Married women’s experiences of intimate partner violence and utilization of antenatal health care in Togo
ConclusionBased on these findings, we have several policy recommendations. For example, there is a need for interventions targeted towards poorer and less educated women. There is also a need to address patriarchal gender norms with community-level education that target both wives and husbands. (Source: Sexual and Reproductive Healthcare)
Source: Sexual and Reproductive Healthcare - November 28, 2019 Category: Reproduction Medicine Source Type: research

Health workforce perspectives of barriers inhibiting the provision of quality care in Nepal and Somalia – a qualitative study
ConclusionsInequality, poverty, traditional and cultural practices plus the heavy burden placed on healthcare providers are described as the underlying causes of the poor provision of quality care and the consequential shortcomings that emerge from it. In order to improve this situation adequate planning and policies that support the deployment and retention of the healthcare providers and its equitable distribution is required. Another important aspect is provision of training to equip healthcare providers with the ability to provide respectful quality care in order for the population to enjoy good standard of healthcare ...
Source: Sexual and Reproductive Healthcare - November 20, 2019 Category: Reproduction Medicine Source Type: research

“This is the child we were given”: A qualitative study of Danish parents’ experiences of a prenatal Down syndrome diagnosis and their decision to continue the pregnancy
ConclusionsHealth-care professionals must be careful to speak in unprejudiced ways throughout the diagnostic process and present both termination and continuation of pregnancy as equally legitimate options. Nevertheless, the couples may still experience doubt and feel vulnerable following their decision to continue the pregnancy. (Source: Sexual and Reproductive Healthcare)
Source: Sexual and Reproductive Healthcare - November 14, 2019 Category: Reproduction Medicine Source Type: research

“This is the child we were given.” A qualitative study of Danish parents’ experiences of a prenatal Down syndrome diagnosis and their decision to continue the pregnancy
ConclusionsHealth-care professionals must be careful to speak in unprejudiced ways throughout the diagnostic process and present both termination and continuation of pregnancy as equally legitimate options. Nevertheless, the couples may still experience doubt and feel vulnerable following their decision to continue the pregnancy. (Source: Sexual and Reproductive Healthcare)
Source: Sexual and Reproductive Healthcare - November 7, 2019 Category: Reproduction Medicine Source Type: research

Which level of risk justifies routine induction of labor for healthy women?
Publication date: Available online 4 November 2019Source: Sexual & Reproductive HealthcareAuthor(s): Anna E Seijmonsbergen-Schermers, Lilian L Peters, Bahareh Goodarzi, Monica Bekker, Marianne Prins, Maaike Stapert, Hannah G Dahlen, Soo Downe, Arie Franx, Ank de JongeAbstractAlthough induction of labor can be crucial for preventing morbidity and mortality, more and more women (and their offspring) are being exposed to the disadvantages of this intervention while the benefit is at best small or even uncertain. Characteristics such as an advanced maternal age, a non-native ethnicity, a high Body Mass Index, an artificially a...
Source: Sexual and Reproductive Healthcare - November 4, 2019 Category: Reproduction Medicine Source Type: research

Perceived barriers to utilization of antenatal care services in northern Uganda: a qualitative study
ConclusionsIdentifying local barriers to ANC utilization are important and should be considered when planning ANC programs. We propose that future efforts should focus on how to ensure a good patient-provider relationship and perceived quality of care, and further how to improve inter-spousal communication and sensitization of husbands for increased involvement in ANC. We recommend more research on how socio-cultural context can meaningfully be aligned to ANC to improve maternal health and reduce maternal mortality. (Source: Sexual and Reproductive Healthcare)
Source: Sexual and Reproductive Healthcare - October 26, 2019 Category: Reproduction Medicine Source Type: research

Women’s autonomy – a cornerstone of reproductive rights
Publication date: Available online 22 October 2019Source: Sexual & Reproductive HealthcareAuthor(s): Rikke Damkjær Maimburg (Source: Sexual and Reproductive Healthcare)
Source: Sexual and Reproductive Healthcare - October 23, 2019 Category: Reproduction Medicine Source Type: research

Post-coital bleeding: what is the incidence of significant gynaecological pathology in women referred for colposcopy?
ConclusionAll women with post-coital bleeding need an urgent speculum examination to rule out frank cervical cancer. Although most women had a benign cause for post-coital bleeding, around 2% had a colposcopy-aided diagnosis of either cervical precancer or cancer; therefore, referral of symptomatic women deserves consideration. HPV testing may reduce referrals to colposcopy for post-coital bleeding due to non-significant pathology in the future. (Source: Sexual and Reproductive Healthcare)
Source: Sexual and Reproductive Healthcare - September 24, 2019 Category: Reproduction Medicine Source Type: research

A salutary childbirth education program: Health promoting by design. A discussion paper
Publication date: December 2019Source: Sexual & Reproductive Healthcare, Volume 22Author(s): Deborah Davis, Sally Ferguson, Julianne Nissen, Christine Fowler, Sarah MosslarAbstractPregnancy is an ideal time to focus on health promotion. Many women and their partners attend childbirth education classes to prepare themselves for pregnancy, birth and parenting. However, rather than promoting health, these classes have been criticized for preparing women and their partners for a medicalized birth, which has become the norm in many well-resourced countries. This paper describes the development of a childbirth education program ...
Source: Sexual and Reproductive Healthcare - September 7, 2019 Category: Reproduction Medicine Source Type: research

Alcohol, smoking, folic acid and multivitamin use among women attending maternity care in London: a cross-sectional study
ConclusionsMost women adopted one or more healthy behaviours during pregnancy, with a small minority continuing to smoke or drink alcohol. For women who continued smoking in pregnancy and recalled information from health professionals, additional tailored approaches need to be explored. (Source: Sexual and Reproductive Healthcare)
Source: Sexual and Reproductive Healthcare - August 29, 2019 Category: Reproduction Medicine Source Type: research

Incidence and risk factors for obstetric anal sphincter ruptures, OASIS, following the introduction of preventive interventions. A retrospective cohort study from a Norwegian hospital 2012-2017
ConclusionThe incidence of obstetric anal sphincter injuries maintained at a similar level of around 2.1 % during the six following years after introducing preventive interventions. Regularly repetition and practical training seemed to be effective. (Source: Sexual and Reproductive Healthcare)
Source: Sexual and Reproductive Healthcare - August 23, 2019 Category: Reproduction Medicine Source Type: research

Contraceptive method choice and spousal communication: examining the effect of family planning method using an instrumental variable approach
ConclusionsThese findings indicate that the effect of traditional methods in improving communication is due to selection, rather than causation. While traditional methods still have a role to play in the contraceptive method mix, enthusiasm for side benefits such as family planning communication should be tempered. (Source: Sexual and Reproductive Healthcare)
Source: Sexual and Reproductive Healthcare - August 21, 2019 Category: Reproduction Medicine Source Type: research

Levels of Option B+ ART Drugs Adherence and Associated Factors among Pregnant Women Following ART Services at Public Health Facilities of East Shawa Zone, Oromia, Ethiopia
ConclusionEducational status, counseling on the health benefit of treatment for the fetus and the mothers, social and financial support favors adherence while fear of stigma and discrimination and drug side effects negatively affect adherence to option B+. The study calls for collaborative work among patients, healthcare professionals, and the public to enhance ART adherence. (Source: Sexual and Reproductive Healthcare)
Source: Sexual and Reproductive Healthcare - August 14, 2019 Category: Reproduction Medicine Source Type: research

Psychosocial wellbeing among new mothers with diabetes: Exploratory analysis of the Postnatal Wellbeing in Transition Questionnaire
ConclusionThe number of items in the PostTrans Questionnaire was reduced from 51 to 27 items. Six meaningful subscales emerged, which can help health professionals identify and address areas in which women with diabetes are experiencing psychosocial difficulties. The revised scale provides a feasible instrument to be tested for psychometric properties in a larger sample. (Source: Sexual and Reproductive Healthcare)
Source: Sexual and Reproductive Healthcare - August 8, 2019 Category: Reproduction Medicine Source Type: research

A salutary childbirth education program: Health promoting by design
Publication date: Available online 3 August 2019Source: Sexual & Reproductive HealthcareAuthor(s): Deborah Davis, Sally Ferguson, Julianne Nissen, Christine Fowler, Sarah MosslarAbstractPregnancy is an ideal time to focus on health promotion. Many women and their partners attend childbirth education classes to prepare themselves for pregnancy, birth and parenting. However, rather than promoting health, these classes have been criticized for preparing women and their partners for a medicalized birth, which has become the norm in many well-resourced countries. This paper describes the development of a childbirth education pr...
Source: Sexual and Reproductive Healthcare - August 4, 2019 Category: Reproduction Medicine Source Type: research