African journal of reproductive health最新文献

Manual vacuum aspiration (MVA) is a painful procedure often conducted without analgesia. The World Health Organization (WHO) recommends a paracervical block (PCB) as the mode of pain relief during MVA. Few studies have assessed patient perspectives on pain control during MVA. We investigated the perspectives of health workers and patients on MVA under PCB. This study was nested within a pilot randomized controlled trial (RCT) evaluating the Chloe SED (syringe extension device) for PCB provision. Eleven providers and 61 patients were enrolled. All providers had MVA experience. They had not provided pain relief on 20% of occasions, and only one had previously administered PCB for MVA. Both patients and providers indicated MVA was painful and deserving of analgesia. Pain was the most common reason for difficulty completing an MVA. Providers noted that PCB made the procedure more tolerable. For patients, efficacy, remaining conscious, and same-day discharge were key considerations when selecting pain relief. Notably, 84% of patients expressed satisfaction with MVA under PCB. PCB is a vital component of the MVA care package. Considering patient and provider perspectives is essential to optimizing a humane and effective procedural experience.

This study was an original article, mainly aimed to explore the influence of nutritional guidance during pregnancy on nutritional status and pregnancy outcome of pregnant women. Two hundred (200) pregnant women were admitted to the Nanjing General Hospital of Nanjing Military Command from May 2021 to May 2023. They were randomly sub-divided into a control group and an intervention group. Each group had 100 cases. The control group received routine guidance, while the intervention group received personalized nutrition guidance based on standards from the routine guidance protocol. The results showed that in comparison with the control group, the intervention group presented higher calcium, protein, folate, sodium, iron, vitamin and zinc levels, lower fat levels, lower incidence of adverse birth outcomes, lower incidence of adverse neonatal status, higher fetal body weight and Apgar score higher satisfaction rate, and lower incidence of complications during pregnancy. We conclude that reasonable intake of nutrition during pregnancy can meet the nutritional needs of pregnant women and fetuses, improve pregnancy safety, improve delivery and newborn conditions, reduce the occurrence of pregnancy complications, and improve the satisfaction of pregnant women.

The discharge time of the postpartum woman is an issue related to emotional readiness and hospital policies and should be evaluated by the nurse. The feeling of readiness of the postpartum woman is the key in making the decision to discharge.The objective of the study is to evaluate the discharge readiness of puerperium and to determine the factors affecting.This study included 323 postpartum women who visited the obstetrics and gynecology outpatient clinic of the hospital between Semtember 10, 2021, and January 31, 2022, and met the inclusion criteria. Data were collected using the Personal and Obstetric Information form, The Readiness for Hospital Discharge Scale-Postpartum Mother Form(RHDS-PM). The chi-square test, Fisher's exact test, and the Fisher-Freeman-Halton test were used in the comparison of categorical data. Categorical data are presented as frequencies and percentages The mean age of the participants was 28.57±5.69 years. In our study, it was found that the mean RHDS-PMF score of the postpartum women was 154.29±31.08. A statistically significant difference was found in satisfaction with nursing care based on postpartum knowledge status (p< 0.001).Based on this study's results, the average discharge scale score of the postpartum women in the group was determined to be ready. The scale score of those who believe that they would be capable of self-care at home is higher than those who do not. Thus, the education and the self care power provided support postpartum women's satisfaction with nursing care and their readiness for discharge.

This research was conducted to investigate the relationship between women's attitudes toward sexuality during pregnancy and their body image and to determine the predictors of pregnant women's sexual attitudes. The research was conducted with 515 pregnant women in Turkey. Study data were collected using a sociodemographic data form, the Attitude Scale toward Sexuality during Pregnancy, and the Body Image in Pregnancy Scale. As women's positive attitudes toward sexuality increased, their dissatisfaction with their body image decreased. It was determined that women with a positive body image during pregnancy had a less anxious attitude toward sexual intercourse, developed positive beliefs and values toward sexuality, and approved of sexuality during pregnancy. The factors that explained 15.8% of pregnant women's attitudes towards sexuality were body image, age, gestational week, satisfaction with sexuality during pregnancy, and knowledge of sexuality during pregnancy. It is recommended that body image, age, gestational week, satisfaction with sexuality in pregnancy and knowledge of sexuality in pregnancy should be taken into consideration in order to accurately determine the sexual attitudes of pregnant women in obstetric clinics.

The aim of study was to analyze the extent to which treatment for vaginismus affect self-esteem, defense mechanisms, sexual satisfaction and coping with stress. Was conducted as aquasi-experimental, cross-sectional study. The population of the study consisted of womenwho were followed up with the diagnosis of vaginismus in obstetrics clinic. As data collection tools, "Personal Information Form", "Coopersmith Self-Esteem Inventory", "Sexual Satisfaction Scale", "Coping Response Inventory" and "Defense Style Questionnaire" wereused. When people who were diagnosed with vaginismus and accepted treatment were asked about the reasons for demanding treatment, 11.4% of them responded that they experienced pain during sexual intercourse, 4.7% stated that they wanted to able to continue their marriage, and 2.8% of them stated that they wanted to gain self-confidence. When asked for whom they wanted the treatment of the disease, 61 of the participants responded, and 14 of them answered for "Me and my spouse" while 29 for "My spouse" and 18 for "Myself". It was revealed that self-esteem, defense mechanisms, sexual satisfaction and coping with stress are important factors in initiation, maintenance and completion of treatment in patients and that these factors should be especially emphasized during the treatment process.

We are writing to address the growing interest in the role of artificial intelligence (AI) within healthcare, particularly in the field of reproductive health. As technology continues to evolve, AI offers an unprecedented opportunity to transform how we diagnose, treat, and improve access to reproductive services, especially in underserved communities. AI-driven tools, supported by machine learning and big data analytics, are already demonstrating their potential in enhancing outcomes in reproductive health. These tools can predict fertility outcomes with impressive accuracy, optimize in vitro fertilization (IVF) success rates, and identify early signs of reproductive disorders, such as endometriosis, polycystic ovary syndrome (PCOS), and ovarian cancer. By analyzing biomarkers, medical histories, and lifestyle factors, AI algorithms empower healthcare providers to deliver personalized and effective treatment plans tailored to individual needs.

Cervical cancer (CC) is a malignant tumor in females characterized by high incidence and mortality rates, often resulting in a poor prognosis for patients. Zoledronic acid (ZA), a third-generation bisphosphonate, exhibits anti-tumor properties across various types of tumors. To further understand the effect of ZA in the treatment of CC, this article included two kinds of human CC cells (CCCs) as the research object, examining the impact of varying levels of ZA on the cells' biological properties. Hela and Siha were cultivated and exposed to ZA at 0, 50, 100, and 200 μM, and the changes of cell proliferation, clone formation, migration, and invasion characteristics were detected. Cell RNA was extracted to detect epithelial-mesenchymal transition (EMT) and the relative expression (RE) of AKT/GSK3β/β-catenin (β-cat) pathway related proteins. The results show that as against 0 μM, the proliferation rate, clone formation cell number, migration distance, and invasive cell number of Hela and Siha were markedly reduced, while E-cadherin (E-cad) was markedly enhanced. N-cadherin (N-cad), vimentin (Vim), p-AKT, p-GSK3β, and β-cat were markedly decreased at 50, 100, and 200 μM ZA; With the increase of ZA concentration, the biological characteristics and protein expression levels of Hela and Siha changed more markedly, showing concentration dependent characteristics (P < 0.05). It was concluded that ZA can influence the malignant biological activities of CCCs.

Researches indicate that reproductive and sexual health awareness is a major health indicator in communities. This study aimed to assess women's awareness of reproductive health in the Iraqi community. A cross-sectional survey in Iraqi governorates was implemented, and a convenient sample of 3416 women participated in the study. Data were collected using a well-designed structured questionnaire. SPSS version 26 was used for data analysis and description statistics. The study found low awareness about reproductive and sexual health among women. While one-third showed adequate awareness regarding premarital care, child marriage, and breastfeeding. Only 21% and 10% of the participants, respectively, having adequate awareness of sexually transmitted disease types and contraceptive methods. Remarkably, a large majority lacked awareness of healthy sleep patterns. 47% of the participants expressed adequate awareness of the stress effects on health. Overall, using health facilities appropriately and regularly was present in only 5% of the participants with the preferential to private sector. Low reproductive health awareness was significantly associated with low educational levels among participants (p-value < .00001). The study revealed that awareness of sexual and reproductive health among Iraqi women is unsatisfactory in the majority of its determinants. Education programs targeting all Iraqi communities are crucial for improving understanding of this vital subject. Future research is advised to examine the effect of digital health system platforms in disseminating knowledge of reproductive health and preventing diseases.

Despite the prominence of international discourses on sexual and reproductive health and rights, much remains to be done to meet both needs and wants of individuals, couples and families. Socioeconomic disparities and geographic differentials, compounded by inappropriate policies besides resource constraints, hbave hampered the achievements of these rights to the extent that, in many jurisdictions, access to quality sexual and reproductive health services continues to be a privilege for some as opposed to a right for all. A rights-based approach, accompanied by appropriate policy formulation and sustained advocacy for resource mobilisation, can promote equity through community acceptance and individual behaviour change.

This was an original article, mainly explored the effect of applying airbag bionic midwifery technology in vaginal delivery of scarred uterus pregnancy. Sixty patients were chosen, and divided into an intervention group (IG) and a control group (CG). The results showed that in contrast to the CG, the IG had shorter first, second and total stages of labor (P<0.01), less amounts of blood loss during delivery and 2 h after delivery (P<0.01), lower visual analogue scale (VAS) score (P<0.01), higher natural delivery rate, lower forceps assisted delivery rate and cesarean section rate (P<0.05), lower incidence of postpartum complications (P<0.05), and higher childbirth satisfaction (P<0.05). We conclude that the implementation of airbag bionic midwifery technology in vaginal delivery of scarred uterus pregnancy has obvious effects, which can effectively promote the success of vaginal delivery, shorten the stages of labor, and alleviate the degree of pain. We recommend its more routine application in obstetric clinical practice.