Health Care for Women International最新文献

In this randomized controlled trial with women living in poverty in Uganda (n = 199) we explored the impact of Transcendental Meditation^® (TM^®) on perceived stress-the primary outcome measure, and self-efficacy, anger, anxiety, fatigue, sleep, and resilience as secondary measures. After baseline testing participants were randomly assigned to either practice of TM or to a waitlist control group. Participants learned TM over five consecutive days and then practiced at home for 20 -minutes twice a day. Post testing took place after three months. A significant reduction was found in perceived stress, anger, and fatigue, and a significant improvement in self-efficacy and sleep quality. In a follow-up questionnaire at eight months, participants reported improved physical and mental health, increased ability to handle domestic violence, and improved relationships. Results indicate the TM program has a positive impact on psychological distress and coping and could add value to programs for women in Uganda.

The authors conducted a descriptive, cross-sectional study to examine the relationship between perceived traumatic birth and breastfeeding self-efficacy among 325 postpartum women with term, uncomplicated deliveries at a private hospital in Konya, Turkey. Data were collected using a sociodemographic questionnaire, the City Birth Trauma Scale (CityBiTS), and the Postpartum Breastfeeding Self-Efficacy Scale-Short Form. The mean age of participants was 28.7 years. The authors' findings indicated a moderate negative association between perceived traumatic birth and breastfeeding self-efficacy (r = -0.459, p < .001). Higher levels of perceived traumatic birth were more commonly reported among women who experienced routine obstetric interventions. The authors' regression analysis showed that increased trauma scores were linked to lower breastfeeding self-efficacy. Our results suggest that minimizing unnecessary obstetric interventions and adopting trauma-informed, respectful maternity care practices may enhance maternal well-being and breastfeeding outcomes.

The authors aim to determine the prevalence of premenstrual syndrome (PMS) level in young women and to determine the relationship between PMS and sedentary behavior and anthropometric measurements. The data were collected with the Premenstrual Syndrome Scale (PMSS) and Sedentary Behavior Questionnaire (SBQ) scales. Waist and hip circumferences were measured with a tape measure. The women included in the study had moderate or higher PMS symptoms. There was a positive correlation between PMSS score and waist circumference, waist-hip ratio, SBQ weekend, and SBQ total values (p < .05). PMS score was found to be higher in women whose menstrual period was between 2-7 days (p = .010). Waist circumference, waist-hip ratio, weekend and total sedentary behavior time, and menstrual period length were factors affecting PMS severity in women. Researchers found that PMS is shaped not only by hormonal factors, but also by anthropometric and behavioral factors related to lifestyle.

Objective: To evaluate the prevalence of abnormal menstruation after COVID infection as well as the type of abnormality and risk factors.

Methods: Data of women who still had menstruation with a history of COVID infection from February 2021 to June 2022 were collected. Clinical features, the presence and pattern of abnormal menstruation post-infection, were obtained through the questionnaire.

Results: Of 87 women, the mean age was 33.5 ± 7.2 years. Nine had preexisting menstrual abnormalities (10.3%). The abnormalities were found in 20 women (23.0%), or 2.2-fold higher post-infection. Among these, 17 women (68.0%) had newly developed symptoms. Irregular menstruation was most common in both settings, 33.3% pre-infection and 20.0% post-infection. By univariate analysis, features with higher risk were age ≤ 33 years (crude odds ratio [cOR] 1.61), obesity (cOR 1.74), COVID vaccination > 3 doses (cOR 3.28), > 1 episode of infection (cOR 3.94), contraception use before (OR 1.47) or after infection (cOR 1.92), abnormal menstruation before COVID infection (cOR 44.0), and presence of other long COVID symptoms (cOR 2.09). The differences were statistically significant for vaccination > 3 doses and had abnormal menstruation pre-infection, with the latter as an independent risk by multivariate analysis (adjusted OR 39.58).

Conclusion: The prevalence of abnormal menstruation post-COVID infection was 23%. Abnormal menstruation pre-infection was an independent risk factor.

The researchers aimed to investigate the effect of genital self-image and perceived romantic relationship quality on sexual satisfaction of infertile women. The study was designed as a descriptive and correlational study and conducted face to face between July 2024 and October 2024 with 363 infertile women. The perception of genital self-image and the time elapsed between the diagnosis of infertility, and the start of treatment affected sexual satisfaction levels of the participants. The lowest score in sexual satisfaction was received from the communication dimension. It appears that female sexual satisfaction is affected by the perception of genital self-image and the infertility diagnosis-treatment process.

The authors aimed to evaluate the effect of video-assisted genital hygiene education on research participants' self-care agency and genital hygiene behaviors. A single-blind, randomized controlled experimental study design was employed among research participants with recurrent urinary tract infections. A total of 66 research participants were randomly assigned to the study groups. The authors analyzed the data using IBM SPSS Statistics Standard Concurrent User V 26. The researchers found that research participants who received video-assisted genital hygiene education showed a statistically significant improvement in their self-care agency and genital hygiene behaviors (p < 0.001). Based on these findings, the authors recommend developing and implementing video-assisted genital hygiene education programs to improve research participants' self-care agency and genital hygiene behaviors.

The authors of this randomized controlled trial evaluated the effects of warm shower application during the first stage of labor on labor pain, birth satisfaction, and neonatal outcomes. Seventy-eight eligible women were randomly assigned to intervention or control groups, and 68 completed the study (34 per group). Women in the intervention group received a warm shower at 37 °C for at least 20 min at 4 cm 7 cm cervical dilation. Labor pain, measured by the Visual Analog Scale, was significantly lower in the intervention group at 10 and 20 min after both dilation points. No significant differences were found in birth satisfaction, neonatal 1st and 5th minute Apgar scores, asphyxia status, need for intensive care, skin-to-skin contact, or time to first breastfeeding. Warm shower application during the first stage of labor is a safe, effective, and non-pharmacological method to reduce labor pain.

Robotic surgery represents a recent advancement in minimally invasive surgical techniques. In this study, the authors aimed to analyze the use of the Da Vinci robotic surgery system for managing benign gynecologic conditions from 2019 to 2023, focusing on preoperative, intraoperative, and postoperative outcomes. A total of 50 patients were included, of whom 33 (66%) were obese (BMI ≥ 30 kg/m²). The most common procedures performed were hysterectomy with bilateral salpingo-oophorectomy (n = 25, 50%) and bilateral salpingo-oophorectomy (n = 15, 30%). Conversion to laparotomy occurred in only one patient (2%) due to severe adhesions. A positive correlation was observed between higher uterine weight and longer operative time; however, it was not statistically significant (n = 31, R = 0.309, p = 0.091). In the subgroup analysis, obesity did not significantly affect perioperative outcomes. Overall, robotic surgery demonstrated technical feasibility and safety for patients with benign gynecologic conditions.

The authors of this study used a descriptive-analytical approach to investigate research on artificial intelligence (AI) applications in breast cancer (BC) diagnosis and treatment. The 4,245 articles published between 2013 and 2024 were examined, drawing data from the Web of Science and Altmetrics Explorer. Geographically, China, the USA, and India lead in research activity, with the USA demonstrating the highest level of international collaboration. A positive correlation between article citations and altmetrics scores, highlighting the impact of these articles beyond academic circles. Our findings suggest a clear integration of AI into BC management, indicating a potential pathway for developing research in AI for BC, which reflects the growing awareness and importance of using AI in addressing this disease. This roadmap can provide guidance for experts in the field and prognostic processes in BC.

Human trafficking is a complex, multifaceted phenomenon that seriously violates human rights. From an intersectional perspective and through the systematic selection and analysis of 22 publications, this Scoping Review aims to identify categories and dimensions present in human trafficking for sexual exploitation in South, Central, and North America. The concepts of vulnerability and precariousness guide the analysis in identifying the most frequent categories and subcategories in the consulted literature. It concludes that there is an absence in literature that guides preventive policies at the macro and meso levels. Publications that, from a human rights perspective, focus on strategies for collective or community organization to resist human trafficking for sexual exploitation have great potential that has been little explored.