BMC Pregnancy and Childbirth最新文献

{"title":"Level of satisfaction with the quality of antenatal care services in public health facilities and associated factors among pregnant women in Unguja, Zanzibar.","authors":"Nassra Is-Hak Yussuf, Michael Johnson Mahande, Rachel Nathaniel Manongi, Jelle Stekelenburg","doi":"10.1186/s12884-025-07816-5","DOIUrl":"10.1186/s12884-025-07816-5","url":null,"abstract":"<p><strong>Background: </strong>Antenatal care (ANC) through quality services is essential and can improve pregnancy outcomes. Satisfaction with the quality of ANC services is the critical determinant of service utilization and is important in identifying factors that can improve maternal health. ANC coverage is very low in low- and middle-income countries. Hence, this study aims to assess the level of satisfaction with the quality of antenatal care services in public health facilities and their associated factors among pregnant women in Unguja, Zanzibar.</p><p><strong>Methods: </strong>A facility-based cross-sectional study was conducted from September to October 2021, with 393 pregnant women who were followed up after their ANC visits to selected public health facilities in Unguja. Systematic random sampling was used to select study participants. A pre-programmed, smartphone-based application, Kobo tool Kit (ODK Collect VVI.27.3), was used to collect information. SPSS (version 26) was used for analysis. Descriptive statistics and bivariate and multivariable logistic regression analyses were employed to describe and identify the level of satisfaction and association between variables.</p><p><strong>Results: </strong>A total of 393 pregnant women were enrolled in this study, with a response rate of 99.8%. About two-thirds (64.4%) of the enrolled women were satisfied with the ANC services provided. The mean and SD age of the pregnant women was 28.1 ± 5.6 (range = 15-49) years. The average mean satisfaction score indicated that 71 (18.1%) of respondents had high satisfaction with the quality of ANC services. Interpersonal and communication aspects (AOR = 2.34; 95% CI = 1.17-4.72; p = 0.016), technical quality aspects (AOR = 0.41, 95% CI = 0.21-0.78, p = 0.006), and accessibility and convenience of ANC (AOR = 0.54, 95% CI = 0.29-0.99, p = 0.045) were significantly associated with satisfaction with the quality of antenatal care services in public health facilities.</p><p><strong>Conclusion: </strong>Although 64.4% of the enrolled women were satisfied with the quality of antenatal care, there were areas of dissatisfaction, namely, health information concerning the prevention of cervical cancer and breast self-examination and the provision of ANC services by male healthcare providers. Healthcare providers' efforts are needed to improve their technical competence in providing ANC services that could improve the quality of maternal and child health care.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"847"},"PeriodicalIF":2.7,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854355","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":"Prevalence of postpartum depression in mothers of infants with cleft lip and/or palate and its influential factors: a mixed-methods study.","authors":"Shuai Yang, Jiansuo Hao, Xiaofang Liu, Yunxia Lv, Huaitian Xue, Mengjie Wang, Min Zhu","doi":"10.1186/s12884-025-07991-5","DOIUrl":"10.1186/s12884-025-07991-5","url":null,"abstract":"<p><strong>Background: </strong>Mothers of infants with cleft lip and/or palate (CL/P) are at an elevated risk of postpartum depression due to emotional challenges associated with the condition. This study aimed to examine the prevalence of depression and its influential factors in mothers of infants with CL/P within 1 year postpartum.</p><p><strong>Methods: </strong>This study used an interpretive sequential mixed research design, incorporating the psychological-social-cultural model to understand the phenomenon under investigation. A quantitative survey was conducted from February to August 2023, involving 254 mothers of infants with CL/P from two hospitals in China, to investigate the prevalence of depression within 1 year postpartum and its influential factors. Subsequently, qualitative interviews were performed to gain insights into how these factors affect postpartum depression within this specific population.</p><p><strong>Results: </strong>The prevalence of depression among mothers of infants with CL/P was 23.6% within 1 year postpartum, peaking at 33.3% between 4 and 6 months postpartum. Multivariate logistic regression analysis indicated that mothers of infants with CL/P with a history of adverse pregnancies are more likely to experience depression (odds ratio (OR) = 5.713, p<0.001). Mothers without postpartum caregiving support were significantly more likely to experience postpartum depression (OR = 1, p = 0.004) compared to those who received care from family members (OR = 1.219) or nannies (OR = 1.166). Increased parenting stress was also associated with a higher likelihood of depression (OR = 1.267, p < 0.001). In contrast, mothers with greater social support were less likely to develop postpartum depression (OR = 0.970, p = 0.041). Cultural factors also play a role in shaping postpartum depression among mothers of infants with CL/P. This relationship is complex, involving both adherence to traditional customs and the conflicts that arise between these customs and modern health practices.</p><p><strong>Conclusion: </strong>Postpartum depression is more prevalent among mothers of infants with CL/P compared to mothers of infants without CL/P. Mothers with adverse pregnancy history, lack of caregiver support, and increased parenting stress were found to have a greater risk of postpartum depression. Conversely, higher levels of social support were associated with a reduced likelihood of experiencing postpartum depression. The influences of cultural factors on postpartum depression are complex, and they also shape an individual's social support in multiple ways. Regular prenatal evaluations are recommended to mitigate psychological burdens. Furthermore, family members should provide comprehensive support, and social groups are encouraged to arrange multifaceted assistance to families facing the challenges of caring for infants with CL/P.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"849"},"PeriodicalIF":2.7,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854358","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":"Relationship between dietary protein intake and serum essential free amino acid concentrations in Japanese pregnant women: an observational study.","authors":"Takuya Shibasaki, Hirohiko Nakamura, Takuya Kamimura, Fuka Tabata, Satomi Kawakami, Mayumi Inubashiri, Masayoshi Hosaka, Kiwamu Noshiro, Takeshi Umazume, Kazuhiro Miyaji","doi":"10.1186/s12884-025-07962-w","DOIUrl":"10.1186/s12884-025-07962-w","url":null,"abstract":"","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"852"},"PeriodicalIF":2.7,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854359","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":"Evaluation of the knowledge and attitudes of pregnant women undergoing preoperative assessment in the anesthesia clinic regarding Monkeypox virus disease in Turkey.","authors":"Oğuz Kağan Bulut, Sevim Şenol Karataş, Sait Fatih Öner","doi":"10.1186/s12884-025-08001-4","DOIUrl":"10.1186/s12884-025-08001-4","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to evaluate the knowledge and attitudes of pregnant women undergoing preoperative assessment in the anesthesia clinic regarding monkeypox virus disease and related vaccines.</p><p><strong>Methods: </strong>This descriptive and cross-sectional study was conducted between November 2024 and March 2025 at the Anesthesia Clinic of Elazığ Fethi Sekin City Hospital among pregnant women who applied for preoperative evaluation. Pregnant women aged 18 years and older who agreed to participate were included in the study, provided they completed the survey. The survey was administered face-to-face. The sample size for the study was calculated using the recommended formula for small populations, resulting in a required sample of 208 participants. The survey was developed based on studies related to COVID-19 (coronavirus disease 2019) and monkeypox. It consisted of four sections: sociodemographic data, knowledge test, attitude toward the disease, and attitude toward vaccination. A validated questionnaire with acceptable reliability (Cronbach alpha = 0.82) was used to assess knowledge and attitudes.</p><p><strong>Results: </strong>A total of 300 pregnant women who applied to the anesthesia clinic were included in the study. The mean age of the participants was 30.62 ± 6.62 years, with 77 (25.66%) having completed high school or university education, and 86 (28.66%) experiencing their first pregnancy. The participants' mean knowledge score was 9.5 ± 2.46, and 114 (38%) demonstrated a good level of knowledge. Additionally, 168 (56%) had a positive attitude toward monkeypox virus, but only 28 (9.33%) expressed willingness to receive the vaccine.</p><p><strong>Conclusion: </strong>The findings of this study indicate that while pregnant women demonstrate moderate knowledge and relatively positive attitudes toward monkeypox, their willingness to receive vaccination remains low. Tailored educational and counseling interventions are essential to improve awareness and vaccine acceptance in this vulnerable population.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"853"},"PeriodicalIF":2.7,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12355826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854343","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 relationship between motivation for having children and sociodemographic and obstetric characteristics: a cross-sectional study.","authors":"Zümrüt Bilgin, İrem Özten Dalkıran, Esra Sarı, Khaled Trabelsi, Waqar Husain, Achraf Ammar, Haitham Jahrami","doi":"10.1186/s12884-025-07956-8","DOIUrl":"10.1186/s12884-025-07956-8","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to examine the relationships between motivation for having children and sociodemographic and obstetric characteristics.</p><p><strong>Materials and methods: </strong>This descriptive, cross-sectional study was conducted between February 2025 and March 2025. Data were collected via the \"Personal Information Form\" and the \"Motivations for Having Children Scale\". The data of 185 women who participated in the study were analyzed, and the statistical significance level was accepted as p < 0.05.</p><p><strong>Results: </strong>The mean age of the women who participated in the study was 32.94 ± 7.63 years; 65.4% were university graduates, and 42.2% wanted to have children. A significant correlation was found between the desire for children and age, education level, income level, social support status and duration of marriage (p < 0.05). In the present study, 27.6% of the women had one pregnancy, 31.4% had living children, and a relationship was found between the number of pregnancies, the number of living children and the time elapsed since the last pregnancy. In this study, there was no significant difference between the total score of the Motivation to Have Children Scale and age, educational level, income level, or duration of marriage (p > 0.05), whereas a significant difference was found between employment status and spousal compatibility (p < 0.05). The mean total score of the Motivation to Have Children Scale was calculated as 92.38 ± 26.31.</p><p><strong>Conclusion: </strong>According to the findings of the study, it was determined that women's employment status and spousal adjustment affected women's motivation to have children. In this direction, it is thought that psychosocial factors, in addition to sociodemographic and obstetric characteristics, will play a critical role in determining reproductive motivations. Understanding these factors may help reproductive health professionals and policymakers develop interventions for women's motivation to have children and support family planning efforts in different social contexts.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"845"},"PeriodicalIF":2.7,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854409","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 experiences of family planning health professionals providing care to incarcerated patients: a qualitative study.","authors":"Martha Paynter, Clare Heggie, Anja McLeod, Wendy V Norman","doi":"10.1186/s12884-025-07913-5","DOIUrl":"10.1186/s12884-025-07913-5","url":null,"abstract":"<p><strong>Background: </strong>Although Canada completely decriminalized abortion in 1988, barriers persist, and people experiencing incarceration may face additional challenges. Family planning health professionals (FPHP) in the community may provide care to incarcerated people. This study is the first to examine their experiences and needs.</p><p><strong>Methods: </strong>We used a community-based approach to this qualitative study and conducted interviews and focus groups with FPHP across Canada from multiple disciplines. Experts on the research team with lived experience of incarceration enhanced relevance of research questions and approaches.</p><p><strong>Results: </strong>We spoke with thirty participants from eight provinces, including nurses, nurse practitioners, family medicine and obstetrics-gynecology physicians, and social workers. Analysis generated three themes: Managing Multiple Systems; The Prison in the Clinic; and Future Recommendations, and six subthemes, A Firewall of Secrecy, Logistical Hoop-Jumping, Surveillance by Correctional Officers, Health Professional Strategies, A Policy for Legitimacy and We Need This in Our Training. FPHP described commitment to providing incarcerated patients equivalent care to that provided to people in community, but faced challenges with communication, preserving patient dignity, privacy, confidentiality, and safety.</p><p><strong>Conclusion: </strong>Findings indicate FPHP feel ethics and safety in jeopardy when caring for incarcerated patients. FPHP express needs for improved education about roles, and for supportive professional position statements or clinical workplace policies to buttress efforts at patient advocacy. No FPHP organization in Canada has a position on care of incarcerated pregnant people. Professional position statements and workplace policies could support confident care. FPHP training should include information about incarcerated peoples' needs.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"856"},"PeriodicalIF":2.7,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12355797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854361","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 role of mother-infant interaction and infant temperament in predicting the rate of post-NICU physical development in low birth weight infants: a prospective cohort study.","authors":"Zijin Ren, Qihui Wang, Wenying Gao, Yi Duan, Yunling Li, Ying Zhang","doi":"10.1186/s12884-025-07939-9","DOIUrl":"10.1186/s12884-025-07939-9","url":null,"abstract":"<p><strong>Background: </strong>Low birth weight infants (LBWIs) discharged from NICU face significant growth retardation risks, however, their physical growth trajectories and the modifiable risk factors within mother-infant dyads remain insufficiently understood. This study aims to investigate how mother-infant interactions and infant temperament influence the rate of physical development in LBWIs.</p><p><strong>Methods: </strong>A prospective longitudinal cohort of 273 LBWIs and their mothers was enrolled between September 2021 and March 2023. Primary variables included mother-infant interaction and infant temperament, while covariates encompassed socio-demographic and clinical data, and maternal postpartum depression. Latent growth curve models with time-varying covariates were employed to investigate the impact of mother-infant dyad-related factors on LBWIs' physical growth.</p><p><strong>Results: </strong>Higher mother-infant interaction quality at 1 month of corrected age (CA) (β=-0.190, P = 0.027) and 12 months CA (β=-0.228, P = 0.050) was associated with faster length and weight growth rate, respectively. In contrast, mother-infant interaction quality at 3 and 9 months CA was negatively correlated with LBWIs' growth rate. Higher scores of temperament (surgency) at 3 months CA predicted faster weight growth rate (β = 0.217, P = 0.046).</p><p><strong>Conclusions: </strong>The impact of mother-infant interaction on the growth rate of LBWIs varies at different time points, suggesting that tailored outpatient follow-up is crucial. Furthermore, infant temperament at 3 months CA positively influences the rate of development, indicating that interventions to nurture temperament may prove advantageous during this critical period. Therefore, mobile applications can be further developed to timely analyze interaction quality and guide parents through strategies that are best suited for their infant's current developmental stage and temperament.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"851"},"PeriodicalIF":2.7,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854411","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":"Effects of the COVID-19 pandemic on working conditions of maternity staff - a scoping review.","authors":"Marcus Heise, Murielle Madi, Elke Mattern, Antonia Stengler, Anke Steckelberg","doi":"10.1186/s12884-025-07905-5","DOIUrl":"10.1186/s12884-025-07905-5","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic significantly disrupted healthcare systems, with a pronounced impact on maternity care. Midwives and obstetricians faced numerous structural, organizational, and subjective challenges in maintaining high-quality care under unprecedented conditions. This review examines the multifaceted effects of the COVID-19 pandemic on maternity staff and the challenges encountered during this period.</p><p><strong>Methods: </strong>This scoping review adhered to the methodologies outlined by Arksey & O'Malley and the Joanna Briggs Institute. We searched six bibliographic databases for English and German articles published between January 2020 and September 2023 that addressed the pandemic's impact on maternity staff in OECD countries. The themes and subthemes were deductively established from the extracted results, synthesized into descriptive narratives and charted within a schematic diagram. The reporting followed the PRISMA-ScR statement.</p><p><strong>Results: </strong>This scoping review included 83 articles. Key findings were categorized into the two broader topics \"structural challenges\" and \"mental health impacts on the workforce\". Structural challenges included staff shortages, restructuring, inadequate personal protective equipment (PPE), transition to virtual communication, managing SARS-CoV-2 positive patients, and restrictions on accompanying persons. Mental health impacts were significant, with increased levels of anxiety, stress and moral dilemmas among staff. Despite these challenges, a strong sense of occupational solidarity was observed.</p><p><strong>Conclusions: </strong>The findings emphasize the need for improved support systems for maternity care staff during pandemics to mitigate these adverse effects. Recommendations include better resource allocation, enhanced mental health support, and clear communication strategies to navigate future healthcare crises effectively. These results may inform pandemic preparedness for future health crises.</p><p><strong>Trial registrations: </strong>This scoping review was registered with OSF on October 24th, 2023 and the published protocol is openly available via https://doi.org/10.17605/OSF.IO/AVYDX.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"855"},"PeriodicalIF":2.7,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12355864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854342","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":"Predictive value of the maternal alpha-fetoprotein variant, L2, during the first trimester of pregnancy screening for fetal trisomy 21, trisomy 18, and neural tube defects.","authors":"Yiming Chen, Wenwen Ning, Caihe Wen, Linyuan Gu, Xuelian Chu","doi":"10.1186/s12884-025-07893-6","DOIUrl":"10.1186/s12884-025-07893-6","url":null,"abstract":"<p><strong>Background: </strong>To assess the predictive usefulness of maternal serum alpha fetoprotein variant L2 (AFP-L2) for fetal trisomy 21, trisomy 18, and neural tube abnormalities (NTDs) in early pregnancy screening.</p><p><strong>Methods: </strong>This retrospective case-control study including 155 fetuses diagnosed with trisomy 21 (n = 83), trisomy 18 (n = 21), and NTDs (n = 51). There are 265 pregnant women with normal development of their fetuses who were chosen at random and included in the control group. The receiver operating characteristic curve was used to determine the optimal screening cut-off value and the area under the curve (AUC).</p><p><strong>Results: </strong>The maternal serum AFP-L2 levels in the first trimester of pregnancies with trisomy 21, trisomy 18, and NTD fetuses were higher than the control group [6.64 (4.56-8.09) ng/mL, 6.17 (3.96-8.37) ng/mL, and 6.87(5.29-8.68) ng/mL vs. 3.71 (2.71-4.64) ng/mL], respectively; all P < 0.001). The AUCs for maternal serum AFP-L2 levels in the early stages of pregnancy (11-13⁺⁶ weeks) for predicting trisomy 21, trisomy 18, and NTDs were 0.831 (95% CI: 0.775-0.886), 0.783 (95% CI: 0.671-0.896), and 0.876 (95% CI: 0.816-0.937), respectively (all P < 0.001). The positive predictive value of AFP-L2 was greater than free beta-subunit of human chorionic gonadotropin (free β-hCG) and pregnancy-associated plasma protein A (PAPP-A) for predicting trisomy 21 and NTDs. The positive predictive value of AFP-L2 + PAPP-A + free β-hCG + (Maternal age + Gestational age + Maternal weight (MGM)) was greater than single markers. For predicting trisomy 18, the positive predictive value of AFP-L2 was somewhat lower than PAPP-A. AFP-L2 + PAPP-A + free β-hCG + MGM had a higher positive predictive value than single markers.</p><p><strong>Conclusion: </strong>We report that the maternal serum AFP-L2 level can be used as a prenatal screening marker to predict NTDs in early pregnancy. AFP-L2 was shown to have high specificity in screening for fetuses with trisomy 21, trisomy 18, and NTDs in the first trimester.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"844"},"PeriodicalIF":2.7,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144844373","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":"Surgical glove perforation in caesarean section and its association with surgical site infections: a prospective cohort study.","authors":"Volkan Özgür Akbulut, Dinçer Sümer, Aziz Kından, Ahmet Kurt, Aykut Kından, Recep Taha Ağaoğlu, Ahmet Arif Filiz, Kubilay Canga, Hatice Ayhan, Ali Turhan Çağlar","doi":"10.1186/s12884-025-08002-3","DOIUrl":"10.1186/s12884-025-08002-3","url":null,"abstract":"<p><strong>Objective: </strong>Infectious complications at the surgical site complicates 1-4% of cesarean deliveries. Strict aseptic technique, hand hygiene and the use of sterile surgical gloves are essential to reduce the risk of surgical site contamination. Glove perforations are observed in almost 30% of all procedures and represent an underestimated potential risk factor for postoperative infections. The aim of this prospective study was to investigate glove perforation rates in cesarean deliveries and to analyze the impact of unrecognized glove perforations during surgery on surgical site infection rates after cesarean delivery.</p><p><strong>Method: </strong>Surgical gloves from cesarean section were collected prospectively. All gloves were inspected for perforation holes. Cases in which surgical gloves had visible (macro) perforations were excluded from the study. Remaining gloves were examined using a water-fill test. Gloves with a positive water filling test were defined as the study group and negative gloves as the control group. Superficial Surgical Site Infections (SSI) were analyzed for the groups.</p><p><strong>Results: </strong>A total of 1,779 pairs of used surgical gloves were collected and examined for perforations across 593 cesarean operations. Macro perforation were observed in 56 (9.4%) operations. The remaining 1,611 pairs of gloves underwent water-fill testing. Of these, 505 operations had completely intact gloves, while in 32 (5.4%) cases, micro-perforations were identified. SSI occurred in 18 women (3.3%): 7 in the perforation group (21.8%) and 11 in the control group (2.2%) (p < 0.001). In multivariable logistic regression analysis, glove micro-perforation was found to be a significant independent predictor of SSI (adjusted odds ratio: 12.705; 95% CI: 4.244-38.039; p < 0.001), even after adjusting for potential confounders including diabetes, obesity, emergency cesarean, operative duration, and intraoperative blood loss.</p><p><strong>Conclusion: </strong>Our data show that glove perforation is unexpectedly common and underestimated in terms of unfavorable surgical outcomes. The rate of surgical site infections is increasing and we suggest that unrecognized glove perforation must be considered as a risk factor for surgical site infection after cesarean section.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"835"},"PeriodicalIF":2.7,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12341099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144833963","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}