Health Care for Women International最新文献

The researchers aimed to explore the emotions and experiences of infertile women trying to conceive through timed intercourse, specifically concerning their sexuality. The researchers used a qualitative research design based on the Online Photovoice method. The sample consisted of 53 infertile women from Türkiye. The researchers analyzed the data using Online Interpretative Phenomenological Analysis and organized the data into 20 themes: "Did it work/Is it going to work?" "Stress," "Obligation/necessity," "Like a duty," "Going with the flow," "What if it does not work out? Goal-oriented," "Reluctance," "Having difficulty," "Torture," "Anxiety," "Lack of joy," "Disappointment," "Hope," "Feeling like something is missing," "Not being able to go with the flow," "Turning into a robot," "Hopelessness," "Love," and "Pain." Based on these findings, the authors recommend that healthcare professionals, especially infertility nurses, work within a multidisciplinary framework to help infertile women manage emotional and sexual experiences and to foster more positive sexual well-being.

In this study, the authors examine the accessibility and availability of maternal health care services and the associated barriers and facilitators among tribal women in Latehar district, Jharkhand. We collected primary data using purposive sampling technique. We collected data using a semi-structured questionnaire from six key informant interviews and six focus group discussions (FGDs), resulting in a total of 48 FGD participants. We audio-recorded the discussions and manually translated, transcribed, and thematically analyzed the data. Our results found low accessibility to maternal health care services among tribal women and inadequate availability of such services in the study area. Maternal health care services among women were influenced by physical, socio-economic, and cultural factors, including strong reliance on traditional and spiritual healers. To address this challenge, we suggest improving awareness of antenatal care services, increasing the number of ambulance services, and promoting enrollment in health insurance schemes.

We conducted a survey on attitudes toward abortion and conscientious objection (CO) among Mexican medical students from Mexico City, where abortion was decriminalized in 2007, and Xalapa, a city where it was decriminalized in 2021. Fewer than half of them were aware of CO before participating. Men expressed greater support for CO than women. Agreement with CO was positively correlated with opposition to performing abortions for fear of stigma, and with anti-abortion attitudes. Medical educators should promote critical reflection on ethical dilemmas students are likely to face in their professional practice.

In this study, the researchers investigated the effect of psychological resilience, perceived social support, and birth stories on the vaginal birth beliefs of 428 pregnant women. The effect of the Multidimensional Scale of Perceived Social Support (MSPSS) and Connor-Davidson Resilience Scale (CD-RISC) variables on the Belief Scale for Vaginal Birth (BSVB) was 6.5% (R2adjusted = 0.065, F(2,425) = 14.656, p < 0.001). A positive correlation was found between BSVB total score and MSPSS and CD-RISC total score (p < 0.05). Exposure to positive birth stories through listening, watching, and reading has been shown to strengthen individuals' confidence in the feasibility and benefits of vaginal birth (OR 1.176, 1.203, 1.265, p < 0.05, respectively).

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 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.