Intrapartum Analgesia—Have Women’s Preferences Changed over the Last Decade?

Background: Global access to social media has supposedly changed women’s awareness about the pharmacological and alternative methods of pain relief during vaginal delivery. The purpose of the study was to analyze changes in women’s preference and opinion about different forms of labor analgesia over the past decade. Materials and methods: The study was designed as an anonymous survey with questions about women’s knowledge and preference of different forms of pain relief in labor. The survey was conducted in 2010 and 2020, with data collected from 1175 women in 2010 and 1033 in 2020. Results: There were no differences between 2010 and 2020 in the proportion of women who wanted to receive analgesia in labor, at, respectively 67.9% of women in 2010 and 73.9% in 2020. About 50% of women chose epidural analgesia as the only efficacious method of pain relief in labor both in 2010 and 2020. There were no differences between the two time-points in the distribution of chosen methods of pain relief. In total, 92.3% of women in 2010 and 94.9% in 2020 thought that they should have the possibility of independent choice of analgesia method before the delivery (p < 0.04). Conclusions: A high proportion of Polish women choose EDA over other pharmacological and nonpharmacological methods of pain relief in labor, and this preference has not changed over the last decade. Increasing women’s knowledge about different methods of intrapartum pain relief may lead to wider use of nonpharmacological methods of pain relief.

Selling Beautiful Births: The Use of Evidence by Brazil’s Humanised Birth Movement

Maternal health care continues to be excessively medicalised in many national health systems. Global, national, and local level policy initiatives seek to normalise low-risk birth and optimise the use of clinical interventions, informed by strong evidence supporting care that is centred on women’s preferences and needs. Challenges remain in translating evidence into practice in settings where care is primarily clinician-led and hospital-based, such as in Brazil.I conducted an ethnography of the movement for humanised care in childbirth in São Paulo between 2015 and 2018. I draw on interviews and focus groups with movement members (including mothers, doulas, midwives, obstetricians, politicians, programme leads, and researchers), and observations in health facilities implementing humanised protocols, state health council meetings, and key policy fora (including conferences, campaigning events, and social media). Key actors in this movement have been involved in the development and implementation of evidence-based policy programmes to “humanise” childbirth. Scientific evidence is used strategically alongside rights-based language, such as “obstetric violence”, to legitimise moral and ideological aims. When faced with resistance from pro-c-section doctors, movement members make use of other strategies to improve access to quality care, such as stimulating demand for humanised birth in the private health sector. In Brazil, this has led to a greater public awareness of the risks of the excessive medicalisation of birth but can reinforce existing inequalities in access to high-quality maternity care. Lessons might be drawn that have wider relevance in settings where policymakers are trying to reduce iatrogenic harm from unnecessary interventions in childbirth and for supporters of normal birth working to reduce barriers to access to midwifery-led, woman-centred care.

Recognition and Usage of Sunscreen by Women in Yunnan Province, China

Purpose: In this study, we surveyed 1,325 women ranging in age from 10s to 40s and living in Yunnan province, China to examine their awareness regarding the harmfulness of ultraviolet (UV) rays, and their usage and preference of sunscreen.Methods: Questionnaires composed of a total of 22 questions were distributed using the online survey service Wenjuanxing. The data collected were analyzed through frequency analysis and crossover analysis using a statistics program.Results: Awareness that UV rays are harmful to the skin was present in 99.2% of the subjects. All age groups perceived the harmfulness of UV rays due to the same reasons, which were pigmentation, promotion of premature skin aging, and sunburn. Similarly, all age groups perceived that UV rays are harmful throughout the year.Conclusion: Awareness of the effects of UV rays helps Korean cosmetics companies to market and design sales strategies for sunscreen products in the southern region of China. This survey provided data specific to Yunnan regarding women's preferences, thereby facilitating comparative analysis with other regions in China.

Emerging adults’ preferred surnames: Reasons and social cognitive dispositions

Surname practices in the U.S. are believed to reflect and reinforce the enduring patriarchal nature of U.S. society. Yet, some women and men reject patriarchal expectations. Calls for research accounting for such individual variations have been made. We examine the role that dispositional differences play in preferences for and reasoning about marital surnames in a sample of U.S. heterosexual women and men. With an online survey, we examined 799 heterosexual unmarried emerging adults’ (mean age = 19.9) preferences for their own and a future partner’s surname, reasons for their preferences, and associations with social cognitive dispositions relevant to self- and other-orientations: narcissism and perspective-taking. The findings suggest greater flexibility about women’s surname preferences than previously reported. Approximately one-third of men and women were open to nontraditional options. Reasons for preferences included heritage, tradition, masculinity norms, conceptions of marriage and family, identity, family pressures, and practical reasons. After controlling for age, relational status, traditionalism, autonomy, and career aspirations, lower perspective-taking was predictive of women’s preferences for both partners to retain their birth names, whereas greater narcissism was associated with women’s preferences to retain their birth name. Greater narcissism was associated with men’s desires for both partners to use his name. Taken together, the addition of individual difference dispositions provides greater insight into surname preferences and reasons for those preferences beyond gender masculinity norms.

Medical Treatment for Endometriosis: Tolerability, Quality of Life and Adherence

Endometriosis is associated with painful symptoms, infertility, sexological difficulties, and psychological suffering. All these symptoms have a negative impact on the overall quality of life of women with the disease, with significant personal, social and economic costs. Several medical options are available to manage symptomatic endometriosis. The pharmacological treatment for endometriosis-related pain may be necessary for decades, or at least until there is a desire for pregnancy or physiologic menopause occurs. In this perspective, clinicians should consider not only the efficacy, but also side effects, tolerability, and costs, along with women's preferences toward different treatments. In this mini-review, we analyzed the pros and cons of the available drugs for the medical therapy of endometriosis, such as estrogen-progestins, progestins, GnRH agonist and GnRH antagonists.

Differential Effects of Resource Scarcity and Pathogen Prevalence on Heterosexual Women's Facial Masculinity Preferences

The present research focused on how environmental harshness may affect heterosexual women's preferences of potential male mates’ facial characteristics, namely masculinity-femininity. The evidence on this issue is mixed and mostly from Western samples. We aimed to provide causal evidence using a sample of Turkish women and Turkish male faces. A video-based manipulation was developed to heighten environmental harshness perceptions. In the main experiment, participants were primed with either resource scarcity, pathogen prevalence, or neither (control). They then saw masculinized versus feminized versions of the same faces and indicated the face they would prefer for a long-term relationship and separately rated the faces on various dimensions. In general, masculinized faces were perceived as slightly more attractive, slightly healthier, and much more formidable. A multilevel Bayesian model showed that pathogen prevalence lowered the preference for masculinized faces while resource scarcity weakly elevated it. The overall drop of attractiveness ratings in cases of high perceived pathogen prevalence, one of the strongest effects we observed, suggests that during epidemics, formation of new relationships is not a favourable strategy. Implications for evolutionary theories of mate preference are discussed.

Faces of men with high serum testosterone are less attractive for women during the fertility phase of the menstrual cycle

The attractiveness of the human face plays an essential role in mating as it may signal the genetic suitability of a mate. The controversial 'ovulatory shift hypothesis' postulates that women in the fertile phase of the menstrual cycle would prefer faces of masculine men with high testosterone that signals 'good genes', whereas in the non-fertile phase they prefer traits signaling the willingness to provide parental care. To examine relationships between men's testosterone and women's preferences for men's faces on day 13 of the menstrual cycle, 19 young women rated the attractiveness of images of the natural faces of 77 young men. Using advanced Bayesian multilevel modeling we showed that the attractiveness of men's faces is significantly lower in men with a high concentration of serum total testosterone, even taking into account the concentration of serum estrogen in the raters. The average men's face composited from images of 39 faces rated above pool median attractiveness rate, was slightly narrower than the average face composited from 38 less attractive faces. Our results challenge the 'ovulatory shift hypothesis' as faces of males with high circulating testosterone were rated as less attractive than faces of males with lower testosterone by women on the fertile phase of the cycle.

U.S. transgender women’s preferences for microeconomic interventions to address structural determinants of HIV vulnerability: a qualitative assessment

Background Transgender women in the United States (U.S.) experience a disproportionate burden of HIV infection and challenges to engagement in HIV prevention and care. This excess burden is driven by structural and economic inequities. Microeconomic interventions may be effective strategies for reducing HIV inequities for this population. However, few studies have explored transgender women’s preferences for microeconomic interventions to address structural determinants of HIV vulnerability. Methods We conducted individual interviews with 19 adult transgender women in 2 U.S. cities (Richmond, VA and St. Louis, MO) who reported one or more sexual risk behaviors and recent economic hardship related to employment/income, housing, or food security. Interviews were recorded, transcribed, and analyzed using thematic content analysis. Results The majority (74%) of transgender women were racial/ethnic minorities with mean age of 26.3 years. 89% were currently economically vulnerable; and 23% were employed full-time. 37% reported living with HIV. Participants expressed strong support for unrestricted vouchers, with many expressing the need for funds to support gender-affirming interventions. Assistance with how to budget and save and support for job acquisition, career planning, and employment sustainment were also preferred, including access to non-stigmatizing employment. Visible transgender leadership, group empowerment, and small (rather than large) numbers of participants were considered important aspects of intervention design for transgender women, including outreach through existing transgender networks to facilitate inclusion. Incorporating HIV counseling and testing to reduce vulnerability to HIV was acceptable. However, transgender women enrolled in the study preferred that HIV not be the focus of an intervention. Conclusions Flexible microeconomic interventions that support gender affirming interventions, improve financial literacy, and provide living-wage non-stigmatizing employment are desired by economically vulnerable transgender women. While not focused on HIV, such interventions have the potential to reduce the structural drivers of HIV vulnerability among transgender women.