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International Journal of Women's Health

Kathleen M Antony, Judy Levison, Melissa A Suter, Susan Raine, Grace Chiudzu, Henry Phiri, Joseph Sclafani, Michael Belfort, Peter Kazembe, Kjersti M Aagaard
Background: In 2012, we performed a needs assessment and gap analysis to qualitatively assess providers' and patients' knowledge and perceptions regarding preterm birth (PTB). During the study, we identified knowledge gaps surrounding methods to reduce the risk of occurrence of PTB and management options if preterm labor/birth occur. We targeted health messages toward these gaps. The objective of the present study was to assess the impact of our community health worker-based patient education program 3 years after it was implemented...
2019: International Journal of Women's Health
Agumasie Semahegn, Kwasi Torpey, Abubakar Manu, Nega Assefa, Augustine Ankomah
Background: One-in-three women has experienced domestic violence, which is a serious public health problem and a human right violation. Domestic violence is a common life experience among women in Ethiopia. The tool used to assess violence against women (VAW) has not been validated to assess its consistency. Cronbach's alpha (α, or coefficient alpha) is a measure of internal consistency, or reliability, that is, how closely a set of items are related as a group. Reliability is how well a test measures what it should...
2019: International Journal of Women's Health
Hamid Arazi, Ehsan Eghbali
Introduction: Vitamin D is a potent secosteroid hormone that provides many health benefits. The ubiquitous nature of vitamin D receptor (VDR) suggests widespread effect. Purpose: The purpose of this study was to investigate the relationship between 25-hydroxyvitamin D (25OHD) levels and muscle strength, maximal oxygen consumption (VO2 max), and body mass index (BMI) in Iranian young and middle adulthood women. Participants and methods: A cross-sectional descriptive study was conducted in 182 healthy Iranian women within the age range of 26-60 years...
2019: International Journal of Women's Health
Imelda K Moise, Evan de Joya, Benjamin Caplan, Violeta J Rodriguez, Stefani Butts, Maureen Chisembele, Stephen M Weiss, Deborah L Jones, Maria L Alcaide
Purpose: In this study, we evaluated the risk behaviors that are drivers of the HIV epidemic among adolescent girls and young women in Zambia using a focus group research technique. Subjects and methods: Eighteen adolescent couples (n=18 females and 18 males) aged 16-24 participated in six focus groups discussions (3 per gender) convened at three health facilities in Lusaka, Zambia. Focus group moderators utilized a set of open-ended questions to guide the 60-minute sessions...
2019: International Journal of Women's Health
Mohamed Ibrahem Eid, Mohamed Sayed Abdelhafez, Waleed El-Refaie, Ahmed A El-Zayadi, Khaled Samir, Mahmoud Mohamed Abdelrazik, Mahmoud Thabet, Alaa Wageh, Emad Ahmed Fyala, Yasser Abdeldayem, Ahmed Badawy
Objective: We aimed to evaluate the effect of different timing of initiation of low-molecular-weight heparin (LMWH) administration on the pregnancy outcomes in women with antiphospholipid syndrome (APS). Materials and methods: A randomized controlled study was conducted on women with obstetrical APS. All participants were randomly divided at documentation of positive pregnancy test into two groups; early initiation group in which LMWH therapy was started once positive pregnancy test was established (in the fifth week of gestation), and later initiation group in which LMWH therapy was started after sonographic confirmation of fetal cardiac pulsation (in the seventh week of gestation)...
2019: International Journal of Women's Health
Satoshi Tsuboi, Tomosa Mine, Yumi Tomioka, Saeka Shiraishi, Fujiko Fukushima, Toshiharu Ikaga
Background: Unlike traditional East Asian medicine, the necessity of health care services for cold extremities is yet to be acknowledged in Western medicine. In this study, we aimed to conduct an epidemiological evaluation of this unremarkable symptom among women in Japan. Materials and methods: A cross-sectional study was conducted from February 2016 to April 2017, and data of 238 women throughout Japan were analyzed. Questionnaires were used to examine participants' demographics, health-related behaviors, health status, and frequency of subjective symptoms over the past 1 year...
2019: International Journal of Women's Health
Ayman Shehata Dawood, Adel Elgergawy, Ahmed Elhalwagy, Walid M Ataallah, Shereen B Elbohoty, Shereef L Elshwaikh, Amal A Elsokary, Ahmed M Elkhyat, Amr T Elbadry, Ahmed M Abbas
Objective: The current study aimed to evaluate the impact of mechanical cervical dilatation during elective cesarean section (CS) on postpartum scar integrity at 6 months post operation. Methods: A randomized double-blind clinical trial (UMIN000027946) was conducted at a tertiary university hospital in the period between July 1, 2017 and April 30, 2018. The study included pregnant women with a singleton fetus at term ≥37 weeks of gestation scheduled for elective CS...
2019: International Journal of Women's Health
Pierre Zitoun, Jaya Parikh, Martine Nijs, Wenjie Zhang, Rachel Levy-Toledano, Boxiong Tang
Purpose: The purpose of this study was to assess product-specific features for a variety of self-administered injection devices and identify key factors that patients and nurses in select European markets find most important when selecting injection devices for self-administration of recombinant human follicle-stimulating hormone and urinary human follicle-stimulating hormone for fertility/reproductive therapy. Patients and methods: Patients (N=402) in France, Italy, Spain, Germany, the UK, the Netherlands, and Belgium, as well as reproductive/fertility nurses (N=40) in Germany, Italy, France, Spain, and the Czech Republic were surveyed...
2019: International Journal of Women's Health
Vahideh Termeh Zonouzy, Shamsaddin Niknami, Fazlollah Ghofranipour, Ali Montazeri
Background: Breast cancer is an important public health problem worldwide. This study aimed to assess the effectiveness of an educational intervention based on fear appeals using the extended parallel process model (EPPM) to improve attitudes, intention, and early breast cancer diagnosis in Iranian women. Methods: This was a cluster-randomized trial conducted in Tehran, Iran. A sample of women 40 years old and above was recruited and assigned either to intervention group or to control group...
2019: International Journal of Women's Health
Nath Kiataphiwasu, Kasemsis Kaewkiattikun
Background: Maternal and neonatal mortality is a major health problem in developing countries. Birth preparedness and complication readiness (BPCR) is a strategy to encourage pregnant women to make prompt decisions to seek care from skilled birth attendants. Reports of good BPCR vary depending on study setting and population. Most studies of BPCR have been conducted in developing countries, BPCR status and associated factors in Thailand are currently unknown. Objective: To discover the proportion of good BPCR (at least four BPCR indicators), associated factors and predictive factors for good BPCR in pregnant women attending antenatal clinic...
2018: International Journal of Women's Health
Mercedes Olaya-C, Marta Garrido, Javier Hernandez-Losa, Marta Sesé, Paola Ayala-Ramirez, Rosa Somoza, Magda Jimena Vargas, Santiago Ramón Y Cajal
Introduction: The VEGF family has been identified as abnormal in preeclampsia (PE). Hypertensive disorders of pregnancy (HDP) are major contributors to maternal and neonatal morbidity and mortality worldwide; likewise, umbilical cord anatomical abnormalities (UCAA) are linked to poor neonatal outcomes. Based on the relationship described between PE and UCAA and the role of the VEGF family in PE, this study explored VEGF expression in placental and UC tissued from patients with PE and with UCAA...
2018: International Journal of Women's Health
Olugbenga Oguntunde, Farouk Musa Yusuf, Jabulani Nyenwa, Dauda Sulaiman Dauda, Abdulsamad Salihu, Irit Sinai
Purpose: Ensuring adequate access to skilled birth attendants during and after childbirth is a key strategy to reducing maternal and newborn mortalities. Transportation difficulties in emergency situations continue to be a significant barrier to accessing emergency obstetric care, especially in rural and hard-to-reach areas. Emergency transport schemes (ETS) have been introduced in various settings to increase access to emergency care and reduce the second obstetric delay with varying degrees of success...
2018: International Journal of Women's Health
Maha Ah Sulaiman, Yahya M Al-Farsi, Maha M Al-Khaduri, Jumana Saleh, Mostafa I Waly
Purpose: Literature emerging from Western countries has reported increased levels of serum oxidative stress markers among polycystic ovarian syndrome (PCOS) women. In the Arab region, there is limited research about the association between oxidative stress and PCOS. This study aimed to compare sociodemographic and clinical characteristics, sex hormones, and oxidative stress indices between PCOS women and non-PCOS women and to investigate the correlation between oxidative stress biomarkers and sex hormones...
2018: International Journal of Women's Health
Judith Fullerton, Michelle M Butler, Cheryl Aman, Tobi Reid, Melanie Dowler
Introduction: The International Confederation of Midwives (ICM) represents 132 midwifery associations in 113 countries. The ICM disseminates the Essential Competencies for Basic Midwifery Practice (EC) that describes the global scope of midwifery practice. The basic (core) and expanded (additional or optional) role of midwives in providing abortion-related care services was first described in 2010. A literature review about three items that are particularly critical to access to abortion services was conducted...
2018: International Journal of Women's Health
M Guida, D Maffucci, G Iannuzzi, M Giordano, G Luciano, L Di Benedetto, R Cantarella, A Rescigno, L Giugliano
Objective: This paper reports on a rare case of pregnancy after uterine artery embolization (UAE) for uterine arteriovenous malformation (AVM). Debate exists about persistence of fertility in women after UAE. Adverse effects of this technique can modify both uterine echostructure, inducing necrosis and infarction, endometrial atrophy and uterine artery rupture, and ovarian reserve, causing persistent amenorrhea. Ovarian reserve appears to be affected by UAE in pre-menopausal women. However, younger ovaries (according to biological ovarian age) exhibit a greater capacity for recovery after ovarian damage...
2018: International Journal of Women's Health
Ekaterine Pestvenidze, Babill Stray-Pedersen
Purpose: While induced abortion practices are common in Georgia, the sociodemographic subgroups of women predominantly affected by abortion and their leading motives have not yet been explored. The study aims to understand differentials in women undergoing abortion according to background characteristics and get insight into their reasons for availing of abortion services. Materials and methods: We analyzed the data on 2,054 abortions from the Georgian Reproductive Health Survey 2010...
2018: International Journal of Women's Health
Savas Menticoglou
Shoulder dystocia can lead to death or brain damage for the baby. Traction on the head can damage the brachial plexus. The diagnosis should be made when the mother cannot push the shoulders out with her own efforts with the next contraction after delivery of the head. There should be no traction on the head to diagnose shoulder dystocia. McRoberts' position is acceptable but it should not be accompanied by any traction on the head. If the posterior shoulder is in the sacral hollow then the best approach is to use posterior axillary traction to deliver the posterior shoulder and arm...
2018: International Journal of Women's Health
Roxanna A Irani, Ann Santa-Ines, Robert W Elder, Heather S Lipkind, Michael J Paidas, Katherine H Campbell
Background: Women with mechanical heart valves (MHV) requiring anticoagulation (AC) are at high risk for hemorrhagic complications. Despite guidelines to manage antenatal and peripartum AC, there are few evidence-based recommendations to guide the initiation of postpartum AC. We reviewed our institutional experience of pregnant women with MHV to lay the groundwork for recommendations of immediate postpartum AC therapy. Study design: This descriptive retrospective cohort used ICD-9 and -10 codes to identify pregnant women with MHV on AC at the Yale-New Haven Hospital from 2007 to 2018...
2018: International Journal of Women's Health
Simone Eliane Schwank, Chunyi Gu, Zhouli Cao, Ewa Andersson, Hongli Jiang, Yan Ding, Helena Lindgren
Objectives: The Chinese government launched the two-child policy in 2015 to counteract the demographic changes, skewed sex ratio, and decreasing number of labor force. The policy shift has a significant impact on all levels of society and economy. This study aimed to describe how Mainland Chinese women face this new decision-making on their reproduction and family planning and captures factors contributing to the judgment and decision-making. Method: The present qualitative study included a sample of 37 women, with an average age of 29...
2018: International Journal of Women's Health
Kabiru Afolarin Rabiu, Adeniyi Abiodun Adewunmi, Tawakwalit Abimbola Ottun, Fatimat Motunrayo Akinlusi, Adewunmi Adeoye Adebanjo, Taiwo Ganiyat Alausa
Background: Eclampsia remains a leading contributor to maternal mortality, particularly in developing countries, and remains a challenge even to the most experienced obstetrician. We aimed to determine the factors associated with maternal mortality in eclamptics at the Lagos State University Teaching Hospital (LASUTH), Nigeria, in order to suggest ways to prevent this avoidable tragedy. Materials and methods: Data were prospectively collected with the aid of a specially designed proforma from January 1, 2011 to December 31, 2012...
2018: International Journal of Women's Health
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