Contraception and reproductive medicine最新文献

{"title":"Factors influencing contraceptive use among teenage girls in Ghana: analysis of the Ghana living standard survey 7.","authors":"Juliet Aggrey-Korsah, Prince Owusu Adoma, Samuel Oke, Isaiah Awintuen Agorinya","doi":"10.1186/s40834-025-00387-y","DOIUrl":"10.1186/s40834-025-00387-y","url":null,"abstract":"<p><strong>Background: </strong>Modern contraceptives have proven to be more scientifically effective at preventing unwanted pregnancies than the traditional methods. However, there is dearth of evidence on teenage girls' contraceptive use and associated factors in Ghana.</p><p><strong>Objective: </strong>This study sought to examine teenage girls (15-19 years) contraceptive use and associated factors using a nationally representative data from the Ghana Living Standards Survey 7 (GLSS7).</p><p><strong>Methods: </strong>The study analyzed data from GLSS7, involving 3233 15-19 year-old teenagers. Using a cross-sectional design, descriptive statistics, chi-square tests, and multiple regression were performed to analyze factors influencing contraceptive use. Stata software version 16 was used, with statistical significance set at p ≤ 0.001.</p><p><strong>Results: </strong>Out of a total of 3,233 teenage girls aged 15-19years, the majority were in the primary level of education (71.59%). Furthermore, more than two-thirds of the participants were Christians (75.83%). The results showed that only 12.87% of teenage girls reported current contraceptive use. Religion, type of residence, region, wealth index and marital status was found to have a relationship with modern contraceptive use. Also, majority of the respondents preferred modern contraceptive methods (85.60%) as compared to traditional methods (14.40%). The region was significantly associated with preferences for modern contraceptive use. Teenage girls in the Central and Volta regions had 88% and 89% lower odds of preferring modern contraceptive use, respectively as compared with those in the western region. Moreover, marital status was found to have a significant association with barriers to contraceptive use. Teenage girls that were not married had 88% lower odds of having barriers to contraceptive use as compared to those that were married.</p><p><strong>Conclusion: </strong>The study suggests that the government through the Ministry of Health (MOH) should establish targeted community-based awareness campaigns and enhance access to adolescent-friendly family planning services to increase contraceptive uptake.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"47"},"PeriodicalIF":1.9,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12337539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urban-rural differences in caregivers' willingness to support adolescent girls' contraceptive use in Ghana: a comparative study.","authors":"Ebenezer Jones Amoah, Francis Kwabena Larle, Francis Beyuo, Dominic Doglikuu Be-Ikuu","doi":"10.1186/s40834-025-00370-7","DOIUrl":"10.1186/s40834-025-00370-7","url":null,"abstract":"<p><p>Adolescent pregnancy remains a critical public health challenge in Ghana, accounting for a significant proportion of unintended pregnancies, unsafe abortions, and adverse health outcomes. This study explored urban-rural differences in caregivers' willingness to support adolescent girls' contraceptive use, focusing on Awutu Senya East (urban) and Jaman North (rural) districts. A cross-sectional comparative design was employed, involving 366 caregivers. Data were collected using structured surveys and analyzed through descriptive, comparative, and modified Poisson regression techniques. Findings revealed that 68% of caregivers expressed willingness to support adolescent contraceptive use, with higher support in rural areas (76.2%) than in urban areas (63.5%). Key factors influencing caregiver willingness included gender, residential setting, and income level. Female caregivers and those in rural settings demonstrated greater support, while cultural beliefs significantly shaped attitudes toward contraceptive use. Caregivers cited pregnancy prevention, STI reduction, and health improvement as primary motivations for support, while concerns about promiscuity, infertility, and cultural or religious objections were common barriers. The study highlights the importance of addressing socio-cultural misconceptions, enhancing caregiver knowledge, and fostering supportive attitudes through targeted interventions. This study recommends community-based education, affordable contraception policies, and integrated family planning initiatives to enhance caregiver support and improve adolescent reproductive health outcomes.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"46"},"PeriodicalIF":1.9,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12333086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144801232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Live birth following multimodal therapy in a patient with asherman's syndrome, recurrent pregnancy loss, and polycystic ovarian syndrome: a case report and literature review.","authors":"Qin Xu, Luyu Li, Bo Li, Zouying Tang, Yaxian Ma, Limei Tao, Rui Ma, Li Zhuan","doi":"10.1186/s40834-025-00384-1","DOIUrl":"10.1186/s40834-025-00384-1","url":null,"abstract":"<p><strong>Background: </strong>Improving the endometrial thickness (EMT) and pregnancy outcomes in cases of thin endometrium (TE) induced by severe intrauterine adhesion (IUA) is a significant clinical challenge. This report provides insight into a potential protocol for improving EMT and pregnancy outcomes in challenging cases of TE induced by IUA, especially for patients with concurrent polycystic ovary syndrome (PCOS) and experiencing recurrent spontaneous abortion (RSA).</p><p><strong>Case presentation: </strong>We report the case of a 29-year-old woman with severe IUA, RSA, and PCOS, who experienced three spontaneous abortions. Copy number variations (CNV's) detection of fetal villi from the last abortion indicated Turner syndrome. Hysteroscopic adhesiolysis (HA) had been performed twice previously. She subsequently underwent superovulation using an antagonist regimen, resulting in oocyte retrieval and cryopreservation of four transplantable blastocysts after genetic testing. After three rounds of HA, the uterine cavity shape returned to normal. She then received two cycles of Femoston and/or estradiol valerate therapy combined with oral low-dose aspirin, vaginal sildenafil, pelvic floor electrical stimulation, and uterine perfusion platelet-rich plasma (PRP); however, the frozen embryo transfer (FET) was canceled as the EMT remained 4.9 mm and 3.9 mm. After three additional HA procedures and one hysteroscopy, the uterine cavity returned to normal. She then received tamoxifen (TAM) with estradiol valerate and human menopausal gonadotropin (HMG), achieving an EMT of 7.5 mm after ovulation. Ultimately, the frozen transfer of a 4BB blastocyst resulted in the birth of a healthy baby boy.</p><p><strong>Conclusions: </strong>This case highlights the complexities of managing TE induced by IUA using HA and assisted reproductive techniques. It also suggests that patients with TE complicated by PCOS and RSA can be treated with TAM, followed by estradiol valerate and HMG, to improve the EMT and pregnancy outcomes of FET.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"45"},"PeriodicalIF":1.9,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12330053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptability of and preferences for long-acting injectable hormonal contraception among US women: evidence from a national cross-sectional online survey.","authors":"Ann Gottert, Timothy Abuya, Elizabeth Proos, Isabella Johnson, Nathan H Dormer, Ulrike Foley, Grace Saul, Lisa B Haddad, David R Friend","doi":"10.1186/s40834-025-00380-5","DOIUrl":"10.1186/s40834-025-00380-5","url":null,"abstract":"<p><strong>Background: </strong>Long-acting injectable (LAI) hormonal contraception offers a promising approach to meet women's pregnancy prevention needs. We sought to understand acceptability of and preferences for LAI hormonal contraception among US women, to optimize the design of a sustained-release LAI in development - including which durations to pursue.</p><p><strong>Methods: </strong>We implemented a national cross-sectional online survey including a discrete choice experiment (DCE) with women ages 18-44 years currently using or interested in using contraception. Recruitment was via Prime Panels. DCE attributes included potential duration of effectiveness (6/12/24-months), effect on menses, side effects, and timing of return-to-fertility after use. We used mixed-multinomial logit models to analyze the data.</p><p><strong>Results: </strong>Women (n = 1,029) were 28.6 years old on-average, from 49 US states. 30.9% were Black/African American; 11.6% Hispanic/Latina. 71.6% were nulliparous; 49.0% did not want a(nother) child. Common current contraceptive methods were birth control pills (37.4%), male condoms (35.7%), and withdrawal (19.8%); 18.9% reported having had an unintended pregnancy. In the DCE, women had strong negative preferences for: may cause heavier/unpredictable periods, mild headaches/nausea, slight weight gain, and delayed return-to-fertility (6-12 vs. 3 months), and positive preferences for: may cause no period, and shorter/lighter periods (all p < 0.001). Women also preferred the 12-month to the 6-month duration (p = 0.03). When asked directly about their interest in an LAI with no/minimal side effects/effects on menses and quick return-to-fertility, 92.4% expressed interest, with two-thirds preferring a longer duration (12 or 24-months), and one-third the 6-month duration. Preference for the 6-month duration (vs. 12 or 24) was most highly associated with wanting a child within five years, and higher discomfort with hormones (both p < 0.001).</p><p><strong>Conclusions: </strong>US women report high interest in an LAI. Interest substantially decreases if the LAI may cause unwanted effects such as heavier/unpredictable periods, mild headaches/nausea, slight weight gain, or delayed return-to-fertility. While longer duration (12 + months) is preferred overall, having a 6-month option appears important especially for women who may want to get pregnant within the next few years, and those concerned about hormones (to try it before using a longer duration).</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"43"},"PeriodicalIF":1.9,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12291294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144719269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parallel paths: abortion access restrictions in the USA and Iran.","authors":"Mohammad Haddadi, Fatemeh Hedayati, Sedigheh Hantoushzadeh","doi":"10.1186/s40834-025-00382-3","DOIUrl":"10.1186/s40834-025-00382-3","url":null,"abstract":"<p><p>Reproductive rights, including access to abortion, contraception, and comprehensive healthcare, are critical for gender equality and public health. However, these rights remain contentious and heavily influenced by cultural, religious, and political ideologies, creating barriers to equitable care and justice globally. This narrative review examines and compares both abortion laws and policies in the United States and Iran, two ideologically distinct nations with striking parallels in their restrictive approaches. This narrative review identifies key similarities, including the politicization of abortion, the influence of cultural and religious doctrines, and the disproportionate burden of restrictive policies on marginalized populations, leading to unsafe abortions. It also explores major differences, such as the decentralized, state-specific legal variability in the United States versus Iran's centralized theocratic governance, where demographic goals drive restrictions. These findings highlight how geopolitical and ideological contexts shape reproductive governance and health outcomes. Despite ideological contrasts, the United States and Iran exhibit analogous restrictive trends, revealing global challenges in advancing reproductive justice. Addressing these barriers requires a dual approach: targeted legal and policy reforms within national contexts, particularly in the U.S. and Iran, and alignment with international advocacy efforts promoting reproductive autonomy and human rights. The findings provide critical insights for policymakers and healthcare providers aiming to reform reproductive health frameworks and ensure equitable, rights-based care.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"44"},"PeriodicalIF":1.9,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12291246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144719270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reproductive choices, mobile technology and social media: insights from Nigerian women's family planning experiences.","authors":"Idowu O Ayodeji, Tosin O Oni, Oladimeji Ogunoye","doi":"10.1186/s40834-025-00367-2","DOIUrl":"10.1186/s40834-025-00367-2","url":null,"abstract":"<p><strong>Background: </strong>Nigeria's contraceptive prevalence rate remains among the lowest in Africa, despite the proven benefits of contraception in preventing unintended pregnancies and unsafe abortions. The rise in internet literacy and social media use offers opportunities to leverage digital platforms for improving reproductive health outcomes. While mobile health interventions have shown promise in enhancing contraceptive awareness and use, their potential to mediate abortion-related outcomes, particularly within resource-constrained and culturally diverse settings like Nigeria, remains underexplored.</p><p><strong>Objective: </strong>This study examines the interplay between abortion experiences and contraceptive use among Nigerian women of reproductive age, with a particular focus on the role of family planning (FP) information disseminated through mobile phones and social media.</p><p><strong>Methods: </strong>Drawing on data from the 2018 Nigerian Demographic and Health Survey, the analysis centers on a cohort of 8,687 women aged 15-49 who have expressed no desire for more children. The investigation employs descriptive, bivariate, and multivariate models including interaction terms to analyze the associations between contraceptive behavior, abortion experiences, and exposure to FP messages-operationalized through a composite FP score that integrates mobile phone ownership and receipt of FP messages.</p><p><strong>Results: </strong>Key findings reveal that while exposure to family planning (FP) messages does not significantly alter abortion experiences, demographic factors such as age and education emerge as substantial determinants, with women aged 30-39 (OR = 1.800) and 40-49 (OR = 1.767) and those with higher education (OR = 1.393), showing higher likelihoods of abortion. Women with fewer cildren (<=2) have significantly less likelihood of abortion (OR = 0.337). Contraceptive use does not significantly impact the likelihood of abortion in the presence of FP messages.</p><p><strong>Conclusion: </strong>The study reveals that universal approaches to family planning and reproductive health may fall short in resource-constrained settings like Nigeria, where socio-cultural norms, economic barriers, and limited healthcare access hinder contraceptive use, unless they account for socio-cultural and demographic variations. Consequently, it calls for a more comprehensive approach-one that combines FP messaging with culturally informed, community-based outreach and policy frameworks that address the socio-demographic realities influencing reproductive decisions.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"42"},"PeriodicalIF":1.9,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12281686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between women's empowerment and use of modern contraception methods in Bangladesh: evidence from Bangladesh demographic and health survey 2022.","authors":"Md Badsha Alam, Shimlin Jahan Khanam, Md Awal Kabir, Tahir Ahmed Hassen, Md Nuruzzaman Khan","doi":"10.1186/s40834-025-00383-2","DOIUrl":"10.1186/s40834-025-00383-2","url":null,"abstract":"<p><strong>Background: </strong>While women's empowerment is widely recognized as a significant factor influencing the use of modern contraception, most studies focus primarily on women's decision-making autonomy as a measure of empowerment, often overlooking other dimensions such as social independence. This study aims to explore the association between multiple dimensions of women's empowerment and the use of modern contraceptives among reproductive-aged women in Bangladesh.</p><p><strong>Methods: </strong>Data of 17,848 currently married reproductive-aged women were analyzed from the 2022 Bangladesh Demographic and Health Survey. The outcome variable considered was the use of modern contraceptive methods (yes, no). The survey-based women's emPowERment index (SWPER) was considered as main explanatory variable. The index encompasses three domains: (i) attitude to violence, (ii) social independence, and (ii) decision-making. These domains were classified as low, medium, and high empowerment. Multilevel mixed-effect logistic regression model was used to assess the association between SWPER index and use of modern contraception methods adjusted for confounding factors.</p><p><strong>Results: </strong>The prevalence of modern contraceptive method use was 58.3% (95% CI: 57.3-59.4). Women with higher empowerment in the attitude toward violence and decision-making domains had slightly higher prevalence rates of 58.5% (95% CI: 57.4-59.6) and 58.9% (95% CI: 57.7-60.2), respectively. Conversely, among women with high empowerment in the social independence domain, the prevalence of modern contraceptive use was lower at 52.5% (95% CI: 50.3-54.6). While no significant associations were observed in the attitude toward violence and decision-making domains, women with high empowerment in these areas had 1.14 times (95% CI: 0.97-1.34) and 1.05 times (95% CI: 0.95-1.15) higher odds of using modern contraception, respectively, compared to those with low empowerment. In contrast, women with high empowerment in the social independence domain had 14% lower odds of using modern contraception (aOR: 0.86; 95% CI: 0.79-0.95) compared to their counterparts.</p><p><strong>Conclusion: </strong>These findings suggest that different dimensions of women's empowerment may have varying influences on contraceptive use, highlighting the need for targeted interventions to improve reproductive health outcomes.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"41"},"PeriodicalIF":2.2,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12273422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Birth trauma: characterization and thematic analysis of traumatic birth experiences revealed on social media.","authors":"Julia Camilleri, Anita Nelson","doi":"10.1186/s40834-025-00381-4","DOIUrl":"10.1186/s40834-025-00381-4","url":null,"abstract":"<p><strong>Background: </strong>Although guidelines exist for the diagnosis and treatment of those who have endured traumatic birth, the term itself is poorly defined and has no clear identifying criteria. Birth trauma has profound long-term health and quality of life sequelae. This study assessed how birth trauma was described by women who had experienced it and were followers of a public social media platform interested in the topic to help better characterize the term.</p><p><strong>Methods: </strong>We posted an invitation on the Birth and Trauma Facebook Support Group website to English speaking people over age 18 years with personal experience with birth trauma to participate in an anonymous, beta-tested, IRB-approved, 18-question survey. The survey asked about demographic information, personal experiences with what the respondents perceived to be birth trauma, the settings in which it occurred and any longer-term impacts they may have noted. We calculated the percentage of participants' responses to objective questions and performed thematic analysis of the answers to the open-ended questions.</p><p><strong>Results: </strong>From the approximately 6,000 online group followers, we received 1,362 responses (response rate = 22.7%). The average age of respondents was 25 years; 55% were multiparous, and half of those latter participants reported having suffered multiple episodes of traumatic birth. Most participants (73%) reported that trauma occurred during labor and delivery; 17% said it occurred at any time during pregnancy and 32.5% reported their trauma in the immediate postpartum period. Three major and two minor themes emerged to characterize their traumatic experiences. Physical trauma was the most common theme- pain, lacerations/incisions, surgical complications, hemorrhage, unplanned C-Sects. (41.4%), but emotional- fear/anxiety about death, complications, judgment, infection, and feelings of disempowerment (21%) and unexpected adverse outcomes- premature births, intensive care stays, complications due to pre-existing chronic illness/history of infertility (17.6%) were also prevalent.</p><p><strong>Conclusion: </strong>Respondents generalized \"birth trauma\" to include experiences throughout pregnancy. Our results suggest that many women are entering pregnancy unprepared for experiences that can have significant long-term impacts. Even multiparous women reported unexpected outcomes that they found traumatic. The themes derived from this survey provide insight into how multifaceted and complex birth trauma is, and how challenging it may be to tailor individual trauma-informed care.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"40"},"PeriodicalIF":2.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12239256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptance rate of immediate post-partum intrauterine contraceptive device and associated factors among women who delivered in Ethiopia.","authors":"Bilisumamulifna Tefera Kefeni, Zuberi Kalil Bakar, Bonsa Amsalu Geleta","doi":"10.1186/s40834-025-00373-4","DOIUrl":"10.1186/s40834-025-00373-4","url":null,"abstract":"<p><strong>Introduction: </strong>An immediate postpartum intrauterine contraceptive device is a safe and effective family planning method to prevent unwanted pregnancy by providing it immediately after delivery before the postpartum women leaves the postnatal room Despite the widely recognized demand for postpartum intrauterine contraception devices and address any barriers. Low acceptability resulted in significant unmet needs. Therefore, assessing the acceptance rate of immediate postpartum intrauterine contraceptive devices is very crucial.</p><p><strong>Objective: </strong>The aim of this study was to assess the acceptance of immediate postpartum Intrauterine devices and associated factors among women who delivered in Ethiopia, 2023.</p><p><strong>Method: </strong>An institution-based cross-sectional study was employed among 373 systematically selected postnatal women at Bedele General Hospital, Chora Primary Hospital, Didesa Primary Hospital, and Chaweqa General Hospital from June 15 to August 15, 2023. A questionnaire conducted by an interviewer was employed. For logistic regression analysis, data was entered into EpiData version 4.6 and exported to SPSS version 25. At p < 0.25, bivariate analysis was used to select the variables for the multivariate analysis. The variables associated with the acceptance rate of postpartum intrauterine devices have been identified using multivariate logistic regression analysis. A p-value of < 0.05 was used to determine statistical significance.</p><p><strong>Results: </strong>A total of 373 postpartum womens participated in this study, achieving a response rate of 95.88%. Among them, 127 (34.0%) were in the 26- to 30-year age group. Only 37 postpartum womens (9.9%, 95% CI: 7.1-13.4%) accepted immediate postpartum intrauterine contraceptive device (PPIUD) usage. The following variables were identified as significant factors associated with PPIUD acceptance: mode of delivery (AOR = 0.079, 95% CI: 0.010-0.632), number of pregnancies (AOR = 6.963, 95% CI: 2.039-31.101), and partner occupation (AOR = 0.199, 95% CI: 0.052-0.756).</p><p><strong>Conclusion: </strong>The acceptance of immediate postpartum intra-uterine contraceptive devices was very low. Community-wide education and qualitative studies should be organized to address perceived fear side effects and uncover causes of lower immediate postpartum intrauterine contraceptive device acceptance.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"39"},"PeriodicalIF":2.2,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12236008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes and complications of pre-assisted reproductive technology hysteroscopic evaluation and treatment: a cross-sectional study at a Nigerian teaching hospital.","authors":"Abimbola Tawaqualit Ottun, Ayokunle Moses Olumodeji, Olufemi Ayanbode, Ayokunle Adebayo Ogunyemi, Faosat Olayiwola Jinadu, Adeniyi Abiodun Adewunmi","doi":"10.1186/s40834-025-00376-1","DOIUrl":"10.1186/s40834-025-00376-1","url":null,"abstract":"<p><strong>Background: </strong>Hysteroscopy plays a vital role in diagnosing and managing intrauterine pathologies that could impair reproductive success. It is especially valuable for women seeking assisted reproductive technology (ART), as structural uterine abnormalities-such as adhesions, polyps, and fibroids-can reduce implantation success or increase the risk of miscarriage. This pre-ART evaluation method is crucial in low-resource settings like Nigeria, where optimizing every ART cycle is essential due to high costs and limited access. This study assesses the hysteroscopic findings, procedural outcomes, and reproductive results among women undergoing pre-ART hysteroscopy at a tertiary hospital in Lagos, Nigeria.</p><p><strong>Methods: </strong>This retrospective cross-sectional study reviewed the medical records of 121 women who underwent diagnostic or operative hysteroscopy between August 2019 and October 2023 at the Lagos State University Teaching Hospital (LASUTH). Among these women, 91 (75.2%) received hysteroscopy as part of pre-ART assessment. Data collected included demographics, hysteroscopic diagnoses, procedural types, complications, and post-hysteroscopy ART outcomes. Analyses were conducted using SPSS version 27.0, with results presented in terms of frequencies, percentages, means, and standard deviations.</p><p><strong>Results: </strong>The mean age of participants was 37.7 years, with most (78%) aged 35 years or older. A significant majority had no previous live births (91.6%) or prior ART experience (86.8%). Hysteroscopic findings included intrauterine adhesions (45%), endometrial polyps (22%), and normal endometrial cavities (22%). Operative hysteroscopy was conducted in 78% of cases, with intrauterine adhesiolysis (50.5%) and polypectomy (22%) as the most frequent procedures. Complications were rare, with only 8.8% of therapeutic procedures resulting in issues, primarily uterine perforation. Of the 73 women who continued with ART post-hysteroscopy, 28.1% achieved pregnancy following IVF and embryo transfer.</p><p><strong>Conclusion: </strong>Pre-ART hysteroscopy is beneficial in identifying and managing intrauterine pathologies that could hinder ART success. In this study, intrauterine adhesions were the most common finding, and therapeutic interventions were effectively performed with minimal complications. These findings support the use of hysteroscopy as an integral component of ART preparation, particularly in resource-constrained settings, to improve reproductive outcomes and optimize ART cycles.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"37"},"PeriodicalIF":2.2,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}