Women's health (London, England)最新文献

{"title":"Adapting and validating the satisfaction, alertness, timing, efficiency, and duration-breast cancer (SATED-BC) scale for measuring sleep health in Spanish women treated for breast cancer.","authors":"Ángela González-Santos, Mario Lozano-Lozano, Irene Cantarero-Villanueva, Paula Postigo-Martín, Lydia Martín-Martín, Rocío Gil-Gutiérrez, Roberto Muelas-Lobato, Maria Lopez-Garzon","doi":"10.1177/17455057241309779","DOIUrl":"10.1177/17455057241309779","url":null,"abstract":"<p><strong>Background: </strong>After breast cancer (BC), women may face other severe symptoms such as sleep problems. The use of simple, fast, and reliable scales is necessary in the clinic to improve patient benefits, and sleep is an important aspect to be addressed.</p><p><strong>Objective: </strong>This study was conducted to adapt and validate the Spanish version of the satisfaction, alertness, timing, efficiency, and duration (SATED) scale for measuring sleep health in women who have completed treatment for BC in Spain (SATED-BC).</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>The adaptation process involved adding a sixth item to the SATED-BC scale: \"the impact of symptoms experienced after completing breast cancer treatment on sleep\" item was not considered for scoring. The SATED-BC score ranged from 0 (poorest sleep health) to 10 (best sleep health). A validation analysis was performed using the Pittsburgh Sleep Quality Index, the Consensus Sleep Diary, and actigraphy, and the results were compared with those obtained using the SATED-BC scale.</p><p><strong>Results: </strong>The SATED-BC scale was reliable in terms of its internal consistency (Cronbach's α = 0.70; McDonald's ω = 0.72), showed high intrasubject reliability (<i>r</i> = 0.90), and was shown to be valid for use in women who have completed treatment for breast cancer.</p><p><strong>Conclusion: </strong>The SATED-BC scale is a reliable and valid tool for comprehensively evaluating sleep health in women who have completed treatment for breast cancer.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057241309779"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142966670","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":"Interest in digital health tools for miscarriage support: A qualitative assessment of Canadian women facing early pregnancy loss.","authors":"Breanna Flynn, Anjali Sergeant, Genevieve Tam, Megan Gomes, Roopan Gill","doi":"10.1177/17455057241311424","DOIUrl":"10.1177/17455057241311424","url":null,"abstract":"<p><strong>Background: </strong>Early pregnancy loss (EPL) occurs in 10%-15% of all pregnancies but remains an underrecognized and undertreated condition. In Canada, resources to support individuals and their partners facing EPL remain scarce despite a high burden of psychosocial sequelae. Digital health tools hold the potential to fill important gaps in reproductive healthcare.</p><p><strong>Objectives: </strong>We sought to better understand the perspectives of individuals who experienced pregnancy loss and explore how digital health tools could offer support.</p><p><strong>Design: </strong>We conducted a qualitative study with grounded theory methodology to address our objectives.</p><p><strong>Methods: </strong>The study was conducted between September 2021 and April 2022 in Ottawa, Canada. Participants between 18 and 45 years of age who resided in Canada and experienced EPL up to 12 + 6 week gestation within the last 2 years were included. Enrolled participants who provided informed consent completed a single in-depth interview. Data were analyzed iteratively by two trained research team members with thematic techniques supported by NVivo software.</p><p><strong>Results: </strong>Interviews were conducted with 14 participants who had experienced EPL. All participants identified as female and resided in Canada, with 28.6% (<i>n</i> = 4) between 26 and 30 years of age, and the remaining 71.4% (<i>n</i> = 10) between 31 and 40. Qualitative analysis identified three primary themes centered around participants' experiences of miscarriage, access to information and support for EPL in Canada, and desires and preferences for a digital miscarriage tool.</p><p><strong>Conclusion: </strong>Miscarriage is an emotionally difficult experience for women and their loved ones, who often do not receive timely and compassionate care within the healthcare system. Participants were highly motivated to co-develop a digital intervention for EPL that is designed to fill gaps in care. The digital companion would assist individuals through their miscarriage journey by providing evidence-based and locally relevant medical information as well as avenues to access both professional and informal forms of psychosocial support.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057241311424"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11765349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043822","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":"Analyzing the association between menstrual coitus and endometriosis' pathogenesis: A narrative review.","authors":"Giulia Emily Cetera, Maria Carmen Punzi, Camilla Erminia Maria Merli, Paolo Vercellini","doi":"10.1177/17455057241305072","DOIUrl":"10.1177/17455057241305072","url":null,"abstract":"<p><p>Across studies, the percentage of individuals reporting regularly engaging in menstrual coitus ranges between 4% and 43%. Although no clinical guideline recommends avoiding sexual activity during menstruation, according to some researchers such practice may favor both retrograde menstruation and sexually transmitted diseases, two phenomena that are thought to play a role in endometriosis' pathogenesis. Given this background, we analyzed the existing evidence regarding the association between menstrual coitus and the prevalence of endometriosis by conducting a PubMed database search on February 15, 2024. We considered all original, full-length studies written in English. Results were conflicting. When interviewing 489 infertile women, Filer and Wu found that the frequency of surgically diagnosed endometriosis was significantly higher among those engaging in menstrual coitus (17.5% versus 10.9%; <i>p</i> < 0.05). In their case-control study on 555 women with (<i>n</i> = 185) and without (<i>n</i> = 370) endometriosis, Mollazadeh and co-workers confirmed an increased risk of endometriosis among those engaging in menstrual coitus compared to those who did not (OR 5.23; 95% CI 2.16-12.66). However, in Meaddough and colleagues' retrospective case-control study on 2012 women, with (<i>n</i> = 1517) and without (<i>n</i> = 495) endometriosis, menstrual coitus was significantly less frequent in women with endometriosis compared to controls (27% versus 35%; <i>p</i> = 0.002). Treloar and co-workers also failed to prove such an association. The evidence available at the present moment is insufficient to confirm the hypothesis that menstrual coitus plays a role in the pathogenesis of endometriosis.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057241305072"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461088","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 social-network characteristics and postpartum health behaviors and weight among a sample of women who were overweight/obese pre-pregnancy.","authors":"Jacqueline Kent-Marvick, Bob Wong, Sara E Simonsen, Kristin G Cloyes, Michelle Precourt Debbink, Cristina Creal, Kayla de la Haye","doi":"10.1177/17455057251321872","DOIUrl":"10.1177/17455057251321872","url":null,"abstract":"<p><strong>Background: </strong>Retention of weight postpartum increases risk for long-term morbidity, including cardiometabolic disease. Although retained weight postpartum is a complex problem, interventions generally address individual diet and activity behaviors.</p><p><strong>Objectives: </strong>We investigated the impact of social-network factors on postpartum health behaviors and weight.</p><p><strong>Design: </strong>We used an explanatory-sequential mixed-methods approach. This article reports our quantitative findings.</p><p><strong>Methods: </strong>Childbearing people receiving care at university-based clinics were eligible if aged 18+, 12-15 months postpartum, with a pre-pregnancy BMI ⩾ 25 kg/m². An online survey collected participants' demographic and outcome data and structured surveys collected personal social-network data. Block stepwise linear regression identified associations between social-network features and postpartum health behaviors and weight.</p><p><strong>Results: </strong>One hundred women completed both surveys; 62% did not return to pre-pregnancy weight. Multivariable models found: (a) participants with lower postpartum weight ate meals with more people in their network (β = -0.173, <i>p</i> = 0.063); (b) lower consumption of sugar-sweetened beverages was associated with greater proportions of the network who were siblings (β = -0.231, <i>p</i> = 0.011), and who were perceived to eat a healthy diet (β = -0.201, <i>p</i> = 0.031); (c) higher consumption of fruit was associated with a greater proportion of the network who helped with participants' healthy-lifestyle goals (β = 0.288, <i>p</i> = 0.004), a smaller proportion of the network who were friends (β = -0.229, <i>p</i> = 0.022), and greater betweenness centrality (β = 0.302, <i>p</i> = 0.002); (d) lower consumption of fat was associated with smaller proportions of the network who were perceived to be sedentary (β = 0.288, <i>p</i> = 0.005), were friends (β = 0.311, <i>p</i> = 0.002), and were perceived to be normal weight (β = 0.202, <i>p</i> = 0.052) and with greater proportions of the network who encouraged participant goals (β = -0.257, <i>p</i> = 0.012) and were perceived to eat a healthy diet (β = -0.258, <i>p</i> = 0.015); (e) increased levels of activity were associated with a greater proportion of the network who were perceived to eat a healthy diet (β = 0.192, <i>p</i> = 0.044).</p><p><strong>Conclusion: </strong>Results revealed evidence for the role of social-network norms, support, and structure in postpartum health behaviors and weight. Understanding social environments' impact on postpartum health behaviors and weight is essential in approaching the problem from a multilevel/domain approach.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251321872"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607529","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 predictors of postpartum depression in women in Kosovo.","authors":"Liridona Jemini Gashi, Dardana Fetahu, Berata Sutaj, Morea Sahatqija, Xheneta Selimi","doi":"10.1177/17455057251325944","DOIUrl":"10.1177/17455057251325944","url":null,"abstract":"<p><strong>Background: </strong>Postpartum depression (PPD) is a common mood disorder affecting women's mental health.</p><p><strong>Objectives: </strong>This study aimed to explore the prevalence and predictors of PPD among women in Kosovo, including maternal age, economic status, mode of delivery, infant diet, and social support.</p><p><strong>Design: </strong>This is a quantitative cross-sectional study. Data were collected within a specified time.</p><p><strong>Methods: </strong>The Edinburgh Postnatal Depression Scale (EPDS) and Multidimensional Scale of Perceived Social Support (MSPSS) were administered to 192 women aged 18 to 49 years. Percentage, Kruskal-Wallis, Spearman's correlation, and regression analyses were used to analyze the data based on the research hypotheses.</p><p><strong>Results: </strong>The prevalence of possible PPD disorder was 49.5%. Significant differences were found in average depression based on economic status, maternal age, and diet. Although there were differences in the ranking of the means, no significant differences were found in the modes of delivery. Spearman's correlational analysis showed a significant negative relationship between PPD and the subdimensions of social support, especially family support (ρ = -0.57, <i>p</i> < 0.001). Multiple regression analysis revealed that maternal age, economic status, and infant diet were significant predictors of PPD (<i>p</i> < 0.05), whereas the mode of delivery was not a significant predictor (<i>p</i> > 0.05). Social support emerged as the strongest predictor, with higher perceived social support associated with lower depression scores.</p><p><strong>Conclusion: </strong>These findings highlight the crucial role of social support in alleviating PPD and underscore the importance of providing support during this period to facilitate better outcomes.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251325944"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756346","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 Effect of an advanced nurse practitioner led menopause clinic on quality of life and menopausal symptoms.","authors":"Catriona Keye","doi":"10.1177/17455057251324573","DOIUrl":"10.1177/17455057251324573","url":null,"abstract":"<p><strong>Background: </strong>Research suggests women feel there is a lack of information and support around menopause leading them to be unprepared for the transition. Menopause care requires the practitioner to provide women with accurate information regarding symptoms and treatment. Advanced nurse practitioners (ANPs) have been found to have the knowledge and skills to provide high-quality, safe, individualized holistic healthcare. An ANP-led menopause clinic was established following intense mentorship/competency assessment and completion of industry standard courses to ensure evidence-based best practice.</p><p><strong>Objectives: </strong>To evaluate any change in quality of life (QoL) and menopause symptoms of patients pre- and post-education and initiation of menopause hormonal treatment (MHT) using the QoL assessment tool, the Greene Scale in an ANP-led menopause clinic.</p><p><strong>Design: </strong>This interventional study was carried using GUIDED, Guidance for reporting intervention development studies in health research. This quantitative audit used the Greene Scale tool to measure symptoms and QoL before and after the appointment with the ANP.</p><p><strong>Methods: </strong>A search of the patient database was conducted to identify patients returning for the 3-monthly review post initial consultation and initiation of MHT (<i>n</i> = 15). Data were collected on the modified Greene Scale instrument. The sample was randomly selected by identifying every second patient on a single medical surgery database. Statistical analysis was ascertained utilizing central tendency excel functionality. The statistical significance of the data was assessed using a two-tailed paired <i>t</i>-test. <i>p</i>-values of less than 0.05 were considered statistically significant.</p><p><strong>Results: </strong>An ANP-led menopause clinic in accordance with evidence-based guidelines, including education and treatment improved the overall QoL to a statistical significance. In addition, menopausal symptom reduction occurred in all 20 symptoms as measured in the modified Greene Scale, 19 of which to a statistical significance.</p><p><strong>Conclusion: </strong>The study revealed an improvement in QoL and menopausal symptoms in an ANP-led menopause clinic. ANP-led menopause clinics could be a great addition to the workforce providing patients with timely menopause care. Further studies could build on this analysis by including other variables such as comorbidities, demographics, and patient's perspective.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251324573"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766049","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 clinicians training on their knowledge of abortion and postabortion care in six hospitals in Rwanda.","authors":"Jean Pierre Bucyebucye, Patrick Gatsinzi Bagambe, Diomede Ntasumbumuyange, Gerard Kaberuka, Zubeda Igiraneza, Marie Laetitia Ishimwe Bazakare, Thomas Ugiruwatuma, Alice Igiraneza, Charlotte Ntakirutimana, Samson Habimana","doi":"10.1177/17455057251320706","DOIUrl":"10.1177/17455057251320706","url":null,"abstract":"<p><strong>Background: </strong>Complications of unsafe abortion are public health issue and account for 13% of maternal mortalities globally. Maternal mortality in Rwanda remains high at 203/100,000 live births. Prevalence of unintended pregnancy in Rwanda is estimated at 12%, abortion-related complications are estimated at 10.7 per 1000 and abortion-related maternal mortality remains high (8%). Existing literature suggests that many clinicians face challenges in delivering reproductive health services, including abortion and postabortion care. These challenges often caused by a lack of confidence and insufficient training.</p><p><strong>Objective: </strong>This study aimed to assess the effect of training medical doctors on their knowledge of abortion and postabortion care in Rwanda.</p><p><strong>Design: </strong>A quasi-experimental design was used.</p><p><strong>Methods: </strong>We trained clinicians from six hospitals in Rwanda on abortion and postabortion care using updated national guidelines and the WHO Safe Abortion Care Guideline. Clinicians were trained in 3-h-long sessions over 3 months including lecture and self-learning using shared guidelines books during this period. Pretest and posttest were implemented. In total, four training sessions were held. Training was theoretical only. We compared pretest and posttest scores using paired <i>t</i>-test; <i>p</i> value <0.05 was considered statistically significant.</p><p><strong>Results: </strong>Thirty medical doctors from district and referral hospitals were trained. There was an increase in marks between pretest and posttest. This increase was statistically significant among trainees from three district hospitals with <i>p</i> values 0.046, <0.001, and <0.001, respectively. This increase was statistically significant among both gender groups of participants with <i>p</i> value of 0.005 and 0.001 for male and female trainees, respectively. There was no statistically increase in marks for trainees in teaching hospitals (<i>p</i> value = 0.168).</p><p><strong>Conclusion: </strong>We found a statistical increase in marks comparing pre- and posttest scores for clinicians attending district hospitals. This increase was observed in both male and female trainees. This increase in marks suggests that the training had a positive impact on clinicians' knowledge that impacted their decision making and elaboration of management plan for abortion and postabortion care provision.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251320706"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12062636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033384","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":"Day case total laparoscopic hysterectomy in a low resource setting: A descriptive analysis.","authors":"Vishal Bahall, Keevan Singh, Lance De Barry","doi":"10.1177/17455057251331766","DOIUrl":"10.1177/17455057251331766","url":null,"abstract":"<p><strong>Background: </strong>A laparoscopic approach to hysterectomy can significantly reduce patient morbidity and improve the quality of recovery. Subsequent perioperative advances have led to an increasingly shorter hospitalization period following laparoscopic surgery, with the same-day discharge being common. However, due to infrastructural challenges, these shorter times to discharge have mostly been limited to developed countries.</p><p><strong>Objectives: </strong>To provide a descriptive analysis and evaluate the safety and feasibility of day-case laparoscopic hysterectomy in Trinidad and Tobago.</p><p><strong>Design: </strong>A retrospective analysis of all total laparoscopic hysterectomies over a 3-year period at a secondary medical center in Trinidad and Tobago.</p><p><strong>Methods: </strong>The medical records of 154 women who underwent total laparoscopic hysterectomy (TLH) from January 2020 to January 2023 were reviewed. Patient demographics, indications for surgery, perioperative variables, requirements for any additional operative procedures, and perioperative complications were recorded and analyzed. The perioperative management protocol was also outlined.</p><p><strong>Results: </strong>The most common indication for TLH was uterine leiomyoma (45%), followed by endometrial cancer (17.5%). In this study, 96% of patients were discharged satisfactorily within 24 h of surgery, and the mean ± standard deviation (SD) duration of hospitalization was 21 ± 2 h. The mean ± SD surgical time was 91 ± 36 min, and the average estimated blood loss was 93 ± 31 ml. No patients required postoperative blood transfusion. No postoperative opioids were required in 41% of patients, and no perioperative mortality was recorded in this study, with no patients requiring re-operation. Four postoperative complications were noted (2.6%), and this included two patients who developed deep vein thrombosis (DVT) (1.3%), one port-site infection (0.6%), and one case of pulmonary embolism (0.6%). The 30-day readmission rate was 1.9%, and this comprised the patients with DVT and pulmonary embolism. On subgroup analysis, there was no difference in surgical time between patients with body mass index >30 kg/m², uterine size >12 weeks, and previous abdominal surgery (<i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>Day-case laparoscopic hysterectomy is feasible in a low-resource setting like Trinidad and Tobago. The procedure is safe and associated with a low postoperative complication rate.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251331766"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058839","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":"\"Don't You Love Me?\" Abusers' use of shame-to-guilt to coercively control 2SLGBTQQIA+ individuals and rural women experiencing intimate partner violence.","authors":"Stefan Kurbatfinski, Nicole Letourneau, Jason Novick, Susanne Marshall, Keira Griggs, Dawn McBride, Kendra Nixon","doi":"10.1177/17455057251335361","DOIUrl":"10.1177/17455057251335361","url":null,"abstract":"<p><strong>Background: </strong>Abusers' use of manipulative behaviors to trigger feelings of shame-to-guilt (a process through which abusers shame their partners to incur feelings of guilt) among their 2SLGBTQQIA+ and rural women intimate partners is a type of emotional abuse used to coercively control their partners.</p><p><strong>Objective: </strong>This study investigated the different tactics that abusers use to shame-to-guilt their partners who identify as 2SLGBTQQIA+ and/or reside in rural areas.</p><p><strong>Design: </strong>A qualitative design was used to conduct this study.</p><p><strong>Methods: </strong>We used data from two larger studies to undertake thematic analysis using semi-structured interviews with Albertan 2SLGBTQQ+ (<i>n</i> = 18; no participants identified as intersex or asexual) and rural women (<i>n</i> = 11) who experienced shame-to-guilt behaviors along with service providers who worked with these groups (<i>n</i> = 24).</p><p><strong>Results: </strong>Seven themes were identified based on participants' experiences, including shaming identity in relation to gender and sexual orientation (manifesting differentially between 2SLGBTQQ+ and rural women participants), emotional and sexual manipulation, threats of death by suicide (predominating among 2SLGBTQQ+ individuals), apologies and vacuous promises as components of the cycle of abuse, using one's parenting and children's well-being to manipulate partners, the use of health conditions and faking illness, and the use of religion or faith to reinforce gender standards.</p><p><strong>Conclusion: </strong>For 2SLGBTQQIA+ and rural women groups, situating shame-to-guilt behaviors within the cycle of abuse is important information that has not been explored extensively in the intimate partner violence literature. For individuals self-identifying as 2SLGBTQQIA+ or women living rurally, the means through which they are shamed-to-guilt intersects with their unique identities and positionality. Therefore, recommendations are presented to help these groups rebuild their identities when shame-to-guilt behaviors were experienced as part of the abusive dynamic.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251335361"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12046170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061524","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":"Experiences of Canadian perinatal care during the COVID-19 pandemic: Analysis of open-ended survey responses.","authors":"Sigourney Shaw-Churchill, Karen P Phillips","doi":"10.1177/17455057251331696","DOIUrl":"10.1177/17455057251331696","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic caused significant socioeconomic and healthcare disruptions in Canada. COVID-19 healthcare policies and local infection rates varied considerably across Canada's geographically diverse, multijurisdictional healthcare system. Emergence of highly transmissible COVID-19 variants and widespread COVID-19 vaccination mandates in Fall 2021 further impacted life in Canada. The experiences of pregnant people, in particular, were challenged by COVID-19 outbreaks, Canadian hospital policies, and local public health restrictions.</p><p><strong>Objective: </strong>This study explored experiences of Canadian perinatal care in the context of the COVID-19 pandemic.</p><p><strong>Design: </strong>Online, cross-sectional survey with qualitative analysis.</p><p><strong>Methods: </strong>Individuals pregnant after January 1, 2020 who received perinatal care in Canada participated in our Pandemic Pregnancy Experiences eSurvey, September 1, 2021 to February 1, 2022. Open-ended survey responses were qualitatively evaluated by thematic and content analysis. Codes were identified both deductively and inductively, categorized using principles of woman-centered care, and developed into major and minor themes.</p><p><strong>Results: </strong>Prenatal care and COVID-19 vaccination experiences were evaluated from 362 participants, with 234 participants also elaborating on their labor and delivery (L&D) care. Major themes organized by woman-centered care category as follows: Choice of Healthcare Provider (good quality healthcare provider, barriers to provider of choice), Autonomy-Healthcare (autonomy empowered, autonomy impacted), Choice of Delivery Place (wanted hospital birth, got hospital birth), Choice of Support Companion(s) (no support companion for prenatal appointments, hospital restrictions L&D support companion(s)), and, Autonomy-COVID-19 Vaccination (vaccinated while pregnant/breastfeeding).</p><p><strong>Conclusions: </strong>Pregnancy and birth experiences were generally positive; however, both COVID-19 and existing constraints of provincial/territorial healthcare systems impacted Canadian perinatal experiences. Limited choice of healthcare provider type and access to prenatal and L&D support companion(s) affected perinatal care satisfaction.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251331696"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065085","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}