Health Care for Women International最新文献

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.

For women living in undeveloped and developing countries, the experience of menarche can be quite traumatic. The study was conducted to examine how women's menarche experiences are reflected in other periods of life. The study was conducted using hermeneutic phenomenological approach. The sample of the study consisted of women who experienced the menarche period in a traumatic way. The study was terminated after 14 women were interviewed.Women's thoughts about their menarche experiences and life cycles were expressed in 4 themes: 'Emotional Reactions to Trauma', 'Reflections on Women's Health', 'Reflections on Reproductive Health' and 'Reflections on Mental Health'. Women who describe menarche as traumatic feel fear and anxiety about their sexual life and fertility processes. Women plan to be more conscious in the parenting process due to their traumatic menarche experiences. Menarche experience has a great role in women's lives.

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.

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.

Intimate partner violence (IPV) is a serious public health concern, disproportionately affecting women of color (WOC), including Asian, Black, Indigenous, Latina, and immigrant women. By performing a synthesis of qualitative research, the researchers identified five key themes shaping WOC's experiences of IPV: patriarchy and traditional gender norms, systemic racism and xenophobia, lack of cultural inclusion and safety, social needs, and healing through culture, spirituality, and community. Our findings suggest developing clinical models to meet the needs of this diverse population by addressing both the cultural and systemic factors that contribute to their experiences of IPV. Clinical practice can adapt to these challenges by fostering inclusivity and cultural competence to better support WOC victim-survivors of IPV, mitigate the harmful impacts of IPV, and promote pathways for healing. Future researchers must focus on developing culturally sensitive models that consider cultural background and reflect the complexity of IPV experiences for WOC.

Intimate partner violence (IPV), specifically spousal emotional abuse, is an international concern in diverse settings and populations. However, knowledge gaps regarding the lived experiences of Arab women remain. To contribute to furthering the global understanding of IPV, we examined Jordanian women's experiences through structured interviews. Thirty women who experienced moderate-to-severe levels of emotional abuse were interviewed to share their lived experiences. Using thematic analysis, two major themes of emotional abuse were identified: risk factors and consequences, with subthemes including personal experiences, physical and mental health, outside influences, and impacts on children. Our results underscore the cultural awareness that may resonate with women's experiences in other regions facing similar structural and gendered inequities. Adopting policies and interventions that target emotional abuse and its antecedents is recommended to minimize the risk of women's exposure to emotional abuse and diminish the consequences of emotional abuse.

The authors' purpose in this study was to examine the effects of web-based Gestational Diabetes Mellitus (GDM) education on person's health management self-efficacy, treatment modality, and maternal-fetal-neonatal outcomes. We conducted a randomized controlled trial design. The study was conducted in 65 pregnant women (intervention group: 31, control group: 34). The level of health management self-efficacy was significantly higher in pregnant women who received web-based education compared to the control group. In addition, fewer pregnant women transitioned from nutrition therapy to insulin compared the control group. Among pregnant women with GDM, web-based education proved to be an effective intervention strategy, enhancing self-efficacy, promoting healthier behaviors, and ultimately reducing maternal and neonatal complications.

The clinical trial registration number: NCT05141929.

The authors of this study examined the levels of spiritual emptiness, stress management skills, and phubbing behavior in widows who had lost their husbands in the past six months. It also aimed to identify differences in these variables due to demographic characteristics and to explore the predictability of phubbing behavior from spiritual emptiness and stress management skills. The study sample consisted of 138 widows with an average age of 49, who completed scales assessing spiritual emptiness, stress management skills, and phubbing behavior. The authors' results indicated that widows had average levels of spiritual emptiness and phubbing behavior, but they had high levels of stress management skills. Additionally, differences in these variables were found due to age, employment status, and the number of widows' children's age. The authors' analysis revealed that phubbing behavior in widows could be predicted from spiritual emptiness and stress management skills.