Sexual & Reproductive Healthcare最新文献_第6页

Expecting a child conceived by medically assisted reproduction in the context of infertility: A qualitative case study of the experience of pregnant women and their partners 在不孕症的情况下，通过医学辅助生殖受孕：孕妇及其伴侣经历的定性案例研究。

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

Sexual & Reproductive Healthcare

Pub Date : 2025-12-01 Epub Date: 2025-11-17 DOI: 10.1016/j.srhc.2025.101168

Caroline René , Isabelle Landry , Francine de Montigny

Background

Infertility affects around one in six people worldwide. Technological advances and changes in legislation in medically assisted reproduction (MAR) are helping more people achieve parenthood after a journey marked by infertility. Yet the unique experience of women who become pregnant after MAR, and of their partners, remains little known.

Aim

To describe the experience of pregnant women and their partners during a pregnancy resulting from infertility-related MAR by examining their emotions throughout the pregnancy, their parental identity construction, and transformations experienced in various spheres of their life.

Methods

We conducted an integrated case study using a descriptive qualitative approach. Semi-structured interviews were conducted with 21 participants from Quebec (Canada), including 13 pregnant women and eight partners (five men, three women) who had conceived by infertility-related MAR. The data were analysed abductively.

Findings

The pregnant women and their partners experienced intense emotions throughout the pregnancy, oscillating between joy, fear, and relief. Parental identity construction was marked by expectation, hope, and a transition centred on pregnancy and infertility. They also transformed their relationships, adapting as a couple, redefining family and social ties, and entering a new normal with healthcare professionals.

Conclusion

For pregnant women and their partners, pregnancy after infertility-related MAR is fraught with paradoxical emotions and marked by challenging parental identity construction. Social and family recognition of their journey influences how they navigate the transitional period of pregnancy and project themselves into their parental role. Personalised, empathetic support from healthcare professionals is essential to support them during pregnancy and facilitate their transition to parenthood.

背景：全世界约有六分之一的人患有不孕症。在医疗辅助生殖方面的技术进步和立法变化正在帮助更多的人在经历了一段以不孕症为标志的旅程后成为父母。然而，在MAR之后怀孕的妇女及其伴侣的独特经历仍然鲜为人知。目的：通过检查怀孕期间的情绪、父母身份的构建以及在生活的各个领域经历的转变，描述怀孕期间与不孕相关的MAR的孕妇及其伴侣的经历。方法：我们使用描述性定性方法进行了一个综合案例研究。对来自加拿大魁北克的21名参与者进行了半结构化访谈，其中包括13名孕妇和8名因不孕相关mar而怀孕的伴侣（5男3女）。对数据进行了绑架分析。研究发现：孕妇和她们的伴侣在整个怀孕期间都经历了强烈的情绪波动，在喜悦、恐惧和宽慰之间摇摆。父母身份的构建以期望、希望和以怀孕和不孕为中心的过渡为标志。他们还改变了他们的关系，适应夫妻关系，重新定义家庭和社会关系，并与医疗保健专业人员进入新常态。结论：对于孕妇及其伴侣来说，不孕相关MAR后的怀孕充满了矛盾的情绪，并以挑战父母身份建构为标志。社会和家庭对她们的旅程的认可影响着她们如何度过怀孕的过渡时期，并将自己投射到父母的角色中。来自医疗保健专业人员的个性化、移情支持对于在怀孕期间为她们提供支持和促进她们向父母过渡至关重要。

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引用次数: 0

We’re guessing: The data crisis in maternal mortality research in the United States 我们猜测：美国孕产妇死亡率研究中的数据危机。

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

Sexual & Reproductive Healthcare

Pub Date : 2025-12-01 Epub Date: 2025-10-27 DOI: 10.1016/j.srhc.2025.101159

Cassie Joy Sistoso

引用次数: 0

Female sexual health: the use of videos in Brazilian sign language (Libras) to make knowledge accessible for deaf women 女性性健康：使用巴西手语（Libras）视频，使失聪妇女能够获得知识。

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

Sexual & Reproductive Healthcare

Pub Date : 2025-12-01 Epub Date: 2025-11-01 DOI: 10.1016/j.srhc.2025.101161

Juliana Maria Teobaldo Martins , Regiane da Silva Barbosa , Marli Teresinha Cassamassino Duarte , Vera Lúcia Messias Fialho Capellini

This article addresses the development and validation of an informational video on female sexual health for deaf women. Given the communication barriers between healthcare professionals and deaf patients, and considering the detrimental effects of misinformation on ensuring the right to health for deaf women, this study aims to develop and validate an educational video in Brazilian Sign Language (Libras) on female anatomy, menstruation, and hygiene care, to be used in clinical settings with deaf women. Through a methodological study, a video in Libras on female sexual health was created, which was initially validated through the Delphi technique by Libras specialists and deaf women. The resulting audiovisual material proved to be a powerful Assistive Technology tool for informing and enhancing communication between healthcare professionals and deaf patients.

这篇文章讨论了一个关于女性性健康的信息视频的开发和验证。鉴于医护人员与耳聋患者之间的沟通障碍，并考虑到错误信息对确保耳聋女性健康权的不利影响，本研究旨在制作和验证巴西手语（Libras）的女性解剖学，月经和卫生保健教育视频，用于耳聋女性的临床设置。通过方法学研究，制作了一部关于女性性健康的天秤座视频，并由天秤座专家和聋哑妇女通过德尔菲技术初步验证。由此产生的视听材料被证明是一个强大的辅助技术工具，为医护人员和失聪患者提供信息和加强沟通。

引用次数: 0

Associations between birth experience and postpartum depression – A Cross-Sectional study 分娩经历与产后抑郁之间的关系-一项横断面研究。

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

Sexual & Reproductive Healthcare

Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1016/j.srhc.2025.101170

Annika Wilzén , My Foucard , Katri Nieminen , Anna Malmquist , Hanna Grundström

Objective

Birth experience is a multidimensional concept that can impact life after birth, including mental health. It may contribute to the development of postpartum depression (PPD), a common postpartum condition. This study aimed to investigate whether there is an independent correlation between birth experience and PPD symptoms, while controlling for background variables. Additionally, sociodemographic and clinical factors associated with PPD symptoms were analyzed.

Methods

This cross-sectional study included participants who gave birth 6–16 weeks prior to participation, at five hospitals in southern Sweden. Data was collected via a web-based survey from September 2021 to January 2022, covering sociodemographic and clinical variables, the Edinburgh Postnatal Depression Scale, and the revised Childbirth Experience Questionnaire. Multiple linear regression was used to examine the relationship between birth experience and depressive symptoms, controlling for potential confounders.

Results

An analysis of 505 completed surveys revealed an independent negative correlation, where a better birth experience was linked to less symptoms of PPD (β = -2.87, p < 0.001). Significant predictors of more PPD symptoms included ethnic minority status, past or current mental health issues, previous trauma, premature labour, younger age and lower birth support.

Conclusion

A positive birth experience was independently associated with fewer postpartum depression symptoms, whereas lower birth support, younger age, minority status, and other background factors were linked to increased risk for PPD. These findings highlight the need for maternity care that promotes supportive and positive birth experiences, with particular attention to groups at higher risk of PPD.

目的：出生经历是一个多维度的概念，可以影响出生后的生活，包括心理健康。它可能会导致产后抑郁症（PPD）的发展，这是一种常见的产后疾病。本研究旨在探讨在控制背景变量的情况下，出生经历与PPD症状之间是否存在独立的相关性。此外，还分析了与PPD症状相关的社会人口学和临床因素。方法：这项横断面研究包括参与前6-16周在瑞典南部五家医院分娩的参与者。从2021年9月到2022年1月，通过网络调查收集数据，包括社会人口统计学和临床变量、爱丁堡产后抑郁量表和修订后的分娩经历问卷。多元线性回归用于检验出生经历与抑郁症状之间的关系，控制潜在的混杂因素。结果：对505份已完成调查的分析显示了独立的负相关，其中较好的分娩经历与较少的产后抑郁症状相关（β = -2.87, p）。结论：积极的分娩经历与较少的产后抑郁症状独立相关，而较低的分娩支持、较年轻、少数民族身份和其他背景因素与PPD风险增加相关。这些发现强调了促进支持性和积极分娩体验的产妇护理的必要性，特别关注PPD风险较高的群体。

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引用次数: 0

Reforming professional identity: experiences of internationally educated midwives in a Swedish bridging program – A qualitative study 改革的专业身份：经验的国际教育助产士在瑞典衔接程序-定性研究。

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

Sexual & Reproductive Healthcare

Pub Date : 2025-12-01 Epub Date: 2025-11-12 DOI: 10.1016/j.srhc.2025.101165

Emma Barkeling , Elin Nässén , Sofia Alsing , Helena Lindgren

Background

The first bridging program for midwives in Sweden started in 2018. This made it possible for midwives educated outside of the EU/EES and Switzerland to obtain a Swedish midwifery license and become familiar with the Swedish healthcare system within a year.

Aim

To describe midwives, who have obtained their midwifery education outside of the EU/EES and Switzerland, experiences obtaining a Swedish midwifery license through the bridging program at Karolinska Institutet.

Method

A qualitative study was conducted utilizing semi-structured interviews with nine midwives who had completed the bridging program. Content analysis was used.

Results

From the analysis, one theme emerged: Reforming professional identity. This theme encompassed four categories: A bridging program as a way of reaching the goal, experience of support, becoming familiar with a new healthcare system and learning while using a new language.

Conclusion

The necessity for a bridging program became apparent as the midwives encountered differences in healthcare systems and diverse approaches to interacting with birthing women. Acquiring the skill to provide consistent support was challenging, demanding proficient communication skills, with casual conversation being the greatest obstacle.

背景：瑞典的第一个助产士衔接项目于2018年启动。这使得在欧盟/EES和瑞士以外接受教育的助产士有可能获得瑞典助产执照，并在一年内熟悉瑞典医疗保健系统。目的：描述在欧盟/EES和瑞士以外获得助产教育的助产士，通过卡罗林斯卡学院的衔接课程获得瑞典助产执照的经验。方法：采用半结构化访谈对9名完成衔接课程的助产士进行定性研究。采用内容分析法。结果：从分析中得出一个主题：重塑职业认同。该主题包括四个类别：作为实现目标方式的桥梁项目、支持体验、熟悉新的医疗系统以及在使用新语言的同时学习。结论：当助产士遇到医疗保健系统的差异和与分娩妇女互动的不同方法时，桥接计划的必要性变得明显。获得提供持续支持的技能是具有挑战性的，需要熟练的沟通技巧，随意的交谈是最大的障碍。

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引用次数: 0

Key influences on women’s decisions for vaginal birth following a previous caesarean section: A qualitative study 对先前剖腹产后妇女决定顺产的关键影响：一项定性研究

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

Sexual & Reproductive Healthcare

Pub Date : 2025-12-01 Epub Date: 2025-11-17 DOI: 10.1016/j.srhc.2025.101169

Ms Marcella Gavin , Magdalena Ohaja , Linda Biesty

Background

There remains a steady increase in the caesarean section (CS) rate globally ranging from 5% in sub-Saharan Africa to 42.8% in the Caribbean and Latin America. Vaginal birth after CS (VBAC) is a proven way of increasing normality in childbirth for most women. This study aimed to explore the factors that influence women’s decision-making for VBAC after previous CS.

Method

A qualitative design was used. All women with experience of one previous CS, and eligible for VBAC were invited to participate in the study. Data for this study were collected using semi-structured individual interview with 10 women via Zoom following verbal and written consent between March and September 2023. Thematic analysis was employed, and the discussion of the findings was informed by Foucault’s theory of power/knowledge.

Findings

Factors that influence women’s decision-making are presented under two main themes – ‘Self-determination,’ and ‘Self-confidence.’ Knowledge, strong will, previous experience, and quest to feel better after birth contributed to women’s determination to be in control of their decision. Self–belief, and support from the care providers had impact on women’s confidence. Most of the participants demonstrated a sense of control and satisfaction with their decision regardless of subsequent mode of birth.

Conclusion

The findings highlight the intrinsic link between knowledge and power and the role of these constructs in decision-making. Therefore, women need to be well informed and feel empowered to take control of the decision about their mode of birth following previous caesarean section.

全球剖宫产率仍在稳步上升，从撒哈拉以南非洲的5%到加勒比和拉丁美洲的42.8%。阴道分娩后CS （VBAC）是一个证明的方式，以增加正常分娩的大多数妇女。本研究旨在探讨影响女性既往CS后VBAC决策的因素。方法采用定性设计。所有之前有过一次CS经验的女性都被邀请参加VBAC。本研究的数据是在2023年3月至9月期间通过Zoom对10名女性进行半结构化的个人访谈，并获得口头和书面同意。本研究采用主题分析，并根据福柯的权力/知识理论对研究结果进行讨论。研究结果影响女性决策的因素分为两个主题——“自决”和“自信”。“知识、坚强的意志、以往的经验，以及产后对自我感觉良好的追求，都有助于女性做出自己的决定。”自信和护理人员的支持对妇女的信心有影响。大多数参与者对他们的决定表现出一种控制感和满足感，无论他们后来的出生方式如何。结论研究结果强调了知识与权力之间的内在联系，以及这些构念在决策中的作用。因此，妇女需要充分了解情况，并感到有权在以前剖腹产后决定自己的分娩方式。

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引用次数: 0

The experience of working alone as midwives in small-scale municipalities – a qualitative study with emphasis on professional loneliness 在小型城市作为助产士独自工作的经验——一项强调职业孤独的定性研究。

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

Sexual & Reproductive Healthcare

Pub Date : 2025-12-01 Epub Date: 2025-09-28 DOI: 10.1016/j.srhc.2025.101150

Kristine Bjelland, Vigdis Aasheim, Eline Skirnisdottir Vik, Elisabeth Hemnes Aanensen

Objective

To examine how midwives in small-scale municipalities in Norway experience working alone, with emphasis on professional loneliness.

Method

This qualitative study was conducted using semi-structured interviews with twelve midwives. The data were analysed using Systematic Text Condensation as described by Malterud.

Results

The experience of working alone was described in terms of managing municipality’s maternity service independently, having an extensive practice and responsibility, feeling a duty to maintain up-to-date knowledge, and recognising the critical value of professional networks, both locally and centrally.

Conclusion

Working alone had both positive and negative impacts, and this study gives a deeper insight into professional loneliness as a challenge. A broader approach is necessary to uncover the consequences of working alone for individual midwives and the overall quality of service.

目的：研究挪威小型城市的助产士如何独自工作，重点是职业孤独。方法：采用半结构化访谈法对12名助产士进行定性研究。使用Malterud描述的system Text Condensation对数据进行分析。结果：独自工作的经验被描述为独立管理市政产科服务，有广泛的实践和责任，感觉有责任保持最新的知识，并认识到专业网络的关键价值，地方和中央。结论：独自工作既有积极的影响，也有消极的影响，本研究对职业孤独作为一种挑战有了更深入的了解。有必要采取更广泛的方法来揭示单独工作对个别助产士和整体服务质量的影响。

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引用次数: 0

Maternal physical health and breastfeeding problems in Croatia: national online survey of new mothers 克罗地亚产妇身体健康和母乳喂养问题：对新妈妈的全国在线调查。

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

Sexual & Reproductive Healthcare

Pub Date : 2025-12-01 Epub Date: 2025-09-27 DOI: 10.1016/j.srhc.2025.101149

Lisa H Amir , Daniela Drandić , Anita Pavičić Bošnjak , Ana Vidović Roguljić , Gill Thomson , Irena Zakarija-Grković

Objective

To document maternal physical health and breastfeeding problems in the first six months after giving birth in Croatia during the pandemic.

Methods

We conducted a cross-sectional study using an online questionnaire between February and April 2022 among resident Croatian women who had enrolled in the RODA (‘Parents in Action’) online antenatal course. Women aged 18 + years, who had given birth in a Croatian maternity facility between February 2020 and December 2021 were eligible. The questionnaire contained 75 items, covering sociodemographic characteristics, hospital practices, community support, maternal mental and physical health.

Results

Postpartum health and breastfeeding items were completed by 1760 participants. Most women were primiparous (80 %, n = 1420) and 72 % birthed vaginally (n = 1274). Major physical health issues were fatigue (28 %; n = 487), back pain (14 %; n = 252), and haemorrhoids (10 %; n = 171). Urinary incontinence was a minor problem for 23 % (n = 397), somewhat of a problem for 8 % (n = 139) and a major problem for 4 % (n = 67).The most common breastfeeding problems were nipple pain/damage 50 % (n = 885), difficulty attaching 43 %, (n = 761), low milk supply 28 % (n = 490), mastitis 22 % (n = 391), engorgement 22 % (n = 393), breast refusal 22 % (n = 381), and too much milk 22 % (n = 380).

Conclusion

Consistent with reports of maternal postpartum health in other countries, women in Croatia experienced many physical health challenges in the six months after childbirth. Most women described problems with breastfeeding; the frequency of pain associated with breastfeeding is concerning. Healthcare systems need to provide effective assistance to enable new mothers to establish breastfeeding without nipple pain and damage even during times of emergency measures.

目的：记录大流行期间克罗地亚产妇分娩后头六个月的身体健康和母乳喂养问题。方法：我们在2022年2月至4月期间对参加RODA（“父母在行动”）在线产前课程的克罗地亚居民妇女进行了一项横断面研究。2020年2月至2021年12月期间在克罗地亚产科设施分娩的18岁以上妇女有资格。调查表包含75个项目，包括社会人口特征、医院做法、社区支助、产妇身心健康。结果：1760名参与者完成了产后健康和母乳喂养项目。大多数妇女为初产（80%,n = 1420）， 72%为顺产（n = 1274）。主要的身体健康问题是疲劳（28%,n = 487）、背痛（14%,n = 252）和痔疮（10%,n = 171）。尿失禁是23% （n = 397）的小问题，8% （n = 139）的大问题，4% （n = 67）的大问题。最常见的母乳喂养问题是乳头疼痛/损伤50% (n = 885)，附着困难43% (n = 761)，奶量不足28% (n = 490)，乳腺炎22% (n = 391)，充血22% (n = 393)，拒乳22% (n = 381)，奶量过多22% （n = 380）。结论：与其他国家关于产妇产后健康的报告一致，克罗地亚妇女在分娩后6个月内经历了许多身体健康方面的挑战。大多数妇女描述了母乳喂养的问题；与母乳喂养相关的疼痛频率令人担忧。卫生保健系统需要提供有效的援助，使新妈妈即使在采取紧急措施时也能在没有乳头疼痛和损伤的情况下进行母乳喂养。

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引用次数: 0

The epistemic injustice of racialised maternal care 种族化产妇护理的认知不公。

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

Sexual & Reproductive Healthcare

Pub Date : 2025-12-01 Epub Date: 2025-11-07 DOI: 10.1016/j.srhc.2025.101162

Fatumo Osman , Elin Ternström , Maja Bodin , Sarah Hamed

引用次数: 0

Midwives’ experiences with telephone triage for migrant women prior to admission to Norwegian labour wards, when language barriers exist 在语言障碍存在的情况下，助产士在挪威劳工病房入院前为移民妇女进行电话分诊的经验

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

Sexual & Reproductive Healthcare

Pub Date : 2025-09-01 Epub Date: 2025-08-19 DOI: 10.1016/j.srhc.2025.101139

Erica Schytt, Caroline Brandal , Marit Bjørdalsbakke Skaar , Eline Skirnisdottir Vik, Vigdis Aasheim

Background

Telephone triage by a hospital midwife is important for ensuring safe assessments and providing appropriate advice prior to women’s admission to the labour ward. Weather this aspect of labour care functions well for migrant women when language barriers exist remains unknown. The aim was to explore midwives’ experiences of telephone triage for migrant women prior to admission to Norwegian labour wards, when language barriers exist.

Methods

Semi-structured individual interviews with eight midwives from five different hospitals in Norway. The manifest and latent content of transcribed text was analysed using inductive qualitative content analysis according to Graneheim and Lundman (2004).

Results

Midwives experience with telephone triage for migrant women prior to admission to the labour ward was summarized in one overarching theme: When communication fails, midwives go beyond ordinary procedures and established routines to ensure safety for women and infants. The following categories were identified: Barriers to communication and safe assessments exist – Addressable through technical and supportive measures; Midwives turn to other sources of information when verbal communication with the woman is unsuccessful; Language barriers over the phone creates feelings of uncertainty for midwives, and Lack of information triggers time- and resource-demanding responses.

Conclusion

With enhanced communication tools for triage prior to admission to the labour ward, midwives would feel more confident in their assessments, women’s needs would be addressed more efficiently, and resources could be used more effectively. The development and evaluation of such tools is urgently needed.

背景：医院助产士的电话分诊对于确保在妇女进入产房之前进行安全评估和提供适当建议非常重要。在存在语言障碍的情况下，这方面的劳动护理是否能很好地为移徙妇女服务仍不得而知。目的是探索助产士在移民妇女进入挪威劳动病房之前的电话分诊经验，当时存在语言障碍。方法对来自挪威5家不同医院的8名助产士进行半结构化的个人访谈。Graneheim and Lundman（2004）采用归纳定性内容分析法对转录文本的显性和隐性内容进行分析。结果助产士在进入产房前对流动妇女进行电话分诊的经验总结为一个总体主题：当沟通失败时，助产士超越普通程序和既定程序，以确保妇女和婴儿的安全。确定了以下类别：存在沟通和安全评估障碍-可通过技术和支助措施加以解决；当与产妇的口头沟通不成功时，助产士会转向其他信息来源；电话中的语言障碍给助产士带来了不确定感，信息的缺乏引发了需要时间和资源的反应。结论加强产房入院前分诊的沟通工具，可以使助产士对自己的评估更有信心，更有效地满足妇女的需求，更有效地利用资源。迫切需要开发和评价这些工具。

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引用次数: 0