Frontiers in global women's health最新文献

{"title":"Health care provider's perceived factors for the increased practice of caesarean delivery in North West Amhara referral hospitals, Ethiopia, 2022: a qualitative study.","authors":"Mulat Ayele, Marta Berta, Amare Zewudie, Eyob Shitie Lake, Gizachew Yilak, Befkad Derese Tilahun, Mastewal Belayneh Aklil","doi":"10.3389/fgwh.2025.1401710","DOIUrl":"10.3389/fgwh.2025.1401710","url":null,"abstract":"<p><strong>Background: </strong>Caesarean delivery is an essential obstetric intervention to reduce maternal and newborn mortality in emergencies. However, in Ethiopia, there is a high prevalence of caesarean deliveries. Therefore, this study aimed to explore the factors perceived by healthcare providers that contribute to the excessive rates of caesarean deliveries in North West Amhara referral hospitals, Ethiopia, in 2022.</p><p><strong>Methods: </strong>A phenomenological study design was employed, utilizing semi-structured interview guide for data collection. Fifteen healthcare providers working in referral hospitals in the north-western region of Amhara were interviewed using a heterogeneous purposive sampling approach until data was saturated. Transcribed interviews were translated coded and finally thematic analyses were employed using Open Code 4.0 software.</p><p><strong>Results: </strong>Healthcare providers observed a significant increase in the frequency of caesarean deliveries. Multiple factors were identified as contributing to this rise, including the involvement of medical students, the use of cardiotocography, a decline in instrumental deliveries, inadequate trial of labor after previous caesarean deliveries, and the absence of clear indications for performing caesarean deliveries for social or maternal requests. Notably, patients who had received care in private clinics were more likely to undergo caesarean deliveries.</p><p><strong>Conclusion: </strong>Caesarean deliveries were observed to be performed based on subjective or approximate indications, rather than clear obstetric indications. Encouraging greater emphasis on trial of labor, instrumental delivery, and performing caesarean deliveries only when there are definitive obstetric indications, rather than for social or maternal requests, can contribute to reducing the prevalence of caesarean delivery rates.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1401710"},"PeriodicalIF":2.3,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442985","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":"Long-acting family planning uptake and associated factors among women in the reproductive age group in East Africa: multilevel analysis.","authors":"Ermias Bekele Enyew, Abiyu Abadi Tareke, Habtamu Setegn Ngusie, Mulugeta Desalegn Kasaye, Shimels Derso Kebede, Mahider Shimelis Feyisa","doi":"10.3389/fgwh.2025.1444784","DOIUrl":"10.3389/fgwh.2025.1444784","url":null,"abstract":"<p><strong>Introduction: </strong>The campaign to encourage sexually active women to utilize family planning is one of the primary initiatives being undertaken globally to reduce unintended pregnancies and fertility rates. Evidence suggests that family planning measures can lower this maternal mortality ratio by nearly 25%. According to our literature search, there is no known study that has reported on the study area to assess utilization and factors associated with the use of long-acting contraceptive methods (LACMs) among women of reproductive age. Therefore, this study aimed to assess long-acting contraceptive method uptake and its associated factors among women of reproductive age in East Africa.</p><p><strong>Methods: </strong>A weighted total of 50,525 women of reproductive age were included in this study. A community-based cross-sectional study was conducted on the most recent Demographic and Health Surveys in 12 East African countries. The pooled prevalence of long-acting contraceptive uptake with a 95% confidence interval (CI) was reported and presented in a forest plot for East African countries using STATA version 14.1. Intraclass correlation coefficient, likelihood ratio (LR) test, median odds ratio, and deviance (-2 log-likelihood) values were used for model comparison and fitness. Adjusted odds ratios (AOR) with a 95% CI and <i>p</i>-value ≤0.05 in the multilevel logistic model were used to declare significant factors associated with long-acting contraceptive uptake.</p><p><strong>Results: </strong>The overall prevalence of long-acting contraceptive methods in East African countries was 19.41% (95% CI 19.07%-19.76%). In the multilevel logistic regression analysis, women in the age group of 35-49 years (AOR 1.09, 95% CI 1.06-1.17), women who were married (AOR 1.31, 95% CI 1.10-1.56), and women who were exposed to media (AOR 1.06, 95% CI 1.00-1.13) were significantly associated with LACM uptake. Moreover, living in urban areas (AOR 1.23, 95% CI 1.14-1.32) and living in the highest household wealth index (AOR 1.09, 95% CI 1.01-1.17) were also significantly associated with long-acting contraceptive uptake.</p><p><strong>Conclusion: </strong>The overall utilization of acting contraceptive methods was low. Therefore, future interventions should be planned to target women in younger age groups, with lower socioeconomic backgrounds, and those living in rural areas to improve LACM uptake.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1444784"},"PeriodicalIF":2.3,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442988","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":"Anemia during pregnancy and adverse pregnancy outcomes: a systematic review and meta-analysis of cohort studies.","authors":"Rui Wang, Shan Xu, Xiaoyu Hao, Xingyi Jin, Da Pan, Hui Xia, Wang Liao, Ligang Yang, Shaokang Wang","doi":"10.3389/fgwh.2025.1502585","DOIUrl":"10.3389/fgwh.2025.1502585","url":null,"abstract":"<p><strong>Objectives: </strong>Anemia in pregnancy has been a topic of interest for researchers due to its potential impact on various adverse pregnancy outcomes. This study aims to explore the relationship between anemia and adverse pregnancy outcomes such as preterm birth, low birth weight, and maternal mortality.</p><p><strong>Methods: </strong>We conducted both a systematic review and a meta-analysis on the associations between anemia during pregnancy and adverse pregnancy outcomes. We searched Chinese databases (CNKI, Wanfang, CBM, VIP) and English ones (Cochrane Library, PubMed, Embase, Web of Science). Two researcher-authors independently assessed study quality with the Newcastle-Ottawa Scale. After extracting data, we analyzed heterogeneity and used a random-effects model for higher heterogeneity and a fixed-effects model for low heterogeneity in the meta-analysis while also systematically synthesizing and narratively describing findings in the systematic review.</p><p><strong>Results: </strong>A total of 31 cohort studies were included. Meta-analysis showed that the risk of postpartum hemorrhage [RR [95% CI], 2.76 [1.63, 4.66]], premature rupture of membranes (PROM) [1.94 (1.26, 3.00)], preterm delivery [1.51 (1.33, 1.72)], low birth weight (LBW) [1.40 (1.19, 1.63)], cesarean section[1.33 (1.02, 1.74)], gestational hypertension[1.28 (1.14, 1.44)] and neonatal asphyxia[1.21 (1.07, 1.37)] was higher in the group of anemia in pregnancy than in the control group.</p><p><strong>Conclusion: </strong>Maternal anemia is associated with an increased risk of seven adverse pregnancy outcomes: postpartum hemorrhage, PROM, preterm delivery, LBW, cesarean section, gestational hypertension and neonatal asphyxia. Appropriate nutritional supplementation and screening for anemia before and during pregnancy are recommended to improve maternal health and manage adverse pregnancy outcomes.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1502585"},"PeriodicalIF":2.3,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11825799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434335","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":"Association of contraception use and pregnancy intention with perinatal depression risk among Omani mothers-a longitudinal cohort study.","authors":"Atika Khalaf, Nawal Al Amri, Pernilla Ny, Rebecca Mathew","doi":"10.3389/fgwh.2025.1497698","DOIUrl":"10.3389/fgwh.2025.1497698","url":null,"abstract":"<p><strong>Background: </strong>Unplanned pregnancy is significantly associated with an increased risk of perinatal depression (antenatal and postnatal depression), emphasizing its prevalence and its potentially detrimental effects on both maternal and child health. This study aimed to investigate the association of contraception use and pregnancy intention with the risk of perinatal depression among Omani mothers.</p><p><strong>Methods: </strong>A prospective longitudinal study design was employed to investigate perinatal depression risk in mothers attending antenatal health care services in Oman. Perinatal depression risk was assessed using the Edinburgh Postpartum Depression Scale during the third trimester and postpartum visits. Multiple linear regression analyses were utilized to explore relationships between the risk of perinatal depression and pregnancy-related factors, contraception use, and sociodemographic variables.</p><p><strong>Results: </strong>The study involved 300 participants with a mean age of 30.8 years (SD = 5.47). The majority of participants reported planned pregnancy (74.0%), no use of contraception (66.0%), and being multiparous (72.7%). A significantly higher proportion (87.8%) of women with planned pregnancies were primiparous (<i>p</i> < 0.001). Besides family structure (core family, <i>p</i> = 0.025) and monthly income (1,000 OMR or below, <i>p</i> = 0.021), mothers who were pregnant for the first time (<i>p</i> < 0.001), and those who were primiparous (<i>p</i> < 0.001) did not use contraception. The regression models showed a significant association between the antenatal and postnatal depression scores (<i>p</i> < 0.001, 95% CI 0.401-0.603) according to the Edinburgh Postpartum Depression Scale.</p><p><strong>Conclusions: </strong>The findings suggest that women with unplanned pregnancies warrant attention for early detection and preventive interventions, irrespective of their emotional stance. Incorporating routine mental health screening into perinatal care can facilitate early detection, and targeted interventions, contributing to improved maternal mental well-being.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1497698"},"PeriodicalIF":2.3,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442983","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":"Use of artificial intelligence for gestational age estimation: a systematic review and meta-analysis.","authors":"Sabahat Naz, Sahir Noorani, Syed Ali Jaffar Zaidi, Abdu R Rahman, Saima Sattar, Jai K Das, Zahra Hoodbhoy","doi":"10.3389/fgwh.2025.1447579","DOIUrl":"10.3389/fgwh.2025.1447579","url":null,"abstract":"<p><strong>Introduction: </strong>Estimating a reliable gestational age (GA) is essential in providing appropriate care during pregnancy. With advancements in data science, there are several publications on the use of artificial intelligence (AI) models to estimate GA using ultrasound (US) images. The aim of this meta-analysis is to assess the accuracy of AI models in assessing GA against US as the gold standard.</p><p><strong>Methods: </strong>A literature search was performed in PubMed, CINAHL, Wiley Cochrane Library, Scopus, and Web of Science databases. Studies that reported use of AI models for GA estimation with US as the reference standard were included. Risk of bias assessment was performed using Quality Assessment for Diagnostic Accuracy Studies-2 (QUADAS-2) tool. Mean error in GA was estimated using STATA version-17 and subgroup analysis on trimester of GA assessment, AI models, study design, and external validation was performed.</p><p><strong>Results: </strong>Out of the 1,039 studies screened, 17 were included in the review, and of these 10 studies were included in the meta-analysis. Five (29%) studies were from high-income countries (HICs), four (24%) from upper-middle-income countries (UMICs), one (6%) from low-and middle-income countries (LMIC), and the remaining seven studies (41%) used data across different income regions. The pooled mean error in GA estimation based on 2D images (<i>n</i> = 6) and blind sweep videos (<i>n</i> = 4) was 4.32 days (95% CI: 2.82, 5.83; <i>l</i> ²: 97.95%) and 2.55 days (95% CI: -0.13, 5.23; <i>l</i> ²: 100%), respectively. On subgroup analysis based on 2D images, the mean error in GA estimation in the first trimester was 7.00 days (95% CI: 6.08, 7.92), 2.35 days (95% CI: 1.03, 3.67) in the second, and 4.30 days (95% CI: 4.10, 4.50) in the third trimester. In studies using deep learning for 2D images, those employing CNN reported a mean error of 5.11 days (95% CI: 1.85, 8.37) in gestational age estimation, while one using DNN indicated a mean error of 5.39 days (95% CI: 5.10, 5.68). Most studies exhibited an unclear or low risk of bias in various domains, including patient selection, index test, reference standard, flow and timings and applicability domain.</p><p><strong>Conclusion: </strong>Preliminary experience with AI models shows good accuracy in estimating GA. This holds tremendous potential for pregnancy dating, especially in resource-poor settings where trained interpreters may be limited.</p><p><strong>Systematic review registration: </strong>PROSPERO, identifier (CRD42022319966).</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1447579"},"PeriodicalIF":2.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11821921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416392","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":"Women's preferences, impacts, and satisfaction with companion support during labour and delivery experiences in Oman.","authors":"Nasar Alwahaibi, Fatema Alajaimi, Hoor Alhabsi, Alzahra Alkalbani, Rodina Aljulandani","doi":"10.3389/fgwh.2025.1524270","DOIUrl":"10.3389/fgwh.2025.1524270","url":null,"abstract":"<p><strong>Background: </strong>This is the first study to combine both the women's preferences, impacts, and satisfaction during their labour and delivery experience and their companions for their role and impacts. Previously published papers examined either the preferences of pregnant women or those of their companions, which are few. Women's preferences, impacts, and satisfaction with their companions during labour and delivery were evaluated in this study.</p><p><strong>Methods: </strong>This cross-sectional observational study was conducted between June 2022 and April 2024. As part of this study, labouring women as well as their companions were interviewed separately face-to-face in a private place, and all answers were kept anonymous and confidential. We evaluated each category separately based on two separate sections.</p><p><strong>Results: </strong>This study included a total of 444 labouring women and an equal number of companions, with mean ages of 32.25 years and 42.66 years, respectively. The majority of women and companions were housewives with college degrees. Among companions, mothers and husbands were the most preferred, and they were typically present from admission to discharge. Among women who had companions, 84.1% reported feeling calmer and more comfortable. 91.9% of companions supported women with encouraging words, and 92.6% perceived their support as highly beneficial to the women. Women expressed 94.8% satisfaction with the medical staff and 87.6% satisfaction with hospital services, while companions reported 96.6% and 74.8% satisfaction with the medical staff and hospital services, respectively.</p><p><strong>Conclusions: </strong>Labouring women appreciated and valued the presence of companions during childbirth as they had positive impacts. Mothers are the most preferred companions and preferred to be present from admission until discharge. Most companions support their labouring women by encouraging wards. Labouring women and companions were satisfied with the medical team and services provided to them. The presence and role of companions during the childbirth process are crucial and warrant emphasis.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1524270"},"PeriodicalIF":2.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11821642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416414","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":"Quest Narratives and Heroine Journeys: the road to freebirth and the joy of undisturbed physiological birth.","authors":"Gemma McKenzie","doi":"10.3389/fgwh.2024.1495914","DOIUrl":"10.3389/fgwh.2024.1495914","url":null,"abstract":"<p><p>Freebirth (intentionally giving birth without doctors or midwives present) is a taboo and stigmatised birthing decision. In this study, 16 women who had freebirthed their babies in the UK were interviewed, and the data was analysed using the voice-centred relational method (VCRM). This methodology produces a range of outputs, including I-Poetry. Previous scholars have noted the difficulty in presenting results from VCRM research and have devised varied and creative ways of subverting these obstacles. Uniquely, this article relies on the theories of Joseph Campbell, Arthur Frank, and Kim Hudson to present women's freebirth accounts as both Quest Narratives and Heroine Journeys. The article outlines the theoretical underpinnings of the Heroine's Journey and demonstrates its use with women's freebirth accounts as they pertain to the joy of undisturbed physiological birth.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1495914"},"PeriodicalIF":2.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11821573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416382","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":"A holistic approach is needed for women with an inflammatory arthritis in the different phases around pregnancy; the results of the CAPRI study.","authors":"A J van Steensel-Boon, H M Wintjes, E Röder, H T W Smeele, L J C Kranenburg-van Koppen, R J E M Dolhain, L F Perez-Garcia","doi":"10.3389/fgwh.2024.1504095","DOIUrl":"10.3389/fgwh.2024.1504095","url":null,"abstract":"<p><strong>Introduction: </strong>Women with inflammatory arthritis (IA) face significant challenges throughout preconception, pregnancy, and postpartum phases, including concerns about disease management and medication safety. The Reproductive Rheumatology care pathway at Erasmus University Medical Center integrates specialized care from rheumatologists and specialized nurses to address both medical, nursing, practical and emotional needs during these phases. This study evaluates patient satisfaction, identifies unmet needs, and explores opportunities for enhancing support within this integrated care model.</p><p><strong>Methods: </strong>This was a cross-sectional study. We designed a customized questionnaire for women 18 years and older who were treated following the Reproductive Rheumatology care pathway and had given birth between 2019 and 2021. These women were invited to fill in the questionnaire. The survey assessed satisfaction with care, challenges experienced, and information needs across preconception, pregnancy, and postpartum phases. Descriptive statistics and paired <i>t</i>-tests were used for data analysis.</p><p><strong>Results: </strong>Participants reported high satisfaction with care, rating rheumatologists an average of 8.8/10 and specialized nurses 9.2/10. While 78.9% experienced no major issues, some faced problems such as managing disease flares and difficulties around conception. Information needs varied by phase: preconception needs focused on medication safety and fertility, while pregnancy and postpartum concerns included disease management and emotional support. Specialized nurses were pivotal in offering personalized care and practical advice.</p><p><strong>Conclusion: </strong>The integrated Reproductive Rheumatology care pathway effectively supports women with IA through their reproductive journey. Despite high satisfaction, improvements could be made in personalized care and addressing challenges related to confidence and help acceptance. Future research should investigate the long-term impact of such care pathways on reproductive outcomes and patient well-being.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1504095"},"PeriodicalIF":2.3,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11841435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470163","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":"Fathers' perceptions of factors associated with the attainment of paternity leave: a qualitative study.","authors":"Naoyuki Mita, Yu Par Khin, Nobutoshi Nawa, Yui Yamaoka, Takeo Fujiwara","doi":"10.3389/fgwh.2024.1466227","DOIUrl":"10.3389/fgwh.2024.1466227","url":null,"abstract":"<p><strong>Background: </strong>A systematic review has reported that paternal involvement is beneficial in reducing social, behavioural and psychological problems in children. However, little research has investigated factors associated with the attainment of paternity leave.</p><p><strong>Objective: </strong>The objective of this study was to explore fathers' perceptions of the factors associated with taking paternity leave.</p><p><strong>Participants and setting: </strong>Overall, 21 in-depth interviews were conducted with fathers to obtain information on their perceptions of paternity leave. We also conducted key informant interviews with four supervisors at companies to understand their opinions on paternity leaves and ensure that the implications of this study are relevant at workplaces.</p><p><strong>Methods: </strong>Thematic analysis was adopted to analyse the data. Deductive coding was conducted based on previous studies on paternity leave, followed by inductive coding and modification of the initial codes. The final codes were organised based on the social-ecological model.</p><p><strong>Results: </strong>Themes associated with taking paternity leave included fathers' career aspirations, fathers' commitment to supporting infants or mothers, mothers' or infants' need for fathers' involvement, colleagues' outlook on paternity leaves, fathers' work schedules or responsibilities, support from relatives, paternity leave policies, and trends toward fathers' involvement. The supervisors mentioned themes related to paternity leave from the broader perspective of long-term effects and impact on the organisation.</p><p><strong>Conclusions: </strong>This study revealed fathers' perceptions regarding the factors associated with taking paternity leave. The results may provide useful information on how to create an environment in which fathers can easily take paternity leave.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1466227"},"PeriodicalIF":2.3,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442980","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":"Utilization of partograph and associated factors among obstetric caregivers in Ethiopia: a systematic review and meta-analysis.","authors":"Mulat Ayele, Eyob Shitie Lake, Gizachew Yilak, Getinet Kumie, Biruk Beletew Abate, Alemu Birara Zemariam, Befkad Derese Tilahun","doi":"10.3389/fgwh.2025.1339685","DOIUrl":"10.3389/fgwh.2025.1339685","url":null,"abstract":"<p><strong>Introduction: </strong>Effective use of the partograph is crucial in identifying abnormal labor (prolonged and obstructed labor) and taking appropriate actions. However, in Ethiopia, the prevalence of obstructed labor is much higher at 11.8% and contributes to 14.4% of the total maternal deaths due to underutilization of the partograph by obstetric caregivers. Although a previous systematic review and meta-analysis (SRMA) had been conducted, they were not representative on a national level as they included a limited number of studies and did not evaluate the current prevalence of partograph utilization beyond July 2019. Since then, there have been inconsistent studies assessing the proportion of partograph utilization and its associated factors. Therefore, this systematic review and meta-analysis aimed to estimate the pooled prevalence of partograph utilization and its associated factors in Ethiopia.</p><p><strong>Method: </strong>Comprehensive literature searches were conducted in PubMed, Google Scholar, and HINARI from 1 September 2013 to 23 October 2023. A random-effects model was used to estimate pooled prevalence and adjusted odds ratio. Stata (version 11.0) was used to analyze the data. Cochrane <i>I</i> ² statistics were computed to assess heterogeneity among studies. A subgroup analysis was done based on the study region to minimize underlying heterogeneity. Funnel plot and Eggers test were conducted to assess publication bias.</p><p><strong>Result: </strong>Overall, 661 articles were retrieved, and finally, 23 studies were included in this systematic review, including 7,649 participants. The pooled prevalence of partograph utilization was 54.92% (95% CI: 43.38-66.45). The subgroup analysis showed that partograph utilization was highest in the Dire Dawa region and lowest in the Amhara region. Factors such as partograph training [adjusted odds ratio (AOR) = 3.63, 95% CI: 2.57-5.25], good knowledge about partograph (AOR = 2.63, 95% CI: 1.62-4.26), a favorable attitude toward partograph (AOR = 1.95, 95% CI: 1.35-2.82), partograph availability (AOR = 0.89, 95% CI: 2.24-6.61), and being in the midwifery profession (AOR = 0.09, 95% CI: 1.78-5.25) were significantly associated with partograph utilization.</p><p><strong>Conclusion: </strong>The pooled prevalence of partograph utilization in Ethiopia was low. Partograph training, good knowledge about partograph, favorable attitude toward partograph, partograph availability in the health facility, and being in the midwifery profession were significantly associated with partograph utilization.</p><p><strong>Systematic review registration: </strong>https://www.crd.york.ac.uk/prospero/, identifier (CRD42023475818).</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1339685"},"PeriodicalIF":2.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392607","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}