BMC Women's Health最新文献

{"title":"Crossroads of choice: a qualitative study of the factors influencing decisions to transition from sex work among women engaged in sex work in Southern Uganda.","authors":"Jennifer Nattabi, Ozge Sensoy Bahar, Josephine Nabayinda, Proscovia Nabunya, Joshua Kiyingi, Samuel Kizito, Flavia Namuwonge, Edward Nsubuga, Susan S Witte, Fred M Ssewamala","doi":"10.1186/s12905-025-03631-4","DOIUrl":"https://doi.org/10.1186/s12905-025-03631-4","url":null,"abstract":"<p><strong>Background: </strong>Women engaged in commercial sex work (WESW) are exposed to behavioral, biological, and structural factors that exacerbate their risk of HIV infection and other sexually transmitted infections. While commercial sex work may appear voluntary, WESW are more likely to be constrained to selling sex due to limited viable alternatives. To effectively support this vulnerable group of women, it is critical to understand factors that facilitate and impede their decisions to transition from sex work into other careers or jobs. The current study explored women's decision to transition from sex work into other careers or jobs.</p><p><strong>Methods: </strong>Face-to-face semi-structured in-depth interviews were conducted with 53 WESW aged 20-47 enrolled within the larger Kyaterekera study, a randomized clinical trial (N = 542) implemented in 19 geographical hotspots in the Southern region of Uganda. Participants were selected based on their level of intervention attendance (high/medium/low attendance) during the 12-month follow-up (Time 2). The interviews were conducted in Luganda the widely spoken language in the study area to explore the factors influencing women's decisions to transition from sex work to other jobs or careers. The main interview question used for this study was, \"What are some of the factors that may influence whether you would transition from sex work to other jobs or vocations?\" All interviews were audio-recorded, transcribed verbatim, and translated into English. Thematic analysis in Dedoose software was used to analyze the data.</p><p><strong>Results: </strong>Participants reported three primary types of decisions, including considering leaving sex work, deciding to leave, and staying in sex work. The emerging themes from the interviews were categorized into individual and structural level facilitators and barriers to transitioning out of sex work. Individual-level factors included issues of stigma, discrimination, and aging as factors that facilitated women's decision to leave sex work. At the interpersonal level, physical and sexual violence was noted as a reason to leave sex work. At the structural level, stigma and discrimination (from community members) were identified as facilitators to leaving sex work. Income-related factors were identified mainly as barriers to leaving sex work.</p><p><strong>Conclusion: </strong>Our study highlights the complex decision-making processes among WESW as they navigate transitions to alternative jobs or careers. By advocating for multifaceted interventions and policies tailored to the diverse challenges faced by WESW, our study contributes to a more informed approach to supporting their transition out of sex work.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"196"},"PeriodicalIF":2.4,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12008991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965939","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":"Barriers and facilitators to accessing post sexual-based violence health services among young women attending higher education institutions in Nigeria.","authors":"Ajoke Esther Ogedegbe, Zhong Eric Chen, Oluwafemi Adeagbo, Oluwaseun Badru, Ebele R I Mogo, Brenda Mbouamba Yankam, Adaeze Oreh, Muktar A Gadanya, Luchuo Engelbert Bain","doi":"10.1186/s12905-025-03714-2","DOIUrl":"https://doi.org/10.1186/s12905-025-03714-2","url":null,"abstract":"<p><strong>Background: </strong>Post sexual-based violence (SBV) services are crucial for mitigating SBV-induced consequences. However, these services are reportedly rare and often underutilized, particularly by young women in Sub-Saharan Africa. This study aimed to explore the barriers and facilitators to accessing post-SBV services among young women (18-24 years) attending higher education institutions in Nigeria.</p><p><strong>Methods: </strong>An online survey, using a piloted questionnaire, was administered to a purposive sample of 114 participants recruited from social media platforms between the 8th and 22nd March 2022. Descriptive statistics were used to summarize the study findings.</p><p><strong>Results: </strong>The majority (71.1%) of the participants were between the ages of 21 and 24 years. Of the 37 participants who indicated they have had their first sexual intercourse, a quarter (9, 24.3%) indicated it was non-consensual. Also, 1 in 5 respondents did not identify SBV/abuse as abnormal. Half of the participants (50.9%) strongly agreed that a post-SBV health service should be the first place to seek care following an incident of rape, however, over half (53.2%) reported a lack of awareness of existing post-SBV health services as a key barrier affecting access. Less than half of the participants strongly agreed that healthcare workers could provide the post-SBV services highlighted in the study, including emergency contraceptives to prevent pregnancy (42.9%) and post-exposure prophylaxis (PEP) to prevent human immunodeficiency virus (HIV) (39.6%), highlighting awareness gaps. Other significant barriers included stigma, shame, and a lack of support systems. Key facilitators included assurance of confidentiality and access to free post-SBV health services.</p><p><strong>Conclusion: </strong>Significant barriers and facilitators affect access to post-SBV health services in Nigeria, particularly among young women. Multilevel efforts by families, civil society organizations, communities, and governments are essential to address these barriers and improve access to post-SBV health services.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"193"},"PeriodicalIF":2.4,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12008884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970536","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":"Determinants of contraceptive use prior to onset of childbearing among ever-married women in Indonesia: a secondary data analysis.","authors":"Sarah Muharomah, Linnea A Zimmerman","doi":"10.1186/s12905-025-03724-0","DOIUrl":"https://doi.org/10.1186/s12905-025-03724-0","url":null,"abstract":"<p><strong>Background: </strong>Despite high rates of early marriage and adolescent childbearing in Indonesia-which increase risks for both maternal and child health-family planning efforts largely focus on birth spacing or limiting the number of children. Few programs specifically address the reproductive needs of ever-married women who wish to prevent or delay their first birth. This study investigates the sociodemographic factors influencing contraceptive use prior to childbearing among ever-married women in Indonesia.</p><p><strong>Methods: </strong>We analyzed weighted data from 121,916 ever-married women using the 2002-2017 Indonesia Demographic and Health Surveys. Variables were selected based on prior research and bivariate screening. Univariate and multiple survey logistic regression analyses were performed; model selection was guided by the Akaike Information Criterion, and Nagelkerke R-square quantified the explained variance.</p><p><strong>Results: </strong>Overall, 4.66% of ever-married women reported using contraception before having any children. Younger women (15-19 years), those preferring a smaller family size, being employed, and residing in Java were significantly associated with higher usage. Contrary to conventional assumptions, the poorest wealth quintile had notably high odds of pre-childbearing contraceptive use, second only to the richest. Interactions involving education and rural residence highlighted the multifaceted nature of these reproductive decisions.</p><p><strong>Discussion: </strong>These findings underscore the need for targeted policies to address diverse socioeconomic barriers and to empower women who wish to delay their first birth.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"195"},"PeriodicalIF":2.4,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12008943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143964116","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":"Management practices of primary dysmenorrhea among female high school students in Nekemte town, East Wallaga Zone, Western Oromia, Ethiopia: a cross-sectional study.","authors":"Bekan Gudata Gindaba, Lemane Dereje Sebu, Ebisa Zerihun Gindaba, Misgana Tesgara Abdisa, Damiso Geneti Dinagde, Chala Regassa Hunde, Kidane Dinku Motuma, Takele Mitiku Tesema, Tesfaye Abera Gudeta","doi":"10.1186/s12905-025-03732-0","DOIUrl":"https://doi.org/10.1186/s12905-025-03732-0","url":null,"abstract":"<p><strong>Background: </strong>Primary dysmenorrhea is a common gynecological condition characterized by recurring, cramp-like abdominal pain before or during menstruation in the absence of pelvic disease. Despite its high prevalence, management practices remain unstudied, particularly among adolescent students. This study examined pharmacological and nonpharmacological management strategies for primary dysmenorrhea among female high school students in Nekemte town, Ethiopia.</p><p><strong>Objectives: </strong>To assess the management practices for primary dysmenorrhea among high school students in Nekemte town, East Wallaga, Western Oromia, Ethiopia.</p><p><strong>Methods: </strong>This institutional-based cross-sectional study was conducted from November 6 to December 6, 2024, among 422 female high school students who experienced primary dysmenorrhea. The participants were selected via a multistage stratified sampling technique. The data were collected via a structured questionnaire and analyzed via SPSS version 25. A paired t-test was used to assess differences in pain scores before and after the interventions, whereas multiple linear regression was used to evaluate the effectiveness of nonpharmacological methods.</p><p><strong>Results: </strong>Among the participants, 80.1% utilized nonpharmacological management, including drinking tea (20.2%), drinking ginger tea (15.8%), and sleeping (16.7%). Diclofenac (53.1%) was the most commonly used pharmacological treatment. Tukey post hoc analysis revealed that ibuprofen (n = 13, M = 3.54, SD = 2.22) significantly reduced pain scores more than diclofenac did (n = 26, M = 1.65, SD = 1.70). A paired t-test revealed a significant reduction in pain scores after both pharmacological (p < 0.001) and nonpharmacological (p < 0.001) interventions. Multiple linear regression indicated that sports (p = 0.040) and hot baths (p = 0.026) significantly reduced pain scores.</p><p><strong>Conclusion: </strong>Many students rely on self-medication for their management of primary dysmenorrhea. Moreover, both pharmacological and nonpharmacological interventions were associated with reducing pain, with sports and hot baths showing significant benefits. Greater awareness and education on safe and effective pain management strategies are recommended. Schools and healthcare providers should collaborate to promote evidence-based dysmenorrhea management practices.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"194"},"PeriodicalIF":2.4,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12008882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983870","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":"A multifaceted menstrual health intervention to improve psychosocial outcomes and menstrual practices among secondary schoolgirls in Northwest Tanzania: a pilot intervention study.","authors":"Philip Ayieko, Belen Torondel, Jenny Renju, Jennifer Rubli, Onike Mcharo, John R Luwayi, Katherine A Thomas, Giulia Greco, Saidi Kapiga, Elialilia S Okello","doi":"10.1186/s12905-025-03723-1","DOIUrl":"https://doi.org/10.1186/s12905-025-03723-1","url":null,"abstract":"<p><strong>Introduction: </strong>Schools provide an important opportunity to sustainably reach and improve menstrual experiences and outcomes among adolescent girls. This study examined changes in psychosocial outcomes and menstrual practices after a pilot menstrual health intervention in schools in Northwest Tanzania.</p><p><strong>Methods: </strong>We conducted a pre/post evaluation of a pilot menstrual health intervention in four schools in Mwanza region. The intervention included: (i) 10-hours comprehensive menstrual sexual and reproductive health (MSRH) education curriculum delivered over 5 days, (ii) distribution of menstrual management kits, (iii) improvement of school WASH facility guided by needs, and (iv) training on menstrual pain management strategies, supply of pain killers and training a specific teacher on dispensing. The primary outcome was measured using the Menstrual Practices Need Scale (MPNS). We assessed seven secondary outcomes: menstrual pain management practice; self-efficacy in managing menstruation; menstrual-related anxiety; self-reported urogenital infection symptoms; MSRH knowledge; participation in school during menstruation; and school climate score. We used linear (for MPNS, and school climate score), and logistic (for remaining secondary outcomes) random-effect regression models to examine changes in outcomes between baseline and endline.</p><p><strong>Results: </strong>A total of 486 schoolgirls (mean age 15.6 years [SD 1.3]) were recruited for the baseline survey; of these 396 participated in the endline survey. At 12-months follow up, menstrual experience improved for MPNS-36 subscales of transport and menstrual material needs, (mean difference (MD), 0.52; 95% CI 0.38-0.66), and menstrual material reuse needs, (MD 0.32; 0.14-0.50), while menstrual materials reuse insecurity did not change, (MD -0.08; -0.27-0.11). For the secondary outcomes, there was an increased use of analgesics for menstrual pain management, (OR 2.21; 95% CI 1.33-3.67); improved self-efficacy for managing menstruation, (OR 2.02; 1.35-3.04); MSRH knowledge, (OR 5.23; 3.25-8.39), participation in school (OR 2.80; 1.89-4.16) and reduced menstrual-related anxiety, (OR 0.38; 0.25-0.59). There was no evidence of change in self-reported urogenital symptoms, (OR 0.71; 0.49-1.01) or school climate, (MD 0.05; -0.19-0.28).</p><p><strong>Conclusion: </strong>The pilot intervention showed improvements in menstrual practices, psychosocial outcomes and school participation among schoolgirls but had no effect on school climate or self-reported urogenital symptoms. Stronger evidence from rigorously designed trials is needed to confirm the effectiveness of the intervention and scalability of these findings.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"190"},"PeriodicalIF":2.4,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143980388","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":"Determinants of healthcare decision-making autonomy among Bangladeshi women: mixed-effect logistic regression analysis.","authors":"Rafsaniat Binte Mustafiz, Syed Sharaf Ahmed Chowdhury, Satyajit Kundu, Nurjahan Binte Munaf, Azaz Bin Sharif","doi":"10.1186/s12905-025-03666-7","DOIUrl":"https://doi.org/10.1186/s12905-025-03666-7","url":null,"abstract":"<p><strong>Background: </strong>Women's healthcare decision-making autonomy is observed to play a significant role in improving maternal and child health outcomes. However, there is a dearth of research that addressed this issue in the Bangladeshi context. Therefore, this study aimed to estimate the prevalence of healthcare decision-making autonomy and its determinants among Bangladeshi women.</p><p><strong>Methods: </strong>Data on 18,890 (weighted) women's healthcare autonomy were driven from the Bangladesh Demographic and Health Survey (BDHS) 2017-18. A multilevel (mixed-effect) logistic regression model was applied to explore the determinants of healthcare autonomy.</p><p><strong>Results: </strong>Overall weighted prevalence of healthcare autonomy was 76.5% (95% CI: 75.85-77.06). The odds of having healthcare autonomy were higher among women belonging to 25-34 years (aOR: 1.69, 95% CI: 1.52-1.87), and 35-49 years (aOR: 1.89, 95% CI: 1.65-2.17) age group, attaining secondary (aOR: 1.31, 95% CI: 1.14-1.50), and higher education (aOR: 1.61, 95% CI: 1.33-1.94), who were employed (aOR: 1.37, 95% CI: 1.26-1.50), who read newspaper/magazine at least once a week (aOR: 1.45, 95% CI: 1.13-1.84), having 1-2 (aOR: 1.91, 95% CI: 1.67-2.17), and 3 or more (aOR: 1.94, 95% CI: 1.65-2.27) living children, gave no birth in the last 3 years (aOR: 1.17, 95% CI: 1.06-1.29), and from urban areas (aOR: 1.43, 95% CI: 1.25-1.63).</p><p><strong>Conclusion: </strong>Around one-quarter of the women were not autonomous regarding their healthcare decision-making. So, it is necessary to implement strategies and policies that can enable and empower women in the healthcare aspects of their lives.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"192"},"PeriodicalIF":2.4,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981060","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 association between meat consumption and polycystic ovary syndrome in Iranian women: a case-control study.","authors":"Mina Darand, Moloud Ghorbani, Akram Ghadiri-Anari, Vahid Arabi, Mahdieh Hosseinzadeh","doi":"10.1186/s12905-025-03695-2","DOIUrl":"https://doi.org/10.1186/s12905-025-03695-2","url":null,"abstract":"<p><strong>Background: </strong>In light of the observed association between nutritional factors and polycystic ovary syndrome (PCOS) in recent decades, the present study was conducted to investigate the association between the consumption of various types of meat and PCOS in Iranian women.</p><p><strong>Material and methods: </strong>This frequency-matched case-control study included 108 women with newly diagnosed PCOS and 108 age and body-mass-index-matched women without PCOS, as a control group, who were referred to the Yazd Diabetes Clinic and Khatam Clinic between January 2018 and March 2019. The validated 178-item food frequency questionnaire was used to assess the usual dietary intake. Logistic regression analysis was used to estimate the association between meat consumption and PCOS.</p><p><strong>Results: </strong>The findings of this study showed, the individuals in the third tertile of red meat intake, had higher odds of PCOS in the crude model (Odds Ratio (OR) = 4.29; 95% Confidence Interval (CI), 2.13-8.64; P-value = 0.001) compared with those in the first tertile. These results remained significant after adjustments for energy intake, marital status, physical activity, education, pregnancy history and chronic disease history (OR = 3.87; 95% CI, 1.78-8.40; P-value = 0.001). Higher consumption of red meat increased the risk of PCOS by 3.87 times. Furthermore, higher consumption of processed meats increased the risk of PCOS by 2.15 times (OR = 2.15; 95% CI, 1.05-4.39; P-value and trend = 0.035). We did not find an association between other types of meat consumption and PCOS.</p><p><strong>Conclusion: </strong>The results of the present study showed that a higher consumption of red and processed meat is associated with a higher risk of PCOS, whereas no significant correlation was found between the consumption of poultry, fish, and organ meat and PCOS. However, more studies are needed to support these findings in the future.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"189"},"PeriodicalIF":2.4,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143978601","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":"Association between gynecological cancers and female infertility: insights from bidirectional Mendelian randomization analysis.","authors":"Jifeng Li, Yifei Zeng, Dongxiao Zhang","doi":"10.1186/s12905-025-03729-9","DOIUrl":"https://doi.org/10.1186/s12905-025-03729-9","url":null,"abstract":"<p><strong>Purpose: </strong>In recent years, research interest in the potential link between female infertility (FI) and gynecological cancer (GC), including ovarian cancer (OC), endometrial cancer (EC), cervical cancer (CC), and breast cancer (BC), has grown, yet findings remain inconclusive. This study aims to explore the causal relationship between FI and GC using bidirectional two-sample Mendelian randomization (MR) analyses, thereby informing future strategies for FI and GC prevention.</p><p><strong>Methods: </strong>We utilized SNPs identified from genome-wide association studies (GWAS) on FI and GC. The inverse variance weighted (IVW) method served as the primary approach to assess the causal association between FI and GC. Additionally, five other MR methods-Weighted median, Weighted mode, MR-Egger, Simple mode, and Robust-Adjusted Profile Score-were employed to enhance result robustness and credibility.</p><p><strong>Results: </strong>In the forward MR analysis, our IVW results indicated no significant association between FI and GC (FI-BC: OR = 0.95, 95% CI: 0.83-1.09, P = 0.47, P-FDR = 0.775; FI-OC: OR = 1.01, 95% CI: 0.84-1.24, P = 0.789, P-FDR = 0.896; FI-CC: OR = 0.80, 95% CI: 0.61-1.06, P = 0.118, P-FDR = 0.775; FI-EC: OR = 1.07, 95% CI: 0.88-1.30, P = 0.490, P-FDR = 0.775).In the reverse MR analysis, we found a marginal association between BC and FI. However, after adjusting for multiple testing using the FDR method, no significant causal relationship was found between BC and FI, suggesting a marginal association (OR = 1.054, 95% CI: 1.001-1.108, P = 0.043, P-FDR = 0.331). For other cancers, no significant causal relationships were observed between OC, CC and EC with FI(OC-FI: OR = 1.043, 95% CI: 0.999-1.087, P = 0.051, P-FDR = 0.331;CC-FI: OR = 0.992, 95% CI: 0.956-1.028, P = 0.654, P-FDR = 0.836; EC-FI: OR = 1.006, 95% CI: 0.956-1.055, P = 0.809, P-FDR = 0.885).</p><p><strong>Conclusions: </strong>Our study found no significant causal relationship between FI and GC. However, a potential marginal association between BC and FI was observed. These findings underscore the need for further research to confirm this association and emphasize the importance of reproductive protection for young breast cancer patients to preserve fertility.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"191"},"PeriodicalIF":2.4,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143962619","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":"Effect of pelvic position on ultrasonic measurement parameters of pelvic floor in postpartum women.","authors":"Yu Wang, Yan Zhuo, Min Liu, Jianqi Fang, Zongjie Weng","doi":"10.1186/s12905-025-03708-0","DOIUrl":"https://doi.org/10.1186/s12905-025-03708-0","url":null,"abstract":"<p><strong>Objective: </strong>To analyse the effect of pelvic position on ultrasonic measurement parameters of pelvic floor in postpartum women.</p><p><strong>Methods: </strong>This study included 132 postpartum participants who visited Fujian Maternity and Child Health Hospital from May 2020 to May 2024. All participants were assessed by medical professionals for general information and pelvic floor four dimensional ultrasound. Ultrasonic measurements were performed in three different positions of the pelvis (anterior pelvic tilt, posterior pelvic tilt, and neutral pelvic tilt) based on lithotomy position.</p><p><strong>Results: </strong>Our results indicated that the differences in the diagnosis of cystocele, uterine prolapse, perineal overactivity, and hiatal ballooning among the neutral position, anterior pelvic tilt, and posterior pelvic tilt were statistically significant (P<.001, P<.001, P<.001, and P<.001 respectively). The differences among neutral pelvic tilt, anterior pelvic tilt, and posterior pelvic tilt in hiatal area (during contraction), hiatal area (during rest), hiatal area (during valsalva), bladder neck descent, urethral rotation angle, cervical descent, rectal ampulla descent, hiatal area increase, and hiatal area decrease were statistically significant (P <.001, P <.001, P <.001, P <.001, P <.001, P <.001, P <.001, P <.001, and P <.001 respectively), with almost all the values of those parameters in posterior pelvic tilt the highest among three groups. The differences in cervical position (at rest), rectal ampulla position (at rest), and bladder neck position (during valsalva), cervical position (during valsalva), and rectal ampulla position (during valsalva) among neutral pelvic tilt, anterior pelvic tilt, and posterior pelvic tilt were statistically significant (P <.001, P =.035, P <.001, P <.001, and P <.001 respectively), with almost all the values of those parameters in posterior pelvic tilt the lowest among three groups.</p><p><strong>Conclusion: </strong>During the pelvic floor muscle contraction, the posterior pelvic tilt showed the most reduction of hiatal area compared to that in other positions. During Valsalva, not only the most increase of the hiatal area, but also the greatest bladder neck descent, cervical neck descent, and rectal ampulla descent were observed in the posterior pelvic tilt position.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"184"},"PeriodicalIF":2.4,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966833","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":"Co-developing a digital mindfulness- and acceptance-based intervention for endometriosis management and care: a qualitative feasibility study.","authors":"Nina Maindal, Ulrik Bak Kirk, Karina Ejgaard Hansen","doi":"10.1186/s12905-025-03731-1","DOIUrl":"https://doi.org/10.1186/s12905-025-03731-1","url":null,"abstract":"<p><strong>Background: </strong>MY-ENDO (Mind Your ENDOmetriosis) is a mindfulness- and acceptance-based endometriosis self-management intervention aimed at teaching women with symptomatic endometriosis how to manage and reduce negative physical, psychological, and social consequences of endometriosis. This study aimed at involving women with endometriosis in the co-development process of a digital version of MY-ENDO to investigate their experiences with and attitudes toward the intervention.</p><p><strong>Methods: </strong>The study was designed as a qualitative feasibility study. The empirical material consisted of 35 interviews with seven women who self-reported a diagnosis with endometriosis, based on a semi-structured interview guide. Each participant completed the first four sessions of the intervention and was interviewed before the first and after each of the four sessions (five times in total) during participation. The study was based on a phenomenological approach and the data were analyzed using Braun and Clarke's thematic analysis strategy.</p><p><strong>Results: </strong>Analysis indicated that the two parts of the program called 'knowledge of the disease' and 'management of the disease' with eight related subthemes were crucial for participants' outcomes. In addition, a generic theme called 'motivation and alliance' was identified.</p><p><strong>Conclusion: </strong>The digital self-management intervention MY-ENDO was generally experienced and evaluated as positive. It was considered an advantage that the program was specifically tailored to and targeting endometriosis as well as developed in collaboration with patients. Having a contact person was deemed important with regard to maintenance and motivation suggesting potential consequences for the implementation of this digital solution in clinical practice.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"187"},"PeriodicalIF":2.4,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983828","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}