Pregnancy intention, preconception health, health behaviours, and information and health advice seeking among expectant male partners

BMC Primary Care, Journal Year: 2025, Volume and Issue: 26(1)

Published: Feb. 12, 2025

Attempting pregnancy as a conscious decision (pregnancy intention) can impact the likelihood that future parent receives or seeks preconception health information, initiates discussions with professionals, and ultimately optimises their behaviours in preparation for healthy child. Knowledge about relationship between men's intention is only emerging. This study aimed to describe status, behaviours, information- advice-seeking of male expectant partners, explore differences these factors based on intention. An online retrospective cross-sectional survey was completed by reproductive partners pregnant females. Their assessed using London Measure Unplanned Pregnancy (LMUP). Participants were recruited via social media all variables self-reported partners. Chi-square tests examined LMUP categories (planned ambivalent/unplanned). Of 156 who consented participation, 138 questions included analysis. Most reported partner's current planned (n = 90;65.2%), less than half looking finding information becoming (40.0%). Expectant more often physical exercise three months before compared unplanned/ambivalent (p 0.001). ambivalent/unplanned experienced longstanding illness, disability, infirmity 0.002) disregarded contraception < Despite perceiving good excellent health, undertaking exercise, numerous had overweight. Further research exploring life plan process males chronic illness disability may help promote planning amongst this sub-population. large-scale studies are needed enable clinicians better understand intentions policy makers formulate policies at supporting awareness.

Language: Английский

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Exploring longitudinal associations between social determinants of health during adolescence and self-reported contraceptive use in young adulthood in the United States

Preventive Medicine Reports, Journal Year: 2025, Volume and Issue: 52, P. 103021 - 103021

Published: Feb. 23, 2025

Language: Английский

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The Role of Acupressure in Labor Pain Management: A Comprehensive Analysis of Efficacy and Maternal Outcomes

Clinical and Experimental Obstetrics & Gynecology, Journal Year: 2025, Volume and Issue: 52(2)

Published: Feb. 24, 2025

Objectives: Labor pain management is a critical aspect of maternal care, with methods broadly classified as pharmacological and non-pharmacological. While approaches such epidural anesthesia offer effective relief, they may prolong labor lead to other complications. Acupressure, rooted in traditional Chinese medicine, presents non-invasive alternative that alleviates anxiety, enhances cooperation, potentially expedites labor, albeit limited analgesic efficacy. Mechanism: This comprehensive review analyzed studies on the use acupressure for management, evaluating its effectiveness, mechanism action, impact neonatal outcomes. Findings brief: Acupressure was associated significant reduction pain, visual analog scale (VAS) scores decreasing by approximately 2 points compared control groups. also shortened duration an average 50 15 minutes first second stages, respectively, improved satisfaction (85% women reported greater comfort), and, some studies, reduced cesarean section rates. Mechanistically, through gate theory, stimulation endogenous opioid release, modulation pain-related brain regions, anterior cingulate cortex insula. However, effects were found be incomplete reliant accurate acupoint identification. Conclusions: safe, accessible, complementary method additional benefits not full substitute analgesia, integrating into clinical practice could provide holistic approach care. Future research should focus standardizing methodologies exploring their application diverse populations.

Language: Английский

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Non-linear association between interpregnancy interval after vaginal delivery and singleton preterm birth: a retrospective cohort study

BMC Pregnancy and Childbirth, Journal Year: 2025, Volume and Issue: 25(1)

Published: March 11, 2025

Abstract Background The association between interpregnancy interval (IPI) after vaginal delivery and preterm birth (PTB) in singleton has not been elucidated. aim of this study is to investigate the birth. Methods Birth data from 2022 National Vital Statistics System (NVSS) were selected, multinomial logistic regression models used determine odds ratios (OR) 95% confidence intervals (95% CI) for IPI PTB. A restricted cubic spline (RCS) model with multivariate adjustment was constructed a 4-node OR curve check possible non-linear relationships. Threshold effect analysis conducted using two-piecewise linear likelihood ratio test. Results included total 1,517,106 subjects, an average age 30.56 ± 5.29 years. 113,613 subjects had PTB, while 1,403,493 did not. Compared reference group (18–23 months), ≤ 11 months ≥ 24 associated increased risk RCS observed J-shaped PTB (P < 0.001), lowest point occurring at approximately 23 months. values 0.975 CI: 0.974 ~ 0.977, P 0.001) 1.006 1.005 1.006, respectively. results sensitivity analyses remained stable. Conclusion In patients history delivery, relationship found IPIs

Language: Английский

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The state of postpartum contraceptive use in India: descriptive lessons from nationally representative survey data

Reproductive Health, Journal Year: 2025, Volume and Issue: 22(1)

Published: March 13, 2025

Abstract Background Postpartum contraception is a key tool to delay or prevent subsequent pregnancy after birth. Though prior research has demonstrated substantial dynamism in contraceptive use throughout the postpartum period, most measurement of focused on aggregate any method at single time point. We sought more thoroughly examine continuum amongst women India. Methods 2019–21 National Family and Health Survey reproductive calendar data from n = 149,518 with birth one five years survey. present estimates by month postpartum, specific methods, initiation, duration, stopping, switching, pregnancy. sociodemographic factors associated using multivariate logistic regression models. also patterns utilization for subpopulations interest (adolescent mothers age 15–19 first mothers) test whether conclusions are sensitive two-year rather than one-year period definition. Results find that 59% Indian used within year condoms female sterilization were commonly differed substantially month, method, subpopulation. Among users, 9% switched 19% stopped entirely, 5% had another postpartum. A number utilization, differ meaningfully adolescent first-time mothers. Most findings consistent when frame. Conclusions The dynamic nature suggests limited value static uptake targets, program planning as measures success, bolsters need center improve agency, empowerment, access period.

Language: Английский

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State reproductive rights policies and unintended pregnancy

Published: Feb. 27, 2025

Abstract Objective States’ reproductive health policies may have consequences for the rate of unintended pregnancy. This study analyzed association states’ rights with likelihood respondents reporting (wanted later and unwanted pregnancies) Study design was a cross‐sectional analysis Pregnancy Risk Assessment Monitoring System using 2016–2019 data from 43 states DC. Institute Women's Policy Research state rankings were used to categorize as having restricted, some protection, or protected rights. Poisson regressions estimate associations pregnancies, controlling individual‐level sociodemographic characteristics. A sensitivity restricted Medicaid‐covered births performed. Results total 154,062 represented weighted population 7,826,006 whom 25.6% reported an 6.6% When compared rights, had 6% higher pregnancy (IRR 1.07, 95% CI 1.04, 1.10). amplified when limited Medicaid (13% likelihood, IRR 1.13, 1.08, 1.17). Conclusion State associated pregnancies. Further restricting at level increase this already major economic burden.

Language: Английский

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Effects of drug treatments and types of drugs used by pregnant women at different gestational ages on pregnancy outcomes: A retrospective study

Medicine, Journal Year: 2025, Volume and Issue: 104(11), P. e41646 - e41646

Published: March 14, 2025

To analyze the effects of drug treatments and types drugs on pregnancy outcomes in pregnant women at different gestational ages. The records 526 from our hospital September 2018 to January 2024 were analyzed retrospectively. Women categorized into 3 groups: normal delivery, artificial abortion, spontaneous abortion. Data maternal age, smoking, drinking, radiation, medication timing, collected compared. Pearson correlation analysis assessed relationships between outcomes, age medication, types. After comparing multiple potential influencing factors, it was found that smoking history, timing use antitussive phlegm-reducing medications differed significantly among outcome groups ( P < .05). Multiple regression showed which took a significant positive factor for adverse specifically abortion (Coefficient = 0.210, .002). In addition, had directional influence 0.294, .016). Further as time increased, delivery rate initially increased then decreased. first stabilized, while minimal fluctuation. by duration impact induced rates. Cough mucus-reducing can lead miscarriage, other early generally do not affect outcomes. Antitussive increase risk Raising awareness about proper conducting research this topic is crucial enhancing prenatal postnatal care, reducing abortions, promoting population growth.

Language: Английский

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Risk for Unplanned Pregnancy Among Survivors of Childhood Cancer

Pediatric Blood & Cancer, Journal Year: 2025, Volume and Issue: unknown

Published: March 17, 2025

ABSTRACT The purpose of this study was to identify factors associated with risk for unplanned pregnancy in sexually active female survivors using self‐report survey data. Risk defined as less effective/no contraception while also not desiring pregnancy. Of N = 160 participants (age 24.0 ± 3.1 years), 33.1% were at‐risk On multivariable analysis, likely be categorized if they reported diagnosis ovarian failure/premature menopause (odds ratio [OR] 0.16, 95% confidence interval [CI] 0.02–0.72, p 0.032), greater concerns about fertility (OR 0.59, 95%CI 0.43–0.80, 0.001), and religious identity agnostic/atheist (compared Christian, OR 0.10, 0.01–0.41, 0.005).

Language: Английский

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Experiences of Obstetrician-Gynecologists Providing Pregnancy Care After Dobbs

JAMA Network Open, Journal Year: 2025, Volume and Issue: 8(3), P. e252498 - e252498

Published: March 31, 2025

Importance Following the Dobbs v Jackson Women’s Health Organization ( ) decision in June 2022, which overturned federal right to abortion, Wisconsin physicians faced threat of an 1849 state law widely interpreted criminalize provision abortion except life-saving emergencies. Physicians and their institutions were left interpret whether how they could treat and/or refer certain pregnant patients. Objective To document post- legal landscape shaped obstetrician-gynecologists’ (OB-GYNs’) ability provide health care patients facing pregnancy-related risks complications, with particular attention mediating role institutions. Design, Setting, Participants In this qualitative study, 21 OB-GYNs recruited between 2022 December 2023 from rural urban areas varying hospital affiliations, scopes practice, individual demographics participate semistructured, remote interviews. Exposure An that suspended 2023. Main Outcomes Measures Physicians’ perceptions (1) management pregnancy related (2) institutional-level factors contributed physicians’ experiences caring for following . Results This study included (mean [SD] age, 43 [5.88] years; 16 [76.2%] female; 5 [23.8%] non-White White) who practiced obstetrics Wisconsin. described criminalization was detrimental care. Absence clarity surrounding led confusion wide variations institutional comfort clinical resulted substandard, delayed, fragmented patient Overwhelmingly, after exacerbated barriers providing comprehensive seeking it. Conclusions Relevance practicing abortion-restrictive state, uncertainty worse The absence clear guidance support system leadership emerged as a particularly salient missed opportunity. These experiences, contribute critical evidence base on harms restrictions, are relevant states similar bans or restrict

Language: Английский

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A qualitative study of abortion decision-making trajectories among pregnant women at their first antenatal care visit in Kampala, Uganda

Journal of Global Health, Journal Year: 2025, Volume and Issue: 15

Published: April 10, 2025

In Uganda, only about half of women who want to avoid pregnancy are using modern contraceptives, leading high numbers unintended pregnancies and elevated maternal neonatal morbidity mortality. this study, we aimed learn more women's abortion decision-making before continuing carry a pregnancy. We utilised qualitative study design interviewed 31 purposively selected single partnered pregnant aged ≥18 years at their first antenatal care visit Kawempe National Referral Hospital in Kampala, Uganda. conducted the interviews Luganda or English, transcribed them, then translated them into as needed, for analysis. analysed data thematic Deductive codes were based on social networks, support, health behaviour theories, inductive derived from interview transcripts. Almost participants (n = 13) considered an induced deciding continue carrying The most commonly stated reasons they included anticipated interruptions work education, exhaustion related child-rearing, lack support. Other 9) reported not considering due support pregnancy, concerns abortion-related mortality, late confirmation religious beliefs. No discussed Uganda's restrictive policies reason consider abortion. Our results point opportunities continued reproductive education improved access services allow meet needs, seek out family planning, care, safe when desired, create networks women.

Language: Английский

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