Pub Date : 2023-11-08DOI: 10.1080/23293691.2023.2274351
Clare Bellhouse, Meredith Temple-Smith, Jade Bilardi, Louise Newman
AbstractThe Supporting Transitions and Relationships (STAR Mums) program was developed in response to the clinical need for psychological intervention in pregnancy where mothers have risk factors for difficulties in the transition to parenthood. The program focuses on the developing relationship between the mother and the unborn child and aims to facilitate the normal psychological processes that are known to occur in pregnancy to prepare for the relationship with the infant and to reduce risk factors that may negatively impact this relationship. This article reports on interview data from the final follow-up of 12 high-risk participants at 12 to 14 weeks postpartum regarding their transition to parenthood and aspects of parental reflective function. These women presented with issues in developing their maternal identity and representation in the context of difficulties processing their own difficult childhood experiences. They also demonstrated some issues with limited reflective capacity in their understanding of their infant’s emotional world and experiences. Though there are ongoing issues for these women, they provided feedback that the STAR Mums program included valued discussion around the changes in both self and relationships involved in parenting that helped them to prepare for their experiences of early parenthood by supporting their wondering about the baby and the changes that this new relationship may bring for them as a parent.Keywords: Perinataltransitioninfantparentintervention Compliance and Ethics StandardsThis research includes human subjects and informed consent was obtained from all participants. This study was approved by the Ethics Committee.Disclosure StatementNo potential conflict of interest was reported by the authors.Data AvailabilityThe data sets generated during the current study and/or analyzed during the current study are not publicly available due to the sensitive nature of the topics discussed and the potential for confidentiality to be breached but are available from the corresponding author on reasonable request.Additional informationFundingThis work was supported by Australian Research Council and the National Health and Medical Research Council.
{"title":"Adaptation and Reflection in the Transition to Parenthood for Women With Risk Factors for Early Parenting Difficulties Who Participated in the STAR Mums Program","authors":"Clare Bellhouse, Meredith Temple-Smith, Jade Bilardi, Louise Newman","doi":"10.1080/23293691.2023.2274351","DOIUrl":"https://doi.org/10.1080/23293691.2023.2274351","url":null,"abstract":"AbstractThe Supporting Transitions and Relationships (STAR Mums) program was developed in response to the clinical need for psychological intervention in pregnancy where mothers have risk factors for difficulties in the transition to parenthood. The program focuses on the developing relationship between the mother and the unborn child and aims to facilitate the normal psychological processes that are known to occur in pregnancy to prepare for the relationship with the infant and to reduce risk factors that may negatively impact this relationship. This article reports on interview data from the final follow-up of 12 high-risk participants at 12 to 14 weeks postpartum regarding their transition to parenthood and aspects of parental reflective function. These women presented with issues in developing their maternal identity and representation in the context of difficulties processing their own difficult childhood experiences. They also demonstrated some issues with limited reflective capacity in their understanding of their infant’s emotional world and experiences. Though there are ongoing issues for these women, they provided feedback that the STAR Mums program included valued discussion around the changes in both self and relationships involved in parenting that helped them to prepare for their experiences of early parenthood by supporting their wondering about the baby and the changes that this new relationship may bring for them as a parent.Keywords: Perinataltransitioninfantparentintervention Compliance and Ethics StandardsThis research includes human subjects and informed consent was obtained from all participants. This study was approved by the Ethics Committee.Disclosure StatementNo potential conflict of interest was reported by the authors.Data AvailabilityThe data sets generated during the current study and/or analyzed during the current study are not publicly available due to the sensitive nature of the topics discussed and the potential for confidentiality to be breached but are available from the corresponding author on reasonable request.Additional informationFundingThis work was supported by Australian Research Council and the National Health and Medical Research Council.","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135341734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-08DOI: 10.1080/23293691.2023.2267533
Amanda A. Shea, Meghana Kulkarni, Jonathan Thornburg, Cécile Ventola, Erin Walker, Virginia J. Vitzthum
The contraceptive needs of women for whom the benefits of menstrual bleeding may outweigh its disadvantages have largely been overlooked, especially outside high-income countries. Some providers and researchers have assumed that users of nonhormonal birth control (non-HBC) are misinformed about the positive and negative effects of HBC and/or the need for menstrual bleeding. This study takes the position that many of those rejecting HBC in favor of methods that do not alter bleeding are, in fact, making informed decisions. Using questionnaire data from 4,255 contraceptive users in three countries, we compared current HBC users explicitly open to hormone use (“H-receptive”) and non-HBC users explicitly rejecting hormones (“H-averse”). To the extent that menstrual bleeding attitudes affect contraceptive choice, these two groups should have the greatest contrasts in those attitudes. This novel study design mitigates ambiguities arising from posing hypothetical scenarios to those ambivalent about using hormones or who are not currently using contraception. In all three countries, of those agreeing with the prompt, “I don’t want to change my natural menstrual cycle,” the fractions of H-averse and H-receptive users are disproportionally high and low, respectively (p ≤ .0026). Responses to other prompts varied across populations, revealing complex juxtapositions of multiple criteria, including bleeding preferences, that likely influence contraceptive choices. These patterns, reflecting personal and culturally salient values, highlight the necessity of not assuming that menstrual bleeding is undesirable or relying on a single criterion to ascertain clients’ contraceptive needs and preferences. Rather, acknowledging a client’s personal hierarchy of preferences regarding contraceptive attributes best serves their goals.
{"title":"A Bother or a Benefit? How Contraceptive Users Balance the Trade-Offs Between Preferred Menstrual Bleeding Patterns and Preferred Contraceptive Methods in India, South Africa, and the United States","authors":"Amanda A. Shea, Meghana Kulkarni, Jonathan Thornburg, Cécile Ventola, Erin Walker, Virginia J. Vitzthum","doi":"10.1080/23293691.2023.2267533","DOIUrl":"https://doi.org/10.1080/23293691.2023.2267533","url":null,"abstract":"The contraceptive needs of women for whom the benefits of menstrual bleeding may outweigh its disadvantages have largely been overlooked, especially outside high-income countries. Some providers and researchers have assumed that users of nonhormonal birth control (non-HBC) are misinformed about the positive and negative effects of HBC and/or the need for menstrual bleeding. This study takes the position that many of those rejecting HBC in favor of methods that do not alter bleeding are, in fact, making informed decisions. Using questionnaire data from 4,255 contraceptive users in three countries, we compared current HBC users explicitly open to hormone use (“H-receptive”) and non-HBC users explicitly rejecting hormones (“H-averse”). To the extent that menstrual bleeding attitudes affect contraceptive choice, these two groups should have the greatest contrasts in those attitudes. This novel study design mitigates ambiguities arising from posing hypothetical scenarios to those ambivalent about using hormones or who are not currently using contraception. In all three countries, of those agreeing with the prompt, “I don’t want to change my natural menstrual cycle,” the fractions of H-averse and H-receptive users are disproportionally high and low, respectively (p ≤ .0026). Responses to other prompts varied across populations, revealing complex juxtapositions of multiple criteria, including bleeding preferences, that likely influence contraceptive choices. These patterns, reflecting personal and culturally salient values, highlight the necessity of not assuming that menstrual bleeding is undesirable or relying on a single criterion to ascertain clients’ contraceptive needs and preferences. Rather, acknowledging a client’s personal hierarchy of preferences regarding contraceptive attributes best serves their goals.","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"134 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135342372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-08DOI: 10.1080/23293691.2023.2274356
Tristin Agtarap, Lora Adair
AbstractWithin this article, we present the results of a thematic analysis of responses (N = 267) regarding perceived and anticipated mental health implications of accurate and comprehensive sex education. The superordinate theme of psychological functioning and well-being reflects participants’ belief that sex education normalizes and destigmatizes diverse sexual experiences and can reduce fear, anxiety, and worry about sex. The superordinate theme of knowledge captures patterns in responses wherein participants reflected on the benefits of knowledge, including that it facilitates safety, confidence, improved decision-making skills, and provides awareness. Implications and applications for these themes are thoroughly discussed and outlined.Keywords: Sexualitysex and relationship educationmental healthwell-being Disclosure StatementThe authors report that there are no competing interests to declare.Ethics Committee Approval StatementThe Health, Medicine, and Life Sciences Ethics Committee approved the study at Brunel University London. Approval codes: 30075-MHR-Apr/2021-32372-2 and 32039-MHR-Oct/2021-34631-3.Data AvailabilityThe data supporting this study’s findings are available from the first author, TA, upon reasonable request.Additional informationFundingThis research was funded via the corresponding author’s research funds allocated by their institution.
{"title":"Healthy Body, Healthy Mind: Exploring the Mental Health Implications of Comprehensive Sex Education","authors":"Tristin Agtarap, Lora Adair","doi":"10.1080/23293691.2023.2274356","DOIUrl":"https://doi.org/10.1080/23293691.2023.2274356","url":null,"abstract":"AbstractWithin this article, we present the results of a thematic analysis of responses (N = 267) regarding perceived and anticipated mental health implications of accurate and comprehensive sex education. The superordinate theme of psychological functioning and well-being reflects participants’ belief that sex education normalizes and destigmatizes diverse sexual experiences and can reduce fear, anxiety, and worry about sex. The superordinate theme of knowledge captures patterns in responses wherein participants reflected on the benefits of knowledge, including that it facilitates safety, confidence, improved decision-making skills, and provides awareness. Implications and applications for these themes are thoroughly discussed and outlined.Keywords: Sexualitysex and relationship educationmental healthwell-being Disclosure StatementThe authors report that there are no competing interests to declare.Ethics Committee Approval StatementThe Health, Medicine, and Life Sciences Ethics Committee approved the study at Brunel University London. Approval codes: 30075-MHR-Apr/2021-32372-2 and 32039-MHR-Oct/2021-34631-3.Data AvailabilityThe data supporting this study’s findings are available from the first author, TA, upon reasonable request.Additional informationFundingThis research was funded via the corresponding author’s research funds allocated by their institution.","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"28 41","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135390940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-02DOI: 10.1080/23293691.2023.2273166
Katarina Sousa
{"title":"Waging War on the Women: A Review of <i>The Trials of Nina McCall: Sex, Surveillance, and the Decades-Long Government Plan to Imprison \"Promiscuous\" Women</i> Stern, S. W. (2019). The Trials of Nina McCall: Sex, Surveillance, and the Decades-Long Government Plan to Imprison “Promiscuous” Women. Beacon Press. ISBN: 9780807021859, Paperback: $19.00","authors":"Katarina Sousa","doi":"10.1080/23293691.2023.2273166","DOIUrl":"https://doi.org/10.1080/23293691.2023.2273166","url":null,"abstract":"","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"50 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135934058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-02DOI: 10.1080/23293691.2023.2271919
Catherine Stewart, Jennifer Hall
Pregnancy preparation, to optimize health before pregnancy, has been shown to reduce adverse maternal and neonatal outcomes. This study investigated the changes that women, and their partners, made in preparation for pregnancy. Analyses showed that less than half of women (n = 134, 49%) and only 24% of partners (n = 22) reported making any changes in preparation for pregnancy. Desire to Avoid Pregnancy (DAP) score was the only significant factor associated with pregnancy preparation; every 1-point increase in DAP reduced the odds of a woman reporting preparing for pregnancy by 78% (OR = 0.22, 95% CI = 0.15 to 0.34). This study highlights the need for interventions addressing pregnancy preparation.
{"title":"Pregnancy Preparation Among Women and Their Partners in the UK: How Common Is It and What Do People Do?","authors":"Catherine Stewart, Jennifer Hall","doi":"10.1080/23293691.2023.2271919","DOIUrl":"https://doi.org/10.1080/23293691.2023.2271919","url":null,"abstract":"Pregnancy preparation, to optimize health before pregnancy, has been shown to reduce adverse maternal and neonatal outcomes. This study investigated the changes that women, and their partners, made in preparation for pregnancy. Analyses showed that less than half of women (n = 134, 49%) and only 24% of partners (n = 22) reported making any changes in preparation for pregnancy. Desire to Avoid Pregnancy (DAP) score was the only significant factor associated with pregnancy preparation; every 1-point increase in DAP reduced the odds of a woman reporting preparing for pregnancy by 78% (OR = 0.22, 95% CI = 0.15 to 0.34). This study highlights the need for interventions addressing pregnancy preparation.","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"45 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135933909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-01DOI: 10.1080/23293691.2023.2271917
Annika Gunst, Kateryna Pinchuk, Elin Sjöström, Jan Antfolk
AbstractMothers with multiple-partner fertility have longer interbirth intervals (IBIs) than mothers with single-partner fertility, suggesting that partner change hinders achieving the preferred IBI. Previous studies have, however, overlooked possible differences in preferred IBI between these two groups. Using data from 724 Finnish mothers, we investigated how partner change between the first and second child moderated the association between actual and preferred IBI. Mothers with multiple-partner fertility had 54 months longer IBIs than mothers with single-partner fertility. The association between actual and preferred IBI was weaker in mothers with multiple-partner fertility. Our results further indicated that this difference could partly be explained by the mothers’ deliberate actions, such as contraceptive use and abortions among mothers with multi-partner fertility. Family planning support could gain from mapping out the reasons among women with a partner change for postponing otherwise desired pregnancies and offering increased support in these areas.Keywords: Interbirth intervalsbirth spacingmultiple-partner fertilitypartner changefamily planning Disclosure StatementNo potential conflict of interest was reported by the authors.Data Availability StatementThe data set is available at https://osf.io/bwhpe/.Additional informationFundingThis work was supported by a grant from Sundell’s Foundation to the last author. The funder had no role in the study design or implementation of the study.
{"title":"Preferred and Actual Interbirth Intervals in Women With Multiple-Partner Fertility","authors":"Annika Gunst, Kateryna Pinchuk, Elin Sjöström, Jan Antfolk","doi":"10.1080/23293691.2023.2271917","DOIUrl":"https://doi.org/10.1080/23293691.2023.2271917","url":null,"abstract":"AbstractMothers with multiple-partner fertility have longer interbirth intervals (IBIs) than mothers with single-partner fertility, suggesting that partner change hinders achieving the preferred IBI. Previous studies have, however, overlooked possible differences in preferred IBI between these two groups. Using data from 724 Finnish mothers, we investigated how partner change between the first and second child moderated the association between actual and preferred IBI. Mothers with multiple-partner fertility had 54 months longer IBIs than mothers with single-partner fertility. The association between actual and preferred IBI was weaker in mothers with multiple-partner fertility. Our results further indicated that this difference could partly be explained by the mothers’ deliberate actions, such as contraceptive use and abortions among mothers with multi-partner fertility. Family planning support could gain from mapping out the reasons among women with a partner change for postponing otherwise desired pregnancies and offering increased support in these areas.Keywords: Interbirth intervalsbirth spacingmultiple-partner fertilitypartner changefamily planning Disclosure StatementNo potential conflict of interest was reported by the authors.Data Availability StatementThe data set is available at https://osf.io/bwhpe/.Additional informationFundingThis work was supported by a grant from Sundell’s Foundation to the last author. The funder had no role in the study design or implementation of the study.","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"380 1-3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135326700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AbstractBackground: Developing and improving education and training programs for future health professionals as a way to enhance perinatal care and reduce obstetric traumas is a necessity. Objective: The goal of the current study is to adapt a questionnaire that evaluates health science students’ attitudes toward women’s childbirth experiences (CAVE-ST; acronym is for cuestionario de actitudes sobre vivencias y experiencias en el parto) into Turkish and assess its psychometric properties. Method: The sample comprised 950 undergraduate students in midwifery departments in Turkey aged between 20 and 41 years (M = 22.42, SD = 1.79). Participants filled out the Demographic Information Form as well as CAVE-ST-TR. Item and scale content validity index (I-CVI and S-CVI), confirmatory factor analysis (CFA), Pearson’s correlation coefficients, Cronbach’s alpha reliability coefficient, and Guttman split-half coefficient were used to examine psychometric properties. Results: The results revealed that the 52-item and four-factor CAVE-ST-TR is a valid and reliable tool to assess health science students’ attitudes toward women’s childbirth experiences. Conclusion: This study would enhance the cross-cultural utility of the questionnaire.Keywords: CAVE-STCAVE-ST-TRchildbirthperinatal carevalidityreliability AcknowledgementsThis paper contributes to the EU COST Action 18211: DEVoTION: Perinatal Mental Health and Birth-Related Trauma: Maximising best practice and optimal outcomes (supported by COST [European Cooperation in Science and Technology]). GGİ is management committee member, and all authors are members of COST Action CA18211.Research Involving Human Participants and/or AnimalsAll procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee (Mersin University, Date: 28.10.2020, No: 22/728) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.Informed ConsentInformed consent was obtained from all individual participants included in the study.Author ContributionStudy conception and design: BKA, GGI, EGM.Data collection: BKA, GGI.Data analysis and interpretation: BKA.Drafting of the article: BKA, GGI, EGM.Critical revision of the article: BKA, GGI, EGM.Disclosure StatementNo potential conflict of interest was reported by the author(s).Data Availability StatementThe datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
{"title":"Assessment of the Attitudes Toward Childbirth in Health Sciences Students–Turkish Adaptation of the Questionnaire CAVE-ST-TR","authors":"Burcu Kömürcü Akik, Gözde Gökçe İsbir, Ernesto González-Mesa","doi":"10.1080/23293691.2023.2270956","DOIUrl":"https://doi.org/10.1080/23293691.2023.2270956","url":null,"abstract":"AbstractBackground: Developing and improving education and training programs for future health professionals as a way to enhance perinatal care and reduce obstetric traumas is a necessity. Objective: The goal of the current study is to adapt a questionnaire that evaluates health science students’ attitudes toward women’s childbirth experiences (CAVE-ST; acronym is for cuestionario de actitudes sobre vivencias y experiencias en el parto) into Turkish and assess its psychometric properties. Method: The sample comprised 950 undergraduate students in midwifery departments in Turkey aged between 20 and 41 years (M = 22.42, SD = 1.79). Participants filled out the Demographic Information Form as well as CAVE-ST-TR. Item and scale content validity index (I-CVI and S-CVI), confirmatory factor analysis (CFA), Pearson’s correlation coefficients, Cronbach’s alpha reliability coefficient, and Guttman split-half coefficient were used to examine psychometric properties. Results: The results revealed that the 52-item and four-factor CAVE-ST-TR is a valid and reliable tool to assess health science students’ attitudes toward women’s childbirth experiences. Conclusion: This study would enhance the cross-cultural utility of the questionnaire.Keywords: CAVE-STCAVE-ST-TRchildbirthperinatal carevalidityreliability AcknowledgementsThis paper contributes to the EU COST Action 18211: DEVoTION: Perinatal Mental Health and Birth-Related Trauma: Maximising best practice and optimal outcomes (supported by COST [European Cooperation in Science and Technology]). GGİ is management committee member, and all authors are members of COST Action CA18211.Research Involving Human Participants and/or AnimalsAll procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee (Mersin University, Date: 28.10.2020, No: 22/728) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.Informed ConsentInformed consent was obtained from all individual participants included in the study.Author ContributionStudy conception and design: BKA, GGI, EGM.Data collection: BKA, GGI.Data analysis and interpretation: BKA.Drafting of the article: BKA, GGI, EGM.Critical revision of the article: BKA, GGI, EGM.Disclosure StatementNo potential conflict of interest was reported by the author(s).Data Availability StatementThe datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"127 40","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135863452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-18DOI: 10.1080/23293691.2023.2255587
Glenn J. Wagner, Bonnie Ghosh-Dastidar, Laura Faherty, Jolly Beyeza-Kashesya, Juliet Nakku, Linda Kisaakye Nabitaka, Dickens Akena, Janet Nakigudde, Victoria Ngo, Ryan McBain, Hafsa Lukwata, Violet Gwokyalya, Barbara Mukasa, Rhoda K. Wanyenze
AbstractPerinatal depression has been shown to have deleterious effects on maternal postpartum functioning as well as early child development. However, few studies have documented whether depression care helps to mitigate these effects. We examined the effects of the M-DEPTH (Maternal Depression Treatment in HIV) depression care model (including antidepressants and individual problem solving therapy) on maternal functioning and infant development in the first 6 months post-delivery in an ongoing cluster randomized controlled trial of 391 HIV-infected women with at least mild depressive symptoms enrolled across eight antenatal care clinics in Uganda. A subsample of 354 (177 in each of the intervention and control groups) had a live birth delivery and composed the analytic sample, of whom 69% had clinical depression at enrollment; 70% of women in the intervention group (including 96% of those with clinical depression) received depression treatment. Repeated-measures multivariable regression models found that the intervention group reported better infant care, lower parental burden, and greater perceived adequacy of parental support, compared to the control group. These findings suggest that depression care for pregnant women living with HIV is important not only for maternal mental health but also because it helps women to better manage parenting and care for their infant.Keywords: Perinatal depressionmaternal functioninginfant developmentUgandaHIVproblem solving therapyantidepressant therapydepression care AcknowledgementWe acknowledge the contribution of our study coordinators: Alice Namuganda, Rose Kisa, and Mercylynn Agasha, who were responsible for participation recruitment, all data collection, and protocol coordination, and Mahlet Gizaw, who was responsible for data management. We thank the peer mothers and midwife nurses at each site for their efforts in implementing depression care and screening. Last, we thank all the women who agreed to participate in the study.Authors’ ContributionsAll authors contributed to the study conception and design. Material preparation and data analysis were performed by BGD and GW. The first draft of the manuscript was written by Wagner, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.Ethics ApprovalApproval was obtained from the institutional review boards at RAND and Makerere University School of Public Health, and the Uganda National Council for Science and Technology. The procedures used in this study adhere to the tenets of the Declaration of Helsinki.Informed ConsentWritten informed consent was obtained from all individual participants included in the study.Disclosure StatementNo potential conflict of interest was reported by the author(s).Data Availability StatementDe-identified dataset and statistical code are available to researchers upon submission of proposal and review by the study team.Additional informationFundingThe study was s
摘要围产期抑郁症已被证明对产妇产后功能和儿童早期发育有不良影响。然而，很少有研究证明抑郁症治疗是否有助于减轻这些影响。我们在乌干达8个产前护理诊所招募了391名至少有轻度抑郁症状的HIV感染妇女，在一项正在进行的集群随机对照试验中，研究了M-DEPTH (HIV母亲抑郁治疗)抑郁护理模式(包括抗抑郁药和个体问题解决疗法)对产后头6个月产妇功能和婴儿发育的影响。354名子样本(干预组和对照组各177名)活产，构成分析样本，其中69%在入组时患有临床抑郁症;干预组中70%的女性(包括96%的临床抑郁症患者)接受了抑郁症治疗。重复测量多变量回归模型发现，与对照组相比，干预组报告了更好的婴儿护理，更低的父母负担，以及更充分的父母支持。这些发现表明，对感染艾滋病毒的孕妇进行抑郁症护理不仅对母亲的心理健康很重要，而且还有助于妇女更好地管理育儿和照顾婴儿。关键词:围产期抑郁症产妇功能婴儿发育乌干达艾滋病病毒解决问题治疗抗抑郁药物治疗抑郁症护理我们感谢我们的研究协调员:Alice Namuganda, Rose Kisa和Mercylynn Agasha，他们负责参与招募、所有数据收集和方案协调，以及Mahlet Gizaw负责数据管理。我们感谢每个地点的同行母亲和助产士护士在实施抑郁症护理和筛查方面所做的努力。最后，我们感谢所有同意参加这项研究的女性。作者的贡献所有作者都对研究的构思和设计做出了贡献。通过BGD和GW进行材料制备和数据分析。手稿的初稿是瓦格纳写的，所有的作者都对以前的手稿版本进行了评论。所有作者都阅读并批准了最终的手稿。伦理批准获得了兰德公司和马凯雷雷大学公共卫生学院的机构审查委员会以及乌干达国家科学和技术委员会的批准。本研究使用的程序遵循《赫尔辛基宣言》的原则。知情同意书所有参与研究的个体均获得了书面知情同意书。披露声明作者未报告潜在的利益冲突。数据可用性声明在提交提案并由研究小组审查后，研究人员可以获得已识别的数据集和统计代码。本研究由美国国家心理健康研究所资助[grant R01MH115830;PI:瓦格纳]。
{"title":"Effects of M-DEPTH Model of Depression Care on Maternal Functioning and Infant Developmental Outcomes in the Six Months Post-Delivery: Results From a Cluster Randomized Controlled Trial","authors":"Glenn J. Wagner, Bonnie Ghosh-Dastidar, Laura Faherty, Jolly Beyeza-Kashesya, Juliet Nakku, Linda Kisaakye Nabitaka, Dickens Akena, Janet Nakigudde, Victoria Ngo, Ryan McBain, Hafsa Lukwata, Violet Gwokyalya, Barbara Mukasa, Rhoda K. Wanyenze","doi":"10.1080/23293691.2023.2255587","DOIUrl":"https://doi.org/10.1080/23293691.2023.2255587","url":null,"abstract":"AbstractPerinatal depression has been shown to have deleterious effects on maternal postpartum functioning as well as early child development. However, few studies have documented whether depression care helps to mitigate these effects. We examined the effects of the M-DEPTH (Maternal Depression Treatment in HIV) depression care model (including antidepressants and individual problem solving therapy) on maternal functioning and infant development in the first 6 months post-delivery in an ongoing cluster randomized controlled trial of 391 HIV-infected women with at least mild depressive symptoms enrolled across eight antenatal care clinics in Uganda. A subsample of 354 (177 in each of the intervention and control groups) had a live birth delivery and composed the analytic sample, of whom 69% had clinical depression at enrollment; 70% of women in the intervention group (including 96% of those with clinical depression) received depression treatment. Repeated-measures multivariable regression models found that the intervention group reported better infant care, lower parental burden, and greater perceived adequacy of parental support, compared to the control group. These findings suggest that depression care for pregnant women living with HIV is important not only for maternal mental health but also because it helps women to better manage parenting and care for their infant.Keywords: Perinatal depressionmaternal functioninginfant developmentUgandaHIVproblem solving therapyantidepressant therapydepression care AcknowledgementWe acknowledge the contribution of our study coordinators: Alice Namuganda, Rose Kisa, and Mercylynn Agasha, who were responsible for participation recruitment, all data collection, and protocol coordination, and Mahlet Gizaw, who was responsible for data management. We thank the peer mothers and midwife nurses at each site for their efforts in implementing depression care and screening. Last, we thank all the women who agreed to participate in the study.Authors’ ContributionsAll authors contributed to the study conception and design. Material preparation and data analysis were performed by BGD and GW. The first draft of the manuscript was written by Wagner, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.Ethics ApprovalApproval was obtained from the institutional review boards at RAND and Makerere University School of Public Health, and the Uganda National Council for Science and Technology. The procedures used in this study adhere to the tenets of the Declaration of Helsinki.Informed ConsentWritten informed consent was obtained from all individual participants included in the study.Disclosure StatementNo potential conflict of interest was reported by the author(s).Data Availability StatementDe-identified dataset and statistical code are available to researchers upon submission of proposal and review by the study team.Additional informationFundingThe study was s","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135889293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-11DOI: 10.1080/23293691.2023.2179904
Ska Salden, Tatiana Graf, Ulrike Roth
AbstractTrans and intersex individuals are often not considered in obstetric care—neither in practice nor in research. This quantitative study used an online survey to compare the experiences of pregnant trans men, non-binary individuals, and intersex people with those of endosex cisgender individuals who received care in obstetrics. Trans men and non-binary individuals reported discrimination during pregnancy and childbirth on the interactional, institutional, and structural level: for example, they reported more unsatisfactory encounters with health care personnel and more barriers in the structure of health care services and facilities. Trans and intersex individuals had less access to information relevant to them concerning pregnancy and birth compared to cisgender endosex individuals. Although it happened less frequently, cisgender endosex individuals also reported negative experiences, such as discrimination or violence during birth in a hospital. Our findings indicate a need for change concerning several aspects of the obstetric care spectrum—especially, but not exclusively, for trans, non-binary, and intersex people. Some suggestions for improvement include the following: On the hospital level, measures should be implemented to reduce structural discrimination and to ascertain one-on-one care during active labor. Inclusive information material should be developed and disseminated and health care institutions should raise awareness among their staff regarding care for their LGBTIQ patients. More studies on obstetric issues concerning queer, trans, and especially intersex people should be conducted and diversity and inclusion should be implemented as core topics in the training curricula for midwives, physicians, and nurses.Keywords: LGBTIQqueerpregnancyhealthreproductive rights AcknowledgmentsThanks are due to Meike Watzlawik, Elisabeth Ponocny-Seeliger, and Joey Powers for their friendly intellectual support.Disclosure StatementThe authors report there are no competing interests to declare.Data Availability StatementThe data that support the findings of this study are available from the corresponding author, Ska Salden, upon reasonable request.Notes1 In Germany, all costs for a hospital birth are usually covered by national health insurance, while the birthing person has to carry some of the costs for a birth in a birth center or at home with a midwife.Additional informationFundingThis work was supported by the Gunda Werner Institute/Heinrich Böll Stiftung.
{"title":"Cisnormativity, Erasure, and Discrimination: How Do Trans, Non-Binary, and Intersex Persons Experience Obstetric Care Compared to Endosex Cisgender Individuals in Germany?","authors":"Ska Salden, Tatiana Graf, Ulrike Roth","doi":"10.1080/23293691.2023.2179904","DOIUrl":"https://doi.org/10.1080/23293691.2023.2179904","url":null,"abstract":"AbstractTrans and intersex individuals are often not considered in obstetric care—neither in practice nor in research. This quantitative study used an online survey to compare the experiences of pregnant trans men, non-binary individuals, and intersex people with those of endosex cisgender individuals who received care in obstetrics. Trans men and non-binary individuals reported discrimination during pregnancy and childbirth on the interactional, institutional, and structural level: for example, they reported more unsatisfactory encounters with health care personnel and more barriers in the structure of health care services and facilities. Trans and intersex individuals had less access to information relevant to them concerning pregnancy and birth compared to cisgender endosex individuals. Although it happened less frequently, cisgender endosex individuals also reported negative experiences, such as discrimination or violence during birth in a hospital. Our findings indicate a need for change concerning several aspects of the obstetric care spectrum—especially, but not exclusively, for trans, non-binary, and intersex people. Some suggestions for improvement include the following: On the hospital level, measures should be implemented to reduce structural discrimination and to ascertain one-on-one care during active labor. Inclusive information material should be developed and disseminated and health care institutions should raise awareness among their staff regarding care for their LGBTIQ patients. More studies on obstetric issues concerning queer, trans, and especially intersex people should be conducted and diversity and inclusion should be implemented as core topics in the training curricula for midwives, physicians, and nurses.Keywords: LGBTIQqueerpregnancyhealthreproductive rights AcknowledgmentsThanks are due to Meike Watzlawik, Elisabeth Ponocny-Seeliger, and Joey Powers for their friendly intellectual support.Disclosure StatementThe authors report there are no competing interests to declare.Data Availability StatementThe data that support the findings of this study are available from the corresponding author, Ska Salden, upon reasonable request.Notes1 In Germany, all costs for a hospital birth are usually covered by national health insurance, while the birthing person has to carry some of the costs for a birth in a birth center or at home with a midwife.Additional informationFundingThis work was supported by the Gunda Werner Institute/Heinrich Böll Stiftung.","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136208771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-03DOI: 10.1080/23293691.2023.2258874
Priya Bhakat, Yatish Kumar
AbstractGlobally, adolescent pregnancy is one of the key issues in women’s reproductive health. Adolescent mothers face a higher risk of obstetrical concerns, and motherhood in adolescence is strongly influenced by lower education level and lower socioeconomic status. The present study was carried out across all Indian states and Union Territories using the National Family Health Survey, rounds 1 to 5 (1992–1993 to 2019–2021) in which various socioeconomic and cultural factors associated with adolescent pregnancies was examined in detail. The article uses univariate, bivariate with chi-square test, and multivariate logistic regression models to understand the extent of which socioeconomic factors and sexual behavior of the couple are related to early motherhood experiences. It was found that age at marriage, respondent education, employment, age gap between partners, and religion are some of the important variables that affect the likelihood of adolescent pregnancy among females in Indian states. Comprehensive institutional efforts like free contraceptives and counseling services should be provided to address the increasing risk of pregnancy among adolescents.Keywords: Adolescencereproductive healthpregnancyIndia AcknowledgmentsWe thank the anonymous reviewers for their comments and feedback. We also thank Dr. Nassif Muhammed Ali for his support in finalizing the article.Disclosure StatementNo potential conflict of interest was reported by the authors.Data Availability StatementThe data used in this article are publicly available at https://dhsprogram.com/.
{"title":"Adolescent Childbearing in India: Causes and Concerns","authors":"Priya Bhakat, Yatish Kumar","doi":"10.1080/23293691.2023.2258874","DOIUrl":"https://doi.org/10.1080/23293691.2023.2258874","url":null,"abstract":"AbstractGlobally, adolescent pregnancy is one of the key issues in women’s reproductive health. Adolescent mothers face a higher risk of obstetrical concerns, and motherhood in adolescence is strongly influenced by lower education level and lower socioeconomic status. The present study was carried out across all Indian states and Union Territories using the National Family Health Survey, rounds 1 to 5 (1992–1993 to 2019–2021) in which various socioeconomic and cultural factors associated with adolescent pregnancies was examined in detail. The article uses univariate, bivariate with chi-square test, and multivariate logistic regression models to understand the extent of which socioeconomic factors and sexual behavior of the couple are related to early motherhood experiences. It was found that age at marriage, respondent education, employment, age gap between partners, and religion are some of the important variables that affect the likelihood of adolescent pregnancy among females in Indian states. Comprehensive institutional efforts like free contraceptives and counseling services should be provided to address the increasing risk of pregnancy among adolescents.Keywords: Adolescencereproductive healthpregnancyIndia AcknowledgmentsWe thank the anonymous reviewers for their comments and feedback. We also thank Dr. Nassif Muhammed Ali for his support in finalizing the article.Disclosure StatementNo potential conflict of interest was reported by the authors.Data Availability StatementThe data used in this article are publicly available at https://dhsprogram.com/.","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135696211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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