Pub Date : 2025-06-01Epub Date: 2025-05-04DOI: 10.1016/j.srhc.2025.101103
Lisa J. Whop , Tamara L. Butler
{"title":"Letter to the Editor in response to: “Reconsidering “inclusive language:” Consequences for healthcare and equitableness of a growing linguistic movement to address gender identity with a path forward”","authors":"Lisa J. Whop , Tamara L. Butler","doi":"10.1016/j.srhc.2025.101103","DOIUrl":"10.1016/j.srhc.2025.101103","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101103"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-04-29DOI: 10.1016/j.srhc.2025.101102
Bassel H. Al Wattar , Sophie Schofield , Victoria Minns , Khalid S. Khan
Objectives
Accurate and reliable heavy menstrual bleeding (HMB) specific quality of life (QoL) tools can offer a holistic assessment of HMB impact and response to treatment. We systematically reviewed published disease-specific QoL assessment tools for HBM to assess their methodological quality.
Methods
We searched PubMed and EMBASE until March 2024 complemented by a search of PROQOLID database and reference lists for studies reporting on the development or validation of HMB specific QoL instruments for adult women. We assessed them against the COSMIN checklist. We scored tools for their methodological quality to make recommendations for use in practice.
Results
We identified 2621 citations and included 17 studies reporting on the development and validation of 10 HMB specific QoL tools. All the studies were conducted in the USA and western Europe, and all were available in the English language except one. Three tools were in digital format, while seven were in paper format (7/10, 70 %). The median of QoL tool items was 21 (range 3–72) with a recall period of 1–3 months in 7/10 (70 %) tools. The overall quality was low to medium and none of the tools met all the COSMIN requirements to be recommended in clinical practice. The UFS-QOL and SAMANTA tools showed high quality for validity, responsiveness and interpretability but require further validation.
Conclusion
None of the available QoL tools for HMB are appropriate for use in practice. There is a need to invest in developing and validating reliable tools that offer high quality qualitative and quantitative assessment.
{"title":"Quality of life measurement tools for heavy menstrual bleeding: A systematic review and critical appraisal","authors":"Bassel H. Al Wattar , Sophie Schofield , Victoria Minns , Khalid S. Khan","doi":"10.1016/j.srhc.2025.101102","DOIUrl":"10.1016/j.srhc.2025.101102","url":null,"abstract":"<div><h3>Objectives</h3><div>Accurate and reliable heavy menstrual bleeding (HMB) specific quality of life (QoL) tools can offer a holistic assessment of HMB impact and response to treatment. We systematically reviewed published disease-specific QoL assessment tools for HBM to assess their methodological quality.</div></div><div><h3>Methods</h3><div>We searched PubMed and EMBASE until March 2024 complemented by a search of PROQOLID database and reference lists for studies reporting on the development or validation of HMB specific QoL instruments for adult women. We assessed them against the COSMIN checklist. We scored tools for their methodological quality to make recommendations for use in practice.</div></div><div><h3>Results</h3><div>We identified 2621 citations and included 17 studies reporting on the development and validation of 10 HMB specific QoL tools. All the studies were conducted in the USA and western Europe, and all were available in the English language except one. Three tools were in digital format, while seven were in paper format (7/10, 70 %). The median of QoL tool items was 21 (range 3–72) with a recall period of 1–3 months in 7/10 (70 %) tools. The overall quality was low to medium and none of the tools met all the COSMIN requirements to be recommended in clinical practice. The <strong>UFS-QOL</strong> and <strong>SAMANTA</strong> tools showed high quality for validity, responsiveness and interpretability but require further validation.</div></div><div><h3>Conclusion</h3><div>None of the available QoL tools for HMB are appropriate for use in practice. There is a need to invest in developing and validating reliable tools that offer high quality qualitative and quantitative assessment.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101102"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143900328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aimed to investigate midwives’ experiences of asking adolescents at youth clinics about their experiences of intimate partner violence (IPV).
Methods
This qualitative interview study used semi-structured questions and inductive reflexive thematic analysis. Purposeful sampling focused on midwives working in youth clinics in the Stockholm region. Of the 29 youth clinics approached, nine agreed to participate, resulting in 24 midwives participating. Data were collected through semi-structured interviews and analyzed using reflexive thematic analysis by Braun and Clarke’s six-phase framework.
Results
The findings are presented in three main themes with nine sub-themes. Midwives face challenges in addressing violence, balancing their sense of duty with the need to create a safe environment for youth. Strategies for detecting and asking about IPV varied, with midwives employing different approaches and facing organizational challenges. The need for professional development and clear guidelines was emphasized, highlighting the importance of collegial support and established routines.
Conclusion
Youth clinics are essential for identifying adolescents exposed to violence, with midwives ideally positioned to support those affected by IPV. However, midwives face challenges in inquiring about IPV and require appropriate conditions, including tools, training, time, and clear procedures. Enhanced training and support for midwives could improve the identification and management of IPV. Further research is needed to explore how various tools can facilitate midwives in inquiring about IPV and to understand youths’ perspectives on being asked about violence.
{"title":"Midwives’ experiences and challenges in addressing intimate partner violence: A qualitative study at youth clinics in Stockholm","authors":"Mabel Zamora Hernandez , Terese Stenfors , Karolina Sörman , Caroline Hurtig , Mia Barimani","doi":"10.1016/j.srhc.2025.101105","DOIUrl":"10.1016/j.srhc.2025.101105","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate midwives’ experiences of asking adolescents at youth clinics about their experiences of intimate partner violence (IPV).</div></div><div><h3>Methods</h3><div>This qualitative interview study used semi-structured questions and inductive reflexive thematic analysis. Purposeful sampling focused on midwives working in youth clinics in the Stockholm region. Of the 29 youth clinics approached, nine agreed to participate, resulting in 24 midwives participating. Data were collected through semi-structured interviews and analyzed using reflexive thematic analysis by Braun and Clarke’s six-phase framework.</div></div><div><h3>Results</h3><div>The findings are presented in three main themes with nine sub-themes. Midwives face challenges in addressing violence, balancing their sense of duty with the need to create a safe environment for youth. Strategies for detecting and asking about IPV varied, with midwives employing different approaches and facing organizational challenges. The need for professional development and clear guidelines was emphasized, highlighting the importance of collegial support and established routines.</div></div><div><h3>Conclusion</h3><div>Youth clinics are essential for identifying adolescents exposed to violence, with midwives ideally positioned to support those affected by IPV. However, midwives face challenges in inquiring about IPV and require appropriate conditions, including tools, training, time, and clear procedures. Enhanced training and support for midwives could improve the identification and management of IPV. Further research is needed to explore how various tools can facilitate midwives in inquiring about IPV and to understand youths’ perspectives on being asked about violence.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101105"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143928664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-02-26DOI: 10.1016/j.srhc.2025.101082
Lauren Neill , Elizabeth Eske , Wan Hui Yip , Lalitha Gurram , Beatriz IR de Oliveira , Adelle McArdle , Melinda Cooper , Angela Jacques , Leanda McKenna
Objective
Therapeutic ultrasound (TUS) is the most common physiotherapy treatment for inflammatory conditions of the lactating breast. However, effective parameters for treatment are unknown, and based on musculoskeletal evidence. This study’s aims were to determine the difference in heat perception (using TUS) between lactating breast and calf muscle tissue and the range of intensities required for heating perception in healthy lactating women.
Method
This repeated measures study recruited lactating mothers who exclusively breastfed infants aged 6 months or younger who responded to social media posts and flyers placed in medical offices. TUS was sequentially applied to the breast and calf, starting from 1Wcm2. The intensity at which participants reported first perceived warmth and then most tolerable warmth (or 2.5Wcm2) for the breast and the calf was recorded.
Results
Fifty mothers (mean age, BMI = 31.6 years, 26.5), first perceived warmth at lower intensities in the breast (Z = −3.637,p < 0.001), but there was no difference between locations for most tolerable warmth (Z = −1.165,p = 0.244). Factors associated with higher perception of first warmth were antidepressant use (β = 0.369[95 %CI:0.103–0.635],p = 0.007) and calf location (β = 0.286[95 %CI:0.055–0.516],p = 0.015). Higher body mass index was the only factor associated with higher perception of tolerable warmth (β = 0.024[95 %CI:0.004–0.044],p = 0.017). The range of intensities required to perceive heating in the breast were 1–2.5Wcm2.
Conclusions
As perception of breast and calf warmth differs, TUS parameters used to treat musculoskeletal conditions may not be appropriate for inflammatory conditions of the lactating breast. Additional studies are needed to determine the tolerability and effectiveness of TUS using different intensities when treating women with ICLB.
{"title":"Comparing perceived heating effect and intensity of therapeutic ultrasound between breast tissue and calf muscle in lactating women: An observational study","authors":"Lauren Neill , Elizabeth Eske , Wan Hui Yip , Lalitha Gurram , Beatriz IR de Oliveira , Adelle McArdle , Melinda Cooper , Angela Jacques , Leanda McKenna","doi":"10.1016/j.srhc.2025.101082","DOIUrl":"10.1016/j.srhc.2025.101082","url":null,"abstract":"<div><h3>Objective</h3><div>Therapeutic ultrasound (TUS) is the most common physiotherapy treatment for inflammatory conditions of the lactating breast. However, effective parameters for treatment are unknown, and based on musculoskeletal evidence. This study’s aims were to determine the difference in heat perception (using TUS) between lactating breast and calf muscle tissue and the range of intensities required for heating perception in healthy lactating women.</div></div><div><h3>Method</h3><div>This repeated measures study recruited lactating mothers who exclusively breastfed infants aged 6 months or younger who responded to social media posts and flyers placed in medical offices. TUS was sequentially applied to the breast and calf, starting from 1Wcm<sup>2</sup>. The intensity at which participants reported first perceived warmth and then most tolerable warmth (or 2.5Wcm<sup>2</sup>) for the breast and the calf was recorded.</div></div><div><h3>Results</h3><div>Fifty mothers (mean age, BMI = 31.6 years, 26.5), first perceived warmth at lower intensities in the breast (Z = −3.637,p < 0.001), but there was no difference between locations for most tolerable warmth (Z = −1.165,p = 0.244). Factors associated with higher perception of first warmth were antidepressant use (β = 0.369[95 %CI:0.103–0.635],p = 0.007) and calf location (β = 0.286[95 %CI:0.055–0.516],p = 0.015). Higher body mass index was the only factor associated with higher perception of tolerable warmth (β = 0.024[95 %CI:0.004–0.044],p = 0.017). The range of intensities required to perceive heating in the breast were 1–2.5Wcm<sup>2</sup>.</div></div><div><h3>Conclusions</h3><div>As perception of breast and calf warmth differs, TUS parameters used to treat musculoskeletal conditions may not be appropriate for inflammatory conditions of the lactating breast. Additional studies are needed to determine the tolerability and effectiveness of TUS using different intensities when treating women with ICLB.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101082"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143521049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-04-05DOI: 10.1016/j.srhc.2025.101093
Kerry Sutcliffe , Elizabeth Newnham , Hannah Dahlen , Linda Mackay , Kate Levett
Objective
The utility of childbirth education (CBE) techniques during labour is largely unknown. We considered whether ‘differentiation of self’ (DoS), a Bowen theory concept describing a person’s capacity to act according to goals and principles, even when experiencing physiological, emotional, and relational stressors, impacted this. The aim was to explore women’s perspectives on the utilisation of non pharmacological CBE strategies that support physiological birth, and whether DoS influences use.
Methods
Semi structured interviews with participants of varying levels of reported DoS enrolled in an Australian RCT of a comprehensive CBE program.
Results
Thematic analysis identified pressure points during childbirth, to which women responded through promoters of CBE (‘Trust in self’, ‘Enlisting support of others’, ‘I clawed it back’) or preventers (‘Impeding issues derailed me’, ‘Conversations with me were incomplete’, ‘I lost my way’). As pressure points intensified, it became increasingly difficult to utilise techniques. The overarching theme, up to a point, describes the use of CBE and the interaction between level of DoS and stressors faced.
Conclusion
Women utilise CBE techniques to differing degrees, which is impacted by support available, and stressors associated with birth culture and practices. This has practise implications for supporting physiological birth. The application of CBE techniques is mediated by pressures women encounter. DoS indicates promotion of CBE strategies up to a point, but with sufficient challenges, continued use becomes increasingly difficult.
{"title":"Utilisation of childbirth education techniques: How does the concept of ‘differentiation of self’ impact this?","authors":"Kerry Sutcliffe , Elizabeth Newnham , Hannah Dahlen , Linda Mackay , Kate Levett","doi":"10.1016/j.srhc.2025.101093","DOIUrl":"10.1016/j.srhc.2025.101093","url":null,"abstract":"<div><h3>Objective</h3><div>The utility of childbirth education (CBE) techniques during labour is largely unknown. We considered whether ‘<em>differentiation of self’</em> (DoS), a Bowen theory concept describing a person’s capacity to act according to goals and principles, even when experiencing physiological, emotional, and relational stressors, impacted this. The aim was to explore women’s perspectives on the utilisation of non pharmacological CBE strategies that support physiological birth, and whether DoS influences use.</div></div><div><h3>Methods</h3><div>Semi structured interviews with participants of varying levels of reported DoS enrolled in an Australian RCT of a comprehensive CBE program.</div></div><div><h3>Results</h3><div>Thematic analysis identified <em>pressure points</em> during childbirth, to which women responded through <em>promoters</em> of CBE (‘Trust in self’, ‘Enlisting support of others’, ‘I clawed it back’) or <em>preventers</em> (‘Impeding issues derailed me’, ‘Conversations with me were incomplete’, ‘I lost my way’). As <em>pressure points</em> intensified, it became increasingly difficult to utilise techniques. The overarching theme, <em>up to a point</em>, describes the use of CBE and the interaction between level of DoS and stressors faced.</div></div><div><h3>Conclusion</h3><div>Women utilise CBE techniques to differing degrees, which is impacted by support available, and stressors associated with birth culture and practices. This has practise implications for supporting physiological birth. The application of CBE techniques is mediated by pressures women encounter. DoS indicates promotion of CBE strategies <em>up to a point</em>, but with sufficient challenges, continued use becomes increasingly difficult.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101093"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143806878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Experiencing a traumatic event during childbirth can cause undergraduate midwifery students to view childbirth as traumatic and develop a fear of it. This may hinder their ability to provide professional care and support to women during childbirth.
Background
The trauma may affect their education, future professional life, and caregiving abilities, potentially leading them to consider dropping out of the programme.
Aim
This study aimed to determine the prevalence and effect of traumatic childbirth witnessed by undergraduate midwifery students during their clinical practice at a government academic institution in Riyadh, Saudi Arabia.
Methods
An online descriptive cross-sectional survey with closed questions was chosen. The study sample includes second-, third-, and fourth-year undergraduate midwifery students who had attended at least one childbirth session (n = 255). Participants were identified using a non-probability convenience sampling technique. First-year students or those who had not started clinical practice were excluded.
Findings
A total of 149 respondents completed the survey, with a 96.8 % response rate. Among undergraduate midwifery students, 77.2 % reported witnessing traumatic childbirth during clinical training, with many considering these experiences somewhat traumatic (48.3 %) or highly traumatic (28.9 %).
Discussion
The survey results indicate that these experiences significantly affected mental and emotional health, and future childbirth preferences. Satisfaction among midwifery studies remained positive despite these challenges.
Conclusion
This study determined that a significant proportion of midwifery students witnessed traumatic childbirth, which affected their future pregnancy and childbirth plans, mental and emotional well-being, and professional life.
{"title":"The prevalence and effect of traumatic childbirth witnessed by midwifery students: A quantitative study","authors":"Roa Altaweli , Shooq Zaid Alotaibi , Ghayda Dokhi Aldokhi , Shahad Mohammed Alotaibi , Rawan Mohammed Megari , Nora Mahroos Alobthani , Danah Hamed Alanazi","doi":"10.1016/j.srhc.2025.101099","DOIUrl":"10.1016/j.srhc.2025.101099","url":null,"abstract":"<div><h3>Problem</h3><div>Experiencing a traumatic event during childbirth can cause undergraduate midwifery students to view childbirth as traumatic and develop a fear of it. This may hinder their ability to provide professional care and support to women during childbirth.</div></div><div><h3>Background</h3><div>The trauma may affect their education, future professional life, and caregiving abilities, potentially leading them to consider dropping out of the programme.</div></div><div><h3>Aim</h3><div>This study aimed to determine the prevalence and effect of traumatic childbirth witnessed by undergraduate midwifery students during their clinical practice at a government academic institution in Riyadh, Saudi Arabia.</div></div><div><h3>Methods</h3><div>An online descriptive cross-sectional survey with closed questions was chosen. The study sample includes second-, third-, and fourth-year undergraduate midwifery students who had attended at least one childbirth session (n = 255). Participants were identified using a non-probability convenience sampling technique. First-year students or those who had not started clinical practice were excluded.</div></div><div><h3>Findings</h3><div>A total of 149 respondents completed the survey, with a 96.8 % response rate. Among undergraduate midwifery students, 77.2 % reported witnessing traumatic childbirth during clinical training, with many considering these experiences somewhat traumatic (48.3 %) or highly traumatic (28.9 %).</div></div><div><h3>Discussion</h3><div>The survey results indicate that these experiences significantly affected mental and emotional health, and future childbirth preferences. Satisfaction among midwifery studies remained positive despite these challenges.</div></div><div><h3>Conclusion</h3><div>This study determined that a significant proportion of midwifery students witnessed traumatic childbirth, which affected their future pregnancy and childbirth plans, mental and emotional well-being, and professional life.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101099"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Increasingly, the language of female reproduction is changing, so terms directly referencing people’s sex are replaced with terms obscuring sex, a language form commonly called “inclusive language” but more accurately is “desexed language.” Desexed language is promoted as assisting individuals experiencing an inner sense of themselves (a gender identity) in conflict with their sex, a state described as being transgender or gender-diverse. It seemingly assumes no harm to the general population. However, the scant existing research suggests it may not be well accepted or understood. There are a variety of types of desexed language, including globalizing language (e.g. replacing “women” with “people”), biology-based language (e.g. “lactating individuals,” “menstruators”), neologisms (“chestfeeding”), appropriation of terms with other meanings (“sex assigned at birth”), and additive language (e.g. “women and birthing people”). Second- and third-person language (e.g. “if you are sexually active,” “those who are pregnant”) can be a type of desexed language depending on context. Desexed language is likely to have an adverse impact on people with low health literacy and language skills, risk alienation, and cause confusion, especially in non-Western countries and cultures. It may even cause harm to transgender and gender-diverse people who also need clear health communications as well as specialized healthcare. Widespread use of desexed language is contrary to the usual practice of implementing targeted tailored communications for those with specialized needs while using the most effective language for most people for general communications. Comprehensive research on the impact of desexed language is urgently needed.
{"title":"Reconsidering “inclusive language:” Consequences for healthcare and equitableness of a growing linguistic movement to address gender identity with a path forward","authors":"Melissa Bartick , Hannah Dahlen , Jenny Gamble , Shawn Walker , Roger Mathisen , Karleen Gribble","doi":"10.1016/j.srhc.2025.101088","DOIUrl":"10.1016/j.srhc.2025.101088","url":null,"abstract":"<div><div>Increasingly, the language of female reproduction is changing, so terms directly referencing people’s sex are replaced with terms obscuring sex, a language form commonly called “inclusive language” but more accurately is “desexed language.” Desexed language is promoted as assisting individuals experiencing an inner sense of themselves (a gender identity) in conflict with their sex, a state described as being transgender or gender-diverse. It seemingly assumes no harm to the general population. However, the scant existing research suggests it may not be well accepted or understood. There are a variety of types of desexed language, including globalizing language (e.g. replacing “women” with “people”), biology-based language (e.g. “lactating individuals,” “menstruators”), neologisms (“chestfeeding”), appropriation of terms with other meanings (“sex assigned at birth”), and additive language (e.g. “women and birthing people”). Second- and third-person language (e.g. “if you are sexually active,” “those who are pregnant”) can be a type of desexed language depending on context. Desexed language is likely to have an adverse impact on people with low health literacy and language skills, risk alienation, and cause confusion, especially in non-Western countries and cultures. It may even cause harm to transgender and gender-diverse people who also need clear health communications as well as specialized healthcare. Widespread use of desexed language is contrary to the usual practice of implementing targeted tailored communications for those with specialized needs while using the most effective language for most people for general communications. Comprehensive research on the impact of desexed language is urgently needed.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101088"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143698015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-05-15DOI: 10.1016/j.srhc.2025.101109
Kirsten Small , Chanelle Warton , Jennifer Fenwick , Kathleen Baird , Caroline Homer , Zoe Bradfield
Background
The authority to prescribe medications has been extended to midwives in many countries. Understanding how midwifery prescribing is used, whether it is effective, and how it is regulated can inform the development of midwifery prescribing.
Aim
To describe regulatory standards for midwifery prescribing in high-income English-speaking countries and identify insights from research regarding midwife prescribing.
Methods
A scoping review using the Joanna Briggs Institute methodology. Literature searches targeted 1. Grey literature relating to professional standards, regulations, and / or legislation regarding midwifery prescribing in selected high-income countries; 2. Peer-reviewed empirical research regarding midwifery prescribing.
Findings
In some jurisdictions, educational preparation for midwifery prescribing is completed in the primary midwifery degree, with all midwives having prescribing authority; in others, a separate course provides the entry point for a subset of the midwifery workforce. Models of midwifery prescribing have moved to more autonomous prescribing over time.
Midwives used their prescribing authority in diverse ways. No research directly examined safety and effectiveness. However, approaches expected to produce safe and effective prescribing were demonstrated. Access to care was improved when independent midwifery prescribing was available.
Discussion
Midwifery prescribing is well embedded around the world but has not been as comprehensively evaluated as other forms of non-medical prescribing. Non-medical prescribing by other health professionals has expanded over time, with evidence of better outcomes compared to medical prescribing. Barriers to midwifery prescribing reflect those impacting other non-medical prescribers.
Conclusion
Addressing barriers to midwifery prescribing offers an effective means to enhance maternity care provision.
{"title":"The regulation and practice of midwifery prescribing around the world: A scoping review of regulations and literature","authors":"Kirsten Small , Chanelle Warton , Jennifer Fenwick , Kathleen Baird , Caroline Homer , Zoe Bradfield","doi":"10.1016/j.srhc.2025.101109","DOIUrl":"10.1016/j.srhc.2025.101109","url":null,"abstract":"<div><h3>Background</h3><div>The authority to prescribe medications has been extended to midwives in many countries. Understanding how midwifery prescribing is used, whether it is effective, and how it is regulated can inform the development of midwifery prescribing.</div></div><div><h3>Aim</h3><div>To describe regulatory standards for midwifery prescribing in high-income English-speaking countries and identify insights from research regarding midwife prescribing.</div></div><div><h3>Methods</h3><div>A scoping review using the Joanna Briggs Institute methodology. Literature searches targeted 1. Grey literature relating to professional standards, regulations, and / or legislation regarding midwifery prescribing in selected high-income countries; 2. Peer-reviewed empirical research regarding midwifery prescribing.</div></div><div><h3>Findings</h3><div>In some jurisdictions, educational preparation for midwifery prescribing is completed in the primary midwifery degree, with all midwives having prescribing authority; in others, a separate course provides the entry point for a subset of the midwifery workforce. Models of midwifery prescribing have moved to more autonomous prescribing over time.</div><div>Midwives used their prescribing authority in diverse ways. No research directly examined safety and effectiveness. However, approaches expected to produce safe and effective prescribing were demonstrated. Access to care was improved when independent midwifery prescribing was available.</div></div><div><h3>Discussion</h3><div>Midwifery prescribing is well embedded around the world but has not been as comprehensively evaluated as other forms of non-medical prescribing. Non-medical prescribing by other health professionals has expanded over time, with evidence of better outcomes compared to medical prescribing. Barriers to midwifery prescribing reflect those impacting other non-medical prescribers.</div></div><div><h3>Conclusion</h3><div>Addressing barriers to midwifery prescribing offers an effective means to enhance maternity care provision.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101109"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Over recent decades, Iceland has evolved into a more diverse society, revealing disparities in perinatal outcomes for migrant women. This study explored the needs, expectations, and experiences of Polish migrant women regarding midwifery care during childbirth in Iceland.
Methods
This longitudinal qualitative study involved semi-structured interviews conducted from December 2021 to May 2022. Eight Polish women participated in two interviews: one during their third trimester pregnancy (T1) and another within 12 weeks postpartum (T2). The interviews were analyzed using reflexive thematic analysis.
Results
The longitudinal analysis generated two overarching themes: (1) Wishing for respectful individualized care and (2) The importance of receiving adequate information and sharing preferences. Additionally, one theme was constructed from T1: (1) Feeling misunderstood, isolated, and longing for support. From T2, two themes were deweloped: (1) The value of emotional and practical support from both midwives and partners during pregnancy and birth and (2) The importance of having a voice in the care process.
Conclusion
Insecurity about pain management and communication challenges were common. Open dialogue and strong connections with midwives were essential for positive care experiences. This study highlights gaps in language support, cultural sensitivity, and tailored information in Icelandic maternity care for Polish migrant women. Providing individualized care, marked by respect and clear communication, empowers women to make informed decisions and fosters a sense of control during childbirth. Addressing these gaps is vital for improving perinatal outcomes and ensuring equitable, comprehensive support for all women during this transformative life event.
•
Issue: Migrant women often face unique challenges in maternity care, leading to poorer birth outcomes and unmet needs during childbirth.
•
What is already known: Research highlights that migrant women may experience communication barriers, lack of culturally appropriate support, and increased vulnerability in healthcare settings.
•
What this paper adds: This study reveals specific gaps in language support, cultural sensitivity, and tailored information within Icelandic maternity care for Polish migrant women. By interviewing the same women both during pregnancy and postpartum, the study also provides a unique perspective on their evolving needs, expectations, and experiences. It highlights the importance of addressing these areas to enhance the sense of empowerment and overall satisfaction during childbirth.
{"title":"Fostering empowerment through communication: The needs, expectations, and experience of maternity care among polish migrant women in Iceland","authors":"Embla Ýr Guðmundsdóttir , Marianne Nieuwenhuijze , Annadís Greta Rúdólfsdóttir , Helga Gottfreðsdóttir","doi":"10.1016/j.srhc.2025.101087","DOIUrl":"10.1016/j.srhc.2025.101087","url":null,"abstract":"<div><h3>Objective</h3><div>Over recent decades, Iceland has evolved into a more diverse society, revealing disparities in perinatal outcomes for migrant women. This study explored the needs, expectations, and experiences of Polish migrant women regarding midwifery care during childbirth in Iceland.</div></div><div><h3>Methods</h3><div>This longitudinal qualitative study involved semi-structured interviews conducted from December 2021 to May 2022. Eight Polish women participated in two interviews: one during their third trimester pregnancy (T1) and another within 12 weeks postpartum (T2). The interviews were analyzed using reflexive thematic analysis.</div></div><div><h3>Results</h3><div>The longitudinal analysis generated two overarching themes: (1) Wishing for respectful individualized care and (2) The importance of receiving adequate information and sharing preferences. Additionally, one theme was constructed from T1: (1) Feeling misunderstood, isolated, and longing for support. From T2, two themes were deweloped: (1) The value of emotional and practical support from both midwives and partners during pregnancy and birth and (2) The importance of having a voice in the care process.</div></div><div><h3>Conclusion</h3><div>Insecurity about pain management and communication challenges were common. Open dialogue and strong connections with midwives were essential for positive care experiences. This study highlights gaps in language support, cultural sensitivity, and tailored information in Icelandic maternity care for Polish migrant women. Providing individualized care, marked by respect and clear communication, empowers women to make informed decisions and fosters a sense of control during childbirth. Addressing these gaps is vital for improving perinatal outcomes and ensuring equitable, comprehensive support for all women during this transformative life event.<ul><li><span>•</span><span><div><strong>Issue:</strong> Migrant women often face unique challenges in maternity care, leading to poorer birth outcomes and unmet needs during childbirth.</div></span></li><li><span>•</span><span><div><strong>What is already known:</strong> Research highlights that migrant women may experience communication barriers, lack of culturally appropriate support, and increased vulnerability in healthcare settings.</div></span></li><li><span>•</span><span><div><strong>What this paper adds:</strong> This study reveals specific gaps in language support, cultural sensitivity, and tailored information within Icelandic maternity care for Polish migrant women. By interviewing the same women both during pregnancy and postpartum, the study also provides a unique perspective on their evolving needs, expectations, and experiences. It highlights the importance of addressing these areas to enhance the sense of empowerment and overall satisfaction during childbirth.</div></span></li></ul></div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101087"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143684845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01Epub Date: 2025-03-19DOI: 10.1016/j.srhc.2025.101092
Bec Jenkinson , Matilda Riek , Susan de Jersey , Lisa Buckley , Saba Nabi , Candice Irvine , Sherrie Liu , Seema Mihrshahi , Kathleen Baird , Jenny Doust , Gita D Mishra
Introduction
Preconception care aims to improve the health outcomes of parents and their children by optimising health prior to pregnancy. However, inconsistent adoption of preconception care guidelines and low uptake among women highlights the need for further exploration.
Aim
This study aims to explore women’s perceptions of the need for preconception care and the factors influencing these perceptions, including competing demands and expectations perceived by women while planning for pregnancy.
Methods
A participatory, qualitative approach was used, involving in-depth semi-structured interviews with reproductive-aged women in Australia. Reflexive thematic analysis was conducted on interview transcripts, including Synthesised Member Checking to verify findings.
Results
Interviews were conducted with 38 women. Three major themes emerged: (1) “Advice from trusted people will go a long way” emphasized the value of trusted connections and expertise; (2) “A bit of a baby factory” highlighted women’s sense of sole responsibility for pregnancy outcomes requiring their extensive efforts to avoid subsequent feelings of guilt and blame; (3) “If people knew” described women’s preference for privacy to avoid scrutiny and judgment.
Discussion
Women’s perception of the need for preconception care is shaped by intersecting issues of trust, individualised responsibility, and privacy. In the absence of relationship-based care with a trusted primary care provider, women seek lived experience and formal expertise online. Individual responsibility for preconception health is disempowering to women. Relationship-based models of primary maternity care, including midwifery models of care, and parasocial connections with experts may better meet women’s health needs in the preconception period.
{"title":"The need for preconception care: Australian women’s health beliefs, expectations, and trust in healthcare","authors":"Bec Jenkinson , Matilda Riek , Susan de Jersey , Lisa Buckley , Saba Nabi , Candice Irvine , Sherrie Liu , Seema Mihrshahi , Kathleen Baird , Jenny Doust , Gita D Mishra","doi":"10.1016/j.srhc.2025.101092","DOIUrl":"10.1016/j.srhc.2025.101092","url":null,"abstract":"<div><h3>Introduction</h3><div>Preconception care aims to improve the health outcomes of parents and their children by optimising health prior to pregnancy. However, inconsistent adoption of preconception care guidelines and low uptake among women highlights the need for further exploration.</div></div><div><h3>Aim</h3><div>This study aims to explore women’s perceptions of the need for preconception care and the factors influencing these perceptions, including competing demands and expectations perceived by women while planning for pregnancy.</div></div><div><h3>Methods</h3><div>A participatory, qualitative approach was used, involving in-depth semi-structured interviews with reproductive-aged women in Australia. Reflexive thematic analysis was conducted on interview transcripts, including Synthesised Member Checking to verify findings.</div></div><div><h3>Results</h3><div>Interviews were conducted with 38 women. Three major themes emerged: (1) “Advice from trusted people will go a long way” emphasized the value of trusted connections and expertise; (2) “A bit of a baby factory” highlighted women’s sense of sole responsibility for pregnancy outcomes requiring their extensive efforts to avoid subsequent feelings of guilt and blame; (3) “If people knew” described women’s preference for privacy to avoid scrutiny and judgment.</div></div><div><h3>Discussion</h3><div>Women’s perception of the need for preconception care is shaped by intersecting issues of trust, individualised responsibility, and privacy. In the absence of relationship-based care with a trusted primary care provider, women seek lived experience and formal expertise online. Individual responsibility for preconception health is disempowering to women. Relationship-based models of primary maternity care, including midwifery models of care, and parasocial connections with experts may better meet women’s health needs in the preconception period.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101092"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143684844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号