BMC Women's Health最新文献

{"title":"The effectiveness of pelvic floor muscle training on lumbar function and muscle performance in sedentary women with lower back pain: a randomized controlled trial.","authors":"Xiangyue Si, Lihua Zhang, Fanglei Li, Hongyang Liang","doi":"10.1186/s12905-025-03644-z","DOIUrl":"10.1186/s12905-025-03644-z","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the impact of combined core and pelvic floor muscle (PFM) training on lumbar function in sedentary women with lower back pain (LBP).</p><p><strong>Methods: </strong>This randomized controlled study included 60 female patients divided into three groups: a control group (n = 20), a core training group (n = 20), and a combined PFM and core training group (n = 20). The participants underwent three weekly interventions over four weeks. Trunk muscle endurance, deep lumbar stabilizing muscle activity, and LBP severity were assessed before and after the intervention.</p><p><strong>Results: </strong>Following the 4-week intervention: 1. In the combined PFM and core training group, significant improvements in muscle endurance (p < 0.01) were observed, particularly in the flexor, extensor, and right abdominal muscles compared to the control group (p < 0.05). 2. In the core training group, significant increases in muscle endurance were seen in various directions (p < 0.05), with highly significant improvements in flexion and right flexion directions (p < 0.01). The flexor muscles exhibited greater endurance than the control group (p < 0.05). 3. In the control group, dorsal muscle endurance significantly decreased after four weeks (p < 0.01). 4. Pain scores after 2 h of sitting significantly decreased (p < 0.01), along with reduced LBP differences (p < 0.05). There was a decrease in pain scores (p < 0.05) and a significant reduction in LBP after 2 h of sitting (p < 0.01).</p><p><strong>Conclusion: </strong>Core training, either independently or combined with PFM training, can enhance trunk muscle endurance and alleviate LBP in sedentary women with LBP. Core training alone appeared to have a more pronounced effect.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"125"},"PeriodicalIF":2.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11921527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662622","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":"Comparison of concomitant hysterectomy and uterine preservation for pelvic floor reconstruction using transvaginal mesh in the treatment of POP: a systematic review and meta-analysis.","authors":"Jicheng Lou, Feng Guo","doi":"10.1186/s12905-025-03643-0","DOIUrl":"10.1186/s12905-025-03643-0","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to summarize the evidence available in the published literature on concomitant hysterectomy versus uterine preservation in the treatment of pelvic organ prolapse (POP) and to clarify whether uterine removal should be performed during pelvic floor reconstructive surgery using transvaginal mesh (TVM).</p><p><strong>Methods: </strong>The literature search strategy was specifically designed to identify articles investigating the comparison of concomitant hysterectomy and uterine preservation in pelvic floor reconstruction using TVM. The database search spanned from their inception until March 2024. The literature selection and data collection processes were guided by predetermined inclusion and exclusion criteria. The included studies were independently evaluated by two reviewers, and a meta-analysis was conducted utilizing RevMan 5.4.</p><p><strong>Results: </strong>Eleven retrospective studies involving 1341 patients were selected for meta-analysis. The results showed no statistically significant differences in the objective cure rate or the risk of recurrence between concomitant hysterectomy and uterine preservation. Compared to uterine preservation, concomitant hysterectomy surgery was associated with extended operative duration (MD 31.59, 95% CI 19.49 - 43.68, p < 0.00001), longer hospital stay (MD 1.29, 95% CI 0.67 - 1.92, p < 0.0001), increased intraoperative blood loss (MD 62.52, 95% CI 30.18 - 94.86, p = 0.0002), reduced PISQ-12 scores (MD -5.99, 95% CI -9.70 to -2.28, p = 0.002), decreased postoperative total vaginal length (MD -0.66, 95% CI -1.14 to -0.18, p = 0.007), and higher risk of mesh exposure (RR 1.95, 95% CI 1.18-3.23, p = 0.009).</p><p><strong>Conclusions: </strong>Uterine sparing surgery using TVM compared to concomitant hysterectomy surgery using TVM showed equally effective in the treatment of POP at short and medium term follow-up. But uterine preservation could reduce intraoperative blood loss, operative duration, and duration of hospitalization. In addition, uterine sparing surgery is beneficial for decreasing the risk of mesh exposure, increasing the vaginal length and improving sexual satisfaction.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"124"},"PeriodicalIF":2.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11916870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656216","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":"'I was eager to do anything I could to improve the situation': a qualitative study of patients' experiences and views of prehabilitation for ovarian cancer surgery.","authors":"Rhia Kaur Saggu, Clare Shaw, Cathy Hughes, Pernilla Lagergren, John Butler, Alison H McGregor, Sadaf Ghaem-Maghami, Mary Wells","doi":"10.1186/s12905-025-03630-5","DOIUrl":"10.1186/s12905-025-03630-5","url":null,"abstract":"<p><strong>Background: </strong>Prehabilitation has shown promise in improving post-operative outcomes for several solid tumour groups. However, prehabilitation programmes are not widely established. Patients with advanced ovarian cancer experience life changing debulking surgery and could benefit from prehabilitation. This study aims to explore the views, experiences, facilitators and barriers surrounding prehabilitation in a demographically diverse cohort of advanced ovarian cancer patients. This would help to inform an acceptable patient-centred working programme model for a diverse group of patients.</p><p><strong>Methods: </strong>Purposive, maximum variation sampling was used to recruit a diverse sample of women, due to undergo or following primary debulking surgery for advanced ovarian cancer, from two cancer centres in London. Semi-structured interviews were either conducted face to face or by telephone. All recordings were transcribed verbatim and analysed using thematic analysis.</p><p><strong>Results: </strong>Twenty-one participants were interviewed. Twelve were prehabilitation 'naïve' and nine had participated in the Marsden Integrated Lifestyle and Exercise programme (MILE). The age range was 46-76 years and 8/21 participants were of Black, Asian or Mixed heritage. Factors influencing engagement with prehabilitation can be categorised under four major emerging themes [1] Mindset [2] Actual preparation [3] Support system [4] Delivery of prehabilitation.</p><p><strong>Conclusion: </strong>Patients with ovarian cancer welcome the concept of prehabilitation, however a blanket approach is not suitable to meet the needs of a demographically diverse cohort. The components of prehabilitation must be tailored to individual needs, with attention to existing mindset and support systems, building on preparations that women are already making for surgery and offering flexible delivery options.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"121"},"PeriodicalIF":2.4,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633377","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 puerperal sepsis among postpartum women admitted to Harar town public hospitals in eastern Ethiopia: an unmatched case-control study.","authors":"Tarikuwa Habetamu, Tilahun Abdeta, Adera Debella, Addis Eyeberu, Tesfaye Assebe Yadeta","doi":"10.1186/s12905-025-03649-8","DOIUrl":"10.1186/s12905-025-03649-8","url":null,"abstract":"<p><strong>Background: </strong>Globally, 75,000 maternal deaths occur each year from puerperal sepsis, with higher rates in low-income countries. In Ethiopia, puerperal sepsis is the fourth leading cause of maternal morbidity and mortality. This study aimed to identify determinants of puerperal sepsis among postpartum women admitted to public hospitals in Harar, eastern Ethiopia.</p><p><strong>Method: </strong>A retrospective unmatched case-control study was conducted from June 15 to July 15, 2022, among 423 postpartum women (106 cases and 317 controls) in Public Hospitals in Harar town, Harari Regional State, Eastern Ethiopia. Participants were selected using a simple random sampling method based on medical registration numbers. Data was extracted using a checklist and analyzed using SPSS version 25 statistical software. Logistic regression was used to identify determinants of puerperal sepsis, with adjusted odds ratios and a 95% confidence interval to estimate the strength and direction of the association. Statistical significance was declared at a p-value of less than 0.05.</p><p><strong>Results: </strong>The determinants of puerperal sepsis were found to be cesarean section delivery (AOR = 2.32, 95% CI 1.24-4.33), rupture of membranes lasting more than 24 h (AOR = 4.34, 95% CI 1.93-9.76), labor duration exceeding 24 h (AOR = 2.91, 95% CI 1.11-7.62), undergoing more than 4 vaginal examinations (AOR = 3.02, 95% CI 1.32-6.92), and being referred from other health institutions (AOR = 2.48, 95% CI 1.42-4.36).</p><p><strong>Conclusions: </strong>This study identified factors that independently predict puerperal sepsis, including mode of delivery, duration of labor, duration of rupture of the membrane, number of vaginal examinations, and referral status. It is essential for all stakeholders to work together to reduce the risk factors of puerperal sepsis.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"122"},"PeriodicalIF":2.4,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633429","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":"Assessing the Impact of Lymphedema Therapy Referral on Breast Cancer Survivors' Lymphedema Knowledge: A Cross-Sectional Survey.","authors":"Madelyn Klugman, Yashasvini Sampathkumar, Sujata Patil, Kathryn R Tringale, Giacomo Montagna, Jackie Finik, Ting-Ting Kuo, Carolyn Eberle, Alexandr Pinkhasov, Theresa Gillis, Francesca Gany, Victoria Blinder","doi":"10.1186/s12905-025-03654-x","DOIUrl":"10.1186/s12905-025-03654-x","url":null,"abstract":"<p><strong>Background: </strong>Lymphedema is a common problem that adversely impacts quality of life in breast cancer survivors. Although lymphedema risk is modifiable through behavior change, there is no standardized approach to educate survivors about risk-lowering strategies. Furthermore, misconceptions about lymphedema risk factors and risk-lowering strategies are common. The aim of this study was to evaluate the effect of lymphedema therapy referral on knowledge about lymphedema risk.</p><p><strong>Methods: </strong>This was a cross-sectional single institution study in which breast cancer survivors at a National Cancer Institute-designated cancer center completed an anonymous questionnaire between 2014 and 2015. Eligibility criteria were age ≥ 18, female sex, English-speaking, > 6 months post definitive breast cancer surgery, no cancer recurrence, and no prior or subsequent second cancer. The questionnaire included sociodemographic variables, clinical factors including prior lymphedema therapy referral, and 10 true/false questions assessing knowledge about lymphedema risk. Multivariable logistic regression analyses assessed the relationship between prior lymphedema therapy referral and correctly answering questions about lymphedema risk.</p><p><strong>Results: </strong>Of 209 participants, 53 (25%) had been referred to lymphedema therapy. Those who had undergone sentinel lymph node biopsy were less frequently referred to lymphedema therapy [15 (14%)] than those who had undergone axillary lymph node dissection [38 (39%)]. Five of the true/false questions had a correct response rate of < 80%. After controlling for age, race/ethnicity, education, type of axillary surgery, and receipt of radiation therapy, referral for lymphedema therapy was associated with correctly answering two questions about lymphedema: weight gain increases lymphedema risk [odds ratio, 95% confidence interval: 3.63 (1.66-7.96)] and patients are recommended to exercise their arm on an airplane [2.65 (1.15-6.13)].</p><p><strong>Conclusions: </strong>Misconceptions about lymphedema prevention and management are common among breast cancer survivors. Lymphedema therapy referral is a potential opportunity to debunk misunderstandings and educate at-risk patients regarding lymphedema.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"123"},"PeriodicalIF":2.4,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633341","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":"Effectiveness of an empowerment-based self-defense program among South African girls: results from a cluster-randomized control trial in schools.","authors":"Miriam Hartmann, Shepherd Mutangabende, Stephen Nash, Erica N Browne, Abigail Hatcher, Anna E Kågesten, Sarah T Roberts","doi":"10.1186/s12905-025-03647-w","DOIUrl":"10.1186/s12905-025-03647-w","url":null,"abstract":"<p><p>Empowerment-based self-defense (ESD) programs have proven effective in preventing sexual violence (SV) among girls in diverse settings, yet their effectiveness in South Africa remains unexplored. In this hybrid type 1 cluster-randomized controlled trial, we assessed the impact and implementation of the COVID-adapted 'No Means No' intervention, an ESD program to prevent SV among girls aged 10-19 in Gqeberha, South Africa. Fifteen schools were randomly assigned to one of three trial arms: an arm receiving intervention delivered to girls-only, one receiving interventions delivered to girls and boys seperately, or to serve as controls in a 1:1:1 ratio. Surveys were conducted at baseline, 3, 6, and 12 months. The primary outcome was past-year SV exposure among girls, including harassment or rape. Generlized Estimating Equation models compared the two intervention arms to the control, and each intervention arm to the control. Implementation data consisted of intervention attendence logs, quarterly implementation reports, and in-depth interviews with school stakeholders. We enrolled 1,540 from 14 schools, of whom 1,250 provided primary outcome data. The average age was 13 years and 83% identified as Black. At baseline, 35% of girls reported past-year SV, and 33% did during follow-up. The intervention did not significantly reduce SV compared to the control (adjRR 1.24, 95% CI 0.96, 1.69; p = 0.08). Exploratory analyses examined the effects on secondary outcomes (rape, offline, and online sexual harassment), and on intermediate outcomes (e.g., knowledge and attitudes) with only knowledge of self-defense differing between intervention and control (coefficient 0.42, 95% CI 0.16, 0.68; p = 0.007). Implementation data revealed barriers to implementing in schools post-COVID, including limitations on alloted time and lack of whole-school buy-in. Improved school awareness, willingness to disclose violence, and reductions in bullying were described as impacts of the intervention by stakeholders. While the lack of reduction in SV may point towards areas for improvement, numerous contextual and implementation factors may also have influenced results. Future trials should utilize implementation science methods to improve delivery and rigorously evaluate ESD interventions' impact on disclosure, acknowledging the complexity of assessing their effects on various facets of SV. The trial was registered on clinicaltrials.gov (NCT05295342).</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"119"},"PeriodicalIF":2.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633447","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":"Biochemical, sex hormonal, and anthropometric predictors of non-alcoholic fatty liver disease in polycystic ovary syndrome.","authors":"Xintong Li, Min Min, Fangfang Duan, Xiangyan Ruan, Li Xu","doi":"10.1186/s12905-025-03648-9","DOIUrl":"10.1186/s12905-025-03648-9","url":null,"abstract":"<p><strong>Background: </strong>Polycystic ovary syndrome (PCOS) is linked to non-alcoholic fatty liver disease (NAFLD). Biochemical, sex hormonal, and anthropometric indicators have been explored for screening NAFLD in PCOS patients. However, the accuracy of NAFLD screening using these indicators in PCOS patients remains uncertain. This study aimed to identify biochemical, sex hormonal, and anthropometric indicators associated with NAFLD in overweight and obese PCOS patients and assess the diagnostic efficacy of combined indicators.</p><p><strong>Methods: </strong>This cross-sectional study (Clinical trial number ChiCTR1900020986; Registration date January 24th, 2019) involved 87 overweight or obese women with PCOS (mean age 29 ± 4 years). Measurements included anthropometric indices, biochemistry, sex hormone levels, and liver proton density fat fraction (PDFF). Correlation analysis, intergroup comparisons, and logistic regression analysis were used to identify risk factors for NAFLD (PDFF > 5.1%). The receiver operating characteristic curve, area under the curve (AUC), sensitivity, specificity, positive predictive value, and negative predictive value were used to determine cut-off values and evaluate diagnostic accuracy.</p><p><strong>Results: </strong>Liver PDFF was 7.69% (3.93%, 14.80%) in overweight and obese PCOS patients, with 67.8% diagnosed with NAFLD. NAFLD was associated with increased body mass index (BMI), abdominal circumference (AC), and triglyceride, total cholesterol (TC), low-density lipoprotein-cholesterol (LDL-C), glucose, insulin, and free testosterone (FT) levels, and with decreased high-density lipoprotein-cholesterol (HDL-C) and sex hormone-binding globulin (SHBG) levels (P < 0.05). Risk factors for NAFLD in PCOS included BMI > 26.8 kg/m², AC > 88.3 cm, triglyceride > 1.57 mmol/L, TC > 4.67 mmol/L, LDL-C > 3.31 mmol/L, glucose > 4.83 mmol/L, insulin > 111.35 pmol/L, FT > 7.6 pg/mL and SHBG < 25 nmol/L (β = 1.411-2.667, P < 0.005). A multi-indicator model including triglycerides, LDL-C, glucose, insulin, and SHBG showed higher diagnostic accuracy (AUC = 0.899, P < 0.001) for screening NAFLD in PCOS patients than single indicators (AUC = 0.667-0.761, P < 0.05).</p><p><strong>Conclusions: </strong>Overweight and obese PCOS patients have higher incidences of liver PDFF and NAFLD. A multi-indicator model including triglycerides > 1.57 mmol/L, LDL-C > 3.31 mmol/L, glucose > 4.83 mmol/L, insulin > 111.35 pmol/L, and SHBG < 25 nmol/L is highly accurate for screening NAFLD in overweight and obese PCOS patients.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"118"},"PeriodicalIF":2.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633428","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":"Women physicians' experiences in the workplace in Lebanon: a qualitative study.","authors":"Rama Daoud, Zeina Nasser, Lubna Tarabey, Fadi Abou-Mrad","doi":"10.1186/s12905-025-03640-3","DOIUrl":"10.1186/s12905-025-03640-3","url":null,"abstract":"<p><strong>Background: </strong>Over the past several decades, the number of female physicians entering the medical and healthcare workplace has increased. Despite their skills and qualifications, they face several challenges in their career including gender discrimination, work-life balance, sexual harassment, limited career advancement opportunities, and burnout. The purpose of this study is to assess perceived challenges encountered by women physicians in the workplace and identify coping strategies to overcome these challenges and achieve professional success.</p><p><strong>Methods: </strong>A qualitative research design with an inductive approach was used to collect the data from female physicians' experiences at their workplace between July and December 2023 through a semi-structured one-on-one interview with open-ended questions. Purposive and snowball techniques were used to recruit female physicians working in private and/or public Lebanese hospitals. The interviews were conducted in Arabic, recorded, transcribed, and translated into English. Thematic analysis was used to analyze data.</p><p><strong>Results: </strong>A total of 12 women physicians participated in the interviews. The analysis identified three main themes: (1) personal challenges faced by women in medicine, (2) institutional challenges faced by women in medicine, and (3) Solutions for issues faced by women in medicine.</p><p><strong>Conclusions: </strong>Participants highlighted personal challenges such as work-life balance, and burnout, as well as institutional obstacles like gender discrimination, limited career advancement opportunities, and sexual harassment. By uncovering these barriers this research provides a critical foundation for the development of targeted policies and interventions aimed at fostering a more equitable and supportive environment for women in the medical profession.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"117"},"PeriodicalIF":2.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633380","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 enhanced recovery after surgery concept process optimization on the perioperative period of gynecologic laparoscopic surgery.","authors":"Ou Jin, Tiebing Xu, Juan Lai, Junxia He, Yongfeng Wu, Xiaomin Yang","doi":"10.1186/s12905-025-03626-1","DOIUrl":"10.1186/s12905-025-03626-1","url":null,"abstract":"<p><strong>Background: </strong>To explore the impact of enhanced recovery after surgery (ERAS) optimization concept process on the perioperative period of gynecologic laparoscopic surgery.</p><p><strong>Methods: </strong>This retrospective observational study included patients who underwent gynecologic laparoscopic surgery based on ERAS concept process optimization (ERAS group) for uterine fibroids, adenomyosis, and ovarian cysts at Jiaxing Hospital of Traditional Chinese Medicine between January 2023 and December 2023. Patients who underwent the same laparoscopic protocol without ERAS concept process optimization between January 2022 and December 2022 were matched as the control group (non-ERAS group). Postoperative indexes and patient satisfaction were compared between the two groups.</p><p><strong>Results: </strong>A total of 120 patients were included, with 60 of who underwent gynecologic laparoscopic surgery (total laparoscopic hysterectomy, TLH: n = 20; laparoscopic myomectomy, LM: n = 20; laparoscopic ovarian cystectomy, LOC: n = 20) based on ERAS (ERAS group), and the other 60 of who underwent gynecologic laparoscopic surgery (TLH: n = 20, LM: n = 20, LOC: n = 20) without ERAS (non-ERAS). In patients received gynecologic laparoscopic surgery of ERAS group, the time of first postoperative gas evacuation, the time of semi-liquid recovery, the time of urination, the time of incision pain, and the length of hospital stay were significantly shorter (all P < 0.001), and the number of nausea and vomiting was significantly reduced (all P < 0.001) compared with those in the non-ERAS group. Besides, satisfaction of patients receiving ERAS was significantly higher than in the non-ERAS group (TLH: P < 0.01; LM and LOC: P < 0.001).</p><p><strong>Conclusions: </strong>ERAS optimization for gynecologic laparoscopic surgery improved patients' outcomes, reduced complications, and improved patient's satisfaction.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"120"},"PeriodicalIF":2.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633378","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":"\"High-stress, conscientiousness and positive coping\": correlation analysis of personality traits, coping style and stress load among obstetrics and gynecology female nurses and midwives in twenty-one public hospitals in Southern China.","authors":"Qiqi Ye, Kefu Zhong, Li Yuan, Qihua Huang, Xiangdan Hu","doi":"10.1186/s12905-025-03620-7","DOIUrl":"10.1186/s12905-025-03620-7","url":null,"abstract":"<p><strong>Background: </strong>The long-term occupational stress experienced by nurses and midwives in obstetrics and gynecology department not only impacts their mental well-being, but also poses a threat to nursing safety and sleep quality of nursing staff. Personality traits and stress coping strategies are believed to play a crucial and distinctive role in regulating stress. It is of great importance to discover effective methods for managing the occupational stress faced by nurses and midwives in obstetrics and gynecology. The study aims to identify the characteristic of stress load, personality and coping style among obstetrics and gynecology nurses and midwives, explore variations in stress levels based on their individual personality traits, and compare different levels of event load and individual vulnerability across various personality domains.</p><p><strong>Methods: </strong>A cross-section study was conducted from February 2023 to March 2023, and a stratified sampling method was used to select 424 obstetric and gynecological nurses. The survey was conducted using the General Information Questionnaire, the Chinese Big Five Personality Questionnaire, the Trait Coping Style Questionnaire, and the Chinese version of the Stress Overload Scale.</p><p><strong>Results: </strong>High stress of stress risk, conscientiousness and positive coping were the main characteristics of obstetrics and gynecology nurses and midwives. The stress-load was at a medium level, with an average score of (65.30 ± 17.27) points. There were statistically significant differences in stress-load among nurses with different marital status, hospital level, family occupational support and work motivation (p < 0.05). There was a significant positive correlation among neuroticism, negative coping, and event load. (p < 0.01). While conscientiousness, agreeableness, openness, extroversion and positive coping showed positive correlations (p < 0.05).</p><p><strong>Discussion: </strong>Based on our findings and the existing literature, we have so suggestions to relieve the stress-load of obstetrics and gynecology nurses and midwives: (1) improve social support and family support; (2) increase the application of intelligent technology appropriately; (3) improve midwifery models; (4) provide positive psychology training; (5) take advantage of the positive interaction between individual and situations.</p><p><strong>Conclusion and implications for nursing and midwife policy: </strong>Nursing and midwife managers should strengthen care for nurses and midwives with significant neurotic personality, adopt flexible or magnetic management, improve midwifery models and elevate the dominant role of midwives in childbirth processes. Importantly, they should enhance group or individual psychological intervention to encourage a positive attitude towards stressors and foster the development of positive personalities.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"116"},"PeriodicalIF":2.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633256","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}