Frontiers in global women's health最新文献

{"title":"Editorial: Prioritizing pleasure in reproductive and maternal health to address obstetric violence.","authors":"Kaveri Mayra, Nicole Miriam Daniels, Malena Correa","doi":"10.3389/fgwh.2026.1857244","DOIUrl":"https://doi.org/10.3389/fgwh.2026.1857244","url":null,"abstract":"","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"7 ","pages":"1857244"},"PeriodicalIF":2.4,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13469080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765570","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":"Unequal exposure: spatio-temporal and structural determinants of personal PM_2.5 exposure in three sub-Saharan African geographies-the Gambia, Kenya, and Mozambique.","authors":"Liberty Makacha, Yiqun Han, P Tatenda Makanga, Cathryn Tonne, Marie-Laure Volvert, Hawanatu Jah, Yahaya Idris, Esperança Sevene, Moses Mukhanya, Angela Koech, Onesmus Wanje, Anifa Valá, Hannah Blencowe, Umberto d'Alessandro, Marleen Temmerman, Anna Roca, Jeffrey N Bone, Laura A Magee, Peter von Dadelszen, Ben Barratt","doi":"10.3389/fgwh.2026.1843221","DOIUrl":"https://doi.org/10.3389/fgwh.2026.1843221","url":null,"abstract":"<p><strong>Background: </strong>Personal exposure to fine particulate matter (PM_2.5) in sub-Saharan Africa remains poorly characterised, obscuring the roles of structural inequities, seasonality, and mobility in shaping dose.</p><p><strong>Methods: </strong>We undertook 5day per season personal PM_2.5 monitoring among 343 parous women in The Gambia, Kenya, and Mozambique, spanning dry and wet seasons. Minute-resolved personal concentrations were aligned with microenvironment, fuel use, occupation, wealth, and meteorology within an integrated exposure assessment framework incorporating microenvironment classification and structural determinants; ambient PM_2.5 was measured at nearby health facilities.</p><p><strong>Results: </strong>Across 3,190 person-days, daily median PM_2.5 was 10.4 (7.6-14.7) μg/m³ in The Gambia, 8.1 (6.8-9.8) μg/m³ in Kenya, and 10.9 (9.3-13.5) μg/m³ in Mozambique. Episodic spikes were prominent. WHO 24-h health guideline exceedances were strongly seasonal and site-specific (The Gambia: 55.9% dry vs. 13.6% wet; Kenya: 8.9% vs. 3.7%; Mozambique: 20.9% vs. 28.6%). Exposures were higher away from home, with mid-day peaks (≈12:00-16:00). At home, biomass/coal users had higher medians than LPG/electricity users. Structural gradients were evident, including population density, occupation, and wealth gradients. Ambient-personal concordance was heterogeneous and context-dependent (<i>R</i> ² 0.01-0.56; slopes <1).</p><p><strong>Conclusion: </strong>Personal PM_2.5 exposure among pregnant women in these three African settings was shaped by season, mobility, household energy, and structural disadvantage. Household clean-fuel transitions remain essential but are unlikely to fully reduce exposure unless complemented by interventions targeting transport corridors, markets, peri-domestic combustion, and other away-from-home exposure environments.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"7 ","pages":"1843221"},"PeriodicalIF":2.4,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13469064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765809","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":"Independent surrogacy journeys without agency intervention: an ethnographic study of surrogates' experiences.","authors":"Nancy Anne Konvalinka, Ariadna Ayala","doi":"10.3389/fgwh.2026.1833823","DOIUrl":"10.3389/fgwh.2026.1833823","url":null,"abstract":"<p><p>The research presented inquires into how women in the United States who act as surrogates independently, without using agencies, to help others form their families organize, experience, and understand these independent journeys. Based on ethnographic interviews with ten white, middle-class U.S. women, this article analyzes their choice to undertake independent (non-agency directed) surrogacy journeys in the United States, a subject which has received little specific attention in the literature. Data from in-depth interviews regarding the decision to carry out an independent surrogacy, the knowledge necessary to do so, the lived experience of the journey itself, the relationship between the surrogate and the intended parents in the years afterwards, and the perceived pros and cons of independent journeys (including cases in which the women used an agency in later surrogacies) will be presented. Our findings, which document all the steps of the surrogacy journey, show that these women carry out extensive research into all the aspects of the process, making informed decisions throughout. The further election of these women to entrepreneurialize their experience and work in the sector of assisted reproduction and surrogacy will also be considered. We conclude that these women's desire and capacity to control, themselves, the complexity of the medical, legal, economic, relational, and emotional aspects of the surrogacy journey, maintaining their autonomy, lead them to prefer an independent surrogacy journey for themselves, while informing other women of the pros and cons of this type of journey.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"7 ","pages":"1833823"},"PeriodicalIF":2.4,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13462515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727852","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":"Body maps of counter-hegemonic midwifery practices in Chile: a collective case study.","authors":"Pía Rodríguez-Garrido, Yennifer Márquez-Mosquera, Nadia Salazar-Toro, Pía Villarroel-Vergara","doi":"10.3389/fgwh.2026.1832260","DOIUrl":"10.3389/fgwh.2026.1832260","url":null,"abstract":"<p><strong>Background: </strong>Global efforts to improve maternal and newborn outcomes increasingly promote respectful, person-centered, and midwife-led models of care. However, their implementation continues to face structural barriers rooted in biomedical paradigms, professional hierarchies, and institutional forms of violence. In Chile, some midwives have developed counter-hegemonic practices that challenge these barriers while strengthening professional leadership and transformative approaches to care. This study explores how such practices contribute to leadership development and care transformation.</p><p><strong>Method: </strong>A qualitative collective case study grounded in feminist decolonial epistemologies was conducted. Three Chilean midwives participated in a body mapping process, a participatory and reflexive method used to document professional trajectories, lived experiences, and territorial belonging. Data were analyzed through visual interpretation and collective reflection.</p><p><strong>Results: </strong>Three interrelated processes were identified: critical reflection on biomedical and institutional norms, including experiences of obstetric violence; recovery and validation of community-based and alternative knowledges; and recognition of territory and lived experience as central to respectful and person-centered care. These processes strengthened professional agency and supported the development of situated and socially accountable models of care.</p><p><strong>Discussion: </strong>Counter-hegemonic midwifery practices function as professional and political forms of leadership that challenge dominant paradigms while promoting collective learning and transformation within health systems.</p><p><strong>Conclusion: </strong>The experiences of these Chilean midwives highlight how leadership, professional identity, and transformative care practices can emerge through situated, experiential, and community-based forms of knowledge, contributing to current discussions on midwifery education and leadership.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"7 ","pages":"1832260"},"PeriodicalIF":2.4,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13462038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727241","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":"Barriers and facilitators to maternal, newborn, and child health service utilization among internally displaced populations in Somalia.","authors":"Abdirahman Mohamed Jimale, Mohamed Ahmed Ali, Nor Haji Osman, Aweis Ahmed Moallim, Abdirahman Ahmed Mohamud, Ismail Dahir Ahmed, Abdiweli Mohamed Abdi, Abdikarim Abdi Adam, Osman Mohamed Mohamud","doi":"10.3389/fgwh.2026.1880329","DOIUrl":"10.3389/fgwh.2026.1880329","url":null,"abstract":"<p><strong>Background: </strong>Internally displaced populations (IDPs) in Somalia face a disproportionate burden of poor maternal, newborn, and child health (MNCH) outcomes due to conflict, recurrent displacement, poverty, and weak health systems. Evidence on the barriers and facilitators influencing MNCH service utilization in these settings remains fragmented.</p><p><strong>Objective: </strong>To synthesize the available evidence on barriers and facilitators affecting utilization of MNCH services among IDPs in Somalia, with a focus on antenatal care, skilled delivery, postnatal care, immunization, and care-seeking for childhood illnesses.</p><p><strong>Methods: </strong>This narrative review examined published literature, policy documents, and humanitarian reports on MNCH service utilization in Somalia and comparable fragile settings. The review focused primarily on sources published between 2015 and 2026, while older sources were retained only when they provided essential conceptual, contextual, or policy information. The review explored both demand-side factors, including socioeconomic hardship, gender norms, and decision-making autonomy, and supply-side factors, including distance, service quality, insecurity, and health system capacity.</p><p><strong>Results: </strong>The study found that MNCH service utilization among Somali IDPs is constrained by multiple, overlapping barriers. Major barriers include poverty and transport costs, geographic inaccessibility, insecurity, low female autonomy, cultural preferences, shortages of female and skilled health workers, weak referral systems, stock-outs, and limited service readiness. At the same time, important facilitators were identified, including community health workers, women's groups, mobile and outreach services, supportive NGO and government interventions, health system strengthening, and policy frameworks that increasingly recognize IDPs as a priority population. These factors influence service use across the continuum of care and are strongly interrelated.</p><p><strong>Conclusion: </strong>Improving MNCH service utilization among Somali IDPs requires integrated, equity-focused strategies that combine community engagement, gender-sensitive care, strengthened frontline services, functional referral systems, and better coordination between humanitarian and government actors.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"7 ","pages":"1880329"},"PeriodicalIF":2.4,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13461893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727250","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":"Using Aboriginal participatory action research within a mixed methods study exploring COVID-19 vaccination uptake in Aboriginal women: a methodological framework for co-design.","authors":"Anne-Marie Eades, Tilsa Guima Chinen, Alison Walton-Blane, Eliza Razak, Ananda Buckley, Katie Attwell, Zoe Bradfield, Juli Coffin, Sandra Eades, Martyn Symons, Hueiming Liu, Margaret O'Connell, Francine Eades, Melanie Robinson, Mima Bull, Jodie Ingrey, Jenna Greaves, Talila Milroy, Jo-Anne Morgan, Rachel Foong, Jasmine Helwig, Lesley Nelson, Tiana Culbong, Samantha J Carlson, Christopher Blyth","doi":"10.3389/fgwh.2026.1781179","DOIUrl":"10.3389/fgwh.2026.1781179","url":null,"abstract":"<p><p>The COVID-19 pandemic evidenced the critical role of vaccination in reducing the severity of illness and the risk of infection. Despite the policies and efforts of governments to increase vaccination uptake, COVID-19 immunization among Australian Aboriginal pregnant women is lower compared to vaccine uptake of non-Indigenous pregnant women. To date, there have been no national Aboriginal Participatory Action Research (APAR) co-designed Aboriginal-led studies exploring the factors influencing uptake of COVID-19 vaccination in Aboriginal women of childbearing age. This Aboriginal-led research was conducted with Aboriginal women of childbearing age and non-Aboriginal mothers of Aboriginal children in the Great Southern region of Western Australia (WA). The study aimed to explore the factors influencing COVID-19 vaccine knowledge, confidence, and uptake and was conducted in consultation with Aboriginal Elders and health service partners in the region. This research employed an explanatory sequential mixed methods design, with co-design principles embedded at every stage of the study. Using Western quantitative methods and Indigenous qualitative methodologies, the research completed 110 surveys and conducted 5 Yarning Circles. Participants reported safety and trust as key factors influencing vaccination decision making. Although the vaccine mandate increased vaccine uptake, the study found a decline in vaccination following the end of the mandate. Participants also reported ongoing challenges following the COVID-19 pandemic as lack of engagement and access to health information and services. The findings underscore the importance of cultural legitimacy in research and the need for sustained partnerships between Indigenous communities and health researchers to foster trust and promote health equity. This paper outlines the methodological framework implemented in the Ngarngk Koolangka Moorditj Yarning Project (NKMY) conducted in Australia (2022-2024).</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"7 ","pages":"1781179"},"PeriodicalIF":2.4,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13463408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726690","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":"Existing practices, gaps and strategies to promote perinatal mental health in Ghana.","authors":"Samuel Adjorlolo, Lillian Akorfa Ohene, Florence Naab, Berit Mortensen","doi":"10.3389/fgwh.2026.1835509","DOIUrl":"10.3389/fgwh.2026.1835509","url":null,"abstract":"<p><strong>Background: </strong>Perinatal mental health (PMH) is a critical component of overall maternal well-being, yet the provision of PMH services remains challenging in Ghana and other settings. More crucially, there is limited data on healthcare providers' perspectives on PMH care delivery to inform efforts to improve service provision and mental health outcomes.</p><p><strong>Objective: </strong>This study explored healthcare providers' perspectives on current practices, gaps, and strategies to improve PMH care delivery in Ghana, a West African country.</p><p><strong>Methods: </strong>An exploratory qualitative design with a needs assessment orientation was adopted, and data were collected from focus group discussions with 32 nurses and midwives involved in perinatal healthcare service delivery in the Greater Accra Region of Ghana. Data were analysed using the six steps of reflexive thematic analysis.</p><p><strong>Findings: </strong>Four main themes were developed: Providers' Understandings of Perinatal Mental Health and its Intersection with Reproductive Health; Integrated Approaches to Perinatal Mental Health Care; Barriers and Challenges in Perinatal Mental Health Care; and Enhancing/Strengthening Perinatal Mental Health. Participants demonstrated knowledge of PMH and had adopted task-shifting and collaborative care approaches to provide PMH services. Key barriers to service provision include healthcare provider factors (e.g., stigma, inadequate training) and institutional challenges (lack of standardised tools, limited private consultation spaces, increased workload). Proposals to improve PMH outcomes include enhanced training, provision of resources and tools, and strengthened collaborative efforts.</p><p><strong>Conclusion: </strong>The findings highlight the need for comprehensive system reforms in PMH care delivery, including the provision of training and assessment tools and coordinated action across policy, institutional, and individual levels, supported by appropriate resource allocation and infrastructure development.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"7 ","pages":"1835509"},"PeriodicalIF":2.4,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13447259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690324","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":"Mapping the landscape of anaemia research in pregnant and postpartum women: a bibliometric analysis & topic modelling study.","authors":"Olalekan A Uthman, Tabassum Firoz, María Barreix, Lisa M Rogers","doi":"10.3389/fgwh.2026.1851276","DOIUrl":"10.3389/fgwh.2026.1851276","url":null,"abstract":"<p><strong>Background: </strong>Maternal anaemia affects 35.5% of pregnant women globally and represents a persistent public health challenge with significant maternal and neonatal health consequences. Despite substantial research investment, progress towards anaemia reduction remains limited, suggesting potential misalignment between research priorities and translation to guidance and/or implementation of recommended interventions. Understanding the knowledge structure and thematic evolution of maternal anaemia research is essential for identifying gaps and informing future research strategies and guideline development.</p><p><strong>Objectives: </strong>This study aimed to map the knowledge structure and evolution of research on anaemia in pregnant and postpartum women from 2000 to 2024, analyse global collaboration networks and geographic distribution, and identify emerging themes and research gaps using bibliometric analysis and topic modelling.</p><p><strong>Methods: </strong>A comprehensive bibliometric analysis was conducted using Web of Science Core Collection database, encompassing 1,007 articles published between 2000 and 2024. Standard bibliometric indicators were calculated using VOSviewer and CiteSpace software. Latent Dirichlet Allocation topic modelling identified thematic clusters. Linear regression analysis examined temporal trends and geographic patterns.</p><p><strong>Results: </strong>Publication output demonstrated exponential growth (R² = 0.9054), increasing from 12 articles in 2000 to 110 in 2024. Research output was concentrated amongst authors from high-income countries, with 68.5% of publications having first or corresponding authors based in high-income countries. Geographic disparities revealed substantial regional research gaps, particularly in Sub-Saharan Africa and South Asia. Topic modelling revealed nine clusters dominated by health outcomes research (77.4%), with less attention to management (21.6%), prevention (20.8%) and diagnosis (6.3%).</p><p><strong>Conclusions: </strong>This bibliometric analysis reveals substantial growth in maternal anaemia research over 25 years, with publications increasing nearly ten-fold. However, the research landscape shows thematic imbalances. Sustained attention is needed on prevention and diagnosis as well as the integrated delivery of anaemia interventions within multisectoral approaches to generate evidence and address remaining knowledge gaps.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"7 ","pages":"1851276"},"PeriodicalIF":2.4,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13447317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690332","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":"Exploring women's experiences and needs during the climacteric to enhance positive mental health and self-care.","authors":"Maria Aurelia Sánchez-Ortega, Sara Sanchez-Balcells, Marta Prats-Arimon, Carmen Moreno-Arroyo, Núria Rodríguez-Ávila, Elena Maestre-Gónzalez, Esther Crespo-Mirasol, Zaida Agüera, Encarna López, Cristina Martínez-Bueno, Teresa Lluch-Canut, Montserrat Puig-Llobet","doi":"10.3389/fgwh.2026.1733517","DOIUrl":"10.3389/fgwh.2026.1733517","url":null,"abstract":"<p><strong>Background: </strong>The climacteric is a stage in women's lives that, even today, remains taboo in many regions of the world where social contexts are otherwise highly advanced. Although women's experiences have generated growing interest there is still a need for greater understanding. Learning about and studying the experiences and needs that determine women's emotional well-being during the various stages of the climacteric provides a knowledge base that allows future research to design evidence-based, high-quality health promotion and intervention programs aimed, from a holistic perspective, at fostering well-being during this stage of life. In this sense, a project was proposed to explore these experiences and needs and to co-create a Decalogue for Positive Mental Health during the climacteric.</p><p><strong>Methods: </strong>A qualitative, interpretive phenomenological study was conducted. Data were collected through an online questionnaire and two focus groups (<i>n</i> = 12) between February and April 2025. The sample was recruited by convenience. Inclusion criteria were women currently experiencing the climacteric who were available to participate in the focus groups. All discussions were recorded, transcribed verbatim, and analyzed using ATLAS.ti version 25 through content analysis.</p><p><strong>Results: </strong>Three main categories emerged: symptoms, self-care, and aesthetic pressure. A total of 59 codes were identified, and sentiment analysis was conducted, showing predominantly neutral and negative results across the three categories.</p><p><strong>Conclusions: </strong>The modern lifestyle has transformed the profile of women experiencing the climacteric. Today, they are more aware of this stage and demand clear information and standardized protocols to better understand it. Furthermore, self-care and positive mental health have consolidated as key elements to navigate this transition period with well-being.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"7 ","pages":"1733517"},"PeriodicalIF":2.4,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13437742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681385","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":"Voluntary interruption of pregnancy using hysteroresectoscopy: a mini-series of 15 cases.","authors":"Ophélie Revret, Louis Van Hees, Charlotte Maillard, Mathieu Luyckx, Amandine Gerday","doi":"10.3389/fgwh.2026.1847030","DOIUrl":"10.3389/fgwh.2026.1847030","url":null,"abstract":"<p><strong>Objective: </strong>Although surgical techniques for later interruption have advanced since the legalisation of voluntary interruption of pregnancy (VIP), dilatation and curettage via aspiration (D&C) remains the conventional approach. Hysteroresectoscopy (HsR) presents a potential alternative. This study aims to evaluate the feasibility of using HsR to perform VIP in cases in the early first trimester.</p><p><strong>Design: </strong>A case series involving patients treated for VIP in our department.</p><p><strong>Patients: </strong>Women seeking VIP between six and ten weeks of amenorrhoea.</p><p><strong>Intervention: </strong>Hysteroscopic resection following cervical dilatation, performed as an outpatient procedure under general or spinal anaesthesia.</p><p><strong>Results: </strong>Between January 2021 and January 2026, 15 patients underwent VIP via HsR at our institution. One suspected case of uterine perforation was reported, and one patient experienced retained products of conception, which were managed with hysteroscopy performed in consultation without anesthesia. Additionally, 46,6% of patients received simultaneous contraception implantation.</p><p><strong>Conclusion: </strong>This mini-series suggests that HsR is a feasible technique for first trimester VIP, ideally applicable to pregnancies of up to nine of amenorrhoea. Fertility gains are expected from the minimal endometrial damage permitted by the technique. The findings are limited by the small sample size, making it difficult to draw definitive conclusions regarding the safety or efficacy of hysteroscopy compared with medical management or D&C. Although hysteroscopy appears to be a safe and promising approach, larger prospective studies are needed to confirm these findings and better compare outcomes with those of D&C.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"7 ","pages":"1847030"},"PeriodicalIF":2.4,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13438434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681374","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}