BMJ Sexual & Reproductive Health最新文献_第3页

The post-Roe potential of mifepristone and misoprostol in the United States. 米非司酮和米索前列醇在美国 "Roe "事件后的潜力。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-07-10 DOI: 10.1136/bmjsrh-2024-202603

Dana M Johnson

引用次数: 0

Preconception counselling at long-acting reversible contraception (LARC) removals. 长效可逆避孕（LARC）移除的孕前咨询。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-07-10 DOI: 10.1136/bmjsrh-2024-202494

Georgina Blake, Helen Thomas, Judith M Stephenson, Rachel D'Souza, Jennifer Anne Hall

引用次数: 0

Lifestyle risk reduction engagement during interconception: a qualitative descriptive study of women's preferences. 怀孕期间生活方式风险降低参与：一项关于女性偏好的定性描述性研究。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-07-10 DOI: 10.1136/bmjsrh-2024-202518

Sharon James, Sarah E Ratcliffe, Anisa Rojanapenkul Assifi, Jessica Botfield, Kirsten Black, Mark Hanson, Danielle Mazza

{"title":"Lifestyle risk reduction engagement during interconception: a qualitative descriptive study of women's preferences.","authors":"Sharon James, Sarah E Ratcliffe, Anisa Rojanapenkul Assifi, Jessica Botfield, Kirsten Black, Mark Hanson, Danielle Mazza","doi":"10.1136/bmjsrh-2024-202518","DOIUrl":"10.1136/bmjsrh-2024-202518","url":null,"abstract":"Background: Prevention and self-management of lifestyle risks can reduce non-communicable disease risks and improve the health of mothers and their children. We explored Australian women's preferences for lifestyle risk reduction engagement during the interconception period.Methods: We conducted a qualitative descriptive interview study between February and May 2022. Women and people who have been pregnant and intended to have more children were recruited. We asked participants about their preferences for lifestyle risk reduction between pregnancies. Following reflexive thematic analysis, we conceptualised findings using the COM-B system.Results: Among 17 participants, most had given birth to one child and intended to have another child in 1 to 2 years. Our analysis found that most described lifestyle risk reduction engagement through nutrition and exercise, informed by personal experiences and their health goals for a future pregnancy/child. Key attributes affecting engagement in lifestyle risk reduction activities included their feasibility and practicality, habits and routines, motivation, pregnancy planning, and the source and quality of information. Participants' capacity and capability to engage in lifestyles supportive of interconception health were varied and influenced by juggling the routines of work, finances, health and evolving caring responsibilities. Community-based influences, including the availability of recreational infrastructure, the level of support provided by partners/family/peers and culture, also influenced participants' engagement in lifestyle risk reduction activities.Conclusions: For lifestyles that encourage interconception health, maximising participants' capability and opportunities required motivation and access to infrastructure supportive of healthy meal options and exercise, health services and community networks.","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":"e4"},"PeriodicalIF":3.4,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073894","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}

引用次数: 0

Improving intrauterine contraceptive device follow-up with a scan-only clinic model in a specialist community contraception service. 在专科社区避孕服务中改进仅扫描临床模式的宫内节育器随访。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-06-20 DOI: 10.1136/bmjsrh-2025-202815

Maryam Nasri, Azza Malik

引用次数: 0

Method of anaesthesia impact on total operating room time for second-trimester procedural abortion. 麻醉对中期妊娠人工流产手术总时间的影响。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-06-18 DOI: 10.1136/bmjsrh-2025-202793

Simranvir Kaur, Jessica Ansari, Andrea J Traynor, Paul D Blumenthal, Andrea Henkel

{"title":"Method of anaesthesia impact on total operating room time for second-trimester procedural abortion.","authors":"Simranvir Kaur, Jessica Ansari, Andrea J Traynor, Paul D Blumenthal, Andrea Henkel","doi":"10.1136/bmjsrh-2025-202793","DOIUrl":"https://doi.org/10.1136/bmjsrh-2025-202793","url":null,"abstract":"Background: Hospital-based second-trimester dilation and evacuation (D&E) procedures are often completed using general anaesthesia (GA) despite emerging evidence for the safety of monitored anaesthesia care (MAC). Limited data exist comparing these approaches for key clinical outcomes.Study design: This retrospective cohort study compared those who received GA versus MAC during second-trimester (14-24 weeks' gestation) hospital-based D&Es. The primary outcome was total operating room (OR) time; secondary outcomes included surgical time, anaesthetic time, post anaesthesia care unit (PACU) time, estimated blood loss, and respiratory complications. We hypothesised that MAC would reduce the total OR time. We estimated that a sample size of 63 participants in each group would detect a 15-min or greater difference in total OR time with 80% power and a significance level of 0.05. Propensity score matching was used for sensitivity analysis.Results: During the study period, 125 patients received GA and 67 received MAC. Those receiving GA had significantly longer OR times (GA: 60.2±18.1 min vs MAC: 50.1±13.2 min, p=0.005) and greater estimated blood loss (GA: 150±286 mL vs MAC: 88±47 mL, p<0.001). No respiratory complications occurred in either group. A propensity score-matched analysis similarly found GA associated with longer OR time and higher blood loss.Conclusions: MAC may offer additional clinical benefits compared with GA during hospital-based D&E care. MAC reduces OR time and blood loss without compromising safety, which may optimise patient care and resource use in abortion care settings.","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144324528","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}

引用次数: 0

Highlights from the literature. 文献中的亮点。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-06-08 DOI: 10.1136/bmjsrh-2024-202600

引用次数: 0

Incorporating contraceptive shared decision-making into consultations for individuals with epilepsy: facilitating a holistic and dynamic approach. 将避孕共同决策纳入癫痫患者的咨询：促进采用全面和动态的方法。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-06-01 DOI: 10.1136/bmjsrh-2025-202751

Christine McKnight, Sarah Louise Griffiths, Denitza Williams, Rhiannon Phillips, Sarah Brown, Delyth James

引用次数: 0

Frequency and patterns of emergency contraceptive demand among users of a UK-based free online sexual and reproductive health service: an observational study using routinely collected health data. 英国免费在线性健康和生殖健康服务用户紧急避孕药具需求的频率和模式：使用常规收集的健康数据的观察性研究。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-05-28 DOI: 10.1136/bmjsrh-2025-202737

Paula Baraitser, Shaun Anthony Brown

{"title":"Frequency and patterns of emergency contraceptive demand among users of a UK-based free online sexual and reproductive health service: an observational study using routinely collected health data.","authors":"Paula Baraitser, Shaun Anthony Brown","doi":"10.1136/bmjsrh-2025-202737","DOIUrl":"https://doi.org/10.1136/bmjsrh-2025-202737","url":null,"abstract":"Objective: To describe patterns of oral emergency contraception (EC) orders among users of a free service, commissioned by the UK National Health Service, ordered online and delivered by post.Study design: Routinely collected anonymised data from an online sexual health service in the UK from 1 January to 31 December 2023 were analysed. The number of times EC was ordered and prescribed was calculated and the age and level of deprivation assigned to the postcode where the user resided were extracted. Individual time lines were developed for those prescribed more than 10 times in 12 months.Results: During 2023 there were 32 659 oral EC requests from 19 501 users, resulting in 29 073 prescriptions from 17 576 users. Ulipristal acetate (UPA) was prescribed in 90% of the orders. The majority of users (n=12 238; 69.63%) received EC once a year, 5237 (29.80%) received it more than once and 101 (0.57%) received it more than 10 times. The mean (SD) number of prescribed orders per user was 1.65 (1.49) and the highest was 29. Oral EC had been used in the previous week by 794 of the 17 576 users (4.5%) and nine (0.05%) were prescribed more than 150 mg of UPA in 30 days.Conclusions: A small group of people order EC repeatedly, sometimes within the same cycle, putting them at increased risk of pregnancy. A minority of people order doses of UPA of >150 mg in 30 days.","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144179678","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}

引用次数: 0

Adherence to first-trimester medication abortion in telemedicine versus in-person care: a prospective cohort study in Colombia, 2024. 远程医疗与现场护理中妊娠早期药物流产的依从性：2024年哥伦比亚的一项前瞻性队列研究

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-05-16 DOI: 10.1136/bmjsrh-2025-202796

Biani Saavedra-Avendano, Karen Cárdenas-Garzón, Paola Montenegro-Ramírez, Guillermo Antonio Ortiz-Avendaño

引用次数: 0

Ending nuclear weapons, before they end us. 在核武器终结我们之前终结它们。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-05-15 DOI: 10.1136/bmjsrh-2025-202876

Chris Zielinski

引用次数: 0