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The regulation and practice of midwifery prescribing around the world: A scoping review of regulations and literature 世界各地助产处方的法规和实践：法规和文献的范围审查
IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sexual & Reproductive Healthcare
Pub Date : 2025-05-15 DOI: 10.1016/j.srhc.2025.101109
Kirsten Small , Chanelle Warton , Jennifer Fenwick , Kathleen Baird , Caroline Homer , Zoe Bradfield

Background

The authority to prescribe medications has been extended to midwives in many countries. Understanding how midwifery prescribing is used, whether it is effective, and how it is regulated can inform the development of midwifery prescribing.

Aim

To describe regulatory standards for midwifery prescribing in high-income English-speaking countries and identify insights from research regarding midwife prescribing.

Methods

A scoping review using the Joanna Briggs Institute methodology. Literature searches targeted 1. Grey literature relating to professional standards, regulations, and / or legislation regarding midwifery prescribing in selected high-income countries; 2. Peer-reviewed empirical research regarding midwifery prescribing.

Findings

In some jurisdictions, educational preparation for midwifery prescribing is completed in the primary midwifery degree, with all midwives having prescribing authority; in others, a separate course provides the entry point for a subset of the midwifery workforce. Models of midwifery prescribing have moved to more autonomous prescribing over time.
Midwives used their prescribing authority in diverse ways. No research directly examined safety and effectiveness. However, approaches expected to produce safe and effective prescribing were demonstrated. Access to care was improved when independent midwifery prescribing was available.

Discussion

Midwifery prescribing is well embedded around the world but has not been as comprehensively evaluated as other forms of non-medical prescribing. Non-medical prescribing by other health professionals has expanded over time, with evidence of better outcomes compared to medical prescribing. Barriers to midwifery prescribing reflect those impacting other non-medical prescribers.

Conclusion

Addressing barriers to midwifery prescribing offers an effective means to enhance maternity care provision.
在许多国家，开处方的权力已经扩展到助产士。了解助产处方是如何使用的，它是否有效，以及它是如何监管的，可以为助产处方的发展提供信息。目的描述高收入英语国家助产处方的监管标准，并从有关助产处方的研究中获得见解。方法采用乔安娜布里格斯研究所的方法进行范围审查。文献搜索目标1。与选定高收入国家助产处方的专业标准、法规和/或立法相关的灰色文献；2. 关于助产处方的同行评议实证研究。在一些司法管辖区，助产士开处方的教育准备是在初级助产士学位完成的，所有助产士都有开处方的权力；在其他地方，一个单独的课程为助产人员的一个子集提供了入门点。随着时间的推移，助产处方模式已经转向更自主的处方。助产士以多种方式使用他们的处方权威。没有研究直接检验其安全性和有效性。然而，期望产生安全和有效的处方的方法被证明。当有独立的助产处方时，获得护理的机会得到了改善。助产处方在世界各地都很普遍，但还没有像其他形式的非医疗处方那样得到全面的评估。随着时间的推移，其他卫生专业人员的非医疗处方也在扩大，有证据表明，与医疗处方相比，非医疗处方的效果更好。助产士开处方的障碍反映了影响其他非医疗处方者的障碍。结论解决助产处方障碍是提高孕产妇保健服务水平的有效手段。
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引用次数: 0
Assessment of menstrual material needs as a measure of health and menstrual equity in the postpartum period 评估经期物质需求，作为产后健康和经期公平的衡量标准
IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sexual & Reproductive Healthcare
Pub Date : 2025-05-11 DOI: 10.1016/j.srhc.2025.101108
Bronwyn S. Bedrick , Sonia Hamilton , Carolyn Sufrin

Objective

To evaluate lochia management needs in a diverse cohort of postpartum individuals admitted for delivery at two large urban hospitals in the United States and to assess the association between immigration and menstrual needs.

Methods

English- or Spanish-speaking individuals delivering a live-born infant were recruited in this cross-sectional study via convenience sampling. We modified the Menstrual Practice Needs Scale to evaluate participant menstrual practices, menstrual poverty, preparedness for postpartum lochia, and experiences discussing menstrual material access with their healthcare team.

Results

There were 123 participants, 60 of whom were immigrants. Twenty-seven women (22 %) experienced menstrual poverty, and 10 were unsure if they had adequate materials to manage lochia. Women with an annual household income at or below the poverty level (p = 0.0004) or who had moved (p = 0.009) or experienced food insecurity (p < 0.0001) in the last year were more likely to have experienced menstrual poverty than those who had not. Half of participants never received lochia counseling. Only 15 women (12 %) had been asked by a healthcare member whether they had enough menstrual materials, but over a third wanted to discuss how to obtain them. The majority of women wanted to receive lochia management materials from their prenatal clinic and from the hospital.

Conclusions

Despite a high rate of menstrual poverty, women were rarely asked about access to menstrual supplies. These women want to discuss how to acquire menstrual materials with their healthcare team. Standardized screening and discussions about postpartum lochia may help to reduce postpartum menstrual poverty.
目的评价在美国两家大型城市医院分娩的不同产后个体的恶露管理需求，并评估移民与月经需求之间的关系。方法采用方便抽样的方法，在横断面研究中招募英语或西班牙语产妇。我们修改了月经实践需求量表来评估参与者的月经实践、月经贫困、产后恶露的准备以及与医疗团队讨论月经物质获取的经验。结果共123人，其中移民60人。27名妇女（22%）经历经期贫困，10名妇女不确定她们是否有足够的材料来处理恶露。家庭年收入等于或低于贫困水平（p = 0.0004）或曾搬家（p = 0.009）或经历过粮食不安全(p <；0.0001)的女性比那些没有经历过月经不足的女性更有可能经历月经不足。一半的参与者从未接受过恶露咨询。只有15名妇女（12%）被保健人员询问过她们是否有足够的月经用品，但超过三分之一的妇女想讨论如何获得这些用品。大多数妇女希望从产前诊所和医院获得恶露管理材料。结论尽管经期贫困率很高，但妇女很少被问及获得经期用品的问题。这些女性希望与她们的医疗团队讨论如何获得月经用品。产后恶露的标准化筛查和讨论可能有助于减少产后月经贫困。
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引用次数: 0
Impact of timed and targeted counselling on the maternal health continuum of care outcomes in Northern Uganda: A propensity score matched analysis 定时和有针对性的咨询对乌干达北部孕产妇保健连续护理结果的影响：倾向评分匹配分析
IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sexual & Reproductive Healthcare
Pub Date : 2025-05-11 DOI: 10.1016/j.srhc.2025.101107
Douglas Zibugu , Jessica Gubbels , John Bosco Asiimwe , Gerards Sanne

Objective

Improving maternal health is key to saving lives of women who would otherwise die due to pregnancy and childbirth related complications, especially in developing countries. The timed and targeted counseling (ttC) approach, delivered by community health workers, is a behavioural change counseling approach for improving maternal health. This approach focuses on giving stage appropriate messages to pregnant women regarding the timing of antenatal care visits, where to deliver and postnatal care. The purpose of this study therefore is to examine the impact of ttC on the maternal health continuum of care outcomes in Northern Uganda.

Methods

A cross-sectional quasi-experimental design with propensity score matching (PSM) analysis was used with retrospective data collection comparing an intervention group(Aber subcounty) to a comparison group (Otwal subcounty) in Northern Uganda. PSM was done to determine the causal relation between ttC and the maternal health outcomes. The primary outcome measures were having four or more antenatal care visits(4+ ANC), delivery at the advised place of delivery(PoD) and having(at least one) postnatal care(PNC) visit.

Results

The PSM analysis showed that participants receiving ttC were significantly more likely to have 4 + ANC attendance (OR = 15.61, 95 % CI 9.4–25.8), PoD (OR = 2.36, 95 % CI 1.4–4.1) and PNC (OR = 1.67, 95 % CI 1.0–2.7) than participants receiving care as usual.

Conclusion

Implementation of ttC in similar low resource settings likely leads to improved maternal health continuum of care outcomes and therefore the government of Uganda should integrate ttC into its already existing health care system for more effective maternal health.
目标改善孕产妇保健是挽救妇女生命的关键，否则妇女将因妊娠和分娩相关并发症而死亡，特别是在发展中国家。由社区卫生工作者提供的定时和有针对性的咨询（ttC）方法是一种改善孕产妇健康的行为改变咨询方法。这种方法的重点是向孕妇提供适当阶段的信息，包括产前检查的时间、分娩地点和产后护理。因此，本研究的目的是检查ttC对乌干达北部孕产妇健康连续护理结果的影响。方法采用倾向评分匹配（PSM）分析的横断面准实验设计，回顾性收集乌干达北部干预组（Aber县）和对照组（Otwal县）的数据。进行PSM以确定ttC与孕产妇健康结果之间的因果关系。主要结局指标为四次或以上产前保健检查（4+ ANC），在建议分娩地点（PoD）分娩，以及（至少一次）产后保健检查（PNC）。ResultsThe PSM分析表明,参与者接受ttC明显更可能有4 + ANC出席(或 = 15.61 95 %可信区间9.4 - -25.8),PoD(或 = 2.36 95 %可信区间1.4 - -4.1)和PNC(或 = 1.67 95 %可信区间1.0 - -2.7)比参与者接受医疗服务,像往常一样。结论：在类似的低资源环境中实施ttC可能会改善孕产妇健康的连续性护理结果，因此乌干达政府应将ttC纳入其现有的卫生保健系统，以提高孕产妇健康的有效性。
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引用次数: 0
Distance to abortion facilities and depressive symptoms among reproductive-aged women of color after Dobbs 多布斯事件后有色人种育龄妇女与堕胎设施的距离和抑郁症状
IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sexual & Reproductive Healthcare
Pub Date : 2025-05-08 DOI: 10.1016/j.srhc.2025.101106
Abhery Das , Allison Stolte , Devoja Ganguli , Samantha Gailey

Introduction

Studies report greater mental distress among reproductive-aged women following Dobbs v. Jackson Women’s Health Organization. The impacts of abortion restrictions, however, may differ by racial/ethnic identity. Dobbs may exacerbate adverse mental health among women of color due to longstanding reproductive injustice. We therefore examine whether greater distance to abortion facilities differentially impacts depressive symptoms among reproductive-aged women of color, relative to white women, after Dobbs.

Methods

As our exposure, we categorized weighted distance to the nearest abortion facility (0–25, 25–50, 50–100, 100 + miles). For our outcome, we use the Patient Health Questionnaire-2, a measure of depressive symptoms, among 191,680 reproductive aged (18–49) women of color. We use surveys from August 2020 – July 2023 from the nationally representative US Census Household Pulse Survey.

Results

We find that, after the Dobbs decision, women of color—but not white women—who live farthest from abortion facilities (100 + miles) show slightly greater depressive symptoms (Coeff: 0.10; SE: 0.04; p = 0.014) than those who live closest (0–25 miles).

Discussion

Increased distance to abortion facilities may invoke feelings of restricted bodily autonomy and overall disempowerment that degrade the mental health of reproductive-aged women of color.
研究表明，在多布斯诉杰克逊妇女健康组织之后，育龄妇女的精神压力更大。然而，限制堕胎的影响可能因种族/民族身份而异。由于长期的生殖不公平，多布斯可能会加剧有色人种女性的不良心理健康状况。因此，在多布斯手术后，我们研究了距离堕胎设施越远，对有色人种育龄妇女抑郁症状的影响是否与白人妇女不同。方法根据我们的暴露情况，将到最近堕胎设施的加权距离（0 - 25,25 - 50,50 - 100,100 +英里）进行分类。对于我们的结果，我们在191,680名育龄（18-49岁）有色女性中使用了患者健康问卷-2，这是一种抑郁症状的测量方法。我们使用的调查是从2020年8月到2023年7月，来自具有全国代表性的美国人口普查家庭脉搏调查。结果我们发现，在多布斯判决后，居住在离堕胎设施最远（100英里以上）的有色人种妇女（不包括白人妇女）表现出略大的抑郁症状(Coeff: 0.10；SE: 0.04;P = 0.014)比那些住得最近的人（0-25英里）。距离堕胎设施的距离增加可能会引起身体自主权受到限制的感觉，从而降低有色人种育龄妇女的心理健康。
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引用次数: 0
Midwives’ experiences and challenges in addressing intimate partner violence: A qualitative study at youth clinics in Stockholm 助产士在处理亲密伴侣暴力方面的经验和挑战：斯德哥尔摩青年诊所的定性研究
IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sexual & Reproductive Healthcare
Pub Date : 2025-05-06 DOI: 10.1016/j.srhc.2025.101105
Mabel Zamora Hernandez , Terese Stenfors , Karolina Sörman , Caroline Hurtig , Mia Barimani

Objective

This study aimed to investigate midwives’ experiences of asking adolescents at youth clinics about their experiences of intimate partner violence (IPV).

Methods

This qualitative interview study used semi-structured questions and inductive reflexive thematic analysis. Purposeful sampling focused on midwives working in youth clinics in the Stockholm region. Of the 29 youth clinics approached, nine agreed to participate, resulting in 24 midwives participating. Data were collected through semi-structured interviews and analyzed using reflexive thematic analysis by Braun and Clarke’s six-phase framework.

Results

The findings are presented in three main themes with nine sub-themes. Midwives face challenges in addressing violence, balancing their sense of duty with the need to create a safe environment for youth. Strategies for detecting and asking about IPV varied, with midwives employing different approaches and facing organizational challenges. The need for professional development and clear guidelines was emphasized, highlighting the importance of collegial support and established routines.

Conclusion

Youth clinics are essential for identifying adolescents exposed to violence, with midwives ideally positioned to support those affected by IPV. However, midwives face challenges in inquiring about IPV and require appropriate conditions, including tools, training, time, and clear procedures. Enhanced training and support for midwives could improve the identification and management of IPV. Further research is needed to explore how various tools can facilitate midwives in inquiring about IPV and to understand youths’ perspectives on being asked about violence.
目的调查助产士在青少年诊所询问青少年亲密伴侣暴力（IPV）经历的情况。方法采用半结构化问题和归纳反身性主题分析进行定性访谈研究。有目的的抽样侧重于在斯德哥尔摩地区青年诊所工作的助产士。在接触的29家青年诊所中，有9家同意参与，总共有24名助产士参与。通过半结构化访谈收集数据，并使用Braun和Clarke的六阶段框架进行反身性主题分析。结果研究结果分为三个主题和九个副主题。助产士在处理暴力、平衡他们的责任感和为青年创造安全环境的需要方面面临挑战。发现和询问IPV的策略各不相同，助产士采用不同的方法并面临组织挑战。会议强调了专业发展和明确准则的必要性，强调了学院支持和既定程序的重要性。结论青少年诊所对于识别遭受暴力的青少年至关重要，助产士的理想定位是为受IPV影响的青少年提供支持。然而，助产士在询问IPV方面面临挑战，需要适当的条件，包括工具、培训、时间和明确的程序。加强对助产士的培训和支持可以改善IPV的识别和管理。需要进一步的研究，以探索各种工具如何促进助产士询问IPV，并了解青少年对被问及暴力问题的看法。
{"title":"Midwives’ experiences and challenges in addressing intimate partner violence: A qualitative study at youth clinics in Stockholm","authors":"Mabel Zamora Hernandez ,&nbsp;Terese Stenfors ,&nbsp;Karolina Sörman ,&nbsp;Caroline Hurtig ,&nbsp;Mia Barimani","doi":"10.1016/j.srhc.2025.101105","DOIUrl":"10.1016/j.srhc.2025.101105","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate midwives’ experiences of asking adolescents at youth clinics about their experiences of intimate partner violence (IPV).</div></div><div><h3>Methods</h3><div>This qualitative interview study used semi-structured questions and inductive reflexive thematic analysis. Purposeful sampling focused on midwives working in youth clinics in the Stockholm region. Of the 29 youth clinics approached, nine agreed to participate, resulting in 24 midwives participating. Data were collected through semi-structured interviews and analyzed using reflexive thematic analysis by Braun and Clarke’s six-phase framework.</div></div><div><h3>Results</h3><div>The findings are presented in three main themes with nine sub-themes. Midwives face challenges in addressing violence, balancing their sense of duty with the need to create a safe environment for youth. Strategies for detecting and asking about IPV varied, with midwives employing different approaches and facing organizational challenges. The need for professional development and clear guidelines was emphasized, highlighting the importance of collegial support and established routines.</div></div><div><h3>Conclusion</h3><div>Youth clinics are essential for identifying adolescents exposed to violence, with midwives ideally positioned to support those affected by IPV. However, midwives face challenges in inquiring about IPV and require appropriate conditions, including tools, training, time, and clear procedures. Enhanced training and support for midwives could improve the identification and management of IPV. Further research is needed to explore how various tools can facilitate midwives in inquiring about IPV and to understand youths’ perspectives on being asked about violence.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101105"},"PeriodicalIF":1.4,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143928664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Letter to the Editor in response to: “Reconsidering “inclusive language:” Consequences for healthcare and equitableness of a growing linguistic movement to address gender identity with a path forward” 致编辑的回复信：“重新考虑”包容性语言：“不断发展的语言运动对医疗保健和公平的影响，以解决性别认同问题。”
IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sexual & Reproductive Healthcare
Pub Date : 2025-05-04 DOI: 10.1016/j.srhc.2025.101103
Lisa J. Whop , Tamara L. Butler
{"title":"Letter to the Editor in response to: “Reconsidering “inclusive language:” Consequences for healthcare and equitableness of a growing linguistic movement to address gender identity with a path forward”","authors":"Lisa J. Whop ,&nbsp;Tamara L. Butler","doi":"10.1016/j.srhc.2025.101103","DOIUrl":"10.1016/j.srhc.2025.101103","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101103"},"PeriodicalIF":1.4,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Every two minutes, one woman dies during pregnancy and birth – We are failing mothers 每两分钟就有一名妇女在怀孕和分娩期间死亡——我们是失败的母亲
IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sexual & Reproductive Healthcare
Pub Date : 2025-05-03 DOI: 10.1016/j.srhc.2025.101104
Rikke Damkjær Maimburg , Eugene Declercq, Joan Combellick
{"title":"Every two minutes, one woman dies during pregnancy and birth – We are failing mothers","authors":"Rikke Damkjær Maimburg ,&nbsp;Eugene Declercq,&nbsp;Joan Combellick","doi":"10.1016/j.srhc.2025.101104","DOIUrl":"10.1016/j.srhc.2025.101104","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101104"},"PeriodicalIF":1.4,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143924837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quality of life measurement tools for heavy menstrual bleeding: A systematic review and critical appraisal 重度月经出血的生活质量测量工具：系统回顾和关键评价
IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sexual & Reproductive Healthcare
Pub Date : 2025-04-29 DOI: 10.1016/j.srhc.2025.101102
Bassel H. Al Wattar , Sophie Schofield , Victoria Minns , Khalid S. Khan

Objectives

Accurate and reliable heavy menstrual bleeding (HMB) specific quality of life (QoL) tools can offer a holistic assessment of HMB impact and response to treatment. We systematically reviewed published disease-specific QoL assessment tools for HBM to assess their methodological quality.

Methods

We searched PubMed and EMBASE until March 2024 complemented by a search of PROQOLID database and reference lists for studies reporting on the development or validation of HMB specific QoL instruments for adult women. We assessed them against the COSMIN checklist. We scored tools for their methodological quality to make recommendations for use in practice.

Results

We identified 2621 citations and included 17 studies reporting on the development and validation of 10 HMB specific QoL tools. All the studies were conducted in the USA and western Europe, and all were available in the English language except one. Three tools were in digital format, while seven were in paper format (7/10, 70 %). The median of QoL tool items was 21 (range 3–72) with a recall period of 1–3 months in 7/10 (70 %) tools. The overall quality was low to medium and none of the tools met all the COSMIN requirements to be recommended in clinical practice. The UFS-QOL and SAMANTA tools showed high quality for validity, responsiveness and interpretability but require further validation.

Conclusion

None of the available QoL tools for HMB are appropriate for use in practice. There is a need to invest in developing and validating reliable tools that offer high quality qualitative and quantitative assessment.
目的建立准确可靠的重度月经出血（HMB）特异性生活质量（QoL）指标，全面评估重度月经出血对患者的影响及治疗效果。我们系统地回顾了已发表的HBM疾病特异性生活质量评估工具，以评估其方法学质量。方法我们检索PubMed和EMBASE，检索到2024年3月，并检索PROQOLID数据库和参考文献列表，以报告成年女性HMB特异性生活质量仪器的开发或验证。我们根据COSMIN清单对它们进行了评估。我们对工具的方法质量进行评分，以提出在实践中使用的建议。结果我们共检索到2621条引用，纳入了17项研究，报告了10种HMB特异性QoL工具的开发和验证。所有的研究都是在美国和西欧进行的，除了一项研究外，其他研究都有英文版本。3种工具为数字格式，7种为纸质格式（7/ 10,70 %）。QoL工具项目的中位数为21（范围3-72），7/10（70%）工具的召回期为1-3个月。总体质量为中低，没有一种工具满足临床实践中推荐的所有COSMIN要求。UFS-QOL和SAMANTA工具在有效性、响应性和可解释性方面表现出较高的质量，但需要进一步验证。结论现有的HMB质量评价工具均不适合临床应用。有必要投资于开发和验证提供高质量定性和定量评估的可靠工具。
{"title":"Quality of life measurement tools for heavy menstrual bleeding: A systematic review and critical appraisal","authors":"Bassel H. Al Wattar ,&nbsp;Sophie Schofield ,&nbsp;Victoria Minns ,&nbsp;Khalid S. Khan","doi":"10.1016/j.srhc.2025.101102","DOIUrl":"10.1016/j.srhc.2025.101102","url":null,"abstract":"<div><h3>Objectives</h3><div>Accurate and reliable heavy menstrual bleeding (HMB) specific quality of life (QoL) tools can offer a holistic assessment of HMB impact and response to treatment. We systematically reviewed published disease-specific QoL assessment tools for HBM to assess their methodological quality.</div></div><div><h3>Methods</h3><div>We searched PubMed and EMBASE until March 2024 complemented by a search of PROQOLID database and reference lists for studies reporting on the development or validation of HMB specific QoL instruments for adult women. We assessed them against the COSMIN checklist. We scored tools for their methodological quality to make recommendations for use in practice.</div></div><div><h3>Results</h3><div>We identified 2621 citations and included 17 studies reporting on the development and validation of 10 HMB specific QoL tools. All the studies were conducted in the USA and western Europe, and all were available in the English language except one. Three tools were in digital format, while seven were in paper format (7/10, 70 %). The median of QoL tool items was 21 (range 3–72) with a recall period of 1–3 months in 7/10 (70 %) tools. The overall quality was low to medium and none of the tools met all the COSMIN requirements to be recommended in clinical practice. The <strong>UFS-QOL</strong> and <strong>SAMANTA</strong> tools showed high quality for validity, responsiveness and interpretability but require further validation.</div></div><div><h3>Conclusion</h3><div>None of the available QoL tools for HMB are appropriate for use in practice. There is a need to invest in developing and validating reliable tools that offer high quality qualitative and quantitative assessment.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101102"},"PeriodicalIF":1.4,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143900328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pilot study for a preconception educational intervention for people with mobility disabilities 行动障碍人士孕前教育干预的初步研究
IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sexual & Reproductive Healthcare
Pub Date : 2025-04-17 DOI: 10.1016/j.srhc.2025.101101
Melina A. McCabe , Amelia Gabor , Jennifer Stephens , Michael M. McKee , Hilary K. Brown , Kara B. Ayers , Anne Valentine , Willi Horner-Johnson , Monika Mitra , John A. Harris

Objectives

To assess the feasibility and acceptability of our newly designed, tailored preconception educational intervention for people with mobility disabilities.

Methods

A prospective pre-post pilot study to measure the feasibility and acceptability of an educational intervention for people with mobility disabilities who could become pregnant in the next five years. Before and after general health and preconception knowledge were compared using paired t-tests.

Results

26 participants completed the study from November 2023 − July 2024. The most common diagnoses related to mobility disability were spinal cord injury (n = 9), spina bifida (n = 4), and cerebral palsy (n = 4). The intervention increased general health knowledge by 0.9 points (p = 0.13) and preconception health knowledge by 2.7 points (p = 0.025). A significant increase (1.8 points (95 % CI 0.9–2.6 points), p < 0.001) in preconception health knowledge compared to general health knowledge suggests the intervention successfully improved the targeted knowledge area.

Conclusions

This pilot study demonstrated the feasibility and acceptability of a preconception educational intervention tailored to individuals with mobility disabilities. This intervention holds the potential to improve health literacy, increase preconception health knowledge, and ultimately improve pregnancy outcomes among people with mobility disabilities.
目的评估我们为行动障碍人士量身定制的孕前教育干预的可行性和可接受性。方法采用前瞻性的孕前试验研究，对未来5年内可能怀孕的行动障碍患者实施教育干预的可行性和可接受性进行评估。使用配对t检验比较前后的一般健康和孕前知识。26名参与者在2023年11月至2024年7月期间完成了研究。与行动障碍相关的最常见诊断为脊髓损伤（n = 9）、脊柱裂（n = 4）和脑瘫（n = 4）。干预使一般健康知识提高了0.9分（p = 0.13），使孕前健康知识提高了2.7分（p = 0.025）。显著增加(1.8个点（95% CI 0.9-2.6个点），p <；与一般健康知识相比，孕前健康知识的差异为0.001)，表明干预成功改善了目标知识领域。结论本初步研究证明了针对行动障碍个体的孕前教育干预的可行性和可接受性。这一干预措施有可能提高健康素养，增加孕前健康知识，并最终改善行动不便人群的妊娠结局。
{"title":"Pilot study for a preconception educational intervention for people with mobility disabilities","authors":"Melina A. McCabe ,&nbsp;Amelia Gabor ,&nbsp;Jennifer Stephens ,&nbsp;Michael M. McKee ,&nbsp;Hilary K. Brown ,&nbsp;Kara B. Ayers ,&nbsp;Anne Valentine ,&nbsp;Willi Horner-Johnson ,&nbsp;Monika Mitra ,&nbsp;John A. Harris","doi":"10.1016/j.srhc.2025.101101","DOIUrl":"10.1016/j.srhc.2025.101101","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess the feasibility and acceptability of our newly designed, tailored preconception educational intervention for people with mobility disabilities.</div></div><div><h3>Methods</h3><div>A prospective pre-post pilot study to measure the feasibility and acceptability of an educational intervention for people with mobility disabilities who could become pregnant in the next five years. Before and after general health and preconception knowledge were compared using paired t-tests.</div></div><div><h3>Results</h3><div>26 participants completed the study from November 2023 − July 2024. The most common diagnoses related to mobility disability were spinal cord injury (n = 9), spina bifida (n = 4), and cerebral palsy (n = 4). The intervention increased general health knowledge by 0.9 points (p = 0.13) and preconception health knowledge by 2.7 points (p = 0.025). A significant increase (1.8 points (95 % CI 0.9–2.6 points), p &lt; 0.001) in preconception health knowledge compared to general health knowledge suggests the intervention successfully improved the targeted knowledge area.</div></div><div><h3>Conclusions</h3><div>This pilot study demonstrated the feasibility and acceptability of a preconception educational intervention tailored to individuals with mobility disabilities. This intervention holds the potential to improve health literacy, increase preconception health knowledge, and ultimately improve pregnancy outcomes among people with mobility disabilities.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101101"},"PeriodicalIF":1.4,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intimate partner violence and sexual and reproductive health outcomes of women: An Australian population cohort study 亲密伴侣暴力与妇女性健康和生殖健康结果：澳大利亚人口队列研究
IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sexual & Reproductive Healthcare
Pub Date : 2025-04-12 DOI: 10.1016/j.srhc.2025.101100
Leah East , Daniel Terry , Bianca Viljoen , Marie Hutchinson

Objective

To examine sexual and reproductive health outcomes of women who report intimate partner violence (IPV) and compare these outcomes to women who did not report IPV.

Methods

Utilising the Cohort of women born in 1973–1978 and aged 18–23 years when recruited to participate in the National Australian Longitudinal Study on Women’s Health, we conducted an analysis in 2022–2023 of the relationships between exposure to IPV and reproductive and sexual health outcomes for this cohort over a decade (1996 to 2006). Logistic regression analyses were undertaken, mixed effects regression models were applied where feasible.

Results

The current study indicates exposure to IPV significantly increases the likelihood of forced sex, reporting endometriosis, infertility, miscarriage, pregnancy termination, along with greater odds of infertility, termination, and miscarriage increasing with greater exposure to IPV. Women reporting IPV also report a greater likelihood of STIs such as chlamydia, herpes, and genital warts, in addition to a higher incidence of abnormal Pap tests. Women reporting IPV were also more likely to have a larger number of births, with births occurring earlier than those who did not report IPV.

Conclusion

Addressing the global issue of IPV, healthcare organisations must offer robust support, including clear guidelines and protocols for managing IPV and the associated health risks among women. This should extend to providing access to resources and referral systems among those identified as experiencing IPV. Interdisciplinary collaboration remains essential to create a holistic approach to managing IPV and the associated health consequences to promote positive sexual and reproductive health outcomes for women.
目的检查报告亲密伴侣暴力（IPV）的妇女的性健康和生殖健康结果，并将这些结果与未报告IPV的妇女进行比较。方法采用1973-1978年出生、18-23岁的妇女队列，招募她们参加澳大利亚全国妇女健康纵向研究，我们在2022-2023年对该队列在10年（1996 - 2006）期间暴露于IPV与生殖和性健康结果之间的关系进行了分析。进行逻辑回归分析，可行时采用混合效应回归模型。结果：目前的研究表明，暴露于IPV会显著增加强迫性行为、子宫内膜异位症、不孕症、流产、终止妊娠的可能性，并且随着暴露于IPV的程度增加，不孕症、终止妊娠和流产的几率也会增加。报告IPV的妇女还报告，除了Pap检查异常的发生率较高外，感染衣原体、疱疹和生殖器疣等性传播感染的可能性也更大。报告IPV的妇女也更有可能生育更多的孩子，比没有报告IPV的妇女生育更早。针对IPV的全球问题，医疗保健组织必须提供强有力的支持，包括明确的指导方针和协议，以管理IPV和妇女相关的健康风险。这应扩大到向那些被确定患有IPV的人提供利用资源和转诊系统的机会。跨学科合作对于制定管理IPV及其相关健康后果的整体办法，促进妇女性健康和生殖健康的积极成果仍然至关重要。
{"title":"Intimate partner violence and sexual and reproductive health outcomes of women: An Australian population cohort study","authors":"Leah East ,&nbsp;Daniel Terry ,&nbsp;Bianca Viljoen ,&nbsp;Marie Hutchinson","doi":"10.1016/j.srhc.2025.101100","DOIUrl":"10.1016/j.srhc.2025.101100","url":null,"abstract":"<div><h3>Objective</h3><div>To examine sexual and reproductive health outcomes of women who report intimate partner violence (IPV) and compare these outcomes to women who did not report IPV.</div></div><div><h3>Methods</h3><div>Utilising the Cohort of women born in 1973–1978 and aged 18–23 years when recruited to participate in the National Australian Longitudinal Study on Women’s Health, we conducted an analysis in 2022–2023 of the relationships between exposure to IPV and reproductive and sexual health outcomes for this cohort over a decade (1996 to 2006). Logistic regression analyses were undertaken, mixed effects regression models were applied where feasible.</div></div><div><h3>Results</h3><div>The current study indicates exposure to IPV significantly increases the likelihood of forced sex, reporting endometriosis, infertility, miscarriage, pregnancy termination, along with greater odds of infertility, termination, and miscarriage increasing with greater exposure to IPV. Women reporting IPV also report a greater likelihood of STIs such as chlamydia, herpes, and genital warts, in addition to a higher incidence of abnormal Pap tests. Women reporting IPV were also more likely to have a larger number of births, with births occurring earlier than those who did not report IPV.</div></div><div><h3>Conclusion</h3><div>Addressing the global issue of IPV, healthcare organisations must offer robust support, including clear guidelines and protocols for managing IPV and the associated health risks among women. This should extend to providing access to resources and referral systems among those identified as experiencing IPV. Interdisciplinary collaboration remains essential to create a holistic approach to managing IPV and the associated health consequences to promote positive sexual and reproductive health outcomes for women.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101100"},"PeriodicalIF":1.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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