Sexual & Reproductive Healthcare最新文献

{"title":"Impact of timed and targeted counselling on the maternal health continuum of care outcomes in Northern Uganda: A propensity score matched analysis","authors":"Douglas Zibugu ,&nbsp;Jessica Gubbels ,&nbsp;John Bosco Asiimwe ,&nbsp;Gerards Sanne","doi":"10.1016/j.srhc.2025.101107","DOIUrl":"10.1016/j.srhc.2025.101107","url":null,"abstract":"<div><h3>Objective</h3><div>Improving maternal health is key to saving lives of women who would otherwise die due to pregnancy and childbirth related complications, especially in developing countries. The timed and targeted counseling (ttC) approach, delivered by community health workers, is a behavioural change counseling approach for improving maternal health. This approach focuses on giving stage appropriate messages to pregnant women regarding the timing of antenatal care visits, where to deliver and postnatal care. The purpose of this study therefore is to examine the impact of ttC on the maternal health continuum of care outcomes in Northern Uganda.</div></div><div><h3>Methods</h3><div>A cross-sectional quasi-experimental design with propensity score matching (PSM) analysis was used with retrospective data collection comparing an intervention group(Aber subcounty) to a comparison group (Otwal subcounty) in Northern Uganda. PSM was done to determine the causal relation between ttC and the maternal health outcomes. The primary outcome measures were having four or more antenatal care visits(4+ ANC), delivery at the advised place of delivery(PoD) and having(at least one) postnatal care(PNC) visit.</div></div><div><h3>Results</h3><div>The PSM analysis showed that participants receiving ttC were significantly more likely to have 4 + ANC attendance (OR = 15.61, 95 % CI 9.4–25.8), PoD (OR = 2.36, 95 % CI 1.4–4.1) and PNC (OR = 1.67, 95 % CI 1.0–2.7) than participants receiving care as usual.</div></div><div><h3>Conclusion</h3><div>Implementation of ttC in similar low resource settings likely leads to improved maternal health continuum of care outcomes and therefore the government of Uganda should integrate ttC into its already existing health care system for more effective maternal health.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101107"},"PeriodicalIF":1.4,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106645","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":"Assessment of menstrual material needs as a measure of health and menstrual equity in the postpartum period","authors":"Bronwyn S. Bedrick ,&nbsp;Sonia Hamilton ,&nbsp;Carolyn Sufrin","doi":"10.1016/j.srhc.2025.101108","DOIUrl":"10.1016/j.srhc.2025.101108","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate lochia management needs in a diverse cohort of postpartum individuals admitted for delivery at two large urban hospitals in the United States and to assess the association between immigration and menstrual needs.</div></div><div><h3>Methods</h3><div>English- or Spanish-speaking individuals delivering a live-born infant were recruited in this cross-sectional study via convenience sampling. We modified the Menstrual Practice Needs Scale to evaluate participant menstrual practices, menstrual poverty, preparedness for postpartum lochia, and experiences discussing menstrual material access with their healthcare team.</div></div><div><h3>Results</h3><div>There were 123 participants, 60 of whom were immigrants. Twenty-seven women (22 %) experienced menstrual poverty, and 10 were unsure if they had adequate materials to manage lochia. Women with an annual household income at or below the poverty level (p = 0.0004) or who had moved (p = 0.009) or experienced food insecurity (p &lt; 0.0001) in the last year were more likely to have experienced menstrual poverty than those who had not. Half of participants never received lochia counseling. Only 15 women (12 %) had been asked by a healthcare member whether they had enough menstrual materials, but over a third wanted to discuss how to obtain them. The majority of women wanted to receive lochia management materials from their prenatal clinic and from the hospital.</div></div><div><h3>Conclusions</h3><div>Despite a high rate of menstrual poverty, women were rarely asked about access to menstrual supplies. These women want to discuss how to acquire menstrual materials with their healthcare team. Standardized screening and discussions about postpartum lochia may help to reduce postpartum menstrual poverty.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101108"},"PeriodicalIF":1.4,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144070697","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":"Distance to abortion facilities and depressive symptoms among reproductive-aged women of color after Dobbs","authors":"Abhery Das ,&nbsp;Allison Stolte ,&nbsp;Devoja Ganguli ,&nbsp;Samantha Gailey","doi":"10.1016/j.srhc.2025.101106","DOIUrl":"10.1016/j.srhc.2025.101106","url":null,"abstract":"<div><h3>Introduction</h3><div>Studies report greater mental distress among reproductive-aged women following <em>Dobbs v. Jackson Women’s Health Organization</em>. The impacts of abortion restrictions, however, may differ by racial/ethnic identity. <em>Dobbs</em> may exacerbate adverse mental health among women of color due to longstanding reproductive injustice. We therefore examine whether greater distance to abortion facilities differentially impacts depressive symptoms among reproductive-aged women of color, relative to white women, after <em>Dobbs</em>.</div></div><div><h3>Methods</h3><div>As our exposure, we categorized weighted distance to the nearest abortion facility (0–25, 25–50, 50–100, 100 + miles). For our outcome, we use the Patient Health Questionnaire-2, a measure of depressive symptoms, among 191,680 reproductive aged (18–49) women of color. We use surveys from August 2020 – July 2023 from the nationally representative US Census Household Pulse Survey.</div></div><div><h3>Results</h3><div>We find that, after the <em>Dobbs</em> decision, women of color—but not white women—who live farthest from abortion facilities (100 + miles) show slightly greater depressive symptoms (Coeff: 0.10; SE: 0.04; p = 0.014) than those who live closest (0–25 miles).</div></div><div><h3>Discussion</h3><div>Increased distance to abortion facilities may invoke feelings of restricted bodily autonomy and overall disempowerment that degrade the mental health of reproductive-aged women of color.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101106"},"PeriodicalIF":1.4,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144070696","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 and challenges in addressing intimate partner violence: A qualitative study at youth clinics in Stockholm","authors":"Mabel Zamora Hernandez ,&nbsp;Terese Stenfors ,&nbsp;Karolina Sörman ,&nbsp;Caroline Hurtig ,&nbsp;Mia Barimani","doi":"10.1016/j.srhc.2025.101105","DOIUrl":"10.1016/j.srhc.2025.101105","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate midwives’ experiences of asking adolescents at youth clinics about their experiences of intimate partner violence (IPV).</div></div><div><h3>Methods</h3><div>This qualitative interview study used semi-structured questions and inductive reflexive thematic analysis. Purposeful sampling focused on midwives working in youth clinics in the Stockholm region. Of the 29 youth clinics approached, nine agreed to participate, resulting in 24 midwives participating. Data were collected through semi-structured interviews and analyzed using reflexive thematic analysis by Braun and Clarke’s six-phase framework.</div></div><div><h3>Results</h3><div>The findings are presented in three main themes with nine sub-themes. Midwives face challenges in addressing violence, balancing their sense of duty with the need to create a safe environment for youth. Strategies for detecting and asking about IPV varied, with midwives employing different approaches and facing organizational challenges. The need for professional development and clear guidelines was emphasized, highlighting the importance of collegial support and established routines.</div></div><div><h3>Conclusion</h3><div>Youth clinics are essential for identifying adolescents exposed to violence, with midwives ideally positioned to support those affected by IPV. However, midwives face challenges in inquiring about IPV and require appropriate conditions, including tools, training, time, and clear procedures. Enhanced training and support for midwives could improve the identification and management of IPV. Further research is needed to explore how various tools can facilitate midwives in inquiring about IPV and to understand youths’ perspectives on being asked about violence.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101105"},"PeriodicalIF":1.4,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143928664","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":"Letter to the Editor in response to: “Reconsidering “inclusive language:” Consequences for healthcare and equitableness of a growing linguistic movement to address gender identity with a path forward”","authors":"Lisa J. Whop ,&nbsp;Tamara L. Butler","doi":"10.1016/j.srhc.2025.101103","DOIUrl":"10.1016/j.srhc.2025.101103","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101103"},"PeriodicalIF":1.4,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916827","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":"Every two minutes, one woman dies during pregnancy and birth – We are failing mothers","authors":"Rikke Damkjær Maimburg ,&nbsp;Eugene Declercq,&nbsp;Joan Combellick","doi":"10.1016/j.srhc.2025.101104","DOIUrl":"10.1016/j.srhc.2025.101104","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101104"},"PeriodicalIF":1.4,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143924837","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":"Quality of life measurement tools for heavy menstrual bleeding: A systematic review and critical appraisal","authors":"Bassel H. Al Wattar ,&nbsp;Sophie Schofield ,&nbsp;Victoria Minns ,&nbsp;Khalid S. Khan","doi":"10.1016/j.srhc.2025.101102","DOIUrl":"10.1016/j.srhc.2025.101102","url":null,"abstract":"<div><h3>Objectives</h3><div>Accurate and reliable heavy menstrual bleeding (HMB) specific quality of life (QoL) tools can offer a holistic assessment of HMB impact and response to treatment. We systematically reviewed published disease-specific QoL assessment tools for HBM to assess their methodological quality.</div></div><div><h3>Methods</h3><div>We searched PubMed and EMBASE until March 2024 complemented by a search of PROQOLID database and reference lists for studies reporting on the development or validation of HMB specific QoL instruments for adult women. We assessed them against the COSMIN checklist. We scored tools for their methodological quality to make recommendations for use in practice.</div></div><div><h3>Results</h3><div>We identified 2621 citations and included 17 studies reporting on the development and validation of 10 HMB specific QoL tools. All the studies were conducted in the USA and western Europe, and all were available in the English language except one. Three tools were in digital format, while seven were in paper format (7/10, 70 %). The median of QoL tool items was 21 (range 3–72) with a recall period of 1–3 months in 7/10 (70 %) tools. The overall quality was low to medium and none of the tools met all the COSMIN requirements to be recommended in clinical practice. The <strong>UFS-QOL</strong> and <strong>SAMANTA</strong> tools showed high quality for validity, responsiveness and interpretability but require further validation.</div></div><div><h3>Conclusion</h3><div>None of the available QoL tools for HMB are appropriate for use in practice. There is a need to invest in developing and validating reliable tools that offer high quality qualitative and quantitative assessment.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101102"},"PeriodicalIF":1.4,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143900328","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":"Pilot study for a preconception educational intervention for people with mobility disabilities","authors":"Melina A. McCabe ,&nbsp;Amelia Gabor ,&nbsp;Jennifer Stephens ,&nbsp;Michael M. McKee ,&nbsp;Hilary K. Brown ,&nbsp;Kara B. Ayers ,&nbsp;Anne Valentine ,&nbsp;Willi Horner-Johnson ,&nbsp;Monika Mitra ,&nbsp;John A. Harris","doi":"10.1016/j.srhc.2025.101101","DOIUrl":"10.1016/j.srhc.2025.101101","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess the feasibility and acceptability of our newly designed, tailored preconception educational intervention for people with mobility disabilities.</div></div><div><h3>Methods</h3><div>A prospective pre-post pilot study to measure the feasibility and acceptability of an educational intervention for people with mobility disabilities who could become pregnant in the next five years. Before and after general health and preconception knowledge were compared using paired t-tests.</div></div><div><h3>Results</h3><div>26 participants completed the study from November 2023 − July 2024. The most common diagnoses related to mobility disability were spinal cord injury (n = 9), spina bifida (n = 4), and cerebral palsy (n = 4). The intervention increased general health knowledge by 0.9 points (p = 0.13) and preconception health knowledge by 2.7 points (p = 0.025). A significant increase (1.8 points (95 % CI 0.9–2.6 points), p &lt; 0.001) in preconception health knowledge compared to general health knowledge suggests the intervention successfully improved the targeted knowledge area.</div></div><div><h3>Conclusions</h3><div>This pilot study demonstrated the feasibility and acceptability of a preconception educational intervention tailored to individuals with mobility disabilities. This intervention holds the potential to improve health literacy, increase preconception health knowledge, and ultimately improve pregnancy outcomes among people with mobility disabilities.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101101"},"PeriodicalIF":1.4,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860067","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":"Intimate partner violence and sexual and reproductive health outcomes of women: An Australian population cohort study","authors":"Leah East ,&nbsp;Daniel Terry ,&nbsp;Bianca Viljoen ,&nbsp;Marie Hutchinson","doi":"10.1016/j.srhc.2025.101100","DOIUrl":"10.1016/j.srhc.2025.101100","url":null,"abstract":"<div><h3>Objective</h3><div>To examine sexual and reproductive health outcomes of women who report intimate partner violence (IPV) and compare these outcomes to women who did not report IPV.</div></div><div><h3>Methods</h3><div>Utilising the Cohort of women born in 1973–1978 and aged 18–23 years when recruited to participate in the National Australian Longitudinal Study on Women’s Health, we conducted an analysis in 2022–2023 of the relationships between exposure to IPV and reproductive and sexual health outcomes for this cohort over a decade (1996 to 2006). Logistic regression analyses were undertaken, mixed effects regression models were applied where feasible.</div></div><div><h3>Results</h3><div>The current study indicates exposure to IPV significantly increases the likelihood of forced sex, reporting endometriosis, infertility, miscarriage, pregnancy termination, along with greater odds of infertility, termination, and miscarriage increasing with greater exposure to IPV. Women reporting IPV also report a greater likelihood of STIs such as chlamydia, herpes, and genital warts, in addition to a higher incidence of abnormal Pap tests. Women reporting IPV were also more likely to have a larger number of births, with births occurring earlier than those who did not report IPV.</div></div><div><h3>Conclusion</h3><div>Addressing the global issue of IPV, healthcare organisations must offer robust support, including clear guidelines and protocols for managing IPV and the associated health risks among women. This should extend to providing access to resources and referral systems among those identified as experiencing IPV. Interdisciplinary collaboration remains essential to create a holistic approach to managing IPV and the associated health consequences to promote positive sexual and reproductive health outcomes for women.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101100"},"PeriodicalIF":1.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834023","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 prevalence and effect of traumatic childbirth witnessed by midwifery students: A quantitative study","authors":"Roa Altaweli ,&nbsp;Shooq Zaid Alotaibi ,&nbsp;Ghayda Dokhi Aldokhi ,&nbsp;Shahad Mohammed Alotaibi ,&nbsp;Rawan Mohammed Megari ,&nbsp;Nora Mahroos Alobthani ,&nbsp;Danah Hamed Alanazi","doi":"10.1016/j.srhc.2025.101099","DOIUrl":"10.1016/j.srhc.2025.101099","url":null,"abstract":"<div><h3>Problem</h3><div>Experiencing a traumatic event during childbirth can cause undergraduate midwifery students to view childbirth as traumatic and develop a fear of it. This may hinder their ability to provide professional care and support to women during childbirth.</div></div><div><h3>Background</h3><div>The trauma may affect their education, future professional life, and caregiving abilities, potentially leading them to consider dropping out of the programme.</div></div><div><h3>Aim</h3><div>This study aimed to determine the prevalence and effect of traumatic childbirth witnessed by undergraduate midwifery students during their clinical practice at a government academic institution in Riyadh, Saudi Arabia.</div></div><div><h3>Methods</h3><div>An online descriptive cross-sectional survey with closed questions was chosen. The study sample includes second-, third-, and fourth-year undergraduate midwifery students who had attended at least one childbirth session (n = 255). Participants were identified using a non-probability convenience sampling technique. First-year students or those who had not started clinical practice were excluded.</div></div><div><h3>Findings</h3><div>A total of 149 respondents completed the survey, with a 96.8 % response rate. Among undergraduate midwifery students, 77.2 % reported witnessing traumatic childbirth during clinical training, with many considering these experiences somewhat traumatic (48.3 %) or highly traumatic (28.9 %).</div></div><div><h3>Discussion</h3><div>The survey results indicate that these experiences significantly affected mental and emotional health, and future childbirth preferences. Satisfaction among midwifery studies remained positive despite these challenges.</div></div><div><h3>Conclusion</h3><div>This study determined that a significant proportion of midwifery students witnessed traumatic childbirth, which affected their future pregnancy and childbirth plans, mental and emotional well-being, and professional life.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101099"},"PeriodicalIF":1.4,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838647","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}