Frontiers in global women's health最新文献

{"title":"\"COVID-19 affected me greatly (sigh), imagine I'm being called a mother and yet I'm also a child\": the effect of COVID-19 on fertility management practices among women in Nairobi and Kisumu cities, Kenya.","authors":"Zachary Arochi Kwena, Pauline Wekesa, Serah Gitome, Sarah Okumu, Louisa Ndunyu, Elizabeth Bukusi, Emily Himes, Kelsey Holt, Jenny Liu, Janelli Vallin, Lauren Suchman","doi":"10.3389/fgwh.2025.1428133","DOIUrl":"10.3389/fgwh.2025.1428133","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic strained the provision of sexual and reproductive health services, including family planning, which were categorized as non-essential services at the peak of COVID-19 infection control in Kenya. We set out to assess the effect of COVID-19 on fertility management practices among Kenyan women in two cities to inform mitigation measures in future similar disruptions.</p><p><strong>Methods: </strong>This was a qualitative study to describe the effect of the COVID-19 pandemic on women's fertility management practices from 61 in-depth interviews (IDIs) with women aged 15-45 years residing in Nairobi and Kisumu, Kenya, between February and May 2021. Identified participants were consented and interviewed at convenient locations. We used a constant comparative analysis that compared emergent themes across topics and transcripts to identify and group those that are similar or dissimilar to arrive at insights that informed our conclusions.</p><p><strong>Results: </strong>Our findings show that COVID-19 affected women's fertility management practices at individual, interpersonal, and organizational levels. At the individual level, lack of money due to COVID-19-induced economic difficulties made family planning services unaffordable to women. Other women delayed their conception plans until their financial situation improved. At the interpersonal level, travel restrictions separated couples, making it challenging for those who had plans to conceive to actualize their fertility plans. Additionally, women who reported to be sexually inactive relaxed adherence to their contraceptive use schedule because of the reduced risk of unintended pregnancy. Finally, at the organizational level, provider shortages, long queues, and contraceptive stockouts during COVID-19 compromised women's access to family planning services. We also found that a minority of women who were either not using contraceptives or who were on long-acting methods perceived little or no effect of COVID-19 on their fertility management practices.</p><p><strong>Conclusion: </strong>COVID-19's effect on women's fertility management practices manifested at individual, interpersonal, and organizational levels. There is a need to devise strategies that empower women to deal with their family planning needs and those that make healthcare systems resilient enough to handle the effects of emergent crises without compromising the provision of existing services.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1428133"},"PeriodicalIF":2.3,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11891162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of influencing factors and establishment of prediction model for successful vaginal delivery after cesarean section.","authors":"Hongxia Zhang, Lin Yu, Songquan Wei, Guiming Li","doi":"10.3389/fgwh.2025.1447569","DOIUrl":"10.3389/fgwh.2025.1447569","url":null,"abstract":"<p><strong>Objective: </strong>To explore the influencing factors of vaginal delivery after cesarean section, establish a predictive model, and identify potential factors for perinatal complications.</p><p><strong>Materials and methods: </strong>This is a retrospective analysis of women who attempted a trial of labor after cesarean section(TOLAC) at the Third Affiliated Hospital of Guangzhou Medical University and subsequently gave birth in this hospital between 31 December 31 2017 and December 2023. Associations between maternal characteristics and success of TOLAC were assessed using univariate and logistic regression. A predictive model was developed and performance was assessed using the acceptor-operator curve (ROC).</p><p><strong>Results: </strong>A total of 10,277 pregnant women with a history of previous cesarean section were identified during the observation period, 1,065 attempted TOLAC, which 839 were successful vaginal birth after cesarean (VBAC) and 226 failed vaginal trials. We have developed and validated a simple nomogram prediction model based on common antenatal predictors, which are independently associated with successful TOLAC, including maternal age, height, cervical Bishop score, estimated fetal weight, and use of oxytocin and artificial rupture of membranes to induce labor. The prediction model has been established and verified, and the model demonstrates good prediction efficiency, with an area under the ROC curve of 83.1%. Compared with the TOLAC-failure group and the ERCD group, the VBAC group had the lowest amount of bleeding in intrapartum and 24 h after delivery, puerperal infection, and uterine rupture. Nevertheless, the prevalence of placental abruption and the incidence of neonatal neonatal intensive care unit were higher in this cohort.</p><p><strong>Conclusion: </strong>TOLAC is an important public health strategy in China. The results of our study can be used to improve counselling, reduce decision-making conflicts and increase the success rate of trials of vaginal delivery, ultimately improving the prognosis for mother and baby, by providing case-specific possibilities for counselling and management of women with a history of caesarean section and according to the characteristics of each pregnancy.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1447569"},"PeriodicalIF":2.3,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11891207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Male partner involvement in postnatal care service utilization and its associated factors in Wolaita Sodo, southern Ethiopia, 2023.","authors":"Aklilu Adisu, Wubshet Estifanos, Genet Asefa, Fikre Moga Lencha, Addisalem Haile, Fekadu Abera Kebede","doi":"10.3389/fgwh.2025.1481164","DOIUrl":"10.3389/fgwh.2025.1481164","url":null,"abstract":"<p><strong>Background: </strong>Involvement of male partners in postnatal care (PNC) is an effective approach to improving maternal and child health outcomes. Despite this, it has been perceived as a woman's responsibility and continues to be a significant problem in developing countries, including Ethiopia. Furthermore, there is a paucity of evidence regarding male involvement during postnatal care in Ethiopia, particularly in the study area. Therefore, the purpose of this study was to assess the current status of male partners' involvement in postnatal care and associated factors in the study area, Wolaita Sodo, in southern Ethiopia in 2023.</p><p><strong>Methods: </strong>A community-based cross-sectional study design was conducted on 629 participants from 1 April to 1 May 2023 using a multistage sampling technique. A pre-tested and structured questionnaire was used to collect data. Data were entered into EpiData version 4.6 and exported to Statistical Package for Social Science (SPSS) version 25 for analysis. Bivariable and multivariable logistic regression analyses were employed to identify factors associated with male partner involvement during postnatal care. The level of significant association in the multivariable analysis was determined based on a <i>P</i>-value of <0.05.</p><p><strong>Results: </strong>This study found that 32.95% [95% confidence interval (CI): 29.2-36.8] of male partners are involved in postnatal care service utilization. A higher maternal educational level [adjusted odds ratio (AOR): 2.95, 95% CI: 1.76-4.94], good knowledge of postnatal care services (AOR: 3.2, 95% CI: 1.93-5.3), good knowledge of danger signs and complications (AOR: 4.5, 95% CI: 2.39-8.48), a favorable attitude (AOR: 4.02, 95% CI: 2.50-6.45), distance (AOR: 1.91, 95% CI: 1.15-3.17), and cesarean delivery (AOR: 2.5, 95% CI: 1.39-4.60) were significantly associated with male partner involvement in postnatal care services.</p><p><strong>Conclusion: </strong>In this study, a male partner's involvement in their spouse's PNC service utilization was found to be low. Maternal educational status, good knowledge of PNC services, good knowledge of danger signs and complications, a favorable attitude, distance, and cesarean delivery were associated with male partner's involvement in PNC. Therefore, strengthening awareness about postnatal care services and danger signs through health education and promoting a positive attitude toward postnatal services are essential.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1481164"},"PeriodicalIF":2.3,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11876152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143559434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cervical cancer screening utilization among healthcare professionals in Ethiopia: systematic review and meta-analysis.","authors":"Michael Amera Tizazu, Addisalem Workie Demsash, Tadesse Mamo, Tirusew Nigussie Kebede, Abebe Mihretie, Kassa Mamo Negash, Fetene Kassahun Amogne, Abate Dargie Wubetu","doi":"10.3389/fgwh.2025.1467313","DOIUrl":"10.3389/fgwh.2025.1467313","url":null,"abstract":"<p><strong>Background: </strong>Cancer of the cervix is the second most common cancer among women worldwide, with about over 660 000 new cases and approximately ninety-four percent of the 350 000 cervical cancer-related death happened in low- and middle-income countries. Effective screening initiatives are particularly crucial in preventing cervical cancer in women. Therefore, the purpose of this systematic literature review was to investigate the pooled prevalence of Ethiopian female healthcare professionals' cervical cancer screening utilization.</p><p><strong>Methods: </strong>Published articles were searched from different major international databases (PubMed, Cochrane Library, Scopus, Web of Science, Since Direct, Google Scholar). Direct Google searches were used for additional sources mainly for gray and preprint studies. This review included studies that reported either the use of cervical cancer screening or cervical cancer screening predictors in Ethiopia. All published and unpublished studies through May/2024 and reported in the English language were retrieved to assess eligibility for inclusion in this review. The Newcastle-Ottawa Scale quality assessment tool was used to assess the quality of the included studies and Egger's test was used to assess the publication bias.</p><p><strong>Results: </strong>In order to calculate the pooled prevalence of cervical cancer screening, 2,919 female healthcare professionals participated in the review. Articles were published from 2015 to 2024. The pooled Utilization of cervical cancer screening in Ethiopia, as determined by a meta-analysis of ten articles was 13.59% (95% CI: 7.53, 19.65).</p><p><strong>Conclusion and recommendation: </strong>The estimated/pooled cervical cancer screening utilization was found to be lower than the World Health Organization recommendations as the estimator revealed in the meta-analysis. The low utilization of Cervical Cancer (CCa)screening practice despite they are healthcare professionals is a significant concern that can impact the broader efforts to combat cervical cancer. Based on the this reviews the authors recommend regular monitoring and evaluation of the CCa screening habits of healthcare professionals and the effectiveness of implemented interventions. It is necessary to explore the factors that enable or hinder CCa screening and address the issue through qualitative or mixed-method studies.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1467313"},"PeriodicalIF":2.3,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11876396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143559431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploration of the relationship between primary dysmenorrhea, pain perception, and menstruation-related quality of life in young women: a cross-sectional observational study.","authors":"Rebeca Del Prado, María García-Arrabé, Ángel González-de-la-Flor, Marta De La Plaza San Frutos, Jaime Almazán Polo, Fabien Guérineau, Cecilia Estrada-Barranco","doi":"10.3389/fgwh.2025.1521276","DOIUrl":"10.3389/fgwh.2025.1521276","url":null,"abstract":"<p><strong>Background: </strong>This study explores the relationship between primary dysmenorrhea (PD), pain, pain catastrophizing, and menstruation-related quality of life in young women.</p><p><strong>Methods: </strong>A cross-sectional study was conducted involving 44 young women, both with and without PD. Various variables including pain intensity, pain catastrophizing, and menstruation-related quality of life were assessed using validated questionnaires. Correlation and regression analyses were performed to examine the relationships between the variables.</p><p><strong>Results: </strong>Significant associations were found between the presence of PD, tendency to catastrophize pain, and decreased menstruation-related quality of life. A high correlation was observed between pain intensity and catastrophizing, indicating mutual influence between these variables. Menstruation-related quality of life was affected in terms of health perception, psychological aspect, and symptoms among women with PD. The linear regression model demonstrated that catastrophizing explained 42.8% of the variance in menstruation-related quality of life.</p><p><strong>Conclusions: </strong>These findings underscore the importance of addressing dysmenorrhea in young women, as it significantly impacts their quality of life related to menstruation. Understanding the factors contributing to dysmenorrhea and its effects on quality of life can inform more effective, patient-centered treatment strategies.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1521276"},"PeriodicalIF":2.3,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting pregnancy loss and its determinants among reproductive-aged women using supervised machine learning algorithms in Sub-Saharan Africa.","authors":"Tirualem Zeleke Yehuala, Sara Beyene Mengesha, Nebebe Demis Baykemagn","doi":"10.3389/fgwh.2025.1456238","DOIUrl":"10.3389/fgwh.2025.1456238","url":null,"abstract":"<p><strong>Background: </strong>Pregnancy loss is a significant public health issue globally, particularly in Sub-Saharan Africa (SSA), where maternal health outcomes continue to be a major concern. Despite notable progress in improving maternal health, pregnancy-related complications, including s due to miscarriages, stillbirths, and induced abortions, continue to impact women's health, social wellbeing, and economic stability in the region. This study aims to identify the key predictors of pregnancy loss and develop effective predictive models for pregnancy loss among reproductive-aged women in SSA.</p><p><strong>Methods: </strong>We derived the data for this cross-sectional study from the most recent Demographic and Health Survey of Sub-Saharan African countries. Python software was used to process the data, and machine learning techniques such as Random Forest, Decision Tree, Logistic Regression, Extreme Gradient Boosting, and Gaussian were applied. The performance of the predictive models was evaluated using several standard metrics, including the ROC curve, accuracy score, precision, recall, and F-measure.</p><p><strong>Result: </strong>The final experimental results indicated that the Random Forest model performed the best in predicting pregnancy loss, achieving an accuracy of 98%, precision of 98%, F-measure of 83%, ROC curve of 94%, and recall of 77%. The Gaussian model had the lowest classification accuracy, with an accuracy of 92.64% compared to the others. Based on SHPY values, unmarried women may be more likely to experience pregnancy loss, particularly in contexts where premarital pregnancies are stigmatized. The use of antenatal care and family planning services can significantly impact the risk of pregnancy loss. Women from lower-income backgrounds may face challenges in accessing prenatal care or safe reproductive health services, leading to higher risks of loss. Additionally, higher levels of education are often correlated with increased awareness of family planning methods and better access to healthcare, which can reduce the likelihood of unintended pregnancy loss.</p><p><strong>Conclusion: </strong>The Random Forest machine learning model demonstrates greater predictive power in estimating pregnancy loss risk factors. Machine learning can help facilitate early prediction and intervention for women at high risk of pregnancy loss. Based on these findings, we recommend policy measures aimed at reducing pregnancy loss Sub-Saharan African countries.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1456238"},"PeriodicalIF":2.3,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11847835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: Quality of sexual and reproductive health care: strengths, gaps, and challenges for midwifery care.","authors":"Lorena Binfa, Loreto Pantoja, Ramon Escuriet","doi":"10.3389/fgwh.2025.1546264","DOIUrl":"10.3389/fgwh.2025.1546264","url":null,"abstract":"","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1546264"},"PeriodicalIF":2.3,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11839605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Training of female health workers (FHWs) to enhance the advocacy and communication skills on COVID-19 vaccine and routine Immunization in District Peshawar Khyber Pakhtunkhwa (KP) Pakistan in 2023-a report from the field.","authors":"Magid Al-Gunaid, Zakir Hussain, Leen Daoud, Khurram Akram","doi":"10.3389/fgwh.2025.1355781","DOIUrl":"10.3389/fgwh.2025.1355781","url":null,"abstract":"<p><strong>Introduction: </strong>In 2021, a comprehensive evaluation was conducted across five countries, including Pakistan, to explore the factors influencing the demand for COVID-19 vaccines among priority groups. The study uncovered significant challenges, including low vaccination rates among females, limited trust in the COVID-19 vaccine, accessibility issues, and a notable gap in dose administration.</p><p><strong>Methods: </strong>To address these challenges, a targeted pilot intervention was proposed in Peshawar, Pakistan. This intervention aimed to enhance vaccine demand among young women (aged 18-24), including pregnant and lactating women (PLWs), by equipping approximately 300 female health workers (FHWs) with improved advocacy and communication skills. These skills were designed to combat vaccine hesitancy and increase vaccine acceptance among women. Moreover, efforts were made to strengthen social support from community leaders. The pilot initiative encompassed baseline and endline evaluations to assess its impact. The baseline evaluation involved analyzing existing vaccination data, disaggregated by age and gender. Key informant interviews (KIIs) were conducted to capture qualitative insights into the perceptions of vaccines within the target population.</p><p><strong>Findings: </strong>Data from the Department of Health KP and Expanded Program on Immunization Management Information System (EPIMIS) highlighted improvements in both COVID-19 and routine Expanded Program on Immunization (EPI) vaccinations across 25 union councils (UCs) in district Peshawar. KIIs with stakeholders, including health workers and community influencers, revealed enhanced knowledge and willingness to vaccinate, particularly among PLWs and females aged 18-24. The evaluation also observed increased confidence and reduced vaccine hesitancy due to advocacy sessions. Additionally, training of FHWs significantly improved their knowledge and attitudes towards COVID-19 vaccination and routine EPI, contributing to the overall success of the intervention. Monitoring visits further validated the effective conduct of advocacy sessions by trained health workers, leading to increased vaccination uptake in the community.</p><p><strong>Conclusion: </strong>The comprehensive approach undertaken in this pilot intervention aimed not only to improve vaccine uptake but also to bolster confidence in the COVID-19 vaccine within the community. The findings and outcomes of this initiative provided valuable insights for future public health strategies, particularly in addressing vaccine hesitancy and increasing vaccine acceptance among priority groups.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1355781"},"PeriodicalIF":2.3,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eye movement desensitisation and reprocessing for childbirth-related post-traumatic stress symptoms: effectiveness, duration and completion.","authors":"A Doherty, U Nagle, J Doyle, R M Duffy","doi":"10.3389/fgwh.2025.1487799","DOIUrl":"10.3389/fgwh.2025.1487799","url":null,"abstract":"<p><p>Childbirth-related post-traumatic stress symptoms (CB-PTSS) occur in 12% of women and 3%-6% of mothers meet criteria for childbirth-related post-traumatic stress disorder (CB-PTSD). Eye Movement Desensitisation and Reprocessing (EMDR) therapy has shown promising results in this population. This study sought to assess the effectiveness of EMDR on CB-PTSS and CB-PTSD; to investigate the effect of EMDR duration on symptom reduction; to measure the EMDR completion rate; and to explore sample characteristics that may be associated with completion or effectiveness. A retrospective analysis was conducted of women (<i>n</i> = 34) who commenced EMDR for CB-PTSS or CB-PTSD in an Irish urban maternity hospital. Symptom severity was measured using the Posttraumatic Stress Disorder Checklist (PCL-5) pre- and post-EMDR. Pre-intervention, 64.7% (<i>n</i> = 22) of the sample met criteria for a provisional diagnosis of PTSD. The majority of women (61.8%) demonstrated a ≥ 10 point reduction on PCL-5 following EMDR. There was no correlation between reduction in PCL-5 score and number of EMDR sessions (<i>r</i> = -0.12, <i>p</i> = 0.504). The EMDR completion rate was 70.6%. Analyses did not identify any variables that were associated with EMDR completion or effectiveness. To our knowledge, this is the largest studied sample of women who have received EMDR for CB-PTSD or CB-PTSS. EMDR may be an effective intervention for CB-PTSS and CB-PTSD, even in women with a history of prior trauma, co-morbid mental health problems, or long-term symptoms. EMDR is easily-delivered with a low drop-out rate. Limitations include lack of a control group and long-term follow-up, and statistical analyses were limited by sample size.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1487799"},"PeriodicalIF":2.3,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of viral hepatitis B and C infection and associated factors among pregnant women in southeast Ethiopia: community-based crossectional study.","authors":"Nuruzelam Mohammed, Jeylan Kassim, Ahmednur Adem Aliyi, Muhammed Jemal Abdurebi","doi":"10.3389/fgwh.2025.1508788","DOIUrl":"10.3389/fgwh.2025.1508788","url":null,"abstract":"<p><strong>Introduction: </strong>Hepatitis B or C infection during pregnancy increases the risk of vertical transmission, which is risky for the growing fetus and the newborn. In order to prevent such adverse effects and outcomes, it is crucial to understand the scope of the problem. However, absence of data on community-based Prevalence of viral hepatitis among pregnant women and conflicting evidence from facility-based study shows there is paucity of information on seroprevalence of Hepatitis B and C virus infection among pregnant women.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted on 422 pregnant women selected from three selected kebeles of Robe town. Study participants were selected using systematic sampling technique. Data were collected through pretested interviewer administered questionnaire and three milliliter blood sample were collected and tested for HBsAgn and Anti-HCV Antibodies. Descriptive statistics such as frequency, mean, and standard deviation were used to summarize data. Binary logistic regression was used to identify factors associated with occurrence of Hepatitis B and C virus among pregnant women. Accordingly, variables with <i>P</i> value < 0.25 in bivariate logistic regression were declared as candidate for multivariable logistic regression. From multivariable logistic regression adjusted odds ratio with 95% confidence interval were computed. Those variable with <i>p</i>- value <0.05 were declared as factor associated with dependent variable.</p><p><strong>Results and discussion: </strong>A total of 410 pregnant women participated in the study, which yielded a response rate of 97.2%. The seroprevalence of hepatitis B and C virus infections was found to be 7.6%, and 2.2% respectively, whereas one (0.24%) woman was co-infected. History of dental extraction (AOR = 2.70, 95% CI 1.09, 6.69), hospital admission (AOR = 6.96, 95%CI 1.73, 27.99), household contact (AOR = 3.93, 95% CI 1.37, 11.25), tattooing (AOR = 3.50 95% CI 2.31, 12.35), sexually transmitted infection (AOR = 11.42 95% CI 3.10, 42.35) were significantly associated with HBsAg infection whereas history of blood transfusion (AOR 5.58, 95% CI 1.03, 30.05, <i>P</i> = 0.045) and household contact (AOR 7.49, 95% CI 1.34, 41.76) were significantly associated with HCV infection among pregnant women.</p><p><strong>Conclusions: </strong>The Seroprevalence of HBV and HCV was moderate endemicity according to WHO classification. Finding from present study shows different factors that plays great role in transmission of viral hepatitis.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1508788"},"PeriodicalIF":2.3,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}