首页 > 最新文献

Sexual & Reproductive Healthcare最新文献

英文 中文
A phenomenographic study of midwives’ perceptions of abortion care in Japan
IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sexual & Reproductive Healthcare
Pub Date : 2025-01-11 DOI: 10.1016/j.srhc.2025.101066
Maki Mizuno , Fukiko Ando , Mitsuko Ohira

Objective (s)

This study aimed to explore midwives’ perceptions of experiences related to abortion care in Japan, contributing to the improvement of professional practices for better outcomes in safe and appropriate abortion care.

Study Design

A qualitative phenomenographic approach was employed to investigate the perceptions of midwives involved in abortion care. Semi-structured online interviews were conducted with 12 midwives recruited through purposive sampling. Data were analyzed using a phenomenographic approach to identify and conceptualize differences and similarities in their perceptions.

Results

Midwives’ perceptions of abortion care were categorized into three areas: the situation concerning abortion care, perceptions of abortion, and attitudes toward abortion care. Their perceptions of abortion included complex perspectives on women undergoing abortion, the unborn child, and the midwife. Midwives in this study believed that becoming an abortion care provider was based on the belief that it was their professional duty to provide equal care to all women. The desire to be good care providers for women was reflected in midwives’ actions in striving to fulfill the wishes of women who had abortions.

Conclusion(s)

This study suggested that the variations in midwives’ perceptions were reflected in their care, and that the quality of abortion care varies among midwives.
The findings highlight the need for supportive strategies and continuous education programs to enhance midwives’ professional identity and ability to provide equitable care.
{"title":"A phenomenographic study of midwives’ perceptions of abortion care in Japan","authors":"Maki Mizuno ,&nbsp;Fukiko Ando ,&nbsp;Mitsuko Ohira","doi":"10.1016/j.srhc.2025.101066","DOIUrl":"10.1016/j.srhc.2025.101066","url":null,"abstract":"<div><h3>Objective (s)</h3><div>This study aimed to explore midwives’ perceptions of experiences related to abortion care in Japan, contributing to the improvement of professional practices for better outcomes in safe and appropriate abortion care.</div></div><div><h3>Study Design</h3><div>A qualitative phenomenographic approach was employed to investigate the perceptions of midwives involved in abortion care. Semi-structured online interviews were conducted with 12 midwives recruited through purposive sampling. Data were analyzed using a phenomenographic approach to identify and conceptualize differences and similarities in their perceptions.</div></div><div><h3>Results</h3><div>Midwives’ perceptions of abortion care were categorized into three areas: the situation concerning abortion care, perceptions of abortion, and attitudes toward abortion care. Their perceptions of abortion included complex perspectives on women undergoing abortion, the unborn child, and the midwife. Midwives in this study believed that becoming an abortion care provider was based on the belief that it was their professional duty to provide equal care to all women. The desire to be good care providers for women was reflected in midwives’ actions in striving to fulfill the wishes of women who had abortions.</div></div><div><h3>Conclusion(s)</h3><div>This study suggested that the variations in midwives’ perceptions were reflected in their care, and that the quality of abortion care varies among midwives.</div><div>The findings highlight the need for supportive strategies and continuous education programs to enhance midwives’ professional identity and ability to provide equitable care.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101066"},"PeriodicalIF":1.4,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095812","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}
引用次数: 0
“Community members question me and flaunt their children before me”: A call for psychosocial support for women with infertility in Northern Ghana “社区成员质疑我，在我面前炫耀他们的孩子”：呼吁对加纳北部不孕妇女提供社会心理支持。
IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sexual & Reproductive Healthcare
Pub Date : 2025-01-10 DOI: 10.1016/j.srhc.2025.101065
Ignatius Anabila Adda , Florence Naab , Deborah Armah , Josephine Kyei , Abdulai Yahaya , Theodore Wuni Bobtoyah
Infertility is a major health issue that poses threats to women’s lives, marriages, and health. Yet little is known about psychosocial support for women with infertility in Northern Ghana. This study aims to understand the psychosocial challenges faced by women with infertility and evaluate the availability and effectiveness of social support systems in East Mamprusi Municipality, Northern Ghana using a qualitative interpretive descriptive design. In-depth interviews were conducted using a semi-structured interview guide. Ethical approval was received from the Institutional Review Board of Ghana Health Service, Accra. Women who visited the health facility desiring to conceive were recruited and interviewed. Thirteen (13) women were interviewed, with each interview lasting 45 min to an hour. The interviews were audiotaped after obtaining permission from the participants, which were transcribed verbatim and analyzed using content analysis. The findings revealed that women faced numerous mental and social problems. Some of these problems include emotional, behavioural, marital instability, the high cost of infertility treatment, and a strong desire to have children. Although the women reported some social support from the community, they lacked strategies to sustain this support. Women with infertility face numerous mental and social challenges. They lack support systems to improve their mental and social health. Health professionals are required to constitute peer support groups for these women and advocate for external assistance to sustain these support groups.
不孕不育是一个严重的健康问题，对妇女的生命、婚姻和健康构成威胁。然而，人们对加纳北部不孕妇女的社会心理支持知之甚少。本研究旨在了解不孕妇女面临的社会心理挑战，并利用定性解释描述性设计评估加纳北部东马姆普里市社会支持系统的可用性和有效性。深度访谈采用半结构化访谈指南进行。已收到阿克拉加纳卫生服务机构审查委员会的伦理批准。对到保健机构希望怀孕的妇女进行了招募和访谈。13名女性接受了采访，每次采访持续45分钟到1小时。在获得参与者的许可后，对访谈进行录音，逐字记录，并使用内容分析进行分析。调查结果显示，女性面临着许多心理和社会问题。其中一些问题包括情感、行为、婚姻不稳定、不孕不育治疗的高昂费用以及生孩子的强烈愿望。尽管这些妇女报告了来自社区的一些社会支持，但她们缺乏维持这种支持的策略。患有不孕症的妇女面临着许多精神和社会挑战。他们缺乏改善心理和社会健康的支持系统。要求保健专业人员为这些妇女组成同伴支助小组，并倡导外部援助以维持这些支助小组。
{"title":"“Community members question me and flaunt their children before me”: A call for psychosocial support for women with infertility in Northern Ghana","authors":"Ignatius Anabila Adda ,&nbsp;Florence Naab ,&nbsp;Deborah Armah ,&nbsp;Josephine Kyei ,&nbsp;Abdulai Yahaya ,&nbsp;Theodore Wuni Bobtoyah","doi":"10.1016/j.srhc.2025.101065","DOIUrl":"10.1016/j.srhc.2025.101065","url":null,"abstract":"<div><div>Infertility is a major health issue that poses threats to women’s lives, marriages, and health. Yet little is known about psychosocial support for women with infertility in Northern Ghana. This study aims to understand the psychosocial challenges faced by women with infertility and evaluate the availability and effectiveness of social support systems in East Mamprusi Municipality, Northern Ghana using a qualitative interpretive descriptive design. In-depth interviews were conducted using a semi-structured interview guide. Ethical approval was received from the Institutional Review Board of Ghana Health Service, Accra. Women who visited the health facility desiring to conceive were recruited and interviewed. Thirteen (13) women were interviewed, with each interview lasting 45 min to an hour. The interviews were audiotaped after obtaining permission from the participants, which were transcribed verbatim and analyzed using content analysis. The findings revealed that women faced numerous mental and social problems. Some of these problems include emotional, behavioural, marital instability, the high cost of infertility treatment, and a strong desire to have children. Although the women reported some social support from the community, they lacked strategies to sustain this support. Women with infertility face numerous mental and social challenges. They lack support systems to improve their mental and social health. Health professionals are required to constitute peer support groups for these women and advocate for external assistance to sustain these support groups.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101065"},"PeriodicalIF":1.4,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017929","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}
引用次数: 0
Factor structure and psychometric characteristics of the City birth Trauma Scale- Slovak version 斯洛伐克版城市出生创伤量表的因素结构和心理测量特征。
IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sexual & Reproductive Healthcare
Pub Date : 2025-01-07 DOI: 10.1016/j.srhc.2025.101063
Zuzana Škodová , Barbora Ďuríčeková , Ľubica Bánovčinová , Eva Urbanová , Martina Bašková , Marián Grendár

Objective

The City Birth Trauma Scale (City BiTS) is a questionnaire designed to assess the posttraumatic symptoms after birth. This study aimed to explore the factors structure, internal consistency, known-groups validity, and convergent validity of the City Birth Trauma Scale in Slovakia.

Methods

Cross-sectional Slovak national data from the INTERSECT study were analyzed in this study. The research was set in four public hospital sites in central and eastern Slovakia. A 28-item City BiTS online questionnaire was administered to 437 women 6–8 weeks postpartum study (mean age 30.5 ± 4,8; range18-45), along with the Edinburgh Postnatal Depression Scale (EPDS) and the Post-Traumatic Stress Diagnostic Scale indicating previous trauma.

Results

The stressor criterion of PTSD based on DSM 5 classification was met by 11.5 % of postpartum women in the Slovak sample, and all criteria for PTSD were met by 2.8 % of participants. Significantly higher City BiTS scores were found among primiparas (p ≤ 0.01), women who experienced previous trauma (p ≤ 0.001), with positive psychiatric anamnesis (p ≤ 0.001), and women after assisted vaginal birth or emergency caesarian section (p ≤ 0.001). The Slovak version of City BiTS has been shown to have good reliability and good divergent and known-groups validity. The results of confirmatory factor analysis showed that the two-factor model of the BSS-R offers a good fit to the Slovak data (χ2(df = 169) = 574, p < 0.001, CFI = 0.90 and RMSEA = 0.08).

Conclusions

The Slovak version of the City Birth Trauma scale has been found to have good psychometric properties comparable with other validation studies of this measure.
目的：城市出生创伤量表（City BiTS）是一份评估新生儿出生后创伤症状的问卷。本研究旨在探讨斯洛伐克城市出生创伤量表的因素结构、内部一致性、已知组效度和收敛效度。方法：本研究分析了来自INTERSECT研究的斯洛伐克国家横断面数据。这项研究在斯洛伐克中部和东部的四家公立医院进行。对437名产后6-8周妇女(平均年龄30.5±4,8岁；范围（18-45），以及爱丁堡产后抑郁量表（EPDS）和创伤后应激诊断量表，表明之前的创伤。结果：斯洛伐克样本中11.5%的产后妇女满足基于DSM 5分类的PTSD应激源标准，2.8%的参与者满足所有PTSD标准。初产妇（p≤0.01）、有过创伤经历的妇女（p≤0.001）、有阳性精神记忆的妇女（p≤0.001）以及辅助阴道分娩或紧急剖腹产的妇女（p≤0.001）的City BiTS得分明显较高。斯洛伐克版本的城市BiTS已被证明具有良好的信度和良好的发散和已知组效度。验证性因素分析的结果表明，BSS-R的双因素模型与斯洛伐克的数据有很好的拟合（χ2(df = 169) = 574, p）。结论：斯洛伐克版的城市出生创伤量表具有良好的心理测量特性，可与该量表的其他验证性研究相媲美。
{"title":"Factor structure and psychometric characteristics of the City birth Trauma Scale- Slovak version","authors":"Zuzana Škodová ,&nbsp;Barbora Ďuríčeková ,&nbsp;Ľubica Bánovčinová ,&nbsp;Eva Urbanová ,&nbsp;Martina Bašková ,&nbsp;Marián Grendár","doi":"10.1016/j.srhc.2025.101063","DOIUrl":"10.1016/j.srhc.2025.101063","url":null,"abstract":"<div><h3>Objective</h3><div>The City Birth Trauma Scale (City BiTS) is a questionnaire designed to assess the posttraumatic symptoms after birth. This study aimed to explore the factors structure, internal consistency, known-groups validity, and convergent validity of the City Birth Trauma Scale in Slovakia.</div></div><div><h3>Methods</h3><div>Cross-sectional Slovak national data from the INTERSECT study were analyzed in this study. The research was set in four public hospital sites in central and eastern Slovakia. A 28-item City BiTS online questionnaire was administered to 437 women 6–8 weeks postpartum study (mean age 30.5 ± 4,8; range18-45), along with the Edinburgh Postnatal Depression Scale (EPDS) and the Post-Traumatic Stress Diagnostic Scale indicating previous trauma.</div></div><div><h3>Results</h3><div>The stressor criterion of PTSD based on DSM 5 classification was met by 11.5 % of postpartum women in the Slovak sample, and all criteria for PTSD were met by 2.8 % of participants. Significantly higher City BiTS scores were found among primiparas (p ≤ 0.01), women who experienced previous trauma (p ≤ 0.001), with positive psychiatric anamnesis (p ≤ 0.001), and women after assisted vaginal birth or emergency caesarian section (p ≤ 0.001). The Slovak version of City BiTS has been shown to have good reliability and good divergent and known-groups validity. The results of confirmatory factor analysis showed that the two-factor model of the BSS-R offers a good fit to the Slovak data (χ<sup>2</sup><sub>(df = 169)</sub> = 574, <em>p</em> &lt; 0.001, CFI = 0.90 and RMSEA = 0.08).</div></div><div><h3>Conclusions</h3><div>The Slovak version of the City Birth Trauma scale has been found to have good psychometric properties comparable with other validation studies of this measure.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101063"},"PeriodicalIF":1.4,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967606","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}
引用次数: 0
Exercise in early pregnancy among women with migraine: A hospital-based cross-sectional study 偏头痛妇女妊娠早期的运动：一项基于医院的横断面研究。
IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sexual & Reproductive Healthcare
Pub Date : 2024-12-30 DOI: 10.1016/j.srhc.2024.101062
Hanne K. Hegaard , Marie Stampe Emborg , Stine Wieland , Mona Ameri Chalmer , Mie Gaarskjær de Wolff , Nanna Roed Ballegaard , Peter Damm , Ane Lilleøre Rom

Objective

Migraine is one of the most common pain disorders among women of childbearing age. While medical treatment might be necessary for some during pregnancy, non-pharmacological approaches, such as exercise, are generally recommended. We aimed to assess the association between migraine and exercise behaviours, adherence to the national recommendations for exercise, and the type of exercise undertaken during early pregnancy within a cohort of Danish women.

Methods

We performed a cross-sectional study using patient-reported questionnaire data from The Copenhagen Pregnancy Cohort (2013–2019). Logistic regression analyses were applied to assess associations between migraine and the selected outcomes, with adjustment for relevant confounders.

Results

We included 24,017 pregnancies. Women with migraine were more likely to refrain from exercise in early pregnancy compared to those without (46.4% vs 40.8%) (aOR 1.26, 95% CI 1.12–1.41). Additionally, they were more likely not to meet the national recommendations for exercise (62.9% vs 57.8%), (aOR 1.27, 95% CI 1.13–1.42). The differences were consistent among women with migraine with aura (MA) and migraine without aura (MO), respectively. Women with and without migraine participated in similar types of exercise during early pregnancy.

Conclusions

Our findings indicate that women with migraine were less likely to engage in exercise and to adhere to the national recommendations of exercise, compared to those without. Findings were similar for women with MA and MO. The types of exercise performed did not differ between groups.
目的：偏头痛是育龄妇女最常见的疼痛障碍之一。虽然在怀孕期间，药物治疗可能是必要的，但一般建议采用非药物方法，如运动。我们的目的是评估偏头痛与运动行为之间的关系，对国家运动建议的遵守情况，以及丹麦妇女在怀孕早期进行的运动类型。方法：我们使用哥本哈根妊娠队列（2013-2019）患者报告的问卷数据进行了横断面研究。应用逻辑回归分析评估偏头痛与所选结果之间的关联，并对相关混杂因素进行调整。结果：我们纳入了24,017例妊娠。与没有偏头痛的女性相比，有偏头痛的女性在怀孕早期更有可能避免运动（46.4% vs 40.8%） （aOR 1.26, 95% CI 1.12-1.41）。此外，他们更有可能达不到国家推荐的运动量（62.9% vs 57.8%）， （aOR 1.27, 95% CI 1.13-1.42）。有先兆偏头痛（MA）和无先兆偏头痛（MO）的女性之间的差异是一致的。有偏头痛和没有偏头痛的女性在怀孕早期都参加了类似的运动。结论：我们的研究结果表明，与那些没有偏头痛的女性相比，患有偏头痛的女性不太可能参与运动，也不太可能坚持国家推荐的运动。MA和MO女性的研究结果相似。两组之间进行的运动类型没有差异。
{"title":"Exercise in early pregnancy among women with migraine: A hospital-based cross-sectional study","authors":"Hanne K. Hegaard ,&nbsp;Marie Stampe Emborg ,&nbsp;Stine Wieland ,&nbsp;Mona Ameri Chalmer ,&nbsp;Mie Gaarskjær de Wolff ,&nbsp;Nanna Roed Ballegaard ,&nbsp;Peter Damm ,&nbsp;Ane Lilleøre Rom","doi":"10.1016/j.srhc.2024.101062","DOIUrl":"10.1016/j.srhc.2024.101062","url":null,"abstract":"<div><h3>Objective</h3><div>Migraine is one of the most common pain disorders among women of childbearing age. While medical treatment might be necessary for some during pregnancy, non-pharmacological approaches, such as exercise, are generally recommended. We aimed to assess the association between migraine and exercise behaviours, adherence to the national recommendations for exercise, and the type of exercise undertaken during early pregnancy within a cohort of Danish women.</div></div><div><h3>Methods</h3><div>We performed a cross-sectional study using patient-reported questionnaire data from The Copenhagen Pregnancy Cohort (2013–2019). Logistic regression analyses were applied to assess associations between migraine and the selected outcomes, with adjustment for relevant confounders.</div></div><div><h3>Results</h3><div>We included 24,017 pregnancies. Women with migraine were more likely to refrain from exercise in early pregnancy compared to those without (46.4% vs 40.8%) (aOR 1.26, 95% CI 1.12–1.41). Additionally, they were more likely not to meet the national recommendations for exercise (62.9% vs 57.8%), (aOR 1.27, 95% CI 1.13–1.42). The differences were consistent among women with migraine with aura (MA) and migraine without aura (MO), respectively. Women with and without migraine participated in similar types of exercise during early pregnancy.</div></div><div><h3>Conclusions</h3><div>Our findings indicate that women with migraine were less likely to engage in exercise and to adhere to the national recommendations of exercise, compared to those without. Findings were similar for women with MA and MO. The types of exercise performed did not differ between groups.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101062"},"PeriodicalIF":1.4,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142924267","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}
引用次数: 0
Exploring midwives’ perceptions of the multisensory birthing room work environment: A qualitative analysis 探讨助产士对多感官产房工作环境的看法：一项定性分析。
IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sexual & Reproductive Healthcare
Pub Date : 2024-12-27 DOI: 10.1016/j.srhc.2024.101061
Anya Eidhammer , Dorte Melgaard , Louise Sofia Madsen , Julie Glavind , Sissel Raahede Lundgaard , Marie Koldkjær Højlund

Background

Multisensory birthing rooms are specially designed and integrate elements such as sound, light, and visual stimuli to create an immersive atmosphere.

Aim

To investigate how implementing multisensory birthing rooms affect midwives’ perceptions of their working environment.

Methods

The data material consisted of 16 semi-structured interviews. The population was midwives employed before and after the implementation of multisensory birthing rooms and the setting was a labour ward unit at a Danish regional hospital. A qualitative description of the midwives’ perceptions of their working environment in multisensory birthing rooms was performed and a thematic analytical approach was applied.
Findings
Four major themes were identified. 1. “Sensing the environmental transformation” in which the midwives experienced that the multisensory birthing rooms helped to create a safe and less risk-focused atmosphere. 2. “Navigating new norms” describing the espoused beliefs and values regarding new practices within the rooms in which the implementation of the rooms creates a commitment among midwives for further involvement and development of the maternity ward. 3. “A supportive atmosphere”, which addresses how the multisensory birthing rooms capture different levels of affective attunement and how the calm atmosphere helps to support the work of the midwives. 4. “A sense of pride and empowerment”, which addresses how the environment creates a sense of pride and empowers the midwives.

Conclusions

The physical transformation from traditional to multisensory birthing rooms has led to a cultural transformation supporting the midwives’ sense of professionalism through the improved working environment.
背景：多感官产房是专门设计的，融合了声、光、视刺激等元素，营造出身临其境的氛围。目的：探讨多感官产房的实施对助产士工作环境的影响。方法：资料由16个半结构化访谈组成。人口是在实施多感官产房之前和之后雇用的助产士，地点是丹麦一家地区医院的分娩病房。对助产士对多感官产房工作环境的看法进行了定性描述，并采用了专题分析方法。确定了四个主要主题。1. “感知环境的转变”，助产士们体验到，多感官的产房有助于创造一种安全、低风险的氛围。2. “引导新规范”描述了在病房内关于新做法的支持信念和价值观，在病房的实施中，助产士承诺进一步参与和发展产科病房。3. “一个支持性的氛围”，阐述了多感官产房如何捕捉不同程度的情感调节，以及平静的氛围如何帮助支持助产士的工作。4. “自豪感和赋权感”，涉及环境如何创造自豪感并赋予助产士权力。结论：从传统产房到多感官产房的物理改造，带来了一种文化转型，通过改善工作环境来支持助产士的专业意识。
{"title":"Exploring midwives’ perceptions of the multisensory birthing room work environment: A qualitative analysis","authors":"Anya Eidhammer ,&nbsp;Dorte Melgaard ,&nbsp;Louise Sofia Madsen ,&nbsp;Julie Glavind ,&nbsp;Sissel Raahede Lundgaard ,&nbsp;Marie Koldkjær Højlund","doi":"10.1016/j.srhc.2024.101061","DOIUrl":"10.1016/j.srhc.2024.101061","url":null,"abstract":"<div><h3>Background</h3><div>Multisensory birthing rooms are specially designed and integrate elements such as sound, light, and visual stimuli to create an immersive atmosphere.</div></div><div><h3>Aim</h3><div>To investigate how implementing multisensory birthing rooms affect midwives’ perceptions of their working environment.</div></div><div><h3>Methods</h3><div>The data material consisted of 16 semi-structured interviews. The population was midwives employed before and after the implementation of multisensory birthing rooms and the setting was a labour ward unit at a Danish regional hospital. A qualitative description of the midwives’ perceptions of their working environment in multisensory birthing rooms was performed and a thematic analytical approach was applied.</div><div>Findings</div><div>Four major themes were identified. 1. “Sensing the environmental transformation” in which the midwives experienced that the multisensory birthing rooms helped to create a safe and less risk-focused atmosphere. 2. “Navigating new norms” describing the espoused beliefs and values regarding new practices within the rooms in which the implementation of the rooms creates a commitment among midwives for further involvement and development of the maternity ward. 3. “A supportive atmosphere”, which addresses how the multisensory birthing rooms capture different levels of affective attunement and how the calm atmosphere helps to support the work of the midwives. 4. “A sense of pride and empowerment”, which addresses how the environment creates a sense of pride and empowers the midwives.</div></div><div><h3>Conclusions</h3><div>The physical transformation from traditional to multisensory birthing rooms has led to a cultural transformation supporting the midwives’ sense of professionalism through the improved working environment.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101061"},"PeriodicalIF":1.4,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911296","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}
引用次数: 0
Women’s experiences of giving birth in healthcare facilities in India -A systematic literature review of qualitative research 印度妇女在医疗机构分娩的经历——定性研究的系统文献综述。
IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sexual & Reproductive Healthcare
Pub Date : 2024-12-20 DOI: 10.1016/j.srhc.2024.101058
Júlía Dögg , Åsa Trøseid , Kerstin Erlandsson , Paridhi Jha , Bharati Sharma , Malin Bogren

Background

Childbirth in healthcare facilities has increased in South-East Asia and the focus on quality of childbirth care has increased in the region. Without a deeper understanding of women’s experience of giving birth in healthcare facilities, the quality of care cannot be improved. The aim of this study was to synthesise available qualitative research from India that explores women’s experiences of giving birth in healthcare facilities.

Method

A qualitative systematic literature review was conducted in February 2023, using the databases PubMed, CINAHL, and Scopus. We used an inductive content analysis.

Findings

The search identified 6316 articles, 16 of which were included. The overall categories were Lack of dignity and respect, Adequacy of supportive care, and Limited hospital infrastructure and cleanliness, and these were cited by the women to be a deterrent from having their future births at a hospital.

Conclusion

There is an urgent need for comprehensive measures to eliminate mistreatment during childbirth, ensure cost-free access to healthcare, and enhance the quality of maternal care. These efforts are essential for improving maternal and neonatal outcomes and promoting positive childbirth experiences for women in India and in other similar settings.
背景：东南亚在医疗保健设施中分娩的情况有所增加，该地区对分娩护理质量的关注也有所增加。如果不能更深入地了解妇女在医疗机构分娩的经历，就无法提高护理质量。这项研究的目的是综合印度现有的定性研究，探讨妇女在医疗机构分娩的经验。方法：于2023年2月使用PubMed、CINAHL、Scopus数据库进行定性系统文献综述。我们使用了归纳内容分析。结果：检索到6316篇文章，其中16篇被纳入。总的类别是缺乏尊严和尊重、支持性护理充足、医院基础设施和卫生条件有限，妇女们认为这些因素是她们今后不愿在医院分娩的因素。结论：迫切需要采取综合措施，消除分娩过程中的不当行为，确保免费获得医疗服务，提高孕产妇保健质量。这些努力对于改善孕产妇和新生儿结局以及促进印度和其他类似环境中妇女的积极分娩体验至关重要。
{"title":"Women’s experiences of giving birth in healthcare facilities in India -A systematic literature review of qualitative research","authors":"Júlía Dögg ,&nbsp;Åsa Trøseid ,&nbsp;Kerstin Erlandsson ,&nbsp;Paridhi Jha ,&nbsp;Bharati Sharma ,&nbsp;Malin Bogren","doi":"10.1016/j.srhc.2024.101058","DOIUrl":"10.1016/j.srhc.2024.101058","url":null,"abstract":"<div><h3>Background</h3><div>Childbirth in healthcare facilities has increased in South-East Asia and the focus on quality of childbirth care has increased in the region. Without a deeper understanding of women’s experience of giving birth in healthcare facilities, the quality of care cannot be improved. The aim of this study was to synthesise available qualitative research from India that explores women’s experiences of giving birth in healthcare facilities.</div></div><div><h3>Method</h3><div>A qualitative systematic literature review was conducted in February 2023, using the databases PubMed, CINAHL, and Scopus. We used an inductive content analysis.</div></div><div><h3>Findings</h3><div>The search identified 6316 articles, 16 of which were included. The overall categories were Lack of dignity and respect, Adequacy of supportive care, and Limited hospital infrastructure and cleanliness, and these were cited by the women to be a deterrent from having their future births at a hospital.</div></div><div><h3>Conclusion</h3><div>There is an urgent need for comprehensive measures to eliminate mistreatment during childbirth, ensure cost-free access to healthcare, and enhance the quality of maternal care. These efforts are essential for improving maternal and neonatal outcomes and promoting positive childbirth experiences for women in India and in other similar settings.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101058"},"PeriodicalIF":1.4,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899385","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}
引用次数: 0
Integrating sexual and reproductive health in higher education and healthcare services in Ukraine: A sustainable initiative for empowering war-affected youth 将性健康和生殖健康纳入乌克兰的高等教育和保健服务：增强受战争影响青年权能的可持续倡议。
IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sexual & Reproductive Healthcare
Pub Date : 2024-12-19 DOI: 10.1016/j.srhc.2024.101060
Kerstin Erlandsson , Valeriya Marichereda , Larysa Klymanska , Liliia Klos , Inna Haletska , Maryna Klimanska , Daria Drobot , Viktoriia Borshch , Kateryna Nitochko , Iryna Mogilevkina , Xerxes Marcellas Vlahakis , Lavrence Daka , Maya Vergara , Catrin Borneskog
Integrating Sexual Reproductive Health and Rights (SRHR) into educational programs and healthcare services supports the EU Eastern Partnership and the UN’s Agenda 2030. A Swedish Institute (SI)-funded project empowers undergraduate students in medicine, psychology, and social work to support SRHR among youth and young adults in wartime and post-war Ukraine by incorporating the subject into university curricula. In August 2024, a study tour to Sweden was conducted by managers and faculty from Ukrainian universities, during which the visitors to Sweden identified the need to establish Youth Clinics at Ukrainian universities to address the SRHR needs of the war-affected youth population.
将性生殖健康与权利（SRHR）纳入教育计划和医疗保健服务，支持欧盟东部伙伴关系和联合国2030年议程。瑞典研究所（SI）资助的一个项目授权医学、心理学和社会工作专业的本科生，通过将这一学科纳入大学课程，支持战时和战后乌克兰青年和年轻人的SRHR。2024年8月，乌克兰大学的管理人员和教师对瑞典进行了一次考察，在此期间，瑞典的访问者确定了在乌克兰大学建立青年诊所的必要性，以解决受战争影响的青年人口的SRHR需求。
{"title":"Integrating sexual and reproductive health in higher education and healthcare services in Ukraine: A sustainable initiative for empowering war-affected youth","authors":"Kerstin Erlandsson ,&nbsp;Valeriya Marichereda ,&nbsp;Larysa Klymanska ,&nbsp;Liliia Klos ,&nbsp;Inna Haletska ,&nbsp;Maryna Klimanska ,&nbsp;Daria Drobot ,&nbsp;Viktoriia Borshch ,&nbsp;Kateryna Nitochko ,&nbsp;Iryna Mogilevkina ,&nbsp;Xerxes Marcellas Vlahakis ,&nbsp;Lavrence Daka ,&nbsp;Maya Vergara ,&nbsp;Catrin Borneskog","doi":"10.1016/j.srhc.2024.101060","DOIUrl":"10.1016/j.srhc.2024.101060","url":null,"abstract":"<div><div>Integrating Sexual Reproductive Health and Rights (SRHR) into educational programs and healthcare services supports the EU Eastern Partnership and the UN’s Agenda 2030. A Swedish Institute (SI)-funded project empowers undergraduate students in medicine, psychology, and social work to support SRHR among youth and young adults in wartime and post-war Ukraine by incorporating the subject into university curricula. In August 2024, a study tour to Sweden was conducted by managers and faculty from Ukrainian universities, during which the visitors to Sweden identified the need to establish Youth Clinics at Ukrainian universities to address the SRHR needs of the war-affected youth population.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101060"},"PeriodicalIF":1.4,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886564","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}
引用次数: 0
Maternal positions in childbirth – A cohort study of labouring women’s movements and body positions the last 24 hours before birth 分娩时产妇的体位-对分娩前24小时产妇的运动和体位的队列研究。
IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sexual & Reproductive Healthcare
Pub Date : 2024-12-18 DOI: 10.1016/j.srhc.2024.101059
Louise L. Kjeldsen , Uffe Læssøe , Jane Marie Bendix , Rikke D. Maimburg

Introduction

Maternal position plays an essential role in achieving labour progress as it supports the physiological mechanisms of labour. Evidence supports that adopting upright positions may facilitate physiological childbirth.

Aim

To describe the use of various positions among nulliparous pregnant women in the last 24 h before birth and describe physical positions in relation to maternal and neonatal outcomes at time of birth.

Methods

Cohort study of 105 nulliparous women with an uncomplicated singleton pregnancy. Body position was measured by two triaxial accelerometers (SENS motion®), and maternal and neonatal outcomes at time of birth were obtained from medical records. Positions were described for the total population and further stratified into two groups based on time spent in sacrum non-flexible (lying, sitting) and sacrum flexible (standing, walking) positions. Descriptive analyses of maternal position in relation to birth outcomes and comparisons between the two groups were made.

Results

Lying down was the most frequent position adapted, with a median time of 659 (78;1208) minutes, equivalent to 11.0 hours. Women spent 1152 (687;1369) minutes in sacrum non-flexible positions, equivalent to 19.2 hours or 80 % of the last 24 hours before childbirth. More than 90 % gave birth in a sacrum non-flexible position. Women spending more time in sacrum non-flexible positions had more epidural analgesia than women spending more time in sacrum flexible positions (42.6 % and 21.3 %, p = 0.03).

Conclusions

Women spent 80% of their time in sacrum non-flexible positions during the last 24 hours before childbirth. At birth, more than 90% gave birth in sacrum non-flexible positions.
产妇体位在分娩过程中起着至关重要的作用，因为它支持分娩的生理机制。有证据表明，采用直立体位可能有利于生理性分娩。目的：描述未产孕妇在出生前最后24小时内使用各种体位的情况，并描述与分娩时孕产妇和新生儿结局有关的身体体位。方法：对105例无并发症单胎妊娠的未生育妇女进行队列研究。通过两个三轴加速度计（SENS motion®）测量体位，并从医疗记录中获取分娩时的产妇和新生儿结局。对全体人群的体位进行了描述，并根据骶骨不灵活（躺着、坐着）和骶骨灵活（站着、走着）体位的时间进一步分为两组。对产妇体位与分娩结果的关系进行描述性分析，并对两组进行比较。结果：平躺是最常适应的体位，平均时间为659（78;1208）分钟，相当于11.0小时。女性在骶骨不灵活的姿势上花费了1152分钟（687分钟；1369分钟），相当于19.2小时或产前最后24小时的80%。超过90%的孕妇在骶骨不灵活的位置分娩。骶骨非柔性体位时间较长的女性比骶骨柔性体位时间较长的女性有更多的硬膜外镇痛（42.6%和21.3%,p = 0.03）。结论：在分娩前24小时内，女性有80%的时间处于骶骨不灵活的位置。在分娩时，超过90%的人在骶骨不灵活的位置分娩。
{"title":"Maternal positions in childbirth – A cohort study of labouring women’s movements and body positions the last 24 hours before birth","authors":"Louise L. Kjeldsen ,&nbsp;Uffe Læssøe ,&nbsp;Jane Marie Bendix ,&nbsp;Rikke D. Maimburg","doi":"10.1016/j.srhc.2024.101059","DOIUrl":"10.1016/j.srhc.2024.101059","url":null,"abstract":"<div><h3>Introduction</h3><div>Maternal position plays an essential role in achieving labour progress as it supports the physiological mechanisms of labour. Evidence supports that adopting upright positions may facilitate physiological childbirth.</div></div><div><h3>Aim</h3><div>To describe the use of various positions<!--> <!-->among nulliparous pregnant women in the last 24 h before birth and describe physical positions in relation to maternal and neonatal outcomes at time of birth.</div></div><div><h3>Methods</h3><div>Cohort study of 105 nulliparous women with an uncomplicated singleton pregnancy. Body position was measured by two triaxial accelerometers (SENS motion®), and maternal and neonatal outcomes at time of birth were obtained from medical records. Positions were described for the total population and further stratified into two groups based on time spent in sacrum non-flexible (lying, sitting) and sacrum flexible (standing, walking) positions.<!--> <!-->Descriptive analyses of maternal position in relation to birth outcomes and comparisons between the two groups were made.</div></div><div><h3>Results</h3><div>Lying down was the most<!--> <!-->frequent position adapted, with a median time of 659 (78;1208) minutes, equivalent to 11.0 hours. Women spent 1152 (687;1369) minutes in sacrum non-flexible positions, equivalent to 19.2 hours or 80 % of the last 24 hours before childbirth. More than 90 % gave birth in a sacrum non-flexible position. Women spending more time in sacrum non-flexible positions had more epidural analgesia than women spending more time in sacrum flexible positions (42.6 % and 21.3 %, <em>p</em> = 0.03).</div></div><div><h3>Conclusions</h3><div>Women spent 80% of their time in sacrum non-flexible positions during the last 24 hours before childbirth. At birth, more than 90% gave birth in sacrum non-flexible positions.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101059"},"PeriodicalIF":1.4,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899381","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}
引用次数: 0
“It didn’t turn out as I imagined” − Women’s lived experiences of giving birth to a child born in a persistent occiput posterior position “结果和我想象的不一样”——女性生下一个持续枕后位的孩子的生活经历。
IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sexual & Reproductive Healthcare
Pub Date : 2024-12-06 DOI: 10.1016/j.srhc.2024.101049
Anna Lindgren , Hanna Grundström , Kristina Kernell , Pia Tingström

Objective

To explore women’s experience of giving birth to a baby born in a persistent occiput posterior position. The impact of fetal position could significantly affect women’s experiences. There have been limited studies conducted regarding this phenomenon. In this study, particular attention is given to the persistent occiput posterior position. Gaining a deeper understanding of the childbirth experience in relation to the persistent occiput posterior position of the fetus can offer valuable insights for providing appropriate support during childbirth.

Methods

In-depth interviews were conducted with 12 women between July 2021 and May 2022. The data were subsequently analyzed using interpretive phenomenology.

Results

The essence of the women’s lived experience was that childbirth did not turn out quite as they imagined. The essence emerged from two themes, “An unexpected course of childbirth” and “Managed to take command of the situation”. The expectations women hold before childbirth differ from the experiences they encounter afterwards. They experienced loss of control and an unexpected pattern of contractions and progress of birth. Following the birth, they had inquiries regarding the events that transpired during the birth and whether there was any association with the persistent occiput posterior position.

Conclusion

Ultimately, the women were satisfied with giving birth vaginally, even though the childbirth did not turn out as they imagined. Comprehending the experiences of women who give birth with the baby in a persistent occiput posterior position offers crucial understanding for healthcare professionals to support women effectively during childbirth.
目的探讨产妇在分娩时持续枕后位的经历。胎位的影响会对产妇的经历产生重大影响。有关这一现象的研究十分有限。本研究特别关注持续性枕后位。深入了解与胎儿持续枕后位有关的分娩体验，可为在分娩过程中提供适当的支持提供有价值的见解：在 2021 年 7 月至 2022 年 5 月期间，对 12 名产妇进行了深入访谈。方法：在 2021 年 7 月至 2022 年 5 月期间，对 12 名产妇进行了深入访谈，随后采用解释现象学对数据进行了分析：结果：妇女生活经历的本质是分娩并没有像她们想象的那样顺利。这一本质体现在两个主题中，即 "意想不到的分娩过程 "和 "设法掌控局面"。妇女在分娩前的期望与分娩后的经历不同。她们经历了失控、意想不到的宫缩模式和分娩过程。分娩后，她们询问了分娩过程中发生的事件，以及是否与持续枕后位有关：结论：尽管分娩的结果与她们想象的不尽相同，但产妇最终对阴道分娩感到满意。了解胎儿持续枕后位产妇的分娩经历对医护人员在分娩过程中有效支持产妇至关重要。
{"title":"“It didn’t turn out as I imagined” − Women’s lived experiences of giving birth to a child born in a persistent occiput posterior position","authors":"Anna Lindgren ,&nbsp;Hanna Grundström ,&nbsp;Kristina Kernell ,&nbsp;Pia Tingström","doi":"10.1016/j.srhc.2024.101049","DOIUrl":"10.1016/j.srhc.2024.101049","url":null,"abstract":"<div><h3>Objective</h3><div>To explore women’s experience of giving birth to a baby born in a persistent occiput posterior position. The impact of fetal position could significantly affect women’s experiences. There have been limited studies conducted regarding this phenomenon. In this study, particular attention is given to the persistent occiput posterior position. Gaining a deeper understanding of the childbirth experience in relation to the persistent occiput posterior position of the fetus can offer valuable insights for providing appropriate support during childbirth.</div></div><div><h3>Methods</h3><div>In-depth interviews were conducted with 12 women between July 2021 and May 2022. The data were subsequently analyzed using interpretive phenomenology.</div></div><div><h3>Results</h3><div>The essence of the women’s lived experience was that childbirth did not turn out quite as they imagined. The essence emerged from two themes, “An unexpected course of childbirth” and “Managed to take command of the situation”. The expectations women hold before childbirth differ from the experiences they encounter afterwards. They experienced loss of control and an unexpected pattern of contractions and progress of birth. Following the birth, they had inquiries regarding the events that transpired during the birth and whether there was any association with the persistent occiput posterior position.</div></div><div><h3>Conclusion</h3><div>Ultimately, the women were satisfied with giving birth vaginally, even though the childbirth did not turn out as they imagined. Comprehending the experiences of women who give birth with the baby in a persistent occiput posterior position offers crucial understanding for healthcare professionals to support women effectively during childbirth.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101049"},"PeriodicalIF":1.4,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831052","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}
引用次数: 0
Women’s perceptions of biological causes and potentials of genomic risk markers in postpartum depression: A qualitative study 妇女对产后抑郁症的生物学原因和潜在的基因组风险标记的认知：一项定性研究。
IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sexual & Reproductive Healthcare
Pub Date : 2024-12-06 DOI: 10.1016/j.srhc.2024.101057
Stinne Høgh , Hanne K. Hegaard , Kristina M. Renault , Mette N. Svendsen , Laura E. Navne , Vibe G. Frokjaer

Introduction

Postpartum depression affects 10–15% of women. Novel evidence suggests that genomic markers for enhanced sensitivity to estradiol signaling may help identify women at high risk of postpartum depression. We explored the women’s perceptions of testing for genomic risk markers for developing postpartum depression.

Methods

We conducted semi-structured interviews with 13 Danish women who had a history of postpartum depression using a phenomenological approach. A transdisciplinary group of researchers analyzed the interviews thematically. Through the concept of potentiality, we unfolded the women’s perceptions regarding testing for genomic risk markers for postpartum depression.

Results

We identified three key themes. 1) Biology as a contributing factor to postpartum depression. Only a few women thought postpartum depression could be related to a sensitivity to hormonal changes. 2) The role of external events in making sense of postpartum depression. Most women perceived their postpartum depression as primarily triggered by external factors rather than biological factors. 3) The ambiguous potentiality of testing for genomic risk markers of postpartum depression. Testing for genomic risk markers was envisioned by some women as having the potential to prevent postpartum depression and reduce stigma. Yet, at the same time, knowing their risk was perceived as holding the potential to induce depressive symptoms.

Conclusion

We found that to some women, knowledge about genomic risk markers introduced hope regarding possible prevention and, at the same time, it introduced concerns about inducing depressive symptoms. We suggest considering such perceptions if implementing new genomic risk marker technologies in risk profiling.
产后抑郁症影响10-15%的女性。新的证据表明，增强对雌二醇信号敏感性的基因组标记可能有助于识别产后抑郁症高危妇女。我们探讨了女性对产后抑郁症基因组风险标记检测的看法。方法：采用现象学方法对13名有产后抑郁症病史的丹麦妇女进行半结构化访谈。一个跨学科的研究小组对访谈进行了主题分析。通过潜在的概念，我们揭示了妇女对产后抑郁症基因组风险标记检测的看法。结果：我们确定了三个关键主题。1)生物学是导致产后抑郁的一个因素。只有少数女性认为产后抑郁症可能与荷尔蒙变化的敏感性有关。2)外部事件在理解产后抑郁中的作用。大多数女性认为她们的产后抑郁症主要是由外部因素而不是生物因素引发的。3)产后抑郁基因组风险标记检测的潜力尚不明确。一些女性认为，对基因组风险标记进行检测有可能预防产后抑郁症，减少耻辱感。然而，与此同时，知道他们的风险被认为有可能诱发抑郁症状。结论：我们发现，对一些妇女来说，基因组风险标记的知识为可能的预防带来了希望，同时也带来了对诱发抑郁症状的担忧。我们建议，如果在风险分析中实施新的基因组风险标记技术，就要考虑到这些看法。
{"title":"Women’s perceptions of biological causes and potentials of genomic risk markers in postpartum depression: A qualitative study","authors":"Stinne Høgh ,&nbsp;Hanne K. Hegaard ,&nbsp;Kristina M. Renault ,&nbsp;Mette N. Svendsen ,&nbsp;Laura E. Navne ,&nbsp;Vibe G. Frokjaer","doi":"10.1016/j.srhc.2024.101057","DOIUrl":"10.1016/j.srhc.2024.101057","url":null,"abstract":"<div><h3>Introduction</h3><div>Postpartum depression affects 10–15% of women. Novel evidence suggests that genomic markers for enhanced sensitivity to estradiol signaling may help identify women at high risk of postpartum depression. We explored the women’s perceptions of testing for genomic risk markers for developing postpartum depression.</div></div><div><h3>Methods</h3><div>We conducted semi-structured interviews with 13 Danish women who had a history of postpartum depression using a phenomenological approach. A transdisciplinary group of researchers analyzed the interviews thematically. Through the concept of <em>potentiality</em>, we unfolded the women’s perceptions regarding testing for genomic risk markers for postpartum depression.</div></div><div><h3>Results</h3><div>We identified three key themes. <em>1) Biology as a contributing factor to postpartum depression.</em> Only a few women thought postpartum depression could be related to a sensitivity to hormonal changes. <em>2) The role of external events in making sense of postpartum depression.</em> Most women perceived their postpartum depression as primarily triggered by external factors rather than biological factors. <em>3) The ambiguous potentiality of testing for genomic risk markers of postpartum depression.</em> Testing for genomic risk markers was envisioned by some women as having the potential to prevent postpartum depression and reduce stigma. Yet, at the same time, knowing their risk was perceived as holding the potential to induce depressive symptoms.</div></div><div><h3>Conclusion</h3><div>We found that to some women, knowledge about genomic risk markers introduced hope regarding possible prevention and, at the same time, it introduced concerns about inducing depressive symptoms. We suggest considering such perceptions if implementing new genomic risk marker technologies in risk profiling.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101057"},"PeriodicalIF":1.4,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142815211","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}
引用次数: 0
首页 上一页 下一页 尾页
类型
全部 化学•材料 生命科学 医学 物理 工程技术 环境•农林 材料科学 地球科学 法学 管理学 化学 环境科学与生态学 计算机科学 教育学 经济学 农林科学 人文科学 生物学 数学 物理与天体物理 心理学 综合性期刊 其他 工业工程 理学 历史学 农学 文学 信息工程
数据库
全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley
期刊
Sexual & Reproductive Healthcare
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
﹀
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号：481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们：info@booksci.cn
Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1