European journal of obstetrics, gynecology, and reproductive biology最新文献_第2页

A quantitative study of general practitioners’ experience and confidence with subdermal contraceptive implant devices 全科医生的经验和信心与皮下避孕植入装置的定量研究。

IF 1.9 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology

Pub Date : 2026-01-14 DOI: 10.1016/j.ejogrb.2026.114967

Lylas Aljohmani , Linda Kelly , Louise Fitzgerald , Roisin Dolan

Background

Long-acting reversible contraceptives (LARCs), including subdermal contraceptive implants (SCIs), are widely used and highly effective. General practitioners (GPs) provide most implant services, but little is known about their confidence, awareness of updated guidelines, and approaches to complications in the Irish setting.

Aim

To assess GPs’ experience, confidence, awareness of guidelines, and management of complications related to SCIs.

Methods

We conducted a prospective quantitative survey of 100 randomly selected GPs in Ireland. A validated 12-item questionnaire was distributed via Qualtrics, with 74 complete responses analysed in SPSS v29.0. Frequency data and chi-square tests with Cramer’s V were used to assess associations between experience, confidence, and guideline awareness.

Results

A total of n = 74 full responses were collected. Results showed that while a majority (94.6 %) have inserted subdermal contraceptive implants, confidence levels varied, with 37.3 % feeling confident in insertion and removal procedures. Notably, 39.2 % were unaware of updated guidelines from January 2020. Statistical analyses revealed significant associations between general practitioners’ reported experience in subdermal contraceptive implant procedures and confidence in these skills (p < 0.001), as well as awareness of guidelines (p = 0.011). General practitioners with greater experience tended to refer complicated cases to specialist services, contrasting with less experienced peers managing cases independently.

Conclusion

This study underscores the need for enhanced General Practitioners’ training on subdermal contraceptive implant procedures and guideline updates to optimise service delivery. Given the increasing popularity of subdermal contraceptive implants, addressing these gaps is crucial for ensuring safe and effective contraceptive care in primary care settings.

背景：长效可逆避孕药（LARCs），包括皮下避孕植入物（SCIs），应用广泛且效果显著。全科医生（全科医生）提供大多数种植服务，但很少知道他们的信心，更新指南的意识，并在爱尔兰设置并发症的方法。目的：评估全科医生的经验，信心，对指南的认识，以及与SCIs相关的并发症的处理。方法：我们对爱尔兰随机选择的100名全科医生进行了前瞻性定量调查。通过qualics分发了一份经过验证的12项问卷，在SPSS v29.0中分析了74个完整的回答。使用频率数据和Cramer's V卡方检验来评估经验、信心和指南意识之间的关联。结果：共收集到n = 74份完整问卷。结果显示，虽然大多数人（94.6%）植入了皮下避孕植入物，但信心水平各不相同，37.3%的人对植入和取出程序有信心。值得注意的是，39.2%的人不知道2020年1月以来更新的指南。统计分析显示，全科医生报告的皮下避孕植入手术经验与对这些技能的信心之间存在显著关联(p结论：本研究强调需要加强全科医生对皮下避孕植入手术的培训，并更新指南以优化服务提供。鉴于皮下避孕植入物日益普及，解决这些差距对于确保初级保健环境中安全有效的避孕护理至关重要。

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引用次数: 0

To the Editor: Tan RCA, Jie Ying KO, Ng QJ, Qi M, Lee JM, Bhutia K. vNOTES hysterectomy for patients with large uteri: Initial experience in the largest Tertiary Centre in Singapore. Eur J Obstet Gynecol Reprod Biol. 2025 Jun;310:113952. https://doi.org/10.1016/j.ejogrb.2025.113952. Epub 2025 Apr 4 致编者：Tan RCA， Jie Ying KO, Ng QJ, Qi M, Lee JM, Bhutia K. vNOTES大子宫患者的子宫切除术：在新加坡最大的三级中心的初步经验。[J] .中华妇产科杂志，2015;31(10):113952。https://doi.org/10.1016/j.ejogrb.2025.113952。Epub 2025 4月4日

IF 1.9 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology

Pub Date : 2026-01-12 DOI: 10.1016/j.ejogrb.2026.114955

Wai Yoong, Esther Skene, Martin Kawabata, Joachim Ho

引用次数: 0

Delivery plan in cardio-obstetric management of pregnant patients with heart disease: an Italian Delphi study 分娩计划在心脏病孕妇的心脏产科管理：意大利德尔菲研究

IF 1.9 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology

Pub Date : 2026-01-12 DOI: 10.1016/j.ejogrb.2026.114958

Elena Zaccone , Barbara Zaina , Laura Angeli , Gaia Spaziani , Stefano Carugo , Massimo Micaglio , Giuseppe Sofi , Fabio Parazzini , Federico Mecacci , Irene Cetin

Background

Cardiovascular disease (CVD) is the leading indirect cause of maternal morbidity and mortality in high-income countries. Managing pregnant women with cardiac conditions requires multidisciplinary coordination and individualized planning. Early risk stratification, commonly performed using the modified World Health Organization (mWHO) classification, is essential to guide the management of pregnant women with heart disease. The Delivery Plan (DP) is proposed as a standardized tool to guide peripartum care in this population.

Objective

To evaluate expert consensus on the structure and implementation of a standardized DP for pregnant women with heart disease, using a modified Delphi methodology.

Methods

A two-round Delphi survey was conducted among 30 cardio-obstetric experts from five tertiary Italian centers. The first phase assessed current practices regarding cardiac follow-up and investigations in pregnancy. The second phase evaluated agreement on 21 proposed DP items across different mWHO risk classes and explored the role of non-cardiac risk factors.

Results

In phase one, consensus (≥70% agreement) was achieved for 78.4% of cardiac follow-up practices and 87.9% of diagnostic investigations. In phase two, all 21 DP items were endorsed for general inclusion. Stratification by mWHO risk class showed no consensus for mWHO I, partial agreement for mWHO II, and full consensus for mWHO II/III to IV. Strong agreement (median ≥ 9, IQR ≤ 2) was observed for most items in higher-risk classes. Additionally, obesity, hypertension, and preeclampsia were identified as relevant non-cardiac risk factors warranting structured planning.

Conclusions

The study supports the use of a structured, risk-adapted DP for pregnant women with cardiac disease. High consensus in moderate-to-severe risk groups confirms the DP’s utility in enhancing multidisciplinary coordination and may contribute to improved maternal–fetal outcomes, pending prospective validation.

背景：心血管疾病（CVD）是高收入国家孕产妇发病和死亡的主要间接原因。管理患有心脏病的孕妇需要多学科协调和个性化规划。早期风险分层，通常使用修改后的世界卫生组织（mWHO）分类进行，对于指导心脏病孕妇的管理至关重要。分娩计划（DP）提出作为一个标准化的工具，以指导围产期护理在这一人群。目的采用改进的德尔菲法，评价专家对心脏病孕妇标准计划的结构和实施的共识。方法采用两轮德尔菲调查法对意大利5所三级医院的30名产科专家进行调查。第一阶段评估了妊娠期心脏随访和调查的现行做法。第二阶段评估了21个拟议DP项目在不同mWHO风险类别中的一致性，并探讨了非心脏风险因素的作用。结果在第一阶段，78.4%的心脏随访实践和87.9%的诊断调查达成了共识（≥70%的同意）。在第二阶段，所有21个发展规划项目均获核可普遍列入。按mWHO风险等级分层显示，对mWHO I没有共识，对mWHO II部分一致，对mWHO II/III至IV完全一致。在高风险等级中，大多数项目的一致性很强（中位数≥9，IQR≤2）。此外，肥胖、高血压和先兆子痫被确定为相关的非心脏危险因素，需要有组织的计划。结论：该研究支持对患有心脏病的孕妇使用结构化的、风险适应的DP。中度至重度风险人群的高共识证实了DP在加强多学科协调方面的效用，并可能有助于改善母胎结局，有待于前瞻性验证。

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引用次数: 0

Assessment of maternal characteristics and outcomes associated with COVID-19-linked HELLP-like syndrome 评估与covid -19相关的help样综合征相关的孕产妇特征和结局

IF 1.9 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology

Pub Date : 2026-01-12 DOI: 10.1016/j.ejogrb.2026.114959

Lucy F. Harvey , Fay F. Pon , Zaira N. Chavez Jimenez , Yadira L. Bribiesca Leon , Carolyn N. Rocha , Shinya Matsuzaki , Rachel S. Mandelbaum , Joseph G. Ouzounian , Koji Matsuo

引用次数: 0

Therapeutic outcomes and patient-reported experiences for endometriosis in the canal of Nuck 子宫内膜异位症在Nuck管的治疗结果和患者报告的经验

IF 1.9 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology

Pub Date : 2026-01-11 DOI: 10.1016/j.ejogrb.2026.114944

Lotus van Duin , Sabrine Kol , Astrid Cantineau , Robert de Leeuw , Velja Mijatovic , Laura van Loendersloot

引用次数: 0

Impact of previous caesarean section on outcomes of first and second trimester surgical abortion: A systematic review and meta-analysis 既往剖宫产对妊娠早期和中期手术流产结局的影响：一项系统回顾和荟萃分析

IF 1.9 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology

Pub Date : 2026-01-10 DOI: 10.1016/j.ejogrb.2026.114948

Natalie Drever , Vinay Gangathimmaiah , Zinat Mohammadpour , Cecelia O’Brien , Catriona Melville , Kirsten Black , Caroline de Costa

Background

It is unclear whether previous caesarean section (CS) increases the risk of complications during surgical abortion.

Aims

To compare surgical abortion complication rates in women with a history of previous CS to those without previous CS.

Materials and methods

Four databases were systematically searched in July 2024. Primary studies in English reporting on surgical abortion complications in women with and without a history of previous CS were included. Overall complications and major complications were compared between women with and without previous CS using a random effects meta-analysis. Sub-analyses were performed in women with > 1 previous CS, and incidence of emergency hysterectomy. Certainty of evidence was assessed using GRADE.

Results

Ten retrospective cohort studies with 3123 women with and 14,514 without a previous CS were included in the meta-analysis. The overall incidence of major complications from surgical abortion was 0.9 %. Previous CS was associated with an increase in overall complications (OR = 2.00, CI 1.32–3.04, p = 0.001) and major complications (OR = 2.82, CI 1.83–4.36, p < 0.00001). Major complications included haemorrhage requiring transfusion, uterine perforation and unplanned laparoscopy/laparotomy, while minor complications included cervical laceration and the need for repeat evacuation. There were no cases of uterine rupture during pre-procedural cervical ripening. Hysterectomy was an exceptionally rare occurrence (0.05 %); low-quality evidence from seven studies showed an association between history of CS and need for emergency hysterectomy (OR = 8.73, CI = 1.83–41.61, p = 0.007). The quality of the evidence was judged to be very low to medium mainly due to risk of bias of the included studies.

Conclusion

While major surgical complications of surgical abortion are rare, women with a prior history of CS were more than twice as likely to experience a complication.

背景既往剖宫产是否会增加手术流产并发症的风险尚不清楚。目的比较既往有宫内妊娠史与无宫内妊娠史妇女的手术流产并发症发生率。材料与方法2024年7月系统检索4个数据库。纳入了有或无既往CS病史的女性手术流产并发症的英文初步研究。使用随机效应荟萃分析比较有和没有CS的妇女的总并发症和主要并发症。亚组分析了既往发生过1次子宫内膜炎的妇女，以及紧急子宫切除术的发生率。使用GRADE评估证据的确定性。结果回顾性队列研究纳入了3123例既往CS患者和14514例既往CS患者。手术流产主要并发症的总发生率为0.9%。既往CS与总并发症（OR = 2.00, CI 1.32-3.04, p = 0.001）和主要并发症（OR = 2.82, CI 1.83-4.36, p < 0.00001）的增加相关。主要并发症包括需要输血的出血、子宫穿孔和计划外的腹腔镜/开腹手术，而次要并发症包括宫颈撕裂伤和需要重复引流。手术前宫颈成熟未发生子宫破裂。子宫切除术极为罕见（0.05%）；来自7项研究的低质量证据显示，CS病史与需要紧急子宫切除术之间存在关联（OR = 8.73, CI = 1.83-41.61, p = 0.007）。证据的质量被判定为非常低到中等，主要是由于纳入的研究存在偏倚风险。结论虽然手术流产的主要手术并发症是罕见的，但既往有CS病史的妇女出现并发症的可能性是其两倍以上。

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引用次数: 0

Anatomical distribution of ovarian and deep endometriosis using a multimodal diagnostic approach applying the updated international definition: A prospective observational study 应用最新国际定义的多模态诊断方法的卵巢和深部子宫内膜异位症的解剖分布：一项前瞻性观察研究

IF 1.9 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology

Pub Date : 2026-01-10 DOI: 10.1016/j.ejogrb.2026.114947

Shay M. Freger , Melissa Marien , Ido Mick , Mathew Leonardi

Objective

To (1) determine how application of the updated international definition of deep endometriosis (DE) alters apparent disease prevalence across pelvic sites, and (2) characterize the distribution of endometriosis phenotypes, including ovarian (OE), DE, and superficial (SE) disease, using a standardized multimodal approach integrating transvaginal ultrasound (TVS), surgical, and histopathologic findings.

Study design

Prospective observational study conducted at a tertiary endometriosis center between November 2021 and January 2023.

Methods

Consecutive patients undergoing laparoscopy for chronic pelvic pain or infertility underwent systematic TVS and intraoperative assessment performed by a single fellowship-trained operator. Lesions were classified as DE if confirmed by at least two of three modalities. Prevalence estimates under the updated definition were compared descriptively with those using the previous > 5 mm criterion.

Results

Among 131 participants, OE were present in 45.4 % (59/130; excluding one participant with prior bilateral oophorectomy) and DE in 64.1 % (84/131). Among individuals with DE, the uterosacral ligaments were the most frequently involved site (52.7 %), followed by bowel (18.3 %), pararectal spaces (16.8 %), posterior vaginal fornix (12.2 %), and parametrium (6.1 %). Under the updated definition, DE prevalence increased from 22.9 % to 52.7 % at the uterosacral ligaments and from 10.7 % to 16.8 % at the pararectal spaces compared with the prior > 5 mm threshold. Isolated SE was found in 32.8 % (43/131) of participants, while OE and DE coexisted in over 90 % of cases with endometrioma.

Conclusions

The application of the updated DE definition substantially increases the reported prevalence across key posterior pelvic sites by reclassifying lesions previously categorized as superficial. Comprehensive multimodal assessment further delineates the distribution and overlaps of endometriosis phenotypes, providing a reproducible framework for future multicenter and outcome-based validation.

目的(1)确定应用最新国际定义的深部子宫内膜异位症（DE）如何改变骨盆部位的显性疾病患病率；(2)通过整合经阴道超声（TVS）、手术和组织病理学结果的标准化多模式方法，表征子宫内膜异位症的表型分布，包括卵巢（OE）、DE和浅表（SE）疾病。研究设计前瞻性观察研究于2021年11月至2023年1月在三级子宫内膜异位症中心进行。方法连续接受腹腔镜治疗的慢性盆腔疼痛或不孕症患者接受系统TVS和术中评估，由一名培训过的医师进行。如果三种模式中的至少两种被证实，病变被分类为DE。将更新定义下的患病率估计值与先前使用5毫米标准的估计值进行描述性比较。结果131名参与者中，OE发生率为45.4%（59/130，不包括1名既往双侧卵巢切除术的参与者），DE发生率为64.1%（84/131）。在DE患者中，子宫骶韧带是最常见的受累部位（52.7%），其次是肠（18.3%）、直肠旁间隙（16.8%）、阴道后穹窿（12.2%）和参数（6.1%）。根据更新的定义，与先前的5毫米阈值相比，子宫骶韧带处DE的患病率从22.9%增加到52.7%，直肠旁间隙处DE的患病率从10.7%增加到16.8%。32.8%（43/131）的参与者发现孤立性SE，而超过90%的子宫内膜异位瘤患者同时存在OE和DE。结论：更新DE定义的应用通过将先前归为浅表性病变重新分类，大大增加了骨盆后关键部位的患病率。综合多模式评估进一步描述了子宫内膜异位症表型的分布和重叠，为未来的多中心和基于结果的验证提供了一个可重复的框架。

{"title":"Anatomical distribution of ovarian and deep endometriosis using a multimodal diagnostic approach applying the updated international definition: A prospective observational study","authors":"Shay M. Freger , Melissa Marien , Ido Mick , Mathew Leonardi","doi":"10.1016/j.ejogrb.2026.114947","DOIUrl":"10.1016/j.ejogrb.2026.114947","url":null,"abstract":"<div><h3>Objective</h3><div>To (1) determine how application of the updated international definition of deep endometriosis (DE) alters apparent disease prevalence across pelvic sites, and (2) characterize the distribution of endometriosis phenotypes, including ovarian (OE), DE, and superficial (SE) disease, using a standardized multimodal approach integrating transvaginal ultrasound (TVS), surgical, and histopathologic findings.</div></div><div><h3>Study design</h3><div>Prospective observational study conducted at a tertiary endometriosis center between November 2021 and January 2023.</div></div><div><h3>Methods</h3><div>Consecutive patients undergoing laparoscopy for chronic pelvic pain or infertility underwent systematic TVS and intraoperative assessment performed by a single fellowship-trained operator. Lesions were classified as DE if confirmed by at least two of three modalities. Prevalence estimates under the updated definition were compared descriptively with those using the previous > 5 mm criterion.</div></div><div><h3>Results</h3><div>Among 131 participants, OE were present in 45.4 % (59/130; excluding one participant with prior bilateral oophorectomy) and DE in 64.1 % (84/131). Among individuals with DE, the uterosacral ligaments were the most frequently involved site (52.7 %), followed by bowel (18.3 %), pararectal spaces (16.8 %), posterior vaginal fornix (12.2 %), and parametrium (6.1 %). Under the updated definition, DE prevalence increased from 22.9 % to 52.7 % at the uterosacral ligaments and from 10.7 % to 16.8 % at the pararectal spaces compared with the prior > 5 mm threshold. Isolated SE was found in 32.8 % (43/131) of participants, while OE and DE coexisted in over 90 % of cases with endometrioma.</div></div><div><h3>Conclusions</h3><div>The application of the updated DE definition substantially increases the reported prevalence across key posterior pelvic sites by reclassifying lesions previously categorized as superficial. Comprehensive multimodal assessment further delineates the distribution and overlaps of endometriosis phenotypes, providing a reproducible framework for future multicenter and outcome-based validation.</div></div>","PeriodicalId":11975,"journal":{"name":"European journal of obstetrics, gynecology, and reproductive biology","volume":"318 ","pages":"Article 114947"},"PeriodicalIF":1.9,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145973398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Application and validation of AI-driven methods to explore patient experiences of pre-cervical cancer 人工智能驱动方法在宫颈癌前期患者体验探索中的应用与验证

IF 1.9 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology

Pub Date : 2026-01-10 DOI: 10.1016/j.ejogrb.2026.114953

Michael Y. Luo , Christopher Y.K. Williams

Objective

We sought to apply novel natural language processing (NLP) tools to explore patient experiences of pre-cervical cancer on social media and validate the performance of these tools.

Methods

All posts and comments were extracted from the forum r/PreCervicalCancer on social media platform Reddit. Using BERTopic, posts were clustered into topics according to their semantic similarity, which were manually reviewed. Topic headings were derived using a large language model (LLM) and compared to manually curated headings. Clustering outliers were reassigned by BERTopic, an LLM and by manual methods in parallel and compared. Post and comment sentiment were quantitatively analysed using VADER. Post upvote scores and comments counts were analysed to measure community engagement.

Results

4592 posts were extracted from r/PreCervicalCancer. Posts clustered into 10 different topics using BERTopic with 88.0% accuracy. 80.0% of topic headings generated by GPT-4o mini were deemed appropriate. Reassignment of clustering outliers by BERTopic and GPT-4o mini was limited, 52.8% and 41.1% accuracy, respectively. Key clinical findings reflect several common concerns among patients, particularly regarding specific lasting physical and psychological impact of procedures like LEEP, result anxiety, and challenges in healthcare navigation. Comments had less negative sentiment than posts (Cohen’s d = 0.46), suggesting support.

Conclusions

In this cross-sectional study, we validated NLP tools to analyse content, sentiment and reactions to 4592 posts on pre-cervical cancer. Our findings suggest that, with minimal human oversight, automated methods can accurately conduct large-scale analyses of similar clinical content, unlocking new insights of patient experiences using non-traditional data sources.

目的应用新颖的自然语言处理（NLP）工具探索宫颈癌前患者在社交媒体上的体验，并验证这些工具的性能。方法提取社交媒体平台Reddit上r/PreCervicalCancer论坛上的所有帖子和评论。使用BERTopic，帖子根据语义相似度聚类成主题，并进行人工审查。主题标题是使用大型语言模型（LLM）衍生的，并与人工策划的标题进行比较。利用LLM软件BERTopic和手工方法对聚类异常点进行了重新分配，并进行了并行比较。使用VADER对帖子和评论情绪进行定量分析。对帖子投票得分和评论数进行了分析，以衡量社区参与度。结果从r/PreCervicalCancer检索到4592篇文章。使用BERTopic将帖子聚类成10个不同的主题，准确率为88.0%。80.0%的gpt - 40mini生成的主题标题被认为是合适的。BERTopic和gpt - 40mini对聚类异常值的重新分配是有限的，准确率分别为52.8%和41.1%。关键的临床研究结果反映了患者的几个共同担忧，特别是关于特定的持久的生理和心理影响的程序，如LEEP，结果焦虑和医疗保健导航中的挑战。评论的负面情绪少于帖子（Cohen’s d = 0.46），表明支持。结论在本横断面研究中，我们验证了NLP工具来分析4592篇关于宫颈癌前期的帖子的内容、情绪和反应。我们的研究结果表明，在最少的人为监督下，自动化方法可以准确地对类似的临床内容进行大规模分析，利用非传统数据源解锁患者体验的新见解。

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引用次数: 0

Emergency contraception pills among female students: Use, knowledge, perceptions, and expectations 女大学生紧急避孕药的使用、知识、认知和期望

IF 1.9 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology

Pub Date : 2026-01-10 DOI: 10.1016/j.ejogrb.2026.114946

Alison Catilaz , Anne-Laure Clairet , Marilia Girault , Stéphanie Paris , Virginie Nerich

Objectives

To assess the rate of emergency contraception pills (ECP) use among female students, and to examine their characteristics, knowledge, perceptions and expectations regarding ECPs, with particular attention to the experiences and feedback of those who had previously used it.

Study design

A cross-sectional, voluntary online survey was conducted among female women students at the Marie and Louis Pasteur University during the 2022–2023 academic year. The questionnaire mainly assessed demographics, contraceptive use, knowledge and perceptions of ECP, and experiences with ECP use. Descriptive and comparative analyses were performed.

Results

Among 2,157 female students who completed the survey, i.e., response rate of 15.1 %, 39.1 % reported having previously used ECP at least once, with use increasing significantly with age groups (< 20, 20–29, >29 years). Female students who had used ECP showed higher knowledge and more positive perceptions about ECP, were more likely to use condoms, and primarily consulted pharmacists and the Internet for information. Most ECPs were obtained from community pharmacies, with nearly three-quarters of pharmacists providing information, but only 4 % of dispensations occurred in a confidential space. The main reasons for ECP use were condom breakage, forgetting regular contraception, or not using any regular contraceptive method. Practical and theoretical knowledge about ECP was higher among users.

Conclusion

Most female students were aware of emergency contraception and its indications, with a moderate rate of use. These results highlight the need to improve access to reliable information and to explore the role of healthcare professionals and educational strategies in promoting appropriate ECP use.

目的了解女大学生紧急避孕药（ECP）的使用情况，了解女大学生对紧急避孕药的特点、知识、认知和期望，重点关注曾使用过紧急避孕药的女大学生的使用经验和反馈。研究设计：在2022-2023学年期间，在玛丽和路易斯巴斯德大学的女学生中进行了一项横断面自愿在线调查。问卷主要评估人口统计、避孕药具使用情况、ECP的知识和认知以及使用ECP的经验。进行了描述性和比较分析。结果在完成调查的2157名女大学生中，回复率为15.1%，39.1%的女大学生报告曾至少使用过一次ECP，且使用ECP的年龄组（20岁、20 - 29岁、29岁）显著增加。使用过ECP的女学生对ECP的认识和认知更高，更倾向于使用避孕套，并主要向药剂师和互联网咨询信息。大多数ecp是从社区药房获得的，近四分之三的药剂师提供了信息，但只有4%的配药是在保密空间进行的。使用ECP的主要原因是避孕套破损、忘记常规避孕或未使用任何常规避孕方法。用户对ECP的实际知识和理论知识的了解程度较高。结论女生对紧急避孕措施及其适应证了解程度较高，使用率适中。这些结果突出表明，需要改善获得可靠信息的途径，并探索医疗保健专业人员和教育策略在促进适当使用体外电刺激方面的作用。

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引用次数: 0

Fetal 15q duplication syndrome detected by noninvasive prenatal testing: three case reports 无创产前检查检测胎儿15q重复综合征：3例报告

IF 1.9 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology

Pub Date : 2026-01-10 DOI: 10.1016/j.ejogrb.2026.114956

Yong-Shan Chen , De-Gang Wang , Jun-Hui Wan , Jie-Fu He , Tao Quan , Shu-Bin Li , Shun-Ting Huang , Dong-Zhi Li

引用次数: 0