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Reproductive Health

Sebastian Eliason, Frank Baiden, Derek Anamaale Tuoyire, Kofi Awusabo-Asare
BACKGROUND: Sex composition of living children within the context of "sex preference" and its association with various reproductive health outcomes has been extensively studied in South and South East Asia. Although sex preference has been observed in sub-Saharan Africa, there is paucity of research on sex composition of living children and its association with reproductive health behaviours and outcomes, particularly in a matrilineal inheritance system. The purpose of the study was to explore the existence of sex preference in a matrilineal inheritance system...
November 9, 2018: Reproductive Health
Teklehaymanot Huluf Abraha, Hailay Siyum Belay, Getachew Mebrahtu Welay
BACKGROUND: Increased access to contraceptive methods has been established as a cost-effective strategy for developing countries to reduce maternal and child mortality. Intentions to contraceptive uptake appear to be best predictors of actual contraceptive practice than the unmet need. However, intention to contraceptive use in Ethiopia particularly among postpartum women is not well assessed. Therefore, the objective of this study was to assess intention to use modern contraceptive and to identify factors associated among postpartum women in Aksum town...
November 9, 2018: Reproductive Health
Joemer C Maravilla, Kim S Betts, Rosa Alati
OBJECTIVE: The extent of repeated pregnancy (RP) and repeated birth (RB) among adolescents aged 15-19 is still unknown in the Philippines despite the health and socio-economic consequences. This study aims to investigate the RP and RB prevalence trends in the Philippines from 1993 to 2013. METHODS: A total of 7091 women aged 15-24 who experienced at least one pregnancy were captured in the Philippine demographic health surveys from 1993 to 2013. Annual RP and RB prevalence per age group in three and five categories were calculated and stratified by region, type of residence and wealth index...
November 6, 2018: Reproductive Health
Pietro Gambadauro, Vladimir Carli, Camilla Wasserman, Gergö Hadlaczky, Marco Sarchiapone, Alan Apter, Judit Balazs, Julio Bobes, Romuald Brunner, Doina Cosman, Christian Haring, Christina W Hoven, Miriam Iosue, Michael Kaess, Jean Pierre Kahn, Elaine McMahon, Vita Postuvan, Airi Värnik, Danuta Wasserman
BACKGROUND: Reproductive and mental health are key domains of adolescent wellbeing but possible interrelationships are poorly understood. This cross-sectional study evaluated the association between psychopathology and reproductive health risk among European adolescents. METHODS: A structured self-report questionnaire was delivered to 12,395 pupils of 179 randomly selected schools in 11 European countries within the EU funded "Saving and Empowering Young Lives in Europe" (SEYLE) project...
November 6, 2018: Reproductive Health
Joanna Herat, Marina Plesons, Chris Castle, Jenelle Babb, Venkatraman Chandra-Mouli
In January 2018, UNESCO, together with UNAIDS, UNFPA, UNICEF, UN Women, and the WHO, completed the substantial technical and political process of updating the International Technical Guidance on Sexuality Education, thereby unifying a UN position on rationale, evidence, and guidance on designing and delivering comprehensive sexuality education (CSE). The revised Guidance builds on the original Guidance, with improvements and updates based on new evidence and good practice documented from across the globe. User-surveys and structured consultations with representatives from a wide range of fields and interest-groups informed and guided the revision process...
November 6, 2018: Reproductive Health
Josephine Namujju, Richard Muhindo, Lilian T Mselle, Peter Waiswa, Joyce Nankumbi, Patience Muwanguzi
BACKGROUND: Evidence shows that negative childbirth experiences may lead to undesirable effects including failure to breastfeed, reduced love for the baby, emotional upsets, post-traumatic disorders and depression among mothers. Understanding childbirth experiences and their meaning could be important in planning individualized care for mothers. The purpose of this study was to explore childbirth experiences and their meaning among postnatal mothers. METHODS: A phenomenological qualitative study was conducted at Mbale Regional Referral Hospital among 25 postnatal mothers within two months after birth using semi-structured interviews and focus group discussions and data was thematically analyzed...
November 3, 2018: Reproductive Health
Abadi Kidanemariam Berhe, Achenef Asmamaw Muche, Gedefaw Abeje Fekadu, Getachew Mullu Kassa
ᅟ: Birth preparedness and complication readiness is an essential component of safe motherhood programs that promote appropriate utilization of skilled maternal and neonatal care. Preparing for childbirth and its probable complications can reduce delays in seeking care. In Ethiopia, there were limited data on birth preparedness and complication readiness at the national level except a small scale studies conducted.This systemic review and meta-analysis study was conducted to assess the national estimates regarding the status of birth preparedness and complication readiness among pregnant women in Ethiopia...
October 29, 2018: Reproductive Health
Damien W Riggs, Clare Bartholomaeus
BACKGROUND: Historically, transitioning gender was seen as precluding transgender people from having children in the future. However, there are now increased reproductive options available to transgender people, with such options also available to non-binary people (i.e., people whose gender is not exclusively male or female). These options include undertaking fertility preservation if genetic children may be desired in the future. Despite these increased options, there is still only a limited amount of international research exploring the views of transgender and non-binary people on fertility preservation...
October 25, 2018: Reproductive Health
Maggie Zgambo, Fatch Welcome Kalembo, Balwani Chingatichifwe Mbakaya
BACKGROUND: Adolescents living with HIV (ALWHIV) in sub-Saharan Africa encounter multiple health problems that are often unrecognised by the public and the healthcare workforce. The aim of this systematic review was to identify risky health behaviours and their associated factors among ALWHIV in sub-Saharan Africa. METHODS: We systematically searched for articles in Medline, SCOPUS, Directory of Open Access Journals, Science Direct, ProQuest, Psych-info, Web of science, WHO Global Index Medicus library, Cochrane, and Google Scholar...
October 24, 2018: Reproductive Health
Anam Feroz, Mohsina Noor Ibrahim, Shiyam Sunder Tikmani, Sayyeda Reza, Zahid Abbasi, Jamal Raza, Haleema Yasmin, Khadija Bano, Afia Zafar, Elizabeth M McClure, Robert L Goldenberg, Sarah Saleem
BACKGROUND: Globally, around 2.6 million neonatal deaths occur world-wide every year and the numbers of stillbirths is almost similar. Pakistan is ranked among the highest countries in the world for neonatal mortality. In 2016, for every 1000 babies born in Pakistan, 46 died before the end of the first month of life. Also, Pakistan had the highest rate of stillbirths (43.1/1000 births) in 2015. To meet sustainable development (SDG) targets of reducing neonatal mortality and stillbirths, it is essential to gain understanding about the causes of neonatal death and stillbirths...
October 22, 2018: Reproductive Health
Godfrey Mbaruku, Michelle Skaer Therrien, Robert Tillya, Selemani Mbuyita, Zacharia Mtema, Iddajovana Kinyonge, Ritha Godfrey, Silas Temu, Suellen Miller
BACKGROUND: Obstetric hemorrhage (OH) remains one of the leading causes of maternal mortality, particularly in rural Africa. Tanzania has a high maternal mortality ratio, and approximately 80% of the population accesses health care lower level facilities, unable to provide Comprehensive Emergency Obstetric Care (CEmOC). The non-pneumatic anti-shock garment (NASG) has been demonstrated to reduce mortality as it buys time for women in shock to be transported to or to overcome delays at referral facilities...
October 19, 2018: Reproductive Health
Hilary M Schwandt, Bethany Sparkle, Moriah Post-Kinney
BACKGROUND: In 2014, the governor of Washington State mandated that all hospitals publically post a reproductive health policy amidst concerns about the lack of clarity among the public how hospitals handled various aspects of reproductive health care. METHODS: The objective of this study is to assess the clarity of abortion and contraception service provision in the hospital reproductive health policies for the public in Washington State. All Washington State hospital reproductive health policies (n = 88) were analyzed in 2016 using content analysis...
October 19, 2018: Reproductive Health
Eman S Mohammed, Amany E Seedhom, Eman M Mahfouz
BACKGROUND: Female genital cutting, also termed female genital mutilation (FGM), is a damaging practice with no health benefits for girls or women, and is considered to be a violation of children's rights. METHODS: A cross-sectional, community-based study using interview administered questionnaire to explore knowledge and attitude of people living in a rural area in Minia. Systematic random sampling was used to interview 618 males and females above the age of 18 in the period from September to November 2016...
October 17, 2018: Reproductive Health
Vajihe Atashi, Shahnaz Kohan, Zahra Salehi, Kobra Salehi
BACKGROUND: Considering the importance of attachment in child's development and mother's health, various related factors and also lack of necessary information in this regard in our country, the research team decides to conduct this study to evaluate maternal-fetal attachment during pregnancy, its changes and post-partum consequences on mother-infant relationship. This process should be studied during pregnancy and also after delivery so that the effect of related factors and the changes in attachment over time could be determined and comprehensible information about the effective underlying conditions on this issue would be gathered...
October 17, 2018: Reproductive Health
Michael O N Kunnuji, Idongesit Eshiet, Chinyere C P Nnorom
BACKGROUND: Early childbearing comes at high health costs to girls, the children they bear, their future life chances and the larger society. Nationally representative data suggest variation in onset of childbearing across regions and states of the country. Yet, there is need for strong evidence on how background characteristics explain time to first birth among young females across regions in Nigeria. METHODS: We analysed the 2013 DHS dataset using Kaplan Meier and Cox Regression...
October 16, 2018: Reproductive Health
Karen Hobday, Jennifer Hulme, Caroline Homer, Páscoa Zualo Wate, Suzanne Belton, Ndola Prata
BACKGROUND: Post-partum haemorrhage is the leading cause of maternal deaths in Mozambique. In 2015, the Mozambican Ministry of Health launched the National Strategy for the Prevention of Post-Partum Haemorrhage at the Community Level. The strategy included the distribution of misoprostol to women in advance at antenatal care and via Traditional Birth Attendants who directly administer the medication. The study explores the role of Traditional Birth Attendants in the misoprostol program and the views of women who used misoprostol to prevent post-partum haemorrhage...
October 16, 2018: Reproductive Health
Allison Marie Slater, Fatima Estrada, Leticia Suarez-Lopez, Elvia de la Vara-Salazar, Lourdes Campero
BACKGROUND: Studies of user satisfaction with family planning services (FPSs) have been conducted in different countries, and have been employed to identify ways of improving health, reducing costs and implementing reforms. The present work is the first-ever study undertaken in Mexico on the subject. Our objective was to identify how overall user satisfaction with FPSs in Mexico was related to: healthcare logistics, the functional value of services and the quality of interpersonal relations...
October 12, 2018: Reproductive Health
Danielle Yugbaré Belemsaga, Anne Goujon, Aristide Bado, Seni Kouanda, Els Duysburgh, Marleen Temmerman, Olivier Degomme
BACKGROUND: The Missed Opportunities for Maternal and Infant Health (MOMI) project, which aimed at upgrading maternal and infant postpartum care (PPC), implemented a package of interventions including the integration of maternal PPC in infant immunization services in 12 health facilities in Kaya Health district in Burkina Faso from 2013 to 2015. This paper assesses the coverage and the quality of combined mother-infant PPC in reproductive, maternal, newborn and child health services (RMNCH)...
October 11, 2018: Reproductive Health
Mahesh C Puri, Sarah Raifman, Biddhya Khanal, Dev Chandra Maharjan, Diana Greene Foster
BACKGROUND: Despite legalization of abortion in Nepal in 2002, many women are still unable to access legal services. This paper examines providers' views, experiences with abortion denial, and knowledge related to abortion provision, and identifies areas for improvement in quality of care. METHODS: We conducted a structured survey with 106 abortion care providers at 55 government-approved safe abortion facilities across five districts of Nepal in 2017. We assessed reasons for denial of abortion care, knowledge about laws, barriers to provision and attitudes towards abortion...
October 11, 2018: Reproductive Health
Nicholas Rubashkin, Ruby Warnock, Nadia Diamond-Smith
INTRODUCTION: We conducted a systematic review to summarize the global evidence on person-centered care (PCC) interventions in delivery facilities in order to: (1) map the PCC objectives of past interventions (2) to explore the impact of PCC objectives on PCC and clinical outcomes. METHODS: We developed a search strategy based on a current definition of PCC. We searched for English-language, peer-reviewed and original research articles in multiple databases from 1990 to 2016 and conducted hand searches of the Cochrane library and gray literature...
October 10, 2018: Reproductive Health
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