Conectar
Commentary on: Kristiansen D, Boyle EH, Svec J. The impact of local supply of popular contraceptives on women’s use of family planning: findings from performance-monitoring-for-action in seven sub-Saharan African countries. Reprod Health. 2023 Nov 21;20(1):171.
Implications for practice and research The concept of ‘demand’ and ‘supply’, from the perspective of individual preferences shaped by cultural and societal norms, can be incorporated by health practitioners and policymakers when addressing the root causes of unmet health needs. Understanding women’s empowerment and agency in family planning requires a rights-based community-engaged research approach. Community-level data can illuminate the underlying mechanisms of healthcare utilisation preferences.
The issue of unmet contraceptive needs remains a gap in global healthcare, despite various contraceptive options available now more than ever.
Commentary on: Avalos LA, Adams SR, Alexeeff SE, et al. Neonatal outcomes associated with in utero cannabis exposure: a population-based retrospective cohort. Am J Obstet Gynecol. 2023; Nov 27. doi: 10.1016/j.ajog.2023.11.1232.
Implications for practice and research Healthcare professionals should provide counselling for anyone who is pregnant about how prenatal cannabis use can lead to adverse infant health outcomes. Further exploration is needed of the potential impact of prenatal cannabis on longer term outcomes, including the effects of cannabis strength and usage frequency.
In the USA, the incidence of cannabis use in pregnancy has increased from 3% (2002) to 7% (2017),
Commentary on: Chaiken, S.R., Darney, B.G., Schenck, M. and Han, L., 2023. Public perceptions of abortion complications. American journal of obstetrics and gynecology, 229(4), pp.421-e1.
Implications for practice and research Information provision, including clinical messaging and public health campaigns, needs to emphasise the safety of abortion, stressing accurate information on ‘true’ risks associated with respective procedures. Further research should focus on exploring and tackling misinformation for all abortion methods, establishing which perceived risks are associated with which procedure type.
Despite firm evidence on the safety of abortion,
Commentary on: Toledo-Chavarri A, Delgado J, Rodriguez-Martin B. Perspectives of women living with type one diabetes regarding preconception and antenatal care: A qualitative evidence synthesis. Health Expectations. 2023;27:e13876.
Enhanced peer support and coordinated care between health professionals are needed to address concerns of women with type 1 diabetes in pregnancy. The experiences and perceptions of diverse groups of women with type 1 diabetes need further exploration in order to ensure equitable care.
While guidelines provide evidence-based recommendations for women with type 1 diabetes in pregnancy, women’s perceptions of these recommendations are not well-known. Toledo-Chavarri and colleagues explore these perceptions and found that continuity of care, coordination between health professionals and services, and a more holistic approach are key aspects that are needed for more acceptable, feasible and equitable peripartum care.
Toledo-Chavarri and colleagues...
Commentary on: Wyss C, Inauen J, Cignacco E, Raio L, Aubry EM. Mediating processes underlying the associations between maternal obesity and the likelihood of cesarean birth. Birth. 2024 Mar;51(1):52-62. doi: 10.1111/birt.12751. Epub 2023 Aug 24.
It is important for future clinical practice to understand the risks of Caesarean Section (CS) to properly counsel pregnant patients, even if the patient is obese. It would be crucial to have CS delivery indications that are accepted at national and international levels, even in in obese women.
According to the literature, it appears that obese pregnant women are more likely to undergo a caesarean section than non-obese women. However, the mechanisms underlying these data have not yet been clarified.
The aim of the study of Wyss et al
Commentary on: McLean KA, Souter VL, Nethery E. Expanding midwifery care in the United States: Implications for clinical outcomes and cost. Birth. 2023 Dec;50(4):935-945. doi: 10.1111/birt.12748. Epub 2023 Jul 14. PMID: 37449767.
Implications for practice and research Wherever a midwifery model of care is implemented, women experience less caesarean section and other in labour interventions. More research is needed on the cost-effect of the implementation of a midwifery-led model of care.
Since 2016, Miller and colleagues proposed the concept of ‘too much too soon and too little too late’ to describe an imbalance in maternity care in terms of both resources and the translation of evidence.
Commentary on: Nielsen JM, Humaidan P, Jensen MB, et al. Early pregnancy bleeding after assisted reproductive technology: a systematic review and secondary data analysis from 320 patients undergoing hormone replacement therapy frozen embryo transfer. Hum Reprod 2023;38:2373–81.
Implications for practice and research Patients with autologous vitrified blastocyst transfer treated with a hormone replacement therapy frozen embryo transfer (FET) protocol should be informed that at least minor bleeding appears to be a common adverse event early in pregnancy. Future studies should include patients with natural timing of ovulation (natural cycle frozen embryo transfer, NC-FET) and placental attachment.
Vaginal bleeding is an adverse event that occurs in 20% of spontaneous pregnancies. Although many women with bleeding have normal term pregnancies, profuse bleeding, especially accompanied by pain, carries an increased risk of miscarriage. Our knowledge about early bleeding in pregnancy after hormone replacement therapy (HRT)...
Commentary on: Mehrtash H, Stein K, Barreix M, Bonet M, Bohren MA, Tuncalp Ö. Measuring women’s experiences during antenatal care (ANC): scoping review of measurement tools. Reprod. Health 2023; 20(1):150.
Outcome measures of maternity care are limited in scope to evaluating experiences of intrapartum care, and therefore may not capture women’s experiences of care during the entire antenatal period. Research that explores aspects of antenatal care that are important to maternity service users themselves would be beneficial to inform the development of instruments and measures to capture a broader range of antenatal care experiences.
Antenatal care (ANC) is the care given to women by healthcare professionals throughout pregnancy to childbirth, which should commence in early pregnancy. This is the first opportunity for most mothers to encounter their healthcare,
Commentary on: Rosemary A, Jenna M. W, Dawn P. Misra, and Carmen Giurgescu "Mother-Father Relationship and Depressive Symptoms Among Pregnant Black Women". West J Nurs Res 2023, 45(11) 1027–1034.
Implications for practice and research Future studies should evaluate the consistency of the three classes of mother–father relationships proposed by this research. During pregnant women’s emotional well-being screening, particular attention should be given to the mother–father relationship as a potential predictor of depressive symptoms.
Black women have a higher rate of mortality and morbidity during pregnancy than women of other racial and ethnic groups.
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