Women Health [JOURNAL]
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200 papers
Women's experiences and challenges with tandem breastfeeding: a qualitative study.
Gül Öztaş H, Durmuş A
Women Health · 2025 Mar · PMID 39965781 · Publisher ↗
Tandem breastfeeding is defined as the simultaneous breastfeeding of two children of different ages, either during pregnancy or postpartum. Identifying the emotions and difficulties experienced by mothers during the tand...
Tandem breastfeeding is defined as the simultaneous breastfeeding of two children of different ages, either during pregnancy or postpartum. Identifying the emotions and difficulties experienced by mothers during the tandem breastfeeding process is crucial in terms of raising awareness. Accordingly, the objective of this study is to investigate the experiences and challenges associated with tandem breastfeeding. This qualitative study was conducted using a phenomenological research design. Data were collected through online face-to-face interviews conducted via Google Meet in Turkiye between January and March of 2024. Snowball sampling was employed to recruit participants. Fourteen mothers who were concurrently breastfeeding two children participated in the study. The researchers conducted in-depth, individual, open-ended interviews to collect data. The participants were asked to complete a personal information form and a semi-structured in-depth interview. Participants were encouraged to share their experiences with tandem breastfeeding and the challenges they faced. Descriptive data regarding the socio-demographic and obstetric characteristics of the mothers were presented as numbers and percentages. Qualitative data were examined using content analysis. A comprehensive analysis of interview data from tandem breastfeeding women identified eight key themes: happiness, enjoyment, guilt, fear, breast problems, fatigue/boredom, sibling jealousy, and social pressure. Among the tandem breastfeeding mothers, 64.2 percent reported positive emotions, while 35.8 percent reported negative emotions. Furthermore, 28.6 percent of the mothers mentioned difficulties related to "breast problems," 21.4 percent to "sibling jealousy," 28.6 percent to "fatigue and boredom," and 21.4 percent to "environmental pressure. It is important to note that tandem breastfeeding mothers reported positive emotions, yet concurrently indicated the presence of various challenges. During this process, tandem breastfeeding mothers require information and support. In this regard, midwives and nurses play a crucial role in supporting tandem breastfeeding mothers, thereby promoting positive emotions, addressing negative emotions and difficulties, and encouraging breastfeeding.
Analysis of harmful menstruation beliefs and practices: a systematic review.
Garrido Martín AM, Cervilla O, Álvarez-Muelas A … +1 more , Granados R
Women Health · 2025 Mar · PMID 39957206 · Publisher ↗
Women have inadequate access to menstrual health and hygiene, and there is astigma associated with menstruation. A systematic literature review of menstruation-related beliefs, myths, taboos, and harmful practices was co...
Women have inadequate access to menstrual health and hygiene, and there is astigma associated with menstruation. A systematic literature review of menstruation-related beliefs, myths, taboos, and harmful practices was conducted on Scopus, Web of Science, PsycINFO, and PubMed. Fourteen articles were included, of which eleven were in relation to beliefs, myths, and taboos, and nine to harmful practices, during menstruation. The results show that menstruation is associated with dirtiness and impurity beliefs and with restrictive and possibly harmful practices that go against human rights. Specific educational and hygiene content about menstruation is necessary for programs and interventions to address women's health.
Women's experience and perspectives about physical therapy during pregnancy and after childbirth.
Lin KY, Tsai YJ, Yang JF … +1 more , Wu MH
Women Health · 2025 Mar · PMID 39937040 · Publisher ↗
Pregnancy and childbirth introduce significant physical and psychological changes, often resulting in discomforts such as back pain, pelvic pain, and post-delivery recovery challenges. Physical therapy is known to be an...
Pregnancy and childbirth introduce significant physical and psychological changes, often resulting in discomforts such as back pain, pelvic pain, and post-delivery recovery challenges. Physical therapy is known to be an effective intervention, yet there is limited understanding of how women perceive and utilize it during pregnancy and the postpartum period. This study aimed to explore women's experiences and perspectives of physical therapy during pregnancy and after childbirth. A cross-sectional survey was conducted from May 2021 to May 2022, involving 298 women who were receiving or had received pregnancy and postpartum care at a medical center in southern Taiwan. Eligibility participants were aged 20 or older, understood Chinese/Mandarin, and agreed to participate. Data were collected through an online questionnaire covering demographic information, health history, symptom prevalence, physical therapy utilization, and perceptions. Descriptive statistics (means, frequencies and percentages) were used to analyze the data. Of the 298 participants, 53 (17.8 percent) utilized physical therapy during pregnancy and/or after childbirth. Ninety percent believed that pregnant and postpartum women need physical therapy, with breast massage (80.9 percent) being the most needed self-pay service. The primary barrier to utilizing was "lack of time," while the primary facilitator was "affordable self-pay costs." This study highlights the significant need for physical therapy among pregnant and postpartum women, identifying key barriers and facilitators to service utilization. These findings can guide the integration of physical therapy into maternal care pathways, improving overall health outcomes for women.
Navigating online: what you can do to be a lighthouse in a sea of misinformation.
Mendonça Carneiro M
Women Health · 2025 Feb · PMID 39910734 · Publisher ↗
Abstract loading — click title to view on PubMed.
Palmitoylethanolamide (Levagen+) for acute menstrual pain: a randomized, crossover, double-blind, placebo-controlled trial.
Rao A, Erickson J, Briskey D
Women Health · 2025 Mar · PMID 39910730 · Publisher ↗
Palmitoylethanolamide (PEA) is a well-tolerated compound effective in reducing pain. This randomized, double-blind, placebo-controlled crossover study investigated PEA for menstrual pain relief. Conducted in Australia fr...
Palmitoylethanolamide (PEA) is a well-tolerated compound effective in reducing pain. This randomized, double-blind, placebo-controlled crossover study investigated PEA for menstrual pain relief. Conducted in Australia from May to December 2023, the study included adults over 18. Participants consumed 300 mg of PEA or a placebo at menstrual pain onset. Pain scores were recorded on the numerical pain rating scale (NRS) every 30 minutes for up to 4 hours. If pain persisted, a second dose was permitted after 2-hours. The primary outcome measure was the reduction in acute menstrual pain scores from the NRS. Secondary outcome measures included the Treatment Satisfaction Questionnaire for Medication, rescue medication use and adverse events. Pain scores were analyzed using repeated measures analysis of variance. PEA resulted in a significant reduction in pain scores at 1 ( = .045), 1.5 ( = .009), 2 ( = .015) and 2.5 ( = .039) hours post dosage compared to placebo. No difference was seen for the Treatment Satisfaction Questionnaire for Medication, rescue medication used, or adverse events. This study demonstrates PEA supplementation is a safe and effective option for reducing menstrual pain compared to a placebo, with significant pain reduction observed at multiple time points post-dosage.
National institutes of health: Analysis of gender differences in anesthesiology research funding.
Changez MIK, Toor AS, Tiwana M … +3 more , Masud S, Wooding DJ, Khosa F
Women Health · 2025 Feb · PMID 39891539 · Publisher ↗
Although studies have shown an increase in the representation of women in academic anesthesiology, it remains one of the medical specialties most dominated by men. While gender disparities have been identified in academi...
Although studies have shown an increase in the representation of women in academic anesthesiology, it remains one of the medical specialties most dominated by men. While gender disparities have been identified in academic anesthesiology, literature on discrepancies in funding allocated by the National Institutes of Health (NIH) is scarce. The objective of the present study was to explore these discrepancies from 2017 to 2020 and assess potential changes in funding trends over time. Publicly available funding data was retrospectively obtained from the NIH Research Portfolio Online Reporting Tools Expenditure and Results (RePORTER) database for fiscal years 2017 to 2020. Information regarding each principal investigator (PI) was obtained from the Scopus database and institutional websites. For statistical comparison of continuous variables, Mann-Whitney U tests were performed. Simple linear regression analyses assessed the relationship between fiscal year and number of NIH grants awarded to PIs. Median NIH amount per grant [interquartile range (IQR)] was determined to be $359,038 ($233,947-$476,933) for PIs that were men, greater than that of $330,865 ($164,268-$458,785) for PIs that were women ( < .05). Similarly, men received a greater median NIH grant amount per PI, with a value of $348,751 ($222,043-$442,075), compared to women who received $268,634 ($161,159-$414,384) ( < .05). When stratified by terminal degree, significantly higher median grant amounts ( < .05) were awarded to MD and PhD holders who were men versus their women counterparts. Lastly, an increasing trend in obtaining NIH grants between 2017 and 2020 was observed for PIs that were men overall, including PIs holding MD/PhD degrees ( < .05). No such trend was observed for PIs who were women. This study demonstrates a significantly greater number of NIH grants and higher award values allocated to researchers who were men than researchers who were women in academic anesthesiology over the past four years. Moreover, an increase in the number of grants secured by PIs who were women from 2017-2020 was not observed. In the future, longitudinal trends in NIH funding for principal investigators (PIs) of both genders in anesthesiology should be investigated.
Health experience for pregnant stay-behind women in rural India: A study on NFHS-5 survey data.
Ahmed S, Mahapatro SR
Women Health · 2025 Feb · PMID 39891503 · Publisher ↗
This is a descriptive study based on National Family Health Survey- Round 5 (2020-21) dataset, comparing two groups of Indian women: "stay-behind pregnant women" and "women who are living with their husbands." We applied...
This is a descriptive study based on National Family Health Survey- Round 5 (2020-21) dataset, comparing two groups of Indian women: "stay-behind pregnant women" and "women who are living with their husbands." We applied z-test analyzing health status and healthcare access between the two groups. The result shows both health status (D = -2.02, = .002; = -2.48, = .001; D = -1.53, = .003; D = 0.04, = .006) and healthcare access (D = -4.6 percent, = .005; D = 10.4 percent, = .002, D = -9.3 percent, = .001) are significantly lower among "stay-behind pregnant women." The intake of nutritious food among stay-behind pregnant women is relatively low (D = -7.9 percent, = .003; D = -3.4 percent, = .002; D = -5.5 percent, 0.005; D = -3.8 percent, = .004; D = -3.4 percent, = .002) which contributes to their poor health status. Overall, it is concluded that the health status and healthcare access of "stay-behind pregnant women" are poorer than others. Future studies can explore the role of empowerment of "stay-behind pregnant women" in ensuring their better health and healthcare access.
Prevalence of hypertensive disorders of pregnancy and chronic hypertension increased throughout the COVID-19 pandemic in South Carolina (2015-2021).
Malek AM, Wen CC, Neelon B … +10 more , Wilson DA, Mateus J, Pearce J, Simpson S, Chundru K, Korte JE, Florez H, Finneran M, Alkis M, Hunt KJ
Women Health · 2025 Feb · PMID 39885162 · Full text
Hypertensive disorders of pregnancy (HDP) and chronic hypertension (CHTN) are related to maternal and infant morbidity and mortality. We aimed to assess HDP and CHTN prevalence changes before (January 2015-February 2020)...
Hypertensive disorders of pregnancy (HDP) and chronic hypertension (CHTN) are related to maternal and infant morbidity and mortality. We aimed to assess HDP and CHTN prevalence changes before (January 2015-February 2020) and during the COVID-19 pandemic (March 2020-December 2021) in South Carolina (SC). SC live births (2015-2021) were included (194,841 non-Hispanic White [NHW]); 108,195 non-Hispanic Black [NHB]; 25,560 Hispanic; 16,346 other race/ethnicity). Linked birth certificate and hospitalization/ED data was used. Relative risks (RRs) and 95 percent CIs adjusted for potential confounders estimated HDP and CHTN risk before and during the pandemic. HDP risk is associated with a one-year increase in calendar time pre-pandemic differed by race/ethnicity. Corresponding RRs (95 percent CIs) were 1.06 (1.05-1.06) in NHW, 1.07 (1.06-1.07) in NHB, 1.07 (1.06-1.09) in Hispanic and 1.09 (1.07-1.12) for other races/ethnicities. During the pandemic, RRs (95 percent CIs) attenuated slightly remaining significant (NHW, 1.03 [1.01-1.04]; NHB, 1.04 [1.02-1.05]; Hispanic, 1.04 [1.02-1.07]; other races/ethnicities, 1.06 [1.04-1.09]). Increasing race-ethnic group-specific trends from 2015 to 2021 were reported for CHTN (NHW, 1.09 [1.08-1.10]; NHB, 1.09 [1.08-1.10]; Hispanic, 1.08 [1.05-1.12]; other races/ethnicities, 1.15 [1.11-1.19]). HDP and CHTN's increasing prevalence from 2015 to 2021 differed by race/ethnicity, with HDP impacted by the pandemic and upward trends observed for both conditions after adjustment. Screening, diagnostic, and reporting practices across different data sources and actual changes may impact HDP and CHTN prevalence.
Knowledge, Attitudes, and Practices of Community Pharmacists in Qatar Towards Contraceptives: A Cross-Sectional Study.
Monzer Baroudi H, Abdul Hadi M, Paravattil B … +2 more , El Khawly Y, Saffouh El Hajj M
Women Health · 2025 Feb · PMID 39834251 · Publisher ↗
In Qatar, hormonal contraceptives are available over the counter in community pharmacies. However, improper use, particularly by women with specific health conditions, can result in adverse events. Community pharmacists...
In Qatar, hormonal contraceptives are available over the counter in community pharmacies. However, improper use, particularly by women with specific health conditions, can result in adverse events. Community pharmacists (CPs) play a role in counseling women and assessing eligibility for contraceptives. This study evaluated the knowledge, attitudes, and practices of CPs in Qatar regarding hormonal contraceptives through a survey conducted from August to December 2021. Of 377 respondents, 136 completed the questionnaire (response rate: 35.3 percent). The mean knowledge score was 3.01, reflecting poor to moderate knowledge. The score fell between 3 and 4, with a maximum score of 6. CPs mostly counseled patients about contraceptives' names, instructions on administration, and when to start (82.2 percent, 90.2 percent, and 90 percent respectively). About 40 percent of CPs agreed that their religious beliefs do not affect recommendations about contraceptives. Lack of private rooms (57 percent), and limited counseling time (55.1 percent) were identified as counseling barriers. The study concluded that CPs had poor to moderate knowledge but positive attitudes and fair to good counseling practices, suggesting a need for educational programs and interventions to overcome barriers.
Factors associated with menstrual-related disturbances following SARS-CoV-2 vaccination: a Spanish retrospective observational study in formerly menstruating women.
González M, Al-Adib M, Rodríguez AB … +1 more , Carrasco C
Women Health · 2025 Feb · PMID 39819300 · Publisher ↗
BACKGROUND: A growing body of evidence suggests a potential link between the SARS-CoV-2 vaccine and menstrual changes in women who were menstruating at the time of vaccination. Nevertheless, the prevalence of this event...
BACKGROUND: A growing body of evidence suggests a potential link between the SARS-CoV-2 vaccine and menstrual changes in women who were menstruating at the time of vaccination. Nevertheless, the prevalence of this event in those with secondary amenorrhea for different causes, i.e. formerly menstruating women, remains unclear. It is plausible that, analogous to those observed in currently menstruating women, they experienced some degree of alteration in their reproductive health, defined here as menstrual-related disturbances. OBJECTIVE: The aim was to analyze this phenomenon and identify the factors associated with the occurrence of menstrual-related disturbances in this subpopulation. Study design: A retrospective observational cross-sectional study was conducted among adult Spanish in December 2021 using an online survey ( = 17,512). The present analysis includes a subpopulation of vaccinated and formerly menstruating women ( = 548). General characteristics, medical history, and adverse events following COVID-19 vaccination were recorded. Chi-square, Mann-Whitney U and McNemar mid-P tests were performed. Bivariate logistic regression was then used to identify the key factors influencing this unexpected event. RESULTS: In comparison with the first dose, significantly higher percentages of respondents experienced menstrual-related disturbances (dose 1: 38.5 percent vs. dose 2: 44.8 percent) after receiving the second one. Among them, those related to the length and flow stand out, being of long-term nature in about 17-20 percent of cases. Interindividual factors influencing this unexpected event after receiving the dose 1 may include weight, perimenopause, preexisting diagnoses of non-autoimmune rheumatic/articular conditions, use of hormonal contraceptives, suffering from other vaccine side effects - such as arm pain and the number of previous pregnancies; for dose 2, these factors may include suffering from menstrual-related alterations after receiving dose 1, as well as the use of hormonal contraceptives and perimenopause. CONCLUSION: Formerly menstruating women might experience long-term menstrual-related disturbances following COVID-19 vaccination. Potential influencing factors include weight, perimenopause, rheumatic/articular conditions, hormonal contraceptives, vaccine side effects and previous pregnancies.
The effect of an abdominal binder on pain, bleeding and breastfeeding success after cesarean delivery: A randomized controlled trial.
Kara P, Nazik E
Women Health · 2025 Feb · PMID 39780504 · Publisher ↗
This randomized controlled intervention study aims to determine the effect of an abdominal binder on pain, bleeding, and breastfeeding success after cesarean delivery. The study was conducted with women who underwent ces...
This randomized controlled intervention study aims to determine the effect of an abdominal binder on pain, bleeding, and breastfeeding success after cesarean delivery. The study was conducted with women who underwent cesarean section and were followed-up for the first 48 hours at the obstetrics clinic of a state hospital in Türkiye between September 2020-March 2021. The study was completed with a total of 128 women who met the inclusion criteria (Intervention (IG):64, Control (CG):64). Data were collected using a "Socio-demographic Form" and "Postpartum Follow-up Form." Statistical significance was defined as < .05. The IG showed significantly lower pain scores in both the abdominal area (uterine involution) and cesarean incision compared to the CG ( < .001), (respectively, IG:0.19 ± 0.58 vs. CG:1.33 ± 1.16; IG:0.23 ± 0.61 vs. CG:0.75 ± 1.26). The amount of puerperal bleeding was significantly lower in the IG ( < .001) (IG:327.65 ± 112.61 mL vs. CG:402.61 ± 157.45 mL), and their hemoglobin and hematocrit values were significantly higher ( < .05) (Hemoglobin, IG:11.00 ± 0.78 g/dL vs. CG:10.62 ± 0.90 g/dL; Hematocrit, IG:34.54 ± 1.79 percent vs. CG:33.51 ± 2.56 percent). The breastfeeding success scores were significantly higher in the IG ( < .001) (IG:9.97 ± 0.17 vs. CG:9.81 ± 0.43). These data demonstrate that the abdominal binder is beneficial and applicable for reducing pain, bleeding, and for improving breastfeeding success in the first 48 hours after cesarean delivery.
A smartphone-based application to improve breastfeeding duration and self-efficacy: a randomized controlled clinical trial.
de Mello Sa SR, Wang Z, Sapkalova V … +5 more , Sullivan M, Saucedo Baza A, Delgado P, Looney S, Zahler-Miller C
Women Health · 2025 Feb · PMID 39748676 · Publisher ↗
A novel breastfeeding mobile app was created. We aim to determine if patients who utilize the app will have longer breastfeeding duration, improved breastfeeding self-efficacy scores at 1-year follow-up, and higher exclu...
A novel breastfeeding mobile app was created. We aim to determine if patients who utilize the app will have longer breastfeeding duration, improved breastfeeding self-efficacy scores at 1-year follow-up, and higher exclusive breastfeeding rates at 6 months postpartum. Participants were randomized, with 45 to the intervention and 48 to the control groups. Surveys were administered at 32-36-week gestation and 1 year postpartum. On average, women in the intervention group breastfed for 10.1 (SD ± 3.5) months compared to 8.9 (SD ± 4.1) months in the control group ( = .320). A Kaplan-Meier survival curve demonstrated a higher proportion of participants who breastfed for longer durations in the intervention group ( = .241). The change in self-efficacy was not statistically different in the two groups. The exclusive breastfeeding rate at 6 months postpartum is 81.3 percent in the intervention group and 60.0 percent in the control group ( = .277). While there is no statistical difference in breastfeeding outcomes, participant feedback suggests that features such as feeding-trackers, real-time lactation support, and moderated peer groups may enhance its impact. Future research should focus on refining these elements, recruiting larger samples, and minimizing loss-to-follow-up to fully assess the potential of mobile-based breastfeeding interventions.
Similar prognosis, different decisions: understanding parents about the possibility of termination of pregnancy due to fetal anomalies.
Başaran E, Tanaçan A, Farisoğullari N … +4 more , Ağaoğlu Z, Şahin R, Akgün Aktaş B, Şahin D
Women Health · 2025 Feb · PMID 39745673 · Publisher ↗
In this study, we investigated the factors that influence families' decision-making processes about whether to carry a pregnancy to term or to terminate it in cases of fetal anomalies. A questionnaire was administered to...
In this study, we investigated the factors that influence families' decision-making processes about whether to carry a pregnancy to term or to terminate it in cases of fetal anomalies. A questionnaire was administered to 25 participants who chose to terminate their pregnancy and 25 participants who chose to carry their pregnancy to term. Among the sociodemographic characteristics investigated, only monthly income significantly differed between the groups ( = .044), being higher in the termination group. The participants in the non-termination group decided to proceed in a shorter time ( = .014). The majority of the participants in this group made this decision for religious reasons (56 percent), while in the other group, the decision was mostly based on baby-centered or parent-centered factors (48 percent and 52 percent, respectively) ( < .001). In the non-termination group, there was a significantly higher number of participants who expressed that their religious beliefs played an influential role in their decision ( = .002). In contrast, in the termination group, higher number of participants indicated that the information provided by their doctor was very effective in shaping their decisions ( < .001). According to the results of our study, social, cultural, and religious reasons seem to be the most important factors affecting participants' decisions related to pregnancy termination.
Artificial intelligence in scientific writing: sailing fair winds or between the devil and the deep blue sea?
Carneiro MM
Women Health · 2025 Jan · PMID 39722655 · Publisher ↗
Abstract loading — click title to view on PubMed.
The effect of nursing care during pregnancy termination on women's prenatal grief, depression, anxiety, stress and coping levels: A randomized controlled study.
Yeşildere Sağlam H, Gursoy E, Kartal Y
Women Health · 2025 Jan · PMID 39696803 · Publisher ↗
The termination of pregnancy is considered an emotionally devastating experience. Early intervention and counseling are essential to prevent adverse complications following pregnancy loss. This study aimed to determine t...
The termination of pregnancy is considered an emotionally devastating experience. Early intervention and counseling are essential to prevent adverse complications following pregnancy loss. This study aimed to determine the effect of nursing care based on Swanson's Theory of Caring on women's prenatal grief, depression, anxiety, stress, and coping levels during pregnancy termination. The training and counseling program, based on Swanson's Theory of Caring, included hospital care, a mobile application, and telephone follow-ups. We conducted this prospective randomized controlled experimental study in the gynecology and obstetrics clinic of a tertiary university hospital in Türkiye between September 2021 and May 2022. The study sample consisted of 50 women (intervention group: 25, control group: 25) whose pregnancy was terminated in the second trimester. The women were assigned to groups according to a randomization list created by a statistician. Data collection tools included a Personal Information Form, the Perinatal Grief Scale, the Depression, Anxiety, and Stress Scale, the Coping and Adaptation Process Scale, and the Numerical Rating Scale. We collected the data during hospitalization, between the 6 and 8weeks after discharge, and at the 12week. We performed a chi-square test, a paired samples t-test, and an independent samples t-test on the IBM Statistical Package for the Social Sciences Statistics 26. The intervention group had lower mean perinatal grief (54.76 ± 19.49), depression (2.56 ± 2.39), anxiety (2.08 ± 2.10), and stress (3.52 ± 1.78) scores and higher mean coping and adjustment scores (140.48 ± 11.47) than the control group( < .05). The intervention group also had a lower perception of labor pain, shorter discharge time, and a higher level of readiness for a new pregnancy ( < .05). The program that we applied in the study was effective in managing the pregnancy termination and post-discharge period in the population we studied.
Should gynecologists approach obesity? A survey analysis.
Sonnenfeld MM, Steiner MM, Tcherniakovsky M … +4 more , Benedito CBA, de Góes MH, Fernandes CE, Pompei LM
Women Health · 2025 Jan · PMID 39696799 · Publisher ↗
This study evaluated the prevalence of women attending gynecological consultations who wish to discuss weight issues, barriers preventing physicians from addressing obesity, and differences in perceptions between patient...
This study evaluated the prevalence of women attending gynecological consultations who wish to discuss weight issues, barriers preventing physicians from addressing obesity, and differences in perceptions between patients and physicians. A cross-sectional study was conducted from July 2021 to June 2022 at the , including 404 female patients (median age: 47.5 years) and 140 gynecologists. Most patients were obese, with class I obesity being the most common (58 percent). Among obese participants, 46.4 percent reported chronic hypertension, and 12.7 percent had type 2 diabetes. Nearly 90 percent of women supported discussing weight during consultations, and 80 percent recognized the benefits of modest weight loss. Physicians (average consultation time: 30 minutes) addressed weight regularly (75 percent) but cited insufficient time (55.7 percent) and inadequate training (40 percent) as barriers. While 67 percent of patients felt motivated to lose weight, 77.8 percent of physicians believed their patients lacked motivation. Both groups largely rejected pharmacological and surgical treatments. Most women viewed weight loss as their personal responsibility, while fewer than half of physicians agreed. These findings highlight gaps in communication and differing perceptions, emphasizing the need for educational interventions to enhance physician-patient interactions and integrate weight management into routine gynecological care.
Effects of Turkish fathers' gender role attitudes, marital adjustment, and maternal attachment on prenatal paternal attachment in third trimester.
Ercevik C, Koc G
Women Health · 2025 Jan · PMID 39658354 · Publisher ↗
The paternal attachment that fathers establish with their infants during pregnancy forms the basis of postnatal relationships and strongly affects the dynamics within the family. The present study was conducted to determ...
The paternal attachment that fathers establish with their infants during pregnancy forms the basis of postnatal relationships and strongly affects the dynamics within the family. The present study was conducted to determine the effects of fathers' gender role attitudes, marital adjustment, and maternal attachment on prenatal paternal attachment in the third trimester in Turkiye. This descriptive cross-sectional study was conducted between January and November 2023 and included 255 fathers whose partner was between 28 and 40 weeks old and who had a healthy pregnancy and their partners in the obstetric outpatient clinic of one of the most advanced university hospitals. The relevant data for the study were collected via the "Descriptive Characteristics Form," "Gender Role Attitudes Scale," "Marital Adjustment Scale," "Prenatal Attachment Inventory," and "Paternal Antenatal Attachment Scale." The descriptive characteristics data form was completed by the fathers, the gender role attitudes scale, the marital adjustment scale, and the prenatal attachment scale were completed by the fathers, and the prenatal attachment inventory was completed by their partners. Descriptive statistics, independent t-tests, one-way ANOVA, the Bonferroni correction, post hoc tests, and multiple linear regression were used to analyze the data. Among the descriptive characteristics evaluated, paternal age ( = .075) and perceived economic status ( = .216) were not revealed to have any effect on prenatal paternal attachment. Gender role attitudes ( = .238) and maternal attachment ( = .178) also had no effect on paternal attachment. Marital adjustment affected prenatal paternal attachment ( = .000). Since marital adjustment was found to be effective on paternal attachment in this study, it is recommended that this variable be integrated into prenatal care practices.
A bioinformatics analysis of gene expression in endometrial cancer, endometriosis and obesity.
Shibu S, Vasa S, Samantaray S … +7 more , Joshi N, Zala D, G Chaudhari R, Chauhan K, Patel H, Parekh B, Modi A
Women Health · 2025 Jan · PMID 39653677 · Publisher ↗
Endometrial cancer (EC), endometriosis (ENDO), and obesity (OBY) are interconnected conditions in women that may share underlying genetic pathways. This study aimed to identify shared genetic pathways and differential ge...
Endometrial cancer (EC), endometriosis (ENDO), and obesity (OBY) are interconnected conditions in women that may share underlying genetic pathways. This study aimed to identify shared genetic pathways and differential gene expressions across these conditions to uncover potential therapeutic targets. A bioinformatics pipeline was applied using gene expression datasets from the GEO database, incorporating differential expression analysis, functional and pathway enrichment, PPI network construction, survival analysis, and mutational profiling across 198 samples. The analysis revealed 26 shared differentially expressed genes (DEGs), with IGF-1, CREBBP, EP300, and PIAS1 identified as key hub genes. Elevated IGF-1 expression was significantly linked to poorer survival outcomes in EC patients ( < .05). Frequent mutations were observed in these hub genes, suggesting their critical role in disease mechanisms. This study highlights genetic links among EC, ENDO, and OBY, emphasizing high IGF-1 expression as a potential prognostic marker in EC and recurrent alterations in hub genes as promising therapeutic targets. These findings provide insights into the shared genetic underpinnings of these conditions and present new avenues for targeted therapies.
"I'm not a bad mother:" the experience of stigma among mothers with substance use disorder in the criminal justice system.
Stephenson KM, Wahler A, Berdine D … +3 more , McCormick-Cisse M, Abdelsayed S, Kahn LS
Women Health · 2025 Jan · PMID 39638312 · Full text
This study explores the impacts of stigma on the lives of pregnant and parenting women with substance use disorder (SUD) and justice involvement. We also uncover how some women were able to cope with adversity and take s...
This study explores the impacts of stigma on the lives of pregnant and parenting women with substance use disorder (SUD) and justice involvement. We also uncover how some women were able to cope with adversity and take steps to develop resilience. To guide our research, we combined Bos and colleagues' stigma theory with Windle's concept of resilience. Semi-structured interviews were conducted with 20 pregnant or parenting women in Western New York to uncover the contextual factors influencing care, resources, and social support. Our findings suggest that the presence of stigma hinders pregnant and parenting women's access to resources, care, and treatments while reinforcing marginalization, isolation, and continued substance use. Despite these challenges, some participants found ways to navigate and mitigate stigma while promoting resilience. Protective factors and strategies included: maintaining a positive motherhood identity, leveraging social support often outside the nuclear family, and having access to supportive, compassionate justice system resources. Understanding the strategies women with SUD use to overcome adversity can inform approaches that judges, case workers, and health care providers can use to engage and support women in recovery and reduce their experience of stigma.
Magnesium sulfate versus nifedipine for tocolysis: meta-analysis of randomized controlled trials.
de Souza ATB, de Lima Machado ML, Sarmento ACA … +6 more , Costa APF, Costa TXD, de Medeiros KS, Vale AJM, Cobucci RN, Martins RR
Women Health · 2025 Jan · PMID 39626700 · Publisher ↗
Preterm labor, defined as contractions occurring every 5-10 minutes with cervical changes before the 37th week of estimated gestation, is a significant cause of perinatal mortality. This meta-analysis aims to evaluate th...
Preterm labor, defined as contractions occurring every 5-10 minutes with cervical changes before the 37th week of estimated gestation, is a significant cause of perinatal mortality. This meta-analysis aims to evaluate the effectiveness and safety of magnesium sulfate compared to nifedipine in managing preterm labor. The systematic review protocol was registered with PROSPERO (CRD42023422419). Manuscripts published up to September 2024 were systematically searched in databases. Dichotomous data were pooled as odds ratios using a random-effects model with the Mantel-Haenszel method, while continuous data were analyzed as mean ± standard deviation values, mean differences, and standardized mean differences using inverse-variance fixed-effects analysis. Fifteen randomized clinical trials (RCTs) were included, enrolling a total of 2,186 pregnant women. Nifedipine showed a greater effect compared to a 4-gram IV dose of magnesium sulfate. However, the efficacy of these tocolytics in prolonging pregnancy by 48 hours did not significantly differ between nifedipine and a 6-gram IV dose of magnesium sulfate. Additionally, magnesium sulfate was associated with more adverse drug reactions. The moderate certainty of evidence found here requires confirmation in large, adequately powered RCTs.
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