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Reproductive Health

Kathrin H Stoll, Yvonne L Hauck, Soo Downe, Deborah Payne, Wendy A Hall
BACKGROUND: Efforts to reduce unnecessary Cesarean sections (CS) in high and middle income countries have focused on changing hospital cultures and policies, care provider attitudes and behaviors, and increasing women's knowledge about the benefits of vaginal birth. These strategies have been largely ineffective. Despite evidence that women have well-developed preferences for mode of delivery prior to conceiving their first child, few studies and no interventions have targeted the next generation of maternity care consumers...
September 12, 2017: Reproductive Health
Elizabeth A Duthie, Alexandra Cooper, Joseph B Davis, Katherine D Schoyer, Jay Sandlow, Estil Y Strawn, Kathryn E Flynn
BACKGROUND: Patient-centered care is a pillar of quality health care and is important to patients experiencing infertility. In this study we used empirical, in-depth data on couples' experiences of infertility treatment decision making to inform and revise a conceptual framework for patient-centered fertility treatment that was developed based on health care professionals' conceptualizations of fertility treatment, covering effectiveness, burden, safety, and costs. METHODS: In this prospective, longitudinal mixed methods study, we collected data from both members (separately) of 37 couples who scheduled an initial consult with a reproductive specialist...
September 7, 2017: Reproductive Health
Agatha Fabian Ngowi, Switbert R Kamazima, Steven Kibusi, Ainory Gesase, Theodora Bali
BACKGROUND: Skilled birth attendance is one of the key factors in improving maternal health but less than 50% of women in sub-Saharan African countries do not have the opportunity to be attended to by skilled personnel during childbirth. The aim of the study was to assess the factors determining women's preference for a place to give birth in Dodoma Region, Tanzania. METHODS: This study employed a cross-sectional survey design using quantitative data collection and analysis methods...
September 6, 2017: Reproductive Health
Achenef Asmamaw Muche, Getachew Mullu Kassa, Abadi Kidanemariam Berhe, Gedefaw Abeje Fekadu
BACKGROUND: Risky sexual practice is a major public health problem in Ethiopia. There are various studies on the prevalence and determinants of risky sexual practice in different regions of the country but there is no study which shows the national estimate of risky sexual practices in Ethiopia. Therefore, this review was conducted to estimate the national pooled prevalence of risky sexual practice and its risk factors in Ethiopia. METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline was followed to review published and unpublished studies in Ethiopia...
September 6, 2017: Reproductive Health
Reena Sethi, Shivam Gupta, Lolade Oseni, Angella Mtimuni, Tambudzai Rashidi, Fannie Kachale
BACKGROUND: There is increasing evidence throughout the world that the negative treatment of pregnant women during labor and delivery can be a barrier to seeking skilled maternity care. At this time, there has been little quantitative evidence published on disrespect and abuse (D&A) in Malawi. The objective of this research is to describe the prevalence of disrespect and abuse during labor and delivery through the secondary analysis of direct clinical observations and to describe the association between the observation of D&A items with the place of delivery and client background characteristics...
September 6, 2017: Reproductive Health
Daniel Tomaszewski, Benjamin D Aronson, Margarette Kading, Donald Morisky
BACKGROUND: Preconception care, including family planning, is a vital component of healthcare for women of reproductive age. An average female spends the majority of her reproductive life trying to prevent a pregnancy. In order to prevent unintended pregnancy, women often rely on the use of hormonal contraceptives. In the United States, the majority of hormonal contraceptive users are prescribed oral contraceptive pills (OCPs). Reduced adherence to OCPs decreases their ability to prevent pregnancy...
September 6, 2017: Reproductive Health
Alison El Ayadi, Hadija Nalubwama, Justus Barageine, Torsten B Neilands, Susan Obore, Josaphat Byamugisha, Othman Kakaire, Haruna Mwanje, Abner Korn, Felicia Lester, Suellen Miller
BACKGROUND: Obstetric fistula is a debilitating and traumatic birth injury affecting 2-3 million women globally, mostly in sub-Saharan Africa and Asia. Affected women suffer physically, psychologically and socioeconomically. International efforts have increased access to surgical treatment, yet attention to a holistic outcome of post-surgical rehabilitation is nascent. We sought to develop and pilot test a measurement instrument to assess post-surgical family and community reintegration...
September 2, 2017: Reproductive Health
Sahar A Ismail, Ahmad M Abbas, Dina Habib, Hanan Morsy, Medhat A Saleh, Mustafa Bahloul
BACKGROUND: The existing literature is contradictory regarding effects of female genital mutilation/cutting (FGM/C) on sexual functions. The aim of this study was to explore the impact of type I and II FGM/C on sexual function of Egyptian women. METHODS: We recruited 197 cut women and 197 control women from those visiting Assiut University hospitals for different reasons. We asked each woman to fill the Arabic female sexual function index (FSFI) (a self reported 19-item questionnaire assessing the main domains of female sexual function)...
August 30, 2017: Reproductive Health
Rose Naigino, Fredrick Makumbi, Aggrey Mukose, Esther Buregyeya, Jim Arinaitwe, Joshua Musinguzi, Rhoda K Wanyenze
BACKGROUND: Disclosure of HIV positive status to sexual partners is promoted by HIV prevention programs including those targeting the prevention of mother-to-child transmission. Among other benefits, disclosure may enhance spousal support and reduce stigma, violence and discrimination. HIV status disclosure and associated outcomes were assessed among a cohort of women, newly initiating lifelong antiretroviral therapy in Uganda between October 2013 and May 2014. METHODS: This was a mixed method study, drawing data from a prospective cohort study of 507 HIV positive pregnant women on lifelong antiretroviral therapy, who were followed for four months to determine disclosure and its outcomes...
August 30, 2017: Reproductive Health
Clara Bermúdez-Tamayo, Emilia Fernández Ruiz, Guadalupe Pastor Moreno, Gracia Maroto-Navarro, Leticia Garcia-Mochon, Francisco Jose Perez-Ramos, Africa Caño-Aguilar, Maria Del Pilar Velez
No abstract text is available yet for this article.
August 29, 2017: Reproductive Health
Hanan A Alfawaz, Nasiruddin Khan, Najlaa AlOteabi, Syed D Hussain, Nasser M Al-Daghri
BACKGROUND: The aim was to investigate the prevalence of dietary supplement use among pregnant Saudi women and its associations between various demographics. METHODS: In this cross-sectional study, a total of 137 pregnant women attending prenatal care from King Salman Hospital completed a self-administered questionnaire including socio-demographic characteristics, general awareness, attitude and behavior towards use of dietary supplements during pregnancy. RESULTS: Dietary supplement use among Saudi women in pregnancy was high (71...
August 29, 2017: Reproductive Health
Fabian Esamai, Mabel Nangami, John Tabu, Ann Mwangi, David Ayuku, Edwin Were
BACKGROUND: Maternal, fetal and neonatal mortality are higher in low-income compared to high-income countries due to weak health systems including poor access and utilization of health services. Despite enormous recent improvements in maternal, neonatal and under 5 health indicators, more rapid progress is needed to meet the targets including the Development Goal 3(SDG). In Kenya these indicators are still high and comprehensive systems are needed to attain the targets of the SDG 3 by 2030...
August 29, 2017: Reproductive Health
Chunyan Li, Zixi Cheng, Taiwen Wu, Xiao Liang, Junjian Gaoshan, Lihe Li, Ping Hong, Kun Tang
BACKGROUND: A growing prevalence of unexpected pregnancies and younger age of sexual debut is observed among Chinese young people, while they lack formal sexuality education from schools and parents. It is necessary to measure their knowledge level of sexual and reproductive health, and how such knowledge associates with their sexual behaviors and reproductive health outcomes, which would shed light on the effectiveness of sexuality education in China. METHODS: An Internet-based questionnaire survey was conducted from January to August, 2015...
August 25, 2017: Reproductive Health
Keila Cristina Mascarello, Alicia Matijasevich, Aluísio J D Barros, Iná S Santos, Eliana Zandonade, Mariângela Freitas Silveira
BACKGROUND: The current literature indicates increasing concern regarding the number of safe cesarean sections which a woman can undergo, mainly in face of the high cesarean section rates, which are growing in Brazil and worldwide. Aimed to describe the prevalence and associated factors of repeat cesarean section in a cohort of Brazilian women who had a cesarean section in the first birth. METHODS: This is a prospective cohort study using data from the 2004 Pelotas Birth Cohort...
August 25, 2017: Reproductive Health
Elizabeth Aku Baku, Isaac Agbemafle, Richard M K Adanu
BACKGROUND: Attitudes of parents about discussing sexuality issues with adolescents may or may not be influenced by their level of knowledge on such issues. This study seeks to examine parents' training and its effects on parent knowledge and attitudes about sexuality in Accra Metropolis, Ghana. METHODS: This was an intervention study consisting of 145 parents who were recruited through their wards from 12 public junior high schools in Accra Metropolis. Parents were randomized equally into intervention and control groups and the intervention group received a 4 weeks training on adolescent sexuality topics...
August 24, 2017: Reproductive Health
Moazzam Ali, Rachel Folz, Kelsey Miller, Brooke Ronald Johnson, James Kiarie
No abstract text is available yet for this article.
August 22, 2017: Reproductive Health
Deborah Constant, Jane Harries, Jennifer Moodley, Landon Myer
BACKGROUND: The requirement for ultrasound to establish gestational age among women seeking abortion can be a barrier to access. Last menstrual period dating without clinical examination should be a reasonable alternative among selected women, and if reliable, can be task-shared with non-clinicians. This study determines the accuracy of gestational age estimation using last menstrual period (LMP) assessed by community health care workers (CHWs), and explores providers' and CHWs' perspectives on task sharing this activity...
August 22, 2017: Reproductive Health
Sewnet Kidanu, Genet Degu, Tenaw Yimer Tiruye
BACKGROUND: The risk of death from complications relating to pregnancy and childbirth over the course of a woman's lifetime is higher in the developing countries. Improving the health of mothers and children through well-organized institutional delivery service is central to achieve reduced maternal and child morbidity and mortality. So, factors that underlie the level of institutional delivery service utilization need to be investigated, especially in areas where little is known about the problem...
August 22, 2017: Reproductive Health
Charity Ndwiga, Charlotte E Warren, Julie Ritter, Pooja Sripad, Timothy Abuya
BACKGROUND: Promoting respect and dignity is a key component of providing quality care during facility-based childbirth and is becoming a critical indicator of maternal health care. Providing quality care requires essential skills and attitudes from healthcare providers, as their role is central to optimizing interventions in maternity settings. METHODS: In 13 facilities in Kenya we conducted a mixed methods, pre-post study design to assess health providers' perspectives of a multi-component intervention (the Heshima project), which aimed to mitigate aspects of disrespect and abuse during facility-based childbirth...
August 22, 2017: Reproductive Health
George Wanje, Linnet Masese, Ethel Avuvika, Anisa Baghazal, Grace Omoni, R Scott McClelland
BACKGROUND: To successfully develop and implement school-based sexual health interventions for adolescent girls, such as screening for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis, it is important to understand parents' and teachers' attitudes towards sexual health education and acceptability of sexually transmitted infection (STI) screening interventions. METHODS: In this qualitative study, we approached parents and teachers from three high schools to participate in in-depth interviews (IDIs) and focus-group discussions (FGDs)...
August 14, 2017: Reproductive Health
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