Sexual & Reproductive Healthcare最新文献

{"title":"Labour ward midwives’ experiences of remote video calls with women during early labour","authors":"Viola Nyman ,&nbsp;Ann Svensson ,&nbsp;Malin Hansson ,&nbsp;Anette Johnsson","doi":"10.1016/j.srhc.2025.101095","DOIUrl":"10.1016/j.srhc.2025.101095","url":null,"abstract":"<div><h3>Background</h3><div>The shortage of midwives makes it difficult to meet healthcare needs in early labour, a phase when professional support and personal evaluation are crucial. Digitalisation has transformed healthcare, offering new communication and support methods. Although still uncommon, the use of a virtual waiting room with video calls by midwives during early labour could provide vital support for pregnant women and their partners. This study aimed to describe labour ward midwives’ experiences of remote video calls with women during early labour.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study with seven semi-structured interviews followed by a qualitative content analysis was conducted.</div></div><div><h3>Results</h3><div>The findings revealed that remote video calls enabled the midwives to work flexibly with chosen working hours and become involved in a challenging new e-function. They interacted with the women and their partners and experienced that they created a supportive relationship and simultaneously gained an overview of the situation. They felt secure in their professional role when providing the necessary care and had confidence in their competence.</div></div><div><h3>Conclusion</h3><div>The potential benefits of integrating remote video calls into midwives’ tasks during early labour care include flexible working hours and fostering supportive relationships with women and their partners at home.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101095"},"PeriodicalIF":1.4,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825759","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":"Veganism during pregnancy: Exploring experiences and needs of women following a plant-based diet","authors":"Maryse C. Cnossen ,&nbsp;Elke Tichelman ,&nbsp;Vera Bostelaar ,&nbsp;Suzanne van Dijk ,&nbsp;Claire Hendrickx ,&nbsp;Leonie Welling","doi":"10.1016/j.srhc.2025.101094","DOIUrl":"10.1016/j.srhc.2025.101094","url":null,"abstract":"<div><h3>Objective</h3><div>The prevalence of pregnant women adhering to a vegan or strict plant-based diet is increasing. Despite a growing interest in veganism in pregnancy, there is a paucity of research exploring the experiences and needs of women who decided to continue the vegan diet during pregnancy. This qualitative study aims to explore the experiences and needs of pregnant women adhering to a vegan diet.</div></div><div><h3>Methods</h3><div>We conducted fifteen semi-structured interviews among pregnant women and among women within the first twelve months postpartum who self-identified as vegan.</div></div><div><h3>Results</h3><div>Thematic analysis revealed five core themes: (1) confidence and pride, (2) stigmatization, (3) barriers, (4) knowledge, and (5) support and acceptance. Although pregnant vegans often exhibit feelings of confidence and pride in their dietary choices, they also face challenges due to social stigma, misconceptions, cravings and nausea. Participants expressed that it was difficult to find reliable information regarding nutritional requirements and supplementation during pregnancy, and that healthcare providers lacked adequate knowledge. The level of support received from healthcare professionals and their surrounding varied but is deemed significant, underscoring the importance of a non-judgmental, accepting and supportive approach.</div></div><div><h3>Conclusions</h3><div>This study highlighted the confidence and pride pregnant vegans may experience, but also the challenges they face due to social stigma, misconceptions, cravings and nausea, and the need for better information and support. By addressing these challenges, healthcare professionals and communities can contribute to healthier and more informed vegan pregnancies, ultimately benefiting the well-being and health of both mothers and their infants.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101094"},"PeriodicalIF":1.4,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143806879","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":"Utilisation of childbirth education techniques: How does the concept of ‘differentiation of self’ impact this?","authors":"Kerry Sutcliffe ,&nbsp;Elizabeth Newnham ,&nbsp;Hannah Dahlen ,&nbsp;Linda Mackay ,&nbsp;Kate Levett","doi":"10.1016/j.srhc.2025.101093","DOIUrl":"10.1016/j.srhc.2025.101093","url":null,"abstract":"<div><h3>Objective</h3><div>The utility of childbirth education (CBE) techniques during labour is largely unknown. We considered whether ‘<em>differentiation of self’</em> (DoS), a Bowen theory concept describing a person’s capacity to act according to goals and principles, even when experiencing physiological, emotional, and relational stressors, impacted this. The aim was to explore women’s perspectives on the utilisation of non pharmacological CBE strategies that support physiological birth, and whether DoS influences use.</div></div><div><h3>Methods</h3><div>Semi structured interviews with participants of varying levels of reported DoS enrolled in an Australian RCT of a comprehensive CBE program.</div></div><div><h3>Results</h3><div>Thematic analysis identified <em>pressure points</em> during childbirth, to which women responded through <em>promoters</em> of CBE (‘Trust in self’, ‘Enlisting support of others’, ‘I clawed it back’) or <em>preventers</em> (‘Impeding issues derailed me’, ‘Conversations with me were incomplete’, ‘I lost my way’). As <em>pressure points</em> intensified, it became increasingly difficult to utilise techniques. The overarching theme, <em>up to a point</em>, describes the use of CBE and the interaction between level of DoS and stressors faced.</div></div><div><h3>Conclusion</h3><div>Women utilise CBE techniques to differing degrees, which is impacted by support available, and stressors associated with birth culture and practices. This has practise implications for supporting physiological birth. The application of CBE techniques is mediated by pressures women encounter. DoS indicates promotion of CBE strategies <em>up to a point</em>, but with sufficient challenges, continued use becomes increasingly difficult.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101093"},"PeriodicalIF":1.4,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143806878","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":"Do Indonesian midwifery-led birth units provide safe, accessible care? A secondary analysis of demographic health survey cross-sectional data","authors":"Kai Hodgkin ,&nbsp;Grace Joshy ,&nbsp;Kamalini Lokuge","doi":"10.1016/j.srhc.2025.101089","DOIUrl":"10.1016/j.srhc.2025.101089","url":null,"abstract":"<div><h3>Objective</h3><div>In high-income countries, attended birth at home and in midwifery-led birth units is safe for low-risk women who have access to hospital transfer. These circumstances are untested in Indonesia and other low- and middle-income countries, where mortality remains unacceptably high, and studies analysing birth settings do not account for pregnancy risk. This study aimed to quantify first day neonatal mortality in Indonesia across different birth settings, adjusting for pregnancy risk and other confounding factors, and summarise barriers to accessing health care.</div></div><div><h3>Methods</h3><div>Using self-reported data from women aged 15–49 years participating in the 2007, 2012 and 2017 Indonesian Demographic Health Surveys (n = 45,953), adjusted odds ratios (aOR) of first-day neonatal mortality were estimated using logistic regression. Barriers reported by women in accessing health care are summarised.</div></div><div><h3>Results</h3><div>First-day neonatal death occurred in 3.45 per 1000 live births. Rates were higher for: births with pregnancy risk (7.35/1000 vs 2.31/1000 no risk; aOR = 3.17, 95 %CI 2.29–4.38); home births with and without health professionals present (5.03/1000, aOR = 2.26, 95 %CI 1.19–4.29 and 5.11/1000, aOR = 2.50, 95 %CI 1.26–4.96 respectively) vs midwife-led birth unit. Women who birthed in hospital and midwifery-led birth units reported fewer barriers to accessing healthcare; those who gave birth at home without a health professional reported the most.</div></div><div><h3>Conclusion</h3><div>Pregnancy risk and barriers to health care access are key elements associated with neonatal mortality. Interventions should target women who face barriers to accessing healthcare, particularly those with risk factors. Midwifery-led birth units are an accessible option, with low odds of first-day neonatal mortality in Indonesia.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101089"},"PeriodicalIF":1.4,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143806877","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":"The need for preconception care: Australian women’s health beliefs, expectations, and trust in healthcare","authors":"Bec Jenkinson ,&nbsp;Matilda Riek ,&nbsp;Susan de Jersey ,&nbsp;Lisa Buckley ,&nbsp;Saba Nabi ,&nbsp;Candice Irvine ,&nbsp;Sherrie Liu ,&nbsp;Seema Mihrshahi ,&nbsp;Kathleen Baird ,&nbsp;Jenny Doust ,&nbsp;Gita D Mishra","doi":"10.1016/j.srhc.2025.101092","DOIUrl":"10.1016/j.srhc.2025.101092","url":null,"abstract":"<div><h3>Introduction</h3><div>Preconception care aims to improve the health outcomes of parents and their children by optimising health prior to pregnancy. However, inconsistent adoption of preconception care guidelines and low uptake among women highlights the need for further exploration.</div></div><div><h3>Aim</h3><div>This study aims to explore women’s perceptions of the need for preconception care and the factors influencing these perceptions, including competing demands and expectations perceived by women while planning for pregnancy.</div></div><div><h3>Methods</h3><div>A participatory, qualitative approach was used, involving in-depth semi-structured interviews with reproductive-aged women in Australia. Reflexive thematic analysis was conducted on interview transcripts, including Synthesised Member Checking to verify findings.</div></div><div><h3>Results</h3><div>Interviews were conducted with 38 women. Three major themes emerged: (1) “Advice from trusted people will go a long way” emphasized the value of trusted connections and expertise; (2) “A bit of a baby factory” highlighted women’s sense of sole responsibility for pregnancy outcomes requiring their extensive efforts to avoid subsequent feelings of guilt and blame; (3) “If people knew” described women’s preference for privacy to avoid scrutiny and judgment.</div></div><div><h3>Discussion</h3><div>Women’s perception of the need for preconception care is shaped by intersecting issues of trust, individualised responsibility, and privacy. In the absence of relationship-based care with a trusted primary care provider, women seek lived experience and formal expertise online. Individual responsibility for preconception health is disempowering to women. Relationship-based models of primary maternity care, including midwifery models of care, and parasocial connections with experts may better meet women’s health needs in the preconception period.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101092"},"PeriodicalIF":1.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143684844","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":"Birth Control use in People who had an Abortion in the Southeast Region of the United States","authors":"Jessica Knott ,&nbsp;Carrie Cwiak ,&nbsp;Lynn Disney","doi":"10.1016/j.srhc.2025.101091","DOIUrl":"10.1016/j.srhc.2025.101091","url":null,"abstract":"<div><h3>Objective</h3><div>To examine non-use of birth control among people who sought an abortion in the Southeast region. Access to birth control continues to be rife with barriers. There have been many studies that have examined unintended pregnancies and birth control use, but none have studied non-use among people who sought an abortion. Post the Dobbs decision, it is imperative to understand these risk factors.</div></div><div><h3>Study Design</h3><div>The self-administered survey was given to all patients presenting for abortion and consented to complete the survey while at the clinic or facility before their abortion. This study examined factors associated with non-use of birth control in people who had an abortion.</div></div><div><h3>Results</h3><div>Overall, 50.2% (n = 1,222) of people presenting for abortion reported using a birth control method. Multivariate analysis showed that white people were 1.4 (95% CI: 1.2, 1.7) times more likely to use birth control compared to Black people. People with a bachelor’s degree or higher were 1.8 (95% CI: 1.3, 2.5) times more likely to use birth control, compared to people without high school diploma. Those 200% or above the federal poverty line were 1.3 (95% CI: 1.1, 1.6) times more likely to use birth control compared to those below the federal poverty line.</div></div><div><h3>Conclusion</h3><div>This study showed the lack of use of birth control in some populations, highlighting the need for better awareness of and access to birth control and improved education on options for birth control. Policies that promote equitable access to health education and care, and effective options for preventing unintended pregnancy are imperative.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101091"},"PeriodicalIF":1.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143684913","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":"Reconsidering “inclusive language:” Consequences for healthcare and equitableness of a growing linguistic movement to address gender identity with a path forward","authors":"Melissa Bartick ,&nbsp;Hannah Dahlen ,&nbsp;Jenny Gamble ,&nbsp;Shawn Walker ,&nbsp;Roger Mathisen ,&nbsp;Karleen Gribble","doi":"10.1016/j.srhc.2025.101088","DOIUrl":"10.1016/j.srhc.2025.101088","url":null,"abstract":"<div><div>Increasingly, the language of female reproduction is changing, so terms directly referencing people’s sex are replaced with terms obscuring sex, a language form commonly called “inclusive language” but more accurately is “desexed language.” Desexed language is promoted as assisting individuals experiencing an inner sense of themselves (a gender identity) in conflict with their sex, a state described as being transgender or gender-diverse. It seemingly assumes no harm to the general population. However, the scant existing research suggests it may not be well accepted or understood. There are a variety of types of desexed language, including globalizing language (e.g. replacing “women” with “people”), biology-based language (e.g. “lactating individuals,” “menstruators”), neologisms (“chestfeeding”), appropriation of terms with other meanings (“sex assigned at birth”), and additive language (e.g. “women and birthing people”). Second- and third-person language (e.g. “if you are sexually active,” “those who are pregnant”) can be a type of desexed language depending on context. Desexed language is likely to have an adverse impact on people with low health literacy and language skills, risk alienation, and cause confusion, especially in non-Western countries and cultures. It may even cause harm to transgender and gender-diverse people who also need clear health communications as well as specialized healthcare. Widespread use of desexed language is contrary to the usual practice of implementing targeted tailored communications for those with specialized needs while using the most effective language for most people for general communications. Comprehensive research on the impact of desexed language is urgently needed.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101088"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143698015","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":"Integrating family planning with reproductive health services: A multi-case study protocol","authors":"Farina Gul ,&nbsp;Zohra S Lassi ,&nbsp;Gizachew A Tessema ,&nbsp;Mohammad Afzal Mahmood","doi":"10.1016/j.srhc.2025.101090","DOIUrl":"10.1016/j.srhc.2025.101090","url":null,"abstract":"<div><h3>Background</h3><div>Critical gaps exist in the provision of family planning services in low and middle-income countries (LMICs), hindering access. Integrating family planning services with existing health services offers a promising solution to enhance its accessibility. This multi-case study aims to analyse initiatives and develop a framework applicable to diverse resource-limited settings. The objectives of this study are to analyse national documents on FP services integration with other reproductive health service, identify enablers and barriers among different integration examples, and to compare among FP integration initiatives from selected countries. For this paper, cases are defined as specific interventions where family planning services have been integrated into existing reproductive health services at healthcare facilities of LMICs.</div></div><div><h3>Methods</h3><div>This study will employ national document analysis and qualitative inquiry. The national documents consisting of policies, guidelines, strategic plans and health services packages of selected countries will be analysed. The qualitative data will be collected through 20–25 semi-structured virtual interviews with key stakeholders. These key informants will be healthcare providers, researchers, policy makers and health managers. The data analysis will use both deductive and inductive approaches, applying the six key dimensions of clinical, professional, organisational, system, functional, and normative integration of the Rainbow Model.</div></div><div><h3>Discussion</h3><div>This paper will identify the process of integrating FP services, a structured, adaptable approach for integrating family planning services with other reproductive health services in low resource settings and addressing health system gaps in family planning service delivery.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101090"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143684846","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":"Fostering empowerment through communication: The needs, expectations, and experience of maternity care among polish migrant women in Iceland","authors":"Embla Ýr Guðmundsdóttir ,&nbsp;Marianne Nieuwenhuijze ,&nbsp;Annadís Greta Rúdólfsdóttir ,&nbsp;Helga Gottfreðsdóttir","doi":"10.1016/j.srhc.2025.101087","DOIUrl":"10.1016/j.srhc.2025.101087","url":null,"abstract":"<div><h3>Objective</h3><div>Over recent decades, Iceland has evolved into a more diverse society, revealing disparities in perinatal outcomes for migrant women. This study explored the needs, expectations, and experiences of Polish migrant women regarding midwifery care during childbirth in Iceland.</div></div><div><h3>Methods</h3><div>This longitudinal qualitative study involved semi-structured interviews conducted from December 2021 to May 2022. Eight Polish women participated in two interviews: one during their third trimester pregnancy (T1) and another within 12 weeks postpartum (T2). The interviews were analyzed using reflexive thematic analysis.</div></div><div><h3>Results</h3><div>The longitudinal analysis generated two overarching themes: (1) Wishing for respectful individualized care and (2) The importance of receiving adequate information and sharing preferences. Additionally, one theme was constructed from T1: (1) Feeling misunderstood, isolated, and longing for support. From T2, two themes were deweloped: (1) The value of emotional and practical support from both midwives and partners during pregnancy and birth and (2) The importance of having a voice in the care process.</div></div><div><h3>Conclusion</h3><div>Insecurity about pain management and communication challenges were common. Open dialogue and strong connections with midwives were essential for positive care experiences. This study highlights gaps in language support, cultural sensitivity, and tailored information in Icelandic maternity care for Polish migrant women. Providing individualized care, marked by respect and clear communication, empowers women to make informed decisions and fosters a sense of control during childbirth. Addressing these gaps is vital for improving perinatal outcomes and ensuring equitable, comprehensive support for all women during this transformative life event.<ul><li><span>•</span><span><div><strong>Issue:</strong> Migrant women often face unique challenges in maternity care, leading to poorer birth outcomes and unmet needs during childbirth.</div></span></li><li><span>•</span><span><div><strong>What is already known:</strong> Research highlights that migrant women may experience communication barriers, lack of culturally appropriate support, and increased vulnerability in healthcare settings.</div></span></li><li><span>•</span><span><div><strong>What this paper adds:</strong> This study reveals specific gaps in language support, cultural sensitivity, and tailored information within Icelandic maternity care for Polish migrant women. By interviewing the same women both during pregnancy and postpartum, the study also provides a unique perspective on their evolving needs, expectations, and experiences. It highlights the importance of addressing these areas to enhance the sense of empowerment and overall satisfaction during childbirth.</div></span></li></ul></div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101087"},"PeriodicalIF":1.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143684845","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":"“Deprived of my autonomy.” Women’s experiences and self-concepts of Hyperemesis Gravidarum − A qualitative study","authors":"Louise Lindgren ,&nbsp;Sophia Holmlund ,&nbsp;Tooba Choudri ,&nbsp;Malin L. Nording ,&nbsp;Marie-Therese Vinnars ,&nbsp;Maria Lindqvist","doi":"10.1016/j.srhc.2025.101086","DOIUrl":"10.1016/j.srhc.2025.101086","url":null,"abstract":"<div><h3>Objective</h3><div>Hyperemesis Gravidarum affects women’s health on a physical, psychological, and socioeconomic level, and they express a need for acknowledgement from family and healthcare providers. Historically associated with hysteria, Hyperemesis Gravidarum may still be stigmatised due to lingering perceptions of it as a psychological issue. To enhance understanding of the disease’s impact on women’s health, this study aimed to explore women’s experiences and self-concepts of Hyperemesis Gravidarum.</div></div><div><h3>Methods</h3><div>Participants were recruited from a social media platform with the following criteria: i) women in Sweden with Hyperemesis Gravidarum who debuted before week 22 of pregnancy, ii) who gave birth within the last four years, and iii) who received intravenous fluid therapy during their illness. Data were gathered through 15 digital, individual, semi-structured, in-depth interviews and were analysed with Reflexive Thematic Analysis.</div></div><div><h3>Results</h3><div>The mean age of participants was 32. The majority experienced HG within 12–36 months before the interview and were living with a partner. The overarching theme, “<em>Deprived of my Autonomy</em>”, depicts the woman’s transition from being responsible, reliable and hard-working to becoming a woman who perceived herself as <em>disempowered, unprioritised</em> and <em>dependent</em>.</div></div><div><h3>Conclusion</h3><div>The women experienced a new perception of themselves as unable to meet their own and others’ expectations in managing pregnancy, family, and work and as individuals disbelieved by the healthcare system. Healthcare professionals’ neglectful attitudes may contribute to self-stigma with isolation, and low social support as a result. Healthcare professionals must recognise the impact of dismissive behaviour and implement validating and empowering support structures.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101086"},"PeriodicalIF":1.4,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629102","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}