For women with autoimmune diseases and their spouses, pregnancy and autoimmune disease constitute ongoing stressors that persist throughout gestation, contributing to psychological and physical stress and complicating coping efforts. This study examines dyadic coping among Chinese couples facing autoimmune disorders during pregnancy, using network analysis to map how partners appraise and respond to stress together. An observational cross-sectional study was conducted from March to December 2024. A total of 185 pregnant women with autoimmune diseases and their spouses (n = 370) were recruited from obstetric outpatient clinics in Nanjing, China. Participants completed online versions of the Brief Illness Perception Questionnaire, Dyadic Coping Inventory, and Dyadic Adjustment Scale. Network models were estimated using Gaussian graphical models with EBICglasso regularization. The individual networks of pregnant women and spouses showed numerical differences in density and global strength; however, network comparison tests did not indicate significant differences in network structure or global strength. Supportive dyadic coping, common dyadic coping, and stress communication were among the most highly connected components in both networks. Pregnant women reported significantly lower dyadic satisfaction and adjustment than their spouses. In dyadic networks, supportive dyadic coping reported by pregnant women showed high centrality and bridge strength. The “No-history” group had numerically lower density and global strength than the “Had-history” group, but neither difference was statistically significant (network structure: P = 0.726; global strength: P = 0.383). This cross-sectional study identified dyadic coping patterns in pregnant women with autoimmune diseases and their spouses, highlighting that supportive coping, common coping, and stress communication were highly connected component of the observed networks. The findings may help generate hypotheses for gender-sensitive dyadic-support approaches. Longitudinal and intervention studies are also needed before clinical effectiveness can be inferred.
The association between remnant cholesterol (RC) and the risk of gestational diabetes mellitus (GDM) remains incompletely understood. This study aimed to investigate the relationship between RC and GDM in pregnant women at 12–14 weeks of gestation. This single-center retrospective study included 274 pregnant women who received prenatal care and were screened for eligibility at Wujiang Fifth Hospital, affiliated with Suzhou Vocational Health College, Suzhou, China, between January and December 2024. Firth penalized logistic regression analysis was used to estimate the association between RC and GDM risk. Receiver operating characteristic (ROC) curve analysis was performed to further evaluate the discriminatory performance of RC for GDM. RC levels were obtained by calculation. The overall incidence of GDM was 8.03
This study was conducted to assess pregnant women’s awareness of microplastic pollution, examine differences in awareness according to sociodemographic and selected healthcare-related characteristics, and explore participants’ information sources, risk perceptions, and educational needs related to the issue. This cross-sectional study employed an explanatory sequential mixed-methods design and was conducted with 126 pregnant women attending the obstetrics and gynecology outpatient clinic of a city hospital in Istanbul, Türkiye. Quantitative data were collected using the Microplastic Pollution Awareness Scale, while qualitative data were obtained through semi-structured in-depth interviews with 15 pregnant women. In addition to descriptive statistics, the data were analyzed using independent samples t-tests, one-way ANOVA, correlation analyses, and thematic analysis. Effect sizes were calculated using Cohen’s d for t-tests and eta-squared for ANOVA. 95
Male involvement during delivery has been noted as an opportunity to improve maternal and child health outcomes particularly health facility delivery as evidence has shown that, delivery in a health facility under the supervision of trained personnel is associated with improved maternal health outcomes. However, this opportunity faces deep-rooted views as pregnancy and childbirth are regarded solely as women’s responsibilities. The present study seeks to determine factors associated with male involvement in health facility delivery during child delivery by their partner. Data for this study was obtained from the 2022 Ghana Demographic and Health Survey (GDHS) conducted between October 2022 to January 2023. The weighted sample for analysis comprised 1,402 men aged 15–49 years. Data was analyzed with STATA version 14 using descriptive, and a multivariable logistic regression analysis. Statistically significant level was set at p < 0.05. The study found that 66.16
This study aimed to investigate the relationship between psychological resilience (PR) and prenatal distress (PD) in pregnant women and to identify the key variables associated with PD. This cross-sectional study was conducted at the Obstetrics and Gynecology Outpatient Clinic of Recep Tayyip Erdoğan University Training and Research Hospital between January 1, 2025, and October 1, 2025. A total of 71 pregnant women aged 21–40 years who applied to the Obstetrics and Gynecology Outpatient Clinic in consecutive order were included in the final analysis. Participants who volunteered to participate completed a sociodemographic data form, the Prenatal Distress Questionnaire (PDQ), and the Psychological Resilience Scale for Adults (PRSA). In the study, none of the sociodemographic and obstetric variables were statistically significantly associated with PD (p > 0.05). A weak negative and statistically significant correlation was determined between PD and PR total scores (r = -0.238, r² = 0.06; p = 0.046). This relationship was observed to be more prominent, and considerably stronger, in the family cohesion sub-dimension (r = -0.508, r² = 0.26; p < 0.001). In the multiple regression analysis including the six PR sub-dimensions, conducted to determine the variables associated with PD, it was found that family cohesion (B = -0.515, 95
