Sexual & Reproductive Healthcare最新文献

{"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}

{"title":"Integrating sexual and reproductive health in higher education and healthcare services in Ukraine: A sustainable initiative for empowering war-affected youth","authors":"Kerstin Erlandsson ,&nbsp;Valeriya Marichereda ,&nbsp;Larysa Klymanska ,&nbsp;Liliia Klos ,&nbsp;Inna Haletska ,&nbsp;Maryna Klimanska ,&nbsp;Daria Drobot ,&nbsp;Viktoriia Borshch ,&nbsp;Kateryna Nitochko ,&nbsp;Iryna Mogilevkina ,&nbsp;Xerxes Marcellas Vlahakis ,&nbsp;Lavrence Daka ,&nbsp;Maya Vergara ,&nbsp;Catrin Borneskog","doi":"10.1016/j.srhc.2024.101060","DOIUrl":"10.1016/j.srhc.2024.101060","url":null,"abstract":"<div><div>Integrating Sexual Reproductive Health and Rights (SRHR) into educational programs and healthcare services supports the EU Eastern Partnership and the UN’s Agenda 2030. A Swedish Institute (SI)-funded project empowers undergraduate students in medicine, psychology, and social work to support SRHR among youth and young adults in wartime and post-war Ukraine by incorporating the subject into university curricula. In August 2024, a study tour to Sweden was conducted by managers and faculty from Ukrainian universities, during which the visitors to Sweden identified the need to establish Youth Clinics at Ukrainian universities to address the SRHR needs of the war-affected youth population.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101060"},"PeriodicalIF":1.4,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886564","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":"Maternal positions in childbirth – A cohort study of labouring women’s movements and body positions the last 24 hours before birth","authors":"Louise L. Kjeldsen ,&nbsp;Uffe Læssøe ,&nbsp;Jane Marie Bendix ,&nbsp;Rikke D. Maimburg","doi":"10.1016/j.srhc.2024.101059","DOIUrl":"10.1016/j.srhc.2024.101059","url":null,"abstract":"<div><h3>Introduction</h3><div>Maternal position plays an essential role in achieving labour progress as it supports the physiological mechanisms of labour. Evidence supports that adopting upright positions may facilitate physiological childbirth.</div></div><div><h3>Aim</h3><div>To describe the use of various positions<!--> <!-->among nulliparous pregnant women in the last 24 h before birth and describe physical positions in relation to maternal and neonatal outcomes at time of birth.</div></div><div><h3>Methods</h3><div>Cohort study of 105 nulliparous women with an uncomplicated singleton pregnancy. Body position was measured by two triaxial accelerometers (SENS motion®), and maternal and neonatal outcomes at time of birth were obtained from medical records. Positions were described for the total population and further stratified into two groups based on time spent in sacrum non-flexible (lying, sitting) and sacrum flexible (standing, walking) positions.<!--> <!-->Descriptive analyses of maternal position in relation to birth outcomes and comparisons between the two groups were made.</div></div><div><h3>Results</h3><div>Lying down was the most<!--> <!-->frequent position adapted, with a median time of 659 (78;1208) minutes, equivalent to 11.0 hours. Women spent 1152 (687;1369) minutes in sacrum non-flexible positions, equivalent to 19.2 hours or 80 % of the last 24 hours before childbirth. More than 90 % gave birth in a sacrum non-flexible position. Women spending more time in sacrum non-flexible positions had more epidural analgesia than women spending more time in sacrum flexible positions (42.6 % and 21.3 %, <em>p</em> = 0.03).</div></div><div><h3>Conclusions</h3><div>Women spent 80% of their time in sacrum non-flexible positions during the last 24 hours before childbirth. At birth, more than 90% gave birth in sacrum non-flexible positions.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101059"},"PeriodicalIF":1.4,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899381","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":"“It didn’t turn out as I imagined” − Women’s lived experiences of giving birth to a child born in a persistent occiput posterior position","authors":"Anna Lindgren ,&nbsp;Hanna Grundström ,&nbsp;Kristina Kernell ,&nbsp;Pia Tingström","doi":"10.1016/j.srhc.2024.101049","DOIUrl":"10.1016/j.srhc.2024.101049","url":null,"abstract":"<div><h3>Objective</h3><div>To explore women’s experience of giving birth to a baby born in a persistent occiput posterior position. The impact of fetal position could significantly affect women’s experiences. There have been limited studies conducted regarding this phenomenon. In this study, particular attention is given to the persistent occiput posterior position. Gaining a deeper understanding of the childbirth experience in relation to the persistent occiput posterior position of the fetus can offer valuable insights for providing appropriate support during childbirth.</div></div><div><h3>Methods</h3><div>In-depth interviews were conducted with 12 women between July 2021 and May 2022. The data were subsequently analyzed using interpretive phenomenology.</div></div><div><h3>Results</h3><div>The essence of the women’s lived experience was that childbirth did not turn out quite as they imagined. The essence emerged from two themes, “An unexpected course of childbirth” and “Managed to take command of the situation”. The expectations women hold before childbirth differ from the experiences they encounter afterwards. They experienced loss of control and an unexpected pattern of contractions and progress of birth. Following the birth, they had inquiries regarding the events that transpired during the birth and whether there was any association with the persistent occiput posterior position.</div></div><div><h3>Conclusion</h3><div>Ultimately, the women were satisfied with giving birth vaginally, even though the childbirth did not turn out as they imagined. Comprehending the experiences of women who give birth with the baby in a persistent occiput posterior position offers crucial understanding for healthcare professionals to support women effectively during childbirth.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101049"},"PeriodicalIF":1.4,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831052","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 perceptions of biological causes and potentials of genomic risk markers in postpartum depression: A qualitative study","authors":"Stinne Høgh ,&nbsp;Hanne K. Hegaard ,&nbsp;Kristina M. Renault ,&nbsp;Mette N. Svendsen ,&nbsp;Laura E. Navne ,&nbsp;Vibe G. Frokjaer","doi":"10.1016/j.srhc.2024.101057","DOIUrl":"10.1016/j.srhc.2024.101057","url":null,"abstract":"<div><h3>Introduction</h3><div>Postpartum depression affects 10–15% of women. Novel evidence suggests that genomic markers for enhanced sensitivity to estradiol signaling may help identify women at high risk of postpartum depression. We explored the women’s perceptions of testing for genomic risk markers for developing postpartum depression.</div></div><div><h3>Methods</h3><div>We conducted semi-structured interviews with 13 Danish women who had a history of postpartum depression using a phenomenological approach. A transdisciplinary group of researchers analyzed the interviews thematically. Through the concept of <em>potentiality</em>, we unfolded the women’s perceptions regarding testing for genomic risk markers for postpartum depression.</div></div><div><h3>Results</h3><div>We identified three key themes. <em>1) Biology as a contributing factor to postpartum depression.</em> Only a few women thought postpartum depression could be related to a sensitivity to hormonal changes. <em>2) The role of external events in making sense of postpartum depression.</em> Most women perceived their postpartum depression as primarily triggered by external factors rather than biological factors. <em>3) The ambiguous potentiality of testing for genomic risk markers of postpartum depression.</em> Testing for genomic risk markers was envisioned by some women as having the potential to prevent postpartum depression and reduce stigma. Yet, at the same time, knowing their risk was perceived as holding the potential to induce depressive symptoms.</div></div><div><h3>Conclusion</h3><div>We found that to some women, knowledge about genomic risk markers introduced hope regarding possible prevention and, at the same time, it introduced concerns about inducing depressive symptoms. We suggest considering such perceptions if implementing new genomic risk marker technologies in risk profiling.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101057"},"PeriodicalIF":1.4,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142815211","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":"Psychosocial well-being and diabetes distress in the transition to motherhood among women with type 1 or type 2 diabetes","authors":"Bodil Rasmussen ,&nbsp;Alemayehu Mekonnen ,&nbsp;Georgia Geller ,&nbsp;Sara Holton ,&nbsp;Liliana Orellana ,&nbsp;Alison Nankervis ,&nbsp;Christine Houlihan ,&nbsp;Christel Hendrieckx ,&nbsp;Cheryl Steele ,&nbsp;Catharine McNamara ,&nbsp;Meaghan Read ,&nbsp;Karen Wynter","doi":"10.1016/j.srhc.2024.101048","DOIUrl":"10.1016/j.srhc.2024.101048","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the associations between psychological well-being, measured with the Postnatal Well-being in Transition (PostTrans) Questionnaire, and diabetes distress among mothers with type 1 or type 2 diabetes.</div></div><div><h3>Method</h3><div>Eighty-two postnatal women completed a cross-sectional survey. The survey included the Diabetes Distress Scale, and the PostTrans Questionnaire to assess the psychosocial well-being of women transitioning to motherhood. Linear and logistic regressions were used to assess associations.</div></div><div><h3>Results</h3><div>Using the Diabetes Distress Scale (cut-off score ≥ 2), the overall prevalence of diabetes distress was 64 %. Psychosocial well-being was negatively associated with diabetes distress (B=─1.65; 95 % CI, ─2.02, ─1.29; P &lt; 0.001), and more strongly with regimen-related distress (B= ─1.90; 95 % CI, ─2.44, ─1.35; P &lt; 0.001). Four sub-scales of the PostTrans Questionnaire (coping with diabetes and managing an infant, anxiety and guilt about diabetes, sensitivity to opinions, healthcare professional support and information) were negatively associated with diabetes distress score (B between ─0.42 and ─0.68), while receiving family support and prioritising self-care did not show a statistically significant association with diabetes distress.</div></div><div><h3>Conclusion</h3><div>Psychological factors unique to postnatal women and a lack of healthcare professional support are significantly associated with diabetes distress. However, it is unclear whether lack of family support and self-care behaviours could contribute to increased diabetes distress. Interventions that target psychological factors and that involve healthcare professionals, may optimise diabetes self-management and infant care.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101048"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792960","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}