{"title":"The relationship between prenatal attachment and death anxiety in high-risk pregnancies.","authors":"Necla Kasımoğlu, Nazan G Baş","doi":"10.29063/ajrh2026/v30i15.10","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i15.10","url":null,"abstract":"<p><p>This study aims to examine the relationship between prenatal attachment and death anxiety in high-risk pregnancies. The study, a descriptive and correlational design, was conducted with 158 women with high-risk pregnancies in eastern Türkiye between May and December 2024. Data were collected using a socio-demographic form, the Prenatal Attachment Inventory, and the Templer Death Anxiety Scale.The mean score on the Prenatal Attachment Inventory (PAI) was 62.1 ± 10.84, while the mean score on the Templer Death Anxiety Scale was 6.9 ± 2.99. A positive correlation was found between PAI and Death Anxiety scores (r = .169, p < .005). Death anxiety was predicted by maternal age and the level of prenatal attachment.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 15","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148766537","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":"Conventional supine delivery position versus free-position delivery guidance intervention on delivery outcomes, pain, and maternal-neonatal outcomes in primiparous women.","authors":"Suyu Zhang, Zhijing He, Zhizhong Wang","doi":"10.29063/ajrh2026/v30i15.3","DOIUrl":"10.29063/ajrh2026/v30i15.3","url":null,"abstract":"<p><p>This randomized comparative study investigated the effects of free-position delivery guidance combined with prenatal intervention on pain levels, delivery outcomes, and maternal-neonatal outcomes in primiparous women. A total of 80 primiparous women admitted to the hospital between April 2023 and October 2025 were included in the study. Participants were randomly divided into two groups of 40 each using a random number table. The control group received conventional supine delivery with basic guidance, while the study group received free position delivery guidance combined with prenatal intervention. Labor duration, pain scores, delivery outcomes, and the incidence of adverse maternal-neonatal outcomes were compared between the two groups. The study group showed significantly shorter labor duration and total labor time compared to the control group (P<0.05). The study group also demonstrated significantly lower pain scores (P<0.05). The study group exhibited a significantly higher rate of natural delivery and a significantly lower rate of cesarean section compared to the control group (P<0.05). The incidence of adverse maternal-infant outcomes in the study group was significantly lower than that in the control group (P<0.05). The combination of free-position delivery guidance and prenatal intervention can effectively improve delivery outcomes, alleviate labor pain, and reduce adverse maternal-neonatal outcomes in primiparous women.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 15","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148756905","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":"Harmonizing care and identity: Music education, gendered emotional labor, and women's mental health consciousness.","authors":"Rong Wang","doi":"10.29063/ajrh2026/v30i15.11","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i15.11","url":null,"abstract":"<p><p>This research explores the intersection of music education and gendered emotional labor in China, focusing on the impact of this intersection on the mental health of women educators. Utilizing theories of emotional labor, gendered care work, and mental health literacy, the study implemented an integrated model through a quantitative cross-sectional survey involving 312 women music educators from urban primary, secondary, and tertiary institutions. Using structural equation modeling, the study revealed that gendered emotional labor significantly contributes to professional identity strain while diminishing mental health awareness. Professional identity strain further dampens mental health consciousness, whereas enhanced mental health awareness predicts improved psychological well-being, resilience, and reduced burnout and anxiety. Mediation analysis demonstrated that the influence of emotional labor on mental health primarily occurs via identity strain and mental health awareness. The study advances emotional labor theory by pinpointing professional identity strain as a critical psychological pathway, reconceptualizes music education as simultaneously nurturing and demanding for women educators, and identifies mental health awareness as a modifiable protective factor. These findings emphasize the importance of culturally attuned, gender-responsive institutional strategies to foster psychological well-being and professional sustainability for women educators in China.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 15","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148757253","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":"Emergency obstetric and newborn care: A priority measure to achieve rapid decline in maternal and newborn mortality in sub-Saharan Africa.","authors":"Friday Okonofua, Favour Chizomam Ntoimo","doi":"10.29063/ajrh2026/v30i15.1","DOIUrl":"10.29063/ajrh2026/v30i15.1","url":null,"abstract":"<p><p>For more than three decades, sub-Saharan Africa has invested heavily in the five WHO pillars of safe motherhood.1,2 Governments, development partners, professional associations and civil society organizations have promoted family planning, strengthened antenatal care, expanded skilled birth attendance, improved postnatal care, and, where permitted by law, advocated for safe abortion services. These interventions have undoubtedly contributed to improved maternal and newborn health and have saved countless lives. Yet the region continues to account for approximately 70% of global maternal deaths.3 The persistence of this unacceptable burden raises an important question: why have these investments not translated into the dramatic reductions in maternal mortality that many had anticipated?</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 15","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148757372","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}
Aydan Alizada, Ozge S Erdogan, Seda K Erciyas, Betul C Demirbas, Ozge Pasin, Ahmet Dinc, Pınar Saip, Hulya Yazici, Seref B. Tuncer
{"title":"DNA methylation of ANKRD23 as a novel biomarker for early diagnosis of ovarian cancer.","authors":"Aydan Alizada, Ozge S Erdogan, Seda K Erciyas, Betul C Demirbas, Ozge Pasin, Ahmet Dinc, Pınar Saip, Hulya Yazici, Seref B. Tuncer","doi":"10.29063/ajrh2026/v30i15.2","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i15.2","url":null,"abstract":"<p><p>Ovarian cancer (OC) is a leading cause of gynecologic cancer-related mortality and is frequently diagnosed at advanced stages due to the absence of effective early detection tools. Epigenetic alterations, particularly DNA methylation, play a critical role in tumorigenesis and represent promising non-invasive biomarkers. This study investigated the methylation status of the ANKRD23 gene in OC and evaluated its diagnostic potential using peripheral blood samples. A total of 385 serous OC patients, 50 individuals with benign ovarian conditions, and 99 healthy controls were included. DNA methylation was assessed using methylation-sensitive restriction enzymes followed by real-time PCR. ANKRD23 methylation was significantly associated with clinical stage (p = 0.029), histological grade (p = 0.009), and ethnicity (p = 0.024). Moreover, methylation levels differed significantly among OC patients, benign cases, and healthy controls (p = 0.026). These findings support blood-based ANKRD23 methylation as a promising biomarker for non-invasive ovarian cancer diagnosis and risk stratification.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 15","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148757205","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}
Chendra P Putra, Afrizal Afrizal, Hardisman Hardisman, Mohamad Reza
{"title":"Strengthening reproductive health among female workers through the Gerakan Pekerja Perempuan Sehat Produktif program: Application of the continuous health examination network model in Indonesia.","authors":"Chendra P Putra, Afrizal Afrizal, Hardisman Hardisman, Mohamad Reza","doi":"10.29063/ajrh2026/v30i15.8","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i15.8","url":null,"abstract":"<p><p>The expansion of women in employment warrants more focus on reproductive health and occupational well-being. In Indonesia, the Gerakan Pekerja Perempuan Sehat Produktif (GP2SP) program has been developed to promote the health of female workers. However, the implementation of the program is still limited due to the absence of an integrated operational structure. This research is intended to create a Continuous Health Examination Network (CHEN) model in an effort to improve women's reproductive health by revitalising the GP2SP program. While traditional workplace interventions focus on episodic services, the CHEN model incorporates ongoing monitoring, engagement with many stakeholders and promotive, preventive, curative and rehabilitative approaches. The model is useful for low- and middle-income nations, especially African settings, where workplace reproductive health services are generally fragmented. This study used a research and development design based on the ADDIE model. The investigation was cross-sectional and included 104 married female workers from two companies in Riau Province, Indonesia. Data were acquired through structured questionnaires and analyzed using descriptive statistics and chi-square testing. Model development consisted of needs assessment, model drafting, and expert validation through a two-round Delphi technique. Workers' attitudes were substantially related to program knowledge (p = 0.027). The CHEN model proved viable and may be useful for enhancing women's reproductive health and productivity in office settings.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 15","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148757469","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":"Reproductive anxiety and fertility intentions: Gender differences in social mentality among university students.","authors":"Xinwei Liao, Jing He, Chaoye Cao","doi":"10.29063/ajrh2026/v30i15.5","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i15.5","url":null,"abstract":"<p><p>Reproductive anxiety has emerged as an important concern among university students, shaping their perceptions of fertility, family formation, and future life planning. This study explored the gendered experiences of reproductive anxiety and its influence on fertility intentions among male and female university students. A qualitative research design was adopted, using semi-structured interviews with 30 students aged 18-25 years, equally divided by gender. Thematic analysis revealed that reproductive anxiety is strongly influenced by gender norms, socioeconomic uncertainty, family expectations, and changing social roles. Female students reported greater anxiety regarding the timing of motherhood, biological limitations, and the challenge of balancing education, career, and family responsibilities. Male students, while less vocal about fertility concerns, expressed anxiety mainly in relation to financial readiness and the social expectation of becoming future providers. The findings further showed that family pressure, cultural beliefs, and media portrayals intensify reproductive concerns, while these anxieties also contribute to stress, self-doubt, and uncertainty in long-term planning. The study concludes that reproductive anxiety is a multidimensional issue requiring greater academic, psychological, and policy attention. Universities should introduce gender-sensitive counseling and awareness programs to support students in navigating reproductive concerns and informed fertility decision-making.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 15","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762729","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}
Naima M Elsayed, Nabila S Mohamed, Rabab S Hassan, Eshrak S Hashem, Randa M Abobaker
{"title":"Assessment of anxiety levels and marital relationships among women undergoing infertility treatment: A descriptive observational study.","authors":"Naima M Elsayed, Nabila S Mohamed, Rabab S Hassan, Eshrak S Hashem, Randa M Abobaker","doi":"10.29063/ajrh2026/v30i15.4","DOIUrl":"10.29063/ajrh2026/v30i15.4","url":null,"abstract":"<p><p>This study aimed to assess anxiety levels and marital relationships among women undergoing infertility treatment. A descriptive observational design was conducted involving 300 infertile women over nine months at Zagazig University Hospital. Data were collected using a Structured Interview Questionnaire, the Female Sexual Function Index (FSFI), and the Taylor Anxiety Scale. Reliability analysis showed high internal consistency (Cronbach's alpha: 0.923 for FSFI; 0.845 for Taylor Scale). Results indicated that 32.6% of participants sought services after one year of marriage, 30.5% visited more than five centers, and 47.5% used IVF. Nearly half of the subjects experienced varying degrees of anxiety (moderate to very severe), which significantly impacted sexual arousal, orgasm, and satisfaction. In conclusion, anxiety and psychosexual dysfunction are highly prevalent among women during fertility treatments, underscoring the critical need to integrate psychological counseling and standardized screening protocols within routine reproductive healthcare.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 15","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148757821","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":"Effectiveness of online simulation-based versus face-to-face training on episiotomy skills among midwifery students in Turkey.","authors":"Nihal Aydın","doi":"10.29063/ajrh2026/v30i14.11","DOIUrl":"10.29063/ajrh2026/v30i14.11","url":null,"abstract":"<p><p>This study evaluated the effectiveness of synchronous online simulation compared with face-to-face instruction in teaching episiotomy repair skills to midwifery students. It also assessed learning satisfaction and self-confidence. A randomized controlled study was conducted with undergraduate students enrolled in a childbirth course. Participants were randomly assigned to either a synchronous online or face-to-face training group. Both groups received structured instruction using standardized simulation models. Outcomes were measured using the Student Satisfaction and Self-Confidence in Learning Scale and the Episiotomy Skill Evaluation Form. Both training formats resulted in similarly high levels of skill performance. The online group demonstrated significantly higher self-confidence and overall learning satisfaction, while skill outcomes were comparable between groups. No significant associations were found between demographic characteristics and study outcomes. Synchronous online simulation is a feasible and effective alternative to face-to-face training for developing procedural skills while also enhancing learner confidence and satisfaction.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 14","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148663247","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":"Psychosocial determinants of postpartum blues among matrilineal mothers in West Sumatra, Indonesia.","authors":"Sesmi N Oktavia, Jayasree S Kanathasan","doi":"10.29063/ajrh2026/v30i14.7","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i14.7","url":null,"abstract":"<p><p>Postpartum blues typically occur during the first two weeks after childbirth and may increase the risk of subsequent depressive disorders. In Minangkabau communities of West Sumatra, Indonesia, where matrilineal family systems and neo-local or dual family residence systems exist and husbands frequently migrate, it is insufficiently understood how family structure and partner presence may influence the maternal mood. This study aimed to examine psychosocial determinants of postpartum blues among 240 postpartum mothers between 3 to 14 days postpartum, in Pariaman, West Sumatra, Indonesia. Using a cross-sectional and prospective design, data were collected through face-to-face interviews using validated instruments, including the Pittsburgh Sleep Quality Index (PSQI), Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), Perceived Stress Scale (PSS-10), and Indonesian Maternal Blues Scale (IMBS). Statistical analysis to identify independent predictors of postpartum blues was performed through descriptive statistics, bivariate analysis, and multivariable logistic regressions. The mean maternal age was 28.6 years old, and 27.9% of participants met the criteria for postpartum blues. Sleep quality was poor for 86.7% of the respondents. The most significant psychosocial determinant of postpartum blues was perceived stress (OR 1.25; 95% CI 1.16-1.34; p < 0.001) and husband migration was borderline significant (OR 2.30; 95% CI 1.00-5.28; p = 0.050). In contrast, sleep quality, breastfeeding self-efficacy, and kin co-residence were not independently associated with postpartum blues. These findings highlight the importance of integrating early psychosocial screening, stress management interventions, and family-centered postpartum support into maternal health policies and primary healthcare services, particularly in culturally unique and migration-affected communities.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 14","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148663289","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}