Frontiers in global women's health最新文献

{"title":"Proactive approaches to preventing postpartum depression in non-depressive pregnant women: a comprehensive scoping review.","authors":"Nga Thi Nguyen, Supa Pengpid","doi":"10.3389/fgwh.2025.1497740","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1497740","url":null,"abstract":"<p><strong>Introduction: </strong>Postpartum depression is a significant global health challenge that affects mothers, infants, and families. Although various preventive strategies show promise, comprehensive reviews evaluating interventions among pregnant women without a clinical diagnosis of depression remain limited. This scoping review aims to identify and synthesize the existing evidence on proactive postpartum depression prevention programs initiated during pregnancy.</p><p><strong>Methods: </strong>Following PRISMA guidelines for scoping reviews, we systematically searched PubMed and Scopus, supplemented by manual reference reviews. Our search strategy combined terms related to postpartum depression, pregnancy, and preventive interventions. Studies were included if they evaluated interventions conducted during pregnancy, targeting women without a clinical diagnosis of depression, and assessed PPD outcomes using established diagnostic criteria or validated screening tools. Only English-language articles published between 2013 and 2023 were considered.</p><p><strong>Results: </strong>A total of 49 studies met the inclusion criteria. Interventions were categorized into nine themes: psychoeducation (<i>n</i> = 18), home visits (<i>n</i> = 6), cognitive behavioral therapy (CBT) (<i>n</i> = 6), mindfulness (<i>n</i> = 6), exercise (<i>n</i> = 4), dietary supplements (<i>n</i> = 3), interpersonal therapy (IPT) (<i>n</i> = 4), consultation (<i>n</i> = 1), and inhalation aromatherapy (<i>n</i> = 1). Psychoeducational and mindfulness-based interventions consistently reduce PPD risk, particularly when delivered in structured, theory-driven formats and incorporating family support. Digital CBT interventions demonstrated limited effectiveness due to lower engagement, while home-visit and consultation-based interventions were effective when integrated into existing maternal healthcare despite scalability challenges. Exercise and dietary supplement interventions yielded inconsistent outcomes, indicating that factors such as adherence, duration, and intensity are crucial determinants of effectiveness.</p><p><strong>Conclusion: </strong>Various proactive interventions are available to prevent PPD, and this scoping review systematically maps the different strategies used and their outcomes. Proactive, theory-based, and multi-component interventions, particularly psychoeducational and mindfulness programs, demonstrate promising potential. Future research should emphasize evaluating long-term outcomes, optimizing digital engagement strategies, and developing culturally tailored models to enhance scalability and accessibility across diverse populations, including low-resource settings.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1497740"},"PeriodicalIF":2.3,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014250","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":"Leveraging health financing, digital health and self-care approaches to strengthen maternal health journeys in India: perspectives from Assam.","authors":"Sowmya Ramesh, Charlotte E Warren, Ben Bellows, Himanshi Dwivedi, Himani Gupta, Ashita Munjral, Swapnil Rawat, David Tresner-Kirsch, Jitender Nagpal","doi":"10.3389/fgwh.2025.1469328","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1469328","url":null,"abstract":"<p><p>Maternal morbidity and mortality in India continue to be high in populations and places with limited access to quality health services. Major barriers include out of pocket expenditure, lack of autonomy and information around maternal health services and weak implementation of pro-poor policies. Addressing demand-side barriers and enablers is critical to improving healthcare uptake and healthcare adherence along the pregnancy-postnatal continuum. This paper describes three well known operational spaces, maternal health financing, digital health, and self-care interventions within the Indian context including pro-poor maternal health policies, mobile health ecosystems and networks, and self-care opportunities that promote women's knowledge, choice, self-efficacy, and autonomy. These are expanded on to identify additional opportunities to improve access to MH services. Finally, the authors describe a new digital health intervention using a chat-based digital support system that has the potential to reduce barriers that women face in seeking and receiving quality MH services in Assam and elsewhere. Future work on how to implement such a combined approach need to account for multiple contextual factors, including understanding the nature and success of national pro-poor MH policies in each state, how the public and private health systems function and interact, social determinants of health as well as engaging women in the process to improve maternal and newborn health outcomes.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1469328"},"PeriodicalIF":2.3,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013726","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":"Inequities and factors associated with gender and disability in NTD-endemic communities in Benin and Côte d'Ivoire: an intersectional approach to interventions.","authors":"Ginette Victoire Senami Gandigbe, Zinsou Franck Mignanwande, Yévèdo Borel Tossou, Karine Lucrèce Marie Codjo-Seignon, Sonagnon Inès Elvire Agbo, Fifamin Noël Christelle Gbaguidi, Sèdjro Gimatal Esaï Anagonou, Fernand Aimé Guedou, Mark Nichter, Cristina Juan Jimenez, Roch Christian Johnson, Anna Gine-March","doi":"10.3389/fgwh.2025.1575082","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1575082","url":null,"abstract":"<p><strong>Introduction: </strong>Gender inequity among people with disabilities (PWD) is a complex issue influenced by a combination of socioeconomic, cultural, political, and institutional factors. Women with disabilities often experience double discrimination, increasing their vulnerability. These exacerbate their already difficult health and living conditions. This study aimed to explore the factors associated with gender inequities among PWD in Benin and Côte d'Ivoire, and to design and implement tailored interventions to address these inequities.</p><p><strong>Method: </strong>This intervention-oriented operational research, employing a mixed-methods approach (quantitative and qualitative), targeted 841 PWD and 90 community members. Initially, records from various centers managing Neglected Tropical Diseases (NTDs) in the study areas were reviewed. All PWD listed in the registers and residing in the community, as well as other community members, were included. Data on socio-demographic and socioeconomic and clinical factors were collected using an interview guide and an observation grid. Quantitative data were analyzed using SPSS version 25 (alpha = 5%), while qualitative data were processed through triangulation, categorized, cross-tabulated, and synthesized by theme, hypothesis, and indicator. A subset of PWD facing barriers to accessing education, training, income-generating activities, or healthcare was selected for intervention.</p><p><strong>Results: </strong>The median age was 38 years (IQR = 22-52). Among the 841 PWD, 497 were men and 344 were women (sex ratio = 1.45). Univariate analysis revealed significant associations (<i>p</i> = 0.000) between gender disparities and marital status, monthly income, education level and occupation type. Multivariable analysis identified three factors strongly associated with gender disparities (<i>p</i> = 0.000): marital status, monthly income, and profession. Interventions were designed to address these factors and included vocational training, medical care, and educational or professional scholarships. These measures collectively improved the living conditions of PWD and helped raise awareness among those in their immediate environment, fostering social integration and reducing self-stigmatization.</p><p><strong>Conclusion: </strong>This study provides a deeper understanding of the inequalities that PWDs face in Benin and Côte d'Ivoire. It highlights the need to adopt intersectional approaches in policies and practices to effectively address the multiple forms of discrimination faced by women and girls with disabilities, promoting their inclusion and protection in all areas of society.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1575082"},"PeriodicalIF":2.3,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051490","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":"Immediate postpartum modern family planning utilization and associated factors among postpartum women in Gurage Zone, Southern Ethiopia 2022: community-based cross-sectional study.","authors":"Tolesa Gemeda Gudeta, Ayana Benti Terefe, Girma Teferi Mengistu, Seboka Abebe Sori","doi":"10.3389/fgwh.2025.1355620","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1355620","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The period immediately following delivery is crucial for addressing the many requirements women have in terms of reproductive health, including the need for family planning after delivery and for lowering the risks associated with closely spaced pregnancies. However, contraception during the immediate postpartum period has not received enough attention in Ethiopia. Information on the use of modern family planning in the immediate postpartum period is also sparse in this study area. Therefore, the current study aimed to assess the level of immediate postpartum modern family planning utilization and associated factors among mothers who had given birth within the past twelve months in Gurage Zone, Southwest Ethiopia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The present study was conducted from May 1 to July 1, 2022, involving 844 mothers who had given birth in the previous year in the Gurage Zone of Southern Ethiopia. A community-based cross-sectional study design was utilized, with participants selected through a multistage sampling method. Data collection was performed via face-to-face interviews using a structured questionnaire. After data entry, which was done using EpiData version 3.1, analysis was carried out using the Statistical Package for Social Science (SPSS) version 26. To investigate the relationships between dependent and independent variables, both binary and multivariable logistic regressions with 95% confidence intervals were applied. In the multivariable logistic regression analysis, variables with &lt;i&gt;P&lt;/i&gt;-values below 5% were considered statistically significant.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Result: &lt;/strong&gt;Altogether, a total of 836 postpartum women participated in the current study. The overall prevalence of immediate postpartum modern family planning utilization (IPPFP) was (42.9%) with 95% CI (39.6-46.3%). Attending secondary school [AOR = 1.966(1.028-3.761)], postpartum women from wealthier families [AOR = 2.57 (95% CI: 1.44-4.58)], giving birth in health facility [AOR = 2.06 &lt;i&gt;t&lt;/i&gt; (95% CI: 1.26-3.38)], reporting higher women empowerment [AOR = 4.365 (2.436-7.824)], having favorable attitude [AOR = 2.65 (95% CI: 1.86-3.78)], getting counseling during ANC [AOR = 1.93 (95% CI: 1.36-2.76)] and immediate postpartum period [AOR = 2.51 (95% CI: 1.77-3.56)] were significant associated factors of IPPFP utilization.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This study concluded that approximately two in five postpartum women utilized immediate postpartum family planning this study area. Socio-economic and informational factors significantly influence the adoption of these methods. To enhance the uptake of immediate postpartum family planning, it is essential to improve the quality of counseling provided during antenatal care visits and at the time of delivery, thereby empowering women with the knowledge needed for informed decision-making. Additionally, efforts to change attitudes toward immediate postpartum family planning thro","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1355620"},"PeriodicalIF":2.3,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12006149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047613","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":"Content validation and use of mothers on respect index to determine levels of respectful maternity care among women facing disadvantage, birthing in the Top End of the Northern Territory: a cross-sectional study.","authors":"Emily Rebecca Bowden, Maree R Toombs, Robyn L Williams, Anne B Chang, Deborah Richards, Meredith Porte, Stephanie Yerkovich, Gabrielle Britt McCallum","doi":"10.3389/fgwh.2025.1531904","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1531904","url":null,"abstract":"<p><strong>Introduction: </strong>Although recognised as important, few validated tools are available to measure respectful maternity care. In Australia, First Nations, migrant and refugee women have fewer antenatal attendances and poorer outcomes compared to others, with disrespectful maternity care a known barrier to care-seeking. Our primary aim was to determine content validity of the Mothers on Respect index (MORi) for use with women facing disadvantage birthing in the Top End of the Northern Territory. Our secondary aim was to determine the extent of respectful maternity care amongst these women in our setting.</p><p><strong>Methods: </strong>Fifteen First Nations women participated in an iterative process, rating and commenting on the original MORi items using content-validation-index for items. 195 First Nations, migrant, refugee women subsequently completed the content-validated MORi, within 12-months postpartum.</p><p><strong>Results: </strong>Content validity was established for all items; The overall median MORi score was high at 78 [interquartile range (IQR) 72-83]. Migrant women had the highest median score of 80 (IQR 76-83), remote-living First Nations women had the lowest at 63.5 (IQR 55-76). There were no significant differences across antenatal attendance, educational attainment, or primary caregiver.</p><p><strong>Discussion: </strong>Overall, high levels of respectful maternity care were observed. First Nations women from remote communities, and refugee women within some domains, experienced lower levels of respect than others, perhaps resulting from ongoing systemic disadvantage. MORi content-validity was established for First Nations Australians, migrant and refugee women with disparity between cohorts observed. Continuity-of-carer, increased access to interpreters, and companion of choice may address some of these disparities.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1531904"},"PeriodicalIF":2.3,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12003359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059590","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":"Dual contraceptive use among women living with HIV on anti-retroviral therapy in Boset district, Ethiopia.","authors":"Yohanes Abera Belachwe, Midekso Sento, Melese Negash Gobena, Mihiret Shawel Getahun, Yohannes Mekuria Negussie","doi":"10.3389/fgwh.2025.1510299","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1510299","url":null,"abstract":"<p><strong>Background: </strong>The World Health Organization advocates dual contraceptive methods for women with Human Immunodeficiency Virus (HIV) to prevent unintended pregnancies and sexually transmitted infections (STIs), enhancing education, economic opportunities, and maternal-child health outcomes. However, persistent global challenges stem from inadequate use of dual contraceptives and unsafe sexual practices, resulting in high rates of unintended pregnancies and significant health risks. Hence, this study aimed to assess dual contraceptive use among women living with HIV on anti-retroviral therapy (ART) in Boset District, Ethiopia.</p><p><strong>Method: </strong>A facility-based cross-sectional study was conducted among 342 women living with HIV from September 12 to October 18, 2023. Participants were selected by systematic random sampling, and data were collected using an interviewer-administered structured questionnaire. The collected data were entered using Epi Info version 7.2.6 and analyzed using SPSS version 26.0. Bivariable and multivariable binary logistic regression analyses were performed to assess the association between the outcome and explanatory variables. In the multivariable analysis, an adjusted odds ratio (AOR) with a 95% confidence interval (CI) was used to show the strength of the association, and the level of significance was set at a <i>p</i>-value of <0.05.</p><p><strong>Results: </strong>The magnitude of dual contraceptive use was 33.7% (95% CI: 28-40). Urban residence (AOR = 2.5; 95% CI: 1.97-8.08), good knowledge about dual contraceptives (AOR = 3.8; 95% CI: 2.36-8.67), STIs history in the past 12 months (AOR = 2.6, 95% CI: 1.25-4.72) and having two or more number of sexual partners, (AOR = 1.9; 95% CI: 1.18-6.68), were factors significantly associated with dual contraceptive use.</p><p><strong>Conclusion: </strong>One-third of women living with HIV on ART utilized dual contraceptives. Place of residence, knowledge about dual contraceptives, history of STIs in the past 12 months, and number of sexual partners were factors associated with dual contraceptive use. It is essential to implement focused educational programs to increase knowledge about dual contraceptives, alongside expanding access to contraceptive services in rural and underserved areas.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1510299"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11996836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043960","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":"Global, regional, and national burdens of PUD in women of reproductive age from 1992 to 2021: a trend analysis based on the global burden of disease study 2021.","authors":"Xiaofeng Wang, Song Yang, Shanzhi Zhao, Zhitao Yang, Enqiang Mao, Erzhen Chen, Ying Chen","doi":"10.3389/fgwh.2025.1529549","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1529549","url":null,"abstract":"<p><strong>Background: </strong>Peptic ulcer disease (PUD) constitutes a significant global health concern, particularly in women of childbearing age (WCBA), who face elevated risks of severe pregnancy-associated complications. This investigation aimed to map the temporal dynamics and forecast the future incidence of PUD in this demographic to inform targeted prevention and control initiatives.</p><p><strong>Methods: </strong>This analysis drew on the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021, extracting data on PUD incidence and mortality across seven age groups (15-49 years) in WCBA. Age-standardized incidence and mortality rates were calculated using the direct method of age standardization. Temporal trends from 1992 to 2021 were analyzed using joinpoint regression. The study further employed age-period-cohort analysis to discriminate the effects of these variables on incidence and mortality, and frontier analysis to evaluate potential reductions in burden by country based on developmental status. Nordpred modeling was used to project epidemiological trends up to 2044.</p><p><strong>Results: </strong>In 2021, the global age-standardized incidence rates (ASIR) and death rates (ASDR) for PUD among WCBA were 24.18 per 100,000 (95% CI: 14.72-36.38) and 0.54 per 100,000 (95% CI: 0.42-0.66), respectively. The highest incidence rates were observed in Oceania, while the greatest mortality rates were recorded in South Asia. Over the period from 1992 to 2021, global age-standardized mortality rates showed a significant decline. Conversely, after an initial drop, age-standardized incidence rates began to rise, with considerable regional and country-specific variation. This increase was particularly marked in regions with high Socio-demographic Index (SDI). Frontier analyses indicate that countries or regions in the middle SDI quintiles possess significant untapped potential to enhance both access to and quality of healthcare. Despite predictions of declining age-standardized incidence and mortality rates, total case numbers are expected to continue rising modestly through 2044.</p><p><strong>Conclusions: </strong>The study underscores substantial global disparities in PUD trends in WCBA, with increasing case numbers and regional inequalities. The findings highlight the need for focused attention on high SDI regions and older WCBA cohorts to refine disease management and prevention strategies, aiding in the mitigation of PUD's public health impact.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1529549"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11996881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060046","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":"Monitoring sexual hormones in women going to high altitude-a pilot study.","authors":"Aijan Taalaibekova, Michelle Meyer, Stefanie Ulrich, Gulzada Mirzalieva, Maamed Mademilov, Mona Lichtblau, Cornelia Betschart, Talant M Sooronbaev, Silvia Ulrich, Konrad E Bloch, Michael Furian","doi":"10.3389/fgwh.2025.1544832","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1544832","url":null,"abstract":"<p><strong>Background: </strong>The susceptibility to acute mountain sickness (AMS) in relation to sexual hormones in women remains elusive, partly because hormones could not be conveniently measured. We evaluated a novel kit for self-monitoring sexual hormones in women and recorded AMS incidence during high-altitude sojourns.</p><p><strong>Methods: </strong>Two groups of healthy, premenopausal women, mean ± SD age 23.1 ± 2.3 years, residing <1,000 m underwent baseline evaluations at 760 m before travelling to and staying for 2 days and nights (48 h) at 3,100 m or 3,600 m, respectively. Participants self-monitored morning urine sexual hormone concentrations (estrone-1-glucuronide, E1G, pregnanediol-3-alpha-glucuronide, PdG, and luteinizing hormone, LH) daily for 30d including altitude sojourns using the simple \"<i>Proov</i>\" kit (MFB Fertility Inc). Follicular and luteal menstrual cycle phases detected by LH peak, altitude-related adverse health effects (ARAHE), AMS [Lake Louise score 2018 (LLS) ≥ 3 points including headache] and pulse oximetry (SpO₂) were assessed.</p><p><strong>Results: </strong>1,172 of 1,250 (93.8%) hormone measurements were successful, 78 of 1,250 (6.2%) failed due to nonadherence or technical failure. At 3,600 m, mean differences in urinary PdG concentration were 3.8 mcg/ml (95% CI, 0.6-7.1) between luteal and follicular cycle phases. At 3,100 m, corresponding difference was 8.5 mcg/ml (95% CI, 5.0-12.0). At 3,100 m, 9 of 21 (43%) women were diagnosed with AMS with SpO₂ of 93.0 ± 1.6% and LLS of 0.3 ± 1.4 in the morning after the first night. At 3,600 m, 12 of 21 (57%) women had AMS (<i>p</i> = 0.355 vs. 3,100 m) with SpO₂ of 86.8 ± 1.8% (<i>p</i> < 0.05 vs. 3,100 m) and LLS of 1.9 ± 1.4 (<i>p</i> < 0.05 vs. 3,100 m).</p><p><strong>Conclusion: </strong>Self-monitoring female sexual hormones during high-altitude field studies with the employed kit is feasible and provides physiologically plausible trends of hormone levels over the menstrual cycle. Our data provide a valuable basis for designing further studies to evaluate AMS susceptibility in women.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1544832"},"PeriodicalIF":2.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11994732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052150","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":"Applying authoritative knowledge to better understand preparation for breastfeeding.","authors":"Margaret S Butler, Sera L Young, Lauren Keenan-Devlin","doi":"10.3389/fgwh.2025.1540376","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1540376","url":null,"abstract":"<p><strong>Introduction: </strong>In this qualitative study, we employ the construct of authoritative knowledge to better understand how birthing people prepare for breastfeeding experiences postpartum. This construct has seldom been applied to the postpartum period, despite its application by reproductive anthropologists to pregnancy and childbirth experiences cross-culturally. Consistent with these applications, we define authoritative knowledge domains by the purveyors. We aimed to characterize the acquisition and valuation of information sources participants used to prepare for breastfeeding.</p><p><strong>Methods: </strong>Twenty-five participants were recruited from a hospital-based pregnancy study in Chicagoland, Illinois, USA to complete interviews between November 2020 and March 2021. Audio recorded interviews were coded using <i>a priori</i> themes and iterative code development. Codes were used to characterize information sources and the designation of three domains of authoritative knowledge: biomedical, social network, and lived experience.</p><p><strong>Results: </strong>All participants received information about breastfeeding from both biomedical and social network domains, with those with prior child rearing experiences also using the personal experience domain. Use of online resources like pregnancy tracking apps and social media platforms resulted in the domains of authoritative knowledge overlapping. Participants valued information from health care providers the most but found social network information was more accessible and fulfilled their desire for experiential information.</p><p><strong>Discussion: </strong>In this first application of authoritative knowledge within the context of infant feeding, participants consistently cited biomedical sources as the most accurate and important. However, they cited barriers to gaining this information such as the short duration of prenatal appointments and the challenge of completing prenatal education courses. Many participants sought evidence-based information about breastfeeding on apps, social media, and websites, however content and quality across platforms varies significantly. This may be an avenue to improve access to reliable and helpful breastfeeding information.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1540376"},"PeriodicalIF":2.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11994699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059567","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":"Adverse maternal outcomes among women who gave birth at public hospitals in eastern Ethiopia: a cross-sectional study.","authors":"Masresha Leta, Abera Kenay Tura, Haymanot Mezmur, Kasiye Shiferaw, Nega Assefa","doi":"10.3389/fgwh.2025.1569815","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1569815","url":null,"abstract":"<p><strong>Background: </strong>An adverse maternal outcome, such as anemia, postpartum hemorrhage, and postpartum eclampsia, poses a significant risk to women. While studies on the burden of adverse maternal outcomes have been conducted in various countries, including Ethiopia, many predictors beyond obstetric factors have not been fully explored. This study aimed to determine the magnitude and factors associated with adverse maternal outcomes among women who gave birth at selected public hospitals in eastern Ethiopia.</p><p><strong>Methods: </strong>A hospital-based cross-sectional study was conducted among 2,608 randomly selected women who gave birth in six public hospitals in eastern Ethiopia from November 2023 to March 2024. Data were collected through face-to-face interviews and clinical chart reviews. Factors associated with adverse maternal outcomes were identified using bivariable and multivariable robust Poisson regression analyses. Adjusted relative risk (ARR) with a 95% confidence interval (CI) was used to report the strength of the association. The variables with a <i>p</i>-value of <0.05 were considered statistically significant.</p><p><strong>Results: </strong>The magnitude of adverse maternal outcomes was 15.68% (95% CI: 14.70%-16.66%). A poor wealth index (ARR = 4.41; 95% CI: 3.46-5.62), having danger signs at admission (ARR = 1.86; 95% CI: 1.18-2.91), alcohol use during pregnancy (ARR = 1.86; 95% CI: 1.32-2.62), duration of labor ≥24 h (ARR = 1.69; 95% CI: 1.00-2.85), and maternal age greater than 35 years (ARR = 1.39; 95% CI: 1.03-1.86) increased the risk of adverse maternal outcomes. In contrast, folic acid intake during pregnancy (ARR = 0.47; 95% CI: 0.38-0.57), having partner support (ARR = 0.70; 95% CI: 0.59-0.83), and spontaneous vaginal delivery (ARR = 0.58; 95% CI: 0.49-0.68) reduced the risk of adverse maternal outcomes.</p><p><strong>Conclusion: </strong>One in six women who gave birth in eastern Ethiopia experienced adverse maternal outcomes. This rate was determined to be moderate when compared to the WHO projections for lower- and middle-income countries and better than the higher averages reported by the WHO. Targeted intervention programs, such as targeted education and empowerment programs, and the strengthening of the community health worker program would help address socioeconomic disparities and improve early detection and management of danger signs during pregnancy, which would aid in averting the occurrence of adverse outcomes.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1569815"},"PeriodicalIF":2.3,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11986714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054696","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}