Frontiers in global women's health最新文献

{"title":"Positioning justice: a legal cascade of sexual violence cases in Mombasa, Kenya.","authors":"Melanie Olum, Gerald Githinji, Abigael Sidi, Abel Mokua, Morris Kiio, Nawal Aliyan, Iqbal Khandwala, Celina Kithinji, Saida Wanjiku, Griffins Manguro, Marleen Temmerman","doi":"10.3389/fgwh.2025.1605612","DOIUrl":"10.3389/fgwh.2025.1605612","url":null,"abstract":"<p><strong>Introduction: </strong>Seeking legal redress for sexual violence (SV) is a daunting process for survivors. They must navigate their personal trauma societal stigma, and flawed systems, creating an arduous path to justice. This study was conducted to assess patterns of SV within Mombasa County, Kenya, and details the legal follow-up post-SV care.</p><p><strong>Methods: </strong>A retrospective cross-sectional study was conducted using data from SV survivors attending the Gender-Based Violence and Recovery Centre (GBVRC) at the Coast General Teaching and Referral Hospital (CGTRH) between 2017 and 2023. Data sources include post-rape care (PRC) forms, clinician notes, quarterly reports, police reports, counsellor reports, and paralegal follow-up records. A legal cascade for SV cases was created detailing SV survivors' referral patterns between police and GBVRC attendees who proceeded to court, and judgments rendered.</p><p><strong>Results: </strong>The total number of survivors at GBVRC between 2017 and 2023 was 3122; 2738 girls/women and 384 boys/men, with the majority of perpetrators known to the survivors, 2764/3122 (89%). The median age for survivors was 15 years, ranging from less than one year to 63 years with a male median age of 9 and a female median age of 15. Fewer males reported their cases, with 238 out of 384 males (62%) and 2,020 out of 2,738 females (74%). Ninety-three per cent (2906/3122) of cases referred from GBVRC arrived at the police station, though 62% (1864/3022) of these cases were successfully recorded and filed at the police station after follow-up. Additionally, 29% (535/1864) of cases reported did not proceed with investigation. Overall, of the 3022 cases that were referred to and reported, 1746 (57.7%) proceeded to court. Among these, judgments were pronounced in 372 cases (21%) and 85 out of these 372 cases (23%) were either withdrawn or acquitted.</p><p><strong>Discussion: </strong>Lack of evidence, poor witness testimonies, or failure of witnesses to present themselves in court were likely causes for withdrawal and acquittal of cases. Sexual violence remains a prevalent concern and should be prioritized as a national agenda. Systems should be strengthened to enhance access to justice while exploring alternatives for legal support, such as paralegal networks that can improve case follow-up.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1605612"},"PeriodicalIF":2.4,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12286993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144710034","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":"Interventions for breastfeeding-related nipple pain or injury: a meta-analysis.","authors":"Xuyan Jia, Yang Dong, Cuili Shen, Yuanyuan Cai, YiTing Xu, Lina Yang, Jiayue Jiang, Tong Sun, Wenhui Lu, Rong Huang","doi":"10.3389/fgwh.2025.1507723","DOIUrl":"10.3389/fgwh.2025.1507723","url":null,"abstract":"<p><strong>Background: </strong>Nipple pain or injury is one of the main reasons many mothers stop breastfeeding. We integrated existing literature and conducted a quantitative evaluation of efficacy, with the aim of identifying effective clinical interventions for alleviating breastfeeding-related nipple pain and injury, and providing evidence-based recommendations for future research and clinical practice. In our study, non-specific interventions are defined as measures that do not specifically provide breastfeeding support and are designed to exclude natural factors or induce placebo effects. Conversely, interventions that target the study outcomes and have standardized operational procedures are referred to as specialized interventions.</p><p><strong>Methods: </strong>We conducted a systematic literature search across 9 databases, including MEDLINE (via Ovid), PubMed, Web of Science, CINAHL (via EBSCO), EMBASE, the Cochrane Library, CNKI, SinoMed, and Wanfang. Two independent reviewers screened the publications and extracted the data. We evaluated the quality of literature on randomized controlled trials (RCTs) and quasi-experimental clinical trials using the Cochrane Systematic Evaluation Risk of Bias Assessment Tool and the JBI Critical Appraisal Tool. After completing the quality assessment of the literature, we performed a meta-analysis using Stata 17.0.</p><p><strong>Results: </strong>A total of 18 studies were identified in the meta-analysis. The results of the meta-analysis showed that specialized interventions were significantly better than non-specific interventions in preventing and treating nipple pain and injury associated with breastfeeding. The specialized interventions were effective in reducing the incidence of nipple pain [OR = 0.366, 95% CI (0.155, 0.862), <i>Z</i> = -2.301, <i>p</i> = 0.021 < 0.05], nipple pain scores [SMD = -0.451, 95% CI (-0.748, -0.154), <i>Z</i> = -2.978, <i>p</i> = 0.003 < 0.05], incidence of nipple injury [OR = 0.316, 95% CI (0.231, 0.433), <i>Z</i> = -7.177, <i>p</i> < 0.001], and intensity of nipple injury [SMD = -0.964, 95% CI (-1.404, -0.525), <i>Z</i> = -4.303, <i>p</i> < 0.001].</p><p><strong>Conclusion: </strong>This study shows that specialized interventions for breastfeeding-related nipple injury and pain are significantly more effective than non-specific interventions. It also demonstrates that preventive measures initiated before nipple pain onset are more effective than post-pain interventions.</p><p><strong>Systematic review registration: </strong>https://www.crd.york.ac.uk/PROSPERO/view/CRD420251045411, PROSPERO CRD420251045411.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1507723"},"PeriodicalIF":2.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700529","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":"Bridging the knowledge gap: a feminist lens on the post-birth control syndrome and media narratives.","authors":"Jana Niemann, Amand Führer","doi":"10.3389/fgwh.2025.1556810","DOIUrl":"10.3389/fgwh.2025.1556810","url":null,"abstract":"<p><strong>Background: </strong>Research regarding the period after the discontinuation of oral contraceptives remains largely confined to the return of fertility and menstruation, reflecting a narrow and medicalizing approach to sexual and reproductive health. Still, beyond this biomedical discourse, there is a growing debate concerning the experiences of those who discontinue oral contraception. This debate gravitates around the term \"post-birth control syndrome\" and mostly takes place in various online communities.</p><p><strong>Aim: </strong>In this perspective, we aim to explore this discourse on German and English language (social) media and highlight how the absence of reliable studies creates a void that is actively filled by commercial agendas, unchecked online information, and personal accounts.</p><p><strong>Argument: </strong>Instead of merely turning to the internet because of insufficient research, it is the commercial exploitation of this gap that intensifies certain narratives, risking spreading misinformation and disempowering former pill users by depriving them of scientific perspectives on their health. We emphasize the necessity of addressing this gap through feminist research that prioritizes biopsychosocial well-being, including its structural dimensions, rather than focusing solely on reproductive outcomes. Bridging this knowledge gap requires classical clinical and socioepidemiological research into post-pill physiological mechanisms and contexts, complemented by qualitative studies capturing user experiences.</p><p><strong>Conclusion: </strong>By shifting contraceptive health research towards comprehensive, user-centered perspectives, feminist science can empower individuals to make informed decisions and promote contraceptive autonomy within medical and public health frameworks.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1556810"},"PeriodicalIF":2.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700528","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":"Havening: a psycho-sensory therapy for enhancing emotional resilience and psycho-emotional wellbeing across the perinatal period.","authors":"Susan Crowther, Christine Mellor, Kimm Sun","doi":"10.3389/fgwh.2025.1619273","DOIUrl":"10.3389/fgwh.2025.1619273","url":null,"abstract":"<p><p>Havening, a psycho-sensory therapy, is increasingly recognized for its potential in supporting perinatal psycho-spiritual and emotional health. By employing gentle touch and guided imagery, Havening aims to reduce distressing emotions and enhance well-being. This article explores its application on emotional processing in perinatal care, with a particular focus on its impact on the amygdala, the brain's emotional processing center. The theoretical foundations proposed by Dr. Ronald Ruden regarding Havening's neurobiological effects are discussed, followed by the presentation of four case studies and respective outcomes that demonstrate the potential of Havening in perinatal mental health.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1619273"},"PeriodicalIF":2.3,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12279786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692641","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":"Research advances and future directions in female ADHD: the lifelong interplay of hormonal fluctuations with mood, cognition, and disease.","authors":"J J Sandra Kooij, Maxime de Jong, Jessica Agnew-Blais, Silvia Amoretti, Kathrine Bang Madsen, Isabella Barclay, Sven Bölte, Charlotte Borg Skoglund, Thomas Broughton, Sara Carucci, Dorenda K E van Dijken, Julia Ernst, Blandine French, Matilda A Frick, Cédric Galera, Annabeth P Groenman, Helena Kopp Kallner, Julia Kerner Auch Koerner, Sarah Kittel-Schneider, Iris Manor, Joanna Martin, Emilia Matera, Valeria Parlatini, Alexandra Philipsen, Josep Anthoni Ramos-Quiroga, Iris L Rapoport, Karl Lundin Remnélius, Amandine Sénéquier, Lisa Thorell, Janneke M E Wittekoek, Dora Wynchank","doi":"10.3389/fgwh.2025.1613628","DOIUrl":"10.3389/fgwh.2025.1613628","url":null,"abstract":"<p><strong>Introduction: </strong>Attention-Deficit/Hyperactivity Disorder (ADHD) in girls and women is under-recognised and under-researched, despite increasing awareness of clinical challenges and unmet needs. This review by the Eunethydis Special Interest Group on Female ADHD, addresses current knowledge and identifies research gaps for future work. Issues in women with ADHD across the lifespan such as late diagnosis, pubertal development, sexual health, hormonal birth control, executive function difficulties, and gynaecological disorders associated with ADHD are highlighted.</p><p><strong>Methods: </strong>The review synthesises existing literature and self-reported experiences of women with ADHD to explore the impact of hormonal fluctuations [puberty, menstrual cycle, pregnancy, (peri)menopause] on ADHD symptoms and mood disturbances. It examines the interplay of oestrogen and progesterone with dopaminergic pathways, when periods of lower oestrogen may affect cognition, as well as the manifestation of executive function deficits, and the intersection of ADHD with reproductive health.</p><p><strong>Results: </strong>Hormonal transitions exacerbate ADHD symptoms and mood disturbances, yet pharmacological research and tailored treatments are lacking. Executive function deficits manifest differently in girls and women with ADHD and are influenced by neuropsychological and neurobiological profiles. Diagnostic practices and sociocultural factors contribute to delayed diagnoses, increasing the risk of comorbidities, impaired functioning, and diminished quality of life. Undiagnosed women have increased vulnerability to premenstrual dysphoric disorder, postpartum depression, and cardiovascular disease during perimenopause.</p><p><strong>Discussion: </strong>Longitudinal, sex-specific studies incorporating hormonal status and lived experience are needed. Individualised interventions should be developed to address the unique needs of girls and women with ADHD. Addressing these gaps will advance more equitable diagnosis, management, and support for girls and women with ADHD, improving outcomes across the female lifespan.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1613628"},"PeriodicalIF":2.3,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683735","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":"Examination of the proposed relationships between cyclic menstruation and human reproduction.","authors":"Vernon G Thomas","doi":"10.3389/fgwh.2025.1589736","DOIUrl":"10.3389/fgwh.2025.1589736","url":null,"abstract":"<p><p>Increased societal food security has enabled frequent ovulation based on women's body fat levels remaining above the fertility threshold. The consequential cyclical menstruation in non-pregnant women constitutes a large female health and welfare issue. This examination of the various roles proposed for menstruation could not detect an essential biological role, whether in the removal of un-implanted embryos or the conditioning of the endometrium against oxidative stress. Neither is menstruation a prerequisite for the regeneration of the uterine endometrium. Menstruation and foetal placental detachment from the endometrium at birth share common hormonally-controlled physiological processes initiated by systemic or local progesterone withdrawal. These critical genetically-conserved processes are essential for the survival of both infant and mother. In human ancestors menstruation likely occurred rarely and these processes were activated only during the birth of several children. Now, because of assured food security, the evolved ancestral function of these processes has been reversed, and even allowing for the birth of several children, a woman may experience hundreds of monthly periods in her life. Menstruation is not necessary for a healthy life and women who control hormonally their periods and fertility still retain the physiological capacity for foetal placental detachment, to be expressed should pregnancy occur. This examination's findings could reduce the ignorance and mis-understanding about menstruation and promote, globally, social policy to reduce \"period poverty\" and absenteeism of girls and women from schools and the workplace.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1589736"},"PeriodicalIF":2.3,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683734","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":"Prevalence and correlates of sexual intimate partner violence among trans women in the San Francisco Bay Area.","authors":"Glenn-Milo Santos, Willi McFarland, Erin C Wilson","doi":"10.3389/fgwh.2025.1524148","DOIUrl":"10.3389/fgwh.2025.1524148","url":null,"abstract":"<p><strong>Background: </strong>Intimate partner violence (IPV), including sexual IPV, is a significant public health issue with serious mental, physical, and economic consequences. Trans women are disproportionately affected by sexual IPV. However, research on factors associated with sexual IPV is limited among trans women. This study seeks to identify factors associated with sexual IPV in a large cohort of trans women in the San Francisco Bay Area.</p><p><strong>Methods: </strong>We conducted a secondary data analysis of data from the Trans*National cohort study (2016-2017), which enrolled 629 trans women via respondent-driven sampling; we conducted bivariate and multivariable logistic regression analyses to examine correlates of lifetime history of sexual IPV.</p><p><strong>Results: </strong>The prevalence of lifetime sexual IPV was 36%, and bivariate analyses identified several factors associated with sexual IPV, including inconsistent hormone use, non-prescribed hormone use, sex work, polysubstance use, depression, posttraumatic stress disorder, suicidality, homelessness, and discrimination. Multivariable models revealed significant associations between sexual IPV and psychosocial factors, such as substance use, mental health diagnoses, and experiences of violence and discrimination.</p><p><strong>Conclusion: </strong>These findings are consistent with the substance abuse, violence, and HIV/AIDS syndemic framework, underscoring the interconnectedness of these conditions among trans women. In addition, the findings suggest that disruptions in access to gender-affirming care may be a negative consequence of sexual IPV. These results also highlight the urgent need for integrated approaches to address the mental health, substance use, and HIV prevention needs of trans women who experience sexual IPV. Interventions that address structural discrimination and provide holistic support are necessary to improve the health and wellbeing of trans women survivors of sexual IPV.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1524148"},"PeriodicalIF":2.3,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12271186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676718","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":"Surgical site infections after caesarean section across sub-Sahara Africa: a scoping review of prevalence and associated factors.","authors":"Rebekah Wood, Anna Borodova, Sophie Wolter, Micheline N'Guessan, Amadou Aziz Diallo, Mamadou Kamis Diallo, Katharina Heldt, Carlos Rocha, Ibrahima Nabé, Bamourou Diané, Mahamoud Sama Cherif, Sophie Alice Müller","doi":"10.3389/fgwh.2025.1605049","DOIUrl":"10.3389/fgwh.2025.1605049","url":null,"abstract":"<p><p>Surgical site infections are among the most common healthcare associated infections worldwide and pose a significant risk in cesarean section procedures, which are the most frequently performed surgical operations globally. Our scoping review aimed to synthesize available literature from studies conducted in sub-Saharan Africa on the prevalence of post-caesarean surgical site infections, as well as on reported associated factors. In this scoping review we included studies retrieved in OVID from January 2014 to January 15, 2024 without restrictions on the language of publication or publication status focusing on studies from sub-Saharan African countries. The review was registered on the Open Science Framework platform. The reported rates of surgical site infection across the 73 included studies ranged from 2.0%-56.0%. A forest plot showed that the studies were highly heterogeneous, whereby only 11.0% showed a surgical site infection rate above 20.0%. Most surgical site infections surfaced within two-weeks after a caesarean section. The strongest and most frequently cited risk factors were: duration of labour ≥8 h, surgical duration, multiple vaginal examinations, stored water usage, and premature rupture of membrane. The following protective factors were also determined: Pfannenstiel/transversal incisions, caesarean section at term, having health insurance, normal body mass index, <1 h of surgical intervention, <24 h of premature rupture of membrane, low intraoperative blood loss and absorbable sutures. Staphylococcus <i>aureus</i> was the most commonly isolated pathogen among studies with bacteriological reporting. Our scoping review provides first guidance for regions with limited resources for surveillance, such as sub-Saharan Africa, by outlining most common associated factors and a minimum screening period of two weeks. While utilizing minimal resources effectively, this targeted surveillance could capture the majority of cases and thereby enhancing maternal patient safety.</p><p><strong>Systematic review registration: </strong>https://osf.io/qe7bf/.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1605049"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12259575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644292","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 magnitude of second-trimester induced abortion and associated factors in Ethiopia: a systematic review and meta-analysis.","authors":"Maru Mekie, Setegn Muche Fenta, Wassie Yazie Ferede, Enyew Dagnew Yehuala, Eyaya Habtie Dagnaw, Alemu Degu Ayele, Temesgen Dessie Mengistu, Belaynew Alemye Mengistie, Selamawit Girma Tadesse, Dagne Addisu","doi":"10.3389/fgwh.2025.1535329","DOIUrl":"10.3389/fgwh.2025.1535329","url":null,"abstract":"<p><strong>Background: </strong>Even though Ethiopia has a non-restrictive abortion law, abortion complications are one of the top five maternal morbidity and mortality causes in the country. Most women visit health facilities for pregnancy termination at second-trimester which leads to higher abortion-related complications than first-trimester abortion. There is no national evidence regarding the level of second-trimester-induced abortion in Ethiopia. This study aimed to determine the magnitude of second-trimester induced abortion and its determinant factors.</p><p><strong>Methods: </strong>Online searches using different online bases such as PubMed, HINARI, SCOPUS, Google Scholar, and University digital libraries were conducted to identify candidate studies to be included in this systematic review and meta-analysis. The Newcastle-Ottawa Quality Assessment Scale (NOS) was used to assess the quality of studies to be included in this review. Data extraction and analysis were performed using Microsoft Excel and Stata 17 software respectively. The heterogeneity of studies was assessed using Cochran (Q test) and I² test statistics. We assessed publication bias using a funnel plot and Egger's regression asymmetry test.</p><p><strong>Results: </strong>Eight studies with a total study population of 3,659 were included in this review. The pooled prevalence of second-trimester induced abortion was 25.96% (95%, CI 14.42%, 37.49%) in Ethiopia. The finding of this systematic review indicated that being single [(OR = 5.20, 95%, CI 3.04, 8.90), <i>I</i> ² = 0.00%, <i>p</i> = 0.69], delay in the diagnosis of pregnancy [(OR = 3.01, 95%, CI 1.23, 7.38), <i>I</i> ² = 80.74%, <i>p</i> = 0.01], no formal/low education level [(OR = 3.54, 95%. CI 1.84, 6.78), <i>I</i> ² = 69.71, 57.15%, <i>p</i> = 0.04], and being rural resident [(OR = 2.16, 95%, CI 1.61, 2.92), <i>I</i> ² = 0.00%, <i>p</i> = 0.53] were factors significantly associated with second trimester induced abortion in Ethiopia.</p><p><strong>Conclusion: </strong>The prevalence of second-trimester abortion was found to be high in Ethiopia. Being single, delay in the diagnosis of pregnancy, having no formal/low education level, and being rural residents were factors significantly associated with second-trimester induced abortion in Ethiopia. Enhancing the sexual and reproductive health literacy of reproductive-age women as well as access to safe abortion services are relevant measures to be taken to reduce late visits to health institutions for abortion services.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1535329"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12259605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644293","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":"Antenatal preparation as care: birth stories and collective learning at work.","authors":"Leah De Quattro","doi":"10.3389/fgwh.2025.1592538","DOIUrl":"10.3389/fgwh.2025.1592538","url":null,"abstract":"<p><p>Distressing and harmful birth experiences are the norm even in well-resourced countries, and conventional antenatal education struggles to adequately prepare birthing people. Drawing on previous research in support of participant-led antenatal education, a recent UK-based ethnographic study asks how birthing people use collective practices to produce birth knowledge. Data comes from participant observation at 24 antenatal sessions (<i>n</i> = 201) including conventional classes and community-based groups, plus 5 interviews with session leaders. The researcher analysed data using a novel application of template analysis, framed by feminist technoscience, ethnography and socio-narratology. Findings show how group-led sessions, storytelling and other collective knowledge practices <i>take care</i> of birthing people. Several facets of care emerge from this inquiry, such as materiality, emotionality, working athwart dominant narratives and creating \"care-full\" absences or spaces. Excerpts from antenatal preparation sessions specifically demonstrate various approaches to knowledge working - and caring - in practice. A focus on real-life examples and implications ensures findings are useful and relevant for birthing women, midwives, antenatal educators, institutions, policymakers and more.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1592538"},"PeriodicalIF":2.3,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12256461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638868","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}