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Reproductive Health

Christine K Tarr-Attia, Grace Hawa Boiwu, Guillermo Martínez-Pérez
BACKGROUND: In Liberia, approximately 70% of the women of the North-Central and North-Western regions could have undergone female genital mutilation/cutting (FGM/C) in their childhood during a traditional ceremony marking their entrance into Sande, a secret female society. Little is known about FGM/C from Liberian women's perspective. This study aimed to understand the health implications of FGM/C as perceived by qualified female midwives. METHODS: This qualitative study was conducted in 2017 in Monrovia, Liberia's capital...
February 14, 2019: Reproductive Health
Elizabeth K Harrington, Erin E McCoy, Alison L Drake, Daniel Matemo, Grace John-Stewart, John Kinuthia, Jennifer A Unger
BACKGROUND: Involving male partners in family planning (FP) education and counseling may improve FP utilization and help meet couples' reproductive health needs in the postpartum period. We aimed to explore Kenyan men's and women's perspectives on an interactive short message service (SMS) approach to support postpartum FP decision-making, and inform intervention content for a randomized controlled trial (RCT). METHODS: We conducted four focus group discussions (FGD) among men (n = 35) and two among pregnant/postpartum women (n = 15) in western Kenya...
February 11, 2019: Reproductive Health
Zemenu Yohannes Kassa, Tegibelu Awraris, Alemneh Kabeta Daba, Zelalem Tenaw
BACKGROUND: Iron deficiency anemia during pregnancy is a public health problem across the globe that adversely affects maternal and perinatal outcome. World Health Organization recommends that universal iron folic acid supplementation of pregnant women. Therefore, the aim of this study was to determine compliance and identify factors associated with Iron folic acid among pregnant women. METHODS: Community based cross-sectional study was conducted from November 01-December 30, 2015 on pregnant women from Hawassa city...
February 8, 2019: Reproductive Health
Rostam Zalvand, Maryam Tajvar, Abolghasem Pourreza, Hadi Asheghi
BACKGROUND: No systematic review has explored the causes of and factors associated with maternal mortality in the context of Iran. This study reviewed determinants and causes of maternal mortalities during pregnancy, delivery and the puerperium using the International Classification of Diseases-Maternal Mortality (ICD-MM), introduced by the World Health Organization. METHODS: A systematic electronic search of all the studies that identified causes and/or determinants of maternal deaths in any part of Iran or in the whole country were included, without any restriction of time or language of studies...
February 8, 2019: Reproductive Health
Mahboube Shirzad, Elham Shakibazadeh, Ana Pilar Betran, Meghan A Bohren, Mehrandokht Abedini
BACKGROUND: Iran has one of the highest national caesarean section rates worldwide. Few studies explored in-depth the health-facility and health-system level factors that affect women's choices on mode of delivery in Iran. The aim of this study was to explore the health-facility and health-system level factors affecting women's preferences on mode of delivery in Tehran. METHODS: We conducted a qualitative study using in-depth face-to-face interviews with women between October 2017 and May 2018...
February 8, 2019: Reproductive Health
Tariku Laelago, Yitagesu Habtu, Samuel Yohannes
BACKGROUND: World population is growing at about 80 million people each year. Ethiopia is the 12th most populous country in the world. Existing literatures showed that the role of proximate determinants in inhibiting the total fertility has not yet been determined from the DHS data in the country. This study may provide evidence based information regarding the observed changes in total fertility. The objective of this study was assessing proximate determinants of fertility and the role of selected socio-economic variables in influencing fertility in Ethiopia...
February 4, 2019: Reproductive Health
Fitriana Murriya Ekawati, Sharon Licqurish, Ova Emilia, Jane Gunn, Shaun Brennecke, Phyllis Lau
BACKGROUND: National and international guidelines for the management of hypertensive disorders of pregnancy (HDP) are available in developing countries. However, more detailed clinical pathways for primary care settings are limited. This study focuses on Indonesia, where 72% of women who died from HDP and its complications had received less appropriate treatment according to international guidelines. There is an urgent need to develop primary care focused pathways that enable general practitioners (GPs), midwives and other relevant providers to manage HDP better...
February 1, 2019: Reproductive Health
Zohreh Karimiankakolaki, Seyed Saeed Mazloomy Mahmoodabad, Ashraf Kazemi, Hossein Fallahzadeh
BACKGROUND: Complications of exposure to second-hand smoke (SHS) are known to affect the health of pregnant women; it requires designing an educational program to reduce the exposure of pregnant women to smoke. Therefore, the purpose of this study was to design an educational program to reduce the exposure of pregnant women with the second-hand smoke of their husband. METHODS: This research-based program is designed in three phases, in the first phase of the study, the level of knowledge, attitude, and practice of men regarding SHS will be measured using a questionnaire...
February 1, 2019: Reproductive Health
Ziliang Wang, Chaohua Lou, Longmei Jin, Maohua Miao, Xiaowen Tu, Hong Liang, Yan Cheng, Wei Yuan
BACKGROUND: Unintended pregnancy and induced abortion among young (unmarried or nulliparous) women have become serious social and health issues in China, which are thought to partly result from low use of long-acting reversible contraception, such as intrauterine devices (IUDs). Considering that providers may play an especially important role in increasing use of this particular method, we investigated Chinese health care providers' attitudes and practices regarding IUDs use for nulliparous women, and further examine the potential factors and reasons contributing to their attitudes and practices...
January 31, 2019: Reproductive Health
Maria P Velez, Candyce Hamel, Brian Hutton, Laura Gaudet, Mark Walker, Micere Thuku, Kelly D Cobey, Misty Pratt, Becky Skidmore, Graeme N Smith
BACKGROUND: Between 1 and 5% of children in industrialized countries are conceived through Assisted Reproductive Technologies (ART). As infertility and the use of ART may be associated with adverse perinatal outcomes, care plans specific to these pregnancies are needed. We conducted a systematic review to examine the existing care plans specific to women pregnant following Assisted Reproductive Technologies (ART). METHODS: MEDLINE, Embase and the Cochrane Library were searched by a senior information specialist...
January 29, 2019: Reproductive Health
Kristin Nash, Gabrielle O'Malley, Elizabeth Geoffroy, Ellen Schell, Alice Bvumbwe, Donna M Denno
BACKGROUND: Malawi has one of the highest adolescent pregnancy rates worldwide; at 141 births/1000 girls it is 3-fold higher than the global average. Adolescent pregnancy contributes to poor maternal and neonatal outcomes, school dropout, and poverty. In preparation for an information, education, and communication (IEC) intervention to reduce unintended pregnancy among adolescent girls, formative research was conducted to understand how and what sexual and reproductive health (SRH) information is shared with girls in southern, rural Malawi, and perceptions of such information among key informants...
January 25, 2019: Reproductive Health
Gaurav Sharma, Loveday Penn-Kekana, Kaveri Halder, Véronique Filippi
OBJECTIVES: To investigate the nature and context of mistreatment during labour and childbirth at public and private sector maternity facilities in Uttar Pradesh, India. METHODS: This study analyses mixed-methods data obtained through systematic clinical observations and open-ended comments recorded by the observers to describe care provision for 275 mothers and their newborns at 26 hospitals in three districts of Uttar Pradesh from 26 May to 8 July 2015. We conducted a bivariate descriptive analysis of the quantitative data and used a thematic approach to analyse qualitative data...
January 23, 2019: Reproductive Health
Christina J Atchison, Jenny A Cresswell, Saidi Kapiga, Mussa Kelvin Nsanya, Emily E Crawford, Mohammed Mussa, Christian Bottomley, James R Hargreaves, Aoife M Doyle
BACKGROUND: Adolescents 360 (A360) is an initiative being rolled out across Ethiopia, Nigeria and Tanzania with the aim of increasing uptake of voluntary modern contraception among sexually active women aged 15 to 19 years. Using evaluation baseline survey data, we described key sexuality, fertility and contraceptive use characteristics of married women aged 15 to 19 years living in three sub-national settings. METHODS: Cross-sectional baseline surveys of married women aged 15 to 19 years were conducted in Oromia (Ethiopia), Nasarawa (Northern Nigeria), and Mwanza (Tanzania) between August 2017 and February 2018...
January 21, 2019: Reproductive Health
Tamba Mina Millimouno, Sidikiba Sidibé, Alexandre Delamou, Kéfilath Olatoyossi Akankè Bello, Basile Keugoung, Jean Paul Dossou, Abdoul Habib Beavogui, Bruno Meessen
BACKGROUND: Reducing maternal mortality still remains a major challenge in low-income countries. This study aims to explore how digital communication tools can be used to evaluate the maternal deaths surveillance and response (MDSR) system at the health district level in Guinea. METHODS: A descriptive cross-sectional study was conducted, using an innovative digital approach called District.Team, from April to September 2017. This study targeted all 38 district medical officers in Guinea...
January 18, 2019: Reproductive Health
Hailay Gebreyesus, Mebrahtu Teweldemedhin, Abebe Mamo
BACKGROUND: Adolescents especially females in rural area are vulnerable to a wide range of reproductive health problems including sexually transmitted infections, unwanted pregnancies, and unsafe abortion. They have limited access to reproductive health services that focus on the special needs of female adolescents. This study was aimed to assess the determinants of reproductive health service utilization among rural female adolescents of Asgede-Tsimbla district. METHODS: A community-based cross-sectional study was carried out from February to April 2018, in eight randomly selected sub-districts of Asgede-Tsimbla...
January 11, 2019: Reproductive Health
Manoja Kumar Das, Narendra Kumar Arora, Reeta Rasaily, Harish Chellani, Harsha Gaikwad, Kathryn Banke
BACKGROUND: Around 5.4 million under-five deaths occur globally annually. Over 2.5 million neonatal deaths and an equivalent stillbirths also occur annually worldwide. India is largest contributor to these under-five deaths and stillbirths. To meet the National Health Policy goals aligned with sustainable development targets, adoption of specific strategy and interventions based on exact causes of death and stillbirths are essential. The current cause of death (CoD) labelling process is verbal autopsy based and subject to related limitations...
January 9, 2019: Reproductive Health
Meaghan O'Connor, Kayla McGowan, R Rima Jolivet
BACKGROUND: The increase in global health networks as mechanisms for improving health and affecting social change has been recognized as a key component of the global health landscape today. To successfully raise awareness of shared causes, global health networks need tools to help them plan successful campaigns and evaluate the impact of their work, as well as to coordinate and reinforce each other's efforts. One global health network, the Respectful Maternity Care (RMC) Global Council, can be credited with raising the profile of the issues of disrespect and abuse (D&A) in childbirth and the need for RMC within global maternal health...
January 8, 2019: Reproductive Health
Eric E Chinaeke, Chinenye Fan-Osuala, Miriam Bathnna, Chamberline E Ozigbu, Babayemi Olakunde, Habib O Ramadhani, Echezona E Ezeanolue, Nadia A Sam-Agudu
BACKGROUND: Nigeria has an annual population of ~ 200,000 women who are both pregnant and HIV-positive. High unmet need for family planning in this population could lead to unintended pregnancies, along with the increased risk of mother-to-child transmission of HIV (MTCT). To identify modifiable barriers and facilitators in effective family planning, we examined correlates of modern contraceptive use among HIV-positive women enrolled in the MoMent prevention of MTCT (PMTCT) implementation research study in rural North-Central Nigeria...
January 8, 2019: Reproductive Health
Eunice Muthengi, Karen Austrian
BACKGROUND: The onset of puberty and menarche is a specifically vulnerable time for girls, during which they begin to show interest in the opposite sex, while becoming exposed to a myriad of external pressures, including sexual coercion or harassment from boys and men, expectations to marry from their families, and the need to perform well in primary school in order to qualify for secondary school. According to several qualitative studies in Africa, such pressures are exacerbated by girls' lack of knowledge of their bodies, their rights, and the implications of their decisions, and by their inability to manage puberty and adolescence safely and comfortably with appropriate menstrual health and hygiene management (MHM) products...
December 29, 2018: Reproductive Health
Azita Fathnezhad Kazemi, Sepideh Hajian
BACKGROUND: The adoption of health behaviors by pregnant women causes their improved health and achievement of appropriate pregnancy outcomes as well as improving the quality of life of the mother and infant. Limited studies have examined such behaviors in pregnant women, especially in overweight mothers. The purpose of this study was to explore the experiences of overweight pregnant women in relation to lifestyle changes during pregnancy to improve their health. METHODS: This qualitative study was carried out with content analysis approach in Tabriz-Iran in 2017...
December 29, 2018: Reproductive Health
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