{"title":"Letter to the editor.","authors":"Susie Kilshaw","doi":"10.1016/j.srhc.2025.101064","DOIUrl":"https://doi.org/10.1016/j.srhc.2025.101064","url":null,"abstract":"","PeriodicalId":74789,"journal":{"name":"Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives","volume":" ","pages":"101064"},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017935","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":"Violation of the right to abortion at the time of the war in Ukraine.","authors":"A. Cioffi, C. Cecannecchia, F. Cioffi","doi":"10.1016/j.srhc.2022.100738","DOIUrl":"https://doi.org/10.1016/j.srhc.2022.100738","url":null,"abstract":"","PeriodicalId":74789,"journal":{"name":"Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives","volume":"2 1","pages":"100738"},"PeriodicalIF":0.0,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79341911","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}
Noushin Arefadib, A. Cooklin, J. Nicholson, T. Shafiei
{"title":"Disparities in postnatal depression and anxiety screening: Results from a cross sectional survey of Maternal and Child health nurses in Victoria, Australia.","authors":"Noushin Arefadib, A. Cooklin, J. Nicholson, T. Shafiei","doi":"10.1016/j.srhc.2022.100737","DOIUrl":"https://doi.org/10.1016/j.srhc.2022.100737","url":null,"abstract":"","PeriodicalId":74789,"journal":{"name":"Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives","volume":"168 1","pages":"100737"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76888987","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}
A. Goncalves, I. Ferreira, Márcia Pestana-Santos, C. McCourt, Ana Paula Prata
{"title":"Antenatal care policy in high-income countries with a universal health system: a scoping review.","authors":"A. Goncalves, I. Ferreira, Márcia Pestana-Santos, C. McCourt, Ana Paula Prata","doi":"10.1101/2021.09.03.21263024","DOIUrl":"https://doi.org/10.1101/2021.09.03.21263024","url":null,"abstract":"The availability, effectiveness, and access to antenatal care are directly linked with good maternal and neonatal outcomes, making antenatal care an important determinant in health. But to be effective, care must always be appropriate, not excessive, not insufficient. Perinatal outcomes vary within and between countries, raising questions about practices, the use of best evidence in clinical decisions and the existence of clear and updated guidance. Through a scoping review methodology, this study aimed to map the available antenatal care policies for low-risk pregnant women in high-income countries with a universal health system founded on the Beveridge Model. Following searches on the main databases and grey literature, the authors identified and analysed ten antenatal care policies: Australia, Denmark, Finland, Iceland, Italy, Norway, Portugal, Spain, Sweden and the United Kingdom. Some policies were over 10 years old, some recommendations did not present a rationale or context, others were outdated, or were simply different approaches in the absence of strong evidence. Whilst some recommendations were ubiquitous, others differed either in the recommendation provided, the timing, or the frequency. Similarly, we found wide variation in the methods/strategy used to support the recommendations provided. These results confirms that best evidence is not always assimilated into policies and clinical guidance. Further research crossing these differences with perinatal outcomes and evaluation of cost could be valuable to optimise guidance on antenatal care. Similarly, some aspects of care need further rigorous studies to obtain evidence of higher quality to inform recommendations.","PeriodicalId":74789,"journal":{"name":"Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives","volume":"21 1","pages":"100717"},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78965440","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}
Ali Said, M. Målqvist, S. Massawe, C. Hanson, A. Pembe
{"title":"Community perceptions and experiences on the events leading to facility maternal death; a verbal autopsy qualitative study.","authors":"Ali Said, M. Målqvist, S. Massawe, C. Hanson, A. Pembe","doi":"10.21203/RS.3.RS-361674/V1","DOIUrl":"https://doi.org/10.21203/RS.3.RS-361674/V1","url":null,"abstract":"BACKGROUND\u0000Tanzania Maternal Death Surveillance and Response (MDSR) system introduced in 2015 emphasizes review of facility maternal deaths with little community involvement. Involving the community in deaths enquiry can help to make better strategies to prevent future deaths. We aimed to explore family members (caregivers) perceptions and experiences on the events leading to facility maternal deaths to inform future community involvement in MDSR.\u0000\u0000\u0000METHODS\u0000Narrative interviews were conducted with 20 caregivers who cared for women who died in childbirth to investigate into delays and health care seeking experience. The unstructured questions on perceptions and experiences of events leading to death were administered together with standard verbal autopsy questionnaire. Two regions, Lindi and Mtwara of Southern Tanzania were selected for the study in 2018. Narrative thematic analysis was used for data analysis.\u0000\u0000\u0000RESULTS\u0000Three main themes evolved: 'Prepared for birth but not ready for complications', 'Disconnect between caregivers and providers' and 'The bitter impact of maternal deaths. Caregivers made efforts to prepare for birth but their preparation were severely inadequate when complications that necessitated referral occurred. Decision to seek care was made jointly between the pregnant woman, husband and other family members. Caregivers tried with little success in communicating with heathcare providers regarding their admitted patients. They also experienced emotions of grief such as denial, anger, depression, bargaining and acceptance once maternal deaths occurred. Caregivers (mostly old women) were left with the burden of caring for the newborns and other children left by the deceased mother.\u0000\u0000\u0000CONCLUSION\u0000Caregivers' perceptions and experiences of maternal deaths events provide valuable information for community interventions on birth preparedness, decision making, communication and providers' accountability. Maternal deaths bring far reaching mental, social and economic consequences to the family and society.","PeriodicalId":74789,"journal":{"name":"Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives","volume":"15 1","pages":"100851"},"PeriodicalIF":0.0,"publicationDate":"2021-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84929991","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}
J. Kiruja, B. Essén, K. Erlandsson, M. Klingberg-Allvin, F. Osman
{"title":"Healthcare providers' experiences of comprehensive emergency obstetric care in Somaliland: An explorative study with focus on cesarean deliveries.","authors":"J. Kiruja, B. Essén, K. Erlandsson, M. Klingberg-Allvin, F. Osman","doi":"10.21203/rs.3.rs-139048/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-139048/v1","url":null,"abstract":"OBJECTIVE\u0000This study aimed to explore the experiences of healthcare providers (HCPs) regarding the provision of emergency obstetric care (EmOC) with a focus on cesarean deliveries in a referral hospital and maternal and child health centers in Somaliland.\u0000\u0000\u0000METHODS\u0000An exploratory qualitative approach using focus group discussions was employed at the main referral and teaching hospital and four maternal and child health centers in Hargeisa, Somaliland. Twenty-eight HCPs were divided into groups of 6-8 for discussions lasting 1 to 2 h. All HCPs included in the study had experiences with the provision of EmOC. Data were analyzed using thematic analysis.\u0000\u0000\u0000RESULTS\u0000Collective family decision making was identified by HCPs as a barrier to the provision of EmOC. This tradition of decision making at a group level was perceived as time-consuming and delayed HCPs from obtaining informed consent for EmOC. Low socioeconomic status and poor knowledge about maternal healthcare among users affected care seeking among women. Suboptimal EmOC at the hospital was reported to be due to miscommunication, inadequate interprofessional collaboration and lack of infrastructure.\u0000\u0000\u0000CONCLUSIONS\u0000HCPs encountered difficulties with the provision of EmOC. A broad array of strategies targeting the community and healthcare system is needed, including training of HCPs on intracultural communication competence, interprofessional collaboration and use of alternative birth methods other than CS. Antenatal care can be used to prepare families for potential obstetric emergencies and as an opportunity to obtain written informed consent.","PeriodicalId":74789,"journal":{"name":"Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives","volume":"5 1","pages":"100768"},"PeriodicalIF":0.0,"publicationDate":"2021-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81917222","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":"\"From hell to healed\" - A qualitative study on women's experience of recovery, relationships and sexuality after severe obstetric perineal injury.","authors":"M. Huber, K. Tunón, M. Lindqvist","doi":"10.21203/rs.3.rs-131822/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-131822/v1","url":null,"abstract":"OBJECTIVE\u0000Few studies have investigated women's experiences of daily life after childbirth complicated by obstetric anal sphincter injury (OASI). The aim of the present study was to explore experiences related to recovery, sexual function, relationships and coping strategies among women affected by OASI.\u0000\u0000\u0000METHODS\u0000In-depth interviews were conducted using a purposive sample of 11 women affected by OASI. Women were interviewed 1-2 years after their first childbirth. Inductive qualitative content analysis was applied.\u0000\u0000\u0000RESULTS\u0000The theme \"From hell to healed\" illustrates women's experiences of recovery, relationships and sexual function after OASI. Three categories addressing women's perceptions emerged: \"Challenged to the core\", \"At the mercy of the care provider\" and \"For better or for worse\". Support from partners and family and comprehensive care were important elements for the experiences of coping and healing from OASI. Elements that negatively influenced women's experiences were the pain and physical symptoms of pelvic floor dysfunction, normalization of symptoms by heath care providers, and unrealistic expectations about how this period in life should be experienced.\u0000\u0000\u0000CONCLUSION\u0000OASI greatly affects women's experiences of their first years with their newborn child, relationships, social context and sexuality. For some women, OASI negatively affects everyday life for a long period after childbirth. However, others heal and cope quite quickly. Health care professionals need to identify and pay attention to women with persisting problems after OASI so that they can be directed to the right level of care.","PeriodicalId":74789,"journal":{"name":"Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives","volume":"68 1","pages":"100736"},"PeriodicalIF":0.0,"publicationDate":"2020-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90925596","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":"Women's autonomy - A cornerstone of reproductive rights.","authors":"R. Maimburg","doi":"10.1016/j.srhc.2019.100463","DOIUrl":"https://doi.org/10.1016/j.srhc.2019.100463","url":null,"abstract":"","PeriodicalId":74789,"journal":{"name":"Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives","volume":"18 1","pages":"100463"},"PeriodicalIF":0.0,"publicationDate":"2019-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81264331","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}
Kondwani Wella, E. Chilemba, A. Namathanga, B. Chakhame
{"title":"Social support for women after fistula repair: A scoping review.","authors":"Kondwani Wella, E. Chilemba, A. Namathanga, B. Chakhame","doi":"10.21203/rs.2.12609/v1","DOIUrl":"https://doi.org/10.21203/rs.2.12609/v1","url":null,"abstract":"BACKGROUND\u0000Obstetric fistula (OF) is a birth complication that largely affects women in developing countries. These women suffer constant incontinence, shame, social segregation, and health problems. Reconstructive surgery can usually repair OF, enabling the women to reintegrate back into their communities. However, pro repair does not necessarily equate with emotional recovery. Our objective was to explore women's experiences of social support after first time OF repair.\u0000\u0000\u0000METHODS\u0000An evidence synthesis was performed based on a systematic search of literature done between January and March 2020 in PubMed, CINAHL, ProQuest, and EMBASE databases using keywords including \"obstetric fistula\", \"vesicovaginal fistula\", \"vesicovaginal\", \"fistula\", and \"social support\". Inclusion criteria were primary peer reviewed articles addressing one or more study objectives, in English, on OF support, regardless of location. Two reviewers independently assessed eligibility of the studies and extracted the data. Disagreement between the reviewers were resolved by a third reviewer. The scoping review was based on a framework proposed by Arksey and O'Malley (2015).\u0000\u0000\u0000RESULTS\u0000The search resulted in 246 articles, of which 14 met inclusion/exclusion criteria. The synthesis of the studies was theoretically guided by Berkman's Model which emphasizes a link between social resources, social support, and disease. We found that support was either internal or external. Internal support constituted self-efficacy resulting in strengthened internal locus of control. Externally, women were supported by friends and family with material and financial resources. In some cases, the women were supported with educational opportunities and/or business start-up capital. Our review identified the need to support women with information about OF. Most post-OF repair women who were successfully re-integrated into their communities choose to support other women suffering from OF.\u0000\u0000\u0000CONCLUSIONS\u0000Social networks make a significant contribution to emotional and psychological recovery of women after a successful OF surgical repair. Lack of social networks were also found to be detrimental to emotional and psychological recovery of women. Most women were abandoned and not supported by their husbands. Restorative surgery is not sufficient making supportive and well organised social networks an integral component of full recovery post-OF repair.","PeriodicalId":74789,"journal":{"name":"Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives","volume":"26 1","pages":"100649"},"PeriodicalIF":0.0,"publicationDate":"2019-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90225992","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}