The effect of level of anxiety about climate change on the use of feminine hygiene products.

OBJECTIVE: The purpose of this study was to evaluate the relationship between women's menstrual hygiene product use and their level of concern around climate change as well as to identify the variables influencing this relationship. METHODS: In all, 978 women between the ages of 18 and 49 who were of reproductive age participated in this descriptive cross-sectional study. The CHERRIES criteria were followed in conducting the online survey. Data were gathered using the "personal information form" and the Climate Change Anxiety Scale for Women's Health The data were analyzed using descriptive analysis, multiple linear regression, and logistic regression. RESULTS: Women were more prone to using throwaway goods than eco-friendly, sanitary goods when their climate change worry level was lower. Age, education level, region of residence, and the intensity of menstrual bleeding have an impact on the hygiene products used during the menstrual cycle, whereas environmental pollution in the area of residence and a woman's allergy status have an impact on the level of climate change anxiety concerning a woman's health. CONCLUSION: Women who are worried about how climate change will affect their health prefer to purchase sustainable/eco-friendly items. Starting in adolescence, women can receive advice about the use of sustainable products from health experts who are primarily responsible for women's health.

Evaluation of Sexual Function Outcomes in Patients with Rokitansky Syndrome: A Systematic Review and Meta-analysis.

OBJECTIVE: In patients with Rokitansky syndrome, vaginal agenesis can be treated using various surgical techniques, and various factors can affect each surgery outcome in the long term. This meta-analysis aimed to evaluate sexual function outcomes in patients with Rokitansky syndrome after various surgery techniques. DATA SOURCES: Searches were conducted in Google Scholar, PubMed, Cochrane database, ScienceDirect, Web of Science, and ClinicalTrials.gov. Systematic searches were conducted on studies published until November 2022 (CRD42022370735). METHODS OF STUDY SELECTION: During the first stage of database scanning and reference check, 1820 results were identified, and an evaluation of the total 10 studies was finally conducted. The inclusion criteria involved selecting randomized controlled trials that focused on assessing sexual function after surgical treatment in patients of all ages with Rokitansky syndrome. TABULATION, INTEGRATION, AND RESULTS: EndNote version 20 software was used to organize and identify duplicate articles through screening. The Joanna Briggs Institute's critical appraisal tool was used to evaluate each study's quality for bias potential. The results showed that the total scores of female sexual functions in patients with Rokitansky syndrome after vaginoplasty were significantly lower than in healthy women (standardized mean difference, -0.233; p <.05; range, -0.376 to -0.090). The 6-domain analysis of the Female Sexual Function Index questionnaire revealed that lubrication (p <.05) and satisfaction (p <.05) were significantly lower in patients undergoing vaginoplasty. CONCLUSION: All surgical techniques to create a neovagina for patients with Rokitansky syndrome have successfully affected the sexual function outcomes. Considering all other factors affecting sexual function outcomes in the long term, more quantitative and qualitative studies are needed to assess sexual satisfaction in patients treated with surgical techniques.

Effect of lifestyles on fear of pregnancy: Development and psychometric testing of the fear of pregnancy scale.

OBJECTIVE: Pregnancy may be a cause of fear for some women. Fear of pregnancy is a woman's belief that her health or life may get worse due to pregnancy. This study aimed to develop a valid and reliable instrument to measure fear of pregnancy in women, and determine the effect of lifestyle on fear of pregnancy. METHODS: This study was conducted in three phases. For the first phase, item generation and selection were made through qualitative interviews and literature review. In the second phase, items were administered to 398 women of reproductive age. The scale development phase was completed with exploratory factor analysis and internal consistency analysis. In the third phase, the Fear of Pregnancy Scale was developed, and was administered, together with the Lifestyle Scale, to women of reproductive age (n = 748). RESULTS: The Fear of Pregnancy Scale was found to be a valid and reliable instrument for women of reproductive age. Perfectionism, control and self-esteem lifestyles were found to influence fear of pregnancy. Furthermore, fear of pregnancy was significantly more common in primiparous women and women with insufficient information about pregnancy. CONCLUSION: This study found that fear of pregnancy was moderate and varied with lifestyle. Factors associated with fear of pregnancy that remain unspoken, and how they affect women's lives are not yet known. Evaluation of fear of pregnancy in women can be an important step in showing adaptation to future pregnancy, and revealing its effects on reproductive health.

Expectant Fathers' perceptions towards high-risk pregnancy and experiences in this period: A study of hermeneutic phenomenology.

BACKROUND: High-risk pregnancy affects maternal and infant health negatively and it may be the beginning of a process with traumatic outcomes for women and their spouses. Identifying the experiences and perceptions of expectant fathers in this process is important to develop support factors for women and their spouses. OBJECTIVE: To identify expectant fathers' perceptions towards high-risk pregnancy and their experiences during the high-risk pregnancy period. PARTICIPANTS: Fifteen expectant fathers whose spouses were admitted to the hospital due to high-risk pregnancy were interviewed for the study. DESIGN: This study was conducted using an interpretive paradigm based on the Heideggerian hermeneutic phenomenology, which is a qualitative research method. Data were collected through in-depth telephonic interviews. The interviews were recorded, transcribed verbatim and analyzed thematically. FINDINGS: Four main themes were obtained: "Emotional burden", "Coping mechanisms", "Adaptation to fatherhood" and "High-risk pregnancy journey". The expectant fathers said that they had so many emotions during this process, could cope by praying and with support from their spouses, longed for their unborn child and had increased responsibilities due to paternity. CONCLUSIONS: The results of this study indicated that men struggled emotionally, had very few coping strategies, questioned the high-risk pregnancy process, had several expectations and formed father-infant attachment during the high-risk pregnancy. Further studies are needed that review how midwives and nurses can support expectant fathers in this process and that provide opportunities for the improvement of clinical roles in this regard.