Frontiers in global women's health最新文献

{"title":"The effect of training intervention based on health belief model on self-care behaviors of women with gestational diabetes mellitus.","authors":"Fatemeh Mohammadkhah, Amirhossein Kamyab, Babak Pezeshki, Samira Norouzrajabi, Ali Khani Jeihooni","doi":"10.3389/fgwh.2024.1490754","DOIUrl":"10.3389/fgwh.2024.1490754","url":null,"abstract":"<p><strong>Background: </strong>Gestational diabetes mellitus (GDM) is currently the most common complication of pregnancy, and the prevalence of undiagnosed hyperglycemia and overt diabetes in young women is increasing. In this regard, the present study aimed to investigate the effect of training intervention based on the health belief model of self-care behaviors in women with gestational diabetes.</p><p><strong>Methods: </strong>The present study was an interventional study, which was conducted on 160 women with gestational diabetes (80 in the interventional group and 80 in the control group), who were under treatment in healthcare centers in the city of Fasa in Fars Province, Iran, in 2022-2023. The method was simple random sampling. The collecting data tools were demographic characteristics questionnaire (age, education, occupation, monthly income of the family, gestational age (in the week), and rank of pregnancy, a knowledge assessment questionnaire, a questionnaire based on the health belief model (perceived sensitivity, perceived severity, perceived advantages, and disadvantages, self-efficiency), and the self-care behaviors questionnaire. The questionnaires were completed before the intervention and 6 weeks after the intervention. The women in the intervention group received six sessions of 50-55 min. Fasting blood sugar level and blood sugar level 2 h after the meal, A1C hemoglobin, and the need for taking insulin and the required dosage were recorded. The data were analyzed using SPSS 24, Kolmogorov-Smirnov tests (for normal distribution of data), independent <i>t</i>-test, paired <i>t</i>-test, chi-2 test, and descriptive statistics (<i>P</i> < 0.05).</p><p><strong>Results: </strong>The mean age of the participants in the intervention group and control group was 32.45 ± 4.82 and 33.16 ± 4.69, respectively. The results showed that the mean scores of all structures of the health belief model in the intervention group were significantly different from those obtained after the intervention in this group (<i>p</i> < 0.001). Also, the comparison of averages of blood sugar levels after the intervention in the two groups indicated that fasting blood sugar level, A1C hemoglobin, and blood sugar levels measured 2 h after the meal significantly decreased in the intervention group (<i>p</i> < 0.001). The need to increase the dosage of insulin in the intervention group was lower than in the control group.</p><p><strong>Conclusions: </strong>according to the results, the health belief model was effective in improving clinical results of self-care behaviors in women with gestational diabetes. HBM played an important role in understanding what care and support the women need. Therefore, the incidence of various diseases can be prevented and mothers with GDM can experience such vulnerability less than before. It can also be used as a model to design, implement, and monitor health programs for women with gestational diabetes.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1490754"},"PeriodicalIF":2.3,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082517","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":"Commentary: Effective communication about pregnancy, birth, lactation, breastfeeding and newborn care: the importance of sexed language.","authors":"Maddalena Giacomozzi, Maaike Muntinga, Sally Pezaro","doi":"10.3389/fgwh.2024.1519979","DOIUrl":"https://doi.org/10.3389/fgwh.2024.1519979","url":null,"abstract":"","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1519979"},"PeriodicalIF":2.3,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070051","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":"Vaccination in pregnancy.","authors":"Stephen H Kennedy, Noni E MacDonald, Sue Ann Costa Clemens","doi":"10.3389/fgwh.2024.1523117","DOIUrl":"10.3389/fgwh.2024.1523117","url":null,"abstract":"","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1523117"},"PeriodicalIF":2.3,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054190","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":"Unexplored avenues: a narrative review of cognition and mood in postmenopausal African women with female genital circumcision/mutilation/cutting.","authors":"Rohina Kumar, Noelia Calvo, Gillian Einstein","doi":"10.3389/fgwh.2024.1409397","DOIUrl":"10.3389/fgwh.2024.1409397","url":null,"abstract":"<p><p>Recent ageing research has projected the lifespan and proportion of postmenopausal women living in low- and middle-income countries to substantially increase over the years, especially on the African continent. An important subgroup within the African postmenopausal population is those with female genital circumcision/mutilation/cutting (FGC). Practised across 31 African nations, FGC holds cultural significance as it is deemed essential to marriage and successful womanhood. Perhaps because of this, most FGC studies have primarily focused on women's reproductive functioning and their mood experiences. These studies also usually exclude postmenopausal women from their cohorts. Consequently, cognition and age-related cognitive decline and preservation remain understudied. Therefore, we investigated what is known about mood and cognition in local and immigrant postmenopausal African women with FGC. To do this, we carried out a narrative review searching PubMed, PsycInfo, and Google Scholar databases. Boolean combinations of keywords related to FGC, cognition, ageing, and mood were used, with a focus on cognition and ageing-related terms. Only studies published in English, those that recruited African women with FGC aged 50 years and older, and those that investigated cognitive and/or mood-related experiences were included. Ten studies were found; these included quantitative, qualitative, and case reports. The age range of cohorts across included studies was 13-90 years; women who were likely postmenopausal formed a minority within the cohorts (4.5%-25%). There were no studies assessing memory or cognition beyond those looking at FGC-related memories, which were vivid, especially if women had type III FGC (Pharaonic) or were older at the time of FGC. Although most of these women reported experiencing negative emotions concerning FGC, quantitative reports showed that only a minority of women experienced post-traumatic stress disorder, anxiety, or depression. Thus, there remains an urgent need to bring this understudied group into ageing and dementia research. Future research should adopt mixed-methods with culturally sensitive methodologies to investigate the lived experience of ageing as well as cognitive changes. A holistic understanding of ageing women from the Horn of Africa's experiences and needs will support an improvement in the quality of care delivered to this cohort in both local and immigrant contexts.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1409397"},"PeriodicalIF":2.3,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029447","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":"Changes in health related quality of life in mothers with inflammatory joint disease from year 2000 to 2020 - a comparative cross-sectional study.","authors":"Hege Svean Koksvik, Ingrid Nilssen, Bente Jakobsen, Hilde Bjørngaard, Marianne Wallenius, Kjersti Grønning","doi":"10.3389/fgwh.2024.1458390","DOIUrl":"10.3389/fgwh.2024.1458390","url":null,"abstract":"<p><strong>Objectives: </strong>More knowledge about health related quality of life (HRQoL) among mothers with inflammatory joint disease (IJD) is needed to understand the complex challenges for this group of patients. The overall aim of this study was to investigate changes in HRQoL among mothers with IJD from year 2000 to year 2020.</p><p><strong>Methods: </strong>This study had a comparative cross-sectional design with two study groups 20 years apart, year 2000 (<i>n</i> = 77) and year 2020 (<i>n</i> = 197). Patients were identified from RevNatus, a Norwegian nationwide medical quality register (2020 cohort) and from a national centre for pregnancy and rheumatic disease (2000 cohort). Mothers with the diagnoses of rheumatoid arthritis, juvenile idiopathic arthritis, axial spondyloarthritis and psoriatic arthritis with children aged 0-6 were included. Data on HRQoL were self-reported and assessed by the RAND-36 (SF-36) questionnaire, along with data on educational status, number of children, months since last childbirth and eight questions on experienced motherhood limitations and experienced anxiety and distress for the children. Descriptive statistics were performed using the Mann-Whitney <i>U</i>-test, the Pearson chi-squared test and independent samples <i>t</i>-test. Multivariable linear regression were used to investigate changes and association between the RAND36 (SF-36) scores and the two study groups and possible confouders.</p><p><strong>Results: </strong>The 2020 cohort had significantly higher scores on bodily pain (<i>p</i> < 0.001), physical function (<i>p</i> < 0.001), and role physical (<i>p</i> = 0.01) scales compared to the 2000 cohort, indicating better health. There were no significant differences between the two cohorts in the mental health (MH) (<i>p</i> = 0.81), vitality (<i>p</i> = 0.09), general health (<i>p</i> = 0.06), social function (<i>p</i> = 0.83), and role emotional (<i>p</i> = 0.93) scales. Compared to the calculated norm scores, the 2020 cohort had significantly lower scores on all scales (<i>p</i> < 0.01) except on the MH scale (<i>p</i> = 0.37).</p><p><strong>Conclusion: </strong>Mothers with IJD were affected in most dimensions of RAND-36 (SF-36) both in year 2000 and year 2020. The findings emphasize the importance of understanding the intrusiveness of being a mother with IJD despite the improved medical treatment options over the last 20 years.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1458390"},"PeriodicalIF":2.3,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11751002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024795","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":"Predictors of client satisfaction with family planning services in Ethiopia: a systematic review and meta-analysis.","authors":"Yeshiwas Ayale Ferede, Worku Chekol Tassew, Agerie Mengistie Zeleke","doi":"10.3389/fgwh.2024.1430799","DOIUrl":"10.3389/fgwh.2024.1430799","url":null,"abstract":"<p><strong>Background: </strong>The use of modern contraceptives by married Ethiopian women has increased over the past 15 years. Despite a few studies reporting different predictors of satisfaction with family planning services, there is a lack of nationwide data showing the determinants of client satisfaction with family planning services. Thus, this meta-analysis aimed to determine the predictors of client satisfaction with family planning services in Ethiopia.</p><p><strong>Methods: </strong>From January 20 to March 10, 2024, a thorough search of the literature was conducted using PubMed, Web of Science, EMBASE, CINAHL, and Google Scholar. The quality of the included studies was assessed using the critical assessment checklist developed by the Joanna Briggs Institute (JBI). The statistical program Stata 11 was used to carry out the analysis. Using Cochran's Q-statistic, heterogeneity was statistically assessed and measured by the <i>I</i> ² value. If significant heterogeneity was found across the included studies, a random effects model was used to assess the factors influencing client satisfaction with family planning services. Otherwise, a fixed-effects model was employed.</p><p><strong>Results: </strong>Independent factors influencing clients' satisfaction with family planning services included waiting times of less than one hour (POR = 4.37; 95% CI: 2.05, 9.32), ensuring privacy (POR = 6.31; 95% CI: 2.78, 14.28), convenient opening hours (POR = 5.91; 95% CI: 1.61, 21.63), education level above primary school (AOR = 2.61; 95% CI: 1.02, 6.68), being informed about side effects (AOR = 3.08; 95% CI: 1.22, 7.74), and receiving adequate information (POR = 4.2; 95% CI: 1.87, 9.44).</p><p><strong>Conclusion: </strong>The findings indicate that key factors significantly influencing client satisfaction with family planning services include reduced waiting times, privacy protection, convenient service hours, higher education levels, being informed about potential side effects, and receiving comprehensive information. These elements are critical for improving satisfaction and should be prioritized in family planning services. As a result, Ethiopian policymakers and decision-makers must devise plans to maximize client satisfaction with healthcare services through client-centered care.</p><p><strong>Systematic review registration: </strong>https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=563937, PROSPERO (CRD42024563937).</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1430799"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017263","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 study on sexual violence among women in Northern Ethiopia's 2022 conflict: mixed methods.","authors":"Atitegeb Abera Kidie, Seteamlak Adane Masresha, Birtukan Gizachew Ayal, Kindie Mekuria, Tsion Kokeb Kodo, Abayneh Tunta Boye, Misganaw Guadie Tiruneh, Fassikaw Kebede Bizuneh, Eneyew Talie Fenta","doi":"10.3389/fgwh.2024.1340038","DOIUrl":"10.3389/fgwh.2024.1340038","url":null,"abstract":"<p><strong>Background: </strong>Violence against women is both a human rights violation and a significant reproductive health issue, causing substantial morbidity. It's a pervasive global public health concern, particularly prevalent in developing regions like sub-Saharan Africa. Ethiopia faces this issue extensively despite its preventable nature, persisting as a significant challenge within the country.</p><p><strong>Objective: </strong>The study aimed to identify the extent and factors associated with sexual violence among women, children, and adolescent girls during the 2022 armed conflict in Northern Ethiopia.</p><p><strong>Method: </strong>A community-based cross-sectional study combined quantitative and phenomenological methods. We used multistage and snowball sampling, involving 574 individuals along with 10 in-depth interviews and 3 focus group discussions (FGDs). Statistical analysis relied on Stata version 16 and open code version 4.03. Quantitative analysis employed multivariable binary logistic regression, while qualitative data underwent thematic analysis.</p><p><strong>Result: </strong>The study found a 9.76% prevalence of sexual violence, with 2.4% experiencing rape during the conflict. Prostitutes faced a fourfold increased risk (AOR: 4.2, 95% CI: 1.3, 10.9). Living in areas with attacks raised the risk 2.7 times (AOR: 2.7, 95% CI: 1.1, 6.2), and a monthly income of 2,001-4,000 ETB increased it 2.5 times (AOR: 2.5, 95% CI: 1.1, 5.7). The impacts included psychosocial effects, stigma, and fear of humiliation, divorce, and displacement.</p><p><strong>Conclusion: </strong>Approximately one in ten women experienced sexual violence during the conflict. Factors such as being a prostitute, having a lower income, and living in attacked villages were significant predictors of this violence. The main impacts included psychosocial effects, external blame, and stigma, fear of humiliation, divorce, and displacement.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1340038"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025949","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":"Disclosure of oral pre-exposure prophylaxis use for HIV prevention among women enrolled in a contraceptive study: qualitative findings from Durban, South Africa.","authors":"Ivana Beesham, Mags Beksinska, Cecilia Milford, Leila E Mansoor","doi":"10.3389/fgwh.2024.1505643","DOIUrl":"10.3389/fgwh.2024.1505643","url":null,"abstract":"<p><strong>Background: </strong>Disclosure of oral pre-exposure prophylaxis (PrEP) use for HIV prevention may improve adherence to PrEP; however, disclosure can be challenging and may result in stigma. Here, we describe disclosure of PrEP use among young women enrolled in a contraceptive study.</p><p><strong>Methods: </strong>In this qualitative study, we conducted semi-structured, in-depth, face-to-face interviews with 13 women aged 18-25 years who initiated oral PrEP for HIV prevention during the Evidence for Contraceptive Options and HIV Outcomes (ECHO) Trial. Interviews were conducted in 2021 with women from Durban, South Africa. In this analysis, we explore women's experiences of PrEP disclosure including whether they disclosed PrEP use, who they disclosed to and the reaction to disclosure, and the impact of disclosure on PrEP use. Interviews were conducted in English, audio-recorded and transcribed. Data were analysed thematically.</p><p><strong>Results: </strong>All women disclosed oral PrEP use to at least one individual, with some women disclosing to multiple individuals including family, friends, partners and community members. Few women did not disclose oral PrEP use to their partner due to anticipating a negative reaction from the partner, feeling that the partner would assume the woman has HIV and is taking antiretroviral therapy and fear that the partner would associate PrEP use with the woman having other partners. Reactions to oral PrEP disclosure were generally supportive or neutral, however, few women reported negative reactions that included distrust in the efficacy of PrEP to prevent HIV, discouraging the woman from using oral PrEP because of the assumption that PrEP is HIV treatment, and concern about the woman having oral PrEP side effects. Negative reactions to disclosure generally did not impact on oral PrEP use. Supportive disclosures sometimes resulted in reminders for oral PrEP dosing.</p><p><strong>Conclusion: </strong>Our findings indicate that women are willing to disclose their PrEP use to at least one other person when supported. These study findings may contribute to future PrEP counselling guidelines and strategies.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1505643"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017580","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":"Desire for labor companionship and its associated factors among pregnant women attending antenatal care at public health facilities in Debre Berhan City: a cross-sectional study.","authors":"Mulualem Silesh, Tesfanesh Lemma Demisse, Kidist Ayalew Abebe, Birhan Tsegaw Taye, Tebabere Moltot, Moges Sisay Chekole, Fetene Kasahun, Abebayehu Melesew Mekuriyaw, Tirusew Nigussie Kebede, Kibret Hailemeskel","doi":"10.3389/fgwh.2024.1426502","DOIUrl":"10.3389/fgwh.2024.1426502","url":null,"abstract":"<p><strong>Background: </strong>Allowing women to have a companion of their choice during labor and delivery is a cost-effective strategy to enhance the quality of maternal care and promote a positive birth experience. Due to the limited studies on women's preferences for labour companionship, this study aimed to assess the desire for labour companionship and its associated factors among pregnant women attending ante-natal care at public health facilities in Debre Berhan City.</p><p><strong>Method: </strong>A facility-based cross-sectional study was conducted from August 1-30, 2022. A face-to-face questionnaire administered was used to collect data. Then, entered into Epi-Data version 4.6 and exported to SPSS version 25 for data analysis. In multivariable logistic regression analysis, variables with <i>P</i> < 0.05 with AOR and 95% CI were considered statistically significant.</p><p><strong>Result: </strong>Of 408 participants, 68.6% [95% CI: 63.8, 73.9] of pregnant women desired to have companionship in labour. Women who were living in urban [AOR: 2.32; 95% CI: 1.336, 4.022], had secondary level of education [AOR: 0.39; 95% CI: 0.207, 0.726], being pregnant for the first time [AOR: 1.88; 95% CI: 1.197, 2.945], women who had a good knowledge towards labour companion [AOR: 2.4; 95% CI: 1.522, 3.797] were statistically significant with desire on labour companionship.</p><p><strong>Conclusion: </strong>The magnitude of desire towards labour companionship in this study area was found high. Place of residence, educational attainment, number of pregnancies (gravidity), and level of knowledge about labour companions significantly contribute to women's desire for labour companionship. Therefore, to increase the desire for labor companions; antenatal education about its benefits should emphasized, particularly in rural areas and among less-educated communities. Providing tailored support for primigravida women and underserved populations can also help to integrate labor companionship into maternal care.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1426502"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11756528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030404","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":"Acute management of massive pulmonary embolism in pregnancy.","authors":"Shahin Qadri, Ashwini Bilagi, Abha Sinha, Derek Connolly, Richard Murrin, Shagaf Bakour","doi":"10.3389/fgwh.2024.1473405","DOIUrl":"10.3389/fgwh.2024.1473405","url":null,"abstract":"<p><strong>Key content: </strong>•Massive pulmonary embolism (PE) during pregnancy or the postpartum period is a rare but potentially lethal event.•Physiological changes in the coagulation system during pregnancy and puerperium would lead to a hypercoagulable state.•Diagnosis of PE in pregnancy remains a challenge due to physiological changes in pregnancy. There are no validated scoring systems for assessing pregnant/postpartum women with suspected PE. Massive PE should be suspected in all cases with haemodynamic instability in pregnancy.•The Management of massive pulmonary embolism should be timely and aggressive. Thrombolysis for massive PE during pregnancy and the postpartum period has shown to be associated with high maternal and fetal survival (94% and 88%). But other therapeutic options such as (catheter [or surgical] thrombectomy, ECMO) should be considered in the postpartum period, given the high risk of major bleeding with thrombolysis.•Thrombolysis remains the most-used and reasonably successful modality of treatment in pregnancy but should be avoided in the postpartum period as it can cause life-threatening haemorrhage. During the post-partum period, thrombectomy is the treatment of choice.</p><p><strong>Learning objectives: </strong>•To understand the pathophysiology of massive PE.•To appreciate the treatment options in pregnancy and postpartum period and their pros and cons.•To understand the need for further work in this area especially in creating a validated algorithm for diagnosing PE in pregnancy and postpartum period.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1473405"},"PeriodicalIF":2.3,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017578","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}