Women's health (London, England)最新文献

{"title":"Lactation accommodations at continuing medical education courses: Attendee attitudes, needs, preferences, and experiences.","authors":"Patricia Carey, Arya B Mohabbat, Elizabeth Wight, Sanjeev Nanda, Sara Bonnes, Debra Blomberg, Ivana T Croghan, Darrell Schroeder, Hannah Nordhues","doi":"10.1177/17455057251375704","DOIUrl":"10.1177/17455057251375704","url":null,"abstract":"<p><strong>Background: </strong>There is a lack of data regarding the current state of lactation accommodations at continuing medical education (CME) events to guide best practice recommendations.</p><p><strong>Objective: </strong>To evaluate CME attendee attitudes, experiences, and preferences as it pertains to lactation support accommodations at CME events.</p><p><strong>Design: </strong>A cross-sectional study utilizing an electronic-based survey.</p><p><strong>Methods: </strong>Surveys were administered electronically to attendees of seven CME courses from August 2022 to October 2023, and de-identified data were collected to a secure database. Attitudes regarding lactation accommodations, personal preferences for lactation accommodations, and experiences with lactation at CME events were analyzed.</p><p><strong>Results: </strong>Of the 337 survey respondents, 169 had personal experience with lactation and 47 had experience with lactation at a CME course within the past 10 years. The majority of respondents agreed that lactation accommodations should be a priority (<i>n</i> = 264, 83%) and are a medical need (<i>n</i> = 285, 89%). Of those with recent experience lactating at a CME course, only 19% (<i>n</i> = 9) indicated adequate lactation accommodations were provided. Due to inadequate accommodations, 77% (<i>n</i> = 36) of respondents experienced decreased participation in the CME course content, 70% (<i>n</i> = 33) claimed fewer hours of CME credit, and 74% (<i>n</i> = 35) experienced decreased satisfaction in the CME course. Preferences for lactation accommodations included proximity to the meeting, audio-visual streaming of content, privacy, security, and signage supporting lactation in addition to an adequate designated space with access to an electrical plug and water supply.</p><p><strong>Conclusions: </strong>The current state of lactation accommodations at CME courses is inadequate and contributes to inequitable experiences for lactating participants. Course participants are supportive of lactating healthcare professionals at CME courses and recognize lactation accommodations as a priority. Further work is needed to inform and institute changes to lactation accommodations for healthcare professionals.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251375704"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12444053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076881","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 associated with antenatal care service content utilization in selected rural areas of Southern Ethiopia: Assessing the extent of compliance with World Health Organization recommendations-A mixed-methods study.","authors":"Lielt Gebreselassie Gebrekirstos, Meron Hadis Gebremedhin, Hayelom Berhe, Tsiyon Birhanu Wube","doi":"10.1177/17455057251375220","DOIUrl":"10.1177/17455057251375220","url":null,"abstract":"<p><strong>Background: </strong>The quality of antenatal care (ANC) plays a crucial role in maternal and child health, yet little is known about the actual service content received by pregnant women in rural southern Ethiopia.</p><p><strong>Objectives: </strong>To explore the factors influencing ANC content utilization in selected rural areas of southern Ethiopia, shedding light on critical gaps in service delivery.</p><p><strong>Design: </strong>A mixed-methods study.</p><p><strong>Data sources: </strong>Quantitative data were collected from 851 systematically selected women, and qualitative data from 20 purposefully selected participants including mothers, health extension workers, and healthcare professionals.</p><p><strong>Methods: </strong>Data were collected using a pre-tested structured interviewer-administered questionnaire. Quantitative data were analyzed using descriptive statistics and a generalized linear model to assess associations between variables. Qualitative data were transcribed, translated verbatim, and processed using Atlas software.</p><p><strong>Results: </strong>Only 5.7% of women received the full spectrum of ANC services. Weight (82.6%) and blood pressure (82%) measurements were the most commonly utilized services, while height measurement (22%) and counseling on pregnancy-related complications (31%) were significantly underutilized. Key determinants of ANC content utilization included husband support (risk ratio (RR) = 1.82, 95% CI = 1.01-2.43), perception of proximity to a health facility-short (RR = 1.38, 95% CI = 1.08-1.90) and medium (RR = 1.13, 95% CI = 1.00-1.17) distances-early initiation of ANC (RR = 1.6, 95% CI = 1.01-2.20), positive provider-patient interaction-good (RR = 1.22, 95% CI = 1.03-1.41) and medium (RR = 1.18, 95% CI = 1.00-1.27)-and a high wealth index (RR = 1.26, 95% CI = 1.16-1.37).</p><p><strong>Conclusions: </strong>This study underscores the critical shortfall in comprehensive ANC service utilization in rural Ethiopia. Strengthening health services in underserved areas, actively involving husbands in maternal care, empowering women, and enhancing healthcare provider training and accountability are essential to improving service delivery. A concerted effort is needed to bridge these gaps and ensure that every pregnant woman receives the full spectrum of essential ANC services.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251375220"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12489195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202383","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":"Associations between maternal birth complications and postpartum depressive symptoms: A systematic narrative review and meta-analysis.","authors":"Emilia F Cárdenas, Eileen Yu, Maya Jackson, Kathryn L Humphreys, Autumn Kujawa","doi":"10.1177/17455057251320801","DOIUrl":"10.1177/17455057251320801","url":null,"abstract":"<p><strong>Background: </strong>Nearly half of people report birth-related complications, which is thought to be a risk factor for postpartum depression (PPD).</p><p><strong>Objectives: </strong>The goal of this systematic narrative review and meta-analysis was to provide an updated examination of the literature linking specific maternal birth complications and PPD.</p><p><strong>Design: </strong>A systematic review was conducted focused on studies examining associations between specific maternal birth complications and PPD symptoms/and or diagnoses, along with meta-analyses to quantify the magnitude of associations for specific experiences. The review protocol was not pre-registered.</p><p><strong>Methods: </strong>Searches were completed using PsycINFO and PubMed databases. We used four eligibility criteria: (a) article available in English, (b) study included a measure of dimensional or diagnostic depression, (c) include discrete experience of birth-related complication, and (d) included a statistical test of the bivariate association between depression in the postpartum period and a measure of birth-related complication. We excluded studies of newborn intensive care or infant health conditions, rather than maternal birth complications directly impacting the pregnant person's health. All analyses were conducted using Comprehensive Meta-Analysis Software. We considered patterns in sampling, measurement, and analytic designs. To address publication bias, we examined funnel plots and calculated Egger's test.</p><p><strong>Results: </strong>The review (61 studies; 1,853,282 total participants) revealed four categories of maternal birth complications (i.e., cesarean, preterm birth, pain, laceration). Both the narrative review and meta-analysis support positive associations between maternal birth complications overall and PPD symptoms and diagnoses (odds ratio, OR = 1.47, <i>p</i> < 0.001), with specific associations observed for cesarean deliveries (non-emergency: 1,792,725 participants; OR = 1.30, <i>p</i> < 0.001; emergency: 14,199 participants; OR = 1.48, <i>p</i> = 0.001), preterm birth (39,291 participants; OR = 1.97, <i>p</i> < 0.001), and pain (3,708 participants; OR = 1.75, <i>p</i> = 0.009). ORs were small-to-medium in magnitude. Laceration alone was not significantly associated with PPD (3,356 participants; OR = 1.18, <i>p</i> = 0.692).</p><p><strong>Conclusions: </strong>This study expands upon previous research and provides nuanced perspective on the relationship between different types of maternal birth complications and PPD. This review was supported by a Ford Foundation Predoctoral Fellowship and 1F31MH135650-01.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251320801"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525409","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":"Vitamin C supplementation in nicotine use during pregnancy: A narrative review.","authors":"Carolin von Edlinger, Udo R Markert","doi":"10.1177/17455057241305265","DOIUrl":"10.1177/17455057241305265","url":null,"abstract":"<p><p>Nicotine use during pregnancy remains a widespread problem in obstetrics, leading to complications such as intrauterine growth restriction, preterm birth, stillbirth, and sudden infant death syndrome. Consistent education by medical personnel is essential, as no medication or supplement has been found to prevent the dangers of nicotine use during pregnancy. If a pregnant woman is unable to quit nicotine despite intensive efforts, vitamin C, with its antioxidant properties, may help mitigate these risks, as suggested by some studies. This review summarizes current knowledge based on publications related to vitamin C, nicotine, and pregnancy. Research was conducted on the medical literature platforms PubMed and Cochrane Library, using all relevant studies to provide a comprehensive overview of the topic. The identified studies primarily examined the impact of maternal smoking and nicotine on placental function, as well as the respiratory, cardiac, neuronal, and bone systems of the offspring. They suggest that vitamin C has a generally positive preventive or protective effect, though no study has shown complete compensation for the damage caused by nicotine. Nicotine abstinence remains the most crucial preventive measure. If this is not achievable despite intensive efforts by medical personnel, vitamin C supplementation during pregnancy may be considered. With a very low side effect profile, a daily dose of up to 500 mg can be recommended. However, further studies are necessary to provide reliable data on the effectiveness and appropriate dosage, given an ethically justifiable study approach.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057241305265"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11847319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477303","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":"Robotics-assisted surgery in gynecology: A single-center experience with the Hugo™ RAS system in India.","authors":"Manjula Anagani, Ravula Sindura Ganga, Snehalatha Paritala","doi":"10.1177/17455057241302581","DOIUrl":"10.1177/17455057241302581","url":null,"abstract":"<p><strong>Background: </strong>Robotics-assisted surgery (RAS) offers several advantages over traditional laparoscopic surgery, such as enhanced precision, dexterity, and ergonomics, and allows stable movements with tremor filtering and motion scaling. The new multi-modular Hugo™ RAS system is commercially available in certain countries and is used in urological, gynecological, and general surgical procedures.</p><p><strong>Objectives: </strong>To document the experience with the use of the Hugo™ RAS system in 20 patients who underwent surgery for various gynecological conditions at a hospital in Hyderabad, India.</p><p><strong>Design: </strong>Real-world single-center study.</p><p><strong>Methods: </strong>Twenty patients (45.3 ± 6.5 years) who were admitted to a tertiary care center (September 2022-2023) underwent hysterectomy (<i>n</i> = 18), accessory and cavitated uterine mass excision (<i>n</i> = 1), and myomectomy (<i>n</i> = 1) using the Hugo™ RAS system. The evaluated outcome parameters included docking time, console time, blood loss (intraoperative and postoperative), length of hospital stay, postoperative complications, and postoperative pain perception measured as per visual analog scale (VAS) scores at multiple time points.</p><p><strong>Results: </strong>The mean docking time was 6.3 ± 2.0 min, and the mean console time was 86.9 ± 20.3 min. Blood loss (intraoperative and postoperative drain) was 103.5 ± 62.4 mL, not requiring blood transfusion for any patient. Per hospital norms, each patient had a hospital stay lasting for 2 days. None of the patients experienced immediate postoperative complications. Minor late complications were observed in two patients. Postoperative pain perception decreased with time. VAS scores were 3.2 ± 0.4 (1 h), 2.2 ± 0.4 (6 h), and 1.0 ± 0.0 (12 h), and no pain was perceived 1 week after surgery.</p><p><strong>Conclusion: </strong>Based on initial experience, the Hugo™ RAS system provides favorable results for gynecological patients, with benefits including efficient docking time, short surgery duration, minimal blood loss, short hospital stay, few postoperative complications, and low pain perception. Future studies comparing the Hugo™ RAS system with other robotic surgical platforms in gynecological procedures are essential.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057241302581"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544817","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":"Meanings of food and experiences of food insecurity among survivors accessing violence against women services during the COVID-19 pandemic.","authors":"Julia Bonsu, Bridget Steele, Priya Shastri, Alexa R Yakubovich","doi":"10.1177/17455057251325986","DOIUrl":"10.1177/17455057251325986","url":null,"abstract":"<p><strong>Background: </strong>Violence against women (VAW) poses a serious threat to the psychological and physical health of women. Food insecurity is both a cause and outcome of VAW, with further consequences for women's health. The COVID-19 pandemic exacerbated economic insecurity and, as a result, the cycle of VAW and food insecurity, demonstrating that VAW survivors have multifaceted needs when healing from situations of violence.</p><p><strong>Objectives: </strong>To explore meanings of food and experiences of food insecurity among VAW survivors accessing supportive services during the COVID-19 pandemic, with the goal of informing holistic and trauma-informed service delivery.</p><p><strong>Design: </strong>This analysis is based on qualitative data collected as part of the mixed-methods community-based Marginalization and COVID-19 (MARCO)-VAW study.</p><p><strong>Methods: </strong>We applied reflexive thematic analysis to qualitative interview data from 10 survivor participants who accessed VAW services in the Greater Toronto Area, Canada during the COVID-19 pandemic and supplemented it with interview data from 18 staff participants working on those services.</p><p><strong>Results: </strong>We generated three themes relevant to meanings of food and experiences of food insecurity among VAW survivors: (1) power dynamics as barriers to food and achieving independence for survivors of VAW, (2) intersection between food insecurity and motherhood, and (3) reclaiming food independence and power after abusive situations.</p><p><strong>Conclusions: </strong>Food security and autonomy promoted healing and provided a sense of independence for VAW survivors living in or transitioning out of both violent situations and shelters during the COVID-19 pandemic. To better support VAW survivors, organizations that support survivors need to be appropriately resourced to provide food-related programming, supports, and diverse food options, including during public health emergencies, when economic precarity and social isolation increase. Gender-transformative policy is necessary to prevent gender-based and intersectional inequities in violence and food insecurity.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251325986"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756343","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":"Breaking the silence: Addressing sexual health challenges among migrant and refugee women.","authors":"Zohra S Lassi, Negin Mirzaei Damabi, Mumtaz Begum, Jodie C Avery, Salima Meherali","doi":"10.1177/17455057251331263","DOIUrl":"10.1177/17455057251331263","url":null,"abstract":"<p><p>This editorial addresses the critical yet often overlooked issue of sexual health among migrant and refugee women. With nearly half of the world's 281 million international migrants being women, their unique health challenges demand urgent attention. As a conceptual discussion, this editorial does not present empirical data but rather synthesizes existing literature and expert insights to explore the multifaceted barriers these women face, including financial constraints, language obstacles, cultural taboos, and social exclusion. We examine the complex interplay between acculturation and sexual function, emphasizing how cultural transitions influence sexual well-being. The discussion explores how cultural background shapes sexual attitudes, highlighting the need for culturally sensitive approaches in healthcare delivery. We propose multifaceted solutions, including developing culturally competent healthcare services, implementing targeted education programs, and improving research methodologies. This editorial aims to break the silence surrounding these issues and calls for concerted efforts to address the sexual health needs of migrant and refugee women, ultimately fostering healthier, more equitable societies.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251331263"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053571","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":"Applying an intersectional climate justice lens to understand climate crisis impacts on sexual and reproductive health and rights and identify local solutions: Qualitative findings from Khulna, Bangladesh.","authors":"Sally Dijkerman, Jakaria Hossain, Maria Persson, Rabeya Akter Konika, Dipika Paul","doi":"10.1177/17455057251339283","DOIUrl":"10.1177/17455057251339283","url":null,"abstract":"<p><strong>Background: </strong>Climate change has been described as the greatest health threat of the 21st century. Increased evidence of the linkages between climate change and sexual and reproductive health and rights (SRHR) is essential to achieving full realization of SRHR.</p><p><strong>Objective: </strong>To understand if and how women and girls' perceived climate vulnerability impacts their SRHR decision-making, behaviors, and outcomes in cyclone-affected communities in coastal Khulna, Bangladesh, we conducted qualitative research using an intersectional climate justice lens.</p><p><strong>Design: </strong>Climate justice states that the climate crisis is not just an environmental or health problem, it is equally a political and social problem, whereby different communities feel the consequences differently, unevenly, and disproportionately depending on a multitude of factors shaped by intersecting systems of power and oppression. We adopted an intersectional climate justice lens to explore how women and girls' intersecting identities impact their experiences with climate change - particularly extreme weather events - and impact their perceived vulnerability. We employed a two-phased participatory qualitative research design.</p><p><strong>Methods: </strong>We conducted key informant interviews with local SRHR and climate change experts (<i>n</i> = 10) plus in-depth interviews (<i>n</i> = 15) and community dialog meetings (<i>n</i> = 8) with women and girls of reproductive age (<i>n</i> = 49). Transcripts, activity outputs, and field notes were transcribed verbatim in Bangla, translated to English, and subsequently coded and analyzed thematically using Dedoose.</p><p><strong>Results: </strong>Participants perceived numerous SRHR outcomes to be worsened by the climate crisis, including unintended pregnancy, sexual and gender-based violence, and pregnancy complications. Impacts were experienced differently across social categories, with overlapping identities including age, marital status, and religion magnifying vulnerability and risks to SRHR. Participants identified comprehensive SRHR and advances toward gender equity as essential for building climate resilience.</p><p><strong>Conclusion: </strong>Our findings provide actionable recommendations to support the full realization of climate justice and SRHR.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251339283"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12106992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152968","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":"Pregnancy and physical disability: A scoping review.","authors":"Claire Z Kalpakjian, Lukonde Mulenga, Shannen M McIntosh, Jodi M Kreschmer, Rebecca Parten, Heidi Haapala, Elizabeth S Langen, Sara A S Rosenblum, Svati Pazhyanur, Susan Carlson, Maryam Berri, Susan D Ernst","doi":"10.1177/17455057251338424","DOIUrl":"10.1177/17455057251338424","url":null,"abstract":"<p><strong>Background: </strong>Women with disabilities have a similar desire for pregnancy as their non-disabled peers but experience more ambivalence and doubt about their intention to have a child. While many have healthy pregnancies, they face higher risks and trade-offs in health, function, and independence.</p><p><strong>Objectives: </strong>To review the literature on pregnancy in women with physical disabilities to guide interventions and clinical care guidelines.</p><p><strong>Eligibility criteria: </strong>Abstracts were reviewed if they were original research on pregnancy involving adult women with physical disabilities. Both qualitative and quantitative studies were included, with no restrictions on language or publication year.</p><p><strong>Sources of evidence: </strong>PubMed, Scopus, and CINAHL Complete and reference lists of eligible articles.</p><p><strong>Charting methods: </strong>Abstracts were eligible for full-text review if they were (1) original research, (2) in humans, (3) about pregnancy, and (4) involved adult women with physical disabilities. Data were extracted by independent reviewers using Covidence software and assessed with a customized critical appraisal guide.</p><p><strong>Results: </strong>Five major topics characterized 171 reviewed articles: (1) rates of pregnancy, fertility, and termination or loss; (2) pregnancy complications and infant outcomes; (3) effects of pregnancy on physical function disease activity; (4) maternal care; and (5) social and interpersonal dimensions of pregnancy. Most studies were conducted in the Americas and Europe, and high-income countries used a quantitative design and were assessed to have a moderate risk of bias.</p><p><strong>Conclusions: </strong>This review highlights the need for future research to (1) build a stronger evidence base for tailored maternal care, (2) examine disability discrimination's impact on pregnancy outcomes, (3) develop interventions to reduce disability-related inequities, and (4) improve disability competence among maternal care providers.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251338424"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12107001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152952","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 strong Black woman stereotype and identity shifting among Black women in academic and other professional spaces.","authors":"Naomi M Hall, Danielle D Dickens, Kelly A Minor, Zharia Thomas, Cheyane Mitchell, Nailah Johnson","doi":"10.1177/17455057251335358","DOIUrl":"10.1177/17455057251335358","url":null,"abstract":"<p><strong>Background: </strong>Black women, relative to their Black male and White counterparts, may be more prone to experiencing racism and sexism in academic and other professional settings due to the \"double jeopardy\" or stigma of being both Black and a woman. Few studies have quantitatively studied how Black women in academic and professional spaces may mitigate the oppressive circumstances experienced by engaging in a coping strategy called identity shifting.</p><p><strong>Objectives: </strong>This study used an intersectional framework to investigate the relationships between the strong Black woman (SBW) stereotype, gendered racial identity centrality (GRIC), identity shifting, and mental health outcomes among 289 Black women (<i>M</i>_age = 29.46 years, SD = 10.74). It was hypothesized that there was a significant positive relationship between endorsement of the SBW schema, GRIC, and identity shifting. Additionally, we hypothesized the relationship between SBW and identity shifting is moderated by mental health such that more (a) depressive (b) and anxiety symptoms will result in a stronger relationship between stereotype endorsement and identity shifting strategies.</p><p><strong>Design: </strong>This study employed a quantitative, cross-sectional design using data collected in 2019 and 2020 from a larger validation study.</p><p><strong>Methods: </strong>Participants were recruited through emails, campus flyers, text messages, and social media postings. After providing informed consent, participants completed a 30- to 40-min online survey via Qualtrics.</p><p><strong>Results: </strong>There was partial support for the first hypothesis. While greater endorsement of the SBW stereotype by Black women did result in engagement with more identity shifting strategies, the relationship between these strategies and GRIC was not significant. The second hypothesis was not supported as mental health variables did not moderate the relationship between SBW and identity shifting.</p><p><strong>Conclusion: </strong>The importance of examining the gendered racial experiences of Black women is discussed, along with the importance of addressing SBW and identity shifting in academia and in professional workspaces.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251335358"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251264","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}