Contraception and reproductive medicine最新文献

{"title":"Clinical profile and surgical management of uterine fibroids at Omdurman Maternity Hospital, Sudan: a retrospective study (july 2020 - february 2021).","authors":"Talal Hashim A Elhasan, Omer Ahmed Elrhima, Lamyaa El Hassan, Tahleel Mohammed, Ashraf Elmdni, Nuha Y Abdalla, Isam M Ahmed, Mona E Elfaki, Mohammed Elfaki","doi":"10.1186/s40834-026-00439-x","DOIUrl":"10.1186/s40834-026-00439-x","url":null,"abstract":"<p><p>PURPOSE: The study aimed to determine the anatomical location of uterine fibroids and describe the clinical characteristics of Sudanese women undergoing surgical intervention at Omdurman Maternity Hospital. METHODS: A retrospective hospital-based study was carried out over a 7-month period from July 2020 to February 2021 including 73 cases of uterine fibroids, that had been surgically excised. Information regarding sociodemographic, clinical and anatomical location was extracted from hospital records. The data were analyzed using SPSS version 24 and expressed as frequencies and percentages. RESULTS: The largest number of cases were in women aged 35–39 years comprising an overall percentage of 43.8%. The most common type was intramural fibroids (30.0%), followed by mixed subserosal and submucosal fibroids (25.8%). Posterior wall fibroid location was most common (30.1%) and defined as multiple wall involvement (34.3%). The number of cases presenting with heavy menstrual bleeding were the majority (62.0%), abdominal lump (23.0%) and pressure symptoms (12.0%). CONCLUSION: The results of predominantly intramural and posterior wall fibroids represent a pattern in the cohort of Sudanese women who presented with symptomatic disease requiring surgical intervention. Knowledge of distributions of fibroid anatomy can also enhance recognition for diagnosis and help in advance surgical planning in resource constrained contexts. </p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13041435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147313553","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":"Measuring marital choice as an indicator of women's marital agency in rural India.","authors":"Anita Raj, Hilawit Gebrehanna, Nicole E Johns, Namratha Rao, Mohan Ghule, Madhusadana Battala, Shahina Begum, Cari Jo Clark","doi":"10.1186/s40834-026-00437-z","DOIUrl":"10.1186/s40834-026-00437-z","url":null,"abstract":"<p><p>BACKGROUND: There is limited data on forced marriages in the context of India. This study involved validation of new measures of women’s marital choice in terms of partner selection and timing of marriage as indicators of women’s marital agency in rural India. METHODS: We conducted a cross-sectional analysis of survey data from N = 1192 married women aged 18–30 who participated in the Counseling Husbands and wives to Achieve Reproductive health and Marital equity (CHARM2) trial in rural Maharashtra, India. We included two novel items on women’s decision-making regarding who the married and when they married. We evaluated the construct validity of these measures by testing their associations with other traditionally gender normative practices related to marriage including girl child marriage, purdah, and dowry using Fisher’s exact test. We then conducted crude and adjusted regression models to determine associations between our marital choice variables and indicators of current marital agency, specifically recent intimate partner violence, marital quality, and contraceptive self-efficacy. RESULTS: 15.5% of women reported they were the primary decision-maker on marital partner selection and 9.4% reported they were the primary decision-maker on marital timing. Both measures were highly corelated to each other (r = 0.8) and with reports of arranged marriage (with partner choice r = 0.9; with marriage timing r = 0.6). Having choice over marriage partner and timing were equally inversely correlated with child marriage (r = -0.3, respectively) and equally and positively correlated with not receiving a dowry (r = 0.4, respectively). Both choice variables were negatively correlated with the practice of purdah (r = -0.3 and − 0.1). Our marital choice variables were not associated with any agency in marriage dependent variables, except for choice of partner and marital quality (adjusted odds ratio = 1.5; 95% confidence interval: 1.0, 2.1), but all outcomes trended in the expected direction. CONCLUSION: The findings indicate that our marital choice measures show partial construct validity, linked to normative practices restricting women and girls’ agency at marital entry, and may be a useful indicator of non-forced marriage, but measures of agency at marriage largely do not correlate with agency in marriage. </p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13041412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147313502","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 health awareness in Romania: women's knowledge, practices, and information-seeking behaviors.","authors":"Ines Dima, Andreea Alexandra Olteanu, Manuela Ghica, Magdalena Mititelu, Denisa Ioana Udeanu","doi":"10.1186/s40834-026-00436-0","DOIUrl":"10.1186/s40834-026-00436-0","url":null,"abstract":"<p><p>BACKGROUND: Healthcare professionals, the internet, and social circles serve as key sources of information regarding contraception. Women prefer medical experts while men rely more on peers and media. Cultural norms influence contraceptive access and use, shaping gender roles in family planning and impacting availability, particularly in low- and middle-income countries. The present study explores Romanian women’s knowledge and use concerning contraception and gynecological health behavior, aiming to also investigate the information sources women use for contraception. METHODS: A cross-sectional study, based on a validated 24-item questionnaire, examined contraceptive practices, health effects, and gynecological check-ups among women. Data were statistically analyzed using R software (version 4.1.3), identifying residence, age, BMI, and education as significant predictors of gynecological check-up behavior. RESULTS: The findings reveal that education significantly improves contraceptive choices, highly educated women consulting physicians more frequently, while pharmacists remain underutilized. Younger women (18–25) are less likely to undergo gynecological check-ups, whereas older women (36–45) are more conscious about their healthcare routines. Urban women report higher abortion rates, indicating gaps in contraceptive effectiveness despite enhanced service access. CONCLUSIONS: The study underscores the need for expanded healthcare access, targeted educational initiatives, and greater involvement of healthcare professionals to improve gynecological health outcomes and support professionally informed decision-making among Romanian women. </p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12958627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286573","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":"Prevalence and factors associated with modern and dual contraceptive use among women living with HIV in Cross River State, Nigeria: a cross-sectional study.","authors":"Oluwafemi Atanda Adeagbo, Oluwaseun Abdulganiyu Badru, Aniekan Jumbo Etokidem, Morolake Josephine Adeagbo, Rima Afifi","doi":"10.1186/s40834-026-00431-5","DOIUrl":"10.1186/s40834-026-00431-5","url":null,"abstract":"<p><p>BACKGROUND: Modern contraceptive use for unwanted pregnancy among women living with HIV (WLH) is crucial to family planning agenda and the global HIV prevention strategy. However, such studies are scarce in Nigeria. As such, we investigated the prevalence of, and factors associated with modern and dual contraceptive use among WLH in Cross River State – a state with a high HIV burden and highest unmet need for family planning in Nigeria. METHODS: From June to August 2024, we conducted a cross-sectional study involving 931 WLH receiving ART in Cross River State, Nigeria. We purposively recruited WLH from four clinics with high patient volumes. We applied binary logistic regression to determine factors associated with modern and dual contraceptive usage at 95% confidence interval. RESULTS: The median age of WLH was 34 years (interquartile range [IQR]: 25–40), had disclosed their HIV status (94.7%) mostly to their mothers (50.1%), and had been on antiretroviral therapy for an average of 6 years (IQR: 3–10). Many initiated sexual intercourse before age 18 years (61.2%), and 38.1% used a condom at last sex. Modern and dual contraceptive use was 59.0% and 37.7%, respectively. WLH were more likely to use modern contraceptives if they had a current partner (AOR: 8.33, 95%CI: 2.08–33.33), had transactional sex in the past year (AOR: 4.41, 95%CI: 1.46–13.37), and did not have fertility desire (AOR: 3.37, 95%CI: 1.40–8.15). WLH were also more likely to utilize dual methods if they were currently in school (AOR: 13.12, 95%CI: 1.97–87.24), unemployed (AOR: 105.01, 95%CI: 11.45-963.17), earned at least ₦100,000 Naira [$67] (AOR: 9.45, 95%CI: 1.59–55.86), highly religious (AOR: 1.17, 95%CI: 1.01–1.36), had disclosed HIV status (AOR: 22.45, 95%CI: 1.92-263.23), and started menstruation at an earlier age (AOR: 0.66, 95%CI: 0.44–0.98). CONCLUSION: Many WLH were not using modern contraceptives, and even fewer were on dual contraceptives. This has implications for unwanted or unplanned pregnancies, heightened risk of unsafe abortion, mother-to-child HIV transmission, and risk of pregnancy complications. Healthcare providers must consistently emphasize the importance of contraceptive use for WLH, especially dual contraception, to prevent unplanned pregnancies and onward transmission of HIV to children and sexual partners. </p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13007369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146777115","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":"Perceived drivers of teenage pregnancies and barriers to utilization of contraceptive methods among adolescents in Rwanda: perspectives of adolescents and healthcare providers.","authors":"Simonie Nisengwe, Michael Habtu, Domina Asingizwe, Theoneste Ntakirutimana, Naa Dodoo, Emily Woolway, Jen Kidwell Drake, Eriphaz Karamage, Leon Fidele Ndikubwimana, Erigene Rutayisire","doi":"10.1186/s40834-026-00435-1","DOIUrl":"10.1186/s40834-026-00435-1","url":null,"abstract":"<p><p>BACKGROUND: Despite ongoing efforts to improve utilization of contraceptives among adolescents to address teenage pregnancies, significant gaps persist. Globally, approximately 12 million of adolescent girls aged 15–19 years give birth each year and this is particularly higher in low- and middle-income countries including Rwanda. Modern contraceptive use among sexually active adolescent girls and boys remain below 25% in Africa, compared to more than 70% in developed counties, illustrating a wide gap in access and utilization. This study explored key perceived drivers of teenage pregnancies and barriers of contraceptive utilization among adolescent girls and boys in Rwanda, aiming to inform strategies to enhance reproductive health services for this population. METHODS: A descriptive phenomenological study was conducted from September to October 2023. Twelve focus group discussions among in school and out-of-school adolescents aged 12 to 19 years old and 15 key informant interviews among healthcare providers were conducted. Data were collected through semi-structured interviews and focus group discussions, supported by audio-recordings and field notes. The data were analyzed using thematic content analysis with Atlas ti. Version 8 to identify key patterns and insights. RESULTS: The study revealed that alcohol consumption, family conflict and poverty were the key drivers of teenage pregnancy in Rwanda. The perceived barriers of utilization of contraceptive among adolescent girls and boys were perceived cause for infertility, concerns about poor condom quality, limited knowledge and awareness of contraceptive methods, insufficient skills in correct condom use, and limited availability and accessibility of contraceptives for adolescents. CONCLUSION: The findings of the study highlight the need for multi-sectorial intervention including policy aimed at reducing poverty, mitigating family conflict and strict enforcement of regulations to limit underage alcohol use. Addressing misconceptions about contraceptive related infertility, improving condom quality, and strengthening the availability and accessibility of contraceptives, alongside enhancing adolescents’ knowledge about contraceptives and skills in correct condom use are essential to reducing teenage pregnancy. </p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13019950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229836","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":"Male infertility a need for facilitative and supportive nursing care: a literature review.","authors":"Kevin Gormley, Jameela Saeed Aldossary, Jolly Peter Isaac, Malaika Susan Peter","doi":"10.1186/s40834-026-00432-4","DOIUrl":"10.1186/s40834-026-00432-4","url":null,"abstract":"<p><p>BACKGROUND: There is good evidence of significant advancement in care options for men and couples dealing with infertility. Despite this, services for infertility are often applied to both men and women without regard to sex and gender differences in psychosocial needs and perceptions. As a result fertility support services may not adequately meet the needs of men, in the case of male factor infertility. Research investigations are required to identify gaps in care and opportunities for improvement as well as assess intervention efficacy in methods to improve male specific fertility care. Findings could also support and guide education to equip nurses with requisite knowledge and skills to provide evidence based care to meet the needs of this specific patient group. The purpose of this literature review was to explore the opportunities for specialist nurses to offer psychological and social support for men as they deal with infertility. METHODS: A PRISMA systematic approach was selected to undertake a literature review of psycho-social support for infertile men and specialist nursing services to explore potential for improved care. A systematic search was conducted in July 2024, using CINAHL, PsycINFO and MEDLINE electronic databases to identify relevant studies published between the years 2020 and 2024. Using different keywords and mesh terms maximised the search return (including: male fertility, infertility, male reproduction, psychological, social care, fertility nursing). Included studies were required to be in English and address the psycho-social needs and care requirements of infertile men; case studies and literature reviews were excluded. RESULTS: An initial search offered 195 records: 38 remained after eliminating duplicates and a consideration of title, abstracts and reference lists. 30 full text articles were deemed ineligible (not related to the subject under investigation), leaving 8 included studies. Following a thematic review of these studies (n = 8) two themes emerged, that were considered individually and together: (i) social and psychological needs of infertile men; and (ii) specialist nursing services. CONCLUSIONS: The findings from the studies (N = 8) demonstrate that men feel excluded from fertility services that are provided for couples. In particular the psycho-social needs of infertile men require specialist assessment, and interventions including counselling and guidance. Nurses working in fertility clinics with specialist preparation and education should involve men throughout fertility treatments, alongside their partners. In summary infertile men value the opportunity for counselling and psycho-social support services that should promote personal confidence to discuss their infertility with partners and families, without either embarrassment or guilt. </p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215435","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":"Associations between sexual and black and white racial identity and most used contraceptive method in young women: Results from the Pittsburgh girls study.","authors":"Leslie McCauley, Johnny Berona, Stephanie D Stepp, Alison E Hipwell, Jiayan Li, Kate Keenan","doi":"10.1186/s40834-026-00429-z","DOIUrl":"10.1186/s40834-026-00429-z","url":null,"abstract":"<p><p>BACKGROUND: Sexual and racial identity are associated with unintended pregnancy; method of contraception is a factor that warrants further exploration in addressing this trend. We test associations between sexual and racial identity on contraceptive use among young women across ages 15–21 years. METHODS: Participants were enrolled in the longitudinal, community based Pittsburgh Girls Study. The number of participants reporting sexual intercourse with a male and contraception use in the past year ranged from 226 (9.8%) at age 15 to 1,295 (56.2%) at age 21. Participants indicated the most commonly used form of contraception. Effectiveness of contraceptive methods also were categorized according to the World Health Organization definition. RESULTS: There was a statistically significant association between race (Black or White) and contraceptive method (χ2 [3] = 148.03, p < 0.001), with nearly 50% of White females reporting oral contraceptives as the most frequently used contraceptive compared to 20% of Black females. The overall proportions of contraceptive method significantly differed between bisexual and heterosexual females (χ2 [3] = 21.29, p < 0.001). Compared to heterosexual females, bisexual females were more likely to use male condoms and IUDs and less likely to use oral contraceptives as the most common method. Both Black racial identity and bisexual identity were associated with use of effective contraception. CONCLUSIONS: Results from the present study expand our understanding of the impact of sexual and racial identity on contraceptive use, and suggest that such differences emerge during mid-adolescence. There may be a role for providers in ensuring that the contraceptive choices available to racial and sexual minority women are based on candid discussions about effectiveness in the context of individual goals and risks. </p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13011511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146138181","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":"Prevalence and determinants of unmet need for family planning among married women on Idjwi Island, Democratic Republic of the Congo.","authors":"Maurice Nyamalyongo Masoda, Olivier Mukuku, Patricia Lukusa Mishika, Kaymarlin Govender, Stanislas Okitotsho Wembonyama","doi":"10.1186/s40834-026-00430-6","DOIUrl":"10.1186/s40834-026-00430-6","url":null,"abstract":"<p><p>INTRODUCTION: Unmet need for family planning (FP) remains a major FP problem in most countries of the world. It has serious consequences for women, their families and society as a whole. This study was undertaken to identify the factors influencing unmet need for FP among married women in Idjwi Island, Democratic Republic of the Congo. METHODS: A cross-sectional community-based survey of 335 married women aged 15 to 49 years was conducted on Idjwi Island from February 1 to 20, 2022. Multivariate logistic regression was utilized to examine the correlation between unmet need for FP and various socio-demographic factors. RESULTS: The total unmet need for FP was 9.3%, with 4.8% for limiting and 4.5% for spacing. Following adjustments, factors such as age at marriage ≥ 20 years (adjusted OR = 3.3 [1.1–10.3]; p = 0.039), secondary or higher education level (adjusted OR = 8.4 [1.4–52.4]; p = 0.022), and husband’s disapproval of FP (adjusted OR = 12.9 [3.5–48.3]; p < 0.0001) showed significant associations with an increased unmet need for FP. CONCLUSION: The prevalence of unmet need for FP on Idjwi Island was lower than the national level and other sub-Saharan African countries. Later age at marriage, higher education, and spousal disapproval were significantly associated with higher unmet need. These findings underscore the importance of women’s empowerment and male involvement in addressing women’s sexual and reproductive health needs. </p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12983632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088438","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":"Duration of progesterone exposure before frozen embryo transfer impacts live birth rates following single vitrified-thawed day 6 blastocyst transfer: a multicenter cohort study.","authors":"He Cai, Zhiqiang Wang, Ying Fang, Zan Shi, Danmeng Liu, Xiaokui Yang, Yali Ni, Juanzi Shi","doi":"10.1186/s40834-026-00425-3","DOIUrl":"10.1186/s40834-026-00425-3","url":null,"abstract":"<p><p>RESEARCH QUESTION: Does administering progesterone for 6 days prior to frozen embryo transfer (FET) improve live birth rate (LBR) compared to 5 days of progesterone exposure when transferring blastocysts expanded on Day 6 (D6)? METHODS: This multicenter retrospective cohort study included 1,639 single FET cycles using D6 blastocysts under hormone replacement therapy (HRT) between January 2018 and December 2023. Cycles were stratified by duration of progesterone priming: 6 days (P6 group, n = 1,122) or 5 days (P5 group, n = 517). The primary outcome was LBR; secondary outcomes included biochemical and clinical pregnancy rates, miscarriage rate, and neonatal outcomes (birth weight and gestational age at delivery). Generalized estimating equation (GEE) regression models were used to adjust for potential confounders. Subgroup analyses by PGT status and sensitivity analyses restricted to first FET cycles or good-quality blastocysts were also conducted. RESULTS: The P6 group demonstrated a significantly higher LBR than the P5 group (33.87% [380/1,122] vs. 24.95% [129/517]; P < 0.001). After multivariable adjustment, the P6 regimen remained independently associated with increased LBR (adjusted odds ratio [aOR] 1.72; 95% CI 1.32–2.19; P < 0.001). Biochemical pregnancy (51.96% vs. 37.72%; aOR 2.10; 95% CI 1.64–2.62) and clinical pregnancy rates (46.52% vs. 33.66%; aOR 1.94; 95% CI 1.50–2.47) were also significantly higher with 6 days of progesterone priming. No significant differences were observed in miscarriage rates or neonatal outcomes between groups. Sensitivity analyses including restriction to first FET cycles, good-quality blastocysts, or stratification by blastocyst ploidy status did not alter the primary findings. CONCLUSION: Extending progesterone exposure to 6 days before FET is associated with a significantly higher live birth rate compared with a 5-day protocol in transfers of vitrified–thawed Day 6 blastocysts. These findings warrant confirmation in prospective, large-scale randomized controlled trials. CLINICAL TRIAL NUMBER: Not applicable </p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"11 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12924586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146260171","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":"Examining fertility preferences and spousal communication on contraceptive uptake among postpartum mothers in selected facilities in Abuja, Nigeria.","authors":"Adaobi C Iluno, Adeyemi O Adekunle, Imose Itua","doi":"10.1186/s40834-026-00428-0","DOIUrl":"10.1186/s40834-026-00428-0","url":null,"abstract":"<p><p>BACKGROUND: The postpartum period is linked to a high risk of unintended pregnancies, contributing to the high fertility rate in Nigeria. The study investigated the fertility preferences and spousal communication on contraceptives among postpartum mothers attending maternal and child health clinics in the Abuja district hospitals. METHODS: A descriptive cross-sectional study was conducted, and 248 postpartum mothers were purposely selected from a cluster of women attending a postnatal clinic across four district hospitals in Abuja, Nigeria. The data were summarised using mean, standard deviation, frequency, and percentages. Bivariate analysis was conducted using the Pearson χ2 test at a 95% level of statistical significance. RESULTS: Regarding the respondents’ fertility preferences, about 80% desire to have another child; however, only a few desire to have a child soon, while over 70% want a child later. This desire to have another child increases as the parity level decreases. The study revealed a strong desire to use a contraceptive method (56.5%), however, only 15.3% of the respondents were current users. The data showed a significant association (P = 0.0001) between frequent spousal communication and contraceptive uptake. CONCLUSION: The study revealed a high unmet need for spacing, a strong desire for contraceptives and a low uptake among postpartum mothers. Improving access to family planning (FP) methods and including spousal communication in FP interventions can help postpartum mothers fulfil fertility preferences, reducing unintended pregnancies and negative reproductive health issues. </p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":"13"},"PeriodicalIF":2.5,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12917988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146069508","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}