1016/j.srhc.2023.100919","DOIUrl":"10.1016/j.srhc.2023.100919","url":null,"abstract":"<div><p>This study evaluates trends in long-acting reversible contraception (LARC) services among obstetrician/gynecologists (OB/GYNs) and non-OB/GYNs in the U.S. during 2012–2018. Using public and private insurance claims from the Symphony Health database, we calculated the percentage of LARC insertions, removals, and reinsertions performed by OB/GYNs and non-OB/GYNs. We then assessed time trends with linear regression. The proportion of LARC services that were performed by non-OBGYNs increased modestly between 2012 and 2018. Increases were similar for insertions, removals, and reinsertions. Further research is needed to understand trends in LARC service provision within primary care to better tailor medical training and policy interventions.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41241997","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}

{"title":"Uncovering the rural–urban gap in determinants of infant mortality in Punjab-Pakistan","authors":"Saher Jabeen,&nbsp;Khalid Mushtaq,&nbsp;Abdus Samie,&nbsp;Sarfraz Hassan","doi":"10.1016/j.srhc.2023.100918","DOIUrl":"10.1016/j.srhc.2023.100918","url":null,"abstract":"<div><h3>Objective</h3><p>The main objective of this research is to observe the various socio-economic, demographic, health-seeking, and environmental factors influencing infant mortality and the rural–urban division in Punjab, Pakistan.</p></div><div><h3>Methods</h3><p>The study used the data of 38,405 households from the Multiple Indicator Cluster Survey that was conducted by the Bureau of Statistics Punjab during 2017–18. This survey assessed 125 indicators i.e., health, education, etc. created by UNICEF to assess the well-being of mothers and children in Punjab, Pakistan.</p></div><div><h3>Results and conclusion</h3><p>The mother, the child, and the family are the three main risk factors for infant death, according to our research in Pakistan. The socioeconomic position of the household, social practices, environment, and usage of medical services are the key factors that help in reducing infant death. Women's education, birth spacing, and household economic position all played a significant role in the decline in infant mortality. The health of infants born in rural Punjab is at risk due to a large rural–urban gap in the determinants of infant mortality. Uncovering and addressing this disparity has become a pressing health priority in Pakistan.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41161285","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}

{"title":"Facilitators influencing midwives to leadership positions in policy, education and practice: A systematic integrative literature review","authors":"Saifullah Muhammed Rafid Us Sattar ,&nbsp;Oluwaseyi Akeredolu ,&nbsp;Malin Bogren ,&nbsp;Kerstin Erlandsson ,&nbsp;Catrin Borneskog","doi":"10.1016/j.srhc.2023.100917","DOIUrl":"10.1016/j.srhc.2023.100917","url":null,"abstract":"<div><p>The development of midwives as leaders is a crucial step towards achieving equality in sexual, reproductive, maternal, and neonatal health, Universal Health Coverage (UHC) and Sustainable Development Goals (SDG). However, many midwives work only to implement policies made by others rather than being drivers of policy changes. Little is known and researched about why midwives are not involved in decision and policymaking related to sexual, reproductive, maternal, and neonatal health. Hence, with a focus on midwifery leadership within the global community and the limited opportunities for women to hold leadership positions, this research explores the facilitators influencing midwives’ opportunities to become leaders in policy development, education and practice. Inspired by Whittemore and Knafl, this integrative literature review was conducted after twenty-two relevant articles were identified through a search of the following databases: PubMed, CINAHL, and Scopus. Inductive content analysis was applied to analyze data. The result indicates that for midwives to become influential leaders, they must be active in strategic planning at the highest level. This inevitably effects how far midwives can act as agents for change, even if they possess the knowledge and skills for a leadership position. Policies and regulations influence how midwives’ status in society is acknowledged and recognized. A clearly articulated educational pathway will enable their professional growth and expertise, making them knowledgeable and skillful as leaders. Enabling midwives to step into leadership positions at government level requires reforms which include midwives in decision-making. Excluding midwives from decision-making processes is detrimental to the goal of achieving universal health coverage. The first step is to provide midwives with a protected title, enabling them to work autonomously in an enabling environment with normal pregnancy and birth to achieve the SDG 2030 goals.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41163771","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}

{"title":"Physician beliefs about abortion safety and their participation in abortion care","authors":"Laura E.T. Swan ,&nbsp;Abigail S. Cutler ,&nbsp;Madison Lands ,&nbsp;Nicholas B. Schmuhl ,&nbsp;Jenny A. Higgins","doi":"10.1016/j.srhc.2023.100916","DOIUrl":"10.1016/j.srhc.2023.100916","url":null,"abstract":"<div><h3>Objective</h3><p>To document physicians’ beliefs about abortion safety and the associations between these beliefs and physician support for, referral for, and participation in abortion care.</p></div><div><h3>Methods</h3><p>In a 2019 survey at the University of Wisconsin School of Medicine and Public Health, we assessed physicians’ abortion attitudes, beliefs, and practices (<em>N</em> = 893). We conducted bivariate analyses followed by logistic regression to document relationships between physician beliefs about abortion safety and their support for, referral to, and participation in abortion care.</p></div><div><h3>Results</h3><p>Four-in-five physicians (78%, <em>n</em> = 690) believed that abortion is very or extremely safe. Medical specialty (Obstetrics-Gynecology vs. other; adjusted odds ratio [aOR] = 10.58, 95% CI: 1.41–79.56), educational exposure to abortion (aOR = 1.43, 95% CI: 1.02–2.01), and religiosity (aOR = 0.59, 95% CI: 0.41–0.85) were associated with physicians’ beliefs about the safety of abortion. Providers who believed that abortion was very/extremely safe were more likely to support medication (aOR = 2.99, 95% CI: 1.93–4.65) and procedural abortion (aOR = 3.56, 95% CI: 2.31–5.50) and refer patients for abortion care (aOR = 3.14, 95% CI: 1.90–5.01).</p></div><div><h3>Conclusion</h3><p>Although abortions are associated with extremely few adverse events, a sizable portion of surveyed physicians had incorrect perceptions of the safety of abortion. These beliefs were associated with decreased support and referrals for abortion care. Educational exposure to abortion is associated with more accurate assessments of abortion safety, underscoring the importance of training in this area. Considering the current abortion policy landscape, it is imperative for physicians to hold accurate knowledge about abortion so they can provide comprehensive counseling and, when indicated, referrals for safe and legal care.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10673040","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}

{"title":"Migrant women’s experiences of an individual language-assisted information and support visit to the labor ward before giving birth – A qualitative study from Sweden","authors":"Elin Ternström ,&nbsp;Rhonda Small ,&nbsp;Helena Lindgren","doi":"10.1016/j.srhc.2023.100915","DOIUrl":"10.1016/j.srhc.2023.100915","url":null,"abstract":"<div><h3>Background</h3><p>Migrant women are less likely to receive an individualized maternal care where they feel safe, informed and supported but few measures have been undertaken to meet their needs. In Södertälje municipality in Sweden, community-based antenatal care midwives identify migrant women and offer them and their partners language-assisted information and support through an individual two-hour-visit to the labor ward. The aim of the present study was to explore migrant women’s experiences of antenatal care including receiving language-assisted information and support during pregnancy through a two-hour INFOR-visit to the labor ward.</p></div><div><h3>Methods</h3><p>Semi-structured interviews were conducted with 10 non-Swedish speaking migrant women, using an interpreter. Interview analysis was conducted using reflexive thematic analysis.</p></div><div><h3>Results</h3><p>The individualized support, including thorough information given with language support available, sufficient time for questions and discussion, and a caring approach – did appear to inform and reassure the women. Overall, they felt that they were seen and treated as individuals during both pregnancy and birth and that their specific needs were listened to and met by the health care providers. Having professional interpreters was seen as essential for receiving the right information, something achieved at the individual visit.</p></div><div><h3>Conclusions</h3><p>The findings from this study provide evidence that a two-hour-visit to the labor ward during pregnancy has potential to empower migrant women during pregnancy and birth and to improve their experiences of maternity care. The two-hour-visit is a relatively simple intervention with the potential of not only improving migrant women’s experiences of pregnancy and birth, but also their medical outcomes.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10634045","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}

{"title":"Corrigendum to “In what ways does maternity care in Australia align with the values and principles of the national maternity strategy? A scoping review” [Sex. Reprod. Healthc. 37 (2003) 100900]","authors":"Paula Medway ,&nbsp;Alison M. Hutchinson ,&nbsp;Linda Sweet","doi":"10.1016/j.srhc.2023.100914","DOIUrl":"10.1016/j.srhc.2023.100914","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10199241","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}

{"title":"Correlates of infant mortality in Benshangul-Gumuz regional State, Ethiopia","authors":"Temesgen Senbeto Wolde ,&nbsp;Gizachew Gobebo Mekebo ,&nbsp;Woldemariam Erkalo","doi":"10.1016/j.srhc.2023.100913","DOIUrl":"10.1016/j.srhc.2023.100913","url":null,"abstract":"<div><h3>Background</h3><p>Infant mortality is one of the commonest health-related indicators that are used to assess the health status of the society of a nation. Despite the decline in global infant mortality rate, the rate of decline in low-and middle-income countries including Ethiopia is below the rate expected to attain Sustainable Development Goal targets. Benshangul-Gumuz regional state is among the regions in Ethiopia with high infant mortality rate. Therefore, this study aimed at determining the infant mortality rate and identifying risk factors associated with the infant mortality in Benshangul-Gumuz regional state, Ethiopia.</p></div><div><h3>Methods</h3><p>This study used data drawn from 2019 Ethiopian Mini Demographic and Health Survey (2019 EMDHS). Multivariable logistic regression model was used to identify the risk factors associated with infant mortality.</p></div><div><h3>Results</h3><p>A total of 530 live births were included in this study. The infant mortality rate in this study was 81 (95% CI: 59, 108) per 1000 live births. Females (AOR: 0.690, 95% CI: 0.342, 0.899), multiple births (AOR: 3.067, 95% CI: 2.313, 10.139), mothers with secondary and higher education (AOR: 0.460, 95% CI: 0.287, 0.885), mothers aged 34 years and older (AOR: 1.539, 95% CI: 1.183, 9.802), mothers having ANC visits (AOR: 0.597, 95% CI: 0.326, 0.709) and health institution delivery (AOR: 0.611, 95% CI: 0.0.294, 0.0.899) were significant risk factors associated with infant mortality.</p></div><div><h3>Conclusion</h3><p>Factors sex of child, type of birth, maternal educational status, age of mother, ANC visits and place of delivery were found to be correlates of infant mortality in Benshangul-Gumuz regional state, Ethiopia. Thus, enhancing mothers to have the ANC follow up during pregnancy and deliver at health institution is recommended in the region.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10243074","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}

{"title":"‘Goodbye and good luck’ Midwifery care to pregnant undocumented migrants in Norway: A qualitative study","authors":"Nanna Voldner ,&nbsp;Frode Eick ,&nbsp;Siri Vangen","doi":"10.1016/j.srhc.2023.100878","DOIUrl":"10.1016/j.srhc.2023.100878","url":null,"abstract":"<div><h3>Objective</h3><p>To explore community midwives’ experiences caring for pregnant undocumented migrants seeking prenatal care in Norway.</p></div><div><h3>Method</h3><p>Due to the relatively limited previous research and number of pregnant undocumented migrants we used an explorative approach through qualitative method. Ten community midwives were interviewed after snowball sampling in Oslo, the capital of Norway. The main themes emerged through a qualitative analysis of the transcripts, and meaning units were extracted.</p></div><div><h3>Results</h3><p>Midwives with no prior experience with pregnant undocumented migrants expressed uncertainty regarding the women’s rights. In contrast, those midwives who had had prior experience with this group, developed their own solutions and enacted certain strategies to help them without any guidelines from their employer. All the midwives found it challenging to provide follow-up care to the undocumented migrants during pregnancy and postpartum. They also expressed concerns regarding increasing challenges creating clinical trusting relationships and restrictions and practices at public hospitals.</p></div><div><h3>Conclusions</h3><p>To ensure adequate perinatal care, it is needed to reassure pregnant undocumented migrants free and safe care at all stages in the birth giving process. Community midwives need professional support in establishing trusting clinical relationships with pregnant undocumented migrants to reduce maternal stress and facilitate continuity in perinatal care.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10214017","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}

{"title":"Midwifery care for late termination of pregnancy: Integrative review","authors":"Susanne Armour ,&nbsp;Hazel Keedle ,&nbsp;Andrea Gilkison ,&nbsp;Hannah Grace Dahlen","doi":"10.1016/j.srhc.2023.100889","DOIUrl":"10.1016/j.srhc.2023.100889","url":null,"abstract":"<div><p>Midwives provide reproductive healthcare to women, including during termination of pregnancy (TOP) after 12 weeks (late TOP). Their expertise, knowledge and woman-centred care approach sees them ideally placed for this role. However, the medical, social and emotional complexities of late TOP can cause midwives significant distress. An integrative review methodology was used to examine the research on midwifery care for late TOP and identify support strategies and interventions available to midwives in this role. Five databases and reference lists were searched for relevant studies published between 2000 and 2021. A total of 2545 records were identified and 24 research studies included. Synthesis of research findings resulted in three themes: <em>Positive aspects</em>, <em>negative aspects</em> and <em>carers need care.</em> Midwives reported a high level of job satisfaction when caring for women during late TOP. Learning new skills and overcoming challenges were positive aspects of their work. Yet, midwives felt unprepared to deal with challenging aspects of late TOP care such as the grief and the psychological burden of the role. Caring for the baby with dignity had both positive and negative aspects. Midwives relied predominantly on close colleagues for help and debriefing as they felt poorly supported by management, judged by co-workers and lacked appropriate support to reduce the emotional effects of late TOP care. Midwives need support, although current evidence has not identified the most appropriate and effective strategy to support them in this role.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10156218","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}

{"title":"Bearing the burden of spill-over effects: Living with a woman affected by symptomatic pelvic organ prolapse after vaginal birth – from a partner’s perspective","authors":"Maria Mirskaya,&nbsp;Anna Isaksson,&nbsp;Eva-Carin Lindgren,&nbsp;Ing-Marie Carlsson","doi":"10.1016/j.srhc.2023.100894","DOIUrl":"10.1016/j.srhc.2023.100894","url":null,"abstract":"<div><h3>Introduction</h3><p>Symptomatic pelvic organ prolapse (sPOP) can have a negative impact on a woman’s health. While research exists about the impact of sPOP on women, little is known about the effect on their partners. Therefore, this study aimed to explore, from the partner’s perspective, what it means to live with a woman with symptomatic pelvic organ prolapse after vaginal birth.</p></div><div><h3>Methods</h3><p>A qualitative explorative design with a constructed grounded theory approach was taken to analyse the interviews of 13 partners who experienced living with a woman who had sPOP after vaginal birth.</p></div><div><h3>Results</h3><p>“The theory of bearing the burden of spill-over effects” was constructed based on a core category: “Facing a new restricted life”, with related categories “Giving up valued activities”; “Struggling with added demands”; “Changing intimate behaviour” and “Redefining future family planning”. The theory also contains factors constraining and enabling adjustment to the new reality. While the shortcomings of healthcare constrained the process of adjustment, getting competent treatment and the feeling of love for the family enabled it.</p></div><div><h3>Conclusion</h3><p>This study demonstrated that women’s sPOP had an apparently negative impact on partners’ health behaviours, sexual health, relationship harmony, and psychological well-being.</p><p>The partners indicated they were unprepared for post-birth adversities and distressed by the lack of treatment options. There is a need to develop prenatal information highlighting the potential risks of sPOP which may be accompanied by levator ani muscle injury, implement guidelines for the prevention and management of these conditions, and offer targeted support to partners if needed.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10157189","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}