African journal of reproductive health最新文献

This study aims assessment of the level of knowledge and attitudes of pregnant women regarding endocrine disruptors. This cross-sectional, descriptive study was carried out in the antenatal clinic of a hospital in Istanbul between January 25, 2023, and March 3, 2023. The study sample consisted of 350 pregnant women. The data collection tools were a Personal Data Form, an Endocrine Disruptors Awareness Test, and an Endocrine Disruptors Attitude Scale. The rate of women reporting that they received no education on endocrine disruptors is 99.7%. The average score for the Endocrine Disruptors Awareness Test was 9.15±3.19, and for the Endocrine Disruptors Attitude Scale was 73.26±8.51. There was a moderate positive correlation between the scores of the Endocrine Disruptors Awareness Test and the Endocrine Disruptors Attitude Scale (r= .52, p< .01). In conclusion, it is believed that pregnant women may be aware of toxic substances in their environment but may not recognise them as endocrine disruptors. It is recommended that the topic of endocrine disruptors be added to antenatal education.

This study examines Fear of Childbirth (FoC) among pregnant midwives in Türkiye using the Wijma Delivery Expectancy/Experience Questionnaire-Version A (W-DEQ A). A cross-sectional design was employed, including 270 healthy pregnant midwives in their 28th to 40th gestational weeks, who were employed in healthcare and had internet and social media access. Data were gathered through social media between platforms February and July 2023 using the Participant Introduction Form and W-DEQ A, and analyzed with SPSS 25.0 (p<0.05).The mean W-DEQ A score was 78.70 (±26.59), indicating severe FoC, with 53.3% experiencing clinically significant levels. FoC scores were higher among midwives working in labor and gynecology units compared to postnatal wards (p<0.05). Positive correlations were identified between FoC and variables such as age, midwifery experience, and perceived labor pain severity. These findings underscore the influence of professional settings on FoC, emphasizing the need for targeted support and training to improve outcomes.

We aimed to assess the impact of comprehensive nursing care on the operation time and intraoperative blood loss of pregnant women with uterine myoma. Sixty pregnant patients treated between January 2018 and September 2020 were randomly assigned to a routine nursing group or a comprehensive nursing group (n=30). The comprehensive nursing group experienced significantly reduced operation time, intraoperative blood loss, postoperative ambulation time, and overall duration of hospitalization when compared to those of the control group (P<0.001). Pain levels were also significantly lower in the comprehensive nursing group 12-48 h after operation (P<0.001). Comprehensive nursing led to significant improvements in anxiety and depression scores, with higher nursing satisfaction rates. These findings suggest that comprehensive nursing provides substantial benefits for managing the surgical and mental health outcomes of pregnant women with uterine myoma.

This study evaluated the effectiveness of the open glottis breathing technique during the second stage of labor among 600 primigravida women, randomly assigned to either an open glottis group (n=300) or a closed glottis group (n=300). Participants in the open glottis group received training via 3D animated videos. Results demonstrated a significant impact on perineal integrity, with 20.7% of women in the experimental group reporting an intact perineum compared to just 1.7% in the control group. Additionally, the open glottis group experienced shorter labor durations and a decrease in severe neonatal asphyxia, as indicated by improved APGAR scores compared to the closed glottis group. Statistical analysis using the χ² test revealed a highly significant difference in perineal conditions between the two groups, with a χ² value of 65.7 (p < 0.000). The study also identified a significant association between maternal age, residence, and income with the reduction of perineal tears (p < 0.000). Overall, the findings suggest that the modified open glottis breathing technique effectively prevents perineal trauma, shortens the duration of the second stage of labor, and enhances neonatal outcomes. These results highlight the potential benefits of integrating this technique into labor management practices to improve maternal and neonatal health.

The purpose of this study is to determine the impact of social media addiction on pregnancy stress and prenatal attachment. The study was conducted between November 2023 and April 2024 with a sample of 277 pregnant women. This descriptive, cross-sectional, and correlational study utilized several instruments, including the Demographic Information Form, the Social Media Addiction Scale-Adult Form (SMAS-AF), the Fear of Missing Out Scale (FoMO), the Pregnancy Stress Rating Scale (PSRS), and The Prenatal Attachment Inventory (PAI). The findings revealed that the majority of the participants used social media to gain information related to their pregnancy (60.3%) and childbirth (46.6%). It was observed that the participants had a moderate level of social media addiction (40.56±9.82). The study found that as levels of social media addiction and FoMO increased, pregnancy stress also increased. Additionally, no significant relationship was found between social media addiction and prenatal attachment, although a higher level of FoMO was associated with a decrease in prenatal attachment. It is recommended that the number of healthcare professionals who provide accessible education and follow-up services to pregnant women be increased. Moreover, preventive and supportive environments should be established within healthcare services to guide the use of social media during pregnancy.

The study examined a gender-based investigation of employment, workforce productivity and economic growth in West African countries. The empirical analysis is centred on panel consisting of 16 West African countries over the period 2007-2019 using Esteve-Volarts model. The method of estimation employed are panel system generalised method of moments. The major findings suggest that there exists a positive and major relationship between male and female wage and salaried workers to economic growth although male wage contribution to growth supersedes female contribution. Also, male and female labour force participation rate are directly linked to economic growth. Likewise, female workforce productivity contributed significantly to economic growth of the selected countries. This study recommends that programmes should be put in place to facilitate more female participation in well paid jobs which will help enhance productivity as well as increase the growth in the countries. These recommendations will help to narrow the inequality of gender inequality in employment and productivity of workforce amongst West African countries.

This was a randomised controlled study to investigate the effect of web-based breastfeeding education given to primiparous pregnant women on postpartum breastfeeding. The study included a total of 120 primiparous pregnant women, including control group (n:60) and experimental group (n:60). The study was conducted in a district in northern Turkey. Only the pregnant women in the experimental group received web-based breastfeeding education. Descriptive statistics and independent two-sample t-test analysis were used to analyse the data and to compare the demographic characteristics and scale scores according to the groups. 'IOWA Infant Feeding Scale', "Edinburgh Depression Scale", "IMDAT", "Breastfeeding Self-Efficacy Scale", "Perception of Insufficient Milk Scale" and "Breastfeeding Motivation Scale" were administered to the experimental and control groups on the 7th day, 3rd month and 6th month after birth. Several factors, including breastfeeding motivation, breastfeeding self-efficacy, and the perception of milk sufficiency for the baby, were significantly different between the groups (p<0.001). A significant difference was found between the two groups in terms of mothers breastfeeding their babies within the first half hour after birth. All of the mothers in the experimental group breastfed their babies within the first half hour. Breastfeeding self-efficacy and motivation levels in the experimental group showed a statistically significant increase when compared to both pre-training levels and the control group. (Clinical Trials Number: NCT06443801).

It is sometimes said that when America sneezes, the world catches a cold. The opposite scenario may also apply: a healthy and progressive American economy and democracy provides needed resources and hope to many parts of the world, including Africa. Four years ago, we wrote an optimistic message in this journal.2,3 We asserted that newly-minted President Joseph Biden would reinstate and strengthen Obama-era global health programs that former President Donald Trump stripped and defunded during his four-year term. These programs included support for combatting and preventing HIV/AIDS, tuberculosis, malaria, reproductive health, and infectious disease research.

This study examined the effects of a combination of plan-do-check-action (PDCA) and enhanced recovery after surgery (ERAS) on patients undergoing cesarean section. One hundred and thirty patients undergoing caesarean section at the Second Affiliated Hospital of Nantong University comprised the study group. They were randomly divided into a control group (CG) and an intervention group (IG). The CG accepted routine management during the perioperative period, while the IG accepted a combination nursing of PDCA and ERAS. Relative to the CG, the IG presented lower visual analogue scale (VAS) scores at 4 h and 72 h after cesarean section, lower self-rating anxiety scale (SAS) scores and self-rating depression scale (SDS) scores, shorter time of anal exhaust, first urination along after leaving bed, lower total incidence rate of complications, and higher satisfaction rate of patients. We conclude that a combination nursing of PDCA and ERAS can alleviate postoperative pain, improve the psychological state, expedite postoperative recovery along with lessen the incidence of complications in patients undergoing cesarean section.

The study was designed to appraise the effects of early antibiotic administration on reproductive tract infections and fetal membrane cell scorching in instances of premature rupture of membranes (PROM). A total of 107 pregnant women diagnosed with PROM between July 2020 and June 2022 were randomly assigned to two groups: the Intervention (n=54), where ampicillin were administered within 24 hours of PROM onset, and the control group (n=53), where ampicillin were given 24-48 hours after PROM. Maternal and neonatal outcomes, incidence of reproductive tract infections, and fetal membrane cell scorching indicators (Caspase-1, Caspase -3, Caspase-9 and IL-β) were compared. The intervention group had significantly fewer adverse maternal and neonatal outcomes (p<0.05). Post-treatment, rates of Chlamydia trachomatis, Mycoplasma solium, and genital tract infections decreased in both groups, with lower rates in the intervention group (p<0.05). Positive expression rates of Caspase-1, -3, -9, and IL-β in placental tissues were also lower in the intervention group (p<0.05). We conclude that administering antibiotics within 12 hours of PROM reduces reproductive tract infections, lowers fetal membrane cell scorching, and improves maternal and neonatal outcomes, supporting early antibiotic use in the management of PROM.