Sexual & Reproductive Healthcare最新文献_第3页

Women’s and healthcare providers’ experiences of contraceptive counselling: a qualitative systematic review 妇女和卫生保健提供者的避孕咨询经验：定性系统评价。

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2026-03-01 Epub Date: 2025-12-05 DOI: 10.1016/j.srhc.2025.101173

Márcia Conceição , Ana Sofia Ferreira , Rita Seabra , Maria Conceição Freitas , Juan Miguel Martinez-Galiano , Bruno Magalhães

Background

Persistent inequalities shape women’s access to and experiences of contraceptive care. Improving care quality requires a clearer understanding of women-provider interactions. This study aimed to synthesise women’s and healthcare providers’ experiences of contraceptive counselling.

Methods

This qualitative systematic review with inductive thematic synthesis followed the JBI methodology. Eligible studies in English, Portuguese, or Spanish published from database inception to 16 June 2025 were identified in CINAHL Ultimate, MedicLatina, MEDLINE Ultimate, the Psychology and Behavioral Sciences Collection, and Scopus. An initial limited search, development of search terms, and comprehensive database searches were undertaken; the PRISMA flow diagram summarised study selection. Two reviewers independently appraised quality using the JBI Critical Appraisal Checklist for Qualitative Research, and extracted data on study objectives, design, setting, participants, and main themes using a standardised form.

Results

Nine studies met the inclusion criteria. Six explored women’s experiences, two examined healthcare providers’ experiences, and one addressed both. Three overarching themes emerged: Contraceptive Engagement, Woman-Provider Relationship, and Decision-Making Process. Women and healthcare providers identified economic constraints, religious beliefs, and information gaps as common obstacles to contraceptive engagement.

Healthcare providers emphasised woman-centred care, aligning with women’s preference for non-judgemental, proactive, and respectful counselling. The decision-making process was the most prominent theme, with informed and respected decisions serving as central facilitators.

Conclusion

High-quality counselling requires recognising women’s needs and adopting empowerment strategies. Integrating these insights into services and expanding counselling delivered by trained healthcare providers are essential to improve access and quality. Further research should inform education and training programmes.

背景：持续的不平等影响了妇女获得避孕护理的机会和经验。提高护理质量需要更清楚地了解妇女与提供者之间的相互作用。这项研究的目的是综合妇女和保健提供者的避孕咨询经验。方法：采用JBI方法，采用归纳主题综合法进行定性系统评价。从数据库建立到2025年6月16日，在CINAHL Ultimate、MedicLatina、MEDLINE Ultimate、psychological and Behavioral Sciences Collection和Scopus中确定了符合条件的英语、葡萄牙语或西班牙语研究。进行了最初的有限搜索、搜索术语的开发和全面的数据库搜索；PRISMA流程图总结了研究选择。两位审稿人使用JBI定性研究关键评估清单独立评估质量，并使用标准化表格提取有关研究目标、设计、设置、参与者和主题的数据。结果：9项研究符合纳入标准。其中六篇研究了女性的经历，两篇研究了医疗服务提供者的经历，一篇研究了两者。出现了三个主要主题：避孕参与、妇女与提供者的关系和决策过程。妇女和卫生保健提供者认为经济限制、宗教信仰和信息差距是避孕措施实施的常见障碍。医疗保健提供者强调以妇女为中心的护理，这符合妇女对非评判性、前瞻性和尊重性咨询的偏好。决策过程是最突出的主题，知情和受尊重的决定是主要的促进因素。结论：高质量的咨询需要认识到妇女的需求并采取赋权策略。将这些见解纳入服务并扩大由训练有素的保健提供者提供的咨询，对于改善获取和质量至关重要。进一步的研究应为教育和培训方案提供信息。

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引用次数: 0

Determinants of prevention and impact on health for women with female genital mutilation – A qualitative study with experts 切割女性生殖器官的预防决定因素及其对妇女健康的影响——与专家进行的定性研究。

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2026-03-01 Epub Date: 2026-01-27 DOI: 10.1016/j.srhc.2026.101192

Katja Goetz, Şirin Mâriye Yoldaş

Background

Due to increasing global migration female genital mutilation/cutting (FGM/C) also affects women and girls who live outside countries with high prevalence of FGM/C. Therefore, prevention strategies are essential FGM/C affects populations living immigration countries, including Germany. The aim of this study was to explore the perspective of experts on enablers and barriers of FGM/C prevention and to examine the impact of preventative measures on the health of women with FGM/C.

Methods

This qualitative study consisted of a purposive sample of experts involved in prevention of FGM/C. A semi-structured interview guideline was used for the interviews which were conducted between June and July 2024. The data were evaluated using qualitative content analysis by using a deductive-inductive approach.

Results

In total, 12 experts were interviewed. The sample comprised gynaecologists, consultants (social and welfare workers) and one plastic surgeon. Educational work, mental health support, and connectivity were considered important enablers of prevention. Barriers were identified on intra- and interpersonal levels as well as on the structural level, such as trauma-related barriers, language barriers, lack of cultural sensitivity and problems caused by asylum regulations.

Conclusions

The results demonstrate important insights into the experiences of experts working in the field of prevention of FGM/C in Germany. A migrant-sensitive health care should be an important goal for each host country to ensure health equity. Based on the experts’ views, it is crucial to train professionals working in the field of FGM/C with special consideration of culturally sensitive approaches.

背景：由于全球移徙的增加，女性生殖器切割也影响到生活在女性生殖器切割高发国家以外的妇女和女童。因此，预防战略至关重要，女性生殖器切割影响到包括德国在内的移民国家的人口。这项研究的目的是探讨专家对女性生殖器切割/切割预防的促进因素和障碍的看法，并审查预防措施对女性生殖器切割/切割妇女健康的影响。方法：本定性研究由参与女性生殖器切割/切割预防的专家组成。在2024年6月至7月期间进行的访谈采用半结构化访谈指南。使用演绎-归纳方法对数据进行定性内容分析。结果：共访谈12位专家。样本包括妇科医生、咨询师（社会福利工作者）和一名整形外科医生。教育工作、心理健康支持和连通性被认为是预防的重要推动因素。在内部和人际层面以及结构层面确定了障碍，例如与创伤有关的障碍、语言障碍、缺乏文化敏感性以及庇护条例造成的问题。结论：研究结果为在德国从事女性生殖器切割/切割预防工作的专家提供了重要的见解。对移徙者敏感的卫生保健应成为每个东道国确保卫生公平的一个重要目标。根据专家们的意见，培训在女性生殖器切割/切割领域工作的专业人员，并特别考虑到对文化敏感的办法，是至关重要的。

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引用次数: 0

Women’s experiences of massage during childbearing: A Swedish qualitative interview study 妇女在生育期间按摩的经验：瑞典定性访谈研究

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2026-03-01 Epub Date: 2026-01-22 DOI: 10.1016/j.srhc.2026.101186

Amanda Claesson Karhunen , Maria Henricson , Rajna Knez , Caroline Bäckström

Objective

Massage during childbearing has been shown to benefit women’s health and well-being, such as reducing pain and stress and enhancing satisfaction with the labour experience. Despite these documented benefits, massage is not routinely offered as a complementary method by midwives within standard maternity care in Sweden, leaving women’s lived experiences of massage in this context unexplored. Therefore, this study aimed to explore women’s experiences of massage during childbearing.

Methods

The research was conducted as a qualitative study using an inductive approach. Semi-structured interviews with 12 women in Sweden were carried out, and data were analysed using qualitative content analysis.

Results

Analysis of the data yielded one overall theme—seen, heard and touched—and three categories: being mentally present in the body, a vulnerability needed to be respected and sharing experiences. Massage promoted present-moment awareness, trust and safety and relieved pain and stress. It also strengthened the connection with one’s own body and deepened closeness to both partner and unborn child. However, it was associated with vulnerability and the recall of bodily memories.

Conclusion

Massage during childbearing is a supportive practice that integrates physical and emotional well-being with mental recovery, making women feel seen, heard and touched. For optimal benefits and positive experiences, massage must be provided with respect to boundaries. This is particularly important because it may evoke sensitive memories, which involve a vulnerability that needs to be respected. Massage is a valuable complementary method alongside maternity care.

目的研究表明，在分娩期间进行按摩有益于妇女的健康和福祉，如减轻疼痛和压力，提高对分娩体验的满意度。尽管有这些文献记载的好处，但在瑞典，助产士在标准的产科护理中并没有常规地将按摩作为一种补充方法，这使得女性在这种情况下的按摩生活经历未被探索。因此，本研究旨在探讨女性在生育期间的按摩体验。方法采用归纳法进行定性研究。对瑞典的12名妇女进行了半结构化访谈，并使用定性内容分析对数据进行了分析。对数据的分析得出了一个总体主题——看到、听到和触摸——以及三个类别：精神上存在于身体中、需要被尊重的弱点和分享经验。按摩促进当下意识，信任和安全，缓解疼痛和压力。它还加强了与自己身体的联系，加深了与伴侣和未出生的孩子的亲密关系。然而，它与脆弱和身体记忆的回忆有关。结论孕期按摩是一种将身心健康与精神康复相结合的支持性实践，能让女性感受到被关注、被倾听、被触动。为了获得最佳的好处和积极的体验，按摩必须提供尊重边界。这一点尤其重要，因为它可能会唤起敏感的记忆，这涉及到一个需要被尊重的弱点。按摩是一个有价值的补充方法与产妇护理。

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引用次数: 0

Birth interventions and outcomes among first time mothers: A population-based register study in four Nordic countries 第一次母亲的出生干预和结果：在四个北欧国家进行的一项基于人口的登记研究

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2026-03-01 Epub Date: 2026-01-18 DOI: 10.1016/j.srhc.2026.101185

Emma Swift , Charlotte Elvander , Ellen Blix , Mika Gissler , Tiina Murto , Rikke Damkjær Maimburg , Rebecka Dalbye , Helga Gottfreðsdóttir , Kamilla Groenemeijer Nielsen , Hanna Ulfsdottir , Eva Rydahl

Introduction

Although the Nordic countries generally report lower caesarean section rates compared with middle- and high-income settings, caesarean section represents only one dimension of obstetric intervention. Limited evidence exists regarding the prevalence of physiological birth across the Nordic region. We aimed to describe and compare cross-country variations in intrapartum intervention rates and birth-related complications among nulliparous women in Finland, Iceland, Norway, and Sweden.

Methods

This Nordic observational study used data from the Finnish, Icelandic, Norwegian, and Swedish Medical Birth Registers for all nulliparous births in 2020. Three composite outcomes described levels of obstetric intervention and complications: (1) births without major interventions or complications, (2) births without interventions or complications (may include epidural/spinal analgesia), and (3) physiological births without complications. Prevalence was calculated for each outcome and logistic regression used to estimate odds ratios and 95% confidence intervals.

Results

Prevalence of births without major interventions or complications differed between countries and were most common in Sweden (62.4%; 95%CI:64.0–64.9) and least common in Finland (45.0%; 95%CI:44.3–45.7). Births without interventions and complications was most common in Iceland (29.4%; 95%CI:27.4–31.5) and least common in Finland (15.9%; 95%CI:15.4–16.4). Physiological births without complications were most common in Iceland (19.1%; 95%CI:17.4–20.0) and least common in Finland (6.1%; 95%CI:5.8–6.5).

Conclusion

Overall, about one in eight primiparous women in four Nordic countries experienced a physiological birth without complications. This finding invites reflection on how maternity care systems, professional practices, and cultural attitudes toward birth may shape opportunities for women to experience childbirth as a normal physiological process.

虽然北欧国家报告的剖宫产率普遍低于中、高收入国家，但剖宫产只是产科干预的一个方面。关于生理出生在北欧地区的普遍存在的证据有限。我们的目的是描述和比较芬兰、冰岛、挪威和瑞典的未分娩妇女的产时干预率和分娩相关并发症的跨国差异。方法：这项北欧观察性研究使用了芬兰、冰岛、挪威和瑞典医学出生登记处2020年所有无产新生儿的数据。三个复合结局描述了产科干预和并发症的水平：(1)无重大干预或并发症的分娩，(2)无干预或并发症（可能包括硬膜外/脊髓镇痛）的分娩，以及(3)无并发症的生理分娩。计算每个结果的患病率，并使用逻辑回归来估计优势比和95%置信区间。结果无重大干预措施或并发症的出生患病率在各国之间存在差异，瑞典最常见（62.4%;95%CI:64.0 ~ 64.9），芬兰最不常见（45.0%;95%CI:44.3 ~ 45.7）。无干预和并发症的分娩在冰岛最常见（29.4%;95%CI: 27.4-31.5），在芬兰最不常见（15.9%;95%CI: 15.4-16.4）。无并发症的生理性分娩在冰岛最常见（19.1%;95%CI: 17.4-20.0），在芬兰最不常见（6.1%;95%CI: 5.8-6.5）。总的来说，在四个北欧国家，大约八分之一的初产妇经历了无并发症的生理分娩。这一发现引起了人们对产科护理系统、专业实践和对分娩的文化态度如何影响妇女将分娩作为正常生理过程的机会的反思。

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引用次数: 0

Response to the letter to the editor regarding Women’s and healthcare providers’ experiences of contraceptive counselling: A qualitative systematic review 对致编辑的关于妇女和保健提供者避孕咨询经验的信的回应：定性系统审查

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2026-03-01 Epub Date: 2025-12-27 DOI: 10.1016/j.srhc.2025.101180

Márcia Conceição , Ana Sofia Ferreira , Rita Seabra , Maria Conceição Freitas , Juan Miguel Martínez-Galiano , Bruno Magalhães

引用次数: 0

Developing a postnatal questionnaire to understand ethnic minority women’s experiences with obstetric anal sphincter injuries: A pilot cross-sectional study 开发产后问卷，了解少数民族妇女的经验与产科肛门括约肌损伤：一项试点横断面研究。

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2026-03-01 Epub Date: 2026-02-05 DOI: 10.1016/j.srhc.2026.101189

Priyanka H. Krishnaswamy , Dina Tannous , Rohna Kearney

Objective

Women from ethnic minority groups have higher rates of obstetric anal sphincter injuries (OASI) and often face barriers to follow-up care. This study aimed to design and pilot a questionnaire to explore ethnic minority women’s postnatal experiences after OASI, identify barriers and facilitators to attending specialist perineal clinics, and assess the feasibility of this approach to inform a future mixed–methods study.

Methods

The questionnaire was co-designed with input from community stakeholders and piloted among three groups at a UK hospital serving a large ethnic minority population: women in the postnatal ward (n = 10), women attending a specialist perineal clinic (n = 10), and women who were invited but did not attend the clinic (n = 9). Quantitative data were analyzed descriptively, and qualitative data were analyzed using Braun and Clarke’s thematic analysis framework.

Results

Most participants were of Pakistani ethnicity (15/29, 52%). Non-attenders reported greater barriers including perceived impact of ethnicity and language on care, lower awareness of tear type, and limited communication with healthcare providers. Many in this group lacked recall of key information or engagement with physiotherapy or clinic services. Clinic attendees reported more positive experiences and understanding of their care.

Conclusion

This pilot questionnaire demonstrated feasibility and highlighted significant informational, cultural, and language barriers affecting postnatal care engagement among ethnic minority women after OASI. Further research with larger and more diverse samples, including translated and validated materials, is needed to refine the tool and inform interventions enhancing equity in postnatal care.

目的：少数民族妇女产科肛门括约肌损伤（OASI）发生率较高，且往往面临随访护理障碍。本研究旨在设计和试点一份调查问卷，以探讨少数民族妇女在OASI后的产后经历，确定参加会阴专科诊所的障碍和促进因素，并评估该方法的可行性，为未来的混合方法研究提供信息。方法：问卷是与社区利益相关者共同设计的，并在英国一家服务大量少数民族人口的医院的三组人群中进行了试点：产后病房的妇女（n = 10），参加会阴专科诊所的妇女（n = 10），以及被邀请但未参加诊所的妇女（n = 9）。定量数据采用描述性分析，定性数据采用Braun和Clarke的主题分析框架。结果：大多数参与者为巴基斯坦裔（15/29,52%）。非参与者报告了更大的障碍，包括种族和语言对护理的感知影响，对撕裂类型的认识较低，以及与医疗保健提供者的沟通有限。这一组中的许多人缺乏关键信息的回忆或参与物理治疗或诊所服务。临床参与者报告了更积极的经历和对他们的护理的理解。结论：该试点问卷证明了可行性，并突出了影响OASI后少数民族妇女产后护理参与的重要信息、文化和语言障碍。需要对更大、更多样化的样本进行进一步研究，包括翻译和验证的材料，以完善该工具并为提高产后护理公平性的干预措施提供信息。

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引用次数: 0

Content validity of the birth beliefs scale following a translation into German 德文翻译后的出生信念量表的内容效度。

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2026-03-01 Epub Date: 2026-02-18 DOI: 10.1016/j.srhc.2026.101197

Gaby Schmidt , Sybille Seybold , Angela Poat , Laura A. Zinsser , Mechthild M. Gross

Objective

This study aimed to translate and adapt the Birth Beliefs Scale (BBS) into German, focusing on content validity of the German version (G-BBS). The BBS, originally developed in Israel and validated in English, assesses women’s basic beliefs about childbirth.

Methods

The translation and adaption followed the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) guideline. Four translators were involved in forward and backward translation. Content validity procedures were aligned with COSMIN (COnsensus-based Standards for the selection of health Measurement Instruments) methodology. Cognitive debriefing involved 10 experts and 30 pregnant women for content validity. Both groups rated relevance, clarity as an indicator of comprehensibility, and overall comprehensiveness.

Results

Minor harmonization adjustments were required to enhance clarity, particularly in specific items, but no major revisions were required. Content validity index scores were acceptable for 10 out of 11 items during harmonization. During the validation process minor revisions were needed for two items. Inter-rater agreement from the expert panel and the target group exceeded 80%, confirming the adaption’s clarity and cultural relevance. Pregnant participants rated the scale as easy to use. Overall comprehensiveness was confirmed by both groups.

Conclusion

The BBS was systematically translated and adapted for German users, incorporating harmonization procedures to ensure conceptual equivalence as well as linguistic and cultural appropriateness throughout the translation process.

Further psychometric validation in a larger sample is needed to evaluate structural properties and measurement performance.

目的：本研究旨在对《出生信念量表》（BBS）进行德语版本的翻译和改编，重点研究其德语版本（G-BBS）的内容效度。BBS最初在以色列开发，并以英语验证，评估妇女对分娩的基本信念。方法：按照国际药物经济学与结果研究学会（ISPOR）指南进行翻译和改编。四名翻译人员参与了正译和倒译。内容效度程序与COSMIN（基于共识的卫生测量仪器选择标准）方法保持一致。对10名专家和30名孕妇进行内容效度认知述职。两组都将相关性，清晰度作为可理解性的指标，以及整体的全面性。结果：需要进行微小的协调调整以提高清晰度，特别是在具体项目中，但不需要进行重大修订。在协调过程中，11个项目中有10个项目的内容效度指数得分是可接受的。在验证过程中，需要对两个项目进行小的修改。专家小组和目标群体的评分者之间的一致性超过80%，证实了适应性的明确性和文化相关性。怀孕的参与者认为该量表易于使用。两组均确认了整体的综合性。结论：该论坛被系统地翻译和改编为德国用户，在整个翻译过程中纳入协调程序，以确保概念对等以及语言和文化的适当性。需要在更大的样本中进一步的心理测量验证来评估结构特性和测量性能。

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引用次数: 0

Exploring views on normal birth in the Nordic and Baltic regions: a cross-national qualitative study with midwives working in hospital birth settings 探讨北欧和波罗的海地区对正常分娩的看法：对在医院分娩环境工作的助产士进行的一项跨国定性研究。

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2026-03-01 Epub Date: 2026-02-18 DOI: 10.1016/j.srhc.2026.101198

Pernilla Stenbäck , Eline Skirnisdottir Vik , Maria Ekelin , Ingela Sjöblom , Ilze Ansule , Kirsten Hasman , Alina Liepinaitienė , Terese Österberg , Eva Christina Furskog-Risa , Torhild Borlaug , Berit Mortensen , Valgerður Lísa Sigurðardóttir , Ólöf Ásta Ólafsdóttir

Introduction

Midwifery knowledge, education and training in practice are challenged in contemporary maternity care by the growing trend towards interventions during childbirth, a dominant risk perspective and medicalised care. There is an ongoing debate about the definition of normal birth, however, midwives continue to advocate for normal birth.

Objective

To explore midwives’ views and definitions of normal birth, and how they work to promote it, in a hospital setting.

Methods

A qualitative cross-national study was conducted in the Nordic and Baltic regions by student midwives (n = 35) and their university-based supervisors from midwifery education programs, (n = 10). A total of 145 midwives were interviewed individually or in groups. A comprehensive thematic analysis was employed.

Results

Midwives’ views on normal birth revealed a midwifery identity shaped by the guiding philosophy of the profession. Definitions of normal birth varied among midwives, influenced by their working environment, individual perspectives, and cultural and socio-political backgrounds. Regardless of these differences, midwives emphasized the importance of meeting women’s expectations and maintaining a supportive presence during childbirth, fostering effective communication with both women and healthcare colleagues to advocate for physiological birthing processes.

Conclusion

Our findings illustrate midwives’ dedication to promote healthy, physiological birthing processes, which stands as a core value of their profession. Hindrances exist in the hospital birth setting that impact healthy outcomes. The widespread use of the term normal birth is challenging. This study invites rethinking birth narratives supporting exploration of other terms, such as healthy birth, to better capture the philosophy and practice of midwifery.

导言：助产士的知识，教育和培训在实践中受到挑战，在当代产妇护理日益增长的趋势，在分娩期间的干预措施，占主导地位的风险观点和医疗护理。关于正常分娩的定义存在持续的争论，然而，助产士继续倡导正常分娩。目的：探讨助产士对正常分娩的看法和定义，以及他们如何在医院环境中促进正常分娩。方法：在北欧和波罗的海地区进行了一项定性的跨国研究，研究对象是来自助产教育项目的学生助产士（n = 35）及其大学导师（n = 10）。共有145名助产士单独或分组接受了采访。采用了全面的专题分析。结果：助产士对正常分娩的看法揭示了一种由专业指导理念塑造的助产士身份。助产士对正常分娩的定义各不相同，受其工作环境、个人观点以及文化和社会政治背景的影响。尽管存在这些差异，助产士强调了满足妇女期望和在分娩过程中保持支持性存在的重要性，促进了与妇女和医疗保健同事的有效沟通，以倡导生理分娩过程。结论：我们的研究结果说明助产士致力于促进健康、生理的分娩过程，这是他们职业的核心价值。医院分娩环境中存在影响健康结果的障碍。“正常分娩”一词的广泛使用具有挑战性。这项研究邀请人们重新思考分娩叙事，支持探索其他术语，如健康分娩，以更好地捕捉助产士的哲学和实践。

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引用次数: 0

Unravelling dual violence against women in Ethiopia: Experiences of obstetric violence and postpartum intimate partner violence 解开对埃塞俄比亚妇女的双重暴力：产科暴力和产后亲密伴侣暴力的经历。

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2026-03-01 Epub Date: 2026-02-25 DOI: 10.1016/j.srhc.2026.101199

Millicent Makandi , Lenka Beňová , Samson Gebremedhin , Zemzem Mohammed , Nicole Votruba , Hanani Tabana , Abel Dadi , Anteneh Asefa

Objective

To examine the prevalence of dual violence—experience of obstetric violence (OV) and postpartum intimate partner violence (IPV)—and factors associated with it among women in Addis Ababa, Ethiopia.

Methods

As part of a broader longitudinal study, we surveyed 354 postpartum women six to sixteen weeks after childbirth. OV was assessed across seven domains (e.g., verbal abuse, non-consented care, lack of privacy), and IPV across three (physical, sexual, emotional). Dual violence was defined as experiencing at least one form of both OV and IPV. We used logistic regression to identify factors associated with dual violence.

Results

Experience of OV was reported by 87.0% (95% CI: 82.9%-90.2%) of the participants, while 31.2% (95% CI: 26.1–36.0%) reported experiencing postpartum IPV. The prevalence of dual violence was 29.4% (95% CI: 24.9%–34.2%). Most prevalent OV forms were: lack of privacy, confidentiality, or access to information (65.5%) and non-consented care (61.6%), whereas emotional violence was the most experienced form of postpartum IPV (29.4%). Dual violence was significantly associated with unemployment (AOR: 2.31, 95% CI: 1.20–4.54), lack of postnatal check (AOR: 2.23; 95% CI: 1.06–4.72), and experience of IPV during pregnancy (AOR: 6.91, 95% CI: 3.92–12.55). Conversely, women who gave birth in private facilities had lower odds of experiencing dual violence (AOR: 0.41, 95% CI: 0.15–0.99).

Conclusion

The high prevalence of dual violence identified by our study underscores the need for integrated interventions to strengthen OV and IPV prevention and response actions.

目的：研究埃塞俄比亚亚的斯亚贝巴妇女的双重暴力——产科暴力（OV）和产后亲密伴侣暴力（IPV）的发生率及其相关因素。方法：作为一项更广泛的纵向研究的一部分，我们调查了分娩后6至16周的354名产后妇女。OV在七个领域（例如，言语虐待、未经同意的护理、缺乏隐私）进行评估，IPV在三个领域（身体、性、情感）进行评估。双重暴力被定义为经历至少一种形式的OV和IPV。我们使用逻辑回归来确定与双重暴力相关的因素。结果：87.0% （95% CI: 82.9% ~ 90.2%）的参与者报告有OV经历，31.2% （95% CI: 26.1 ~ 36.0%）的参与者报告有产后IPV经历。双重暴力发生率为29.4% （95% CI: 24.9%-34.2%）。最常见的外阴形式是：缺乏隐私、保密或获取信息（65.5%）和未经同意的护理（61.6%），而情绪暴力是最常见的产后外阴形式（29.4%）。双重暴力与失业（AOR: 2.31, 95% CI: 1.20-4.54）、缺乏产后检查（AOR: 2.23, 95% CI: 1.06-4.72）和怀孕期间IPV经历（AOR: 6.91, 95% CI: 3.92-12.55）显著相关。相反，在私人设施分娩的妇女遭受双重暴力的几率较低（AOR: 0.41, 95% CI: 0.15-0.99）。结论：我们的研究发现双重暴力的高患病率强调了加强OV和IPV预防和应对行动的综合干预的必要性。

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引用次数: 0

“The Best of Both Worlds” a content analysis of midwives’ perspectives on using ultrasound for labour progress assessment “两全其美”内容分析助产士对使用超声波进行产程评估的观点

IF 1.7 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2025-12-01 Epub Date: 2025-09-02 DOI: 10.1016/j.srhc.2025.101142

Elsa Ruth Gylfadóttir , Hulda Hjartardóttir , Valgerður Lísa Sigurðardóttir

Background

Midwives in labour wards at high-tech hospitals have witnessed significant technological advancements. Ultrasound devices for assessing labour progress may offer advantages over traditional vaginal examinations. However, it is important to examine the views of care providers before introducing this new technology.

Aim

The aim is to examine the views of midwives working in a hospital labour ward regarding the use of ultrasound devices in assessing the progress of labour and explore their views of implementing such a technology to improve care for women during labour.

Method

A qualitative study was conducted, using three semi structured focus groups interviews with 16 midwives from the hospital labour ward. A purposive sample was used to capture diverse backgrounds and experiences. Content analysis was used to identify key categories and subcategories.

Results

Two main categories emerged: 1) “Art of midwifery and technology,” including a debate between clinical skills and technology, midwives’ openness to learning, and their desire to control implementation; 2) “Women and babies come first,” highlighting the importance of options, safety, and the connection with the woman.

Conclusion

Midwives support evidence-based technological advancements that benefit clients without increasing unnecessary interventions. They believe ultrasound complements traditional vaginal exams and is a valuable option for certain groups of women. Midwives need to be involved in the implementation of new methods to ensure client well-being. Further research is needed to evaluate the benefits of using ultrasound for labour progress assessment.

高科技医院产房的助产士见证了重大的技术进步。用于评估产程的超声设备可能比传统的阴道检查更有优势。然而，在引入这项新技术之前，检查护理提供者的观点是很重要的。目的调查医院产房助产士对使用超声波设备评估分娩进展的看法，并探讨她们对采用这种技术以改善产妇分娩护理的看法。方法采用三个半结构化的焦点小组访谈，对医院产房的16名助产士进行定性研究。一个有目的的样本被用来捕捉不同的背景和经历。内容分析用于确定关键类别和子类别。结果出现了两个主要类别：1)“助产艺术与技术”，包括临床技能与技术之间的辩论，助产士对学习的开放程度，以及他们控制实施的愿望；2)“女人和孩子是第一位的”，强调选择、安全以及与女人联系的重要性。结论助产士支持基于证据的技术进步，在不增加不必要干预的情况下使客户受益。他们认为超声波是传统阴道检查的补充，对某些女性群体来说是一个有价值的选择。助产士需要参与新方法的实施，以确保客户的福祉。需要进一步的研究来评估使用超声进行产程评估的好处。

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