BMC Women's Health最新文献

{"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":"https://doi.org/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":"","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":"","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":"https://doi.org/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":"","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":"","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}

{"title":"Alternative healthy eating index may predict a reduced odd of endometriosis: results from a case-control study.","authors":"Seyed Mojtaba Ghoreishy, Fatemeh Sadat Hashemi Javaheri, Sakine Ghasemisedaghat, Morvarid Noormohammadi, Ghazaleh Eslamian, Seyyedeh Neda Kazemi, Bahram Rashidkhani, Robabeh Taheripanah","doi":"10.1186/s12905-025-03805-0","DOIUrl":"10.1186/s12905-025-03805-0","url":null,"abstract":"<p><strong>Background: </strong>Endometriosis, characterized as an inflammatory ailment, affects females during their reproductive years, leading to decreased quality of life. Despite the pivotal role of diet as a modifiable risk factor for various chronic conditions, its potential influence on endometriosis has remained inadequately explored. This research endeavor sought to scrutinize the association between dietary alternative healthy eating index, AHEI, and the likelihood of experiencing endometriosis among women in Iran.</p><p><strong>Methods: </strong>Conducted as a hospital-centered case-control investigation, the study enlisted individuals diagnosed with endometriosis alongside healthy counterparts, confirmed by a gynecologist, between February and September 2021 in Tehran, Iran. The pattern of diet was assessed utilizing a validated Food Frequency Questionnaire (FFQ) encompassing 168 food items. Logistic regression models were employed to explore the potential connection between AHEI and the probability of endometriosis.</p><p><strong>Results: </strong>The analysis encompassed 105 subjects with endometriosis and 208 individuals in good health. After adjustment for total calories intake (Kcal), occupation, smoking (yes/no), age at menarche (years), menstruation duration (days), regular menstruation (yes/no), physical activity (minutes per week) and familial history of endometriosis (yes/no), it was observed that those with the high adherence to the AHEI, had about 92% lower odds of endometriosis (Odds Ratio: 0.08, 95%Confidence Intervals: 0.03, 0.24; P for trend < 0.001).</p><p><strong>Conclusion: </strong>The investigation illustrated a protective effect of healthy eating index and its components on developing endometriosis.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"249"},"PeriodicalIF":2.4,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144131806","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 effect of ultrasound-guided microwave ablation in the treatment of 60 patients with non-puerperal mastitis.","authors":"Ying Li, Chunwei Yang, Yun Ding, Xiaoxiao Jiang, Qian Song, Xiaoyang Chen, Shengluan Zhou","doi":"10.1186/s12905-025-03804-1","DOIUrl":"10.1186/s12905-025-03804-1","url":null,"abstract":"<p><strong>Background: </strong>The incidence of non-puerperal mastitis (NPM) is increasing but treatment is not consistent, and relapse is common.</p><p><strong>Objective: </strong>To investigate the clinical effect of ultrasound-guided microwave ablation in the treatment of NPM.</p><p><strong>Methods: </strong>We retrospectively analysed the data of 60 patients with NPM who had undergone microwave ablation treatment at the Nantong University Affiliated Hospital from September 2020 to June 2022. Among them, 20 (33.3%) opted for outpatient treatment, and 40 (66.7%) were treated as inpatients. The mean age of the patients was 34 ± 8.74 years. The duration of follow-up was 6-18 (median: 9) months. Follow-up parameters included time to remission of acute clinical symptoms, breast ultrasonography findings, breast skin appearance and beauty scores, patient satisfaction, adverse events, and recurrence rates.</p><p><strong>Results: </strong>All 60 patients were successfully treated with microwave ablation. During the follow-up, ultrasound showed that the average maximum diameter of the lesions gradually decreased while the echogenicity of the lesions gradually increased. The time to clinical relief from acute symptoms was 10.78 ± 8.86 days. The cure rate was 93.3% (56/60), and the improvement rate was 6.7% (4/60). The breast appearance beauty score was 8.45 ± 1.17, the patient satisfaction rate was 93.3% (56/60), the incidence of adverse events was 31.7% (19/60), and the recurrence rate was 1.67% (1/60).</p><p><strong>Conclusion: </strong>Microwave ablation is a direct and effective method for the treatment of NPM, with significant curative effects, less trauma, quick recovery, high patient satisfaction, and low recurrence rate. Thus, it provides clinicians with a new option to treat NPM.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"251"},"PeriodicalIF":2.4,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144131811","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":"Impact of diagnosis-to-treatment interval on mortality in patients with early-stage breast cancer: a retrospective nationwide Korean cohort.","authors":"Sung Hoon Jeong, Seong Min Chun, Hyunji Lee, Miji Kim, Ja-Ho Leigh","doi":"10.1186/s12905-025-03780-6","DOIUrl":"10.1186/s12905-025-03780-6","url":null,"abstract":"<p><strong>Background: </strong>The diagnosis-to-first-treatment interval (DFTI) is an important prognostic factor and a major concern for patients with breast cancer as well as their clinicians. It may be particularly important for patients with early-stage breast cancer. The aim of this study was to investigate the association between DFTI and risk of mortality in patients with new-onset early-stage breast cancer.</p><p><strong>Methods: </strong>This nationwide, retrospective cohort study utilized data from the Korean National Health Insurance database and the Korea National Cancer Incidence Database (2006-2017). By using 1:5 propensity score matching, 3,625 participants with a DFTI < 60 days and 725 with a DFTI ≥ 60 days were included in the analysis. Cox proportional hazard regression models were used to examine the association between the DFTI and 5-year all-cause mortality risk.</p><p><strong>Results: </strong>Compared with patients with breast cancer with a DFTI < 60 days, patients with a DFTI ≥ 60 days had a higher 5-year mortality risk (hazard ratio [95% confidence interval], 2.09 [1.43-3.06]). Similarly, sensitivity analysis with a 45-day threshold revealed higher mortality in patients with a DFTI ≥ 45 days (HR [95% CI], 1.49 [1.14-1.96]) than their counterparts with a DFTI < 45 days. This association was greater for patients with low household income, those who lived in rural areas, and those with a high Charlson comorbidity index.</p><p><strong>Conclusions: </strong>A DFTI ≥ 60 days was associated with mortality risk in patients with early-stage breast cancer. These results emphasize the importance of closely monitoring the waiting times of this patients population and ensuring timely treatment.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"247"},"PeriodicalIF":2.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144126624","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":"Aggressive primary uterine non-Hodgkin's lymphoma presenting as acute kidney injury: a case report.","authors":"Rawan Al-Deeb, Ram Attaf, Yaman Saiouf, Baraa Mouzi, Assef Dayyoub","doi":"10.1186/s12905-025-03775-3","DOIUrl":"10.1186/s12905-025-03775-3","url":null,"abstract":"<p><strong>Introduction: </strong>Primary malignant lymphoma of the cervix is an extremely rare condition, accounting for only 0.008% of all cervical tumors and 2% of female extranodal lymphomas. The most common histological subtype is diffuse large B-cell lymphoma. This malignancy is often asymptomatic in its early stages, but advanced cases may include systemic symptoms, pelvic discomfort, and vaginal bleeding. Diagnosis is challenging due to its nonspecific clinical presentation and similarity to other gynecological conditions. Imaging and immunohistochemistry play essential roles in diagnosis and staging. Treatment typically involves chemotherapy, with the standard CHOP regimen for Non-Hodgkin's lymphoma being the main treatment in most cases. To the best of our knowledge, this is the first case in the literature to describe acute kidney injury associated with the already rare entity of primary female genital tract lymphoma.</p><p><strong>Case presentation: </strong>A 66-year-old multiparous woman presented with severe headache, nausea, vomiting, and dizziness lasting three days, alongside systemic symptoms such as weight loss, lethargy, and night sweats. Imaging indicated bilateral hydronephrosis, ascites, and an enlarged uterus with a suspected tumor. Biopsy confirmed diffuse large B-cell lymphoma with immunohistochemical positivity for CD20 and negative CD3. The patient was classified as stage IV according to the Ann Arbor system. Initial treatment included diuretics, hemodialysis, and chemotherapy with a dose-reduced CHOP regimen due to atrial fibrillation and reduced cardiac ejection fraction. Despite initial improvements, the patient developed tumor lysis syndrome and meningeal infiltration. Her condition deteriorated after the second chemotherapy cycle, culminating in neutropenic fever, massive hemorrhage, and ultimately death.</p><p><strong>Conclusion: </strong>Our case highlights the diverse manifestations of the disease, including acute kidney injury secondary to bilateral hydronephrosis, a previously unreported complication. Early recognition is essential for optimal management. While chemotherapy remains the mainstay of treatment, the lack of standardized protocols underscores the need for further research. This case emphasizes the unpredictable nature of primary female genital tract lymphomas and their potential to cause systemic complications.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"244"},"PeriodicalIF":2.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144118861","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":"Application of high intensity focused ultrasound in the treatment of uterine fibroids in overweight/obese women.","authors":"Lijing Wu, Liying Zhong, Qingyan Zheng, Lingna Huang, Fengning Lin, Zhiwei Chen, Chengying Lian","doi":"10.1186/s12905-025-03797-x","DOIUrl":"10.1186/s12905-025-03797-x","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the clinical efficacy and safety of High-Intensity Focused Ultrasound (HIFU) in the treatment of uterine fibroids in overweight/obese women.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on the clinical data of 155 overweight/obese women with uterine fibroids treated at our hospital between January 2022 and January 2024. Among them, 75 patients underwent HIFU treatment (observation group), while 80 patients received conventional laparoscopic myomectomy (control group). Perioperative indicators, symptom improvement (assessed by the Symptom Severity Score, SSS), health-related quality of life (HRQL score), complications, and recurrence rates at 1-year post-treatment were compared between the two groups.</p><p><strong>Results: </strong>All procedures were successfully completed in both groups. No significant differences were observed in baseline characteristics such as age, BMI, number of fibroids, maximum fibroid diameter, and hemoglobin levels between the two groups (P > 0.05). At 6 months and 1 year post-treatment, the observation group showed significantly better SSS scores (12.61 ± 1.22 vs. 15.89 ± 1.21; 10.40 ± 1.27 vs. 12.03 ± 1.33) and HRQL scores (89.35 ± 1.90 vs. 84.69 ± 1.24; 94.19 ± 1.16 vs. 91.69 ± 1.32) compared to the control group (P < 0.05). The total complication rate in the observation group was significantly lower than that in the control group (9.33% vs. 21.3%, χ² = 4.34, P = 0.04). No recurrence or fibroid enlargement was observed in the observation group at 1-year follow-up.</p><p><strong>Conclusion: </strong>HIFU is an effective and safe treatment for uterine fibroids in overweight/obese women, offering advantages such as minimal invasiveness, fewer complications, and faster recovery. It represents a superior minimally invasive option for this patient population.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"243"},"PeriodicalIF":2.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144118877","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":"Cervical and breast cancer screening outcomes among Métis people in Alberta, Canada.","authors":"Michelle L Aktary, Reagan Bartel, Ashton James, June Kima, Amanda Andrew, Angeline Letendre, Chinmoy Rahul, Bonnie Chiang, James Newsome, Huiming Yang, Karen A Kopciuk","doi":"10.1186/s12905-025-03799-9","DOIUrl":"10.1186/s12905-025-03799-9","url":null,"abstract":"<p><strong>Background: </strong>Breast and cervical cancer rates among Métis people in Canada are higher than non-Indigenous people but the impact of cancer screening is uncertain. This study investigated breast and cervical cancer screening participation, retention, and follow-up care among age-eligible Métis people living in Alberta compared to their non-Métis counterparts from 2006 to 2022.</p><p><strong>Methods: </strong>Data from the Otipemisiwak Métis Government of the Métis Nation within Alberta (MNA) Identification Registry were linked to the Alberta Breast and Cervical Cancer Screening Programs, and the Alberta Cancer Registry for the years 2006 to 2022. Relative and absolute differences in rates, percentages, and means/medians were calculated between Métis and non-Métis people, including age-eligible females, people with a cervix, and people who have taken gender-affirming hormones for five or more years. Trends were assessed using suitable Joinpoint models.</p><p><strong>Results: </strong>Métis and non-Métis people had similar breast and cervical cancer screening participation and retention rates. However, the time between abnormal cancer screening results and follow-up tests was longer for Métis people compared to non-Métis people. Métis people had higher proportions of abnormal cytology test results, and more were diagnosed with advanced-stage cervical cancer (p = 0.06) than non-Métis people. There were no differences in breast cancer stage at diagnosis.</p><p><strong>Conclusion: </strong>Ongoing collaboration between the MNA and Screening Programs will build on evidence from the current study to support cancer screening programs and services for all Métis people in Alberta.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"246"},"PeriodicalIF":2.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144126623","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}