Women & Health最新文献

This randomized controlled intervention study aims to determine the effect of an abdominal binder on pain, bleeding, and breastfeeding success after cesarean delivery. The study was conducted with women who underwent cesarean section and were followed-up for the first 48 hours at the obstetrics clinic of a state hospital in Türkiye between September 2020-March 2021. The study was completed with a total of 128 women who met the inclusion criteria (Intervention (IG):64, Control (CG):64). Data were collected using a "Socio-demographic Form" and "Postpartum Follow-up Form." Statistical significance was defined as p < .05. The IG showed significantly lower pain scores in both the abdominal area (uterine involution) and cesarean incision compared to the CG (p < .001), (respectively, IG:0.19 ± 0.58 vs. CG:1.33 ± 1.16; IG:0.23 ± 0.61 vs. CG:0.75 ± 1.26). The amount of puerperal bleeding was significantly lower in the IG (p < .001) (IG:327.65 ± 112.61 mL vs. CG:402.61 ± 157.45 mL), and their hemoglobin and hematocrit values were significantly higher (p < .05) (Hemoglobin, IG:11.00 ± 0.78 g/dL vs. CG:10.62 ± 0.90 g/dL; Hematocrit, IG:34.54 ± 1.79 percent vs. CG:33.51 ± 2.56 percent). The breastfeeding success scores were significantly higher in the IG (p < .001) (IG:9.97 ± 0.17 vs. CG:9.81 ± 0.43). These data demonstrate that the abdominal binder is beneficial and applicable for reducing pain, bleeding, and for improving breastfeeding success in the first 48 hours after cesarean delivery.

This is a descriptive study based on National Family Health Survey- Round 5 (2020-21) dataset, comparing two groups of Indian women: "stay-behind pregnant women" and "women who are living with their husbands." We applied z-test analyzing health status and healthcare access between the two groups. The result shows both health status (D_{Mean Hemoglobin} = -2.02, p = .002; _{DMean Sys BP} = -2.48, p = .001; D_{Mean Dias BP} = -1.53, p = .003; D_Anemic = 0.04, p = .006) and healthcare access (D_{Access to public healthcare} = -4.6 percent, p = .005; D_{Access to private healthcare} = 10.4 percent, p = .002, D_Others = -9.3 percent, p = .001) are significantly lower among "stay-behind pregnant women." The intake of nutritious food among stay-behind pregnant women is relatively low (D_Pulses = -7.9 percent, p = .003; D_Veg = -3.4 percent, p = .002; D_Fruits = -5.5 percent, 0.005; D_Eggs = -3.8 percent, p = .004; D_Meat = -3.4 percent, p = .002) which contributes to their poor health status. Overall, it is concluded that the health status and healthcare access of "stay-behind pregnant women" are poorer than others. Future studies can explore the role of empowerment of "stay-behind pregnant women" in ensuring their better health and healthcare access.

Although studies have shown an increase in the representation of women in academic anesthesiology, it remains one of the medical specialties most dominated by men. While gender disparities have been identified in academic anesthesiology, literature on discrepancies in funding allocated by the National Institutes of Health (NIH) is scarce. The objective of the present study was to explore these discrepancies from 2017 to 2020 and assess potential changes in funding trends over time. Publicly available funding data was retrospectively obtained from the NIH Research Portfolio Online Reporting Tools Expenditure and Results (RePORTER) database for fiscal years 2017 to 2020. Information regarding each principal investigator (PI) was obtained from the Scopus database and institutional websites. For statistical comparison of continuous variables, Mann-Whitney U tests were performed. Simple linear regression analyses assessed the relationship between fiscal year and number of NIH grants awarded to PIs. Median NIH amount per grant [interquartile range (IQR)] was determined to be $359,038 ($233,947-$476,933) for PIs that were men, greater than that of $330,865 ($164,268-$458,785) for PIs that were women (p < .05). Similarly, men received a greater median NIH grant amount per PI, with a value of $348,751 ($222,043-$442,075), compared to women who received $268,634 ($161,159-$414,384) (p < .05). When stratified by terminal degree, significantly higher median grant amounts (p < .05) were awarded to MD and PhD holders who were men versus their women counterparts. Lastly, an increasing trend in obtaining NIH grants between 2017 and 2020 was observed for PIs that were men overall, including PIs holding MD/PhD degrees (p < .05). No such trend was observed for PIs who were women. This study demonstrates a significantly greater number of NIH grants and higher award values allocated to researchers who were men than researchers who were women in academic anesthesiology over the past four years. Moreover, an increase in the number of grants secured by PIs who were women from 2017-2020 was not observed. In the future, longitudinal trends in NIH funding for principal investigators (PIs) of both genders in anesthesiology should be investigated.

A novel breastfeeding mobile app was created. We aim to determine if patients who utilize the app will have longer breastfeeding duration, improved breastfeeding self-efficacy scores at 1-year follow-up, and higher exclusive breastfeeding rates at 6 months postpartum. Participants were randomized, with 45 to the intervention and 48 to the control groups. Surveys were administered at 32-36-week gestation and 1 year postpartum. On average, women in the intervention group breastfed for 10.1 (SD ± 3.5) months compared to 8.9 (SD ± 4.1) months in the control group (p = .320). A Kaplan-Meier survival curve demonstrated a higher proportion of participants who breastfed for longer durations in the intervention group (p = .241). The change in self-efficacy was not statistically different in the two groups. The exclusive breastfeeding rate at 6 months postpartum is 81.3 percent in the intervention group and 60.0 percent in the control group (p = .277). While there is no statistical difference in breastfeeding outcomes, participant feedback suggests that features such as feeding-trackers, real-time lactation support, and moderated peer groups may enhance its impact. Future research should focus on refining these elements, recruiting larger samples, and minimizing loss-to-follow-up to fully assess the potential of mobile-based breastfeeding interventions.

The termination of pregnancy is considered an emotionally devastating experience. Early intervention and counseling are essential to prevent adverse complications following pregnancy loss. This study aimed to determine the effect of nursing care based on Swanson's Theory of Caring on women's prenatal grief, depression, anxiety, stress, and coping levels during pregnancy termination. The training and counseling program, based on Swanson's Theory of Caring, included hospital care, a mobile application, and telephone follow-ups. We conducted this prospective randomized controlled experimental study in the gynecology and obstetrics clinic of a tertiary university hospital in Türkiye between September 2021 and May 2022. The study sample consisted of 50 women (intervention group: 25, control group: 25) whose pregnancy was terminated in the second trimester. The women were assigned to groups according to a randomization list created by a statistician. Data collection tools included a Personal Information Form, the Perinatal Grief Scale, the Depression, Anxiety, and Stress Scale, the Coping and Adaptation Process Scale, and the Numerical Rating Scale. We collected the data during hospitalization, between the 6^th and 8^thweeks after discharge, and at the 12^thweek. We performed a chi-square test, a paired samples t-test, and an independent samples t-test on the IBM Statistical Package for the Social Sciences Statistics 26. The intervention group had lower mean perinatal grief (54.76 ± 19.49), depression (2.56 ± 2.39), anxiety (2.08 ± 2.10), and stress (3.52 ± 1.78) scores and higher mean coping and adjustment scores (140.48 ± 11.47) than the control group(p < .05). The intervention group also had a lower perception of labor pain, shorter discharge time, and a higher level of readiness for a new pregnancy (p < .05). The program that we applied in the study was effective in managing the pregnancy termination and post-discharge period in the population we studied.

The menopausal transition is regarded as the critical window where midlife women experience various health challenges having debilitating impact on their wellbeing. The present cross-sectional study intends to assess cognitive outcome with changing hormonal milieu during menopausal transition and related symptoms in midlife and beyond. For this purpose, cognitive performance of women and menopausal symptoms were studied on the sample of 320 women ranging in age from 45 to 60 years. Data collection was carried out by purposive sampling method from rural areas of Haryana from March 2021 to January 2023. Findings of the study demonstrated a successive downward trend in the mean scores of orientation to time and place, registration, attention, recall, as well as language and visual spatial skills cognitive domain from premenopause to late postmenopause stage. Multivariate logistic regression analysis (adjusted for age and educational status) identified severe menopausal symptoms, i.e. heart beating quickly or strongly, difficulty in sleeping, feeling tired, feeling unhappy or depressed, and sexual dysfunction as the potential determinants of poor functioning of different cognitive domains among women transitioning menopause and beyond. Hence, it was observed that cognitive decline during menopause transition and beyond is sensitive to severe menopausal symptoms.

Preterm labor, defined as contractions occurring every 5-10 minutes with cervical changes before the 37th week of estimated gestation, is a significant cause of perinatal mortality. This meta-analysis aims to evaluate the effectiveness and safety of magnesium sulfate compared to nifedipine in managing preterm labor. The systematic review protocol was registered with PROSPERO (CRD42023422419). Manuscripts published up to September 2024 were systematically searched in databases. Dichotomous data were pooled as odds ratios using a random-effects model with the Mantel-Haenszel method, while continuous data were analyzed as mean ± standard deviation values, mean differences, and standardized mean differences using inverse-variance fixed-effects analysis. Fifteen randomized clinical trials (RCTs) were included, enrolling a total of 2,186 pregnant women. Nifedipine showed a greater effect compared to a 4-gram IV dose of magnesium sulfate. However, the efficacy of these tocolytics in prolonging pregnancy by 48 hours did not significantly differ between nifedipine and a 6-gram IV dose of magnesium sulfate. Additionally, magnesium sulfate was associated with more adverse drug reactions. The moderate certainty of evidence found here requires confirmation in large, adequately powered RCTs.

The paternal attachment that fathers establish with their infants during pregnancy forms the basis of postnatal relationships and strongly affects the dynamics within the family. The present study was conducted to determine the effects of fathers' gender role attitudes, marital adjustment, and maternal attachment on prenatal paternal attachment in the third trimester in Turkiye. This descriptive cross-sectional study was conducted between January and November 2023 and included 255 fathers whose partner was between 28 and 40 weeks old and who had a healthy pregnancy and their partners in the obstetric outpatient clinic of one of the most advanced university hospitals. The relevant data for the study were collected via the "Descriptive Characteristics Form," "Gender Role Attitudes Scale," "Marital Adjustment Scale," "Prenatal Attachment Inventory," and "Paternal Antenatal Attachment Scale." The descriptive characteristics data form was completed by the fathers, the gender role attitudes scale, the marital adjustment scale, and the prenatal attachment scale were completed by the fathers, and the prenatal attachment inventory was completed by their partners. Descriptive statistics, independent t-tests, one-way ANOVA, the Bonferroni correction, post hoc tests, and multiple linear regression were used to analyze the data. Among the descriptive characteristics evaluated, paternal age (p = .075) and perceived economic status (p = .216) were not revealed to have any effect on prenatal paternal attachment. Gender role attitudes (p = .238) and maternal attachment (p = .178) also had no effect on paternal attachment. Marital adjustment affected prenatal paternal attachment (p = .000). Since marital adjustment was found to be effective on paternal attachment in this study, it is recommended that this variable be integrated into prenatal care practices.

This study explores the impacts of stigma on the lives of pregnant and parenting women with substance use disorder (SUD) and justice involvement. We also uncover how some women were able to cope with adversity and take steps to develop resilience. To guide our research, we combined Bos and colleagues' stigma theory with Windle's concept of resilience. Semi-structured interviews were conducted with 20 pregnant or parenting women in Western New York to uncover the contextual factors influencing care, resources, and social support. Our findings suggest that the presence of stigma hinders pregnant and parenting women's access to resources, care, and treatments while reinforcing marginalization, isolation, and continued substance use. Despite these challenges, some participants found ways to navigate and mitigate stigma while promoting resilience. Protective factors and strategies included: maintaining a positive motherhood identity, leveraging social support often outside the nuclear family, and having access to supportive, compassionate justice system resources. Understanding the strategies women with SUD use to overcome adversity can inform approaches that judges, case workers, and health care providers can use to engage and support women in recovery and reduce their experience of stigma.