Видання іноземною мовою. Кафедра акушерства та гінекології

Ukrainian students’ conceptualisations of sexual and reproductive health and rights within a transformative learning programme during wartime: a qualitative study

2026-07-30T09:01:29Z

Ukrainian students’ conceptualisations of sexual and reproductive health and rights within a transformative learning programme during wartime: a qualitative study Klimanska, M.; Borneskog, C.; Haletska, I.; Erlandsson, K.; Klos, L.; Herasym, H.; Mogilevkina, I.; Marichereda, V.; Borshch, V.; Nitochko, K.; Klymanska, L. Sexual and reproductive health and rights (SRHR) education is particularly important in wartime Ukraine, where young people face disrupted access to services, persistent socio -cultural taboos, and increased vulnerability related to conflict. However, little is known about how Ukrainian students and future professionals understand and make sense of SRHR. Objective: This study explored how SRHR was conceptualised in pre -course written responses and articulated in post -course focus group reflections, and how these framings related to students’ future professional readiness in wartime Ukraine. Methods: A qualitative exploratory design was used. Data comprised pre -course open -ended responses (n = 15) and post -course focus group discussions (three groups; n = 16) from voluntary participants of the same international SRHR course. The two datasets were analysed using framework analysis and treated as complementary qualitative sources rather than as matched individual -level pre -post data. Results: Pre-course written responses showed that students mostly understood SRHR in biomedical and informational terms, focusing on reproductive health, contraception, sexually transmitted infections, and access to medical services. In post -course focus group reflections, SRHR was discussed more broadly, with attention to psychological, social, ethical, institutional, and rights -based dimensions: students reflected on professional responsibility, youth -friendly services, structural barriers, and the importance of SRHR in the context of war. Conclusions: Transformative learning-based SRHR education provided a useful context for broader reflection on sexual and reproductive health and rights among future professionals. Integrating such courses into higher education may support professional reflection and preparedness for SRHR-related practice during war and post-war recovery in Ukraine.

Institutional experience with laparoscopic anterior vaginocervicopexy using a mesh implant in patients with anterior compartment defect and apical prolapse of varying severity

2026-07-20T11:11:29Z

Institutional experience with laparoscopic anterior vaginocervicopexy using a mesh implant in patients with anterior compartment defect and apical prolapse of varying severity Chekhanov, Yu. O.; Chekhanov, O. Yu.; Gladchuk, I. Z.; Чеханов, Ю. О.; Чеханов, О. Ю.; Гладчук, І. З. In reconstructive pelvic floor surgery using synthetic implants, several laparoscopic techniqueshave evolved as alternatives to sacrocolpopexy. Laparoscopic vaginocervicopexy is intended to correct apical descent together with anterior compartment failure. Since its first publication, the techniquehas been repeatedly modified, emphasizing the need to evaluate outcomes of different technical refinements across clinical scenarios. The aim of this study was to report a single-center experience with a modified laparoscopic vaginocervicopexy technique and to assess its effectiveness in relation to defect location and severity.; У реконструктивно-пластичній хірургії генітального пролапсу із застосуванням сітчастих імплантів сформувався спектр лапароскопічних методик, що розглядаються як альтернатива сакрокольпопексії. Лапароскопічна вагіноцервікопексія спрямована на корекцію апікального пролапсу та дефекту переднього компартменту. Від моменту першої публікації ця техніка неодноразово змінювалася й удосконалювалася, що підкреслює необхідність оцінки результатів її модифікацій у різних клінічних ситуаціях. Мета дослідження – представити власний досвід застосування модифікованої лапароскопічної вагіноцервікопексії та проаналізувати ефективність методики залежно від ступеня важкості й локалізації дефекту.

Metabolic diseases and mental disorders in female subfertility: effectiveness of cognitive behavioral therapy intervention

2026-07-20T08:49:30Z

Metabolic diseases and mental disorders in female subfertility: effectiveness of cognitive behavioral therapy intervention Artyomenko, V.; Zhelezov, D.; Lahoda, D.; Derishov, S.; Velichko, G.; Kugel, V.; Baratiuk, A.; Ioan Dumitru Suciu Women with impaired fertility and metabolic disturbances often experience anxiety, depressive symptoms, emotional overeating, and dysfunctional beliefs related to body weight and self-image. This study evaluated the effectiveness of a structured cognitive behavioral therapy program in this patient group. A total of 609 women with metabolic disturbances were initially screened, including 314 women with primary or secondary subfertility; 240 eligible women aged 25–44 years were subsequently included in the prospective randomized controlled trial. Participants were randomized to standard care combined with a 12-week cognitive behavioral therapy program or to standard care alone. Psychological, behavioral, anthropometric, and laboratory parameters were assessed at baseline and after 12 weeks. The intervention group showed a greater reduction in depressive and anxiety symptoms than the control group. Cognitive behavioral therapy was also associated with fewer maladaptive automatic thoughts, reduced emotional overeating, increased physical activity, better dietary adherence, and moderate improvements in body mass index, waist circumference, glucose metabolism, and lipid profile. Cognitive behavioral therapy may be an effective component of interdisciplinary care for women with subfertility and metabolic disturbances.

Fertility intentions among medical students in war-torn Ukraine: a cross-sectional survey

2026-07-17T12:48:11Z

Fertility intentions among medical students in war-torn Ukraine: a cross-sectional survey Mogilevkina, I.; Matts Olovsson; Getsko, O.; Marichereda, V.; Tanja Tyden Ukraine’s total fertility rate was 0.9 in 2022, among the lowest in Europe. Amid the ongoing fullscale invasion, understanding reproductive intentions is important for informing future pronatalist policies. This study assessed fertility intentions and attitudes toward parenthood, with a focus on sex differences, and subjective determinants of reproductive decision-making among undergraduate medical students in wartime Ukraine. Methods A cross-sectional, confidential, online survey was conducted among students at Odesa National Medical University in May 2024. The Swedish Fertility Awareness Questionnaire was used, supplemented with a question on contraceptive use. Data were analysed using descriptive statistics, univariable, multivariable and stepwise logistic regression. Results The mean age was 20 years among the participants: 655 women and 191 men. Overall, 75% intended to have children, with a preferred family size of two children. Women preferred to have their first child at a younger age than men (26.1 vs. 28.1 years; p < 0.001). No sex differences were observed in the perceived importance of having children. Oral and long-acting reversible contraceptive use was relatively low. Furthermore 62% of participants indicated that they would support a hypothetical pregnancy to birth, mainly for moral or religious reasons. Among those opting for abortion, the most commonly cited reasons were financial constraints and war-related concerns. In the case of infertility, more women than men were willing to consider IVF or adoption (p < 0.001). Key prerequisites for parenthood included adequate housing (93%) and financial stability (92%). Women were more likely to anticipate emotional benefits of parenthood (OR 1.66), whereas men were more likely to anticipate negative impacts on personal time (OR 1.91) and finances (OR 1.72). Intention to have children was associated with psychological readiness, emotional fulfilment, life priorities, and perceived housing adequacy (aOR 3.02), as a key independent predictor of overall readiness for parenthood. Conclusions Despite the ongoing war, fertility intentions among medical students remain relatively optimistic, equally for women and men. As adequate housing was an important prerequisite for parenthood, post-war pronatalist policies may benefit from integrating housing support into broader family well-being strategies, while also addressing sexuality education and cultural influences on family formation and parenthood decisions.

Maternal and perinatal outcomes during successive and overlapping crises in Ukraine, 2019–2024: a nationwide population-based ecological study

2026-07-17T12:29:05Z

Maternal and perinatal outcomes during successive and overlapping crises in Ukraine, 2019–2024: a nationwide population-based ecological study Mogilevkina, I.; Marichereda, V.; Khadginova, N.; David Southall; Dobryanskyy, D. Ukraine has experienced overlapping shocks from the COVID-19 pandemic and a full-scale war, with potential impacts on maternal and perinatal health. We examined national-level changes in these outcomes between 2019 and 2024. Methods In this population-based ecological study, publicly available Ministry of Health data were analysed to examine trends in deliveries, births, and maternal and perinatal outcomes. Changes were assessed using pairwise comparisons, absolute risk differences, and effect sizes. Annual estimates were compared with prepandemic, preceding-year, and wartime estimates. Findings Deliveries and births declined by approximately 40%, predominantly during the first wartime year. Between 2019 and 2024 (298,066 and 176,842 deliveries, respectively), the prevalence of diabetes in pregnancy increased from 0.88% (n = 2634) to 2.66% (n = 4707), hypertensive disorders from 3.80% (n = 11,332) to 5.45% (n = 9633), severe postpartum haemorrhage from 0.36% (n = 1070) to 0.53% (n = 941). Among 302,190 and 179,192 births, respectively, preterm births increased from 5.59% (n = 16,907) to 6.25% (n = 11,195), very low birthweights from 1.05% (n = 3184) to 1.29% (n = 2305), and extremely low birthweights from 0.44% (n = 1335) to 0.60% (n = 1068). Pregnancy-related and perinatal mortality, particularly stillbirths, were higher during the second year of the pandemic but not during wartime. Early neonatal mortality did not change throughout. Interpretation Overlapping crises were associated with fewer births and increased maternal morbidity. Although pregnancy-related and perinatal mortality increased during the pandemic, their relative stability during wartime may suggest preservation of maternal and newborn services, potentially supported by international assistance. Continued support for maternal and neonatal healthcare services remains important in crisis-affected settings.

Possible reasons for failed induction of labor

2026-07-01T06:55:56Z

Possible reasons for failed induction of labor Posokhova, S.; Kucherenko, O.; Parubina, D. The failed induction of labor is associated with a higher rate of maternal and fetal morbidity because it increases the unwanted effect of emergency cesarean section. It is also associated with an increased risk of numerous adverse maternal and perinatal outcomes such as uterine rupture, nonreassuring fetal heart rate tracing, postpartum hemorrhage, stillbirth, and severe birth asphyxia. Objective. To identify the reasons for failed labor induction.

The birth canal as a determinant of vaginal birth outcomes: physiological adaptation, trauma prevention, and recovery strategies

2026-07-01T06:28:10Z

The birth canal as a determinant of vaginal birth outcomes: physiological adaptation, trauma prevention, and recovery strategies Manasova, G.; Shapoval, N.; Stasii, Ya. Perineal trauma complicates up to 70–85% of vaginal births and represents a major contributor to long-term pelvic floor dysfunction. Obstetric anal sphincter injuries (OASI) occur in approximately 3–11% of vaginal deliveries and are associated with chronic pain, urinary and fecal incontinence, pelvic organ prolapse, dyspareunia, and impaired quality of life. Contemporary obstetrics increasingly focuses on preserving pelvic floor integrity as an essential component of safe vaginal birth. Objective. To evaluate current evidence regarding the adaptive capacity of the birth canal and evidence-based strategies for the prevention and rehabilitation of OASI.

Contemporary views on the vaginal microbiome correction and/or restoration

2026-06-30T12:08:59Z

Contemporary views on the vaginal microbiome correction and/or restoration Artyomenko, V.; Kugel, V. Aim: the thesis are devoted to the modern scientific publications review about vaginal microbiome and its correction and/or restorationimportance in obstetrical and gynecological practice, focusing on new and prospective methods.

Features of standardized patient scenarios across different clinical disciplines for OSCE 2026

2026-06-13T09:45:49Z

Features of standardized patient scenarios across different clinical disciplines for OSCE 2026 Pavlovska, O. M.; Savelyeva, O. V.; Pavlovska, K. M. During the OSCE 2026 at the Odesa National Medical University, students completed 10 examination stations. In total, 528 examination tasks were included in the exam, among which 243 were clinical scenarios involving standardized patients. An analysis of the structure of standardized patient scenarios in various clinical disciplines (surgery, internal medicine, obstetrics and gynecology, and pediatrics) was conducted. The largest proportion of examination tasks assessed clinical (professional) competence (41.17%) as well as physical examination and diagnostic skills (23.90%). The proportions of tasks aimed at assessing communicative competence and treatment strategy were approximately equal, accounting for 18.11% and 16.85%, respectively.

Clinical profile of patients with pathological endometrial changes associated with metabolic factors

2026-06-11T12:37:56Z

Clinical profile of patients with pathological endometrial changes associated with metabolic factors Marichereda, V. H.; Drobot, D. I.; Марічереда, В. Г.; Дробот, Д. І. The aim of the study was to characterize the clinical profile of women with pathological endometrial changes associated with metabolic disorders, with an emphasis on disease course, comorbidities, and risk determinants. Materials and methods. The study was conducted at the Multidisciplinary Medical Center of Odesa National Medical University and included 103 women who were examined between 2023 and 2025. Based on clinical and morphological findings, patients were divided into five groups: simple endometrial hyperplasia (n = 39), atypical endometrial hyperplasia (n = 9), endometrial cancer (n = 25), polycystic ovary syndrome (PCOS; n = 16), and a control group of healthy women (n = 14). Diagnosis was verified histologically using biopsy or surgical specimens. Cancer staging was performed according to the 2023 FIGO classification. All patients underwent comprehensive clinical, laboratory, and instrumental evaluation. Results. Mean body weight and body mass index (BMI) in patients with hyperplasia and endometrial cancer corresponded to classI obesity and were significantly higher than in controls (p < 0.05). In the PCOS group, BMI values corresponded to overweight with marked variability. Obesity was prevalent in most women with endometrial pathology. Abnormal uterine bleeding was the leading symptom (69.2–92 %), while pain and urinary or bowel dysfunction were more typical of malignant disease. Cardiovascular and endocrine comorbidities predominated. Ultrasonography revealed progressive endometrial thickening, structural heterogeneity, and increased vascularization associated with disease severity. Conclusions. Endometrial pathology is strongly associated with obesity and metabolic disorders. Ultrasonographic findings demonstrate high diagnostic value. Modifiable risk factors, particularly obesity, play a significant role in disease progression, highlighting the need for early detection and multidisciplinary management.; Мета дослідження полягала у визначенні клінічного профілю пацієнток із патологічними змінами ендометрія на тлі метаболічних порушень для встановлення супутньої патології та факторів ризику. Обстежено 103 пацієнтки, розподілені на групи залежно від морфологічного діагнозу. Встановлено, що середній ІМТ та маса тіла достовірно вищі у всіх патологічних групах порівняно з контролем, найвищі показники – у пацієнток із раком ендометрія. Провідний симптом – аномальна маткова кровотеча. Найчастіше супутніми станами були серцево-судинні й ендокринні захворювання. Ультразвукові зміни корелювали зі ступенем проліферації ендометрія. Отримані дані підтверджують найбільш часту клінічну асоціацію ожиріння та метаболічних порушень із наявністю патології ендометрія та підкреслюють необхідність мультидисциплінарного й персоналізованого підходу до ведення пацієнток групи ризику.