BMC Women's Health最新文献

{"title":"Resilience and renewal: the personal impact of physical activity in breast cancer survivors.","authors":"María-Jesús Lirola, A Irene Hernández-Rodríguez, Cristina Cuenca-Piqueras, María Esther Prados-Megías","doi":"10.1186/s12905-025-03791-3","DOIUrl":"10.1186/s12905-025-03791-3","url":null,"abstract":"<p><p>This study investigates the multifaceted impact of physical activity on the holistic recovery of breast cancer survivors, emphasizing psychological, social, and physical dimensions. Beyond medical treatments, reclaiming identity and autonomy post-breast cancer is a complex process involving physical and emotional well-being. The research utilized a qualitative approach, conducting in-depth interviews with five female survivors aged 41 to 57, as well as a group interview with the three pysical activity instructors who led the participants´exercise sessions. Participants completed a 12-week resistance training protocol title EFICAN (Exercise and Cancer), a structured intervention specifically designed by the research team for this study, combining individual and small-group sessions. Survivors shared personal experiences of how physical activity influenced their post-treatment recovery, while the instructors provided complementary insights into the participants´observed changes. Thematic analysis was applied to identify patterns and core themes. Three primary themes emerged: (1) physical activity as a catalyst for empowerment and recovery, (2) the significance of social bonds formed during group activities, and (3) transformative changes in body perception and self-acceptance. Participants highlighted that exercise helped regain control over their bodies, mitigate side effects, and foster resilience. Group activities provided emotional support, reducing isolation and promoting psychological well-being. Instructors echoed these findings, describing visible improvements in participants' confidence, emotional expression, and social engagement. The study findings align with existing literature, while the inclusion of instructors' perspectives adds a novel contribution to the understanding of how physical activity supports psycho-social recovery. Integrating structured physical activity into post-treatment care can support emotional healing and strengthen social bonds. Clinical programs should celebrate individual achievements and include group-based exercises to enhance adherence and overall well-being. The study's small sample size may limit generalizability. Future research should explore diverse populations and incorporate quantitative methods to complement qualitative findings. Physical activity plays a crucial role in transitioning from surviving to thriving post-cancer. It supports not only physical health but also psychological resilience and social connection, reinforcing that survivors' voices are essential in shaping recovery programs.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"257"},"PeriodicalIF":2.4,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12107817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Toxocara infection in pregnant women: seroprevalence and risk factors.","authors":"Marjan Noori, Mohammad Zibaei, Amir Bairami, Seyed Ali Hashemi, Aliehsan Heidari, Fatemeh Bakhshipour, Zahra Hatami, Saeed Bahadory","doi":"10.1186/s12905-025-03809-w","DOIUrl":"10.1186/s12905-025-03809-w","url":null,"abstract":"<p><strong>Background: </strong>Human toxocariasis caused by T. canis is a worldwide and typically neglected zoonotic parasitic disease. Certain behaviors such as a geophagia habit, poor personal hygiene, close contact with young dogs, and ingestion of raw meat, as well as age, and socioeconomic status, affect the prevalence of the disease. In this study, we aimed at investigating the frequency of Toxocara infection among pregnant women and the epidemiological factors associated with disease.</p><p><strong>Methods: </strong>Toxocariasis-specific IgG antibodies were measured using a commercial ELISA technique in 200 pregnant women between December 2021 and May 2022. A questionnaire filled by participants included options for demographic information (age, gender, residency), gestational age, number of previous pregnancies, history of abortion, drug use, comorbidities, history of parasitic disease, and keeping pets (dogs or cats).</p><p><strong>Results: </strong>In total, 15 (7.5%) of the 200 participants (mean age 29.7 ± 18.7 years) had anti-T. canis antibodies. High-titer antibodies were most prevalent among the subjects aged 25-29 years. Logistic regression analysis showed that the pregnant women who had a history of abortions (P = 0.029), and keeping pets and contact with dogs and cats (P = 0.031) had an increased risk of acquiring toxocariasis. The study showed that demographic characteristics such as age group, pregnancy trimester, and underlying conditions were not significantly associated with toxocariasis (P > 0.05).</p><p><strong>Conclusion: </strong>Considering the significant prevalence of toxocariasis in pregnant women as well as its health risks, preventive health measures against the toxocariasis risk factors seem more necessary.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"258"},"PeriodicalIF":2.4,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12107781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144157018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with respectful maternity care reported by patients in selected health facilities in Musanze District, Rwanda: a facility-based cross-sectional study.","authors":"Alexandre Dukundane, Jean Nepomuscene Renzaho, Victor Mivumbi Ndicunguye, Ephrem Daniel Sheferaw, Alemayehu Amberbir","doi":"10.1186/s12905-025-03803-2","DOIUrl":"10.1186/s12905-025-03803-2","url":null,"abstract":"<p><strong>Background: </strong>Respectful maternity care (RMC) is an essential strategy to scale up mothers' positive experiences during childbirth. However, few studies have been conducted to quantify the practice in Rwanda. The main objective of this study was to determine the proportion of the RMC approach in health facilities and associated factors in Musanze District in Rwanda.</p><p><strong>Methods: </strong>This is a health facility-based cross-sectional study conducted among 335 women who delivered at eight healthcare facilities including hospital and health centers in Musanze District between March to May 2024. We used simple random sampling to select health centers and included all participants who satisfied the inclusion criteria until the predetermined sample size was reached. The proportion of RMC as an outcome variable was calculated from the 30-item PCMC Scale, and RMC was considered to have been received if a woman responded \"2 = yes, most of the time\" and \"3 = yes, all the time\" to all the 30 items. We used multivariate logistic regression to identify factors associated with the provision of RMC such as employment status, parity, and place of delivery. The results were reported using odds ratios with the 95% CI. Variables were proved statistically significant based on p < 0.05.</p><p><strong>Results: </strong>335 participants were enrolled in this study. The majority of respondents were between 25-34 years (54.0%) and married (74.3%). The proportion of respectful maternity care was 65.1% (95% CI: 59.7-70.2). Being employed was associated with receiving RMC [AOR = 17.75, 95%CI:8.06-39.06, p < 0.001]. Primiparous women compared to multiparous had higher odds of receiving RMC [AOR = 5.15, 95%CI:2.07-12.79, p < 0.001]. Cesarean deliveries were associated with a greater likelihood of RMC compared to those who delivered vaginally [AOR = 6.00, 95%CI:2.40-15.03, p-value = 0.003]. Women who delivered at health centers were more likely to receive RMC than those who delivered in hospitals [AOR = 3.72, 95% CI: 1.41-9.83, p = 0.008]. Daytime deliveries were more likely to receive RMC than nighttime deliveries (AOR = 3.11, 95% CI: 1.52-6.37, p = 0.002). Additionally, women with insurance other than Rwanda's Community Based Health Insurance had higher odds of receiving RMC (AOR = 4.46, 95% CI: 1.88-10.61, p < 0.001).</p><p><strong>Conclusion: </strong>The level of respectful maternity care in Musanze District was found to be 65.1%. Interventions to improve respectful maternity care should focus on training healthcare providers about its components, including dignity and respect, autonomy and communication, and social support, in addition to educating the community to request quality care. These findings call upon policy makers to involve different stakeholders to come up with interventions to improve quality of care during childbirth.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"259"},"PeriodicalIF":2.4,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144157016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"The questions made me realize how many times I could have been saved and removed from that situation\": The experiences of patients attended to by paramedics for intimate partner violence, and actionable implementations for paramedicine.","authors":"Rory A Marshall, Nicole Merritt, Tori N Stranges, Stephen Bartlett, Simon Sawyer, Paul van Donkelaar","doi":"10.1186/s12905-025-03753-9","DOIUrl":"10.1186/s12905-025-03753-9","url":null,"abstract":"<p><strong>Introduction: </strong>Intimate partner violence (IPV) persists as a severe and prevalent criminal, social, and health issue, most commonly affecting women. Survivors of IPV frequently engage with the healthcare system to access treatment, support, and resources. Paramedics commonly encounter, either knowingly or unknowingly, patients experiencing IPV. There is little empirical research on how paramedics manage cases involving IPV.</p><p><strong>Objective: </strong>To examine how the perspectives and experiences of survivors of IPV who have been attended to by paramedics can inform our understanding of paramedic services.</p><p><strong>Methods: </strong>Using an interpretive description qualitative approach in the context of paramedicine, self-identified women (18+ years) who reported a history of IPV and being attended to by paramedics for IPV-caused reasons participated in semi-structured interviews. Interviews were transcribed verbatim and de-identified. De-identified transcripts were inductively analyzed (NVivo) for common patterns.</p><p><strong>Results: </strong>N = 9 survivors participated in interviews. Participants experienced cyclic and escalating physical, sexual, psychological, and coercive control forms of IPV. Participants primarily reported accessing paramedic services following instances of severe IPV and reported receiving minimal treatment and support. Challenges included bias and discrimination, poor individual paramedic conduct, undereducated and undertrained paramedics, insufficient infrastructure, inadequate transitions into healthcare and community services, perpetrator dynamics, and survivor dynamics. Corresponding solutions were safe and equitable paramedic behaviour, respectful conduct, mandatory education and training, develop functional infrastructure, develop functional transitions, and utilize techniques to engage with perpetrators and survivors.</p><p><strong>Conclusion: </strong>Personal, situational, practitioner, paramedic service, and broad systemic infrastructure challenges cause survivors of IPV to be underserviced by paramedic services. Inadequate intervention efforts may be harmful or fatal for survivors. Survivor-derived solutions may guide paramedic service improvements. With improved service delivery, paramedics could evolve into reliable and useful resources for survivors of IPV.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"254"},"PeriodicalIF":2.4,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rural-urban variations in cervical cancer screening uptake among women in Ghana: Evidence from the 2022 Ghana Demographic and Health Survey.","authors":"Rosemond Serwaa Appiah, Kingsley Boakye, George Appiah, Antoinette Ama Aidoo, Gertrude Acquah-Hagan, Bhavana Singh, Francis Appiah, Daniel Boateng","doi":"10.1186/s12905-025-03802-3","DOIUrl":"10.1186/s12905-025-03802-3","url":null,"abstract":"<p><strong>Background: </strong>Cervical cancer is the fourth most common cancer that affects women worldwide. Cervical cancer is preventable through early detection and treatment of precancerous lesions, yet there is poor uptake among women. In Ghana, there is a paucity of literature on rural-urban variations in cervical cancer screening uptake among women. We, therefore, assessed the rural-urban variations in cervical cancer screening uptake among women in Ghana.</p><p><strong>Methods: </strong>This is a cross-sectional study that utilized data from the women's file of the 2022 Ghana Demographic and Health Survey. The study was limited to 14,973 women who had complete data on the variables of interest. At 95% confidence interval and 5% significance level, a logistic regression model was conducted to ascertain the association between the dependent and independent variables, and results were presented in odds ratio. All analyses were conducted using STATA statistical software version 16.0.</p><p><strong>Results: </strong>Out of the 14,973 participants, generally, the prevalence of cervical cancer screening uptake was 4.6%. Specifically, 6.3% of urban women and 3.0% of rural women had been screened for cervical cancer. Urban women who were widowed [AOR = 3.58, 95%CI = 2.29-5.60], from Northern region [AOR = 7.22, 95%CI = 3.42-15.25], had given birth to between 2 and 4 children [AOR = 1.54, 95%CI = 1.09-2.17] and had their first sexual intercourse at 10-14 years [AOR = 2.34, 95%CI = 1.20-4.56] had increased odds of cervical cancer screening. Also, urban women belonging to Moslem religion [AOR = 0.58, 95%CI = 0.42-0.80] and those who make joint decisions about their health with their partners [AOR = 0.60, 95%CI = 0.47-0.77] had decreased odds of cervical cancer screening uptake. On the other hand, rural women who had separated/divorced their partners [AOR = 2.21, 95%CI = 1.24-3.95], rural women from North East region [AOR = 2.91, 95%CI = 1.24-6.81] and had their first sexual intercourse at 20-24 years [AOR = 3.24, 95%CI = 1.23-8.55] had increased odds of cervical cancer screening uptake. All the remaining variables (aged [40-49 years], attained tertiary education, belonged to richest wealth quintile, had access to mass media, and enrolled in health insurance scheme) were same (had higher odds of cervical cancer screening uptake) for both rural-urban women in Ghana.</p><p><strong>Conclusion: </strong>There are rural-urban variations in cervical cancer screening uptake among women in Ghana, in terms of prevalence [with urban women (6.3%) having slightly higher screening uptake than rural women (3.0%)] and determinants. Context-specific interventions aimed at improving cervical cancer screening uptake among women should focus on addressing rural-urban disparities in screening uptake and ensure possible scale-up of cervical cancer screening services, especially for the most vulnerable women.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"255"},"PeriodicalIF":2.4,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical care bundle: effect on post-caesarean wound infection.","authors":"Faten Mabrouk Nouh, Hasan Abualruz, Roqaya F Mohamed, Amira Abd-Elnaser Yousef, Jebril Al Hrinat, Aseel Ghaleb Hendi, Eman Saif Soliman Ashour, Majdi Alzoubi, Tahani Al Rahbeni, Khalid Al-Mugheed, Sally Mohammed Farghaly Abdelaliem","doi":"10.1186/s12905-025-03771-7","DOIUrl":"10.1186/s12905-025-03771-7","url":null,"abstract":"<p><strong>Background: </strong>Surgical site infections, resulting from surgical procedures, can significantly impact healthcare systems and individual patients, necessitating the implementation of a surgical care bundle to reduce their incidence.</p><p><strong>Aim: </strong>To investigate the effect of surgical care bundle on post-cesarean wound infection.</p><p><strong>Design: </strong>The research design was quasi-experimental.</p><p><strong>Settings: </strong>The study was conducted at the obstetrics and gynecology departments of University Hospital and Shebin El-Kom Teaching Hospitals, Menoufia Governorate, Egypt.</p><p><strong>Sample: </strong>A sample of one hundred women was chosen as convenient for the study.</p><p><strong>Instruments: </strong>A structured interview questionnaire and surgical checklist were utilized.</p><p><strong>Results: </strong>The results showed that 100% of the intervention group had healthy wound status after 48 h compared to 80.0% of the control group.</p><p><strong>Conclusion: </strong>The surgical care bundle application pre-, during, and post-cesarean section significantly reduces the risk of cesarean section wound infection. The incorporation of these surgical care bundles into comprehensive surgical quality programs for women undergoing cesarean section.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"256"},"PeriodicalIF":2.4,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical features of bonding disorders in Japanese mothers derived from the Stafford interview.","authors":"Yumi Nishikii, Yoshiko Suetsugu, Hiroshi Yamashita, Keiko Yoshida","doi":"10.1186/s12905-025-03795-z","DOIUrl":"10.1186/s12905-025-03795-z","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to systematically describe the characteristics of bonding disorders and diagnostically classify them using the Japanese version of the 6th Stafford Interview. We investigated the cut-off points of the Japanese version of the Mother-Infant Bonding Scale (MIBS-J) and Postpartum Bonding Questionnaire (PBQ) to screen for bonding disorders.</p><p><strong>Methods: </strong>We recruited participants in their second trimester and studied 40 mother-infant dyads. At one month postpartum, we conducted the mother-infant relationship section of the Stafford Interview and classified participants into diagnostic groups. We administered the MIBS-J at four days and one month postpartum and the PBQ at one month, combined with the interview. We used the total scores to analyse the receiver operating characteristic curve at four days and one month.</p><p><strong>Results: </strong>We diagnosed one case of emotional rejection and eleven cases of mild disorder. Additionally, three cases exhibited pathological anger with mild disorder-one with emotional rejection and one infant-focused anxiety case with normal bonding. The screening scores for bonding disorders, including mild cases, were 2 or more points for MIBS-J at four days and 3 or more points at one month. The PBQ was better at identifying severe bonding disorders, with a score of 19 or more points.</p><p><strong>Conclusions: </strong>Bonding disorders can expose mothers to serious mental and parenting conditions as early as one month postpartum. Questionnaire screening and diagnostic interviews can help with early detection and care.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"253"},"PeriodicalIF":2.4,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Taking menstruation health and hygiene seriously: a qualitative exploration of the challenges and facility requirements of female adolescent athletes in Bangladesh.","authors":"Syeda Nurunnahar, Nazrin Akter, Farjana Jahan, Rehnuma Haque, Julie Hennegan, Mehjabin Tishan Mahfuz","doi":"10.1186/s12905-025-03800-5","DOIUrl":"10.1186/s12905-025-03800-5","url":null,"abstract":"<p><strong>Background: </strong>Proper menstrual management is crucial for well-being and reproductive health. Despite global efforts to improve menstrual health, more than 2.3 billion girls and women still lack access to adequate menstrual hygiene facilities. This issue is exacerbated in physically demanding sports, where menstrual health can impact performance.</p><p><strong>Objective: </strong>This study examines the menstrual experiences and challenges adolescent female athletes face in Bangladesh. It seeks to identify their current menstruation management practices, assess physical, psychological, and sociocultural challenges during menstruation, and evaluate the facility improvements and support systems needed to enhance menstrual management and athletic performance.</p><p><strong>Methods: </strong>A qualitative research design was employed, focusing on a phenomenological approach to understand the lived experiences of adolescent athletes. The study was conducted at the Bangladesh Institute of Sports Education (BKSP), which serves approximately 1,500 female athletes. A purposive sampling strategy selected 32 adolescent athletes for in-depth interviews (IDIs) and two focus group discussions (FGDs), which were segmented by age. Additionally, six key informant interviews (KIIs) were conducted with coaches and administrative staff. The data were collected through audio-recorded interviews, and thematic analysis was performed.</p><p><strong>Results: </strong>This study revealed that sociocultural taboos and misconceptions significantly affect menstrual management practices among athletes. Physical challenges include discomfort, irregular cycles, and limited access to menstrual hygiene products, contributing to increased absenteeism from training. Psychological impacts, such as concerns about reproductive health and inadequate guidance on oral contraceptive pills (OCPs), further complicate the situation. Both athletes and coaches expressed a need for better education and resources.</p><p><strong>Conclusion: </strong>Addressing menstrual management challenges for adolescent female athletes requires a comprehensive approach. Enhanced knowledge and awareness, improved access to menstrual hygiene products, and targeted education for athletes and coaches are essential to enhance menstrual management and athletic performance.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"250"},"PeriodicalIF":2.4,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144131830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitating gynecological examination and long acting reversible contraception for women with substance use disorder: a prospective cohort study.","authors":"Trine Finanger, Ragnhild Bergene Skråstad, Catherine Appleton, Cecilie Therese Hagemann","doi":"10.1186/s12905-025-03794-0","DOIUrl":"10.1186/s12905-025-03794-0","url":null,"abstract":"<p><strong>Background: </strong>Women with substance use disorder (SUD) face a higher risk of sexual assault, abuse, cervical premalignant lesions, and unplanned pregnancy compared to the general female population. To meet the specific needs of this vulnerable group, we established a comprehensive gynecological service. The study aimed to describe the characteristics of women with SUD who accessed these services. Furthermore, we evaluated their cervical cytology and sexually transmitted infections (STIs) test results, preferred contraceptive methods, and the overall acceptability of the service.</p><p><strong>Methods: </strong>We enrolled 48 women undergoing outpatient or inpatient treatment for SUD in the South-Trøndelag region of Norway in the study. Each women received a comprehensive gynecological anamnesis, including a history of sexual assault, followed by a gynecological examination at the outpatient clinic of the Department of Obstetrics and Gynecology. The examination included ThinPrep Tests and microbiological swabs. They were also offered contraception options, with an emphasis on Long Acting Reversible Contraceptives (LARC), at no cost. Participants provided feedback on the service immediately after their consultation and again six months later.</p><p><strong>Results: </strong>Nearly two-thirds (63%) of the women with a mean age 31.8, reported a history of sexual assault. One in three (33%) had cervical cytology or human pappilomavirus (HPV) test results necessitating treatment or follow-up, though no cases of sexually transmitted infections were found. Two thirds (66%) of eligible women chose LARC as their contraceptive method. Among the 23 women reached for a follow-up phone call six months later, all expressed high level of satisfaction with the service and indicated they would recommend it to other women in similar situations.</p><p><strong>Conclusions: </strong>An integrated, specialized gynecological service that provides cervical testing and contraceptive counselling can effectively reach women receiving outpatient or inpatient treatment for SUD, who typically fail to follow-up routine women's health screening programmes. If implemented, this approach has the potential to reduce unplanned pregnancies and improve early detection of cervical pathology in this vulnerable population.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"252"},"PeriodicalIF":2.4,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144141420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The feasibility and acceptability of implementing simplified cognitive behavioral therapy approaches to support postpartum mental health and address associated social and behavioral barriers to postpartum family planning in Amhara, Ethiopia: a qualitative study.","authors":"Sarah Burgess, Tesera Bitew, Andenet Haile, Julien Souffrant, Dominick Shattuck, Lynn M Van Lith, Jessica Moore, Zoé M Hendrickson","doi":"10.1186/s12905-025-03744-w","DOIUrl":"10.1186/s12905-025-03744-w","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Poor mental health can negatively impact health outcomes across diverse health areas, including in the first year postpartum. Yet, the intersection of postpartum mental health and postpartum family planning (FP) is understudied. Cognitive Behavioral Therapy (CBT) is an evidence-based practice that has proven helpful for improving mental health and supporting positive behavior change across health areas, including in low-resource settings. Drawing on existing CBT tools, we created and piloted an intervention called Mothers Time, designed to be delivered in three sessions by a community health worker (CHW) to small groups of postpartum women experiencing depression or anxiety symptoms and an unmet need for FP. Our objective was to assess the feasibility and acceptability of Mothers Time in rural Amhara, Ethiopia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We recruited and trained four CHWs to deliver the intervention. We recruited 16 postpartum women experiencing mild to moderate anxiety and depressive symptoms to participate. We conducted in-depth interviews with women and CHWs before, during and after the intervention. We used a framework approach to analyze data. To assess acceptability, we analyzed data from mothers, probing to understand whether they found the intervention accessible, engaging, and relevant for the challenges they were experiencing postpartum. To assess feasibility, we explored CHWs ability to deliver the intervention and analyzed their capacity to deliver it at consistent quality. Interviews with CHWs and other health actors provided additional data on the feasibility of adding simplified CBT to CHWs' current package of services.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Mothers perceived Mothers Time to be acceptable and to provide helpful tools for navigating the postpartum period. Prior to the intervention, many women felt isolated, and the group sessions supported social connection. Vignettes demonstrating simple CBT concepts engaged mothers, provoking reflection on how anxious or sad thoughts can impact behaviors that are important for informed FP use (such as care seeking, spousal communication and planning for the future) and sparked discussions on how mothers can support their own mental and physical health. Homework (explained by CHW in sessions and completed independently between sessions) helped women prioritize caring for themselves and social connection. Overall, we found that it was feasible for CHW to learn and deliver Mothers Time. CHW understood that mental health could create challenges for mothers and were able to use the simplified materials to share information about basic mental health concepts. Limited time was the biggest challenge; CHWs would benefit from additional training, and women would likely benefit from additional sessions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This research may be useful to practitioners looking to integrate mental health and postpartum FP in low-resource settings. Th","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"248"},"PeriodicalIF":2.4,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144131833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}