Women's health (London, England)最新文献

{"title":"Body mass index is similar to alternative anthropometric indices in evaluating plasma lipids as proxy for cardiovascular disease in women with previous hypertensive disorders of pregnancy: A cross-sectional study.","authors":"Kristina Klepp, Anne Cathrine Staff, Meryam Sugulle, Kjartan Moe","doi":"10.1177/17455057241310316","DOIUrl":"10.1177/17455057241310316","url":null,"abstract":"<p><strong>Background: </strong>Women with previous hypertensive disorders of pregnancy (HDP) have increased risk of cardiovascular disease (CVD). Overweight is a modifiable risk factor for both conditions. Anthropometric indices such as waist circumference, hip circumference, waist-to-hip ratio, estimated total body fat, a body shape index, waist-to-hip-to-height ratio, and index of central obesity improve estimation of cardiovascular death risk in the general population as compared to body mass index (BMI).</p><p><strong>Objectives: </strong>We aimed to assess whether alternative body mass composition indices associate more strongly with postpartum blood lipid levels, as a proxy for CVD risk, than BMI. We also aimed to investigate whether associations differ between women with previous normotensive or hypertensive index pregnancies.</p><p><strong>Design: </strong>In this cross-sectional study, we examined 296 women 1 or 3 years after an index pregnancy that was normotensive (<i>n</i> = 116) or complicated by a hypertensive pregnancy disorder, including preeclampsia (<i>n</i> = 133) or gestational hypertension (<i>n</i> = 47).</p><p><strong>Methods: </strong>Uni- and multivariable regression analyses, adjusted for age and smoking, were conducted to evaluate associations between postpartum body mass composition indices and blood lipids. <i>p</i> < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>Median BMI and overweight rates were higher in women with previous HDP than in controls (23.9 kg/m² versus 22.8 kg/m² and 44.4% versus 30.2%, both <i>p</i> ⩽ 0.03). No body mass composition indices in any pregnancy complication group showed stronger associations with adverse lipid levels than BMI. However, women with previous HDP more often displayed significant associations between adverse body mass composition indices and adverse lipid levels, compared with controls.</p><p><strong>Conclusion: </strong>Alternative anthropometric measurements are not better suited to evaluate circulating lipids as proxy for CVD risk after HDP, compared to BMI. We hence recommend using BMI in CVD risk assessment after HDP due to its current widespread use and feasibility.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057241310316"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061723","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":"Factors influencing women's satisfaction with well-woman services at the Manhyia Government Hospital, Ghana.","authors":"Agnes Ampofo Agyei, Seth Amponsah-Tabi, Edward Tieru Dassah, Eric Sarpong Ansong, Maxwell Kankam, Amponsah Peprah, Charles Senaya, John Jude Kweku Annan, Roderick Larsen Reindorff, Henry S Opare-Addo","doi":"10.1177/17455057251320425","DOIUrl":"10.1177/17455057251320425","url":null,"abstract":"<p><strong>Introduction: </strong>The provision of well-woman services to women is a very good intervention for promoting good health and well-being among women. Despite data needed to inform increasing accessibility to well-woman services, there is limited information about client's satisfaction with well-woman services.</p><p><strong>Objective: </strong>This study was conducted to determine factors influencing women's satisfaction with well-woman services at Manhyia Government Hospital.</p><p><strong>Design: </strong>An analytical cross-sectional study was conducted among women attending the well-woman clinic at the Manhyia Government Hospital, Kumasi from 10 May 2023 to 15 November 2023.</p><p><strong>Methods: </strong>A systematic sampling method was employed. A pretested structured questionnaire was used to collect data on participants' socio-demographic and clinical characteristics, health-facility-related factors, barriers to utilization and client satisfaction. A face-to-face interview was conducted for every woman included in the study. Data were analyzed using multivariable logistic regression analysis. <i>p</i>-Value for statistical significance was set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>Of the 344 women who were recruited for the study, majority (65.7%) of them were satisfied with care at the well-woman clinic. About 59.3% of the women were willing to continue care at the clinic. The age range was 18-60 with mean of 34.6 ± 12.0 years. Some of the challenges the women reported in accessing well-woman services at the clinic included long waiting times (17.7%) and inadequately skilled staff (8.1%). After adjusting for significant variables in the multivariable logistic regression analysis (adjusted odds ratio (AOR)), comfortability of the waiting area (AOR: 7.71, 95% CI: 1.54-38.60), <6 months duration of accessing care (AOR: 8.82, 95% CI: 3.25-23.98) and friendly attitude of health workers (AOR: 27.03, 95% CI: 4.28-170.83) were significantly associated with the client's satisfaction with well-woman services.</p><p><strong>Conclusion: </strong>There was high satisfaction with well-woman services at the clinic, and this was associated with factors such as duration of service, comfortability of the waiting area and the attitude of health workers. Training more skilled staff and expanding the clinic will help improve well-woman services.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251320425"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525411","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":"Knowledge and practices of emergency contraception use and associated factors among female undergraduate students in Northern Uganda: A cross-sectional study.","authors":"Barbra Kelly Acen, Isaac Obonyo, Tonny Ocen, Benedict Arebo, Anna Grace Auma, Humphrey Beja","doi":"10.1177/17455057251321204","DOIUrl":"10.1177/17455057251321204","url":null,"abstract":"<p><strong>Background: </strong>Emergency contraception (EC) can prevent up to 95% of unplanned pregnancies if used correctly. Despite efforts to enhance its accessibility, cost and cultural stigmas persist as formidable barriers.</p><p><strong>Objective: </strong>This study assessed the knowledge and practices of EC use and determined the associated factors among the female undergraduate students of Northern Uganda.</p><p><strong>Design: </strong>This was a descriptive, institutional-based cross-sectional study conducted among the female undergraduate students of Lira University in Northern Uganda.</p><p><strong>Methods: </strong>Data were collected from 328 female undergraduates who were surveyed using self-administered questionnaires after obtaining informed consent from them. Data were analyzed using Statistical Package for Social Sciences (SPSS) and presented as frequencies and percentages, and binary and multiple logistic regressions were used to determine the association between the outcome variable and the independent variables. Results were presented as odds ratios with 95% confidence intervals, and associations were considered statistically significant at <i>p</i> ⩽ 0.05.</p><p><strong>Results: </strong>The response proportion was 328/334 (98%). Majority of the participants were 18-23 years old (233/328; 71.0%), had a consistent sexual partner (221/328; 67.4%), and unmarried (206/328; 62.8%). Almost all the participants (315/328; 96%) had heard about EC, where 150/328 (45.7%) learned about EC from health professionals and 135/328 (41.2%) learned about EC from family members and friends. The most well-known brand of EC was Postinor-2 (Levonorgestrel), as reported by 130/328(39.6%) participants. Of the study participants, 200/328 (61.0%) were knowledgeable about the correct timing of EC. Regarding practices of EC use, 214/328 (65.2%) used EC, of whom 122/214 (57.0%) acquired EC from the pharmacy, and most of the participants who had used EC used Postinor-2 (92/214; 43.0%). Of those who used EC, 175/214 (81.8%) used it to prevent unplanned pregnancy, and 182/214 (85.0%) participants used it with the correct timing. The factors that were associated with EC use were being a student who was studying at the Faculty of Health Sciences (adjusted odds ratio (AOR): 4.27, CI: 1.61, 10.09, <i>p</i> ⩽ 0.003) and the absence of a consistent current sexual partner (AOR: 8.63, CI: 4.49, 16.59, <i>p</i> ⩽ 0.00).</p><p><strong>Conclusion: </strong>Participants showed good EC knowledge and usage, but gaps persist. Factors like being a student who was studying at the Faculty of Health Sciences, and lack of a consistent current sexual partner correlated with EC use. Consistent education efforts are needed to address knowledge gaps, focusing on diverse EC forms, reliable information, and affordability.</p><p><strong>Registration: </strong>Not applicable.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251321204"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11847317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477302","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":"Effect of nursing intervention based on Ratu's model for preventing postpartum blues and depression among primiparous women: A treatment-control design.","authors":"Amal Hashem Mohamed, Randa Mohamed Abobaker, Mohammed Ibrahim Touni Ibrahim, Mohammad Mousa AlHseinat, Howayda Mohammed Ali, Radwa Ahmed Abdel Razek, Abdulrhman Albougami, Daniel Joseph E Berdida, Samah Ramdah Ibrahim Elrefaey","doi":"10.1177/17455057251323155","DOIUrl":"10.1177/17455057251323155","url":null,"abstract":"<p><strong>Background: </strong>Postpartum is a period of physiological and psychological adaptations among women. This period may negatively impact the mother's life quality, mother-to-baby relationship, and family dynamics because of some psychological issues (e.g., postpartum blues (PPB) or postpartum depression (PPD)) they are experiencing.</p><p><strong>Objectives: </strong>To investigate the effect of nursing interventions based on Ratu's model for preventing PPB and PPD among primiparous women.</p><p><strong>Design: </strong>A treatment-control design included 120 primiparous women attending a university hospital's Obstetrics and Gynecology Outpatient Department.</p><p><strong>Methods: </strong>We used five validated self-report scales (Maternal Attitudes Questionnaire, Coping Orientation for Problem Experiences, Multidimensional Scale of Perceived Social Support, Edinburgh Postnatal Depression Scale, and Kennerley's Blues Questionnaire) to collect data from December 2022 to October 2023. The control group received routine postpartum care (e.g., dietary guidance, maternal, and newborn care). The study group received routine postpartum care and educational intervention based on Ratu's model. The intervention was conducted for three sessions (every 9 days for 50-60 min) within 27 days. Both groups answered all questionnaires using the same tools before and after the study. Fisher's exact test, paired <i>t</i>-test, and logistic regression were used for data analyses.</p><p><strong>Results: </strong>The nursing intervention based on Ratu's model demonstrated significant differences between the two groups relative to the stimulus of pregnant women (<i>p</i> = 0.001), coping mechanism (<i>p</i> = 0.001), behavioral response (<i>p</i> = 0.001), and social support (<i>p</i> = 0.002). Results showed that 91.7% (study) and 56.6% (control) reported without PPD after the intervention, depicting a significant difference between the two groups (<i>p</i> = 0.005). Finally, participants' age (<i>p</i> = -0.002), educational level (<i>p</i> = 0.0031), social support (<i>p</i> = 0.001), and pregnancy outcome (<i>p</i> = 0.01) were associated with lower PPB and PPD incidence.</p><p><strong>Conclusion: </strong>Nurses, midwives, and other healthcare professionals working with pregnant and postpartum women may utilize the nursing intervention program based on Ratu's model to prevent or minimize PPB and PPD.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251323155"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11920989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659995","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":"Perceived factors contributing to teenage pregnancy and their perceived effects on teenage females health in eastern province of Rwanda.","authors":"Claudine Nshutiyukuri, Fauste Uwingabire, Marie Grace Sandra Musabwasoni, Jean Bosco Rutayisire, Reverien Rutayisire, Immaculée Benimana, Gerard Kaberuka, Laetitia Bazakare Ishimwe, Kyamusoke Borauzima Kyame, Leon Mutabazi, Madeleine Mukeshimana","doi":"10.1177/17455057251325044","DOIUrl":"10.1177/17455057251325044","url":null,"abstract":"<p><strong>Background: </strong>Teenage girls in Rwanda, like in many other countries, continue to experience unintended pregnancies. Many adolescents exhibit inadequate knowledge regarding sexual and reproductive health, highlighting significant gaps in its use specifically in developing regions including Rwanda. Despite the implementation of numerous prevention strategies in Rwanda, the prevalence of teenage pregnancy remains alarmingly high. The factors contributing to teenage pregnancy are diverse, and its consequences are far-reaching.</p><p><strong>Objective: </strong>This study's primary objective is to examine participants' personal experiences with their own pregnancies, including the factors they perceive to have contributed to their pregnancies. Additionally, the study aims to investigate participants' views on the broader societal factors that they believe contribute to teenage pregnancy within their community or province.</p><p><strong>Design: </strong>A cross-sectional study design was used.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in the Eastern Province of Rwanda, between January and December 2023. The sample included females aged 13-25 years who described their own pregnancies when they were between 13 and 19 years, as well as their perceptions about other pregnancies in their community. Data were collected using a structured questionnaire and analyzed through descriptive statistical methods.</p><p><strong>Results: </strong>Teenage girls reported poverty and lack of knowledge as the leading causes of adolescent pregnancy, with a high percentage of them reporting that their pregnancies resulted from rape. The effects of teenage pregnancy on teenage female health include emotional and societal repercussions with a high prevalence of depression, suicidal thoughts, family rejection, and school dropouts. The scope of this study was limited to teenage mothers in Eastern province and all data came from their self-reporting.</p><p><strong>Conclusion: </strong>Poverty, lack of knowledge, and sexual violence/rape were the most frequently perceived causes of adolescent pregnancy reported by participants, with important consequences for the health and well-being of teenage girls and their children. Comprehensive teenage pregnancy preventive interventions involving men would address the root causes of teenage pregnancy and improve health literacy as regard to sexual and reproductive health. There is a need for an urgent governmental and private joint plan to reduce the burden of teenage pregnancy in Rwanda.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251325044"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11921003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659996","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":"Cervical cancer prevention behaviors in young Black women.","authors":"Angela J Johnson, Monica J Johnson, Juinell B Williams, Emma Muscari, Laura Palmo, Michelle Ruiz, Brianna Bush, Lisa C Campbell","doi":"10.1177/17455057251326008","DOIUrl":"10.1177/17455057251326008","url":null,"abstract":"<p><strong>Background: </strong>In the United States, Black women have the second highest incidence of cervical cancer (CC) due to high incidence of human papillomavirus (HPV), slow HPV clearance rates, and low receipt of preventive pap smears and vaccines.</p><p><strong>Objective: </strong>A Black Feminist Thought framework was used to examine how the media portrayal of Black women, racial identity, and familial factors impact CC prevention behaviors among young Black women.</p><p><strong>Design: </strong>Black women enrolled at a large southeastern university consented and participated in an online mixed-methods survey examining facilitators and barriers to CC prevention behaviors. Quantitative items were analyzed via descriptive statistics, and qualitative items were thematically evaluated using an interpretative phenomenological analysis.</p><p><strong>Method: </strong>Black undergraduate women completed an online survey that collected quantitative data on demographic information, CC knowledge, perceived eHealth literacy, and CC prevention behaviors. Participants also responded to seven qualitative items that explored how the media portrayal of Black women, racial identity, and familial factors impact their CC prevention behaviors.</p><p><strong>Results: </strong>Participants (<i>N</i> = 146) were Black college women aged 18-26 who primarily identified as cisgender, non-Hispanic/Latine/x, and heterosexual. Most participants self-reported as having high e-Health literacy (78.1%, <i>n</i> = 114) but demonstrated inadequate CC knowledge (90.3%, <i>n</i> = 131). All age-eligible participants received pap smears within their lifetime (<i>n</i> = 6), and most received at least one dose of the HPV vaccine (77.5%, <i>n</i> = 86), with the majority reporting series completion. Qualitative findings highlighted participants experiences of oppression co-existed with self-advocacy, primarily in medical settings.</p><p><strong>Conclusion: </strong>Results provide insight for culturally tailored interventions in care settings serving young Black women that may encourage preventive care to reduce the prevalence of CC in later adulthood.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251326008"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733537","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":"Effect of balanced protein-energy supplementation given to pregnant women on birth outcomes: A systematic review and meta-analysis.","authors":"Aliha Iftikhar, Hafsa Azam, Mariam Ahmed, Aliza Asad, Amber Noorani, Maaha Shabbir, Kanza Aftab","doi":"10.1177/17455057251335366","DOIUrl":"10.1177/17455057251335366","url":null,"abstract":"<p><strong>Background: </strong>There is an increased demand for nutrition during pregnancy to improve fetal growth and development. Several dietary interventions have been recommended to pregnant women to meet their maternal needs. Using a larger sample size, we aim to assess the effect of balanced protein-energy supplementation given to pregnant women on birth outcomes.</p><p><strong>Objective: </strong>To evaluate the effect of balanced protein-energy supplementation given to pregnant women on birth outcomes.</p><p><strong>Design: </strong>Search included PubMed, Cochrane Central, and Embase from initiation till 20 March 2023 to select relevant studies examining perinatal factors associated with balanced protein-energy supplementation. Mean differences (MD) and risk ratios (RRs) with a 95% confidence interval (CI) were calculated using Review Manager.</p><p><strong>Data sources and methods: </strong>Randomized controlled trials and observational studies were included. Out of 218,720 studies initially identified, 24 met the inclusion criteria, involving pregnant women who received balanced protein-energy supplementation and reported outcomes related to perinatal death, birthweight, length, or head circumference.</p><p><strong>Results: </strong>Meta-analysis of pooled studies revealed that balanced protein supplementation had a significant effect on birthweight (g) (MD: 62.67, CI: 27.92-97.43), low birth weight (LBW) (RR: 0.73, CI: 0.57-0.95), birth length (MD: 0.20, CI: 0.10-0.30), and small-for-gestational-age (SGA) babies (RR: 0.74, CI: 0.59-0.93) and had no significant effect on the birth head circumference (MD: 0.05, CI: -0.09 to 0.20), perinatal death (RR: 0.83, CI: 0.50-1.37), and preterm birth (RR: 0.86, CI: 0.68-1.08).</p><p><strong>Conclusion: </strong>Balanced protein-energy supplementation is an effective intervention for birth length, birth weight, risk of LBW, and SGA births, particularly in women who are undernourished.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251335366"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12046169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056036","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":"Physical activity level in women with primary dysmenorrhea: A cross-sectional observational study.","authors":"Zeltia Naia, Paula Clara Santos, Olalla Bello","doi":"10.1177/17455057251323014","DOIUrl":"10.1177/17455057251323014","url":null,"abstract":"<p><strong>Background: </strong>Primary dysmenorrhea (PD), menstrual pain in the absence of pathology, is the main cause of gynecological consultation in young women. There are many studies that suggest a possible relationship between a low level of physical activity (PA) and a greater intensity of menstrual pain, and others that find no relationship between these variables.</p><p><strong>Objectives: </strong>To identify the level of PA and menstrual pain intensity among women with PD, as well as the relationship between these variables.</p><p><strong>Design: </strong>An observational, cross-sectional study was carried out on a cohort of adult population.</p><p><strong>Methods: </strong>Data collection instrument was an online self-administered questionnaire. Main variables were pain intensity (Numeric Rating Scale; McGill Pain Questionnaire, short version) and PA level (International Physical Activity Questionnaire).</p><p><strong>Results: </strong>A total number of 216 responses from the total responses obtained were considered PD cases. A 38% of women did not perform any intense PA during the last 7 days, and a 32.4% did not perform any moderate PA. No significant differences were found in menstrual pain intensity during the three last menstruations among women who performed PA, moderate, or intense. Nor were significant differences found between women who performed PA less than 3 days a week, compared with those ones who did it at least three times a week, or more.</p><p><strong>Conclusion: </strong>Menstrual pain intensity does not differ between the types of PA. A large number of participants did not perform any PA in the last 7 days.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251323014"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733539","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 risk factors of postpartum depression among postnatal mothers with hypertensive disorders of pregnancy in a developing country.","authors":"Wina Ivy Ofori Boadu, Enoch Odame Anto, Edmund Mintah Wiafe, Michael Nyantakyi, Joseph Frimpong, Emmanuel Ekow Korsah, Ezekiel Ansah, Afia Agyapomaa Kwayie, Elizabeth Aboagye, Christian Obirikorang, Emmanuel Timmy Donkoh, Kwame Ofori Boadu","doi":"10.1177/17455057251338938","DOIUrl":"10.1177/17455057251338938","url":null,"abstract":"<p><strong>Background: </strong>Postpartum depression is a public health issue affecting both maternal well-being and child development. While it is the most common mental health disorder following childbirth, data on its prevalence and associated risk factors in developing countries, including Ghana, remains limited.</p><p><strong>Objectives: </strong>This study determined the prevalence of postpartum depression and identified its associated risk factors among pregnant women who developed hypertensive disorders of pregnancy at the Adabraka Polyclinic in the Greater Accra Region of Ghana.</p><p><strong>Design: </strong>This study was a hospital-based cross-sectional study.</p><p><strong>Methods: </strong>This hospital-based cross-sectional study was conducted on 159 postnatal mothers who delivered between March 31, 2023 and May 31, 2023 at the Adabraka Polyclinic in the Greater Accra Region of Ghana. Participants were selected using purposive sampling. The data collection instrument were developed to gather information on sociodemographic, psychosocial, obstetric, and newborn characteristics. The Edinburgh Postnatal Depression Scale was used to investigate depressive symptoms in the mothers. Mothers with Edinburgh Postnatal Depression Scale scores above 12 or 13 were considered likely to be experiencing depression.</p><p><strong>Results: </strong>Out of the 159 women followed to term, 74 were diagnosed with postpartum depression (Edinburgh Postnatal Depression Scale scores above 12 or 13), indicating a prevalence rate of 46.5%. The majority of these women were aged between 25 and 30 years (46.5%), engaged in informal occupations (52.2%), had multiple children (71.1%), pregnancies (69.2%), and normal blood pressure levels (62.3%). After adjusting for potential confounders in a multivariate logistic model, several factors were found to be independently associated with postpartum depression: informal occupation (adjusted odd ratio = 0.12, 95% confidence interval (0.02-0.62), <i>p</i> = 0.012), Ga ethnicity (adjusted odd ratio = 5.27, 95% confidence interval (1.25-22.11), <i>p</i> = 0.023), sub-optimal financial support from partner (adjusted odd ratio = 27.54, 95% confidence interval (4.63-164.00), <i>p</i> < 0.001), and experience of cesarean section (adjusted odd ratio = 22.10, 95% confidence interval (3.90-125.08), <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Pregnant women with hypertensive disorders may face a heightened risk of experiencing postpartum depression. Timely recognition and intervention are vital for enhancing the health and welfare of both mothers and their children.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251338938"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295463","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 burden, pathogenesis, clinical outcomes, and treatment of common respiratory virus infections during pregnancy.","authors":"Kalee E Rumfelt, Janet A Englund, Alisa Kachikis","doi":"10.1177/17455057251338501","DOIUrl":"10.1177/17455057251338501","url":null,"abstract":"<p><p>Respiratory illnesses due to respiratory virus infections disproportionately impact pregnant individuals and their infants, leading to significant morbidity and mortality globally. Data describing the incidence and impact of these infections in pregnancy is sparse and more common for influenza and now severe acute respiratory syndrome coronavirus 2 with less data available on other respiratory virus infections in pregnancy. This lack of data is a result of limited prospective surveillance and issues surrounding the calculations of seroprevalence, as well as disproportionately low funding for reproductive health research. In this review article, we aimed to summarize available data on respiratory virus infections in pregnancy and identify gaps in the published literature.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251338501"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12106989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152994","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}