Sexual & Reproductive Healthcare最新文献

{"title":"Combining the antenatal risk questionnaire and the Edinburgh Postnatal depression scale as a psychosocial risk assessment tool in Danish antenatal care. A descriptive study","authors":"Lotte Broberg ,&nbsp;Katrine Røhder ,&nbsp;Jane Marie Bendix ,&nbsp;Ellen Løkkegaard ,&nbsp;Mette Væver ,&nbsp;Helle Johnsen ,&nbsp;Mette Juhl ,&nbsp;Vibeke de Lichtenberg ,&nbsp;Michaela Schiøtz","doi":"10.1016/j.srhc.2025.101141","DOIUrl":"10.1016/j.srhc.2025.101141","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the Antenatal Risk Questionnaire (ANRQ) and the Edinburgh Postnatal Depression Scale (EPDS) as part of an integrated psychosocial risk assessment aiming to enhance triage for pregnant women needing extended care. Further, to examine differences in sociodemographic and psychosocial characteristics of the population.</div></div><div><h3>Methods</h3><div>This descriptive study was conducted at Department of Gynecology and Obstetrics, Copenhagen University Hospital – North Zealand,<!--> <!-->Denmark.</div></div><div><h3>Participants</h3><div>Pregnant women at antenatal care level 1 or 2 at the North Zealand Hospital were invited to the study at their first-trimester ultrasound scan. The participants received an online questionnaire consisting of the ANRQ and the EPDS in gestational weeks 12–14, followed by an online questionnaire in 37–38 weeks of gestation, which included items related to sociodemographic characteristics and maternal mental health.</div></div><div><h3>Results</h3><div><em>N</em> = 774 pregnant women were invited to participate, of whom 424 (55 %) answered the ANRQ/EPDS questionnaire. Among them,<!--> <em>n</em> = 88 (21 %) had an ANRQ score ≥ 23, and<!--> <em>n</em> = 60 (14 %) scored ≥ 11 on the EPDS.<!--> <!-->A total of 17 (4 %) women were referred to extended care. Women with low scores on the ANRQ and the EPDS (ANRQ &lt; 23, EPDS &lt; 11) were more often highly educated. A history of mental problems was more strongly associated with a high ANRQ than a high EPDS.</div></div><div><h3>Conclusion</h3><div>We identified women at increased risk of mental health problems who were not identified by the current triage process. Combining ANRQ and EPDS assessment may be an important part of a model for early identification of pregnant women with special needs.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"46 ","pages":"Article 101141"},"PeriodicalIF":1.7,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926861","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":"Midwives’ experiences with telephone triage for migrant women prior to admission to Norwegian labour wards, when language barriers exist","authors":"Erica Schytt,&nbsp;Caroline Brandal ,&nbsp;Marit Bjørdalsbakke Skaar ,&nbsp;Eline Skirnisdottir Vik,&nbsp;Vigdis Aasheim","doi":"10.1016/j.srhc.2025.101139","DOIUrl":"10.1016/j.srhc.2025.101139","url":null,"abstract":"<div><h3>Background</h3><div>Telephone triage by a hospital midwife is important for ensuring safe assessments and providing appropriate advice prior to women’s admission to the labour ward. Weather this aspect of labour care functions well for migrant women when language barriers exist remains unknown. The aim was to explore midwives’ experiences of telephone triage for migrant women prior to admission to Norwegian labour wards, when language barriers exist.</div></div><div><h3>Methods</h3><div>Semi-structured individual interviews with eight midwives from five different hospitals in Norway. The manifest and latent content of transcribed text was analysed using inductive qualitative content analysis according to Graneheim and Lundman (2004).</div></div><div><h3>Results</h3><div>Midwives experience with telephone triage for migrant women prior to admission to the labour ward was summarized in one overarching theme: <em>When communication fails, midwives go beyond ordinary procedures and established routines to ensure safety for women and infants</em>. The following categories were identified: <em>Barriers to communication and safe assessments exist – Addressable through technical and supportive measures; Midwives turn to other sources of information when verbal communication with the woman is unsuccessful; Language barriers over the phone creates feelings of uncertainty for midwives, and Lack of information triggers time- and resource-demanding responses.</em></div></div><div><h3>Conclusion</h3><div>With enhanced communication tools for triage prior to admission to the labour ward, midwives would feel more confident in their assessments, women’s needs would be addressed more efficiently, and resources could be used more effectively. The development and evaluation of such tools is urgently needed.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"45 ","pages":"Article 101139"},"PeriodicalIF":1.7,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903090","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":"Updating the European Union’s Midwifery Directive advance women’s sexual and reproductive health in the future and reinforce professional standard within the midwifery profession","authors":"L. Brigante ,&nbsp;D. Drandic ,&nbsp;R.D. Maimburg","doi":"10.1016/j.srhc.2025.101138","DOIUrl":"10.1016/j.srhc.2025.101138","url":null,"abstract":"<div><div>The ongoing revision of the European Directive on Professional Qualifications for midwives presents a once in a generational opportunity to bring its outdated standards into alignment with contemporary evidence and international frameworks.</div><div>This short communication outlines key limitations in the current directive and its revision process, and proposes pragmatic, forward-looking updates informed by existing consensus and aligned with the International Confederation of Midwives (ICM) Essential Competencies for Midwifery Practice. The revision holds the potential to strengthen professional mobility, support high-quality care across European Union (EU) and European Economic Area (EEA) countries as well as globally. Moreover, to ensure that midwifery education continues to meet the sexual and reproductive health care needs of women and their families in the future.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"45 ","pages":"Article 101138"},"PeriodicalIF":1.7,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144867209","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":"Postpartum post-traumatic stress symptoms and mother-infant bonding: A population-based cross-sectional study","authors":"Valgerður Lísa Sigurðardóttir ,&nbsp;Guðrún Anna Hákonardóttir ,&nbsp;Stefanía Birna Arnardóttir ,&nbsp;Linda Bára Lýðsdóttir ,&nbsp;Emma Marie Swift","doi":"10.1016/j.srhc.2025.101140","DOIUrl":"10.1016/j.srhc.2025.101140","url":null,"abstract":"<div><h3>Objective</h3><div>Postpartum post-traumatic stress symptoms are associated with negative outcomes for women’s mental health and may disrupt the development of the mother–infant bond. However, previous research has reported inconsistent findings. The aim was to examine the predictive role of postpartum post-traumatic stress symptoms on mother–infant bonding 6 to 12 weeks after birth in a population-based sample.</div></div><div><h3>Method</h3><div>This population-based cross-sectional study was conducted in 2022 and included 598 women 6 to 12 weeks postpartum. Postpartum post-traumatic stress symptoms were measured using the City Birth Trauma Scale, and mother–infant bonding was assessed with the Postpartum Bonding Questionnaire. Linear regression analysis was used to examine the association between post-traumatic stress symptoms and mother–infant bonding, adjusting for maternal age, parity, mode of birth, educational level, and depressive symptoms.</div></div><div><h3>Results</h3><div>The mean score on the City Birth Trauma Scale was 8.4, and 5.5 on the Postpartum Bonding Questionnaire. A total of 1.5 % of participants scored above the cut-off for significant bonding difficulties. Higher levels of postpartum post-traumatic stress symptoms were significantly associated with greater bonding difficulties (B = 0.380, p &lt; 0.005). This association remained significant after adjustment for background variables and depressive symptoms (B = 0.113, p = 0.007). Primiparity, higher educational attainment, and depressive symptoms were also significantly associated with bonding difficulties (p &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>The findings suggest that postpartum post-traumatic stress symptoms negatively affect the development of the mother–infant bond. A targeted screening of post-traumatic stress symptoms and bonding difficulties is recommended, followed by appropriate support in postpartum care.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"45 ","pages":"Article 101140"},"PeriodicalIF":1.7,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144886014","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":"Exploring symptom clusters across the menopausal stages – systematic review and meta-analysis","authors":"Atika Khalaf ,&nbsp;Rebecca Mathew ,&nbsp;Shalini G Nayak","doi":"10.1016/j.srhc.2025.101137","DOIUrl":"10.1016/j.srhc.2025.101137","url":null,"abstract":"<div><div>This study aimed to identify and compare symptom clusters and their severity among perimenopausal and postmenopausal women using a systematic literature review on publications from 1996 to 2023 across PubMed, Medline, Cochrane Library, and APA PsycINFO. The <em>meta</em>-analysis followed the PRISMA guideline, initially screening 425 articles, with 14 articles meeting the criteria of relevance, scientific rigor, and a focus on symptom clustering in climacteric women. Data from the 14 selected studies (n = 14,760) were extracted, including study characteristics, participant demographics, methods for identifying symptom clusters, specific symptoms within each cluster, and associations with lifestyle factors, genetics, or psychosocial elements. The findings were synthesized to quantify relationships between different symptom clusters, identifying four distinct groups: somatic, vasomotor, psychological, and sexual symptoms. The overall standardized mean difference (SMD) of −0.89 [95 % CI = −1.70, −0.07] was found for somatic symptom clusters, indicating significant differences. However, no conclusive distinctions were observed in vasomotor, sexual, and psychological symptoms, highlighting variability in symptom presentation. Despite this heterogeneity, the overall effect for somatic symptoms remained statistically significant (Z = 2.14, P = 0.03). The findings emphasize the complexity of symptomatology in climacteric women and underscore the need for tailored person-centered interventions and longitudinal studies.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"45 ","pages":"Article 101137"},"PeriodicalIF":1.7,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144841155","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":"Women’s experiences of post-abortion care services at health facilities in Somaliland – A qualitative study among women with incomplete abortion","authors":"Umulkhayr Mohamed Ismail ,&nbsp;Fatumo Osman ,&nbsp;Marie Klingberg-Allvin ,&nbsp;Jama Ali Egal","doi":"10.1016/j.srhc.2025.101136","DOIUrl":"10.1016/j.srhc.2025.101136","url":null,"abstract":"<div><h3>Objective</h3><div>Somaliland faces one of the highest maternal mortality and morbidity rates globally. Access to high-quality post-abortion care is essential for managing complications arising from incomplete abortions, including those following miscarriages. This study aimed to explore women’s experiences of incomplete abortion and their encounters with Post abortion care (PAC) services in public healthcare facilities.</div></div><div><h3>Methodology</h3><div>An inductive qualitative design was employed. In-depth interviews were conducted with women who had experienced incomplete abortions and received PAC. Data were analysed using thematic analysis guided by an inductive approach.</div></div><div><h3>Results</h3><div>Two key themes emerged from the analysis:(i) Women’s understanding of incomplete abortion and barriers to accessing PAC – This theme explores women’s care seeking and perceptions of causes of miscarriage, the challenges faced in accessing PAC, and the enabling factors that supported their care-seeking behaviour. (ii) Perceptions of care quality and suggestions for improvement – This theme captures women’s experiences with the quality and accessibility of PAC services and their recommendations for improving service delivery.</div></div><div><h3>Conclusions</h3><div>The study highlights the vital role of family and friend in encouraging women to seek care. However, it reveals significant gaps, particularly in counselling, community awareness, and emergency care. Many women reported continued pain and bleeding after discharge, indicating the need for service improvement. Further quantitative research is needed to assess the capacity of health facilities to deliver comprehensive PAC. The Health authority and policy maker should support further research and increase investment in midwifery training and continuous professional development to improve access to and quality of PAC.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"45 ","pages":"Article 101136"},"PeriodicalIF":1.7,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144886015","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":"Reading the comments: An exploratory quantitative analysis of YouTube comments in response to abortion plotlines on fictional television programs","authors":"Stephanie Herold ,&nbsp;Piper Narendorf ,&nbsp;Beth Hoffman","doi":"10.1016/j.srhc.2025.101135","DOIUrl":"10.1016/j.srhc.2025.101135","url":null,"abstract":"<div><h3>Objective</h3><div>Previous research has found that exposure to abortion plotlines on fictional television programs may influence viewers’ knowledge about abortion, and that examining comments under health-related YouTube videos provides insight into discourse around the health topics. We conducted an exploratory quantitative content analysis of YouTube video clips from television abortion plotlines and comments.</div></div><div><h3>Study Design</h3><div>We identified YouTube clips posted in a five-year period (2018–2023) on official network accounts that depicted abortion plotlines. Two research assistants independently coded the top 20 comments and associated replies for each video using a systematically developed codebook. We calculated descriptive statistics and used chi-square tests to assess for differences in the distribution of content code by sentiment.</div></div><div><h3>Results</h3><div>Of the 275 abortion plotlines in our sample period, we identified 25 YouTube videos that met our inclusion criteria. Fifteen of these clips had more than 10 relevant comments, for a total of 619 relevant comments. Slightly less than half (43.8 %) expressed abortion positive sentiment, 22.0 % expressed abortion restrictive sentiment, and 19 % expressed complex sentiment. The most frequent content category was <em>arguing with another poster</em> (41.2 %,) followed by <em>hostility toward another poster</em> (16.2 %). <em>Potential misinformation</em> was present in 10.4 % of comments; these were significantly more likely to express abortion restrictive sentiment compared to abortion positive or complex sentiment (p &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Results of this exploratory study suggest that YouTube comments posted under abortion plotline videos express a mix of sentiment, and social media data may offer a unique opportunity for researchers to investigate viewers’ reactions to these plotlines.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"45 ","pages":"Article 101135"},"PeriodicalIF":1.7,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144827596","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":"Balancing midwifery values with rural reality: Swedish midwives’ views of midwifery continuity of care – A qualitative study","authors":"Johanna Sandén ,&nbsp;Maria Lindqvist ,&nbsp;Ingegerd Hildingsson ,&nbsp;Margareta Johansson ,&nbsp;Sophia Holmlund","doi":"10.1016/j.srhc.2025.101132","DOIUrl":"10.1016/j.srhc.2025.101132","url":null,"abstract":"<div><h3>Objective</h3><div>Despite strong evidence of the benefits, Sweden has limited access to midwifery continuity of care (MCoC), particularly in rural areas. There is a knowledge gap regarding how MCoC would function in a rural Swedish context. Therefore, this study aimed to explore midwives’ personal and professional views on a MCoC model and its implementation within a rural context in northern Sweden.</div></div><div><h3>Methods</h3><div>A qualitative interview study using reflexive thematic analysis. Semi-structured interviews were conducted with fourteen midwives working in maternity care.</div></div><div><h3>Results</h3><div>The findings revealed a notable duality to MCoC, consisting of two major themes. In the first theme, ‘Internal conditions of midwifery’, midwives reported that working in a MCoC model would offer fulfillment but also present significant challenges, which they did not feel prepared to meet. Establishing a relationship of mutual trust with pregnant women emerged as a major positive aspect. The second theme, ‘The impact of external forces’, highlighted significant challenges, including organisational issues, staffing shortages, and concerns regarding work-life balance. Interprofessional collaboration and rural adaptation were considered key if the implementation of the model is to go ahead.</div></div><div><h3>Conclusions</h3><div>For MCoC to succeed in rural Sweden, it is essential to have a supportive organisation that recognises the benefits of the model, and provides midwives with working conditions that meet their professional and personal needs. Involving midwives in the model’s design, fostering interprofessional collaboration, and tailoring the model to rural settings are equally important. Addressing organisational challenges is crucial for establishing a functional and sustainable model.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"45 ","pages":"Article 101132"},"PeriodicalIF":1.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781527","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":"Women’s experiences with long journeys to the nearest birthing facility and midwife accompaniment service: A qualitative study","authors":"Anna Voll ,&nbsp;Ingvild Celine Tveiten Baretto ,&nbsp;Bente Dahl","doi":"10.1016/j.srhc.2025.101131","DOIUrl":"10.1016/j.srhc.2025.101131","url":null,"abstract":"<div><h3>Objective</h3><div>To explore how pregnant women living 90 min or more from the nearest birthing facility experience the journey and accompaniment by a midwife to the facility.</div></div><div><h3>Methods</h3><div>A qualitative study using semi-structured interviews with nine first-time mothers living in various regions of Norway, conducted in November 2023. Systematic text condensation was used to analyse the data.</div></div><div><h3>Results</h3><div>The main findings indicated that having local midwifery expertise was a crucial factor for the women’s sense of security. They received care from a midwife from the first signs of the onset of labour at home until they arrived at the hospital. This was important to them as they expressed concerns about unforeseen situations and uncertainty about when to call an ambulance. The midwife’s birthing expertise and presence in the ambulance were described as vital and reassuring by the women. Although the ambulance journey was intense and uncomfortable, the women felt fortunate and satisfied to have access to it. The midwife accompaniment service was considered valuable but unreliable, as there was no guarantee that the midwife would be available, and the ambulance journey might therefore be unaccompanied.</div></div><div><h3>Conclusion</h3><div>The availability, presence and expertise of midwives were vital factors for these women. Nevertheless, the uncertain nature of the midwife accompaniment service indicates a need for improvement and further research to enhance the reliability and accessibility of midwife accompaniment to a birthing facility in remote areas.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"45 ","pages":"Article 101131"},"PeriodicalIF":1.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781528","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":"Emotional health across the perinatal period: Longitudinal patterns of fear of birth and depressive symptoms in a midwifery continuity of care context","authors":"Ingegerd Hildingsson ,&nbsp;Klockar Linda Nääs ,&nbsp;Ingela Wiklund ,&nbsp;Margareta Johansson","doi":"10.1016/j.srhc.2025.101133","DOIUrl":"10.1016/j.srhc.2025.101133","url":null,"abstract":"<div><h3>Objectives</h3><div>Perinatal depressive symptoms affect both maternal and infant well-being and are associated with fear of giving birth. Midwifery continuity of care (MCoC) has shown potential in reducing anxiety and depression, particularly among vulnerable women. The aim of this study was to explore the trajectories of fear of birth and depressive symptoms, in relation to background, attitudes and birth-related data.</div></div><div><h3>Methods</h3><div>A prospective longitudinal study was conducted among women with fear of birth or depressive symptoms who, after a screening procedure were offered care in a MCoC model. Fear of birth and depressive symptoms were assessed with the Fear of Birth Scale (FOBS) and Edinburgh Postnatal Depression Scale (EPDS) and measured at screening, in mid pregnancy and twice after birth. Chi-square tests and analysis of variance were used for comparing groups.</div></div><div><h3>Results</h3><div>The questionnaires were completed by 175 women during pregnancy and by 140 postpartum. During screening 84% presented with fear of birth and 24% with depressive symptoms. The degree of fear of birth and the depressive symptoms changed over time with the highest prevalence during pregnancy and a decline after birth. The trajectory of depressive symptoms was mainly related to women’s attitudes, while birth-related variables concerned fear of birth.</div></div><div><h3>Conclusion</h3><div>This study showed that fear of birth as well as depressive symptoms changed over time. These changes may represent natural progression but might be associated with the intervention. Working with women’s attitudes might change the trajectories, especially in women with both fear of birth and depressive symptoms.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"45 ","pages":"Article 101133"},"PeriodicalIF":1.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781485","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}