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

The case for integrating sexual and reproductive health services in Pacific Island countries. 太平洋岛国整合性健康和生殖健康服务的理由。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-10-15 DOI: 10.1136/bmjsrh-2024-202317

Kirsten I Black, Titilola Duro-Aina, Deborah Bateson

引用次数: 0

Pain experiences during intrauterine device procedures: a thematic analysis of tweets. 宫内节育器手术过程中的疼痛体验：推文主题分析。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-10-15 DOI: 10.1136/bmjsrh-2023-202011

Neda Taghinejadi, Helene-Mari van der Westhuizen, Francis Ifeanyi Ayomoh, Wasim Ahmed, Trisha Greenhalgh, Anne-Marie Boylan

{"title":"Pain experiences during intrauterine device procedures: a thematic analysis of tweets.","authors":"Neda Taghinejadi, Helene-Mari van der Westhuizen, Francis Ifeanyi Ayomoh, Wasim Ahmed, Trisha Greenhalgh, Anne-Marie Boylan","doi":"10.1136/bmjsrh-2023-202011","DOIUrl":"10.1136/bmjsrh-2023-202011","url":null,"abstract":"Introduction: In June 2021, high-profile testimonials in the media about pain during intrauterine device (IUD) procedures in the UK prompted significant discussion across platforms including Twitter (subsequently renamed X). We examined a sample of Twitter postings (tweets) to gain insight into public perspectives and experiences.Methods: We harvested tweets posted or retweeted on 21-22 June 2021 which contained the search terms coil, intrauterine system, IUD or intrauterine. We analysed the dataset thematically and selected illustrative tweets with the authors' consent for publication.Results: Following deduplication and screening, we included 1431 tweets in our analysis. We identified testimonials with descriptions of varied pain experiences. Twitter users reported that clinicians had not warned them that pain could be severe or explained the options for pain relief. Some raised concerns about pain being minimised or dismissed and linked this to the management of women's pain in medicine more broadly. Twitter users described connecting to an online community with shared experiences as validating and used this as a springboard for collective action.Conclusions: While we acknowledge the limitations of our sample, this study highlights important perspectives and accounts relating to pain during IUD procedures. Our findings attest to the need for strategies to improve the patient experience for those opting for IUD as a clinical priority. Further research should explore IUD users' experiences, expectations and wishes around pain management.","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11503099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141305484","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}

引用次数: 0

Sexual and reproductive health clinical consultations: preconception care. 性与生殖健康临床咨询：孕前保健。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-10-15 DOI: 10.1136/bmjsrh-2024-202361

Amy Hough, Jayne Kavanagh, Neha Pathak

引用次数: 0

Expanding insurance coverage to include newly available over-the-counter contraceptives in the United States. 扩大保险范围，将美国新上市的非处方避孕药纳入保险范围。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-10-09 DOI: 10.1136/bmjsrh-2024-202381

Sarah Munro, Catherine L Satterwhite, Megha Ramaswamy

引用次数: 0

Male contraception: successes, challenges and the future. 男性避孕：成功、挑战与未来。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-10-09 DOI: 10.1136/bmjsrh-2024-202427

Richard A Anderson

引用次数: 0

Influences on ethnic minority women's experiences and access to contraception in the UK: a systematic qualitative evidence synthesis. 影响英国少数民族妇女避孕经历和机会的因素：系统性定性证据综述。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-10-02 DOI: 10.1136/bmjsrh-2024-202488

Ryan James Cory, Rebecca Mawson, Emma Linton, Dalal Y Al-Bazz, Kate Fryer, Richard Ma, Caroline Anne Mitchell

{"title":"Influences on ethnic minority women's experiences and access to contraception in the UK: a systematic qualitative evidence synthesis.","authors":"Ryan James Cory, Rebecca Mawson, Emma Linton, Dalal Y Al-Bazz, Kate Fryer, Richard Ma, Caroline Anne Mitchell","doi":"10.1136/bmjsrh-2024-202488","DOIUrl":"https://doi.org/10.1136/bmjsrh-2024-202488","url":null,"abstract":"Background: Accessible contraception is critical for promoting the health and well-being of women and their families. In the UK, contraception is free at the point of access, but only 55% of pregnancies are planned, with negative implications for maternal and infant outcomes. In general, women from ethnic minorities use contraceptives less than white women. Barriers to the uptake of contraceptives have been identified, including perceived poor information from healthcare professionals and concerns about side effects. However, most studies do not include representative proportions of women from ethnic minorities. Evidence suggests that ethnic minority (EM) women feel targeted and coerced by healthcare professionals regarding contraception.Methods: A systematic search of Medline, Embase, and PsycINFO via Ovid, CINAHL, and Web of Science was conducted to identify primary qualitative and mixed-methods studies exploring ethnic minority women's experience of contraception in the UK. The data were charted using thematic analysis, using both summary and synthesis.Results and conclusions: 16 studies met the inclusion criteria, including the perspectives of 717 participants from an ethnic minority. Four overarching themes were developed: contraceptive knowledge, beliefs, family, and services. Similar to women in general, ethnic minority women have concerns about side effects, especially infertility, value the perspectives of their peers and male partners, and express a preference for female healthcare professionals. Novel perspectives included conflicting ideas about the influence of religion and stereotyping of ethnic minority women. Culturally competent consultations and a better understanding of hormonal hesitancy are essential.","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364434","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

Australian women's experiences and perceptions of interconception care: a qualitative descriptive study. 澳大利亚妇女对孕产期保健的经验和看法：一项定性描述性研究。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-10-02 DOI: 10.1136/bmjsrh-2024-202408

Sarmitha Kodavaluru, Isini Appuhamy Mudiyanselage, Danielle Mazza, Sharon James

{"title":"Australian women's experiences and perceptions of interconception care: a qualitative descriptive study.","authors":"Sarmitha Kodavaluru, Isini Appuhamy Mudiyanselage, Danielle Mazza, Sharon James","doi":"10.1136/bmjsrh-2024-202408","DOIUrl":"https://doi.org/10.1136/bmjsrh-2024-202408","url":null,"abstract":"Background: Interconception, the time between pregnancies, is an opportunity to improve the health outcomes of women, infants and subsequent pregnancies. Interconception care involves the assessment of previous pregnancy outcomes, management of maternal risk factors, advice regarding optimal pregnancy spacing, and postpartum contraception provision. However, there is no consistent provision of interconception care, and limited understanding of consumer perspectives. This study aims to describe Australian women's perceptions and experiences of interconception care.Methods: A qualitative descriptive semi-structured interview study was undertaken in July 2022 with women of reproductive age who had given birth to at least one child with intention to have another child. Reflexive thematic analysis was conducted and the standards for reporting qualitative research informed the writing of this study.Results: From 15 participants, analysis identified two major themes: (1) women's lack of engagement with interconception care services; and (2) difficulties accessing interconception care. All participants were unfamiliar with interconception terminology, but most perceived it as a distinct care need, largely accessed in primary healthcare settings. Participants wanted further support to be initiated by healthcare professionals about issues such as breastfeeding, postpartum care and lifestyle risk reduction. Interconception care availability and content was perceived as inconsistent, ineffective and provided opportunistically. Participants outlined the need for improved consumer and healthcare professional interconception care awareness, education, and woman-centred continuity of care.Conclusions: Interconception care awareness is needed by women and healthcare professionals to better meet the needs of women during this life stage.","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364433","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

A qualitative study which aims to explore the factors influencing the delivery of both theory and practice of contraception and sexual health on pre-registration midwifery programmes in England. 这是一项定性研究，旨在探讨影响英格兰注册前助产士课程中避孕和性健康理论与实践教学的因素。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-09-30 DOI: 10.1136/bmjsrh-2024-202293

Claire Cousins, Gillian Matthews, Lesley Regan, Edward Mullins

{"title":"A qualitative study which aims to explore the factors influencing the delivery of both theory and practice of contraception and sexual health on pre-registration midwifery programmes in England.","authors":"Claire Cousins, Gillian Matthews, Lesley Regan, Edward Mullins","doi":"10.1136/bmjsrh-2024-202293","DOIUrl":"https://doi.org/10.1136/bmjsrh-2024-202293","url":null,"abstract":"Background: Pregnancy offers an opportunity to provide equitable access to contraception information and provision, and professional bodies advocate provision of contraception in the immediate postpartum period. This study examines the contribution of pre-registration midwifery education in preparing student midwives for this aspect of their role.Method: A qualitative study using semi-structured interviews. Interviews were recorded, transcribed and analysed using thematic analysis. Nine lecturers from pre-registration midwifery programmes representing nine universities in England were interviewed.Results: There is minimal contraception and sexual health content on pre-registration midwifery programmes; however, specialist lecturers enhance the learning experience. Talking about sex may be difficult, particularly for younger students. Student midwives observe little discussion/provision of contraception in practice and are unlikely to consider it part of a midwife's role.Conclusions: A formally assessed national standard of knowledge on pre-registration programmes would be helpful, and this needs to be reflected in practice to become embedded. Institutional investment and commitment to continuous practice development is needed for all midwives. Practice placements in sexual and reproductive health clinics or abortion services may be beneficial to student midwives.","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142341956","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

General practice preconception care invitations: a qualitative study of women's acceptability and preferences. 全科孕前保健邀请：关于妇女接受程度和偏好的定性研究。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-09-25 DOI: 10.1136/bmjsrh-2024-202432

Nishadi Nethmini Withanage, Sharon James, Jessica Botfield, Kirsten Black, Jeana Wong, Danielle Mazza

{"title":"General practice preconception care invitations: a qualitative study of women's acceptability and preferences.","authors":"Nishadi Nethmini Withanage, Sharon James, Jessica Botfield, Kirsten Black, Jeana Wong, Danielle Mazza","doi":"10.1136/bmjsrh-2024-202432","DOIUrl":"https://doi.org/10.1136/bmjsrh-2024-202432","url":null,"abstract":"Background: In general practice, primary care providers can potentially use electronic medical records (EMRs) to identify and invite reproductive-aged women with preconception health risk factors to increase their engagement in preconception care (PCC). However, the acceptability of receiving PCC invitations and women's preferences about the invitation process are poorly understood. This study aims to investigate women's acceptability and preferences for receiving PCC invitations from general practice settings.Methods: Participants were recruited via convenience, purposive and snowball sampling. Semi-structured interviews were conducted via Zoom from August until November 2023. Interviews were transcribed verbatim and inductive reflexive thematic analysis was undertaken.Results: PCC invitations sent from general practice are acceptable if the language is sensitive and non-stigmatising. Text or email invitations detailing the importance and scope of the PCC consultation were preferred, after discussing reproductive intentions with a general practitioner or practice nurse. Women with preconception health risk factors or those actively trying to conceive were more likely to engage in PCC. Key strategies to enhance PCC engagement include advertising in waiting rooms, introducing PCC in new patient registration forms, and integrating PCC into holistic care.Conclusion: Using EMRs to identify and invite women with preconception health risk factors to increase their engagement in PCC is generally acceptable. Invitations sent via text messages or emails are preferred. It is crucial to use respectful and appropriate language to avoid stigmatising or offending women, particularly those with infertility issues, those who have completed their families, or those who do not wish to have children.","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142341957","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

Foregrounding pain in self-managed early medication abortion: a qualitative study. 早期药物流产自我管理中的疼痛前景：一项定性研究。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-09-18 DOI: 10.1136/bmjsrh-2023-202198

Carrie Purcell, Victoria Louise Newton, Fiona Bloomer, Lesley Hoggart

{"title":"Foregrounding pain in self-managed early medication abortion: a qualitative study.","authors":"Carrie Purcell, Victoria Louise Newton, Fiona Bloomer, Lesley Hoggart","doi":"10.1136/bmjsrh-2023-202198","DOIUrl":"10.1136/bmjsrh-2023-202198","url":null,"abstract":"Objective: To explore experiences of pain in the context of early medical abortion (EMA) in the UK and to guide best practice around anticipatory guidance on pain.Methods: From late 2020 to early 2021, we recruited individuals from across the UK who had undergone abortion during the COVID-19 pandemic to participate in in-depth, semi-structured telephone interviews. A storytelling approach was used and data were analysed thematically using NVivo 12 software.Results: Focused coding and thematic analysis addressed accounts of pain, which were prominent in many interviews. We constructed the following subthemes: expected pain is manageable for some; the problem with unexpected pain; pain (co)produces fear; and problematising 'period-like pain'. The key issue which our analysis draws out is that while EMA pain experience might vary, for some it may be much worse than anticipated. Moreover, the common trope of likening it to 'period pain' can be misleading and a source of additional uncertainty at a potentially already challenging time.Conclusions: For some individuals, pain experienced in EMA will be severe and/or worse than expected. Insufficient preparation for pain can result in extremely negative experiences of EMA. Alongside development of improved analgesia, improvements should be made to anticipatory guidance on pain, particularly for those self-manging EMA at home. Framings of 'period-like pain' do not clarify expectations and should be avoided.","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140012166","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