Reproductive, female and child health最新文献

{"title":"Prevalence and determinants of stunting among children under 5 years in remote Nepal","authors":"Alisha Karki, Barsha Rijal, Ganesh Shrestha, Prabina Makai, Saugat Joshi, Srijana Basnet, Rudra Neupane, Jiban Karki","doi":"10.1002/rfc2.58","DOIUrl":"https://doi.org/10.1002/rfc2.58","url":null,"abstract":"Abstract Introduction The growth and development of an individual is greatly influenced by their nutritional state during the first 5 years of life. Stunted growth and suboptimal weight gain remain major public health concerns during the most critical stages of growth and early childhood development. This study aims to assess the prevalence of stunting among children under 5 years of age and identify its associated factors in remote district of Nepal. Methods We conducted a survey with 487 mothers of children under 5 years of age in a remote area of Nepal. Smartphones were installed with KoBocollect software to collect the data. Trained health researchers collected the data including the anthropometric measurement (height, weight and mid‐upper arm circumference, MUAC) for assessment of the nutritional status. We followed World Health Organization guidelines for the anthropometric measurement and calculated the Z ‐score using Emergency Nutrition (ENA) software. Regarding the questions related to dietary diversity, we used a validated questionnaire: household dietary diversity score, child dietary diversity score and women dietary diversity score. We analysed all the data from the survey using SPSS version 24. We performed descriptive and multivariable analyses to find the nutritional status and factors associated with stunting. Result We found a high prevalence of stunting, that is, 56.7% among children under 5 years of age. Sociodemographic variables like age, sex of the child and ethnicity were significantly associated with the prevalence of stunting. Male children (60.7%) were more likely to be stunted compared to females (51.8%). We found that children from the Brahmin/Chhetri ethnic group were more likely to be stunted compared to children from Dalit and Janajati. Mothers who delivered their youngest child by skilled health personnel were less likely to have their children to be stunted. Similarly, children aged 24–59 months were 2.5 times more likely to be stunted than those aged 6–23 months. Conclusion Stunting among children under 5 years of age is very high in the remote district of Nepal. Sex, age of the child, ethnicity and delivery by a health professional were associated with the prevalence of stunting. There is a need for awareness and public health intervention to reduce the prevalence of stunting and improve the nutritional status of children under 5 years of age in remote districts of Nepal. Furthermore, assessment of the nutritional status of children in other remote districts of Nepal is important.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135539009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uterine rupture in first versus second stage of labour—A case‐series study in a tertiary referral centre","authors":"Ida Schalén, Ingela H. Varli, Charlotte L. Wollmann","doi":"10.1002/rfc2.59","DOIUrl":"https://doi.org/10.1002/rfc2.59","url":null,"abstract":"Abstract Introduction To analyse at what point during delivery, and during what clinical circumstances uterine rupture occurs. Uterine rupture is a rare peripartum complication associated with severe outcome for both mother and child. To date, many studies have characterized potential risk factors to uterine rupture, however, the intrapartum course remains unclear. Material and Methods A case‐series study based on data collected from patient data records on all women with uterine rupture at a tertiary referral centre between 2008 and 2019. Data were compared on women with uterine rupture during first versus second stage of labour, and women with spontaneous onset versus induced labour. Results A total of 109 women were included, whereof 94.5% had one or more previous caesarean deliveries. Uterine rupture occurred during the whole course of labour. Women with uterine rupture during second stage of labour ( n = 46) compared to women with uterine rupture during first stage of labour ( n = 63), were more exposed to oxytocin ( p < 0.0001), tended to use epidural anaesthesia more often during delivery ( p = 0.053), had larger mean volume of haemorrhage ( p = 0.015), and tended to have a higher occurrence of low Apgar score ( p = 0.051) and asphyxia in the infant ( p = 0.04). Women with induced labour ( n = 42) tended to have shorter time‐to‐uterine‐rupture than women with spontaneous onset ( n = 67) ( p = 0.055). Conclusions Uterine rupture occur both in first and second stage of labour. Maternal and infant outcomes are worse when uterine rupture occurs in the second stage of labour. These results emphasize the importance of a close monitoring during the whole course of delivery.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134958620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multiple case study exploring the impact of visitor restrictions in hospitals on childbirth support during the COVID‐19 pandemic","authors":"Lauren E. Hicks","doi":"10.1002/rfc2.57","DOIUrl":"https://doi.org/10.1002/rfc2.57","url":null,"abstract":"Abstract Objective Childbirth is a life‐changing experience for new mothers, birth partners, and families. The coronavirus disease 2019 (COVID‐19) pandemic restricted labouring mothers' access to support in hospitals through visitor restrictions. The goal of this research was to describe childbirth support in hospitals during the COVID‐19 pandemic. Methods A qualitative study using a multiple case study design describes childbirth support in hospitals during the COVID‐19 pandemic from the perspectives of the new mother, birth partner, and obstetric hospital staff, including doulas, nurses, and obstetric providers. The setting was a large metropolitan area in South Texas. Sixteen participants were interviewed, including four new mothers, three birth partners, three doulas, three obstetric nurses, and three obstetric providers. Results Themes that emerged from the data include: under a spotlight, unmet expectations, discovering serenity, and quality childbirth support. Conclusion During the pandemic, new mothers and birth partners experienced fewer distractions, better communication with the hospital staff, and had better opportunities to bond with the newborn during labour and after birth, but did report missing the presence of their family and friends. Doulas, obstetric nurses, and obstetric providers found they were able to provide better quality and safer care to labouring mothers and birth partners.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135864642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in digital prenatal service utilization by self‐reported race","authors":"Alex Peahl, Hannah R. Jahnke, Lily Rubin‐Miller, Natalie Henrich, Neel Shah","doi":"10.1002/rfc2.60","DOIUrl":"https://doi.org/10.1002/rfc2.60","url":null,"abstract":"Abstract Objective The objective of this study was to understand the use of supplemental digital prenatal services by race and ethnicity among pregnant people utilizing a comprehensive, employer‐sponsored digital health platform. Materials and Methods We conducted a retrospective cohort study of pregnant people enrolled in a comprehensive, employer‐sponsored digital health platform, assessing utilization of app‐based supplemental digital prenatal services by race and ethnicity. Care utilization included three categories: asynchronous utilization (e.g., article reads, videos); interactions with a care advocate, a trained care navigator; and provider interactions (e.g., messages and visits with a medical provider). Differences in service utilization by race and ethnicity were assessed using basic descriptive statistics with between‐group comparisons. Results Of 5662 users, 2362 (41.7%) were White, 266 (4.7%) were Black, and 1411 (24.9%) reported ‘prefer not to say’ for their race. More Black and Asian users sent messages to a provider and had provider appointments than White and Hispanic users (messages: White: 33.7%, Hispanic: 33.6%, Asian: 44.9%, Black: 45.1%, p < 0.001; provider appointments: White: 49.8%, Hispanic: 43.3%, Asian: 52.4%, Black: 46.2%, p < 0.001). More Black users accessed doula and mental health appointments than other racial groups. Conclusions Our study demonstrates that pregnant people of historically marginalized groups use digital supplemental prenatal services as much or more than White patients. Digital prenatal services may be a promising avenue for improving care access and experience for patient groups that face the biggest barriers to care and worst maternity care outcomes.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135864500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vegetarian diets and global disparities in calcium intake in pregnant women: A systematic review and meta‐analysis","authors":"Marina Kasper, Franziska Bickelmann, Michael Leitzmann, Carmen Jochem","doi":"10.1002/rfc2.56","DOIUrl":"https://doi.org/10.1002/rfc2.56","url":null,"abstract":"Abstract Background Vegetarian diets are currently experiencing increasing popularity and are also becoming more common in pregnant women. Calcium plays a crucial role for skeletal health and for physiologic processes during pregnancy for the mother and foetus. Aims Our study aimed to evaluate calcium intake of vegetarian versus nonvegetarian expectant mothers. Materials and Methods We searched PubMed and retrieved seven studies (six prospective cohort and one cross‐sectional) for inclusion in our random‐effects meta‐analysis. We calculated standardised mean differences (SMD). Results Results showed a significantly higher calcium intake in vegetarian than nonvegetarian pregnant women [SMD: 0.25; 95% confidence interval (CI): 0.14, 0.36]. Discussion Most studies showed that the recommendations for calcium intake during pregnancy (ranging from 700 to 1200 mg/d) were met. Both vegetarian and nonvegetarian pregnant women showed higher calcium intakes in Europe and North America than in Asia. Serum calcium levels did not differ between vegetarian and nonvegetarian pregnant women (SMD: − 0.15; 95% CI: −0.42, 0.11), confirming that the tight regulation of calcium metabolism is not affected by dietary calcium intake. Conclusion To prevent inadequate calcium intake potentially associated with adverse gestational outcomes, we recommend adherence to existing recommendations by means of calcium supplementation (1.5–2 g/d), food fortification strategies, or behavioural interventions.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135877920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing the risks of nuclear war—the role of health professionals","authors":"Kamran Abbasi, Parveen Ali, Virginia Barbour, Kirsten Bibbins‐Domingo, Marcel G. M. Olde Rikkert, Peng Gong, Andy Haines, Ira Helfand, Richard Horton, Bob Mash, Arun Mitra, Carlos Monteiro, Elena N. Naumova, Eric J. Rubin, Tilman Ruff, Peush Sahni, James Tumwine, Paul Yonga, Chris Zielinski","doi":"10.1002/rfc2.51","DOIUrl":"https://doi.org/10.1002/rfc2.51","url":null,"abstract":"In January, 2023, the Science and Security Board of the Bulletin of the Atomic Scientists moved the hands of the Doomsday Clock forward to 90 s before midnight, reflecting the growing risk of nuclear war.1 In August, 2022, the UN Secretary-General António Guterres warned that the world is now in “a time of nuclear danger not seen since the height of the Cold War.2 The danger has been underlined by growing tensions between many nuclear armed states.1, 3 As editors of health and medical journals worldwide, we call on health professionals to alert the public and our leaders to this major danger to public health and the essential life support systems of the planet—and urge action to prevent it. Current nuclear arms control and non-proliferation efforts are inadequate to protect the world's population against the threat of nuclear war by design, error, or miscalculation. The Treaty on the Non-Proliferation of Nuclear Weapons (NPT) commits each of the 190 participating nations”to pursue negotiations in good faith on effective measures relating to cessation of the nuclear arms race at an early date and to nuclear disarmament, and on a treaty on general and complete disarmament under strict and effective international control”.4 Progress has been disappointingly slow and the most recent NPT review conference in 2022 ended without an agreed statement.5 There are many examples of near disasters that have exposed the risks of depending on nuclear deterrence for the indefinite future.6 Modernisation of nuclear arsenals could increase risks: for example, hypersonic missiles decrease the time available to distinguish between an attack and a false alarm, increasing the likelihood of rapid escalation. Any use of nuclear weapons would be catastrophic for humanity. Even a “limited” nuclear war involving only 250 of the 13 000 nuclear weapons in the world could kill 120 million people outright and cause global climate disruption leading to a nuclear famine, putting 2 billion people at risk.7, 8 A large-scale nuclear war between the USA and Russia could kill 200 million people or more in the near term, and potentially cause a global “nuclear winter” that could kill 5–6 billion people, threatening the survival of humanity.7, 8 Once a nuclear weapon is detonated, escalation to all-out nuclear war could occur rapidly. The prevention of any use of nuclear weapons is therefore an urgent public health priority and fundamental steps must also be taken to address the root cause of the problem—by abolishing nuclear weapons. The health community has had a crucial role in efforts to reduce the risk of nuclear war and must continue to do so in the future.9 In the 1980s the efforts of health professionals, led by the International Physicians for the Prevention of Nuclear War (IPPNW), helped to end the Cold War arms race by educating policy makers and the public on both sides of the Iron Curtain about the medical consequences of nuclear war. This was recognised when the 1985 Nobe","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":"406 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135571259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Double‐balloon catheter for induction of labour: Rates of caesarean birth and outcomes when used beyond 12 and 24 h","authors":"D. Chen, Sayaka Okano, Charlotte Oyston","doi":"10.1002/rfc2.54","DOIUrl":"https://doi.org/10.1002/rfc2.54","url":null,"abstract":"The double‐balloon (dB) catheter is commonly used for cervical ripening before induction of labour (IoL), and is the preferred method of cervical ripening when prostaglandin is contraindicated. Manufacturer's instructions contraindicate use beyond 12 h. There is limited published evidence to support this restriction. This study aims to describe the mode of birth and other maternal and neonatal outcomes where dB‐IoL was used beyond the timeframe recommended by the manufacturer.Retrospective observational study of patients undergoing dB‐IoL at a single tertiary unit. Mode of birth, maternal and neonatal birth outcomes were described for those where the balloon was in situ for 12–24 and >24 h, compared to those where the balloon was in situ for <12 h.Of 491 patients undergoing dB‐IoL, there were no observed differences in proportion undergoing emergency caesarean or composite maternal/perinatal adverse outcomes when dB‐IoL was continued beyond 12 or 24 h.dB‐IoL is often being performed outside the manufacturer's recommendation to limit use to 12 h. In our cohort, dB‐IOL for >12 and >24 h is not associated with a higher proportion of caesarean birth and does not appear to impose harm on the mother or baby.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48339230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Human papillomavirus vaccination uptake in the Rio Grande Valley of Texas: Results from a pilot community‐based educational and school‐based vaccination program","authors":"Ana M. Rodriguez, T. Do, Lu Chen, K. Schmeler, J. Montealegre, Y. Kuo","doi":"10.1002/rfc2.50","DOIUrl":"https://doi.org/10.1002/rfc2.50","url":null,"abstract":"To pilot and evaluate a combined community‐based education and middle school‐based human papillomavirus (HPV) vaccination program in a rural, medically underserved Texas area.The study included 2276 students enrolled at three Rio Grande City Grulla Independent School District, (RGCGISD, formerly Rio Grande City Consolidated Independent School District) middle schools (08/2016–02/2020). The intervention took place in a middle school setting with the community‐based, physician‐led HPV education campaign starting in 08/2016, and a school‐based vaccination program (Phase 1: 08/2017; Phase 2: 08/2018). Pre‐ and postintervention HPV vaccination rates were tracked against 2016 National Immunization Survey‐Teen rates (target: initiation 49.3%; completion 32.9%). Summary statistics were stratified by middle school.In 2016, HPV vaccine initiation and completion rates for RGCGISD were lower than the national average (39.7% and 17.9%, respectively). In 2020, the overall HPV vaccine initiation rate increased by 58.0% (from 39.7% to 68.5%) and completion rates doubled (from 17.9% to 42.1%). The median age at HPV vaccine initiation and HPV vaccine completion (range) were 11.2 years (9–15) and 12 years (9–15). The median interval between HPV vaccine doses (range) was 287 days (36–1576). There were different between males and females among the three middle schools.Middle schools serve as a feasible, effective interventional setting for delivering and increasing HPV education and vaccine uptake among adolescents, which offers substantial long‐term health benefits.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43575291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of thyroid dysfunction during first trimester of pregnancy: A descriptive cross‐sectional study","authors":"Sandip. K. Sharma, Geeta Gurung, N. Katuwal, P. Joshi, Hemu Chaurasia, Sunita Lamsal","doi":"10.1002/rfc2.53","DOIUrl":"https://doi.org/10.1002/rfc2.53","url":null,"abstract":"Thyroid dysfunction carries large burden during pregnancy and untreated thyroid dysfunction is associated with poor maternal and foetal outcome. The exact burden of thyroid dysfunction during pregnancy in Nepal is not well established. This is descriptive cross‐sectional study done in tertiary care centre of Nepal to know burden of thyroid dysfunction and establish possible need of universal thyroid function screening during pregnancy.A descriptive cross‐sectional study was conducted from 4 September 2020 to 3 September 2021 on pregnant women attending to ANC clinic during their first trimester after obtaining ethical approval. Among eligible patients, after taking informed consent, a total of 385 pregnant women were included in the study. Thyroid function status was assessed by measuring serum levels of thyroid stimulating hormone (TSH), free thyroxine (FT4), and free tri‐iodothyronine (FT3). Women with pre‐existing thyroid disorders were excluded. Serum thyroid function was used to detect thyroid disorder based on American Thyroid Association 2011 criteria. A convenience sampling method was used. Point estimate and 95% confidence interval (CI) were calculated.Among 385 pregnant women, 152 (39.48%) (39.20–39.70, 95% CI) had thyroid disorders. Among thyroid disorders (n = 152), 111 (28.83%) had subclinical hypothyroidism, 37 (9.61%) overt hypothyroidism, 3 (0.78%) subclinical hyperthyroidism and 1 (0.26%) had overt hyperthyroidism.Around four in every 10 pregnant women had thyroid disorder. Thyroid dysfunction is easily detectable and can be effectively, inexpensively treated, which can prevent adverse maternal and foetal outcome. Thus, we should consider universal screening of pregnant women for thyroid disorder especially in a country like Nepal where there is a high prevalence of undiagnosed thyroid disorder.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45773281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and attitude factors influencing primary care clinicians' diagnosis, treatment and management of urinary tract infections in women: A qualitative ‘think’ aloud study in England","authors":"Angela Kabulo Mwape, K. Schmidtke, Celia A Brown","doi":"10.1002/rfc2.52","DOIUrl":"https://doi.org/10.1002/rfc2.52","url":null,"abstract":"The present study aimed to identify factors related to knowledge and attitudes that influence primary care clinicians' decision‐making when diagnosing, treating, and managing suspected urinary tract infections (UTIs) in women. Understanding the factors that influence clinicians' decision‐making is important for maximising health outcomes in women and reducing suboptimal use of antibiotics and antimicrobial resistance.A qualitative think‐aloud study design was employed.Semi‐structured qualitative interviews were conducted with primary care clinicians in England over Microsoft Teams. Interviews were transcribed and coded in two ways. First, clinicians' responses for each scenario were coded as either following (optimal), not following evidence‐based national guideline or incorrectly citing certain diagnosis, treatment, and management procedures (suboptimal). Second, the knowledge and attitude factors that influenced decision‐making were coded according to an empirically informed umbrella framework. Clinicians external to the study team reviewed the findings to promote their trustworthiness and utility.Ten clinicians (six female) took part. Clinicians prescribing decisions were mostly influenced by knowledge rather than attitude factors. Despite clinicians expressing high awareness of relevant evidence‐based guidelines (a knowledge factor) and high confidence (an attitude factor), more than half of their decisions (60%) were suboptimal in some way thereby impacting women's health. Most clinicians relied on their experiential knowledge rather than using evidence‐based guidelines. Our results suggest that knowledge could impede adherence, for example, where local guidelines conflict with national guidelines of when to perform a urine dipstick test.Suboptimal prescribing decisions could result from a combination of different knowledge and attitude factors leading to negative outcomes in women's health such as inappropriate treatment of asymptomatic bacteriuria in women over 65 years old. To optimise antibiotic prescribing in women, policy‐level interventions could increase concordance across local and national guidelines, or more tailored individual‐level interventions could help clinicians recognise where their experiential knowledge causes deviations from evidence‐based guidelines when diagnosing, treating and managing UTIs.","PeriodicalId":74669,"journal":{"name":"Reproductive, female and child health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45275613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}