Sexual & Reproductive Healthcare最新文献

{"title":"Perceptions of the Black population on fertility care: A scoping review","authors":"Sara Ibrahim ,&nbsp;Jaymie Varenbut ,&nbsp;Salwa Farooqi ,&nbsp;Modupe Tunde-Byass","doi":"10.1016/j.srhc.2025.101080","DOIUrl":"10.1016/j.srhc.2025.101080","url":null,"abstract":"<div><div>Assisted reproductive technologies (ART), such as in vitro fertilization (IVF), offer hope for people struggling with infertility. Studies demonstrate that disparities in access and experiences with fertility care exist among different racial groups, particularly affecting Black women. This scoping review aims to explore Black women’s perceptions of fertility care and psychosocial barriers that they encounter when accessing care. This scoping review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) Checklist. Three databases including OVID Medline, PubMed, and Embase, were searched using keywords that resulted in 12 studies that explored barriers to fertility care for Black women. Identified barriers included discrimination, lack of knowledge, and a lack of cultural sensitivity among physicians. The financial cost of treatment was the most frequently reported barrier to infertility treatment. Identified facilitators to infertility treatment included a thorough understanding of the treatment plan and procedures, culturally competent providers, and fertility counseling for patients including education on existing insurance coverage for infertility treatments. Recognizing disparities in IVF outcomes, and identifying both barriers and facilitators to treatment, is an essential first step toward improving fertility care outcomes.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101080"},"PeriodicalIF":1.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women’s experiences of participating in a digital continuity of care model designed for fear of birth in a rural setting","authors":"Klockar Linda Nääs ,&nbsp;Margareta Johansson ,&nbsp;Ingela Wiklund ,&nbsp;Ingegerd Hildingsson","doi":"10.1016/j.srhc.2025.101081","DOIUrl":"10.1016/j.srhc.2025.101081","url":null,"abstract":"<div><h3>Background</h3><div>Midwifery continuity models are highly recommended. Women with fear of birth living in rural areas might have difficulties accessing such care. Technology can play a role in enhancing contact with midwives during pregnancy and childbirth for these women.</div></div><div><h3>Objective</h3><div>The aim of this study was to elucidate women’s experiences of participating in a digital continuity of care model designed for pregnant women with fear of birth.</div></div><div><h3>Methods</h3><div>A qualitative interview design, employing interviews with 15 women participating in a midwifery continuity project directed towards women with fear of birth. The participants used e-health tools for communication with midwives during their pregnancy and childbirth. Reflexive thematic analysis was used.</div></div><div><h3>Results</h3><div>The analysis resulted in an overarching theme: ‘<em>A digital continuity model of midwifery care for women with fear of birth in a rural area is attractive’</em>. The model created positive outcomes in terms of sustainability and use of resources. The women reported enhanced autonomy and reduced stress. Continuity of care fostered confidence and security throughout childbirth for the women, supported by a strong relationship with their midwives. The individualised care, which addressed mental health challenges and fears stemming from past childbirth experiences, led to positive outcomes.</div></div><div><h3>Conclusion</h3><div>A model with continuity using digital e-health could be a solution to meet women’s needs in rural areas during childbirth, who suffer from fear of birth or have mental health problems. Care models need to be tailored to regional conditions, considering factors such as midwifery availability and geographical challenges.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101081"},"PeriodicalIF":1.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual & reproductive healthcare","authors":"Susie Kilshaw","doi":"10.1016/j.srhc.2025.101079","DOIUrl":"10.1016/j.srhc.2025.101079","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101079"},"PeriodicalIF":1.4,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Swedish womeńs suggestions for health care improvements during the first year after birth: A qualitative study of free-text answers given within a randomized controlled trial","authors":"Christel Johansson ,&nbsp;Malin Edqvist ,&nbsp;Anna Bonnevier ,&nbsp;Mia Vilhelmsen ,&nbsp;Christine Rubertsson","doi":"10.1016/j.srhc.2025.101078","DOIUrl":"10.1016/j.srhc.2025.101078","url":null,"abstract":"<div><h3>Objective</h3><div>The time after birth is a crucial period for women, involving both physical recovery and emotional challenges. Previous research indicates that postnatal care is a neglected area of maternity care. The aim of this study was to explore women’s suggestions for health care improvements, based on their experiences during the first year after birth.</div></div><div><h3>Methods</h3><div>This study is based on data from a one-year follow-up questionnaire collected prospectively after randomization in a multicentre trial in Sweden. The questionnaire included an open-ended question: <em>“Based on your experience during the first year after giving birth, do you have any suggestions of change in health care, which could have contributed to better health for you?”</em> Thematic analysis inspired by Braun and Clark was conducted to analyse the answers.</div></div><div><h3>Results</h3><div>A total of 2516 women completed the questionnaire, with 719 (29 %) providing free text responses to the open-ended question. Women described the transition to motherhood as challenging and lonely, and offered numerous suggestions to improve care after birth. The results showed four themes: <em>Provision of compassionate, tailored and respectful care after birth, Evidence-based breastfeeding support, Guidance regarding bodily changes</em> and <em>A need for extended follow-up.</em></div></div><div><h3>Conclusion</h3><div>Women suggested improvements and pointed out the importance of continuity of care after birth, a comprehensive and individualized postnatal care, accessible and extended throughout the first year. Future research must focus on how to establish a postnatal care program that extends further than the first six weeks, based on women’s experiences and suggestions to ensure an optimal start to motherhood.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101078"},"PeriodicalIF":1.4,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Domestic violence and pregnancy intendedness: A cross-sectional study in Nepal","authors":"Pratibha Chalise ,&nbsp;Jennifer Jean Infanti ,&nbsp;Kunta Devi Pun ,&nbsp;Melanie Rae Simpson ,&nbsp;Lena Henriksen ,&nbsp;Mirjam Lukasse ,&nbsp;on behalf of the ADVANCE 2 study team","doi":"10.1016/j.srhc.2025.101077","DOIUrl":"10.1016/j.srhc.2025.101077","url":null,"abstract":"<div><h3>Background</h3><div>Research indicates that women’s control over their fertility may be impacted by intimate partner and domestic violence. This study aimed to investigate the association between domestic violence and unintended pregnancy in Nepal.</div></div><div><h3>Methods</h3><div>This study used data (N = 2129) collected from a baseline questionnaire in an ongoing randomized controlled trial which enrolls pregnant women attending routine antenatal care at two hospital sites. Inclusion criteria were age ≥ 18 years, gestational age between 12–22 weeks, and consent to participate. Domestic violence (DV) was assessed using the Nepalese version of the Abuse Assessment Screen (N-AAS), while pregnancy intendedness was assessed using a modified version of the London Measure of Unplanned Pregnancy (LMUP).</div></div><div><h3>Results</h3><div>Nearly one in four women (23.8%) experienced unintended pregnancies. Women reporting emotional DV since marriage had increased odds of unintended pregnancy, also after adjusting for age, education, ethnicity, family type, settlement area, income, and number of children [adjusted OR: 2.52 (1.67––3.82)]. Similar results were observed for women reporting any DV since marriage [aOR: 2.45 (1.65––3.63)]. The association between emotional violence and unintended pregnancy was present for women experiencing this violence from their intimate partners [aOR: 2.65 (1.03––6.88)] and family [aOR: 2.20 (1.36––3.57)].</div></div><div><h3>Conclusion</h3><div>The findings indicate an association between unintended pregnancy and experiences of emotional and domestic violence since marriage. Addressing domestic violence in pregnant women who report unintended pregnancies could mitigate further risks to their maternal and reproductive health.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101077"},"PeriodicalIF":1.4,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of African immigrant and refugee women with prenatal and maternal health care services and treatment adherence in Winnipeg, Manitoba","authors":"Bekelu Negash ,&nbsp;S. Michelle Driedger ,&nbsp;Andrew Hatala ,&nbsp;Ana Iervolino ,&nbsp;Simret Daniel ,&nbsp;Javier Mignone","doi":"10.1016/j.srhc.2025.101076","DOIUrl":"10.1016/j.srhc.2025.101076","url":null,"abstract":"<div><h3>Background</h3><div>The requirements for adequate perinatal and maternal health care services for African women in Canada continue to rise, given the increased number of African immigrants and refugees coming to the country.</div></div><div><h3>Aim</h3><div>The study had three objectives: (1) to explore how East and west African immigrant and refugee women living in Manitoba access perinatal and maternal health care services; (2) describe their interactions with health care providers; and (3) understand how their experience impacts their treatment adherence.</div></div><div><h3>Methods</h3><div>The study was guided by Community-Based Participatory Research (CBPR) in partnership with a community organization, Sexuality Education Resource Centre Manitoba (SERC). Purposive sampling methods was used to recruit 16 women. Interpretative Phenomenological Analysis (IPA) and intersectionality guided the analysis of the data.</div></div><div><h3>Findings and discussion</h3><div>The participants shared accessing these services through the program Healthy Mom and Me, clinics, and family doctors. Some women experienced barriers such as language differences and lack of social support. Several themes emerged from the analysis: it was stressful; left hanging; “they are always and no one explains”; and faith and culture convictions. Five women reported that racism/discrimination or structural barriers affected their experiences. The women also shared that some recommendations were not respectful or relevant to their traditional/cultural way of caring for a newborn.</div></div><div><h3>Conclusion</h3><div>The study offered insights into the lived experiences of African immigrant and refugee women accessing prenatal and maternal health care service. The study also provided insights on ways in which systemic oppression/racism may be occurring in the healthcare system.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101076"},"PeriodicalIF":1.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143379027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postpartum hormonal contraceptive use in Denmark during 1997–2021","authors":"Søren Vinther Larsen ,&nbsp;Anders Pretzmann Mikkelsen ,&nbsp;Kathrine Bang Madsen ,&nbsp;Xiaoqin Liu ,&nbsp;Trine Munk-Olsen ,&nbsp;Vibe Gedso Frokjaer ,&nbsp;Øjvind Lidegaard","doi":"10.1016/j.srhc.2025.101075","DOIUrl":"10.1016/j.srhc.2025.101075","url":null,"abstract":"<div><h3>Objective</h3><div>To provide an overview of postpartum hormonal contraceptive (HC) use in Denmark.</div></div><div><h3>Methods</h3><div>This descriptive study used National health registries to estimate the cumulative incidence of HC initiation one year after delivery by type, calendar year, and age group among all first- and second-time mothers who delivered during 1997–2021 in Denmark. Timing of initiation is reported as the median time from delivery.</div></div><div><h3>Results</h3><div>A total of 676 759 first-time and 552 142 second-time mothers were registered, with a cumulative incidence of HC initiation of 41.0% (95% CI, 40.9–41.1) and 40.5% (40.4–40.6), respectively. From 1997 to 2021, the cumulative incidence of first-time mothers who initially used progestogen-only pills increased from 3.8% (3.5–4.0) to 14.4% (13.9–14.8) and intrauterine levonorgestrel-releasing systems from 0.1% (0.1–0.2) to 12.6% (12.3–13.0). In contrast, combined oral contraception initiation decreased from 31.3% (30.7–31.8) to 7.8% (7.5–8.2). The median time of initiation decreased from 4.7 (Q1-Q3, 2.5–7.5) months during 1997–2001 to 2.5 (2–0-4.0) months during 2017–2021. The cumulative incidence of first-time mothers using combined HC six weeks after delivery decreased from 1.5% (1.5–1.6) during 2007–2011 to 0.5% (0.5–0.5) during 2017–2021.</div></div><div><h3>Conclusions</h3><div>Within the first year after childbirth, 41 % of first- and second-time mothers initiated HC in Denmark. Throughout 1997–2021, mothers started earlier after delivery and more often used progestogen-only contraception. Few started combined HC within 6 weeks after delivery. Taken together, the pattern of HC use over time reflects a change to safer contraceptive methods postpartum which minimizes thromboembolic risk.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101075"},"PeriodicalIF":1.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investing in midwifery education strengthens the health of women and children and ensures a healthier society","authors":"Lia Brigante,&nbsp;Rikke Damkjær Maimburg","doi":"10.1016/j.srhc.2025.101074","DOIUrl":"10.1016/j.srhc.2025.101074","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101074"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143358736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The importance of patient-centered contraceptive care: Linking provider contraceptive coercion to patient psychological distress and mental well-being","authors":"Laura E.T. Swan ,&nbsp;Ortal Wasser ,&nbsp;Lindsay M. Cannon","doi":"10.1016/j.srhc.2025.101073","DOIUrl":"10.1016/j.srhc.2025.101073","url":null,"abstract":"<div><h3>Objective</h3><div>Provider-based contraceptive coercion, or pressure from a healthcare provider to use or not to use birth control, undermines patient-centered care. We investigated the relationship between contraceptive coercion and mental health, which is previously unstudied.</div></div><div><h3>Methods</h3><div>In 2023, we used Prolific to survey reproductive-aged people in the United States who were assigned female at birth. We conducted <em>t</em>-tests and linear regression to assess relationships between upward (pressure to use birth control) and downward contraceptive coercion (pressure to <em>not</em> use birth control) and psychological distress and mental well-being among participants who had ever received contraceptive counseling (<em>N</em> = 1,154).</div></div><div><h3>Results</h3><div>In bivariate analyses, we found a significant association between contraceptive coercion and psychological distress (upward coercion: <em>M</em> = 8.31 vs. 9.82, <em>t</em> = -3.023, <em>p</em> = 0.003; downward coercion: <em>M</em> = 8.44 vs. 10.78, <em>t</em> = -2.634, <em>p</em> = 0.009) and between contraceptive coercion and emotional (upward coercion: <em>M</em> = 7.60 vs. 7.04, <em>t</em> = 2.613, <em>p</em> = 0.009; downward coercion: <em>M</em> = 7.56 vs. 6.52, <em>t</em> = 2.744, <em>p</em> = 0.006) and psychological well-being (upward coercion: <em>M</em> = 15.05 vs. 14.03, <em>t</em> = 2.339, <em>p</em> = 0.019; downward coercion: <em>M</em> = 15.00 vs. 12.66, <em>t</em> = 3.018, <em>p</em> = 0.003). When controlling for the effects of sociodemographic factors, both upward (<em>B</em> = 1.06, <em>SE</em> = 0.50, <em>p</em> = 0.034) and downward coercion (<em>B</em> = 1.94, <em>SE</em> = 0.88, <em>p</em> = 0.027) remained positively associated with psychological distress. Although downward coercion remained negatively associated with emotional (<em>B</em> = -0.78, <em>SE</em> = 0.37, <em>p</em> = 0.035) and psychological well-being (<em>B</em> = -1.89, <em>SE</em> = 0.75, <em>p</em> = 0.012), upward coercion did not.</div></div><div><h3>Conclusion</h3><div>People who perceived coercion in their contraceptive care reported higher levels of psychological distress and worse mental well-being, underscoring the importance of safeguarding patients’ autonomy during contraceptive counseling to support reproductive decision-making and positive mental health outcomes.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101073"},"PeriodicalIF":1.4,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of infertility on the mental health of women undergoing in vitro fertilization treatment","authors":"Aggeliki Moutzouroulia ,&nbsp;Zoi Asimakopoulou ,&nbsp;Chara Tzavara ,&nbsp;Konstantinos Asimakopoulos ,&nbsp;Georgios Adonakis ,&nbsp;Apostolos Kaponis","doi":"10.1016/j.srhc.2025.101072","DOIUrl":"10.1016/j.srhc.2025.101072","url":null,"abstract":"<div><h3>Background &amp; problem</h3><div>Infertility affects a substantial number of couples, posing physical, emotional, and psychological challenges. Infertile women experienced a sense of loss of control and planning of life with high stress and anxiety and they must deal with the uncertainty of treatment. The evolution of assisted reproductive techniques has provided hope for couples that struggle with infertility. The implementation of questionnaires assessing the mental health of women with infertility before, during, and after the IVF procedure proved to be useful tool to evaluate women who needs psychological support.</div></div><div><h3>Aim</h3><div>This study aims to explore the impact of infertility on the mental health of women undergoing IVF treatment.</div></div><div><h3>Methods</h3><div>For the assessment of infertility on women’s mental health, the CES-D Scale, the State-Trait Anxiety Inventory for Adults, and the Fertility Problem Inventory scale were given before or during the diagnostic evaluation of the infertility and before the initiation of infertility treatment (ovulation induction). To assess the effect of ART on the mental health of the participants, the fertility quality of life tool was applied at the end of the procedure.</div></div><div><h3>Findings</h3><div>The current study found that the greater age, the greater educational level and not having experienced a miscarriage were significantly associated with better quality of life and decreased stress during the IVF procedure.</div></div><div><h3>Conclusions</h3><div>The application of psychological interventions <strong>can assist</strong> all women undergoing infertility treatment as a way to cope with the challenges associated with infertility treatment. <strong>IVF couples may need additional support during the procedure.</strong></div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101072"},"PeriodicalIF":1.4,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}