Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing最新文献

Objective: To identify and describe health literacy interventions for pregnant women in developing countries, including characteristics, implementation strategies, and cultural adaptations.

Data sources: MEDLINE, Embase, Cochrane Library, CINAHL, Education Resources Information Center, reference lists, and Google Scholar.

Study selection: We considered reports of studies published from the inception of each database through December 24, 2024. We included studies in which researchers evaluated interventions designed to improve health literacy among pregnant women who received antenatal care in clinical or community settings. We included studies regardless of language. We excluded conference abstracts, essays, dissertations, review articles, and studies that did not meet inclusion criteria after full-text review.

Data extraction: We extracted information on author(s), year of publication, country, study design, setting, type of intervention, delivery strategies, factors influencing health literacy, and reported outcomes.

Data synthesis: We grouped and described studies according to the reported interventions. We included 23 studies conducted across Africa (n = 18), Asia (n = 4), and the Caribbean (n = 1). Identified interventions included group-based education (n = 8), one-on-one education (n = 11), mobile health interventions (n = 5), peer educator-based programs (n = 1), and community-based approaches (n = 3). Most interventions were delivered within antenatal care clinics, and some were delivered in community settings. Participatory strategies, such as storytelling, role-playing, and culturally tailored communication, were commonly used.

Conclusion: Health literacy interventions strengthen communication, knowledge, and health-care-seeking behaviors; however, challenges related to access to health care services, sustainability, and cultural adaptation underscore the need for intervention designs that meet local health care contexts in developing countries.

Objective: To examine awareness of the vaginal microbiome and vaginal microbiota transplant, willingness to undergo vaginal microbiota transplant, and factors that influence the decision to undergo the procedure.

Design: Cross-sectional descriptive survey study.

Setting: Online distribution from October 2024 to January 2025.

Participants: Respondents (N = 210) who self-identified as women (n = 198), men (n = 2), gender nonconforming (n = 14), transgender (n = 3), other (n = 2), and not specified (n = 2) and had vaginas.

Methods: The survey included questions about patient demographics, gynecologic and pelvic symptoms and conditions, and vaginal microbiota transplantation awareness and willingness. We used descriptive statistics to summarize the quantitative data and conducted conventional content analysis to examine responses to open-ended questions about factors to undergo vaginal microbiota transplantation.

Results: Most respondents (n = 176, 83.8%) had not heard of vaginal microbiota transplant. However, more than 50% of respondents were willing or very willing to undergo vaginal microbiota transplantation for each presented indication: prevent yeast infections, bacterial vaginosis, or cytolytic vaginosis (n = 131, 62.4%); reduce risk of sexually transmitted infections (n = 130, 61.9%); alleviate menstrual pain (n = 126, 60.0%); prevent urinary tract infections (n = 126, 60.0%); alleviate vaginal symptoms (n = 120, 57.1%); prevent preterm births (n = 119, 56.7%). We identified five categories from 180 responses about factors that influenced the decision to undergo vaginal microbiota transplantation: Evidence, Procedure Logistics, Health Care Factors, Personal Factors, and Donor Health.

Conclusion: Increased awareness about the vaginal microbiome and vaginal microbiota transplantations is necessary. Factors that influence willingness to undergo the procedure should be addressed in designing and implementing this new intervention.

The guest editors encourage nurses to obtain the knowledge, evidence, and tools necessary to mitigate the effects of the environment on the health of their patients and introduce the articles in this series.

Objective: To evaluate the removal and expulsion rates of intrauterine devices (IUDs) inserted immediately after delivery of the placenta 1 year after birth.

Design: Retrospective chart review.

Setting: University of Arkansas for Medical Sciences (UAMS) Women and Infant Service Line.

Participants: Patients who gave birth and elected to receive IUDs at UAMS from August 1, 2021 to September 30, 2023 (N = 641).

Methods: We collected data from charts of patients who received IUDs within 10 min of delivery of the placenta. We analyzed and reported the de-identified data using descriptive statistics.

Results: The overall IUD removal rate was 10.3% (n = 66), the expulsion rate was 5.1% (n = 33), and 84.5% (n = 542) of the IUDs remained in place.

Conclusion: Our organization achieved low IUD removal and expulsion rates. One potential explanation is that our providers received structured education on immediate postpartum IUD insertion techniques and used prenatal patient-centered counseling practices. Our findings highlight the need for further study of our approach to improve outcomes related to IUD insertion immediately after delivery of the placenta.