BMJ Sexual & Reproductive Health最新文献

{"title":"Web-based mentorship resources for improving access to abortion information in Canada: a utilisation and reach analysis.","authors":"Parita Mehta, Wendy V Norman, Abdul-Fatawu Abdulai","doi":"10.1136/bmjsrh-2026-203242","DOIUrl":"https://doi.org/10.1136/bmjsrh-2026-203242","url":null,"abstract":"<p><strong>Background: </strong>Abortion is a critical health service in Canada, yet access to evidence-based healthcare professional information remains limited. Our team developed a registration-based web platform in 2018, and subsequently an open-access platform in 2024 as an enhancement. The goal of these platforms was to disseminate reliable abortion-related healthcare professional information. This study examined the reach and utilisation of these platforms to assess their impact on improving access to evidence-based abortion information.</p><p><strong>Methods: </strong>We analysed secondary data extracted from the two web-based platforms. We calculated the total subscribers and analysed the user-posted queries in the registration-based platforms. We also calculated the active users, page-level access statistics, average session duration, and resource download counts in the open-access platform.</p><p><strong>Results: </strong>The registration-based platform (2018-2025) gained 1778 subscribers over 7 years, while the open-access platform (2024-2025) reached 1379 active users in just 1 year. The use of the registration-based platform was limited to Canada, whereas the open-access website attracted both Canadian (86.9%) and international users (13.1%). The registration-based platform generated 260 user queries across 10 thematic areas, primarily from medical doctors and nurse practitioners. On the open-access platform, users spent an average of 2 minutes per visit and viewed about 4.1 pages.</p><p><strong>Conclusions: </strong>Our analysis shows that while the open-access platform was accessible to a broad range of providers, it did not facilitate clinical queries or active engagement. This limits opportunities for providers to seek expert advice beyond the information available on the platform. Although integrating interactive features into open-access abortion platforms currently raises privacy and security concerns, future technological advancements may enable safe and confidential provider interactions in such settings.</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147833916","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":"Artificial intelligence pathways to abortion care: a regional analysis of ChatGPT referrals to Women on Web.","authors":"Jane I Eklund, Suzanne Veldhuis","doi":"10.1136/bmjsrh-2026-203297","DOIUrl":"https://doi.org/10.1136/bmjsrh-2026-203297","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147762825","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":"Factors influencing the acceptability of contragestion among reproductive-aged women in Hong Kong.","authors":"Tsz Ching Lee, Yu Wing Tong, Sue Seen-Tsing Lo, Barbara Wai Kwan Fung, Sharon Cameron, Ernest Hung Yu Ng, Raymond Hang Wun Li","doi":"10.1136/bmjsrh-2026-203217","DOIUrl":"https://doi.org/10.1136/bmjsrh-2026-203217","url":null,"abstract":"<p><strong>Background: </strong>Contragestion is a birth control method that works throughout the luteal phase or beyond by dislodging an implanted early embryo. This study aimed to investigate the sociodemographic characteristics and reproductive history factors that influence the hypothetical acceptability of contragestion among reproductive-aged women in Hong Kong.</p><p><strong>Methods: </strong>This was a secondary analysis of a prospective questionnaire survey of 1448 women recruited from two community family planning services and the obstetrics and gynaecology unit of a university hospital.</p><p><strong>Results: </strong>A total of 433 respondents (29.9%) expressed acceptability of contragestion. In the multivariate regression analysis, prior history of termination of pregnancy (OR 1.834, 95% CI 1.428 to 2.355; p<0.001), previous use of emergency contraception (OR 1.481, 95% CI 1.168 to 1.878; p=0.001) and future plans to use hormonal contraception (OR 1.615, 95% CI 1.26 to 2.07; p<0.001) were associated with a significantly higher acceptance of contragestion after controlling for age, having a sexual partner currently and monthly income. Meanwhile, having child(ren) (OR 0.692, 95% CI 0.52 to 0.92; p=0.01) was associated with a significantly lower acceptance rate.</p><p><strong>Conclusions: </strong>About 30% of women in our survey expressed acceptability of contragestion hypothetically, and higher acceptability was observed in those without children, those having had a previous termination of pregnancy or previous use of emergency contraception, as well as those who planned to use hormonal contraception in the future.</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147762769","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":"Feasibility and acceptability of virtual reality use during intrauterine device procedures: a London-based health service evaluation.","authors":"Jessica Collins, Nicole Alexiuk, Joanna Burgess, Gurmit Jagjit Singh, Kimberley Forbes, Praveen Jayadeva, Sara Day","doi":"10.1136/bmjsrh-2025-203145","DOIUrl":"https://doi.org/10.1136/bmjsrh-2025-203145","url":null,"abstract":"<p><strong>Background: </strong>Intrauterine devices (IUDs) are highly effective contraceptives, yet the procedures can be associated with discomfort, anxiety and pain, which deter uptake and continuation. By providing immersive, multisensory distraction, virtual reality (VR) use during IUD procedures has demonstrated multiple benefits, including reducing pain and anxiety. We evaluated the feasibility, acceptability and service impact of using VR during IUD procedures in a sexual and reproductive health clinic in London, UK.</p><p><strong>Methods: </strong>VR was offered to patients attending IUD clinics between 20/11/24 and 05/11/25 . Patients and healthcare staff completed feedback questionnaires assessing their experience and perceived impact of VR, procedural anxiety and pain scores, and barriers and facilitators to implementation. Consultation durations were compared between the VR (20/11/24-05/11/25) and pre-VR (1/8/24-31/10/24) periods.</p><p><strong>Results: </strong>Of 235 patients offered VR, 177 (75%) accepted. Among VR acceptors, 93% (165/177) would use it again, 96% (170/177) would recommend it and 86% (80/93) reported that it provided a superior experience to previous fitting(s). All staff reported that VR was helpful, improved care and increased positive feedback, and 80% (12/15) felt it helped them perform their role more effectively.Baseline anxiety scores were higher among VR acceptors (mean=56.7/100, SD=26.8) than decliners (mean=46.2/100, SD=30.6) (p=0.02) and 87% of VR acceptors felt it reduced their anxiety. Appointment durations did not appreciably differ between pre-VR (36.5 min) versus VR (37 min) periods.</p><p><strong>Conclusions: </strong>VR as a non-pharmacological adjunct in National Health Service IUD clinics was feasible and acceptable among patients and clinicians, without prolonging appointments. Patients who accepted VR reported higher baseline anxiety than decliners, and the majority perceived VR reduced anxiety and provided a superior experience.</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147688026","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":"Patient accuracy and confidence in self-RhD typing using a point-of-care blood typing kit.","authors":"Riana M Kawasaki, Divya Dethier, Reni Soon, Lauren Sternberg, Mary Tschann","doi":"10.1136/bmjsrh-2025-203206","DOIUrl":"https://doi.org/10.1136/bmjsrh-2025-203206","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147687940","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":"Improving the environmental and financial impact of intrauterine contraception.","authors":"Catherine Zoe Mercer Stace, Georgina Forbes","doi":"10.1136/bmjsrh-2024-202688","DOIUrl":"10.1136/bmjsrh-2024-202688","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":"159-160"},"PeriodicalIF":2.8,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802519","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":"Nurse and midwife interventions to improve access to contraception and abortion in primary care: a systematic review.","authors":"Jeana Wong, Noushin Arefadib, Jessica R Botfield, Mae Rilloraza, Danielle Mazza","doi":"10.1136/bmjsrh-2025-202716","DOIUrl":"10.1136/bmjsrh-2025-202716","url":null,"abstract":"<p><strong>Objectives: </strong>Amid the unmet need for contraception and safe abortion care globally, harnessing the capabilities of primary care nurses and midwives is vital for facilitating equitable access to these critical healthcare services. We aimed to evaluate the impact of interventions delivered by primary care nurses and/or midwives on facilitating access to contraception and abortion care.</p><p><strong>Study design: </strong>We conducted a systematic review in accordance with PRISMA guidelines and searched five electronic databases in September 2023. A narrative synthesis was conducted with analysis informed by the Levesque <i>et al</i> framework for access to healthcare.</p><p><strong>Results: </strong>Twenty-three articles met the inclusion criteria; 20 related to contraception and three to abortion care. Access to contraception and abortion care was predominantly focused on addressing consumer-related factors such as perception of healthcare needs and support to engage with services. Findings suggested home visiting, telehealth and reproductive counselling interventions by primary care nurses and midwives can be effective at increasing women's access to contraception. There was some evidence these clinicians could be acceptable providers of medical abortion; however, there were no articles on procedural abortion.</p><p><strong>Conclusions: </strong>Primary care nurses and midwives have the potential to improve women's access to contraception care, particularly through the use of home visiting or telehealth strategies. However, evidence on how nurses and midwives can support access to abortion care is scarce and more research is needed, particularly for procedural abortion. Further research should also target under-studied access factors, including the acceptability of nurses and midwives providing contraception and abortion care and consumers' ability to reach and pay for this healthcare.</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":"142-151"},"PeriodicalIF":2.8,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145988341","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":"Distinguishing between fertility awareness-based methods, digital contraception and period tracking apps: the importance of language in contraception research.","authors":"Eleonora Benhar, Danielle Perro, Raoul Scherwitzl, Alice Pelton, Melanie Davis-Hall, Michelle Griffin, Kerry Krauss, Elina Berglund-Scherwitzl","doi":"10.1136/bmjsrh-2025-202789","DOIUrl":"10.1136/bmjsrh-2025-202789","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":"152-154"},"PeriodicalIF":2.8,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144820640","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":"Recognising and responding to reproductive coercion in general practice: a qualitative study.","authors":"Susan Saldanha, Jessica Botfield, Danielle Mazza","doi":"10.1136/bmjsrh-2025-202944","DOIUrl":"10.1136/bmjsrh-2025-202944","url":null,"abstract":"<p><strong>Background: </strong>Reproductive coercion (RC) is a form of gender-based violence that interferes with reproductive autonomy. General practice is a key primary care setting where individuals, particularly women, access support for sexual and reproductive health (SRH). However, limited research explores how general practice clinicians recognise and respond to RC. We aimed to explore how general practitioners (GPs) and practice nurses (PNs) recognise and respond to RC in Australian general practice.</p><p><strong>Methods: </strong>A qualitative descriptive study was conducted using semi-structured interviews with 10 GPs and 6 PNs. Interviews were conducted via Zoom, transcribed verbatim and analysed using inductive content analysis.</p><p><strong>Results: </strong>Participants identified consultation-based 'red flags', including partner dominating the consult, patient discomfort, and disruptions in appointment or contraception use, that prompted RC inquiry. Participants proactively asked about RC in SRH consultations, tailoring questions to the context of contraception, pregnancy, or abortion care. Balancing safety, autonomy, and support was described as challenging, especially in cases involving adolescents or women with disabilities where carers or parents influenced patient consent. Participants described practical and patient-centred strategies, such as using telehealth consultations, discreet signals, covert care planning, and whole-of-practice team-based vigilance, to support women experiencing RC in general practice.</p><p><strong>Conclusions: </strong>Findings highlight how general practice clinicians in Australia recognise and respond to RC and can inform the development of clinical guidelines and practice approaches to strengthen recognition and response to RC in general practice.</p>","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":"101-108"},"PeriodicalIF":2.8,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238109","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 new UK Medical Eligibility Criteria for Contraceptive Use (UKMEC) 2025: what has changed?","authors":"Ramona Malek, Kirsten Black, Sudarmathi Rajamanickam, Alexandra-Andreea Ciritel, Benjamin Boxer, Sarah Willett, Rebecca Strauss","doi":"10.1136/bmjsrh-2026-203223","DOIUrl":"https://doi.org/10.1136/bmjsrh-2026-203223","url":null,"abstract":"","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":"52 2","pages":"83-85"},"PeriodicalIF":2.8,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147670205","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}