African journal of reproductive health最新文献

Racialized ethics of surrogacy: Transnational reproductive tourism and local surrogacy practices in Uganda. 代孕的种族化伦理：乌干达的跨国生殖旅游和当地代孕实践。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-10-14 DOI: 10.29063/ajrh2026/v30i19.4

Yuri Hibino

{"title":"Racialized ethics of surrogacy: Transnational reproductive tourism and local surrogacy practices in Uganda.","authors":"Yuri Hibino","doi":"10.29063/ajrh2026/v30i19.4","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i19.4","url":null,"abstract":"This study examines surrogacy practices in Uganda by analyzing how various actors operationalize \"ethical surrogacy\" in inbound and local contexts. Drawing on ethnographic fieldwork in Kampala, the study compares surrogacy programs organized by a foreign agency for Western intended parents with locally arranged surrogacy involving Ugandan agents and medical practitioners. The foreign agency promotes ethics through narratives of fair compensation and emotional connection. In contrast, local professionals articulate an ethical framework centered on strict separation to prevent emotional attachment and social conflict. These contrasting practices demonstrate that ethical surrogacy functions not as a universal moral standard, but as a situated discourse shaped by legal uncertainty, medical authority, race, and post-colonial power relations. By highlighting the management of affective labor, the study identifies multiple coexisting ethical frameworks. The findings challenge universalist bioethics and emphasize ethical pluralism as a constitutive feature of contemporary offshore reproductive practices in the Global South.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 19","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179044","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}

引用次数: 0

Maternal risk factors for hypertension in pregnancy: A quantitative study on the role of demographics, obesity, and healthcare compliance. 妊娠期高血压的产妇危险因素：人口统计学、肥胖和保健依从性作用的定量研究

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-10-14 DOI: 10.29063/ajrh2026/v30i19.7

Cholifah Cholifah, Diah Indriani, Djazuly Chalidyanto

{"title":"Maternal risk factors for hypertension in pregnancy: A quantitative study on the role of demographics, obesity, and healthcare compliance.","authors":"Cholifah Cholifah, Diah Indriani, Djazuly Chalidyanto","doi":"10.29063/ajrh2026/v30i19.7","DOIUrl":"10.29063/ajrh2026/v30i19.7","url":null,"abstract":"Hypertension in pregnancy is a major contributor to maternal and perinatal morbidity and mortality. This study examined the associations between maternal risk factors and hypertension in pregnancy. A prospective observational cohort study was conducted at Wonoayu Health Center, Sidoarjo, Indonesia, from November 2024 to January 2025. Fifty-seven pregnant women with a gestational age of at least 28 weeks and a positive mean arterial pressure screening result were recruited through consecutive sampling. Data were collected from medical records, interviews, adherence cards, physical examinations, blood pressure measurements, and proteinuria tests and analyzed using chi-square tests and multivariable logistic regression. Maternal age (p = 0.022; adjusted OR = 11.848; 95% CI: 1.422-98.739) and adherence to calcium lactate supplementation (p = 0.021; adjusted OR = 0.371; 95% CI: 0.160-0.858) were significantly associated with hypertension in pregnancy. Maternal age and adherence to calcium lactate supplementation may be important factors associated with hypertension in pregnancy.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 19","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179071","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}

引用次数: 0

Differential effects of Qingre Lishi formula on serum total bile acid and liver function markers in early- and late-onset intrahepatic cholestasis of pregnancy. 清热利湿方对妊娠早、晚发型肝内胆汁淤积症患者血清总胆汁酸及肝功能指标的差异影响

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-10-14 DOI: 10.29063/ajrh2026/v30i19.9

Dan Xue, Li Hao

{"title":"Differential effects of Qingre Lishi formula on serum total bile acid and liver function markers in early- and late-onset intrahepatic cholestasis of pregnancy.","authors":"Dan Xue, Li Hao","doi":"10.29063/ajrh2026/v30i19.9","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i19.9","url":null,"abstract":"This study aimed to explore the differential intervention effect of Qingre Lishi formula on serum total bile acid and liver function markers in patients with early-onset and late-onset intrahepatic cholestasis of pregnancy (ICP), and to provide a basis for clinical classification and treatment. The clinical data of patients with ICP were retrospectively analyzed. Patients were divided into early-onset (before 28 weeks of gestation) and late-onset (after 28 weeks of gestation) groups. Both groups received Qingre Lishi formula combined with Western medicine treatment, and the changes in serum biochemical and liver function indicators before and after treatment were compared. Baseline total bile acid levels were significantly higher in the early-onset group than in the late-onset group, while no significant between-group differences were observed in alanine aminotransferase or aspartate aminotransferase levels. After intervention, the decrease in total bile acid levels was more pronounced in the early-onset group, and the between-group difference narrowed after treatment. Liver enzyme levels in both groups were significantly lower than those before treatment. Qingre Lishi formula has a more significant effect on serum total bile acid in patients with early-onset ICP, and can effectively narrow the differences in bile acid metabolism between early-onset and late-onset ICP patients. (Afr J Reprod Health 2026; 30 [19]:92-103).","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 19","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149178977","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}

引用次数: 0

Internalised abortion stigma among women obtaining legal abortion in Türkiye. 在土耳其获得合法堕胎的妇女的内在堕胎耻辱。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-10-14 DOI: 10.29063/ajrh2026/v30i19.8

Büşra Erensayın, Gülnihal A Cansızlar, Nevinj Şahin

{"title":"Internalised abortion stigma among women obtaining legal abortion in Türkiye.","authors":"Büşra Erensayın, Gülnihal A Cansızlar, Nevinj Şahin","doi":"10.29063/ajrh2026/v30i19.8","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i19.8","url":null,"abstract":"The purpose of this study was to examine the degree of internalized abortion stigma among women receiving legal abortion services and to evaluate whether these stigma levels vary based on sociodemographic factors. This cross-sectional study included a population of women who had received an abortion within the six hours following the procedure at the obstetrics and gynecology clinic of a public hospital. The researchers gathered data using a Personal Information Form and an Individual Level Abortion Stigma Scale (ILASS). The participants had a mean age of 30.84±6.14 years, with 55% having completed only primary school and 62% having had an abortion for reasons related to women's health. The study findings indicated no significant differences between individual perceived internalized abortion stigma scores and demographic factors such as educational level, husband's educational level, employment status, income level, number of living children, method of conception, number of abortions, and time since the last abortion. However, a weak negative correlation was observed between age and \"concern about judgment.\" The study indicates that women's perceived and internalized abortion stigma is largely independent of their demographic characteristics, with participants expressing the highest level of concern regarding social judgment.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 19","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179110","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}

引用次数: 0

Male and female factors associated with infertility among couples attending an assisted reproductive technologies clinic in Harare, Zimbabwe. 在津巴布韦哈拉雷一家辅助生殖技术诊所就诊的夫妇中，男性和女性因素与不孕有关。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-10-14 DOI: 10.29063/ajrh2026/v30i19.2

Tinovimba Mhlanga, Mugove Madziyire, Sydney Farayi, Tinei Makurumure, Tasariraushe B Chizhande, Yolanda Wc Marufu, Collins Timire

{"title":"Male and female factors associated with infertility among couples attending an assisted reproductive technologies clinic in Harare, Zimbabwe.","authors":"Tinovimba Mhlanga, Mugove Madziyire, Sydney Farayi, Tinei Makurumure, Tasariraushe B Chizhande, Yolanda Wc Marufu, Collins Timire","doi":"10.29063/ajrh2026/v30i19.2","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i19.2","url":null,"abstract":"Characterising causes of infertility is crucial to inform interventions that maximise chances of conception. In this descriptive cross-sectional study, we analysed records of 276 couples who visited an ART centre in Harare to determine the proportions of male and female factor infertility. We summarised categorical variables using percentages and determined associations between male and/or female causes of infertility and exploratory variables using the chi-square test. Around 67% of men had abnormal spermiograms; the commonest were oligoasthenozoospermia (28%) and teratozoospermia (24%). Around 65% of women had female factor infertility. The odds of female infertility were higher among women who reported irregular menstrual cycles (OR=2.26, 95% CI: 1.14-4.47). Overall, 111/267 (42%) of couples had both female and male factor infertility. We observed high proportions of male and female factor infertility. Timely access to fertility assessments is likely to maximise ART and pregnancy outcomes. This will require policy interventions to remove financial barriers to accessing ART services.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 19","pages":"28-40"},"PeriodicalIF":1.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179023","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}

引用次数: 0

Health literacy as a predictor of family planning attitudes in young men in Ankara, Türkiye. 健康素养作为安卡拉青年男子计划生育态度的预测因子，土耳其。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-10-14 DOI: 10.29063/ajrh2026/v30i19.11

Reyyan Gürel, Rabia Atilla

引用次数: 0

Prevalence of urinary incontinence among women in Turkey: A systematic review and meta-analysis. 土耳其妇女尿失禁患病率：系统回顾和荟萃分析。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-10-14 DOI: 10.29063/ajrh2026/v30i19.12

Serap Kırıcı, Hafize Dağ Tüzmen, Demet Çelik

{"title":"Prevalence of urinary incontinence among women in Turkey: A systematic review and meta-analysis.","authors":"Serap Kırıcı, Hafize Dağ Tüzmen, Demet Çelik","doi":"10.29063/ajrh2026/v30i19.12","DOIUrl":"10.29063/ajrh2026/v30i19.12","url":null,"abstract":"Urinary incontinence (UI), defined as the involuntary leakage of urine, is a common condition that affects women's quality of life and overall health. UI becomes more frequent with age and is also observed during pregnancy and postpartum. This systematic review and meta-analysis aimed to determine the prevalence of UI among women. A literature search was conducted between December 2024 and February 2025 in Google Scholar, PubMed, Web of Science, Türkiye Citation Index, Ulakbim, and Turkish Medline. Risk of bias was assessed using the Joanna Briggs Institute checklist. Forty-five studies published between 2005 and 2025, including 41,038 participants, were analyzed. The pooled prevalence of UI among women aged 15 years and older was 36.7%. Prevalence estimates for stress, urgency, and mixed UI were 31.1%, 18.4%, and 27.5%. Definitions used influenced prevalence rates. Planning and delivering appropriate health services based on these findings can contribute to protecting and improving women's health. In Türkiye, it would be beneficial to develop a policy to raise awareness about urinary incontinence in women and to evaluate the condition. Interventions can be implemented nationwide in this way.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 19","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179053","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}

引用次数: 0

The effect of three- and six-session prenatal haptonomy on pregnancy-related anxiety, distress, and psychological well-being: A randomized controlled trial. 三次和六次产前快乐疗法对妊娠相关焦虑、痛苦和心理健康的影响：一项随机对照试验。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-10-14 DOI: 10.29063/ajrh2026/v30i19.5

Hilal Ozbek, Sukran E Pinar

{"title":"The effect of three- and six-session prenatal haptonomy on pregnancy-related anxiety, distress, and psychological well-being: A randomized controlled trial.","authors":"Hilal Ozbek, Sukran E Pinar","doi":"10.29063/ajrh2026/v30i19.5","DOIUrl":"10.29063/ajrh2026/v30i19.5","url":null,"abstract":"This randomized controlled trial examined the effects of prenatal haptonomy on pregnancy-related anxiety, distress, and psychological well-being. A total of 102 pregnant women were randomly assigned to a three-session haptonomy group, a six-session haptonomy group, or a control group receiving routine antenatal care. Data were collected using the Pregnancy-Related Anxiety Questionnaire-Revised 2, Tilburg Pregnancy Distress Scale, and Psychological Well-Being Scale at baseline, post-intervention, and follow-up. Repeated measures analysis of variance was used to evaluate group, time, and group × time effects, and effect sizes were reported using partial eta squared (partial η²). In intragroup analyses, the six-session haptonomy group demonstrated a significant reduction in pregnancy-related anxiety, whereas the three-session haptonomy group showed significant reductions in distress and improvements in psychological well-being. Intergroup comparisons revealed statistically significant differences in anxiety, distress, and psychological well-being scores between the haptonomy groups and the control group at post-intervention and follow-up. Repeated measures analysis demonstrated significant group effects for pregnancy-related anxiety, distress, and psychological well-being. These findings suggest that prenatal haptonomy may contribute to improved maternal psychological health during pregnancy, with different intervention durations associated with benefits at different assessment points.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 19","pages":"50-60"},"PeriodicalIF":1.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179083","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}

引用次数: 0

Religious and sociological perspectives on reproductive rights: A qualitative case study of rural Muslim communities in Indonesia. 关于生殖权利的宗教和社会学观点：印度尼西亚农村穆斯林社区的定性案例研究。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-10-14 DOI: 10.29063/ajrh2026/v30i19.10

Lisa Suarni, Marzuki Noor, Nilawati T Sobri, Rini Setiawati, M Mawardi J Mawardi J, Bambang Budiwiranto

{"title":"Religious and sociological perspectives on reproductive rights: A qualitative case study of rural Muslim communities in Indonesia.","authors":"Lisa Suarni, Marzuki Noor, Nilawati T Sobri, Rini Setiawati, M Mawardi J Mawardi J, Bambang Budiwiranto","doi":"10.29063/ajrh2026/v30i19.10","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i19.10","url":null,"abstract":"This qualitative case study examines the fulfillment of reproductive rights among women during the childbearing period in a rural Muslim context in Indonesia. Data were collected through in-depth interviews with seven married Muslim women aged 20-45 years in North Lampung and were analyzed thematically using the Miles and Huberman framework. The findings reveal five main empirical themes: negotiated reproductive autonomy within Islamic family planning, structural and administrative barriers to reproductive health services, reliance on informal and religious sources of information, social pressure related to unplanned pregnancy, and limited recognition of reproductive and sexual coercion within marriage. Although participants showed growing awareness and adaptive agency, patriarchal norms, service constraints, and gaps in culturally responsive education continued to limit reproductive autonomy. These findings emphasize the need for gender-responsive and culturally sensitive reproductive health policies that integrate Islamic values, strengthen community-based education, and improve equitable access to reproductive health services in rural Muslim settings.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 19","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179062","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}

引用次数: 0

Sexual and reproductive health and rights in Africa beyond 2030: Completing the unfinished agenda. 2030年后非洲的性健康和生殖健康及权利：完成未完成的议程。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-10-14 DOI: 10.29063/ajrh2026/v30i19.1

Lorretta Ntoimo, Tosin Sayaonlu, Emomine Odjesa, Friday Okonofua

引用次数: 0