Background: Although primarily stemming from research conducted in high-income countries, culturally sensitive knowledge of women's experiences with and needs during childbirth, as well as how such experiences affect their psychological health and wellbeing, is important to add to the big picture of women's experiences with childbirth worldwide.
Aim: The aim of the study was to clarify how primiparous women in Turkey experience childbirth and intrapartum care.
Methods: Grounded theory guided depth-interviews with 12 women, whose data were analysed according to the constant comparative method.
Findings: Participants reported wanting vaginal birth without interventions (i.e. normal birth), which required their empowerment as well as support from others. Although they recognised their readiness for the birth process as a decisive factor in coping with childbirth, they prioritised quality of care from healthcare professionals during birth, which most participants found unsatisfactory. They also highlighted the importance of giving birth in a health-promoting environment offering privacy, silence and comfort.
Discussion: To support normal birth, the World Health Organization's intrapartum care model prioritises continuity of care, respectful labour and childbirth care, effective communication from healthcare personnel and emotional support from a companion of choice. Salutogenesis can also guide clinical birth practices to promote normal birth and positive birth experiences.
Conclusion: All women strove to experience normal birth, which required antenatal education and emotional support from a partner or family and from healthcare professionals. Normal birth and positive childbirth experiences also required quality intrapartum care and a health-promoting environment.
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http://dx.doi.org/10.1016/j.wombi.2018.12.011 | DOI Listing |
PLoS Med
January 2025
Department of Women and Children's Health, School of Life Course and Population Sciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom.
Background: In 2017, the American College of Cardiology and American Heart Association (ACC/AHA) lowered blood pressure (BP) thresholds to define hypertension in adults outside pregnancy. If used in pregnancy, these lower thresholds may identify women at increased risk of adverse outcomes, which would be particularly useful to risk-stratify nulliparous women. In this secondary analysis of the SCOPE cohort, we asked whether, among standard-risk nulliparous women, the ACC/AHA BP categories could identify women at increased risk for adverse outcomes.
View Article and Find Full Text PDFFront Public Health
January 2025
School of Physical Education, Shanxi Normal University, Taiyuan, China.
Background: Over the past few decades, China has experienced significant demographic and epidemiological changes. The sharp decline in fertility and mortality rates has accelerated population aging, contributing to an increase in the prevalence of chronic diseases. The nutritional condition during early life is associated with the onset of chronic illnesses later in adulthood.
View Article and Find Full Text PDFSci Rep
January 2025
Office of the National Agency for Drug Clinical Trials, Changsha Hospital for Maternal, Child Health Care of Hunan Normal University, 416 Chengnan Dong Rd, Yuhua, Changsha, 410007, Hunan, China.
Pulmonary sequestration (PS) is a rare congenital malformation that is characterized by the absence of a connection between a portion of the lung tissue and the tracheobronchial tree, with blood supply from arteries throughout the body. Abnormal lung tissue cannot perform the normal gas exchange function. In the absence of timely diagnosis and early intervention, some cases may need labor induction, and some of the infants who survive may develop symptoms in childhood.
View Article and Find Full Text PDFSci Rep
January 2025
Department of Pharmacy, Faculty of Pharmacy, Uppsala University, Uppsala, Sweden.
The goal of this work is to investigate the sociodemographic characteristics and health status of women with breast cancer (BC) in association with COVID-19 by menopausal status. In a Swedish register-based cross-sectional study, we compared women with BC and with or without a positive COVID-19 test, stratified by menopausal status (age ≥ 51 years). Socioeconomic characteristics and health status (represented by diagnoses registered in 5 years- and prescription dispensed in 2 years preceding Jan 2020) were considered in association with COVID-19 diagnosis.
View Article and Find Full Text PDFBiomedica
December 2024
Grupo de Inmunodeficiencias Primarias, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.
Introduction: Congenital lymphopenias cause increased susceptibility to infections in children apparently healthy at birth. Earlier detection of these conditions would facilitate prompt treatment, prevent potentially serious disease complications and early deaths, and save healthcare resources.
Objective: To perform a pilot study for neonatal screening of congenital lymphopenias by the quantification of TREC and KREC –T- and B-cell receptor excision circles– in peripheral blood samples from newborns in Medellín, Colombia.
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