Frontiers in global women's health最新文献

{"title":"Determinants of adverse birth outcomes among pregnant women in Kintampo municipal hospital, Ghana.","authors":"Issah Sumaila, Mubarick Nungbaso Asumah, Mustapha Hallidu, Abraham Ndekudugu, Shaibu Issifu, Anthony Twum, Collins Boateng Danquah, Helen Agodzo, Paulina Clara Appiah, Fred Adomako Boateng","doi":"10.3389/fgwh.2025.1444566","DOIUrl":"10.3389/fgwh.2025.1444566","url":null,"abstract":"<p><strong>Objective: </strong>To examine the predictors of adverse birth outcomes (ABOs) among pregnant women attending antenatal clinics at the Kintampo Municipal Hospital (KMH) in Ghana.</p><p><strong>Method: </strong>A case-control study was conducted to enrol 408 pregnant women attending antenatal clinic at KMH into the study. Structured questionnaire was used to elicit information from the respondents. Stata version 15 was used to analyse the data. Multiple regression analysis was conducted to determine factors associated with ABOs. Level of statistical significance was established at <i>p</i> < 0.05.</p><p><strong>Results: </strong>Factors that were significantly associated with ABOs were: receiving of ITN (aOR = 2.03, 95% CI: 1.20, 3.45), at least 8 times visits to ANC (aOR = 0.32, 95%CI: 0.15, 0.69), and partner's education (aOR = 0.53, 95%CI: 0.29, 0.96).</p><p><strong>Conclusion: </strong>Contrary to expectations, this study revealed that receiving ITNs during pregnancy was associated with ABOs. Further research is needed to explain why receiving ITNs increases the likelihood of ABOs.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1444566"},"PeriodicalIF":2.3,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756384","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":"Can theory-driven implementation interventions help clinician champions promote opioid stewardship after childbirth? Protocol for a pragmatic implementation study.","authors":"Michelle H Moniz, Amy M Kilbourne, Alex F Peahl, Jennifer F Waljee, Shelytia Cocroft, Carey Simpson, Lisa Kane Low, Mark C Bicket, Michael J Englesbe, Molly J Stout, Vidhya Gunaseelan, Althea Bourdeau, May Hu, Carrie Miller, Shawna N Smith","doi":"10.3389/fgwh.2025.1504511","DOIUrl":"10.3389/fgwh.2025.1504511","url":null,"abstract":"<p><strong>Background: </strong>Our objective is to determine the effect of a new national clinical practice guideline (CPG) for pain management after childbirth, as implemented with less vs. more intensive implementation support, on postpartum opioid prescribing.</p><p><strong>Methods: </strong>A quasi-experimental analysis will measure the impact of post-childbirth pain management guidelines on opioid prescribing in a statewide hospital collaborative, overall and among key patient subgroups at risk for inequitable care and outcomes. We will also use a randomized, non-responder design and mixed-methods approaches to evaluate the effects of Replicating Effective Programs (REP), a theory-driven, scalable implementation intervention, and Enhanced REP (E-REP; i.e., REP augmented with facilitation, which is individualized consultation with site champions to overcome local barriers) on the uptake of the CPG. The study will include hospitals within the Obstetrics Initiative (OBI), a perinatal collaborative quality initiative funded by Blue Cross Blue Shield of Michigan that includes 68 member hospitals serving more than 120,000 postpartum people, over approximately 15 months. Hospitals not initially responding to REP-defined by performance <15th percentile of all OBI hospitals for (a) inpatient order for opioid-sparing postpartum pain management (e.g., scheduled acetaminophen and non-steroidal anti-inflammatory drugs when not contraindicated), or (b) amount of opioid prescribed at discharge-will be allocated via block randomization to continue REP or to E-REP. Using interrupted time series analyses, the primary analysis will evaluate the rate of postpartum opioid-sparing prescribing metrics at the time of discharge (primary outcome) and opioid prescription refills and high-risk prescribing (secondary outcomes) before and after CPG implementation with REP. We will evaluate inequities in outcomes by patient, procedure, prescriber, and hospital factors. Exploratory analyses will examine temporal trends in patient-reported outcomes and the effects of continued REP vs. E-REP among slower-responder sites. We will evaluate implementation outcomes (e.g., acceptability, feasibility, costs, needed REP and E-REP adaptations) using clinician and patient surveys and qualitative methods (ClinicalTrials.gov identifier: NCT06285123).</p><p><strong>Discussion: </strong>Findings will inform refinements to the REP and E-REP interventions and add to the literature on the effectiveness of facilitation to promote uptake of evidence-based clinical practices in maternity care.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1504511"},"PeriodicalIF":2.3,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756381","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":"Determinants of tetanus immunization among pregnant women where tetanus has not been eliminated: a multilevel analysis of 6 countries.","authors":"Werkneh Melkie Tilahun, Habtamu Geremew, Lamrot Yohannes Abay, Adugnaw Bantie Kebie, Mulat Belay Simegn","doi":"10.3389/fgwh.2025.1481771","DOIUrl":"10.3389/fgwh.2025.1481771","url":null,"abstract":"<p><strong>Background: </strong>Two or more doses of the tetanus toxoid (TT) vaccine in pregnancy afford the fetus passive immunity and reduce neonatal mortality by 96%. In developing nations, the use of TT during pregnancy is still uncommon but presents a serious risk to public health. Thus, the current study aimed to identify determinants of adequate TT immunization among pregnant women in six countries that have not eliminated maternal and neonatal tetanus.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using recent demographic and health survey datasets from 6 countries that didn't achieve maternal and neonatal tetanus elimination. A total of 84,248 weighted samples were included. A multilevel logistic regression model was fitted. An adjusted odds ratio with a 95% CI and <i>p</i>-value < 0.05 was used to declare significant factors.</p><p><strong>Results: </strong>Being married [AOR = 1.36, CI: 1.20, 1.54], poorest [AOR = 1.46, CI: 1.36, 1.57], the poorer [AOR = 1.48, CI: 1.39, 1,59], middle [AOR = 1.33, CI: 1.26, 1.42], and the richer [AOR = 1.19, CI: 1.13, 1.26] wealth quintile, giving birth between the ages of 24 and 30 years [AOR = 1.10, CI: 1.04, 1.16], being primiparous [AOR = 1.09; CI: 1.02, 1.17], female house head [AOR = 1.13; CI: 1.06, 1.20], 4 and above antenatal care (ANC) visits [AOR = 5.94, CI: 5.60, 6.30], attending post-natal checkup [AOR = 1.18, CI: 1.13, 1.23], and institutional delivery [AOR = 1.22, CI: 1.18, 1.27] were positively related to adequate TT immunization. While unemployment [AOR = 0.68, CI: 0.66, 0.71], poor health facility visits [AOR = 0.72, CI: 0.70, 0.75], abortion [AOR = 0.89, CI: 0.85, 0.93], low community media exposure [AOR = 0.74, CI: 0.67, 0.81], and rural residence [AOR = 0.80, CI: 0.77, 0.84] were significant risk factors for inadequate TT immunization.</p><p><strong>Conclusion: </strong>Marital status, wealth index, age at first birth, decision about women's health care, parity, sex of household head, ANC, postnatal checkup, distance to health facility, and health insurance were significant predictors of adequate TT vaccination. Therefore, TT immunization can be improved by promoting maternal employment, improving post-abortion care, media coverage, community literacy, and health accessibility, and encouraging pregnant women to receive ANC and postnatal care.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1481771"},"PeriodicalIF":2.3,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781958","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":"Lived experiences of women suffering from Tuberculosis in Kashmir: an interpretative phenomenological study.","authors":"Rubeena Akhter, Wakar Amin Zargar, Fayaz Ahmad Paul","doi":"10.3389/fgwh.2025.1464091","DOIUrl":"10.3389/fgwh.2025.1464091","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate women's experiences with tuberculosis and the challenges they face during their illness. It also explored the impact of infertility on their social relationships.</p><p><strong>Method: </strong>The study used Interpretative Phenomenological Analysis to understand the experiences of 21 women affected by tuberculosis. These women shared their tuberculosis-related infertility struggles and the repercussions they faced during their illness.</p><p><strong>Results: </strong>The results are discussed in terms of two main themes: 1. Tuberculosis as an enduring experience with an emotional response to physical suffering; and 2. Tuberculosis and the concern of conceiving as a case beyond Microbiology.</p><p><strong>Conclusion: </strong>The study findings provide better insight into the sufferings and miseries of infertility due to tuberculosis, as well as the impact of illness on overall well-being, emphasizing the need for targeted intervention.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1464091"},"PeriodicalIF":2.3,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781991","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":"Protecting emotional wellbeing during childbirth: exploring the role of organisational regulatory processes in promoting compassion.","authors":"Caroline A B Redhead","doi":"10.3389/fgwh.2025.1569334","DOIUrl":"10.3389/fgwh.2025.1569334","url":null,"abstract":"<p><p>In this article I consider how legal processes have power to facilitate or impede emotional safety and wellbeing for women and birthing people. I suggest that the use of therapeutic jurisprudence to re-view NHS Foundation Trusts' organisational and regulatory processes can offer new insights. Therapeutic jurisprudence is an approach which pays purposeful attention to the therapeutic (or harmful) consequences of legal processes and how they impact the psychological well-being of those upon whom they act. The report of the Inquiry into maternity and neonatal services at East Kent Hospitals University NHS Foundation Trust was the catalyst for the theoretical suggestions I make in this article. In its response to this report, the Government has acknowledged the importance of a culture of honesty, compassion and safety. However, none of the Government's recommendations considers the impact of organisational regulatory processes on the provision of compassionate care. My argument here is that such processes are neither inert nor benign. Critical socio-legal literature provides clear evidence of the anti-therapeutic potential of hierarchical organisational structures, and this is confirmed by the findings of the East Kent Report. Presenting a brief, therapeutic jurisprudence-informed review of some of the findings of the East Kent report, I suggest that a re-view of NHS Trusts' constitution and governance processes might offer the new means of tackling maternity service failures for which Bill Kirkup called in the East Kent Report, with the ultimate aim of ensuring emotional safety and wellbeing for pregnant and birthing people in childbirth.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1569334"},"PeriodicalIF":2.3,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11937133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722907","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 the PEBIC criteria to assess the quality of responses provided during a Family Planning radio program.","authors":"Babafunke Fagbemi, Abiodun Adegbenro, Toyin Akande, Charles Udennaka, Adaora Uzoh-Ntiwunka, Bukola Toriola, Adenike Ayodele","doi":"10.3389/fgwh.2025.1499341","DOIUrl":"10.3389/fgwh.2025.1499341","url":null,"abstract":"<p><strong>Introduction: </strong>Radio remains a dominant source of information, in Sub-Saharan Africa, with 75% of the population relying on it. In Nigeria, radio reaches over 70% of citizens and stands as a vital tool for behavior change. Tailoring radio programs to address needs and cultural contexts of communities has proved essential for building trust and influencing behavioral change. Traditional evaluation of radio interactive programs focus on listener engagement metrics but overlooks the evaluation of the quality of the resource person's responses to the caller's questions. This study aimed to assess the quality of information delivered by resource persons during the interactive segments of a Family Planning (FP) radio program using a criteria.</p><p><strong>Methods: </strong>A qualitative analysis was conducted on caller questions and resource person responses from FP radio programs in three Nigerian states. A customized ranking system based on \"Presentation,\" \"Empathy,\" \"Provider's Bias elimination,\" \"Information correctness,\" and \"Context Specificity\" (PEBIC) was used by FP experts to assess the resource person's response quality. The scores for the responses were segmented and categorized into low, moderate and high quality using the mean, and standard deviation then analyzed using SPSS version 20.</p><p><strong>Results: </strong>For the technical segment of the radio program, while individually assessing each item on the criteria, the quality of responses was high, with an average of 91.2%. For the entertainment education segment of the radio program, while individually assessing each item on the criteria, the quality of responses with empathy was low (28%), however, the quality of responses for other criteria was high, with an average of 79.8%. Furthermore, in the overall quality of response for the technical segment, the responses given by the resource persons were of high quality (81%) while those of the entertainment education segment were of moderate quality (58%).</p><p><strong>Conclusion: </strong>The radio program excelled in delivering technical information but fell short in fostering adequate empathy during the entertainment education segment. Additional training for resource persons to hone their skills in embedding their message delivery in an empathetic frame thus strengthening the emotive connection with the audience is key. This could significantly improve the program's overall impact.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1499341"},"PeriodicalIF":2.3,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712317","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":"Corrigendum: Dating violence in Portugal: how can it be handled in secondary schools and universities?","authors":"Sofia Neves, Ariana Correia","doi":"10.3389/fgwh.2025.1576105","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1576105","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/fgwh.2024.1456595.].</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1576105"},"PeriodicalIF":2.3,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712395","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":"The power of a patient's story: a practice in cultural humility.","authors":"Randall B Schmidt","doi":"10.3389/fgwh.2025.1498385","DOIUrl":"10.3389/fgwh.2025.1498385","url":null,"abstract":"<p><p>As the United States grows increasingly diverse, healthcare providers will encounter changing patient populations. In obstetrics, patients often come with personal delivery priorities shaped by different life experiences, cultural expectations and personal perspectives, which may differ from those of their provider. Invariably, cultural conflicts can occur, especially when patient and provider priorities do not align. This article shares the story of a Congolese refugee mother within an urban metro area who faced such conflict when delivery preferences could not be accommodated. Highlighting communal apprehension to Cesarean delivery within the Congolese community, this piece also emphasizes how obstetrics providers can improve care for culturally diverse patients. In addition, this piece also discusses an American College of Obstetricians and Gynecologists (ACOG) committee opinion, cultural humility and its incorporation into future curriculum for medical education, and the author's personal reflection of this story's impact.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1498385"},"PeriodicalIF":2.3,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712397","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":"Establishment of a predictive model for spontaneous preterm birth in primiparas with grade A1 gestational diabetes mellitus.","authors":"Ting Sun, Yangyang Zhang, Chunzhi Xie, Anyi Teng, Shi Lin, Hui Zhang, Yan Li","doi":"10.3389/fgwh.2025.1496085","DOIUrl":"10.3389/fgwh.2025.1496085","url":null,"abstract":"<p><strong>Objective: </strong>To establish a predictive model for spontaneous preterm birth (SPB) in primiparas with grade A1 gestational diabetes mellitus (GDM).</p><p><strong>Methods: </strong>The clinical data of 1,229 primiparas with grade A1 GDM who delivered in our hospital from July 2020 to August 2023 were retrospectively analyzed, including 142 primiparas in the SPB group and 1,087 primiparas in the full-term group. Their basic information, family history, weight, cervical length (CL) measured by transvaginal ultrasound in the second trimester, and pregnancy complications were analyzed. The factors influencing SPB were explored, and a prediction model based on a random forest algorithm was constructed.</p><p><strong>Results: </strong>Short CL in the second trimester, a family history of preterm birth, a high pre-pregnancy and prenatal body mass index, the use of assisted reproductive technology, and a high fasting blood glucose level in the first trimester were important risk factors for SPB in primiparas with grade A1 GDM. The prediction model constructed in this study has a high overall prediction angle.</p><p><strong>Conclusions: </strong>Evaluation of the above risk factors before or during pregnancy and preventive measures and interventions targeting these risk factors will reduce the risk of SPB in primiparas with grade A1 GDM.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1496085"},"PeriodicalIF":2.3,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671696","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 burden, trends and inequalities of maternal hypertensive disorders among reproductive-age women of advanced maternal age, 1990-2021: a population-based study.","authors":"Xuanyu Zhao, Weimin Kong, Yan Jiang, Feng Sui","doi":"10.3389/fgwh.2025.1513909","DOIUrl":"10.3389/fgwh.2025.1513909","url":null,"abstract":"<p><strong>Background: </strong>Maternal hypertensive disorders (MHD) are leading causes of maternal morbidity and mortality worldwide, particularly among reproductive-age women of advanced maternal age (AMA), representing a significant global public health challenge.</p><p><strong>Objective: </strong>This study aimed to analyze the global trends, inequalities, and disparities in the burden of MHD among reproductive-age AMA women from 1990 to 2021.</p><p><strong>Methods: </strong>We conducted a population-based study using data from the Global Burden of Disease (GBD) 2021 study, covering 204 countries and territories. The study included women aged 35-49 years with hypertensive disorders during pregnancy. We assessed age-standardized incidence rate (ASIR) and age-standardized death rate (ASDR) of MHD among reproductive-age AMA women. Temporal trends were evaluated using joinpoint regression analysis, while health inequalities were measured using the concentration index and the slope index of inequality (SII).</p><p><strong>Results: </strong>Between 1990 and 2021, the global ASIR of MHD decreased from 568.10 (95% UI: 412.06-738.55) to 491.49 (95% UI: 368.78-619.84) per 100,000 population (AAPC: -0.46%, 95% CI: -0.54% to -0.38%), and ASDR declined from 2.57 (95% UI: 2.23-2.97) to 1.44 (95% UI: 1.19-1.76) per 100,000 population (AAPC: -1.83%, 95% CI: -1.99% to -1.67%). Substantial disparities persisted across socio-demographic index (SDI) regions, with high and high-middle SDI regions showing increasing incidence trends (AAPC: 2.36% and 1.45%, respectively). The slope index of inequality (SII) for ASIR improved from -3,052.73 (95% CI: -3,329.55 to -2,775.91) to -1,209.36 (95% CI: -1,393.12 to -1,025.61) per 100,000 women, while the SII for ASDR decreased from -11.29 (95% CI: -12.38 to -10.20) to -3.66 (95% CI: -4.13 to -3.20) deaths per 100,000 women. The concentration index for ASIR showed slight improvement (from -0.46 to -0.34), while ASDR inequality marginally worsened (from -0.62 to -0.66).</p><p><strong>Conclusion: </strong>Despite overall declines in MHD burden, significant disparities persist, particularly in low SDI regions. These findings highlight the need for targeted public health interventions to reduce inequalities, improve healthcare access, and enhance maternal outcomes for reproductive-age AMA women globally.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1513909"},"PeriodicalIF":2.3,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671864","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}