Pub Date : 2023-03-24DOI: 10.2174/1573404820666230324102838
Meltem Aydın Beşen
Pregnancy, childbirth, and becoming a parent cause different physical, mental, and social changes, so it is a critical life period for women. The well-being of the perinatal period, in which this complex and unique process is experienced, contains different characteristics from the general population. Therefore, the importance of conceptualizing the concept of “perinatal well-being” and defining the relevant dimensions has recently gained attention. The potential to develop a tool to measure the concept, along with the conceptualization process adequately, makes this subject remarkable.
{"title":"Concept of Perınatal Well-Beıng","authors":"Meltem Aydın Beşen","doi":"10.2174/1573404820666230324102838","DOIUrl":"https://doi.org/10.2174/1573404820666230324102838","url":null,"abstract":"\u0000\u0000Pregnancy, childbirth, and becoming a parent cause different physical, mental, and social changes, so it is a critical life period for women. The well-being of the perinatal period, in which this complex and unique process is experienced, contains different characteristics from the general population. Therefore, the importance of conceptualizing the concept of “perinatal well-being” and defining the relevant dimensions has recently gained attention. The potential to develop a tool to measure the concept, along with the conceptualization process adequately, makes this subject remarkable.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"64 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75427304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Implant as long-acting reversible contraception (LARC) is ideal for Indonesian women. Two-rod implant (2x75mg levonorgestrel) is the most common implant used in Indonesia. Another alternative method is a one-rod implant (1x150mg levonorgestrel). This study evaluated the effectiveness, changes in body weight (BW), and menstrual cycle between the one-rod and two-rod implant acceptors. This study was an RCT design with phase II clinical trials; 179 subjects were recruited. Subjects were met with inclusion and exclusion criteria and divided into one-rod and two-rod groups. The variables were evaluated within 12 months. This study involved 70 subjects in the one-rod implant group and 66 subjects in the two-rod implant group. At 12 months, there were no differences between the effectiveness of the two types of contraception, and pregnancy was reported in 1.26% vs 1.31%. The concentration of levonorgestrel in the one-rod group was 0.31 ng/dL as the median (IQR: 0.33 ng/dL) and 0.34 ng/dL as the median (IQR: 0.33 ng/dL) in the two-rod group (p=0.438). The BW in the two-rod group increased significantly in month six (p=0.035) and twelve (p=0.017) but not in the one-rod group. Menstrual cycle changes occurred in 51.4% of subjects and 57.6% of subjects in the one- and two-rod groups (p=0.584), respectively. At 12 months, one-rod and two-rod implants had similar effectiveness and concentration of levonorgestrel. Significant weight gain happened in the two-rod group, and the weight gain increased in months six and twelve. Menstrual cycle changes have occurred in both.
{"title":"The Effectiveness, Changes in Body Weight, and Menstrual cycle Between 2 Rods and 1 Rod Contraceptive Implants after 12 Months of Insertion","authors":"Lunardhi Susanto, Budi Santoso, Arif Tunjungseto, Yhenti Widjayanti, Euvanggelia Dwilda Fernandus, Berliana Devianti Putri","doi":"10.2174/1573404820666230317095152","DOIUrl":"https://doi.org/10.2174/1573404820666230317095152","url":null,"abstract":"\u0000\u0000Implant as long-acting reversible contraception (LARC) is ideal for Indonesian women. Two-rod implant (2x75mg levonorgestrel) is the most common implant used in Indonesia. Another alternative method is a one-rod implant (1x150mg levonorgestrel).\u0000\u0000\u0000\u0000This study evaluated the effectiveness, changes in body weight (BW), and menstrual cycle between the one-rod and two-rod implant acceptors.\u0000\u0000\u0000\u0000This study was an RCT design with phase II clinical trials; 179 subjects were recruited. Subjects were met with inclusion and exclusion criteria and divided into one-rod and two-rod groups. The variables were evaluated within 12 months.\u0000\u0000\u0000\u0000This study involved 70 subjects in the one-rod implant group and 66 subjects in the two-rod implant group. At 12 months, there were no differences between the effectiveness of the two types of contraception, and pregnancy was reported in 1.26% vs 1.31%. The concentration of levonorgestrel in the one-rod group was 0.31 ng/dL as the median (IQR: 0.33 ng/dL) and 0.34 ng/dL as the median (IQR: 0.33 ng/dL) in the two-rod group (p=0.438). The BW in the two-rod group increased significantly in month six (p=0.035) and twelve (p=0.017) but not in the one-rod group. Menstrual cycle changes occurred in 51.4% of subjects and 57.6% of subjects in the one- and two-rod groups (p=0.584), respectively.\u0000\u0000\u0000\u0000At 12 months, one-rod and two-rod implants had similar effectiveness and concentration of levonorgestrel. Significant weight gain happened in the two-rod group, and the weight gain increased in months six and twelve. Menstrual cycle changes have occurred in both.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"6 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78412452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-01DOI: 10.2174/1573404820666230301105341
Khorsandi M, Farshid Moghadam M, Khalajinia Z, Z. M, Klobas Jane E
Having an only child has positive and negative consequences for the health of the child, mother, and family. However, when one-child families become the norm, the risks of negative long-term impacts increase. In Iran, couples now prefer to have one child. This paper reports on an investigation into the effectiveness of training based on the theory of planned behavior (TPB) on the pregnancy intention in women with one child. The trial was conducted in 2019 with 102 women with one child, who was supported by the Health Centers in Qom, Iran. They were randomly divided into two groups: TPB theory-based training (n=52) and control (routine healthcare training, n=50) groups. ANCOVA was used to compare the groups' post-training pregnancy intention and its theoretical antecedents. Three months post-training, participants in the TPB group had higher pregnancy intention (η 2=.4, P<0.001), attitude to having a second child (η 2=.41, P<0.001), subjective (perceived) norm for having a second child η 2=.08, P<0.004), and perceived control for having a second child (η 2=.35, P<0.001). The TPB-based training intervention increased women's awareness of the consequences of having an only child significantly more than routine training (P<0.001). This trial has been registered at IRCT, IRCT20181105041558N1. Registered on, 26/03/2019. https://en.irct.ir/trial/36385 Health center training can increase women's intention to have a second child. In this trial, theory-based training resulted in stronger pregnancy intention than participation in routine training. As health centers in Iran update their programs, this trial highlights the value of course design based on established theory.
{"title":"Effect of a Training Intervention Based on the Theory of Planned Behavior on the Pregnancy Intention in Women with One Child: A Training Trial","authors":"Khorsandi M, Farshid Moghadam M, Khalajinia Z, Z. M, Klobas Jane E","doi":"10.2174/1573404820666230301105341","DOIUrl":"https://doi.org/10.2174/1573404820666230301105341","url":null,"abstract":"\u0000\u0000Having an only child has positive and negative consequences for the health of the child, mother, and family. However, when one-child families become the norm, the risks of negative long-term impacts increase. In Iran, couples now prefer to have one child. This paper reports on an investigation into the effectiveness of training based on the theory of planned behavior (TPB) on the pregnancy intention in women with one child.\u0000\u0000\u0000\u0000The trial was conducted in 2019 with 102 women with one child, who was supported by the Health Centers in Qom, Iran. They were randomly divided into two groups: TPB theory-based training (n=52) and control (routine healthcare training, n=50) groups. ANCOVA was used to compare the groups' post-training pregnancy intention and its theoretical antecedents.\u0000\u0000\u0000\u0000Three months post-training, participants in the TPB group had higher pregnancy intention (η 2=.4, P<0.001), attitude to having a second child (η 2=.41, P<0.001), subjective (perceived) norm for having a second child η 2=.08, P<0.004), and perceived control for having a second child (η 2=.35, P<0.001). The TPB-based training intervention increased women's awareness of the consequences of having an only child significantly more than routine training (P<0.001). \u0000This trial has been registered at IRCT, IRCT20181105041558N1. Registered on, 26/03/2019.\u0000https://en.irct.ir/trial/36385\u0000\u0000\u0000\u0000Health center training can increase women's intention to have a second child. In this trial, theory-based training resulted in stronger pregnancy intention than participation in routine training. As health centers in Iran update their programs, this trial highlights the value of course design based on established theory.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"1 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90308399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-01DOI: 10.2174/1573404820666230301115706
T. Omma, Aksanur Gokce, M. Celik, I. Karahan, C. Culha, N. Gulcelik
Polycystic ovary syndrome (PCOS) is the most common endocrinopathy among women of reproductive age. PCOS leads to metabolic dysfunction such as dyslipidemia, obesity, and glucose intolerance based on hyperandrogenemia, hyperinsulinemia, and dysregulated adipokine secretion. The aim of this study was to investigate whether a new marker, InsuTAG (fasting insulin×fasting triglycerides) could predict insulin resistance (IR) in patients of PCOS. In this study, retrospective data of 300 female patients diagnosed with PCOS were analyzed. The relationship between InsuTAG and HOMA-IR, TyG, and TG/HDL-C scores related to insulin resistance was evaluated. In addition, the distribution of the cases according to the cut-off values was determined. Log-transformed forms of InsuTAG and HOMA-IR, TyG and TG/HDL-C results were positively correlated, respectively. (r=0.85, p<0.001; r₌0.78,p<0.001; r₌0.72, p<0.001). Sensitivity, specificity, positive predictive value and negative predictive values for InsuTAG were calculated as 85%, 85%, 82% and 88%, respectively. This study is the first to compare the InsuTAG, another predictor of insulin resistance, with other IR markers in women with PCOS. InsuTAG is a novel biomarker based on plasma sampling of insulin and triglyceride, with minimally invasive, inexpensive and orientally accessible features.
多囊卵巢综合征(PCOS)是育龄妇女最常见的内分泌疾病。多囊卵巢综合征导致代谢功能障碍，如血脂异常、肥胖和基于高雄激素血症、高胰岛素血症和脂肪因子分泌失调的葡萄糖耐受不良。本研究的目的是探讨一种新的标记物InsuTAG(空腹insulin×fasting甘油三酯)是否可以预测PCOS患者的胰岛素抵抗(IR)。本研究回顾性分析了300例女性多囊卵巢综合征患者的资料。评估InsuTAG与胰岛素抵抗相关的HOMA-IR、TyG和TG/HDL-C评分之间的关系。根据截断值确定病例的分布，InsuTAG的对数变换形式与HOMA-IR、TyG和TG/HDL-C结果分别呈正相关。(r = 0.85, p < 0.001;r₌0.78,p < 0.001;r₌0.72,p < 0.001)。InsuTAG的敏感性、特异性、阳性预测值和阴性预测值分别为85%、85%、82%和88%。这项研究首次比较了胰岛素抵抗的另一个预测指标InsuTAG与多囊卵巢综合征女性的其他IR标志物。InsuTAG是一种基于血浆胰岛素和甘油三酯采样的新型生物标志物，具有微创、廉价和易于获取的特点。
{"title":"A New Predictor for Insulin Resistance in Polycystic Ovary Syndrome: InsuTAG","authors":"T. Omma, Aksanur Gokce, M. Celik, I. Karahan, C. Culha, N. Gulcelik","doi":"10.2174/1573404820666230301115706","DOIUrl":"https://doi.org/10.2174/1573404820666230301115706","url":null,"abstract":"\u0000\u0000Polycystic ovary syndrome (PCOS) is the most common endocrinopathy among women of reproductive age. PCOS leads to metabolic dysfunction such as dyslipidemia, obesity, and glucose intolerance based on hyperandrogenemia, hyperinsulinemia, and dysregulated adipokine secretion.\u0000\u0000\u0000\u0000The aim of this study was to investigate whether a new marker, InsuTAG (fasting insulin×fasting triglycerides) could predict insulin resistance (IR) in patients of PCOS.\u0000\u0000\u0000\u0000In this study, retrospective data of 300 female patients diagnosed with PCOS were analyzed. The relationship between InsuTAG and HOMA-IR, TyG, and TG/HDL-C scores related to insulin resistance was evaluated. In addition, the distribution of the cases according to the cut-off values was determined.\u0000\u0000\u0000\u0000Log-transformed forms of InsuTAG and HOMA-IR, TyG and TG/HDL-C results were positively correlated, respectively. (r=0.85, p<0.001; r₌0.78,p<0.001; r₌0.72, p<0.001). Sensitivity, specificity, positive predictive value and negative predictive values for InsuTAG were calculated as 85%, 85%, 82% and 88%, respectively.\u0000\u0000\u0000\u0000This study is the first to compare the InsuTAG, another predictor of insulin resistance, with other IR markers in women with PCOS. InsuTAG is a novel biomarker based on plasma sampling of insulin and triglyceride, with minimally invasive, inexpensive and orientally accessible features.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"18 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89256563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-28DOI: 10.21203/rs.3.rs-1425751/v1
M. Mardani-Hamooleh, H. Heidari, S. Pezaro
Women with breast cancer in Iran face challenges requiring support. Yet the provision of support may have changed during the coronavirus disease 2019 (COVID-19) pandemic The aim of the present study was to explore the perceptions of women with breast cancer about the support they received during the COVID-19 pandemic This study was qualitative in nature. Semi-structured interviews were conducted with Iranian women with breast cancer. The interviews were transcribed verbatim and analysed via conventional content analysis. Participants (n=33) were Iranian women aged 29-58 years. All women included were married and were working in the role of a housewife. Women's perceptions of breast cancer during the COVID-19 pandemic of support were identified under two main categories; Constructive support and Lack of support. Sub-categories related to constructive support included receiving support from family, peers, and nurses. Sub-categories related to lack of support included a perceived lack of spousal and sociocultural support. Anti-stigma interventions (AS interventions) are suggested to increase both spousal and sociocultural support in this context. Further studies may usefully be conducted with the participation of Iranian women's family members in order to gain a deeper understanding of the support received and required by Iranian women with breast cancer during the COVID-19 pandemic and beyond.
{"title":"The Perceived Support received by Women with Breast Cancer during the COVID-19 Pandemic: A Qualitative Study","authors":"M. Mardani-Hamooleh, H. Heidari, S. Pezaro","doi":"10.21203/rs.3.rs-1425751/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-1425751/v1","url":null,"abstract":"\u0000\u0000Women with breast cancer in Iran face challenges requiring support. Yet the provision of support may have changed during the coronavirus disease 2019 (COVID-19) pandemic\u0000\u0000\u0000\u0000The aim of the present study was to explore the perceptions of women with breast cancer about the support they received during the COVID-19 pandemic\u0000\u0000\u0000\u0000This study was qualitative in nature. Semi-structured interviews were conducted with Iranian women with breast cancer. The interviews were transcribed verbatim and analysed via conventional content analysis.\u0000\u0000\u0000\u0000Participants (n=33) were Iranian women aged 29-58 years. All women included were married and were working in the role of a housewife. Women's perceptions of breast cancer during the COVID-19 pandemic of support were identified under two main categories; Constructive support and Lack of support. Sub-categories related to constructive support included receiving support from family, peers, and nurses. Sub-categories related to lack of support included a perceived lack of spousal and sociocultural support.\u0000\u0000\u0000\u0000Anti-stigma interventions (AS interventions) are suggested to increase both spousal and sociocultural support in this context. Further studies may usefully be conducted with the participation of Iranian women's family members in order to gain a deeper understanding of the support received and required by Iranian women with breast cancer during the COVID-19 pandemic and beyond.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"26 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72605045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-28DOI: 10.2174/1573404820666230228140637
M. Mirghafurvand, F. Shabani, M. Montazeri
Women with premature ovarian insufficiency (POI) have more difficulty concerning their physical and psychological health, indicating a need to provide adequate psychosocial and clinical support for these women to minimize the repercussion of this diagnosis on their activities and quality of life. To determine the predictors of quality of life in women with premature ovarian insufficiency (POI). This cross-sectional study was performed on 130 women with POI in Tabriz in 2021 by convenience sampling. Data were collected using the socio-demographic characteristics questionnaire, Spielberger state-trait anxiety inventory (STAI), Beck depression scale (BDI), female sexual function index (FSFI), and the World Health Organization quality of life questionnaire (WHOQOL). The adjusted general linear model was used to estimate the impact and determine the relationship between independent variables (socio-demographic characteristics, anxiety, depression, and sexual function) and dependent variables (quality of life and its domains). The mean total score of quality of life was 46.3 (SD: 18.3) out of 0 to 100. The lowest mean score belonged to the social relations domain [35.6 (17.0)], and the highest mean score belonged to the physical health domain [40.0 (16.0)]. Sexual function was one of the predictors of overall quality of life score, and all its domains except environmental health. Depression was one of the predictors of psychological health. Education was also a predictor of psychological and environmental health. Sexual function and mental health are directly related to the quality of life of women with POI.
{"title":"Predictors of Quality of Life In Women with Premature Ovarian Insufficiency","authors":"M. Mirghafurvand, F. Shabani, M. Montazeri","doi":"10.2174/1573404820666230228140637","DOIUrl":"https://doi.org/10.2174/1573404820666230228140637","url":null,"abstract":"\u0000\u0000Women with premature ovarian insufficiency (POI) have more difficulty concerning their physical and psychological health, indicating a need to provide adequate psychosocial and clinical support for these women to minimize the repercussion of this diagnosis on their activities and quality of life.\u0000\u0000\u0000\u0000To determine the predictors of quality of life in women with premature ovarian insufficiency (POI).\u0000\u0000\u0000\u0000This cross-sectional study was performed on 130 women with POI in Tabriz in 2021 by convenience sampling. Data were collected using the socio-demographic characteristics questionnaire, Spielberger state-trait anxiety inventory (STAI), Beck depression scale (BDI), female sexual function index (FSFI), and the World Health Organization quality of life questionnaire (WHOQOL). The adjusted general linear model was used to estimate the impact and determine the relationship between independent variables (socio-demographic characteristics, anxiety, depression, and sexual function) and dependent variables (quality of life and its domains).\u0000\u0000\u0000\u0000The mean total score of quality of life was 46.3 (SD: 18.3) out of 0 to 100. The lowest mean score belonged to the social relations domain [35.6 (17.0)], and the highest mean score belonged to the physical health domain [40.0 (16.0)]. Sexual function was one of the predictors of overall quality of life score, and all its domains except environmental health. Depression was one of the predictors of psychological health. Education was also a predictor of psychological and environmental health.\u0000\u0000\u0000\u0000Sexual function and mental health are directly related to the quality of life of women with POI.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"3 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79045541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-28DOI: 10.2174/1573404820666230228093256
Atefeh Yas, F. Karimi, M. Abdollahi, T. Khadivzadeh
Maternal-infant attachment is the first social relationship between mother and baby that keeps the baby close to the mother. The conflicting results of the studies regarding the effect of kangaroo mother care (KMC) on maternal-infant attachment show the necessity of conducting a meta-analysis study. The study aimed to investigate the effects of KMC on mother-infant attachment through a systematic review and meta-analysis of randomized controlled trials. Web of Science, PubMed, Scopus, Cochrane Library, EMBASE, ProQuest, SID, and Iranmedex databases were searched to find clinical trial studies in English and Persian without a time limit. The Cochrane checklist was used to check the bias of the articles. Data analysis was performed using STATA. I2 index was used in order to assess the heterogeneity, and the funnel plot and the Egger test were used in order to examine the publication bias. Standardized mean difference (SMD) and random effects models were used to combine the studies and perform a meta-analysis. In this study, 10 articles were selected for the systematic review and meta-analysis. The results of the present meta-analysis based on the random model showed SMD as -1.33 (95% CI: (-2.12, -0.54), P=0.001), and there was observed a statistically significant relationship between the control and intervention groups. So, the mother-infant attachment in the intervention group was higher than in the control group. This study showed that KMC improves mother-infant attachment. The results of this study can be applied to evidence-based decision-making by healthcare providers, and can also be suggested as a method to develop mother-infant attachment.
母婴依恋是母亲和婴儿之间的第一种社会关系，它使婴儿与母亲保持密切关系。关于袋鼠式母亲护理对母婴依恋影响的研究结果相互矛盾，表明有必要进行荟萃分析研究。本研究旨在通过随机对照试验的系统回顾和荟萃分析，探讨KMC对母婴依恋的影响。检索Web of Science、PubMed、Scopus、Cochrane Library、EMBASE、ProQuest、SID和Iranmedex数据库，查找无时间限制的英文和波斯语临床试验研究。采用Cochrane检查表对文章进行偏倚检查。使用STATA进行数据分析。采用I2指数评价异质性，采用漏斗图和Egger检验检验发表偏倚。采用标准化平均差(SMD)和随机效应模型对研究结果进行meta分析。本研究选取10篇文章进行系统评价和meta分析。基于随机模型的meta分析结果显示，SMD为-1.33 (95% CI: (-2.12， -0.54)， P=0.001)，对照组与干预组之间存在统计学差异。因此，干预组的母婴依恋高于对照组。本研究表明，KMC可以改善母婴依恋。本研究结果可应用于医疗服务提供者的循证决策，也可作为发展母婴依恋的一种方法。
{"title":"Investigating the Effect of Kangaroo Mother Care on Maternal-Infant Attachment: A Systematic Review and Meta-analysis Study","authors":"Atefeh Yas, F. Karimi, M. Abdollahi, T. Khadivzadeh","doi":"10.2174/1573404820666230228093256","DOIUrl":"https://doi.org/10.2174/1573404820666230228093256","url":null,"abstract":"\u0000\u0000Maternal-infant attachment is the first social relationship between mother and baby that keeps the baby close to the mother. The conflicting results of the studies regarding the effect of kangaroo mother care (KMC) on maternal-infant attachment show the necessity of conducting a meta-analysis study.\u0000\u0000\u0000\u0000The study aimed to investigate the effects of KMC on mother-infant attachment through a systematic review and meta-analysis of randomized controlled trials.\u0000\u0000\u0000\u0000Web of Science, PubMed, Scopus, Cochrane Library, EMBASE, ProQuest, SID, and Iranmedex databases were searched to find clinical trial studies in English and Persian without a time limit. The Cochrane checklist was used to check the bias of the articles. Data analysis was performed using STATA. I2 index was used in order to assess the heterogeneity, and the funnel plot and the Egger test were used in order to examine the publication bias. Standardized mean difference (SMD) and random effects models were used to combine the studies and perform a meta-analysis.\u0000\u0000\u0000\u0000In this study, 10 articles were selected for the systematic review and meta-analysis. The results of the present meta-analysis based on the random model showed SMD as -1.33 (95% CI: (-2.12, -0.54), P=0.001), and there was observed a statistically significant relationship between the control and intervention groups. So, the mother-infant attachment in the intervention group was higher than in the control group.\u0000\u0000\u0000\u0000This study showed that KMC improves mother-infant attachment. The results of this study can be applied to evidence-based decision-making by healthcare providers, and can also be suggested as a method to develop mother-infant attachment.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"20 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80327279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-27DOI: 10.2174/1573404820666230227120828
R. V. Prasad, Farida Musa
Preeclampsia affects pregnant women, resulting in stroke, organ failure, and other health problems like seizures. The effect of preeclampsia is most pronounced in developing countries and it affects about 4% of pregnant women causing several illnesses and even death. The key to solving the problem of preeclampsia is its early detection and use of machine learning algorithms that can take various demographic features, biochemical markers, or biophysical features, select important features and find hidden patterns that point to preeclampsia. The objective of this research is to develop a machine-learning framework to detect Preeclampsia in pregnant women. This research develops a model to detect preeclampsia using principal component analysis (PCA) as a feature selection, k-means as an outlier detection, a combination of SMOTE oversampling, random under sampling and the decision tree (DT) to classify and predict the risk of preeclampsia among pregnant women. The data was obtained from the University of Abuja Teaching Hospital, Abuja, Nigeria. Findings revealed that the combination of the PCA, SMOTE and random undersampling and DT outcome resulted in the best accuracy of 96.8% which is better than the accuracy of existing work (92.1%). Furthermore, the reliability of the model was measured and tested using Bayesian Probability. The developed model can be helpful to Health care providers in checking preeclampsia among women with high blood pressure during their second antenatal visits.
{"title":"Predicting Preeclampsia using Principal Component Analysis and Decision Tree Classifier","authors":"R. V. Prasad, Farida Musa","doi":"10.2174/1573404820666230227120828","DOIUrl":"https://doi.org/10.2174/1573404820666230227120828","url":null,"abstract":"\u0000\u0000Preeclampsia affects pregnant women, resulting in stroke, organ failure, and other health problems like seizures. The effect of preeclampsia is most pronounced in developing countries and it affects about 4% of pregnant women causing several illnesses and even death. The key to solving the problem of preeclampsia is its early detection and use of machine learning algorithms that can take various demographic features, biochemical markers, or biophysical features, select important features and find hidden patterns that point to preeclampsia.\u0000\u0000\u0000\u0000The objective of this research is to develop a machine-learning framework to detect Preeclampsia in pregnant women.\u0000\u0000\u0000\u0000This research develops a model to detect preeclampsia using principal component analysis (PCA) as a feature selection, k-means as an outlier detection, a combination of SMOTE oversampling, random under sampling and the decision tree (DT) to classify and predict the risk of preeclampsia among pregnant women. The data was obtained from the University of Abuja Teaching Hospital, Abuja, Nigeria.\u0000\u0000\u0000\u0000Findings revealed that the combination of the PCA, SMOTE and random undersampling and DT outcome resulted in the best accuracy of 96.8% which is better than the accuracy of existing work (92.1%). Furthermore, the reliability of the model was measured and tested using Bayesian Probability.\u0000\u0000\u0000\u0000The developed model can be helpful to Health care providers in checking preeclampsia among women with high blood pressure during their second antenatal visits.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"18 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72785020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-23DOI: 10.2174/1573404820666230223123036
B. Ferro, J. Gama, Mariana Robalo Cordeiro, M. Figueiredo-Dias
Abdominal wall endometriosis (AWE) is a rare form of extragenital endometriosis that usually develops in association with a prior surgical scar. The purpose of the study was to review the clinical characteristics, diagnostic methods, treatment modalities, and outcomes of patients with AWE. A descriptive cross-sectional study was performed in a Gynecology Department of a Portuguese tertiary hospital, concerning patients with histologic-proven AWE, between January 2012 and December 2020 (n=22). Statistical analysis was performed using IBM SPSS Statistics Version 27.00, with a significance level of p <0.05. The most common locations of extrapelvic endometrial ectopic implants were cesarean delivery scar (n=13, 59.1%) and the umbilicus (n=5, 22.7%). The median (range) age was 36 (30-42) years old, and all patients had a history of previous surgery but one. Nineteen patients had undergone a previous cesarean section, and the mean (range) time from surgery to the onset of symptoms was 100 (32-168) months. All patients were symptomatic and presented with a palpable mass at physical examination. The majority complained of a painful abdominal mass (n=20, 90.9%) which was associated with cyclic pain in thirteen patients (65%). Ultrasound scan was performed in all patients and the nodules had a median size of 20.5 mm (5-93 mm). One patient received hormonal therapy and surgical resection was performed in the remaining patients. The nodule’s median (range) size was 31 (12-50) mm on gross examination. A descriptive cross-sectional study was performed in a Gynecology Department of a Portuguese tertiary hospital, concerning patients with histologic-proven AWE (n=22). Statistical analysis was performed using IBM SPSS Statistics Version 27.00, with a significance level of p <0.05. AWE should be considered in the presence of a previous pelvic surgery history associated with abdominal scar cyclic pain and swelling. A careful history and clinical examination are essential for diagnosis to avoid unnecessary delay before surgical intervention. -
腹壁子宫内膜异位症(AWE)是一种罕见的子宫内膜异位症，通常与先前的手术疤痕有关。本研究的目的是回顾AWE患者的临床特征、诊断方法、治疗方式和预后。2012年1月至2020年12月，在葡萄牙一家三级医院的妇科进行了一项描述性横断面研究，涉及组织学证实的AWE患者(n=22)。采用IBM SPSS Statistics Version 27.00进行统计学分析，显著性水平p <0.05。盆腔外子宫内膜异位植入最常见的部位为剖宫产瘢痕(n=13, 59.1%)和脐(n=5, 22.7%)。年龄中位数(范围)为36岁(30-42岁)，除1例患者外，所有患者均有手术史。19例患者曾接受过剖宫产手术，从手术到出现症状的平均(范围)时间为100(32-168)个月。所有患者均有症状，体格检查时均有可触及的肿块。大多数患者主诉腹痛腹部肿块(n=20, 90.9%)，其中13例患者(65%)伴有周期性疼痛。所有患者均行超声扫描，结节中位大小为20.5 mm (5-93 mm)。1例患者接受激素治疗，其余患者行手术切除。大体检查结节的中位(范围)大小为31 (12-50)mm。在葡萄牙某三级医院妇科进行了一项描述性横断面研究，涉及组织学证实的AWE患者(n=22)。采用IBM SPSS Statistics Version 27.00进行统计学分析，显著性水平为p <0.05。如果既往有盆腔手术史并伴有腹部瘢痕、周期性疼痛和肿胀，则应考虑AWE。仔细的病史和临床检查对诊断至关重要，以避免手术干预前不必要的延误
{"title":"Clinical features of extragenital scar endometriosis: a cross-sectional study","authors":"B. Ferro, J. Gama, Mariana Robalo Cordeiro, M. Figueiredo-Dias","doi":"10.2174/1573404820666230223123036","DOIUrl":"https://doi.org/10.2174/1573404820666230223123036","url":null,"abstract":"\u0000\u0000Abdominal wall endometriosis (AWE) is a rare form of extragenital endometriosis that usually develops in association with a prior surgical scar. The purpose of the study was to review the clinical characteristics, diagnostic methods, treatment modalities, and outcomes of patients with AWE.\u0000\u0000\u0000\u0000A descriptive cross-sectional study was performed in a Gynecology Department of a Portuguese tertiary hospital, concerning patients with histologic-proven AWE, between January 2012 and December 2020 (n=22). Statistical analysis was performed using IBM SPSS Statistics Version 27.00, with a significance level of p <0.05.\u0000\u0000\u0000\u0000The most common locations of extrapelvic endometrial ectopic implants were cesarean delivery scar (n=13, 59.1%) and the umbilicus (n=5, 22.7%). The median (range) age was 36 (30-42) years old, and all patients had a history of previous surgery but one. Nineteen patients had undergone a previous cesarean section, and the mean (range) time from surgery to the onset of symptoms was 100 (32-168) months.\u0000All patients were symptomatic and presented with a palpable mass at physical examination. The majority complained of a painful abdominal mass (n=20, 90.9%) which was associated with cyclic pain in thirteen patients (65%).\u0000Ultrasound scan was performed in all patients and the nodules had a median size of 20.5 mm (5-93 mm). One patient received hormonal therapy and surgical resection was performed in the remaining patients. The nodule’s median (range) size was 31 (12-50) mm on gross examination.\u0000\u0000\u0000\u0000A descriptive cross-sectional study was performed in a Gynecology Department of a Portuguese tertiary hospital, concerning patients with histologic-proven AWE (n=22). Statistical analysis was performed using IBM SPSS Statistics Version 27.00, with a significance level of p <0.05.\u0000\u0000\u0000\u0000AWE should be considered in the presence of a previous pelvic surgery history associated with abdominal scar cyclic pain and swelling. A careful history and clinical examination are essential for diagnosis to avoid unnecessary delay before surgical intervention.\u0000\u0000\u0000\u0000-\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"18 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85889486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-22DOI: 10.2174/1573404820666230222093056
Nahideh Afshar zakariya, S. Moosavi, F. Abbasalizadeh
Cesarean scar pregnancy is one of the rare and challenging forms of ectopic pregnancy in treatment. Surgical and medical treatment options are available. Nevertheless, no approach is superior. The present case reports a 29 years-old lady, presented with 12 weeks and 6 days, cesarean scar pregnancy without any symptoms, with a a live fetus that underwent curettage two times. We can use curettage frequently for CSP treatment without methotrexate and, without side effects of other treatments.
{"title":"A Case Report Of Cesarean Scar Pregnancy In The Late First Trimester With An Alive Fetus","authors":"Nahideh Afshar zakariya, S. Moosavi, F. Abbasalizadeh","doi":"10.2174/1573404820666230222093056","DOIUrl":"https://doi.org/10.2174/1573404820666230222093056","url":null,"abstract":"\u0000\u0000Cesarean scar pregnancy is one of the rare and challenging forms\u0000of ectopic pregnancy in treatment. Surgical and medical treatment options are\u0000available. Nevertheless, no approach is superior.\u0000\u0000\u0000\u0000The present case reports a 29 years-old lady, presented with\u000012 weeks and 6 days, cesarean scar pregnancy without any symptoms, with a\u0000a live fetus that underwent curettage two times.\u0000\u0000\u0000\u0000We can use curettage frequently for CSP treatment without\u0000methotrexate and, without side effects of other treatments.\u0000","PeriodicalId":11030,"journal":{"name":"Current Women s Health Reviews","volume":"18 4","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72396116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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