{"title":"The effect of web-based breastfeeding education given to primiparous pregnant women: a randomised controlled study.","authors":"Elif Velioğlu, Nurdan Demirci","doi":"10.29063/ajrh2024/v28i12.7","DOIUrl":"https://doi.org/10.29063/ajrh2024/v28i12.7","url":null,"abstract":"<p><p>This was a randomised controlled study to investigate the effect of web-based breastfeeding education given to primiparous pregnant women on postpartum breastfeeding. The study included a total of 120 primiparous pregnant women, including control group (n:60) and experimental group (n:60). The study was conducted in a district in northern Turkey. Only the pregnant women in the experimental group received web-based breastfeeding education. Descriptive statistics and independent two-sample t-test analysis were used to analyse the data and to compare the demographic characteristics and scale scores according to the groups. 'IOWA Infant Feeding Scale', \"Edinburgh Depression Scale\", \"IMDAT\", \"Breastfeeding Self-Efficacy Scale\", \"Perception of Insufficient Milk Scale\" and \"Breastfeeding Motivation Scale\" were administered to the experimental and control groups on the 7th day, 3rd month and 6th month after birth. Several factors, including breastfeeding motivation, breastfeeding self-efficacy, and the perception of milk sufficiency for the baby, were significantly different between the groups (p<0.001). A significant difference was found between the two groups in terms of mothers breastfeeding their babies within the first half hour after birth. All of the mothers in the experimental group breastfed their babies within the first half hour. Breastfeeding self-efficacy and motivation levels in the experimental group showed a statistically significant increase when compared to both pre-training levels and the control group. (Clinical Trials Number: NCT06443801).</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"28 12","pages":"61-72"},"PeriodicalIF":0.7,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"What does a Trump presidency mean for maternal and infant health in Africa?","authors":"Anne Baber Wallis","doi":"10.29063/ajrh2024/v28i12.1","DOIUrl":"https://doi.org/10.29063/ajrh2024/v28i12.1","url":null,"abstract":"<p><p>It is sometimes said that when America sneezes, the world catches a cold. The opposite scenario may also apply: a healthy and progressive American economy and democracy provides needed resources and hope to many parts of the world, including Africa. Four years ago, we wrote an optimistic message in this journal.2,3 We asserted that newly-minted President Joseph Biden would reinstate and strengthen Obama-era global health programs that former President Donald Trump stripped and defunded during his four-year term. These programs included support for combatting and preventing HIV/AIDS, tuberculosis, malaria, reproductive health, and infectious disease research.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"28 12","pages":"11-20"},"PeriodicalIF":0.7,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of timing of antibiotic use on premature rupture of membranes and its impact on reproductive tract infection and fetal membrane cell scorching indicators.","authors":"Yunying Qian, Guiying Qian, Haiyan Ni, Danying Zhu, Weiqun Gu, Ximei Cai","doi":"10.29063/ajrh2024/v28i12.15","DOIUrl":"https://doi.org/10.29063/ajrh2024/v28i12.15","url":null,"abstract":"<p><p>The study was designed to appraise the effects of early antibiotic administration on reproductive tract infections and fetal membrane cell scorching in instances of premature rupture of membranes (PROM). A total of 107 pregnant women diagnosed with PROM between July 2020 and June 2022 were randomly assigned to two groups: the Intervention (n=54), where ampicillin were administered within 24 hours of PROM onset, and the control group (n=53), where ampicillin were given 24-48 hours after PROM. Maternal and neonatal outcomes, incidence of reproductive tract infections, and fetal membrane cell scorching indicators (Caspase-1, Caspase -3, Caspase-9 and IL-β) were compared. The intervention group had significantly fewer adverse maternal and neonatal outcomes (p<0.05). Post-treatment, rates of Chlamydia trachomatis, Mycoplasma solium, and genital tract infections decreased in both groups, with lower rates in the intervention group (p<0.05). Positive expression rates of Caspase-1, -3, -9, and IL-β in placental tissues were also lower in the intervention group (p<0.05). We conclude that administering antibiotics within 12 hours of PROM reduces reproductive tract infections, lowers fetal membrane cell scorching, and improves maternal and neonatal outcomes, supporting early antibiotic use in the management of PROM.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"28 12","pages":"139-147"},"PeriodicalIF":0.7,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hua Cai, Ying Wang, Weichun Tang, Yan Lu, Juan Ji, Liping Chen
{"title":"Effects of the application of combined plan-do-check-action and enhanced recovery by nurses on patients undergoing cesarean section.","authors":"Hua Cai, Ying Wang, Weichun Tang, Yan Lu, Juan Ji, Liping Chen","doi":"10.29063/ajrh2024/v28i12.17","DOIUrl":"https://doi.org/10.29063/ajrh2024/v28i12.17","url":null,"abstract":"<p><p>This study examined the effects of a combination of plan-do-check-action (PDCA) and enhanced recovery after surgery (ERAS) on patients undergoing cesarean section. One hundred and thirty patients undergoing caesarean section at the Second Affiliated Hospital of Nantong University comprised the study group. They were randomly divided into a control group (CG) and an intervention group (IG). The CG accepted routine management during the perioperative period, while the IG accepted a combination nursing of PDCA and ERAS. Relative to the CG, the IG presented lower visual analogue scale (VAS) scores at 4 h and 72 h after cesarean section, lower self-rating anxiety scale (SAS) scores and self-rating depression scale (SDS) scores, shorter time of anal exhaust, first urination along after leaving bed, lower total incidence rate of complications, and higher satisfaction rate of patients. We conclude that a combination nursing of PDCA and ERAS can alleviate postoperative pain, improve the psychological state, expedite postoperative recovery along with lessen the incidence of complications in patients undergoing cesarean section.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"28 12","pages":"165-174"},"PeriodicalIF":0.7,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142961983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephen Gwer, Karlheinz Samenjo, Robert C Bailey, Javan Imbamba, Stella Odeny, Erin Koksal, Jan-Carel Diehl, Aparna Ramanathan
{"title":"Patient and provider perspectives on pain management during manual vacuum aspiration.","authors":"Stephen Gwer, Karlheinz Samenjo, Robert C Bailey, Javan Imbamba, Stella Odeny, Erin Koksal, Jan-Carel Diehl, Aparna Ramanathan","doi":"10.29063/ajrh2024/v28i12.2","DOIUrl":"https://doi.org/10.29063/ajrh2024/v28i12.2","url":null,"abstract":"<p><p>Manual vacuum aspiration (MVA) is a painful procedure often conducted without analgesia. The World Health Organization (WHO) recommends a paracervical block (PCB) as the mode of pain relief during MVA. Few studies have assessed patient perspectives on pain control during MVA. We investigated the perspectives of health workers and patients on MVA under PCB. This study was nested within a pilot randomized controlled trial (RCT) evaluating the Chloe SED (syringe extension device) for PCB provision. Eleven providers and 61 patients were enrolled. All providers had MVA experience. They had not provided pain relief on 20% of occasions, and only one had previously administered PCB for MVA. Both patients and providers indicated MVA was painful and deserving of analgesia. Pain was the most common reason for difficulty completing an MVA. Providers noted that PCB made the procedure more tolerable. For patients, efficacy, remaining conscious, and same-day discharge were key considerations when selecting pain relief. Notably, 84% of patients expressed satisfaction with MVA under PCB. PCB is a vital component of the MVA care package. Considering patient and provider perspectives is essential to optimizing a humane and effective procedural experience.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"28 12","pages":"21-28"},"PeriodicalIF":0.7,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Influence of nutritional guidance during pregnancy on nutritional status and pregnancy outcome of pregnant women.","authors":"Miaomiao Yu, Haiyan Chen, Na Li","doi":"10.29063/ajrh2024/v28i12.3","DOIUrl":"https://doi.org/10.29063/ajrh2024/v28i12.3","url":null,"abstract":"<p><p>This study was an original article, mainly aimed to explore the influence of nutritional guidance during pregnancy on nutritional status and pregnancy outcome of pregnant women. Two hundred (200) pregnant women were admitted to the Nanjing General Hospital of Nanjing Military Command from May 2021 to May 2023. They were randomly sub-divided into a control group and an intervention group. Each group had 100 cases. The control group received routine guidance, while the intervention group received personalized nutrition guidance based on standards from the routine guidance protocol. The results showed that in comparison with the control group, the intervention group presented higher calcium, protein, folate, sodium, iron, vitamin and zinc levels, lower fat levels, lower incidence of adverse birth outcomes, lower incidence of adverse neonatal status, higher fetal body weight and Apgar score higher satisfaction rate, and lower incidence of complications during pregnancy. We conclude that reasonable intake of nutrition during pregnancy can meet the nutritional needs of pregnant women and fetuses, improve pregnancy safety, improve delivery and newborn conditions, reduce the occurrence of pregnancy complications, and improve the satisfaction of pregnant women.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"28 12","pages":"29-37"},"PeriodicalIF":0.7,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of discharge readiness of postpartum women.","authors":"Nevin Utkualp, Aylin Palloş, Elif Balkan","doi":"10.29063/ajrh2024/v28i12.4","DOIUrl":"https://doi.org/10.29063/ajrh2024/v28i12.4","url":null,"abstract":"<p><p>The discharge time of the postpartum woman is an issue related to emotional readiness and hospital policies and should be evaluated by the nurse. The feeling of readiness of the postpartum woman is the key in making the decision to discharge.The objective of the study is to evaluate the discharge readiness of puerperium and to determine the factors affecting.This study included 323 postpartum women who visited the obstetrics and gynecology outpatient clinic of the hospital between Semtember 10, 2021, and January 31, 2022, and met the inclusion criteria. Data were collected using the Personal and Obstetric Information form, The Readiness for Hospital Discharge Scale-Postpartum Mother Form(RHDS-PM). The chi-square test, Fisher's exact test, and the Fisher-Freeman-Halton test were used in the comparison of categorical data. Categorical data are presented as frequencies and percentages The mean age of the participants was 28.57±5.69 years. In our study, it was found that the mean RHDS-PMF score of the postpartum women was 154.29±31.08. A statistically significant difference was found in satisfaction with nursing care based on postpartum knowledge status (p< 0.001).Based on this study's results, the average discharge scale score of the postpartum women in the group was determined to be ready. The scale score of those who believe that they would be capable of self-care at home is higher than those who do not. Thus, the education and the self care power provided support postpartum women's satisfaction with nursing care and their readiness for discharge.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"28 12","pages":"38-45"},"PeriodicalIF":0.7,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Is there a relationship between pregnant women's sexual attitudes and body image?","authors":"Dilek Öcalan, Serpil Toker, Emine Kılıç Doğan, Özgür Alparslan","doi":"10.29063/ajrh2024/v28i11.6","DOIUrl":"https://doi.org/10.29063/ajrh2024/v28i11.6","url":null,"abstract":"<p><p>This research was conducted to investigate the relationship between women's attitudes toward sexuality during pregnancy and their body image and to determine the predictors of pregnant women's sexual attitudes. The research was conducted with 515 pregnant women in Turkey. Study data were collected using a sociodemographic data form, the Attitude Scale toward Sexuality during Pregnancy, and the Body Image in Pregnancy Scale. As women's positive attitudes toward sexuality increased, their dissatisfaction with their body image decreased. It was determined that women with a positive body image during pregnancy had a less anxious attitude toward sexual intercourse, developed positive beliefs and values toward sexuality, and approved of sexuality during pregnancy. The factors that explained 15.8% of pregnant women's attitudes towards sexuality were body image, age, gestational week, satisfaction with sexuality during pregnancy, and knowledge of sexuality during pregnancy. It is recommended that body image, age, gestational week, satisfaction with sexuality in pregnancy and knowledge of sexuality in pregnancy should be taken into consideration in order to accurately determine the sexual attitudes of pregnant women in obstetric clinics.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"28 11","pages":"56-67"},"PeriodicalIF":0.7,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142925987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tülay Y Bingöl, Nermin Gürhan, Gökçen Erdoğan, Bahadır Genış
{"title":"Self-esteem, defense mechanisms, sexual satisfaction and stress coping mechanisms in individuals treated for vaginismus: A controlled study.","authors":"Tülay Y Bingöl, Nermin Gürhan, Gökçen Erdoğan, Bahadır Genış","doi":"10.29063/ajrh2024/v28i11.11","DOIUrl":"https://doi.org/10.29063/ajrh2024/v28i11.11","url":null,"abstract":"<p><p>The aim of study was to analyze the extent to which treatment for vaginismus affect self-esteem, defense mechanisms, sexual satisfaction and coping with stress. Was conducted as aquasi-experimental, cross-sectional study. The population of the study consisted of womenwho were followed up with the diagnosis of vaginismus in obstetrics clinic. As data collection tools, \"Personal Information Form\", \"Coopersmith Self-Esteem Inventory\", \"Sexual Satisfaction Scale\", \"Coping Response Inventory\" and \"Defense Style Questionnaire\" wereused. When people who were diagnosed with vaginismus and accepted treatment were asked about the reasons for demanding treatment, 11.4% of them responded that they experienced pain during sexual intercourse, 4.7% stated that they wanted to able to continue their marriage, and 2.8% of them stated that they wanted to gain self-confidence. When asked for whom they wanted the treatment of the disease, 61 of the participants responded, and 14 of them answered for \"Me and my spouse\" while 29 for \"My spouse\" and 18 for \"Myself\". It was revealed that self-esteem, defense mechanisms, sexual satisfaction and coping with stress are important factors in initiation, maintenance and completion of treatment in patients and that these factors should be especially emphasized during the treatment process.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"28 11","pages":"105-114"},"PeriodicalIF":0.7,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142929956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vaageessan Masilamani, Ragothaman Bharathyuvaraj, Velayudam Ramalingam Elangovan, Hema Ramji, Mohanraj Subramanian, Murthy Saravanan, Devaraj Jothimani, Fenn Moses, Mani Megalai, Venu Gopal, Samuel Duraivel
{"title":"Leveraging artificial intelligence for advancements in reproductive health.","authors":"Vaageessan Masilamani, Ragothaman Bharathyuvaraj, Velayudam Ramalingam Elangovan, Hema Ramji, Mohanraj Subramanian, Murthy Saravanan, Devaraj Jothimani, Fenn Moses, Mani Megalai, Venu Gopal, Samuel Duraivel","doi":"10.29063/ajrh2024/v28i11.21","DOIUrl":"https://doi.org/10.29063/ajrh2024/v28i11.21","url":null,"abstract":"<p><p>We are writing to address the growing interest in the role \u0000of artificial intelligence (AI) within healthcare, \u0000particularly in the field of reproductive health. As \u0000technology continues to evolve, AI offers an \u0000unprecedented opportunity to transform how we \u0000diagnose, treat, and improve access to reproductive \u0000services, especially in underserved communities. AI-driven tools, supported by machine learning and big data \u0000analytics, are already demonstrating their potential in \u0000enhancing outcomes in reproductive health. These tools \u0000can predict fertility outcomes with impressive accuracy, \u0000optimize in vitro fertilization (IVF) success rates, and \u0000identify early signs of reproductive disorders, such as \u0000endometriosis, polycystic ovary syndrome (PCOS), and \u0000ovarian cancer. By analyzing biomarkers, medical \u0000histories, and lifestyle factors, AI algorithms empower \u0000healthcare providers to deliver personalized and \u0000effective treatment plans tailored to individual needs.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"28 11","pages":"216-217"},"PeriodicalIF":0.7,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}