African journal of reproductive health最新文献_第7页

Development and validation of a predictive risk model for placental abruption in women with pre-eclampsia using SMOTE. 使用SMOTE对先兆子痫妇女胎盘早剥的预测风险模型的建立和验证。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-08-03 DOI: 10.29063/ajrh2026/v30i14.4

Fangfang Wei, Rong Yang, Zhijuan Rong

{"title":"Development and validation of a predictive risk model for placental abruption in women with pre-eclampsia using SMOTE.","authors":"Fangfang Wei, Rong Yang, Zhijuan Rong","doi":"10.29063/ajrh2026/v30i14.4","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i14.4","url":null,"abstract":"Placental abruption is a serious complication in pregnant women with preeclampsia. This study investigated the risk factors for placental abruption and developed a predictive model using the Synthetic Minority Over-sampling Technique (SMOTE). A total of 280 pregnant women with preeclampsia treated between September 2020 and September 2025 were enrolled and classified into placental abruption and non-placental abruption groups. Logistic regression showed that parity ≥3, severe preeclampsia, anemia, polyhydramnios, and short umbilical cord were independent risk factors for placental abruption. ROC analysis demonstrated that the SMOTE-based model had better predictive performance than the original model, with a higher AUC (0.863, 95% CI: 0.817-0.901 vs 0.792, 95% CI: 0.739-0.838; z=2.163, P=0.031). The SMOTE-based model also showed higher F-score and positive predictive value, although its true positive rate was lower than that of the original model. These findings indicate that a SMOTE-based predictive model may provide useful support for early risk assessment and prevention of placental abruption in women with preeclampsia.","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":"148663085","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

Breastfeeding self-efficacy among new mothers: Associations with childbirth experience, family intimacy, and postpartum lactation yield. 新妈妈的母乳喂养自我效能感：与分娩经验、家庭亲密关系和产后泌乳量的关系。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-08-03 DOI: 10.29063/ajrh2026/v30i14.6

Hongfeng Zhu, Li Huang, Xinju Li, Qi Wu

{"title":"Breastfeeding self-efficacy among new mothers: Associations with childbirth experience, family intimacy, and postpartum lactation yield.","authors":"Hongfeng Zhu, Li Huang, Xinju Li, Qi Wu","doi":"10.29063/ajrh2026/v30i14.6","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i14.6","url":null,"abstract":"This study explores the relationship between breastfeeding self-efficacy, childbirth experience, family intimacy, and postpartum lactation yield in 168 mothers who gave birth at Hefei Maternal and Child Health Hospital. Participants were divided into high and low self-efficacy groups based on their scores on the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF). Data on childbirth experience, family intimacy, and lactation yield were collected. Correlation and logistic regression analyses revealed that breastfeeding self-efficacy positively correlated with childbirth experience, family intimacy, and lactation yield. The high self-efficacy group showed significantly better childbirth experiences, stronger family intimacy, and higher lactation yield compared with the low self-efficacy group. Primiparity, childbirth experience, family intimacy, and postpartum lactation yield were identified as independent factors influencing breastfeeding self-efficacy. These findings highlight the importance of improving childbirth experiences, enhancing family intimacy, and supporting lactation yield to boost maternal self-efficacy in breastfeeding, ultimately contributing to higher breastfeeding success rates.","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":"148663106","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 trend in male-to-female ratio at birth from 2005 to 2022 in Georgia. 2005年至2022年格鲁吉亚出生男女比例的变化趋势。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-08-03 DOI: 10.29063/ajrh2026/v30i14.3

Khatia Otarashvili, Ali Mirzazadeh, Eka Paatashvili

引用次数: 0

The voices of midwives on the causes of perinatal mortality in Mpumalanga province of South Africa. 南非普马兰加省助产士关于围产期死亡原因的声音。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-08-03 DOI: 10.29063/ajrh2026/v30i14.5

Mxolisi W Ngwenya, Livhuwani Muthelo, Melitah M Rasweswe, Tshepo A Ntho, Nyanisi Mhlongo, Tebogo M Mothiba

{"title":"The voices of midwives on the causes of perinatal mortality in Mpumalanga province of South Africa.","authors":"Mxolisi W Ngwenya, Livhuwani Muthelo, Melitah M Rasweswe, Tshepo A Ntho, Nyanisi Mhlongo, Tebogo M Mothiba","doi":"10.29063/ajrh2026/v30i14.5","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i14.5","url":null,"abstract":"During childbirth, no woman should lose a child. However, perinatal mortality remains a global concern. The recent South African Saving Mothers and Babies report revealed a notable 20% increase in perinatal mortality in Mpumalanga province. This excess of perinatal mortality was due to hypertensive disorders and unexplained causes. Thus, this paper explores and describes the voices of midwives on the causes of perinatal mortality in the resource-limited setting of the Mpumalanga province. A qualitative, exploratory and descriptive design was carried out to explore the views and perceptions of midwives on the causes of perinatal mortality. Purposive sampling was adopted to select midwives with experience in midwifery care, and data saturation was reached with the 20th participant. The data was collected through semi-structured interviews and analysed using thematic analysis. The study revealed that issues such as delayed interventions and poor monitoring by healthcare personnel, lack of triaging, shortage of staff, variations in implementation of health education and compliance were the concerning issues contributing to perinatal mortality. The study highlights that health education is a crucial element in the prevention of perinatal mortality. Therefore, more initiatives should be directed at educating patients about the importance of antenatal care, treatment adherence, and the use of unsafe traditional medicines for the induction of labour.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":" 30","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148663342","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

Economic insecurity and suicide vulnerability among women in China. 中国女性的经济不安全感和自杀脆弱性。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-08-03 DOI: 10.29063/ajrh2026/v30i14.13

Xiaomei Chen, Bo Dai, Bangjun Zhang, Peng Zhang

{"title":"Economic insecurity and suicide vulnerability among women in China.","authors":"Xiaomei Chen, Bo Dai, Bangjun Zhang, Peng Zhang","doi":"10.29063/ajrh2026/v30i14.13","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i14.13","url":null,"abstract":"This study examines the relationship between multidimensional economic insecurity, structural socioeconomic change, and female suicide vulnerability in China. The analysis employs a qualitative secondary-data approach using annual national time-series data for China covering 2000-2024, sourced from the World Health Organization Mortality Database, World Bank World Development Indicators, and International Labour Organization labour statistics. Descriptive trend and comparative analyses supported by graphical visualisation techniques were used to examine patterns and associations among the variables. The findings reveal a substantial long-run decline in the female suicide rate from 15.18 per 100,000 women in 2000 to 8.69 in 2024, although a mild increase was observed after 2020. Labour market indicators evolved unevenly: vulnerable employment declined markedly, wage employment increased, labour force participation fell gradually, and unemployment fluctuated within a narrow range. Among the indicators examined, vulnerable employment showed the strongest alignment with female suicide vulnerability, whereas unemployment displayed a weaker relationship. This study advances a gender-sensitive and multidimensional framework linking suicide vulnerability to labour market insecurity, employment structure, inequality, and demographic transformation, with implications for public health and labour policy.","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":"148663033","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 "silver economy" of women's health: entrepreneurship and service models in China's menopause health sector. 女性健康的“银色经济”：中国更年期健康领域的创业与服务模式。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-08-03 DOI: 10.29063/ajrh2026/v30i14.12

Xin Zhang, Lijun Du, Ruirong Wang, Han Wang

{"title":"The \"silver economy\" of women's health: entrepreneurship and service models in China's menopause health sector.","authors":"Xin Zhang, Lijun Du, Ruirong Wang, Han Wang","doi":"10.29063/ajrh2026/v30i14.12","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i14.12","url":null,"abstract":"Menopause health services in China lie at the critical juncture of the \"silver economy\" and women's health. As society ages and health awareness grows, the needs of roughly 160 million middle-aged women are moving to the forefront, creating a vast blue ocean market. This study constructs a \"Demand-Supply-Empowerment\" Interaction Model, identifying the core market conflict as the clash between widespread \"physical/psychological distress\" and a \"mismatched service system.\" We explore the authentic experiences, needs, and behaviors of contemporary Chinese women. Using web crawling, we gathered about 3 million Chinese characters of text from platforms like Xiaohongshu and Weibo (2020-2025). Applying Grounded Theory, a three-level coding analysis reveals that women are shifting from passive endurance to active management. Their core demand is for trustworthy, integrated health solutions. Consequently, the study identifies three key entrepreneurial opportunities: integrated health platforms, personalized products/services, and professional content with community operations. This research provides a new theoretical lens for understanding the market and offers practical insights for entrepreneurs, investors, and policymakers in related fields.","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":"148663312","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

Dose-response relationship of prophylactic norepinephrine infusion for prevention of spinal anesthesia-induced hypotension during caesarean delivery: A comparative study of normal weight and obese parturients. 剖宫产术中预防性输注去甲肾上腺素预防脊髓麻醉致低血压的量效关系：体重正常与肥胖产妇的比较研究

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-08-03 DOI: 10.29063/ajrh2026/v30i14.8

Xiaoping Chen, Zhenyu Gao, Cuicui Jiao, Jialin Wang, Lihong Sun, Xiaowei Qian, Shuqun Liu

{"title":"Dose-response relationship of prophylactic norepinephrine infusion for prevention of spinal anesthesia-induced hypotension during caesarean delivery: A comparative study of normal weight and obese parturients.","authors":"Xiaoping Chen, Zhenyu Gao, Cuicui Jiao, Jialin Wang, Lihong Sun, Xiaowei Qian, Shuqun Liu","doi":"10.29063/ajrh2026/v30i14.8","DOIUrl":"10.29063/ajrh2026/v30i14.8","url":null,"abstract":"Obese parturients are at increased risk of spinal anesthesia-induced hypotension during cesarean delivery, but optimal prophylactic norepinephrine dosing remains unclear. In this randomized, double-blind, dose-response study, 200 parturients undergoing elective cesarean delivery were stratified into obese (BMI ≥30 kg/m²) and normal weight (BMI 18.5-24.9 kg/m²) groups. Within each group, patients received norepinephrine infusion at 0.02-0.06 µg·kg⁻¹·min⁻¹. Standardized combined spinal-epidural anesthesia with 16 mg hyperbaric ropivacaine was used, and infusion was started immediately after spinal injection. Hypotension was defined as SBP <90 mmHg or >20% decrease from baseline, and success as absence of hypotension. Probit regression was used to estimate ED50 and ED95. ED50 and ED95 were 0.022 (95% CI 0.015-0.029) and 0.051 (0.041-0.061) µg·kg⁻¹·min⁻¹ in normal weight, compared with 0.036 (0.029-0.043) and 0.080 (0.058-0.102) µg·kg⁻¹·min⁻¹ in obese parturients. The relative potency ratio was 1.597 (95% CI 1.007-2.187; P=0.013). Neonatal outcomes and maternal adverse effects were comparable. Obese parturients require higher weight-adjusted norepinephrine infusion rates to prevent spinal anesthesia-induced hypotension during cesarean delivery.","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":"148663120","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

Effects of vitamin D supplementation on insulin resistance and lipid metabolic profiles in women with gestational diabetes mellitus: A randomized controlled trial. 补充维生素D对妊娠期糖尿病妇女胰岛素抵抗和脂质代谢谱的影响：一项随机对照试验

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-08-03 DOI: 10.29063/ajrh2026/v30i14.10

Yunhui Duan, Shixuan Zhang, Xiaojun Ma, Li Li, Kai Jia

{"title":"Effects of vitamin D supplementation on insulin resistance and lipid metabolic profiles in women with gestational diabetes mellitus: A randomized controlled trial.","authors":"Yunhui Duan, Shixuan Zhang, Xiaojun Ma, Li Li, Kai Jia","doi":"10.29063/ajrh2026/v30i14.10","DOIUrl":"10.29063/ajrh2026/v30i14.10","url":null,"abstract":"Gestational diabetes mellitus (GDM) commonly presents as insulin resistance and altered lipid metabolism, with evidence linking vitamin D deficiency to its pathogenesis. In this randomized, double-blind, placebo-controlled trial, 120 pregnant women diagnosed with GDM were assigned to receive either vitamin D3 supplements (2000 IU/day) or a placebo for 3 months. Serum vitamin D status, glycemic control parameters, and lipid profiles were evaluated pre- and post-intervention, adjusting for dietary and exercise confounders. After the 3-month intervention, serum 25-hydroxyvitamin D levels in the vitamin D group were significantly higher than those in the placebo group. Vitamin D supplementation effectively reduced fasting plasma glucose, fasting insulin, and HOMA-IR scores. Simultaneously, it significantly decreased triglycerides and LDL-C levels while increasing HDL-C. Total cholesterol levels showed no statistically significant difference between the two groups. Supplementation with 2000 IU vitamin D per day for 3 months yields significant improvements in glucose homeostasis and lipid metabolism in the GDM population. Vitamin D holds promise as an effective auxiliary treatment to enhance maternal metabolic health.","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":"148663323","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

Depressive symptoms, alcohol, and drug dependence among female sex workers in Kisumu, Kenya: A cross-sectional study. 肯尼亚基苏木女性性工作者的抑郁症状、酒精和药物依赖：一项横断面研究。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-08-03 DOI: 10.29063/ajrh2026/v30i14.9

Edyth A Osire, Shehu S Awandu, Fredrick O Otieno, Garazi Zulaika, Cynthia Akinyi, Penelope A Phillips-Howard, Supriya D Mehta

{"title":"Depressive symptoms, alcohol, and drug dependence among female sex workers in Kisumu, Kenya: A cross-sectional study.","authors":"Edyth A Osire, Shehu S Awandu, Fredrick O Otieno, Garazi Zulaika, Cynthia Akinyi, Penelope A Phillips-Howard, Supriya D Mehta","doi":"10.29063/ajrh2026/v30i14.9","DOIUrl":"10.29063/ajrh2026/v30i14.9","url":null,"abstract":"Female sex workers (FSW) have increased likelihood of depressive symptoms, alcohol and drug dependence. Analysis of cross-sectional baseline data from 407 women in a trial of menstrual cups was done to assess depressive symptoms (PHQ-9), alcohol (AUDIT) and drug dependence (DAST). Multinomial logistic regression identified factors associated with having 2 or 3 elevated scores, relative to having no elevated score. Median age was 27.3 years; 60% of the FSWs had less than secondary education, 41% had other jobs besides sex work, and over half (52.9%) reported experiencing sexual abuse during childhood. The prevalence of depressive symptoms was 20% (15% mild, 5% moderate or higher). One quarter (25%) of participants had some classification for alcohol dependence, and 15% were classified as having potentially hazardous drug dependence. Multiple problems were identified in 14.4% of participants. The results highlight the interconnectedness of mental health, drugs and alcohol use among FSWs in western Kenya.","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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13602407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148663035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From family planning to sexual and reproductive health and rights: Reclaiming the ICPD Agenda for Africa's sustainable development. 从计划生育到性健康和生殖健康及权利：重申人发会议议程促进非洲可持续发展。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-08-03 DOI: 10.29063/ajrh2026/v30i14.2

Friday Okonofua, Favour Chizomam Ntoimo

引用次数: 0