Women's health (London, England)最新文献

{"title":"Maternal risk factors contributing to stillbirths in semi-rural Ghana: Insights from a cross-sectional study.","authors":"Silas Adjei-Gyamfi, Abigail Asirifi, Gafaru Mamudu, Wisdom Peprah, Clotilda Asobuno, Constance Siakwan Dapaah, Paul Armah Aryee","doi":"10.1177/17455057251376876","DOIUrl":"10.1177/17455057251376876","url":null,"abstract":"<p><strong>Background: </strong>Stillbirth remains a critical public health challenge in low- and middle-income countries, impeding progress toward achieving the Sustainable Development Goals. Given the diverse dynamics of the prevalence and associated factors of stillbirths in various low-resource settings, such as Ghana, it is essential to have comprehensive knowledge to address and mitigate these factors that could influence stillbirths. However, there is a paucity of data on maternal factors contributing to stillbirths in semi-rural areas of Ghana.</p><p><strong>Objective: </strong>This study aimed to determine the prevalence and associated maternal factors of stillbirths in semi-rural Ghana.</p><p><strong>Design: </strong>This is a cross-sectional study that utilised a quantitative approach.</p><p><strong>Methods: </strong>The study was conducted among 422 mothers who delivered in public health facilities and reside in the Savelugu Municipality of Northern Ghana. Sociodemographic, obstetric, and medical-related data were gathered through structured interviews and from record reviews. Chi-square test of proportions and multiple logistic regression analyses were employed to identify the independent factors associated with stillbirths at a 95% confidence level.</p><p><strong>Results: </strong>Stillbirth rate was estimated at 4.0% (95%CI: 2.4%-6.4%). The analysis revealed that anaemia in the third trimester of pregnancy (aOR:3.15; 95%CI:2.94-6.10; <i>p</i> = 0.034), positive sickle cell status (aOR:2.91; 95%CI:2.50-5.01; <i>p</i> = 0.018), and non-utilisation of insecticide-treated bed nets (ITNs) (aOR:7.75; 95%CI:4.33-8.80; <i>p</i> = 0.001) during pregnancy were significantly associated with increased risk of stillbirths.</p><p><strong>Conclusion: </strong>The relatively high prevalence of stillbirths in the municipality was influenced by medical factors (particularly anaemia and positive sickle cell status) and unsafe health practices via the non-use of ITNs during pregnancy. The management of the Ghana Health Service, alongside programme planners and other stakeholders involved in enhancing perinatal and maternal health, should focus on implementing effective initiatives such as improved health education on nutrition and safety practices at the facility and community levels, as well as robust referral systems to prevent and reduce stillbirths in semi-rural Ghana.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251376876"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12515332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260125","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":"Relationship between MASLD and women's health: A review.","authors":"Pavlina Jancova, Khaled Ismail, Lucie Vistejnova","doi":"10.1177/17455057251376883","DOIUrl":"https://doi.org/10.1177/17455057251376883","url":null,"abstract":"<p><p>Metabolic dysfunction-associated steatotic liver disease (MASLD; formerly non-alcoholic fatty liver disease, NAFLD) is a common chronic liver disease strongly linked to obesity, metabolic syndrome (MetS), and type 2 diabetes. It starts as benign hepatic steatosis, but may progress to severe fibrosis, cirrhosis, or hepatocellular carcinoma. Today, MASLD represents one of the leading indications for liver transplantation. This review summarizes current knowledge on MASLD, including its pathogenesis, management strategies, regional disparities, and its specific relevance to women's health. The influence of sex hormones on MASLD has been documented. Polycystic ovary syndrome (PCOS) and the menopause increase MASLD prevalence by more than twofold. Moreover, PCOS increases the risk and severity of MASLD, independent of BMI. The role of menopausal hormone replacement therapy in MASLD remains controversial. However, transdermal estrogen and micronized progesterone or dydrogesterone seem to be more appropriate options. In pregnancy, MASLD is associated with >3-fold increased risk of gestational diabetes and preeclampsia. It may also increase the risk of MASLD development in the offspring-an effect that appears to be mitigated by breastfeeding for longer than six months. Given these findings, it is essential that clinicians involved in women's healthcare are aware of MASLD and its implications across the female lifespan.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251376883"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314381","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":"Timelines of psychological, physical and sexual intimate partner violence among a nationally representative sample of Australian women.","authors":"Elizabeth McLindon, Minerva Kyei-Nimakoh, Fiona C Giles, Kelly M FitzPatrick, Laura Tarzia, Kelsey Hegarty","doi":"10.1177/17455057251329640","DOIUrl":"10.1177/17455057251329640","url":null,"abstract":"<p><strong>Background: </strong>Violent and abusive behavior in relationships causes immense individual and community harm. Mapping the emergence of different types of abuse over time and recognising behavioral patterns, could enable more targeted intimate partner violence (IPV) prevention, screening, and early intervention. While there has been some qualitative research into early warning signs of abuse and escalating homicide risks in relationships, no known studies have asked a large sample of survivors to document the sequence of abusive behaviors in a recent relationship.</p><p><strong>Objectives: </strong>To explore timelines of psychologically, physically, and sexually abusive behaviors and life events in a recent relationship (during the last 5 years) to create a macro timeline of abuse.</p><p><strong>Design: </strong>Cross sectional survey of a nationally representative sample (gender, age, state, locality).</p><p><strong>Data sources and methods: </strong>Eight hundred and fifteen Australian IPV women survivors.</p><p><strong>Results: </strong>Results indicated that psychological abuse was a feature of most violent relationships, and almost always underpinned physical and sexual abuse. Psychological abuse often began before couples moved in together, while physical and sexual abuse came later. The earliest indicators for survivors that something was wrong was being isolated from others and feeling controlled by their partner. For many survivors, growing concern about the impact of abuse on their children occurred around the same time as leaving their relationship and trying to get help.</p><p><strong>Conclusion: </strong>Findings indicate a pattern of escalating behaviors over the course of a relationship that are consistent with the concept of coercive control. The macro timeline contains important learnings for intervening early with future survivors.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251329640"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12163306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268131","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":"Clitoral reconstruction and psychosexual care after female genital mutilation/cutting: Assessment of multidisciplinary care.","authors":"Muriel Meyer, Gideon Sartorius, Jasmine Abdulcadir","doi":"10.1177/17455057251315814","DOIUrl":"10.1177/17455057251315814","url":null,"abstract":"<p><strong>Background: </strong>Multidisciplinary care following female genital mutilation/cutting (FGM/C) can consist of surgical interventions such as clitoral reconstruction (CR) in combination with individualized psychosexual care (PC). Evidence on both treatments, alone or in association, is limited.</p><p><strong>Objectives: </strong>To investigate the overall satisfaction with PC only or PC in combination with CR.</p><p><strong>Design: </strong>Cross-sectional study of women who attended the FGM/C outpatient clinic under study and asked for CR between January 2013 and November 2021.</p><p><strong>Methods: </strong>Data were collected through questionnaire-based interviews on motivations for asking for CR, psychological well-being (World Health Organization-Five Well-Being Index), sexual response (Female Sexual Function Index), vulvar pain, genital self-image (Female Genital Self-Image Scale), overall satisfaction with the care received, and, in the case of CR, postoperative complications.</p><p><strong>Results: </strong>The 20 women included underwent therapy primarily to feel repaired or reconstructed and to improve their sexual function. Mean overall satisfaction with the care was rated 8.95/10 ± 1.39. Twelve (60%) received CR in combination with PC. Eight (40%) received PC only. Women who received combined therapy reported higher overall satisfaction (9.17 versus 8.57), psychological well-being (17.8 versus 9.25), sexual response (31.22 versus 21.56), and genital self-image (25.60 versus 17.60) in comparison with those who only received PC. The main surgical complications were minor postoperative bleeding and one painful wound infection triggering a relapse of posttraumatic stress disorder.</p><p><strong>Conclusion: </strong>Tailored PC and CR after FGM/C seem to improve psychosexual health, well-being, body image, and pain.<b>Registration:</b> ClinicalTrials.gov (NCT05026814).</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251315814"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756340","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":"Modern contraceptive discontinuation and associated factors among adolescent girls and young women in Tanzania: An analysis of a nationally representative data.","authors":"Victoria J Solomon, Shadrack E Kibona, Elevatus N Mukyanuzi, Christopher H Mbotwa","doi":"10.1177/17455057251318379","DOIUrl":"10.1177/17455057251318379","url":null,"abstract":"<p><strong>Background: </strong>Contraceptive use is vital in reducing the risk of unintended pregnancies and early motherhood. Despite the well-established benefits, the uptake of modern contraceptive methods among adolescent girls and young women (AGYW) is sub-optimal in sub-Saharan Africa. Furthermore, the discontinuation rate of modern contraceptive use poses a significant challenge to its effectiveness.</p><p><strong>Objective: </strong>We aimed to determine a 12-month modern contraceptive discontinuation rate, reasons for discontinuation, and associated factors among AGYW in Tanzania.</p><p><strong>Design: </strong>Retrospective nested within the cross-sectional utilizing quantitative approach.</p><p><strong>Methods: </strong>We retrospectively analysed calendar data on contraceptive use collected in the 2022 Tanzania Demographic and Health Survey (2022 TDHS). The 2022 TDHS data collection was implemented between February and July 2022. The study population comprised AGYW aged 15-24 years. The unit of analysis was the contraceptive episode of use, defined as the period between the start of use and the termination of the method. Our analysis was mainly based on the discontinuation due to dissatisfaction with the method. We used a life-table method to estimate the contraceptive discontinuation rates. A frailty model was employed to assess the factors associated with the discontinuation rate.</p><p><strong>Results: </strong>A total of 668 AGYW with a mean (±standard deviation) age of 21.5 ± 2.1 years were included in the analysis. The overall prevalence of 12-month discontinuation rate due to dissatisfaction with the method was 32.3%. Higher discontinuation rates were observed among injectable and pills. The main reasons for discontinuation were side effects (13.7%) and change in menstrual cycle (8%). Factors associated with higher discontinuation rates included higher age (adjusted hazard ratio (aHR) 1.64, 95% confidence interval (CI) 1.06-2.51 for the 20-24 age group), residing in households headed by a female (aHR 1.40, 95% CI 1.05-1.85), and residing in the western zone (aHR 1.87, 95% CI 1.21-2.90).</p><p><strong>Conclusion: </strong>This study revealed a high prevalence rate of modern contraceptive discontinuation among AGYW in Tanzania. The management of side effects needs to be incorporated into programs aimed at promoting the sustained use of modern contraceptive methods.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251318379"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143367025","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":"\"Infertility frightened me\": Violence among infertile couples in Jordan.","authors":"Rachel Hall-Clifford, Zaid Al Hamdan, Irina Bergenfeld, Hala Bawadi, Wardha Mowla, Jehan Hamdaneh, Hussein Al Salem, Cari Jo Clark","doi":"10.1177/17455057251322815","DOIUrl":"10.1177/17455057251322815","url":null,"abstract":"<p><strong>Background: </strong>Women in couples experiencing infertility are at heightened risk for intimate partner violence (IPV) from husbands and domestic violence (DV) from family. Couples experiencing infertility in Jordan, a patriarchal culture with high rates of IPV and DV, are particularly vulnerable. This article explores the gendered similarities and differences in the experiences of mental health, social support, exclusion, and IPV.</p><p><strong>Objectives: </strong>The objectives of this study are to understand both men and women's perspectives on their experiences of infertility and to develop intervention strategies to reduce IPV among married couples experiencing infertility.</p><p><strong>Design: </strong>This study is a descriptive, observational study.</p><p><strong>Methods: </strong>Through quantitative surveys and in-depth qualitative interviews, we examined key themes including: challenges to mental health and well-being; reproductive health and fertility care-seeking; experiences of shame, isolation, and discrimination; coping skills; sources of support; and challenges within spousal and family relationships.</p><p><strong>Results: </strong>In this article, we analyze primary areas of gender discordance and discuss how gendered experiences can shape implementation of psychosocial support intervention programs to prevent IPV. Our findings provide important insight into facilitators and barriers to prevention of IPV in this vulnerable group.</p><p><strong>Conclusion: </strong>We conclude that providing both women and men with culturally appropriate support during fertility treatment-seeking can improve psychosocial health and couple functioning and ultimately to reduce the occurrence of IPV in this vulnerable population.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251322815"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525407","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":"Improving cervical cancer health literacy in Arabic-speaking immigrant women in the United States through an online patient education tool.","authors":"Amira M Zayed, Saria Nassar, Jenny Chang, Layla Dalati, Heike Thiel de Bocanegra","doi":"10.1177/17455057251323214","DOIUrl":"10.1177/17455057251323214","url":null,"abstract":"<p><strong>Background: </strong>Low health literacy rates especially among the medically underserved have called for more understandable and actionable resources to involve patients in their health. The online audio-visual Reproductive Health Network (ReproNet) cervical cancer tool was shown to improve cervical cancer health literacy among marginalized English- and Spanish-speaking populations and Arab and Afghan immigrants in a group setting.</p><p><strong>Objective: </strong>This study aimed to determine whether or not the cervical cancer tool positively impacts health literacy for Arabic-speaking Middle Eastern or North African first- and second-generation immigrant women in the United States when self-administered.</p><p><strong>Design: </strong>In this single-group pre-post interventional study, a convenience sample of 95 Arabic-speaking immigrant women in the United States, ages 18 and over, reviewed an online cervical cancer patient education tool and completed pre- and post-tests.</p><p><strong>Methods: </strong>Participants received links to the tool and to pre- and post-tests, using the cervical cancer literacy assessment tool. We conducted McNemar tests and paired <i>t</i>-tests to compare pre- and post-test results in health literacy per participants. A multivariate regression model was fitted to test the association between demographic variables and the change of cervical cancer literacy content domains, controlling for the baseline scores before administering the tool.</p><p><strong>Results: </strong>Out of 118 participants, 95 participants had complete pre- and post-tests. Health literacy increased overall after self-administration of the tool, specifically in terms of cervical cancer prevention and control (<i>p</i> < 0.01). There were no significant differences in knowledge in U.S.-born versus foreign-born Arabic-speaking women (<i>p</i> = 0.6660).</p><p><strong>Conclusion: </strong>The self-administration of the ReproNet cervical cancer tool most significantly increases awareness and knowledge of cervical cancer prevention in Arabic-speaking first- and second-generation immigrant women, thus pointing to increased quality of the provider-patient relationship.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251323214"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525415","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":"Fertility desire and associated factors among reproductive age women attending antiretroviral therapy at public hospitals in Eastern Ethiopia.","authors":"Legesse Abera, Betelhem Mengistu, Mickiale Hailu, Mawerdi Adem, Daniel Tadesse","doi":"10.1177/17455057251320481","DOIUrl":"10.1177/17455057251320481","url":null,"abstract":"<p><strong>Background: </strong>Human immune virus (HIV) remains a major cause of death in children and women worldwide. Women's desire to have children in the future has significant implications for the transmission of the human immune deficiency virus to sexual partners and newborns. People living with HIV desire to have children, and counseling by their healthcare providers plays a critical role in ensuring planned pregnancies and minimizing mother-to-child transmission. However, in many settings, a large majority of HIV-positive women who desire more children do not discuss reproductive health and childbearing with their healthcare providers. The objective of this study was to assess fertility desire and associated factors among reproductive age women living with a HIV attending antiretroviral therapy (ART) in public hospitals in Eastern Ethiopia.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>A facility-based cross-sectional study was conducted on November 01-30, 2022 among 598 reproductive age women attending ART clinics in public hospitals in Eastern Ethiopia. A systematic random sampling technique was used to select the participants. Data were collected from five female nurses through face-to-face interviews using a structured and pre-tested questionnaire. Data were entered into Epi-Data 3.1 and analyzed using IBM SPSS version 24. Bivariate and multivariable logistic regression analyses were performed. Variables with a <i>p</i>-value <0.25 in bivariate analysis were included in the multivariable logistic regression analysis. Variables associated with desire for fertility were declared at <i>p</i>-value <0.05, with adjusted odds ratio (AOR) and 95% confidence intervals (95% CI).</p><p><strong>Results: </strong>This study showed that 42.0% (95% CI: 31.7%-52.28%) of women had a desire for fertility. Women aged (15-24) (AOR = 2.52, 95% CI: 1.58-3.50), married women (AOR = 3.21, 95% CI 1.42-5.11), having no children (AOR = 1.94, 95% CI: 1.51-2.52), and desire to have children (AOR = 2.98, 95% CI: 1.84-4.12) were significantly associated with desire for fertility.</p><p><strong>Conclusion: </strong>This study revealed that a significant proportion of women desire fertility despite their positive status. Moreover, being young, married, having no child, and having a partner's desire to have children were factors associated with the desire for fertility.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251320481"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712536","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":"Improving women's health and well-being by exploring the impact of emotional, physical, and sexual intimate partner violence.","authors":"Bertac Vall, Jaume Grané-Morcillo, Nóra Regös, Alessandra Pauncz, Marianne Hester","doi":"10.1177/17455057251324321","DOIUrl":"10.1177/17455057251324321","url":null,"abstract":"<p><strong>Background: </strong>Over the past two decades, several studies have highlighted the harmful mental and physical effects of intimate partner violence (IPV) on its victims. However, more repeated measures research is needed to observe the long-term health and emotional effects of IPV. This includes how these impacts change when violence is reduced or ceases, such as when the perpetrator receives intervention. Further limitations of existing research include the lack of data on abuse frequency, severity, and impacts linked with specific forms of abuse.</p><p><strong>Objectives: </strong>This research explores the impacts on IPV victims whose abusive (ex-)partners participate in perpetrator programs (PPs). It aims to identify distinct patterns of impacts associated with different IPV types and pinpoint the most damaging IPV behaviors through repeated measures data.</p><p><strong>Design: </strong>Longitudinal.</p><p><strong>Methods: </strong>In total, 349 heterosexual women, who were (ex-)partners of men enrolled in multiple European gender-based violence PPs, completed the Impact Outcome Monitoring Toolkit questionnaire.</p><p><strong>Results: </strong>The results showed that emotionally abusive behavior and-especially coercive control and online violence-were highly prevalent and had profound, alarming impacts, including self-harm and suicidal ideation. Over two-thirds of the sample reported experiencing sadness as a result of the violence endured, which was identified as a significant impact. Moreover, isolation had a common effect on emotional and physical violence. Recognizing threats and their damaging effects on victims has emerged as crucial because of their impact on victims. Finally, sexual violence, refusing to use contraception and forcing sex were the most damaging behaviors. Interestingly, our study found specific impacts of extreme abusive behavior depending on the type of abuse.</p><p><strong>Conclusion: </strong>This study clearly supports the statement that the impact of abusive behavior can persist after it ends, as half of the victims no longer experiencing violence at the end of the PP reported at least one impact.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251324321"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12033425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037114","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":"On-demand robotic surgery for hysterectomies: A combination of the best of robotic and laparoscopic approach.","authors":"Sara Imboden, Damaris Erhardt, Siegenthaler Franziska, Mueller Michael David","doi":"10.1177/17455057251325029","DOIUrl":"10.1177/17455057251325029","url":null,"abstract":"<p><strong>Background: </strong>The advantage of robot-assisted hysterectomy over standard laparoscopy remains controversial. Conventional robots offer limited flexibility to the surgeon. The novel, Dexter robotic system™, allows integration and easy switch between the laparoscopic and robotic interface.</p><p><strong>Objectives: </strong>This study's objective is to evaluate the feasibility of using Dexter for robot-assisted laparoscopic hysterectomies by analyzing surgical data and intra- and postoperative complication rates.</p><p><strong>Design: </strong>Retrospective study.</p><p><strong>Methods: </strong>Women who underwent surgery using the Dexter robotic system at a University Hospital in Switzerland from March to December 2022 were included in this study. A comprehensive database containing coded demographic and clinical outcome data for these patients was analyzed for surgical data and intra- and postoperative complications.</p><p><strong>Results: </strong>We collected and evaluated data from 24 patients who underwent Dexter robot-assisted hysterectomies for indications like endometrial cancer, endometriosis, and uterine fibroids. For all patients, a hysterectomy was accompanied by other procedures such as radical lymphadenectomy or deep infiltrating endometriosis surgery that was mostly performed by conventional laparoscopy. The mean operating time was 171.9 min, with an average estimated blood loss of 130.8 ml. The patients stayed at the hospital for an average of 4 days. Clavien-Dindo grade III postoperative complications were reported in four patients with three vaginal dome infections and one umbilical (camera arm) trocar hernia. Importantly, there were no intraoperative complications or conversion to laparotomy among the operated patients.</p><p><strong>Conclusion: </strong>We present the first retrospective study reporting the feasibility of Dexter in robot-assisted laparoscopic hysterectomies. All surgeries were performed successfully without technical failure or device-related adverse events. In contrast to the other robotic systems, Dexter offers an on-demand platform, allowing the surgeon to switch between laparoscopic and robotic interfaces as required. Further research is needed to validate its potential advantages and broader applicability.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251325029"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733538","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}