Sexual & Reproductive Healthcare最新文献

{"title":"Sexually transmitted infections (Chlamydia trachomatis, genital HSV, and HPV) and female fertility: A scoping review","authors":"Trine S. Kristensen,&nbsp;Amalie Foldager,&nbsp;Anne Sofie D. Laursen,&nbsp;Ellen M. Mikkelsen","doi":"10.1016/j.srhc.2025.101067","DOIUrl":"10.1016/j.srhc.2025.101067","url":null,"abstract":"<div><div>More than one million sexually transmitted infections (STIs) are acquired every day worldwide. They are commonly caused by <em>Chlamydia trachomatis</em> (CT), herpes simplex virus (HSV), or human papillomavirus (HPV) and are suggested to contribute to female infertility. This scoping review aims to map and summarize existing literature on the association between a pre-pregnancy infection with CT, genital HSV, or HPV and female fertility.</div><div>We searched two databases (PubMed, Embase) to identify published literature on the association between CT, genital HSV, or HPV infection and female fertility. We included full-text articles, published from 2002 to 2022, on pre-pregnancy infection with either CT, genital HSV, or HPV within a population of women of reproductive age. The study endpoint was either pregnancy, time-to-pregnancy, or infertility. The included studies were evaluated according to the Critical Appraisal Tool by Joanna Briggs Institute.</div><div>Eight studies were eligible for the review. All of them investigated the association between a CT infection and fertility, while none of them investigated infections with genital HSV or HPV. Three studies found that a CT infection was associated with poorer female fertility, and one study found a similar association in a subgroup analysis of women with a pregnancy intention. Four studies indicated no association, although methodological differences between the studies preclude firm conclusions.</div><div>This review revealed sparse literature investigating the association between CT, HPV, and HSV and subsequent female fertility. Prospective cohort studies with preconception assessments of these STIs are needed to determine the relation between STIs and subsequent fertility.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101067"},"PeriodicalIF":1.4,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076436","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":"Fertility attitudes and intentions among postgraduate female and male students in China: A qualitative focus group study","authors":"Chanzhi Duan,&nbsp;Yan Wang,&nbsp;Manru Li,&nbsp;Qing Li","doi":"10.1016/j.srhc.2025.101070","DOIUrl":"10.1016/j.srhc.2025.101070","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the fertility attitudes and intentions of postgraduate female and male students in China.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study was conducted using focus group interviews and purposive sampling to select 27 postgraduate students. This diverse group included eight nursing, five pharmacy, four rehabilitation, four ophthalmology, and six stomatology students from a graduate school in China. Data were collected through three focus groups from June 2023 to August 2023. Themes and sub-themes were identified through thematic analysis.</div></div><div><h3>Findings</h3><div>The study identified three themes impacting the students’ fertility intentions: (1) changes in fertility attitudes, (2) personal and external factors affecting their fertility intentions, and (3) the need for fertility support.</div></div><div><h3>Conclusion</h3><div>This study provides insights into the fertility attitudes and intentions of a specific cohort, namely postgraduate students in China. The results indicate that postgraduate students are open to new ideas and place greater importance on personal realization and emotional satisfaction in the context of their fertility intentions than on the three-child policy. We discovered that women’s attitudes and intentions on fertility were frequently impacted by media and other information, whereas men were rarely influenced by such factors. However, family and social support, especially partner support, were crucial in fostering positive fertility intentions among postgraduate students.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101070"},"PeriodicalIF":1.4,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095811","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":"Abortion provision and characteristics of abortion patients in an academic medical center in Washington state before and after Dobbs","authors":"Taylor Riley ,&nbsp;Anna E. Fiastro ,&nbsp;Amy Willerford ,&nbsp;Lyndsey S. Benson ,&nbsp;Emily M. Godfrey ,&nbsp;Sarah Prager","doi":"10.1016/j.srhc.2025.101069","DOIUrl":"10.1016/j.srhc.2025.101069","url":null,"abstract":"<div><h3>Objective</h3><div>To examine abortion care in the largest academic medical center in Washington, a state protective of abortion rights, before and after the Supreme Court <em>Dobbs</em> decision.</div></div><div><h3>Methods</h3><div>This retrospective cohort study evaluated abortion provision at the University of Washington between January 1, 2022 and October 31, 2023. Data on patient sociodemographic and clinical characteristics were extracted from electronic medical records. We assessed differences in patient sociodemographics, clinical characteristics, and type of care (medication vs. procedural) comparing the pre-<em>Dobbs</em> (January 1, 2022- June 23, 2022) and post-<em>Dobbs</em> (June 24, 2022 – October 31, 2023) periods using chi-squared tests for categorical variables and t-tests for continuous variables.</div></div><div><h3>Results</h3><div>Among the 494 abortions performed during the study period, most were procedural (63%) and performed in the hospital setting (68%), over one-third (37%) had a fetal anomaly, and 4% were among individuals from out of state. The distribution of gestational duration was bimodal: over one-third of abortions occurred at less than 8 weeks gestation (34%) and 38% were 18 weeks or greater. The weekly number of abortions remained stable and there were minimal significant differences in patient characteristics or type of care comparing the pre-and-post <em>Dobbs</em> periods.</div></div><div><h3>Conclusion</h3><div>Academic medical centers provide comprehensive abortion services that span primary to complex specialty care. The minimal changes in abortion care following <em>Dobbs</em> suggests academic medical centers have important patient care and training opportunities to expand abortion access in Washington state.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101069"},"PeriodicalIF":1.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043815","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":"Healthcare, socioeconomic and obstetric factors associated with the excess of cesarean sections in 880,000 births from the city of Rio de Janeiro, Brazil","authors":"Eduardo Succini Martins ,&nbsp;Lucas Dantas de Oliveira ,&nbsp;Luiz Felipe Bessa Martins ,&nbsp;Luíza Magalhães Tavares ,&nbsp;Manuela Buy Costa dos Santos ,&nbsp;Mário de Barros Neto ,&nbsp;Millena Vidal Godinho ,&nbsp;Raica Alves Saldanha Marinho ,&nbsp;Susana Souza de Hollanda Cavalcanti ,&nbsp;Victor Hugo Vetter Rodrigues ,&nbsp;Alessandra Bento Veggi ,&nbsp;Raphael Mendonça Guimaraes","doi":"10.1016/j.srhc.2025.101068","DOIUrl":"10.1016/j.srhc.2025.101068","url":null,"abstract":"<div><h3>Objective</h3><div>A study conducted in Rio de Janeiro aimed to identify the factors contributing to the high rate of cesarean deliveries in the city, which is over three times higher than the World Health Organization recommended. However, the city has a role in strategies and policies to empower primary care and to organize delivery care.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study using the Live Birth Information System from 2012 to 2021. We chose variables related to healthcare, socioeconomic, and obstetric factors and performed a binary logistic regression to estimate the association between each variable and the type of delivery.</div></div><div><h3>Results</h3><div>Among 880,182 births that occurred over ten years, we found 54.29 % of cesarean sections. The overall accuracy of the final model was 87.8 %. Although the healthcare, socioeconomic and obstetric dimensions contribute to explaining the excess of cesarean sections, obstetric factors were surprisingly less predictive than variables associated with the context of life and healthcare. The most impressive association was the type of hospital and the occurrence of cesarean sections (OR = 9.81, CI 95 % 9.66–9.97). Compared to the series’s first year, 2021 represented a 26 % lower chance of having a cesarean section in Rio de Janeiro (OR = 0.74, CI 95 % 0.72–0.76), probably due to the implementation of primary care and comprehensive obstetric care policies.</div></div><div><h3>Conclusion</h3><div>The search for an adequate cesarean section rate requires a delicate balance between maternal-fetal safety, patient autonomy, and ensuring that cesarean sections are not performed excessively without medical justification.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101068"},"PeriodicalIF":1.4,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043797","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":"A phenomenographic study of midwives’ perceptions of abortion care in Japan","authors":"Maki Mizuno ,&nbsp;Fukiko Ando ,&nbsp;Mitsuko Ohira","doi":"10.1016/j.srhc.2025.101066","DOIUrl":"10.1016/j.srhc.2025.101066","url":null,"abstract":"<div><h3>Objective (s)</h3><div>This study aimed to explore midwives’ perceptions of experiences related to abortion care in Japan, contributing to the improvement of professional practices for better outcomes in safe and appropriate abortion care.</div></div><div><h3>Study Design</h3><div>A qualitative phenomenographic approach was employed to investigate the perceptions of midwives involved in abortion care. Semi-structured online interviews were conducted with 12 midwives recruited through purposive sampling. Data were analyzed using a phenomenographic approach to identify and conceptualize differences and similarities in their perceptions.</div></div><div><h3>Results</h3><div>Midwives’ perceptions of abortion care were categorized into three areas: the situation concerning abortion care, perceptions of abortion, and attitudes toward abortion care. Their perceptions of abortion included complex perspectives on women undergoing abortion, the unborn child, and the midwife. Midwives in this study believed that becoming an abortion care provider was based on the belief that it was their professional duty to provide equal care to all women. The desire to be good care providers for women was reflected in midwives’ actions in striving to fulfill the wishes of women who had abortions.</div></div><div><h3>Conclusion(s)</h3><div>This study suggested that the variations in midwives’ perceptions were reflected in their care, and that the quality of abortion care varies among midwives.</div><div>The findings highlight the need for supportive strategies and continuous education programs to enhance midwives’ professional identity and ability to provide equitable care.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101066"},"PeriodicalIF":1.4,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095812","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":"“Community members question me and flaunt their children before me”: A call for psychosocial support for women with infertility in Northern Ghana","authors":"Ignatius Anabila Adda ,&nbsp;Florence Naab ,&nbsp;Deborah Armah ,&nbsp;Josephine Kyei ,&nbsp;Abdulai Yahaya ,&nbsp;Theodore Wuni Bobtoyah","doi":"10.1016/j.srhc.2025.101065","DOIUrl":"10.1016/j.srhc.2025.101065","url":null,"abstract":"<div><div>Infertility is a major health issue that poses threats to women’s lives, marriages, and health. Yet little is known about psychosocial support for women with infertility in Northern Ghana. This study aims to understand the psychosocial challenges faced by women with infertility and evaluate the availability and effectiveness of social support systems in East Mamprusi Municipality, Northern Ghana using a qualitative interpretive descriptive design. In-depth interviews were conducted using a semi-structured interview guide. Ethical approval was received from the Institutional Review Board of Ghana Health Service, Accra. Women who visited the health facility desiring to conceive were recruited and interviewed. Thirteen (13) women were interviewed, with each interview lasting 45 min to an hour. The interviews were audiotaped after obtaining permission from the participants, which were transcribed verbatim and analyzed using content analysis. The findings revealed that women faced numerous mental and social problems. Some of these problems include emotional, behavioural, marital instability, the high cost of infertility treatment, and a strong desire to have children. Although the women reported some social support from the community, they lacked strategies to sustain this support. Women with infertility face numerous mental and social challenges. They lack support systems to improve their mental and social health. Health professionals are required to constitute peer support groups for these women and advocate for external assistance to sustain these support groups.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101065"},"PeriodicalIF":1.4,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017929","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":"Factor structure and psychometric characteristics of the City birth Trauma Scale- Slovak version","authors":"Zuzana Škodová ,&nbsp;Barbora Ďuríčeková ,&nbsp;Ľubica Bánovčinová ,&nbsp;Eva Urbanová ,&nbsp;Martina Bašková ,&nbsp;Marián Grendár","doi":"10.1016/j.srhc.2025.101063","DOIUrl":"10.1016/j.srhc.2025.101063","url":null,"abstract":"<div><h3>Objective</h3><div>The City Birth Trauma Scale (City BiTS) is a questionnaire designed to assess the posttraumatic symptoms after birth. This study aimed to explore the factors structure, internal consistency, known-groups validity, and convergent validity of the City Birth Trauma Scale in Slovakia.</div></div><div><h3>Methods</h3><div>Cross-sectional Slovak national data from the INTERSECT study were analyzed in this study. The research was set in four public hospital sites in central and eastern Slovakia. A 28-item City BiTS online questionnaire was administered to 437 women 6–8 weeks postpartum study (mean age 30.5 ± 4,8; range18-45), along with the Edinburgh Postnatal Depression Scale (EPDS) and the Post-Traumatic Stress Diagnostic Scale indicating previous trauma.</div></div><div><h3>Results</h3><div>The stressor criterion of PTSD based on DSM 5 classification was met by 11.5 % of postpartum women in the Slovak sample, and all criteria for PTSD were met by 2.8 % of participants. Significantly higher City BiTS scores were found among primiparas (p ≤ 0.01), women who experienced previous trauma (p ≤ 0.001), with positive psychiatric anamnesis (p ≤ 0.001), and women after assisted vaginal birth or emergency caesarian section (p ≤ 0.001). The Slovak version of City BiTS has been shown to have good reliability and good divergent and known-groups validity. The results of confirmatory factor analysis showed that the two-factor model of the BSS-R offers a good fit to the Slovak data (χ²_{(df = 169)} = 574, <em>p</em> &lt; 0.001, CFI = 0.90 and RMSEA = 0.08).</div></div><div><h3>Conclusions</h3><div>The Slovak version of the City Birth Trauma scale has been found to have good psychometric properties comparable with other validation studies of this measure.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101063"},"PeriodicalIF":1.4,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967606","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":"Exercise in early pregnancy among women with migraine: A hospital-based cross-sectional study","authors":"Hanne K. Hegaard ,&nbsp;Marie Stampe Emborg ,&nbsp;Stine Wieland ,&nbsp;Mona Ameri Chalmer ,&nbsp;Mie Gaarskjær de Wolff ,&nbsp;Nanna Roed Ballegaard ,&nbsp;Peter Damm ,&nbsp;Ane Lilleøre Rom","doi":"10.1016/j.srhc.2024.101062","DOIUrl":"10.1016/j.srhc.2024.101062","url":null,"abstract":"<div><h3>Objective</h3><div>Migraine is one of the most common pain disorders among women of childbearing age. While medical treatment might be necessary for some during pregnancy, non-pharmacological approaches, such as exercise, are generally recommended. We aimed to assess the association between migraine and exercise behaviours, adherence to the national recommendations for exercise, and the type of exercise undertaken during early pregnancy within a cohort of Danish women.</div></div><div><h3>Methods</h3><div>We performed a cross-sectional study using patient-reported questionnaire data from The Copenhagen Pregnancy Cohort (2013–2019). Logistic regression analyses were applied to assess associations between migraine and the selected outcomes, with adjustment for relevant confounders.</div></div><div><h3>Results</h3><div>We included 24,017 pregnancies. Women with migraine were more likely to refrain from exercise in early pregnancy compared to those without (46.4% vs 40.8%) (aOR 1.26, 95% CI 1.12–1.41). Additionally, they were more likely not to meet the national recommendations for exercise (62.9% vs 57.8%), (aOR 1.27, 95% CI 1.13–1.42). The differences were consistent among women with migraine with aura (MA) and migraine without aura (MO), respectively. Women with and without migraine participated in similar types of exercise during early pregnancy.</div></div><div><h3>Conclusions</h3><div>Our findings indicate that women with migraine were less likely to engage in exercise and to adhere to the national recommendations of exercise, compared to those without. Findings were similar for women with MA and MO. The types of exercise performed did not differ between groups.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101062"},"PeriodicalIF":1.4,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142924267","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":"Exploring midwives’ perceptions of the multisensory birthing room work environment: A qualitative analysis","authors":"Anya Eidhammer ,&nbsp;Dorte Melgaard ,&nbsp;Louise Sofia Madsen ,&nbsp;Julie Glavind ,&nbsp;Sissel Raahede Lundgaard ,&nbsp;Marie Koldkjær Højlund","doi":"10.1016/j.srhc.2024.101061","DOIUrl":"10.1016/j.srhc.2024.101061","url":null,"abstract":"<div><h3>Background</h3><div>Multisensory birthing rooms are specially designed and integrate elements such as sound, light, and visual stimuli to create an immersive atmosphere.</div></div><div><h3>Aim</h3><div>To investigate how implementing multisensory birthing rooms affect midwives’ perceptions of their working environment.</div></div><div><h3>Methods</h3><div>The data material consisted of 16 semi-structured interviews. The population was midwives employed before and after the implementation of multisensory birthing rooms and the setting was a labour ward unit at a Danish regional hospital. A qualitative description of the midwives’ perceptions of their working environment in multisensory birthing rooms was performed and a thematic analytical approach was applied.</div><div>Findings</div><div>Four major themes were identified. 1. “Sensing the environmental transformation” in which the midwives experienced that the multisensory birthing rooms helped to create a safe and less risk-focused atmosphere. 2. “Navigating new norms” describing the espoused beliefs and values regarding new practices within the rooms in which the implementation of the rooms creates a commitment among midwives for further involvement and development of the maternity ward. 3. “A supportive atmosphere”, which addresses how the multisensory birthing rooms capture different levels of affective attunement and how the calm atmosphere helps to support the work of the midwives. 4. “A sense of pride and empowerment”, which addresses how the environment creates a sense of pride and empowers the midwives.</div></div><div><h3>Conclusions</h3><div>The physical transformation from traditional to multisensory birthing rooms has led to a cultural transformation supporting the midwives’ sense of professionalism through the improved working environment.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101061"},"PeriodicalIF":1.4,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911296","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 giving birth in healthcare facilities in India -A systematic literature review of qualitative research","authors":"Júlía Dögg ,&nbsp;Åsa Trøseid ,&nbsp;Kerstin Erlandsson ,&nbsp;Paridhi Jha ,&nbsp;Bharati Sharma ,&nbsp;Malin Bogren","doi":"10.1016/j.srhc.2024.101058","DOIUrl":"10.1016/j.srhc.2024.101058","url":null,"abstract":"<div><h3>Background</h3><div>Childbirth in healthcare facilities has increased in South-East Asia and the focus on quality of childbirth care has increased in the region. Without a deeper understanding of women’s experience of giving birth in healthcare facilities, the quality of care cannot be improved. The aim of this study was to synthesise available qualitative research from India that explores women’s experiences of giving birth in healthcare facilities.</div></div><div><h3>Method</h3><div>A qualitative systematic literature review was conducted in February 2023, using the databases PubMed, CINAHL, and Scopus. We used an inductive content analysis.</div></div><div><h3>Findings</h3><div>The search identified 6316 articles, 16 of which were included. The overall categories were Lack of dignity and respect, Adequacy of supportive care, and Limited hospital infrastructure and cleanliness, and these were cited by the women to be a deterrent from having their future births at a hospital.</div></div><div><h3>Conclusion</h3><div>There is an urgent need for comprehensive measures to eliminate mistreatment during childbirth, ensure cost-free access to healthcare, and enhance the quality of maternal care. These efforts are essential for improving maternal and neonatal outcomes and promoting positive childbirth experiences for women in India and in other similar settings.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101058"},"PeriodicalIF":1.4,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899385","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}