Reproductive Health Profile Research Articles

Reproductive health in women with serious mental disorder

The objective of this work was to investigate the reproductive health profile of 106 women admitted to a Psychosocial Support Center (CAPS), in Aracaju, Brazil, and to assess the need for targeted family planning (FP). Methods: They were divided into two groups based on their diagnosis (schizophrenia and mood disorders). The data were obtained from medical records and applying a reproductive health questionnaire. Results: In the group of patients with schizophrenia: 26.4% were single, 33% had an active sex life, 13.2% used contraceptive methods and 35.5% used it incorrectly. In the group of patients with mood disorder: 23.6% were single, 32.1% had an active sex life, 16.0% used contraceptive methods and 41.9% used it incorrectly. 75.5% of them had children and none participated in an FP program. Those who had underage children and were unable to care for them corresponded to 41.5% in the group of patients with schizophrenia and 32.1% in the group of patients with mood disorder. Conclusion: The reproductive health profiles were similar despite different psychiatric diagnoses. This suggests that if there was only one effective FP action plan, it would reach this entire population and reduce the damage of neglect.

Genetic Factors of Non-Obstructive Azoospermia: Consequences on Patients' and Offspring Health.

Non-Obstructive Azoospermia (NOA) affects about 1% of men in the general population and is characterized by clinical heterogeneity implying the involvement of several different acquired and genetic factors. NOA men are at higher risk to be carriers of known genetic anomalies such as karyotype abnormalities and Y-chromosome microdeletions in respect to oligo-normozoospermic men. In recent years, a growing number of novel monogenic causes have been identified through Whole Exome Sequencing (WES). Genetic testing is useful for diagnostic and pre-TESE prognostic purposes as well as for its potential relevance for general health. Several epidemiological observations show a link between azoospermia and higher morbidity and mortality rate, suggesting a common etiology for NOA and some chronic diseases, including cancer. Since on average 50% of NOA patients has a positive TESE outcome, the identification of genetic factors in NOA patients has relevance also to the offspring’s health. Although still debated, the observed increased risk of certain neurodevelopmental disorders, as well as impaired cardiometabolic and reproductive health profile in children conceived with ICSI from NOA fathers may indicate the involvement of transmissible genetic factors. This review provides an update on the reproductive and general health consequences of known genetic factors causing NOA, including offspring’s health.

Improving maternal healthcare in Georgia

Abstract Improvement of reproductive health is a worldwide priority. Maternal and perinatal mortality and morbidity are frequently used as measure of quality of the healthcare. Thus, reduction of maternal morbidity and mortality are important goal for the SDGs. Hence, maternal and new-borns health are crucial to report accurately. The key requirement for progress is to have as much precise data as it is possible. Several tools are developed for quality surveillance; among them is the medical birth registry. Georgia is a developing country which recently had healthcare in transition. Over the last decade, Georgia’s health sector has improved quality and embraced evidence-based medicine. Transformation and progress attributed reproductive healthcare. Country elaborated strategic plan and set achievable target for maternal and children’s mortality ratios for 2030. Georgia developed national maternal surveillance system. However, country has been lacking precise, comprehensive, and longitudinal data dealing with the reproductive health. Thus far, data on associated health services mainly derived from the sporadic on-demand surveys. Routine info on mortality and morbidity were available as aggregated data with a lack of epidemiological analysis. In order to provide proper reproductive health profile, Georgia created a nationwide medical birth registry (GBR). GBR has made it possible to create a precise epidemiological analysis and to ensure the evidence-based reporting. To improve epidemiological research capacity, PhD projects were implemented a year after the GBR started operation, in the frame of cooperation of Norwegian and Georgian Universities. Moreover, universities initiated tracks for master students to have internship and graduate thesis in GBR related topics. Overarching goals of the GBR are numerous. Although compilations of statistics and ensuring scientific bases for advice through generated researches are beneficial for universities and country as well. Key messages Studies, based on transparency of highly accurate medical statistics gives possibility for effective implementation of evidence-based public health interventions. Recommendations provided by registry based studies have a pivotal role in formulation and revision of relevant public health strategies.

Socio-Demographic and Reproductive Health Profile Among Egyptian Women with Uterine Fibroid

AbstractBackground: Uterine fibroid is the most common benign gynecological tumors affecting as many as 25% of women in the reproductive age.Aim of Study: The aim of the current study is to assess Socio-demographic and reproductive health profile among Egyptian women with uterine fibroid.Subject and Methods: A descriptive research design was adopted in this study.Setting: The study was conducted in Inpatient and out-patient Gynecological Clinic at El-Manial Maternity Hospital.Sample: A non-probability convivence sample of 120 women with uterine fibroid were chosen based on certain inclusion criteria.Tool: Structured interviewing questionnaire sheet was used for data collection.Result: The mean age of the study sample was 41.4±5.3, 46.7% lived in rural areas, 45.8% had completed their sec-ondary education, 82.5% were married, 59.2 were working and 78.3% had low income. 64.2% were obese, 88.3% reported past history of hypertension, 83.3% reported high level of lipid profile and 79.2% had family history of uterine fibroid and their mother was the main first family member suffering from this problems followed by the sister (16.8%) respectively. 65.8% had early menarche at age of <14yrs, Moreover more than half of the study sample 77.8% their gravida more than once, 70.7% their parity ranged between (1-3 times), 57.5% used oral hormonal contraceptive methods.Conclusion: The study conducted that, middle menopausal age, living in rural area, marriage, low socioeconomic sta-tus,obesity, past medical history of hypertension and high lipids, Positive family history of uterine fibroid, Early age of menarch, parity, using oral hormonal contraceptive methods were the most common Socio-demographic and Reproductive health profile among Egyptian women With uterine fibroid.Recommendations: Further studies should be done to predict the association between socio-demographic and reproAbstractBackground: Uterine fibroid is the most common benign gynecological tumors affecting as many as 25% of women in the reproductive age.Aim of Study: The aim of the current study is to assess Socio-demographic and reproductive health profile among Egyptian women with uterine fibroid.Subject and Methods: A descriptive research design was adopted in this study.Setting: The study was conducted in Inpatient and out-patient Gynecological Clinic at El-Manial Maternity Hospital.Sample: A non-probability convivence sample of 120 women with uterine fibroid were chosen based on certain inclusion criteria.Tool: Structured interviewing questionnaire sheet was used for data collection.Result: The mean age of the study sample was 41.4±5.3, 46.7% lived in rural areas, 45.8% had completed their sec-ondary education, 82.5% were married, 59.2 were working and 78.3% had low income. 64.2% were obese, 88.3% reported past history of hypertension, 83.3% reported high level of lipid profile and 79.2% had family history of uterine fibroid and their mother was the main first family member suffering from this problems followed by the sister (16.8%) respectively. 65.8% had early menarche at age of <14yrs, Moreover more than half of the study sample 77.8% their gravida more than once, 70.7% their parity ranged between (1-3 times), 57.5% used oral hormonal contraceptive methods.Conclusion: The study conducted that, middle menopausal age, living in rural area, marriage, low socioeconomic sta-tus,obesity, past medical history of hypertension and high lipids, Positive family history of uterine fibroid, Early age of menarch, parity, using oral hormonal contraceptive methods were the most common Socio-demographic and Reproductive health profile among Egyptian women With uterine fibroid.Recommendations: Further studies should be done to predict the association between socio-demographic and reproductive factors and the risk for uterine fibroid and examine it's impact on the quality of life.

Reproductive health in humanitarian settings in Lebanon and Iraq: results from four cross-sectional studies, 2014\u20132015

BackgroundReproductive health is an important component of humanitarian response. Displaced women need access to family planning, antenatal care, and the presence of a skilled birth attendant at delivery. Since the beginning of the Syrian conflict in 2011, Lebanon and Iraq have been hosting large numbers of refugees, thereby straining local capacities to provide these services. In order to identify salient health needs, Médecins Sans Frontières conducted a survey in several sites hosting refugees and internally displaced persons across the region. Here we describe the reproductive health profile of Syrian refugees, Iraqi displaced persons, and vulnerable Lebanese and their use of services.MethodsWe conducted four cross-sectional surveys in 2014–2015 in two sites in Lebanon and two sites in Iraq. Depending on the site, two-stage cluster sampling or systematic sampling was intended, but non-probability methods were employed at the second stage due to implementation challenges. We collected information on overall health (including reproductive health) and demographic information from heads of households on the basis of a standardized questionnaire. Pearson chi-square tests were used to compare proportions, and generalized linear models were used to calculate odds ratios with regard to risk factors. All analyses were performed using the survey suite of commands in Stata version 14.1.ResultsA total of 23,604 individuals were surveyed, including 5925 women of childbearing age. Overall, it was reported that 7.5% of women were currently pregnant and 12.8% had given birth within the previous 12 months. It was reported that pregnancy was unplanned for 57% of currently pregnant women and 66.7% of women who had delivered in the previous year. A slight majority of women from both groups had accessed antenatal care at least once. Amongst women who had delivered in the previous year, 84.5% had done so with a skilled birth attendant and 22.1% had had a cesarean section. Location and head of household education were predictors of unplanned pregnancy in multivariable analysis. Head of household education was also significantly associated with higher uptake of antenatal care.ConclusionsConsidering the large number of pregnant women and women having recently delivered in these settings, addressing their sexual and reproductive health needs emerges as a crucial aspect of humanitarian response. This study identified unmet needs for family planning and high cesarean section rates at all sites, suggesting both lack of access to certain services (contraception, antenatal care), but also over-recourse to cesarean section. These specific challenges can impact directly on maternal and child health and need today to be kept high on the humanitarian agenda.

Childhood experiences of parenting and age at menarche, age at menopause and duration of reproductive lifespan: Evidence from the English Longitudinal Study of Ageing

ObjectivesThe parent-child relationship is critical for human development, yet little is known about its association with offsprings’ reproductive health outside the context of abuse and neglect. We investigated whether childhood experiences of poor-quality parenting (characterized as decreased parental care and increased parental overprotection) are associated with women’s reproductive timing and lifespan. Study designObservational study of 2383 women aged 55–89 years in 2007 from the English Longitudinal Study of Ageing (ELSA). Multinomial logistic regression models were estimated. Main outcome measuresSelf-reported ages at menarche and menopause and duration of reproductive lifespan. ResultsIncreasing maternal and paternal overprotection were associated with later menarche (≥16 years) after adjustment for age and childhood socioeconomic position (relative risk ratio (RRR) 1.11, 95% CI 1.02–1.21 and 1.11, 95% CI 1.01–1.21, respectively, per unit increase in the predictor). Increasing parental overprotection and decreasing paternal care were associated with earlier menarche (≤10 years). However, these associations were marginally non-significant. Maternal and paternal overprotection were also inversely associated with age at natural menopause after adjustment for age, childhood socioeconomic position and age at menarche (p value for linear trend = 0.041 and 0.004, respectively). Further, increasing paternal overprotection was associated with a shorter reproductive lifespan (≤33 years) (RRR 1.09 (1.01–1.18), per unit increase in the predictor) after adjustment for age and childhood socioeconomic position. Adjustment for additional childhood and adult factors did not explain these associations. ConclusionsWomen who experienced poor-quality parenting in childhood, especially increased levels of parental overprotection, might be at increased risk of an unfavourable reproductive health profile that is characterized by late or early menarche, premature menopause and a shorter reproductive lifespan.

Reproductive health profile and circumcision of females in the Hali semi-urban region, Saudi Arabia: A community-based cross-sectional survey.

BACKGROUNDImproving the reproductive health of females has become the focus of the developmental efforts of many nations.OBJECTIVESTo identify the reproductive health style of married females, and to determine the prevalence and predictors of circumcision among girls aged ≤18 years in Hali semi-urban region.DESIGNA cross-sectional household surveySETTINGHouses in Hali, Al-Qunfudhah governorate, western Saudi Arabia during 2017.SUBJECTS AND METHODSA multistage systematic cluster random sampling method was used to select participants. A validated questionnaire was used in interviewing the head of the selected houses.MAIN OUTCOME MEASURESReproductive health profile of women, and circumcision of girls.SAMPLE SIZE365 households.RESULTSReproductive life starts early in the Hali region as 41.4% of women are married at or before 18 years of age. Consanguinity was recorded in 57.0% of houses. The prevalence of grand multiparity (GMP) was 54.7%; it was significantly associated with current maternal age, age at marriage, low educational levels of both parents and husbands with non-professional jobs. Current use of birth control methods was reported by 28.9% of families, and oral contraceptives (OCs) were the commonest method. Contraceptive use was significantly associated with higher educational levels of both parents and with women having professional work. The prevalence of circumcision was 80.3%. Circumcision was most frequent (59.4%) at age 7 years or less, and almost always done by doctors (91.4%). Hemorrhage (2.9%) and fever (2.3%) were the minimal recorded complications. Girls with higher parental education, enough income, no parental consanguinity, and whose mothers married at an older age had slightly lower rates of circumcision, but the difference was without statistical significance.CONCLUSIONThe pattern of early female marriage, high consanguinity, GMP, low contraceptive use, and a high frequency of circumcision in girls was apparent in Hali. Public health education and legislative policies are needed.LIMITATIONSRecall bias may affect the reported frequency of circumcision, and related complications.

Lifestyle-Related Factors Associated with Reproductive Health in Couples Seeking Fertility Treatments: Results of A Pilot Study.

BackgroundThe objective of this pilot study was to evaluate the feasibility of conducting a larger prospective cohort study, which will aim at determining the independent contribution of male and female lifestyle-related factors to assisted reproductive technology (ART) success. The study also examined whether couples seeking fertility treatments present lifestyle-related factors that may interfere with their reproductive health.Materials and MethodsThis prospective pilot study was conducted in a fertility clinic between May 2015 and February 2016. Feasibility factors evaluated were recruitment rates, compliance with the protocol, retention rate and ART outcomes at six-month follow-up. Anthropometric profile and lifestyle habits of both partners were evaluated before the beginning of infertility treatments.ResultsWe approached 130 eligible infertile couples. Among them, 32 (25%) agreed to participate and 28 (88%) complied with the protocol. At six-month follow-up, seven couples (25%) did not start, or stop, infertility treatments and 13 couples (62%) achieved a clinical pregnancy. Among the 28 couples included in the analyses, 16% of the partners were obese and 23% had abdominal obesity. The majority of the subjects were still drinking alcohol (84%). Sixty-eight percent of women needed improvement in their diet (vs. 95% of men, P=0.05) and none of them achieved the Canadian recommendations for physical activity (vs. 33% of men, P=0.001). Moreover, 35% of the partners had a poor sleep quality. Overall, women presented a worse reproductive health profile than men, with 3.1 and 2.4 out of seven adverse factors, respectively (P=0.04).ConclusionConducting a large prospective cohort study in our fertility clinic will be feasible but recruitment and compliance with the protocol need to be improved. Many women and men seeking fertility treatments present unfavourable lifestyle-related factors that may explain, at least partially, their difficulties in conceiving.

Socio-demographic and reproductive health profile of women who experienced signs of obstetric fistula: Results from Pakistan Demographic and Health Survey (PDHS) 2006–2007

Objectiveto examine the socio-demographic profile of women experiencing signs of obstetric fistula and factors contributing to the development of this condition in Pakistan. Methodssecondary data analysis of Pakistan Demographic and Health Survey 2006-07, which for the first time measured signs of obstetric fistula, using a questionnaire at a population level. For the present study, questions directly related to obstetric fistula signs were used to construct a dependent variable. Data were analysed by descriptive and logistic regression analysis, to examine factors associated with development of fistula. Findingsamong women of reproductive age (n = 9134, aged 15–49 years), some 277 (3.0%, 30 per 1000 women who ever gave birth) experienced obstetric fistula signs, whereas 103 (1.1% of all women) were still experiencing the condition at the time of survey. In a logistic regression model, women from the Punjab region (OR = 5.67, 95%CI = 2.10–15.31), women who delivered by caesarean section (OR = 1.91, 95% CI = 1.06–3.42) and reported having complications during pregnancy were more likely to develop obstetric fistula (OR = 1.96, 95%CI = 1.19–3.16). ConclusionsObstetric fistula is one of the neglected public and reproductive health concerns in Pakistan. To eliminate this preventable tragedy, there is a need for better emergency obstetric care facilities and the availability of a fistula repair service throughout the country.

Reproductive Health Profile of the Scheduled Caste and Scheduled Tribe Women of Rajasthan, India~!2009-09-07~!2009-10-19~!2010-09-02~!

Reproductive Health Profile of the Scheduled Caste and Scheduled Tribe Women of Rajasthan, India~!2009-09-07~!2009-10-19~!2010-09-02~!

Reproductive Health Profile of Women and Female Circumcision in a Squatter Area in Alexandria

Reproductive Health Profile of Women and Female Circumcision in a Squatter Area in Alexandria

Reproductive health profile in rural Pakistan

International Journal of Gynecology & ObstetricsVolume 70, Issue S5 p. E29-E29 Free communication Obstetrics and gynecology health delivery Reproductive health profile in rural Pakistan R. Sohail, R. SohailSearch for more papers by this authorS. Lodhi, S. LodhiSearch for more papers by this authorF. Zaman, F. ZamanSearch for more papers by this author R. Sohail, R. SohailSearch for more papers by this authorS. Lodhi, S. LodhiSearch for more papers by this authorF. Zaman, F. ZamanSearch for more papers by this author First published: 11 December 2003 https://doi.org/10.1016/S0020-7292(00)82430-3AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume70, IssueS52000Pages E29-E29 RelatedInformation

Reproductive health profile of married women: experience from a rural community of Bangladesh

Design: The study was a community based cross sectional study. Objective: The study was conducted to find out the reproductive health profile of rural married women of a selected rural community in Dhamrai Upazila of Dhaka district. Materials and Methods: The study was conducted among 204 married women of reproductive age included considering specific selection criteria. Data were collected by face-to-face interview using a semi-structured questionnaire. Maintaining quality control check data were processed and analyzed by using SPSS software. Results: The study revealed that majority of the women were either illiterate (34.1%) or had primary education (33.3%) with mean age of 31+8.65 years. Most of them (88.2%) were house wives and major segment (52.9%) had poor monthly family income (Tk.5000-10000). Among all, 63.7% were married within 11-17 years of age and 69.8% gave birth of first child during adolescence (16- 18 years). Major part (60.29%) of the women didn't use any contraceptive and only 38.55% utilized antenatal care. Average number of children was 2.73+1.52 and most of the delivery (81.6%) was conducted at home by untrained birth attendants (57.0%). Adverse pregnancy outcome included abortion, menstruation regulation, still birth, complications to new born and mothers. Reproductive health problems faced by the women included menstrual problem, physical assault, leucorrhea, mental torment, sexual annoyance, puerperal infection, pregnancy related complications, urinary tract infection &amp; pelvic inflammatory disease. Most (81.43%) of the illiterate women didn't utilize ante-natal care while majority (60.0%) having higher secondary school certificate (HSC) had =3 ante-natal visits and this variation was statistically significant [?2(12)=26.35, p&lt;0.05]. Majority (71.21%) of the illiterate women didn't use any contraceptive method while most of them having HSC used either condom or oral contraceptive and this discrepancy was statistically significant [?2(12)=27.86, p&lt;0.05]. Majority (67.1%) of the illiterate women were delivered by untrained birth attendants whereas all women having HSC were delivered by doctor (40.0%), nurse (20.0%) and traditional birth attendant (40.0%), this difference was statistically significant [?2(12)=24.57, p&lt;0.05]. Conclusion: Reproductive health profile was worse among the illiterate, less aware and low income rural women. The study recommends formulation and implementation of effective strategies to improve reproductive health status of the rural women. Key words: Married women; reproductive health; pregnancy profile; rural community. DOI: http://dx.doi.org/10.3329/bjms.v10i4.9496 BJMS 2011; 10 (4): 252-256