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Reproductive Health

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https://www.readbyqxmd.com/read/29351797/evaluating-the-impact-of-a-quality-management-intervention-on-post-abortion-contraceptive-uptake-in-private-sector-clinics-in-western-kenya-a-pre-and-post-intervention-study
#1
Susy Wendot, Rachel H Scott, Inviolata Nafula, Isaac Theuri, Edward Ikiugu, Katharine Footman
BACKGROUND: Integration of family planning counselling and method provision into safe abortion services is a key component of quality abortion care. Numerous barriers to post-abortion family planning (PAFP) uptake exist. This study aimed to evaluate the effect of a quality management intervention for providers on PAFP uptake. METHODS: We conducted a pre- and post-intervention study between November 2015 and July 2016 in nine private clinics in Western Kenya. We collected baseline and post-intervention data using in-person interviews on the day of procedure, and follow-up telephone interviews to measure contraceptive uptake in the 2 weeks following abortion...
January 19, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29325572/modeling-the-relationship-between-women-s-perceptions-and-future-intention-to-use-institutional-maternity-care-in-the-western-highlands-of-guatemala
#2
Emily Peca, John Sandberg
BACKGROUND: Despite global gains, women in hard-to-reach areas are at a relatively higher risk of death and disability related to childbirth. Traditional methods of measuring satisfaction may mask negative experiences (such as disrespect and abuse) that can drive down demand for institutional care. Better measurement of women's perceptions of care quality, especially among marginalized populations with historically low utilization of institutional care, are needed to inform how to improve services and foster greater utilization of (potentially life-saving) clinical care...
January 11, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29321051/midwives-respect-and-disrespect-of-women-during-facility-based-childbirth-in-urban-tanzania-a-qualitative-study
#3
Kana Shimoda, Shigeko Horiuchi, Sebalda Leshabari, Yoko Shimpuku
BACKGROUND: Over the last two decades, facility-based childbirths in Tanzania have only minimally increased by 10% partly because of healthcare providers' disrespect and abuse (D&A) of women during childbirth. Although numerous studies have substantiated women's experience of D&A during childbirth by healthcare providers, few have focused on how D&A occurred during the midwives' actual care. This study aimed to describe from actual observations the respectful and disrespectful care received by women from midwives during their labor period in two hospitals in urban Tanzania...
January 10, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29310689/characteristics-of-female-sexual-dysfunctions-and-obstetric-complications-related-to-female-genital-mutilation-in-omdurman-maternity-hospital-sudan
#4
Khalid Yassin, Hadeel A Idris, AbdelAziem A Ali
No abstract text is available yet for this article.
January 8, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29310684/correction-to-towards-a-consensus-definition-of-maternal-sepsis-results-of-a-systematic-review-and-expert-consultation
#5
Mercedes Bonet, Vicky Nogueira Pileggi, Marcus J Rijken, Arri Coomarasamy, David Lissauer, João Paulo Souza, Ahmet Metin Gülmezoglu
After publication of the original article [1], it came to the authors' attention that the Acknowledgements section was not completed correctly. The Acknowledgements of the article should have been as follows.
January 8, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29304873/need-for-information-honesty-and-respect-patient-perspectives-on-health-care-professionals-communication-about-cancer-and-fertility
#6
Jane M Ussher, Chloe Parton, Janette Perz
BACKGROUND: Individuals affected by cancer report a need for information about fertility from health care professionals (HCPs), in order to inform decision making and alleviate anxiety. However, there is evidence that many health professionals do not engage in such discussions. METHOD: A mixed method design was used to examine the construction and subjective experience of communication with health professionals about fertility in the context of cancer, from the perspective of patients...
January 5, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29304867/predictors-of-hysterectomy-among-married-women-15-49%C3%A2-years-in-india
#7
Ranjan Kumar Prusty, Chetan Choithani, Shiv Dutt Gupta
BACKGROUND: In India, community based studies and media reports indicate a surge in the number of young women undergoing hysterectomy in the past few years. This has led to suspicion on the misuse of procedure, and intense debates on its potential ill health-effects on young women. However, there are no population-based studies that provide insights into hysterectomy prevalence and its determinants at the national level. DATA AND METHODS: This study used data from India's District Level Household Survey that involved a sample of 3, 16,361 married women in the age group of 15-49 years spread across 21 States and Union Territories of India...
January 5, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29304829/muslim-women-s-use-of-contraception-in-the-united-states
#8
Henna Budhwani, Jami Anderson, Kristine R Hearld
BACKGROUND: American Muslim women are an understudied population; thus, significant knowledge gaps exist related to their most basic health behaviors and indicators. Considering this, we examined American Muslim women's contraception utilization patterns. METHODS: Self-reported data collected in late 2015 were analyzed. Women who identified as Muslim, were at least 18 years old, sexually active, and current residents of the United States (n = 224) met the inclusion criteria...
January 5, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29304814/service-providers-experiences-of-disrespectful-and-abusive-behavior-towards-women-during-facility-based-childbirth-in-addis-ababa-ethiopia
#9
Anteneh Asefa, Delayehu Bekele, Alison Morgan, Michelle Kermode
BACKGROUND: Disrespect and abuse (D&A) of women during childbirth by the attending staff in health facilities has been widely reported in many countries. Although D&A in labor rooms is recognized as a deterrent to maternal health service utilization, approaches to defining, classifying, and measuring D&A are still at an early stage of development. This study aims to enhance understanding of service providers' experiences of D&A during facility based childbirth in health facilities in Addis Ababa...
January 5, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29304812/the-cradle-vital-signs-alert-qualitative-evaluation-of-a-novel-device-designed-for-use-in-pregnancy-by-healthcare-workers-in-low-resource-settings
#10
Hannah L Nathan, Helena Boene, Khatia Munguambe, Esperança Sevene, David Akeju, Olalekan O Adetoro, Umesh Charanthimath, Mrutyunjaya B Bellad, Annemarie de Greeff, John Anthony, David R Hall, Wilhelm Steyn, Marianne Vidler, Peter von Dadelszen, Lucy C Chappell, Jane Sandall, Andrew H Shennan
BACKGROUND: Vital signs measurement can identify pregnant and postpartum women who require urgent treatment or referral. In low-resource settings, healthcare workers have limited access to accurate vital signs measuring devices suitable for their environment and training. The CRADLE Vital Signs Alert (VSA) is a novel device measuring blood pressure and pulse that is accurate in pregnancy and designed for low-resource settings. Its traffic light early warning system alerts healthcare workers to the need for escalation of care for women with hypertension, haemorrhage or sepsis...
January 5, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29284506/the-long-term-effects-of-adolescent-pregnancies-in-a-community-in-northern-ghana-on-subsequent-pregnancies-and-births-of-the-young-mothers
#11
Anne-Sophie Yussif, Anyetei Lassey, Gabriel Yao-Kumah Ganyaglo, Eva J Kantelhardt, Heike Kielstein
BACKGROUND: In Ghana, adolescents represent 22% of the total population. The rates of adolescent pregnancies are high. Of all births registered in the country in 2014, 30% were by adolescents, and 14% of adolescents aged between 15 and 19 years had begun childbearing. Pregnancies and deliveries of adolescents are accompanied by more risks as compared to older women. The aim of the study was to explore the long-term effects of adolescent pregnancies on subsequent pregnancies and births and on the socioeconomic status of the women...
December 29, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29284505/factors-related-to-healthy-sexual-and-contraceptive-behaviors-in-undergraduate-students-at-university-of-seville-a-cross-sectional-study
#12
Fátima Leon-Larios, Juana Macías-Seda
BACKGROUND: Young people are a group of population with sexual risk-taking behaviors. Despite efforts to inform them it is common for them to adopt risk conducts during their stay at University. The aim of this research was to assess knowledge, attitudes and experiences on sexual health and contraceptives and factors related to risk behaviors in university students. METHODS: A cross- sectional analytical study was carried out from February to April 2014 among undergraduate students at University of Seville...
December 29, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29284490/what-makes-or-mars-the-facility-based-childbirth-experience-thematic-analysis-of-women-s-childbirth-experiences-in-western-kenya
#13
Patience A Afulani, Leah Kirumbi, Audrey Lyndon
BACKGROUND: Sub-Saharan Africa accounts for approximately 66% of global maternal deaths. Poor person-centered maternity care, which emphasizes the quality of patient experience, contributes both directly and indirectly to these poor outcomes. Yet, few studies in low resource settings have examined what is important to women during childbirth from their perspective. The aim of this study is to examine women's facility-based childbirth experiences in a rural county in Kenya, to identify aspects of care that contribute to a positive or negative birth experience...
December 29, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29258544/correction-to-study-protocol-on-establishment-of-sentinel-sites-network-for-contraceptive-and-abortion-trends-needs-and-utilization-of-services-in-zika-virus-affected-countries
#14
Moazzam Ali, Kelsey Miller, Rachel Folz, Brooke Ronald Johnson, James Kiarie
The original version of this article [1] unfortunately contained a mistake. All occurrences in the main text referring to the research carried out in the following countries: Brazil, Honduras and Columbia should instead be replaced with "Brazil, Honduras and Panama". The original version of this article has been updated to reflect this change.
December 19, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29246235/comparative-satisfaction-of-receiving-medical-abortion-service-from-nurses-and-auxiliary-nurse-midwives-or-doctors-in-nepal-results-of-a-randomized-trial
#15
Anand Tamang, Iqbal H Shah, Pragya Shrestha, I K Warriner, Duolao Wang, Kusum Thapa, N T My Huong, Olav Meirik
BACKGROUND: Early first-trimester medical abortion (MA) service (≤ 63 days) has been provided by doctors and nurses under doctors' supervision since 2009 in Nepal. This paper assesses whether MA services provided by specifically trained and certified nurses and auxiliary nurse-midwives independently from doctors' supervision, is considered as satisfactory by women as those provided by doctors. METHODS: The data come from a multi-center, randomized, controlled equivalence trial conducted between April 2009 and March 2010 in five district hospitals in Nepal...
December 16, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29297409/ethical-issues-related-to-consent-for-intrapartum-trials
#16
Hema Dhumale, Shivaprasad Goudar
Informed consent is the heart of ethical research. For any consent to be ethically valid, it should meet certain critical criteria- disclosure and understanding of relevant information, decision making competency of the participants, voluntariness of the decision and documentation of the agreement. Meeting all these criteria to obtain ethically valid consent from laboring women while conducting intrapartum trials is challenging because there is little time available during labor to provide study specific information necessary for the participant to understand and decide to sign the consent form...
December 14, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29297408/nubia-s-mother-being-pregnant-in-the-time-of-experimental-vaccines-and-therapeutics-for-ebola
#17
Séverine Caluwaerts
During the 2014-2016 Ebola epidemic, Médecins Sans Frontières (MSF) treated Ebola-positive pregnant women in its Ebola Treatment Centers (ETCs). For pregnant women with confirmed Ebola virus disease, inclusion in clinical vaccine/drug/therapeutic trials was complicated. Despite their extremely high Ebola-related mortality in previous epidemics (89-93%) and a neonatal mortality of 100%, theoretical concerns about safety of vaccines and therapeutics in pregnancy were invoked, limiting pregnant women's access to an experimental live attenuated vaccine and brincidofovir, an experimental antiviral...
December 14, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29297407/pregnancy-and-the-global-disease-burden
#18
Barbara J Sina
Pregnant women experience unique physiological changes pertinent to the effective prevention and treatment of common diseases that affect their health and the health of their developing fetuses. In this paper, the impact of major communicable (HIV/AIDS, tuberculosis, malaria, helminth infections, emerging epidemic viral infections) as well as non-communicable conditions (mental illness, substance abuse, gestational diabetes, eclampsia) on pregnancy is discussed. The current state of research involving pregnant women in these areas is also described, highlighting important knowledge gaps for the management of key illnesses that impact pregnancy globally...
December 14, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29297403/exclusion-of-married-adolescents-in-a-study-of-gestational-diabetes-mellitus-a-case-study
#19
Mala Ramanathan, K Sakeena
A study on gestational diabetes mellitus (GDM) among 200 married women in Malappruam, Kerala, India, chose to exclude married women below the age of 18 from participation. Marriages before age 18 are not considered legally valid and persons below age 18 do not have the status of an adult. Parents are considered the legal guardians of married women under age 18, but because marriages are patrilocal, obtaining consent from parents would have time costs. Further, obtaining parental consent may also be considered disrespectful of the in-laws...
December 14, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29297377/ethical-considerations-in-developing-an-evidence-base-for-pre-exposure-prophylaxis-in-pregnant-women
#20
Kristen A Sullivan, Anne D Lyerly
Though many women in need of access to HIV preventive regimes are pregnant, there is a dearth of data to guide these care decisions. While oral pre-exposure prophylaxis (PrEP) has been shown to prevent HIV infection in numerous high-risk populations, pregnant women have been excluded from all major prospective trials. We propose for ethical examination a theoretical trial-a prospective, observational study of PrEP for pregnant women at risk for HIV in sub-Saharan Africa-highlighting an ethical tradeoff that characterizes issues faced for advancing research in pregnancy...
December 14, 2017: Reproductive Health
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