BMC Pregnancy and Childbirth最新文献

{"title":"Hyperandrogenism increases late spontaneous miscarriage in polycystic ovary syndrome women due to cervical insufficiency? A propensity-score matching study.","authors":"Keyan Wang, Zhiqin Bu, Xiaofei Ge, Fang Wang, Menghui Zhang, Yihong Guo","doi":"10.1186/s12884-025-07342-4","DOIUrl":"10.1186/s12884-025-07342-4","url":null,"abstract":"<p><strong>Background: </strong>The potential effects of hyperandrogenism (HA) on pregnancy outcomes among polycystic ovary syndrome (PCOS) patients are still unknown. The aim of this study was to explore the impact of HA on miscarriage rate after in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) treatment in PCOS patients.</p><p><strong>Methods: </strong>Women diagnosed with PCOS who underwent the first autologous IVF/ICSI cycles using gonadotropin-releasing hormone agonist (GnRH-a) protocols for ovarian stimulation during the period from January 2016 to December 2022 were included. Women were divided into the HA and non-HA group according to Hyperandrogenemia (serum testosterone level > 0.48 ng/mL), and/or the presence of hirsutism. Pregnancy outcomes were compared before and after propensity-score matching (PSM). Multiple logistic regression models were performed to demonstrate the independent impact of HA on pregnancy outcomes.</p><p><strong>Results: </strong>A total of 3066 patients were included. PCOS women with HA experienced a notably higher rates of late spontaneous miscarriage (LSM) as compared to those without HA before and after PSM (8.8% versus 3.5%, P < 0.001; 8.9% versus 3.9%, P = 0.001, respectively), but comparable rates of clinical pregnancy, early spontaneous miscarriage, and live birth. After adjusting for possible confounding factors, the logistic regression confirmed that HA was independently associated with the increased risk of LSM (adjusted OR: 2.540, 95% confidence interval: 1.326-4.672, P = 0.003). For the specific reasons for LSM, cervical insufficiency accounted for a larger proportion in women with HA than their counterparts without HA (15/32 versus 7/33, P = 0.029).</p><p><strong>Conclusions: </strong>Androgen excess is postulated to play a role in late miscarriage via increased likelihood of cervical insufficiency.</p><p><strong>Trial registration: </strong>N/A.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"222"},"PeriodicalIF":2.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of maternal COVID-19 infection on offspring immunity and maternal-fetal outcomes at different pregnancy stages: a cohort study.","authors":"Yushan Sun, Xin Luo, Ningxuan Chen, Lingcui Xie, Shan Hu, Mingfang Zhou, Li Wang, Liyan Wang, Xia Li, Zailin Yang, Ping Yi, Jing Xu","doi":"10.1186/s12884-025-07323-7","DOIUrl":"10.1186/s12884-025-07323-7","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the impact of COVID-19 infection on maternal and neonatal outcomes and immunity in pregnant women in China.</p><p><strong>Methods: </strong>283 pregnant women with COVID-19 were included in the prospective observational cohort study and divided into five groups based on infection stage. Antibody levels were measured in plasma, umbilical cord blood, and breast milk, and combined with clinical data and 6-month follow-up results. We measured SARS-CoV-2 antibody levels using a chemiluminescence immunoassay and analyzed the data with the Kruskal-Wallis test, χ2 test, or Fisher's exact test.</p><p><strong>Results: </strong>No significant differences were found in age, BMI, weight change during pregnancy, or the incidence of gestational hypertension, gestational diabetes, gestational hypothyroidism, intrahepatic cholestasis, transaminitis, preterm birth, small for gestational age, neonatal NICU transfers, developmental delays, and hearing damage among the five groups. The incidence of COVID-19 in infants from mothers infected at different stages of pregnancy was significantly lower than in the uninfected group (P < 0.05). Maternal and umbilical cord blood showed significantly higher IgG levels in the infected group compared to the uninfected group at different stages of pregnancy (P < 0.05). The median transplacental antibody transfer ratio across all infection groups was 1.15 (0.98-1.30), with no significant differences between them. The reinfection group had significantly higher IgA levels during pregnancy compared to other groups (P < 0.05).</p><p><strong>Conclusion: </strong>No adverse outcomes were observed in mothers or infants at any stage of maternal SARS-CoV-2 infection. Antibodies in umbilical cord blood and breast milk may offer passive immunity to newborns for 1-3 months. Reinfection during pregnancy may extend this immunity without raising the risk of adverse outcomes.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"219"},"PeriodicalIF":2.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal knowledge and practices regarding infantile colic in Palestine: a need for enhanced education and awareness.","authors":"Asma Radwan, Naser Shraim, Murad Abualhasan, Louseen Salim, Raghad Nazzal, Yaqoot AbuAbaid","doi":"10.1186/s12884-025-07360-2","DOIUrl":"10.1186/s12884-025-07360-2","url":null,"abstract":"<p><strong>Background: </strong>Infantile colic is a common condition affecting healthy infants, characterized by excessive crying and fussiness, causing discomfort for the child and psychological distress for their caregivers, particularly mothers. While the exact cause remains unknown, understanding maternal knowledge and practices regarding colic is crucial for effective management and support. This study aimed to assess Palestinian mothers' knowledge and practices regarding infantile colic, focusing on their understanding of the etiology and management strategies.</p><p><strong>Methods: </strong>This cross-sectional study involved 450 mothers of infants diagnosed with colic attending pediatric clinics. A face-to-face questionnaire assessed maternal knowledge of the etiology, management strategies, and information sources. Data analysis was conducted using SPSS version 20. Chi-square tests identified any significant associations.</p><p><strong>Results: </strong>The study revealed a wide range of maternal knowledge regarding infantile colic, with a significant proportion of mothers (55.6%) claiming prior understanding of this condition. Mothers relied heavily on family friends (40.2%) and personal experience (35.3%) for information about colic, with less reliance on healthcare professionals (13.3%). Cow's milk allergy (33.8%) and bottle feeding (29.6%) were perceived as risk factors while burping (50.4%) and keeping warm (25.6%) were seen as preventive measures. Surprisingly, few mothers linked maternal anxiety or diet (6.4%) to colic. Popular management strategies included massage (77.3%), wrapping (58.7%), and herbal remedies (53.4%). Notably, only 18.9% of mothers sought professional advice.</p><p><strong>Conclusion: </strong>The study findings revealed a limited understanding of infantile colic among Palestinian mothers. This highlights the need for educational interventions. Healthcare providers should be more active in educating mothers and addressing the knowledge gaps.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"223"},"PeriodicalIF":2.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting outcomes of expectant and medical management in early pregnancy miscarriage using machine learning to develop and validate multivariable clinical prediction models.","authors":"Sughashini Murugesu, Kristofer Linton-Reid, Emily Braun, Jennifer Barcroft, Nina Cooper, Margaret Pikovsky, Alex Novak, Nina Parker, Catriona Stalder, Maya Al-Memar, Srdjan Saso, Eric O Aboagye, Tom Bourne","doi":"10.1186/s12884-025-07283-y","DOIUrl":"10.1186/s12884-025-07283-y","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether readily available patient, ultrasound and treatment outcome data can be used to develop, validate and externally test two machine learning (ML) models for predicting the success of expectant and medical management of miscarriage respectively.</p><p><strong>Methods: </strong>A retrospective, multi-site study of patients opting for expectant or medical management of miscarriage was undertaken. A total of 1075 patients across two hospital early pregnancy units were eligible for inclusion. Data pre-processing derived 14 features for predictive modelling. A combination of eight linear, Bayesian, neural-net and tree-based machine learning algorithms were applied to ten different feature sets. The area under the receiver operating characteristic curve (AUC) scores were the metrics used to demonstrate the performance of the best performing model and feature selection combination for the training, validation and external data set for expectant and medical management separately.</p><p><strong>Results: </strong>Parameters were in the majority well matched across training, validation and external test sets. The respective optimum training, validation and external test set AUC scores were as follows in the expectant management cohort: 0.72 (95% CI 0.67,0.77), 0.63 (95% CI 0.53,0.73) and 0.70 (95% CI 0.60,0.79) (Logistic Regression in combination with Least Absolute Shrinkage and Selection Operator (LASSO)). The AUC scores in the medical management cohort were 0.64 (95% CI 0.56,0.72), 0.62 (95% CI 0.45,0.77) and 0.71 (95% CI 0.58,0.83) (Logistic Regression in combination with Recursive Feature Elimination (RFE)).</p><p><strong>Conclusions: </strong>Performance of our expectant and medical miscarriage management ML models demonstrate consistency across validation and external test sets. These ML methods, validated and externally tested, have the potential to offer personalised prediction outcome of expectant and medical management of miscarriage.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"225"},"PeriodicalIF":2.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between interpregnancy intervals and preterm birth: a systematic review and meta-analysis.","authors":"Xueheng Wen, Weilun Liang, Jinguo Zhai, Yunxia Wang, Pingping Zheng, Shiying Wang","doi":"10.1186/s12884-025-07259-y","DOIUrl":"10.1186/s12884-025-07259-y","url":null,"abstract":"<p><strong>Background: </strong>Research has shown a relationship between interpregnancy intervals (IPIs) and preterm birth, but a comprehensive understanding remains elusive. The aim of this systematic review and meta-analysis was to examine the effect of different IPIs on the risk of preterm birth METHODS: Systematic searches were conducted in PubMed, Cochrane, Web of Science, and Embase up to June 2, 2023. Studies included in the review provided data on IPIs and preterm birth outcomes, assessed via the NOS quality scale. A Bayesian network meta-analysis was performed to evaluate the association between IPIs and preterm birth.</p><p><strong>Results: </strong>From 34 studies and 8,646,679 individuals, the optimal IPIs were found to be 24-29 months, showing significantly lower risks of preterm birth at less than 32 weeks of gestation [OR=0.55 (95%CI: 0.50 - 0.62)]and at less than 37 weeks of gestation[OR=0.61 (95%CI: 0.59 - 0.63)]compared to IPIs less than 5 months.</p><p><strong>Conclusions: </strong>IPIs of 24-29 months significantly reduce the risk of preterm birth, suggesting a potential target range for family planning and clinical recommendations.</p><p><strong>Trial registration: </strong>Not applicable.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"226"},"PeriodicalIF":2.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of maternal-fetal attachments skills training among unintended primigravida women: a randomized controlled trial.","authors":"Fahimeh Hasanzadeh, Seyede Zahra Jafari, Marzieh Akbarzadeh, Fatemeh Hosseini, Zahra Yazdanpanahi","doi":"10.1186/s12884-025-07329-1","DOIUrl":"10.1186/s12884-025-07329-1","url":null,"abstract":"<p><strong>Background and objectives: </strong>An unintended pregnancy can lead to an unfavorable relationship between the mother and infant and also include pregnancies that, although unintended, become wanted and may not have the same risks. This study aimed to investigate the effect of attachment training on maternal and fetal attachment in women with unintended pregnancy.</p><p><strong>Method: </strong>This clinical trial study was conducted in 2019 on 84 women (two groups of 42 subjects) with unintended pregnancies (at least 28 weeks in the third trimester of pregnancy) in selected clinics affiliated with Shiraz University of Medical Sciences. Cranley's Maternal-Fetal Attachment Scale (MFAS) was completed before and after the intervention in both groups; a demographic information questionnaire was filled out and written consent forms were signed before the intervention in both groups. Then, attachment training classes were conducted for 6 sessions of 90 min in the intervention group, while the control group received only routine pregnancy care. Chi-square, Fisher and independent t-test were used to analyze the data.</p><p><strong>Findings: </strong>The mean scores of maternal-fetal attachment before attachment training in the experimental (57. 24 ± 5.03) and control groups (57.29 ± 6.96) were not significantly different (P = 0.86). Based on the results of independent t-test, the mean scores of maternal-fetal attachment after training in the intervention (66.43 ± 1.76) and control (57.14 ± 5.03) groups were significantly different (P = 0.0001).</p><p><strong>Conclusion: </strong>The findings of this study showed the positive effect of education on the attachment behaviors of mothers with unintended pregnancies. Therefore, it is recommended that attachment skills training should be used in prenatal training programs.</p><p><strong>Trial registration: </strong>Iran Randomized Clinical Trial Center registration IRCT20130710013940N5, Date of first trial registration: 2019.02.02.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"220"},"PeriodicalIF":2.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antibiotic susceptibility and risk factors for listeriosis in women with spontaneous abortion in Ugandan tertiary hospitals: a cross-sectional study.","authors":"Emmanuel Ssentongo, Musa Kasujja, Ronald Musinguzi, Jean Claude Jeancy Massamba Kanika, Rachael Bivako, Mugagga Kintu, Simon Byonanuwe, Ralph Samson Enyamitoit, Emmanuel Okurut","doi":"10.1186/s12884-025-07315-7","DOIUrl":"10.1186/s12884-025-07315-7","url":null,"abstract":"<p><strong>Background: </strong>Listeriosis, caused by Listeria monocytogenes, poses significant health risks globally, particularly among pregnant women. Despite its established impact in other regions, its prevalence and antibiotic susceptibility patterns in Uganda, especially among women experiencing spontaneous abortion, remain understudied.</p><p><strong>Objective: </strong>This cross-sectional study aimed to determine the prevalence, antibiotic susceptibility, and associated risk factors of listeriosis among women admitted with spontaneous abortion in Ugandan tertiary hospitals.</p><p><strong>Methods: </strong>A total of 384 women from Jinja and Kayunga Regional Referral Hospitals were included. Data on socio-demographic characteristics, obstetric history, and dietary habits were collected using structured interviews and high vaginal swab cultures. Antibiotic susceptibility testing was performed using the disk diffusion method, and logistic regression analysis was used to assess risk factors.</p><p><strong>Results: </strong>The prevalence of listeriosis among participants was 11.2%. L. monocytogenes showed high susceptibility to Vancomycin (88.37%) and Clindamycin (81.40%), but significant resistance to Ampicillin (81.40%) and Amoxicillin (76.74%). Risk factors significantly associated with listeriosis included lack of formal education (adjusted odds ratio [aOR] = 7.0, 95% CI: 1.779-27.655), multiple abortions (aOR = 3.3, 95% CI: 1.486-7.427), and consumption of soft cheese, ice cream, yogurt, or ghee (aOR = 4.3, 95% CI: 1.331-14.082).</p><p><strong>Conclusion: </strong>This study provides critical insights into the prevalence, antibiotic resistance patterns, and risk factors for listeriosis among Ugandan women with spontaneous abortion. Findings underscore the need for targeted public health interventions and antibiotic stewardship to mitigate the impact of this infection.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"227"},"PeriodicalIF":2.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the clinical utility of stillbirth investigations: a scoping review.","authors":"Tania Marsden, Heidi Shukralla, T Yee Khong, Jane E Dahlstrom, Vicki Flenady, Jessica Sexton","doi":"10.1186/s12884-025-07345-1","DOIUrl":"10.1186/s12884-025-07345-1","url":null,"abstract":"<p><strong>Background: </strong>Investigating the causes of stillbirth is crucial for both parents and healthcare providers as it helps explain why the baby died, guides clinical care in future pregnancies, and aids in developing strategies to prevent stillbirth. The usefulness or utility of investigations for stillbirth is poorly defined and unclear. As a result, protocols for investigating the causes of stillbirth are currently based on clinical consensus and fail to prioritise investigative approaches that are most effective at determining a cause of death.</p><p><strong>Objectives: </strong>The objectives of this scoping review were to identify the available evidence, key characteristics, and knowledge gaps regarding the utility of stillbirth investigations.</p><p><strong>Search strategy: </strong>An a priori protocol was implemented and included a systematic search in MEDLINE, CINAHL, EMBASE, Scopus, and Cochrane from inception until 28 May 2024.</p><p><strong>Selection criteria: </strong>Studies examining stillbirth investigations, yield, and value were included.</p><p><strong>Data collection and analysis: </strong>Data were collected using a purpose-built data extraction tool and an analysis was undertaken.</p><p><strong>Results: </strong>57 potentially eligible studies were identified, and 34 studies (with 11,410 stillbirths) were included. Three studies examined clinical utility using a comprehensive testing protocol. Definition of utility or value of investigations varied across the studies, classification system for cause of death and investigation protocols varied. Placental pathology was reported as the most useful investigation in 65%-96% of cases, identified a cause of death in 61-71% of cases and impacting the medical management in 36% of cases (13 studies, 5,169 stillbirths). Autopsy can identify the cause of death in 36-77% of cases and provided new information in 17-26% of cases (17 studies, 4,336 stillbirths). Genetic analysis was useful in 29% of cases (seven studies, 1,886 stillbirths). One study (512 stillbirths) examined the value of investigation by presenting clinical scenario.</p><p><strong>Conclusions: </strong>This review indicates that Investigation protocols for stillbirth should include placental pathology, autopsy, and genetic testing. Future studies should address the value of tests by presenting clinical scenarios, use of a consistent definition of stillbirth, classification system and measurement of investigation value.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"221"},"PeriodicalIF":2.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digitization in nursing processes and the use of clinical decision support systems: do they improve perinatal indicators?","authors":"Asibe Özkan, Zehra Acar","doi":"10.1186/s12884-025-07272-1","DOIUrl":"10.1186/s12884-025-07272-1","url":null,"abstract":"<p><strong>Background: </strong>The increasing integration of digital technologies in healthcare has significantly enhanced the efficiency and quality of maternal and infant care services, with national and international bodies emphasizing the use of quality indicators to monitor and improve outcomes. Nursing plays a crucial role in this process, and the implementation of Clinical Decision Support Systems (CDSS) can further support nurses in providing high-quality care.</p><p><strong>Aim: </strong>This study was carried out to determine the effects of digitization efforts and the CDSS, which were designed to improve perinatal indicators, on \"safe childbirth checklist usage rates\", \"rates of infants discharged following exclusive breastfeeding\", and \"rates of mother-infant pairs starting skin-to-skin contact within one hour after delivery\".</p><p><strong>Methods: </strong>The data for this retrospective, descriptive, and correlational study were collected between January and May 2024. The data, which were used to evaluate the perinatal indicators selected for the study and the effectiveness of digitization efforts and the CDSS designed for nursing, were obtained from indicator and log database records made in 2021-2023 in the Turkey Health Quality Indicators System (THQIS).</p><p><strong>Conclusion: </strong>In the comparisons of the World Health Organization safe childbirth checklist usage rates, rates of infants discharged following exclusive breastfeeding, and rates of mother-infant pairs starting skin-to-skin contact within one hour after delivery according to the THQIS records in 2021, 2022, and 2023, the increase from 2021 to 2022 and the increase from the average of 2021-2022 to 2023 were found statistically significant. Digitization in nursing processes and the use of the CDSS were found to be highly beneficial for improving the perinatal indicators examined in the present study.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"218"},"PeriodicalIF":2.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women's experience of gestational diabetes and healthcare in southern Sweden - a qualitative study.","authors":"Amanda Björk Javanshiri, Sara Modig, Peter Nymberg, Susanna Calling","doi":"10.1186/s12884-025-07328-2","DOIUrl":"10.1186/s12884-025-07328-2","url":null,"abstract":"<p><strong>Background: </strong>Gestational diabetes is one of the most common pregnancy complications, affecting 14% of all pregnancies globally, and its prevalence is increasing. Gestational diabetes is associated with short and long-term complications for both the mother and their offspring, which are possible to prevent by glycemic control mainly facilitated by healthy lifestyle behaviors. Hence, women diagnosed with gestational diabetes have a significant role in disease management which can be perceived as burdensome. Previous research has well documented the psychological implications of diagnosis in the women and the need for support from healthcare. Despite the global burden of disease associated with gestational diabetes, recent qualitative studies exploring women's experiences are scarce, particularly in Sweden. Thus, highlighting a critical gap in understanding the impact of this condition and the women's experiences of diagnosis and prenatal healthcare, which this study aimed to address.</p><p><strong>Methods: </strong>Purposive sampling was used to recruit women with previous gestational diabetes in southern Sweden. Individual interviews were held with 17 participants according to a semi-structured interview guide. The interviews were audio recorded and transcribed verbatim. Data analysis was conducted according to qualitative content analysis.</p><p><strong>Results: </strong>The analysis generated 10 subcategories, which were grouped into three categories labeled: \"experience of diagnosis\", \"a complex relationship with food\" and \"experience of prenatal healthcare\". One theme emerged: to suddenly become a patient as opposed to an expectant mother. Most women were initially overwhelmed by the diagnosis and its consequences. They felt that healthy eating was important, despite it limiting their everyday lives, which also revealed a complicated relationship with food. Women felt supported during pregnancy but abandoned after labor. They requested additional information and emotional support from healthcare personnel, increased awareness and understanding of the treatment burden of gestational diabetes, improved person-centered care, and collaboration between healthcare providers, particularly to ensure better support in reducing future risk of disease.</p><p><strong>Conclusions: </strong>This study provides an understanding of women's experience of gestational diabetes and the care provided in southern Sweden. Their views could improve future care regarding both successful gestational diabetes management and post-pregnancy follow-up to prevent long-term adverse health outcomes.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"224"},"PeriodicalIF":2.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}