Infertility Prevention and Health Promotion: The Role of Nurses in Public Health Initiatives
DOI:
https://doi.org/10.31661/gmj.v13i.3534Keywords:
Infertility; Nurses; Reproductive Health; Lifestyle Interventions; Healthcare Policy; Patient Education; Community OutreachAbstract
Infertility is a growing public health concern, affecting millions of individuals and couples worldwide. Despite advancements in medical treatments, prevention remains a critical strategy for reducing the burden of infertility. Nurses, as frontline healthcare providers, play a pivotal role in infertility prevention and health promotion, particularly through public health initiatives. This review aims to explore the diverse roles of nurses in infertility prevention and their contributions to public health strategies. A review of existing literature was conducted to examine the epidemiology of infertility, key risk factors, and the preventive measures that can be employed by nursing professionals. Emphasis is placed on the role of nurses in health education, screening, early detection, and community-based interventions, which are essential in reducing infertility rates. In addition, this review identifies barriers that impede effective nurse-led infertility prevention, such as disparities in access to care, cultural sensitivity challenges, and policy constraints. Evidence suggests that nurses are well-positioned to lead public health campaigns, conduct reproductive health counseling, and advocate for policy reforms to improve infertility prevention. The review concludes with recommendations for future research, suggesting enhanced nursing education and training, as well as the need for stronger integration of nurses into public health policy-making. This study underscores the critical role of nurses in promoting reproductive health and preventing infertility, advocating for their inclusion in comprehensive public health strategies aimed at addressing infertility on a global scale.
References
Vander Borght M, Wyns C. Fertility and infertility: Definition and epidemiology. Clinical Biochemistry. 2018 Dec;62:2-10.
https://doi.org/10.1016/j.clinbiochem.2018.03.012
World Health Organization. Infertility. cited 2024 Jun 18 : World Health Organization; Available from: https://www.who.int/news-room/fact-sheets/detail/infertility.
Greil AL, Slauson-Blevins K, McQuillan J. The experience of infertility: A review of recent literature. Sociology of Health & Illness. 2011;32(1):140-62.
https://doi.org/10.1111/j.1467-9566.2009.01213.x
Farquhar C, Bhattacharya S. Reproductive health: Prevention of infertility and treatment of unexplained infertility. Lancet. 2018;391(10120):1553-4.
Pedro J, Bellver J, Ferrando M. Public health strategies for infertility prevention and care. Reproductive biomedicine online. 2018;36(2):123-31.
Gaskins A, Chavarro JE. Role of Nurses in Reproductive Health: Strategies and Outcomes. Fertility and Sterility. 2018;110(4):772-9.
https://doi.org/10.1016/j.fertnstert.2018.08.022
Haas JR, Wiltsey Stirman S, Ruzek JI. The role of nurses in promoting mental health and resilience among patients with infertility. Journal of Clinical Nursing. 2020;29(1-2):167-74.
Shaw J, Ellis P, Cameron S. Community-based interventions for reproductive health: A comprehensive review. Reproductive biomedicine online. 2018;37(2):162-9.
World Health Organization. 1 in 6 people globally affected by infertility. WHO : [cited 2024 Sep 6]; Available from: https://www.who.int/news/item/04-04-2023-1-in-6-people-globally-affected-by-infertility.
Boivin J, Bunting L, Collins JA, Nygren KG. International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care. Human Reproduction. 2007 Jul 25;22(10):2800-2800.
https://doi.org/10.1093/humrep/dem299
Cox CM, Thoma ME, Tchangalova N, Mburu G, Bornstein MJ, Johnson CL, et al. Infertility prevalence and the methods of estimation from 1990 to 2021: a systematic review and meta-analysis. Human Reproduction Open. 2022 Sep 10;2022(4):hoac051.
https://doi.org/10.1093/hropen/hoac051
Borumandnia N, Alavi Majd H, Khadembashi N, Alaii H. Worldwide trend analysis of primary and secondary infertility rates over past decades: A cross-sectional study. Int J Reprod Biomed. 2022 Feb 18;20(1):37-46.
https://doi.org/10.18502/ijrm.v20i1.10407
Chua SJ, Danhof NA, Mochtar MH, Van Wely M, McLernon DJ, Custers I, et al. Age-related natural fertility outcomes in women over 35 years: a systematic review and individual participant data meta-analysis. Human Reproduction. 2020 Aug 1;35(8):1808-20.
https://doi.org/10.1093/humrep/deaa129
Amraeni Y, Bahar AK, Israyani WO. The Impact of Sexually Transmitted Infections on Male and Female Infertility: Literature Review. Miracle Journal of Public Health. 2023 Jun 26;6(1):44-55.
https://doi.org/10.36566/mjph.v6i1.311
Mintziori G, Nigdelis MP, Mathew H, Mousiolis A, Goulis DG, Mantzoros CS. The effect of excess body fat on female and male reproduction. Metabolism. 2020 Jun;107:154193.
https://doi.org/10.1016/j.metabol.2020.154193
He S, Wan L. Associations between smoking status and infertility: a cross-sectional analysis among USA women aged 18-45 years. Front Endocrinol. 2023 Apr 19;14:1140739.
https://doi.org/10.3389/fendo.2023.1140739
Sansone A, Di Dato C, de Angelis C, Menafra D, Pozza C, Pivonello R, et al. Smoke, alcohol and drug addiction and male fertility. Reprod Biol Endocrinol. 2018 Jan 15;16(1):3.
https://doi.org/10.1186/s12958-018-0320-7
de Angelis C, Nardone A, Garifalos F, Pivonello C, Sansone A, Conforti A, et al. Smoke, alcohol and drug addiction and female fertility. Reprod Biol Endocrinol. 2020 Mar 12;18(1):21.
https://doi.org/10.1186/s12958-020-0567-7
Giulioni C, Maurizi V, Castellani D, Scarcella S, Skrami E, Balercia G, et al. The environmental and occupational influence of pesticides on male fertility: A systematic review of human studies. Andrology. 2022 Oct;10(7):1250-71.
https://doi.org/10.1111/andr.13228
Canipari R, De Santis L, Cecconi S. Female Fertility and Environmental Pollution. International Journal of Environmental Research and Public Health. 2020 Jan;17(23):8802.
https://doi.org/10.3390/ijerph17238802
Ji X, Ye Y, Wang L, Liu S, Dong X. Association between nutrient intake and female infertility: a study based on NHANES database. Journal of Obstetrics and Gynaecology. 2023 Dec 8;43(2):2285025.
https://doi.org/10.1080/01443615.2023.2285025
Nowicka-Bauer K, Nixon B. Molecular Changes Induced by Oxidative Stress that Impair Human Sperm Motility. Antioxidants. 2020 Feb 4;9(2):134.
https://doi.org/10.3390/antiox9020134
Bulavenko OV, Kelman VV. Effect of stress on ovulatory function. Rep of Vinnytsia Nation Med Univ. 2023 Sep 9;27(3):523-7.
https://doi.org/10.31393/reports-vnmedical-2023-27(3)-28
Teede H, Deeks A, Moran L. Polycystic ovary syndrome: a complex condition with psychological, reproductive and metabolic manifestations that impacts on health across the lifespan. BMC Medicine. 2010 Jun 30;8(1):41.
https://doi.org/10.1186/1741-7015-8-41
Macer ML, Taylor HS. Endometriosis and Infertility: A Review of the Pathogenesis and Treatment of Endometriosis-associated Infertility. Obstetrics and Gynecology Clinics. 2012 Dec 1;39(4):535-49.
https://doi.org/10.1016/j.ogc.2012.10.002
Emokpae MA, Brown SI. Effects of lifestyle factors on fertility: practical recommendations for modification. Reproduction and Fertility. 2021 Jan 8;2(1):R13-26.
https://doi.org/10.1530/RAF-20-0046
Öztürk B, Siyez DM, Esen E, Kağnici Y. Effects of infertility prevention programme on college students. Sex Education. 2020 Sep 2;20(5):517-34.
https://doi.org/10.1080/14681811.2019.1697662
World Health Organization. Global health sector strategy on sexually transmitted infections 2016-2021. toward ending STIs: InGlobal health sector strategy on sexually transmitted infections 2016-2021; toward ending STIs 2016.
Basic M, Mitic D, Krstic M, Cvetkovic J. Tobacco and alcohol as factors for male infertility-a public health approach. Journal of Public Health. 2023 Jun 1;45(2):e241-9.
https://doi.org/10.1093/pubmed/fdac042
Gürbüz T. A comprehensive survey: prevention of female infertility by nutrition. Journal of Health Sciences and Medicine. 2023 Jul 30;6(4):845-51.
https://doi.org/10.32322/jhsm.1291555
Boulet SL, Johnson K, Parker C, Posner SF, Atrash H. A Perspective of Preconception Health Activities in the United States. Matern Child Health J. 2006 Sep;10(S1):13-20.
https://doi.org/10.1007/s10995-006-0106-y
Shawe J, Delbaere I, Ekstrand M, Hegaard HK, Larsson M, Mastroiacovo P, et al. Preconception care policy, guidelines, recommendations and services across six European countries: Belgium (Flanders), Denmark, Italy, the Netherlands, Sweden and the United Kingdom. Eur J Contracept Reprod Health Care. 2015 Mar 4;20(2):77-87.
https://doi.org/10.3109/13625187.2014.990088
Garrett NJ, Osman F, Maharaj B, Naicker N, Gibbs A, Norman E, et al. Beyond syndromic management: Opportunities for diagnosis-based treatment of sexually transmitted infections in low- and middle-income countries. PLOS ONE. 2018 Apr 24;13(4):e0196209.
https://doi.org/10.1371/journal.pone.0196209
Kedzior S, Ryan L, Lassi Z. Preconception Care in Low-and Middle-Income Countries. Epidemiol Public Health. 2024;2(3):1049.
https://doi.org/10.52768/EpidemiolPublicHealth/1049
Ekawati FM, Widyasari A, Lisa HRA, Ame CGP, Tuteja A. Core recommendations of effective preconception counselling services in low-and-middle-income countries - A scoping review. Sexual & Reproductive Healthcare. 2024 Sep;41:101005.
https://doi.org/10.1016/j.srhc.2024.101005
Wilson RJ, Leigh L, Bah H, Larson HJ, Clarke E. HPV vaccination acceptance and perceptions related to fertility and population control in the Gambia: An anthropological analysis. Vaccine. 2023 Jun;41(24):3647-54.
https://doi.org/10.1016/j.vaccine.2023.04.072
Shah PK, Gher JM. Human rights approaches to reducing infertility. International Journal of Gynecology & Obstetrics. 2023;162(1):368-74.
https://doi.org/10.1002/ijgo.14878
Johnson CA, Frederick JM, Green KL. Enhancing nursing education on infertility prevention. Journal of Nursing Education. 2020;59(4):194-8.
Rodriguez E, Martinez L, Scott J. Specialized training and continuing education for nurses in reproductive health. Fertility and Sterility. 2019;112(1):45-53.
Chavarro JE, Rich-Edwards JW, Gaskins AJ, Farland LV, Terry KL, Zhang C, et al. Contributions of the Nurses' Health Studies to Reproductive Health Research. Am J Public Health. 2016 Sep;106(9):1669-76.
https://doi.org/10.2105/AJPH.2016.303350
Brewin D, Koren A, Morgan B, Shipley S, Hardy RL. Behind Closed Doors: School Nurses and Sexual Education. The Journal of School Nursing. 2014 Feb 1;30(1):31-41.
https://doi.org/10.1177/1059840513484363
Nurjannah I, Hartini S. Nursing practice in sexual dimension of patients: Literature review. Enfermería Clínica. 2020 Jun 1;30:55-60.
https://doi.org/10.1016/j.enfcli.2020.01.009
Trent M, Perin J, Rowell J, Shah M, Anders J, Matson P, et al. Using Innovation to Address Adolescent and Young Adult Health Disparities in Pelvic Inflammatory Disease: Design of the Technology Enhanced Community Health Precision Nursing (TECH-PN) Trial. The Journal of Infectious Diseases. 2021 Aug 16;224(Supplement_2):S145-51.
https://doi.org/10.1093/infdis/jiab157
Allan H, Mounce G, Crespo E, Shawe J. Preconception care for infertile couples: Nurses' and midwives' roles in promoting better maternal and birth outcomes. Journal of clinical nursing. 2018;27 23-24:4411-8.
https://doi.org/10.1111/jocn.14586
Xie Y, Ren Y, Niu C, Zheng Y, Yu P, Li L. The impact of stigma on mental health and quality of life of infertile women: A systematic review. Front Psychol. 2023 Jan 9;13:1093459.
https://doi.org/10.3389/fpsyg.2022.1093459
Aulakh RK, Uppal HK, Pahwa S. Effect of nursing interventions like meditation, progressive muscle relaxant exercises, and counselling on lifestyle and diet modification on marital relationship among women undergoing infertility treatment: randomized controlled trial: a pilot study. Int J Community Med Public Health. 2023 Feb 28;10(3):1149-55.
https://doi.org/10.18203/2394-6040.ijcmph20230631
Denga A. Fertility and subfertility. Gupta S, Holloway D, Kubba A, editors: 2nd ed; 2021.
https://doi.org/10.1093/med/9780198842248.003.0017
Barnes J, Smith D, Ferguson J. Early detection and screening in reproductive health: Nurses' role. Reproductive biomedicine online. 2018;37(6):732-40.
Hamlyn E, Barrett S, Kelsey J, Lockyer S, Welz T, Poulton M. Improvement in screening for sexually transmitted infections in HIV-positive patients following implementation of a nurse-led clinic. Int J STD AIDS. 2007 Jun 1;18(6):424-6.
https://doi.org/10.1258/095646207781024720
Medina-Marino A, Glockner K, Grew E, De Vos L, Olivier D, Klausner J, et al. The role of trust and health literacy in nurse-delivered point-of-care STI testing for pregnant women living with HIV, Tshwane District, South Africa. BMC Public Health. 2020 Dec;20(1):577.
https://doi.org/10.1186/s12889-020-08689-3
Norton W, Mitchell H, Holloway D, Law C. The role of Endometriosis Clinical Nurse Specialists in British Society for Gynaecological Endoscopy registered centres: A UK survey of practice. Nursing Open. 2020;7(6):1852-60.
https://doi.org/10.1002/nop2.574
Ou Y, Wu L, Liu L, Ye X, Chen Y, Yuan H. Effects of an "Internet +" Multidisciplinary Management Model Oriented by Nurse Specialists on Obesity Combined with Polycystic Ovary Syndrome. CEOG. 2023 Jun 12;50(6):125.
https://doi.org/10.31083/j.ceog5006125
Hassan HE, Farg DSS. The impact of polycystic ovary syndrome on women's quality of life: Nursing guidelines for its. CNS. 2019 Jun 19;7(3):42.
https://doi.org/10.5430/cns.v7n3p42
Uwajeneza P, Evans M, Meharry P, Mukamana D, Babenko-Mould Y, Munezero P, et al. Nurses and midwives' experience in providing fertility awareness-based methods, including natural family planning methods in Rwanda. International Journal of Africa Nursing Sciences. 2023;18:100537.
https://doi.org/10.1016/j.ijans.2023.100537
Milford C, Scorgie F, Rambally Greener L, Mabude Z, Beksinska M, Harrison A, et al. Developing a model for integrating sexual and reproductive health services with HIV prevention and care in KwaZulu-Natal, South Africa. Reprod Health. 2018 Nov 15;15(1):189.
https://doi.org/10.1186/s12978-018-0633-1
Smith P, Tolla T, Marcus R, Bekker LG. Mobile sexual health services for adolescents: investigating the acceptability of youth-directed mobile clinic services in Cape Town, South Africa. BMC Health Serv Res. 2019 Aug 19;19(1):584.
https://doi.org/10.1186/s12913-019-4423-4
Splendore E, Grant C. A nurse practitioner-led community workshop: Increasing adult participation in advance care planning. Journal of the American Association of Nurse Practitioners. 2017 Sep;29(9):535-42.
https://doi.org/10.1002/2327-6924.12467
Rahmati R, Khadivzadeh T, Esmaily H. Comparison of the effect of two training methods (webinar and group discussion) on improving the attitude and performance of health workers in providing counseling with fertility promotion approach. J Educ Health Promot. 2020 Oct 30;9:280.
https://doi.org/10.4103/jehp.jehp_134_20
Gaskins A, Missmer SA. Reproductive health education and community outreach: Best practices. Human Reproduction Update. 2017;23(6):546-58.
Williams AB, Wang H, Burgess J, Li X, Danvers K. Cultural adaptation of an evidence-based nursing intervention to improve medication adherence among people living with HIV/AIDS (PLWHA) in China. International Journal of Nursing Studies. 2013 Apr;50(4):487-94.
https://doi.org/10.1016/j.ijnurstu.2012.08.018
Bunting L, Boivin J, Shamoun R. The Fertility Education Initiative: A public education campaign. Human Fertility. 2019;22(1):28-35.
Williams VN, McManus BM, Brooks-Russell A, Yost E, Allison MA, Olds DL, et al. A qualitative study of effective collaboration among nurse home visitors, healthcare providers and community support services in the United States. Health Social Care Comm. 2022 Sep;30(5):1881-93.
https://doi.org/10.1111/hsc.13567
Gilbert E, Walker R, Simon D, Derkenne R, Rumbold A, Campbell S, et al. "We are only looking at the tip of the iceberg in infertility": perspectives of health providers about fertility issues and management among Aboriginal and Torres Strait Islander people. BMC Health Serv Res. 2021 Dec;21(1):704.
https://doi.org/10.1186/s12913-021-06714-8
Hammarberg K, Norman RJ, Robertson S, McLachlan R, Michelmore J, Johnson L. Development of a health promotion programme to improve awareness of factors that affect fertility, and evaluation of its reach in the first 5 years. Reproductive Biomedicine & Society Online. 2017 Jun;4:33-40.
https://doi.org/10.1016/j.rbms.2017.06.002
Jonas K, Roman N, Reddy P, Krumeich A, Van Den Borne B, Crutzen R. Nurses' perceptions of adolescents accessing and utilizing sexual and reproductive healthcare services in Cape Town, South Africa: A qualitative study. International Journal of Nursing Studies. 2019 Sep;97:84-93.
https://doi.org/10.1016/j.ijnurstu.2019.05.008
Furey A, Fiander A. Postpartum contraception - the experience and findings from the Leading Safe Choices programme in Tanzania and South Africa. BJOG. 2019 Oct;126(11):1301-4.
https://doi.org/10.1111/1471-0528.15842
Benagiano G, Carrara S, Filippi V. Advocacy for reproductive health: The role of nurses. Reproductive biomedicine online. 2019;39(3):215-22.
Holloway KA, Mueller DH, Naimoli J. Nursing and midwifery advocacy to improve global health: A systematic review of advocacy efforts. International Journal of Nursing Studies. 2018;87:69-82.
Anderson L, Stone S. Nursing's role in policy-making and advocacy. Journal of Nursing Administration. 2020;50(3):132-9.
Williams AM, Kreisel K, Chesson HW. Impacts of Federal Prevention Funding on Reported Gonorrhea and Chlamydia Rates. American Journal of Preventive Medicine. 2019 Mar;56(3):352-8.
https://doi.org/10.1016/j.amepre.2018.09.012
Halim B, Girsang E, Nasution SL, Ginting CN. Access barriers of infertility services for urban and rural patients InProceedings of the international conference on Health Informatics, Medical, Biological Engineering, and Pharmaceutical. HIMBEP 2020. 2021; :149-157.
https://doi.org/10.5220/0010291901490157
Insogna IG, Lanes A, Hariton E, Blake-Lamb T, Schilling S, Hornstein MD. Self-reported barriers to accessing infertility care: patient perspectives from urban gynecology clinics. J Assist Reprod Genet. 2020 Dec;37(12):3007-14.
https://doi.org/10.1007/s10815-020-01997-y
Petrushko M, Piniaiev V, Yurchuk T. The history of assisted reproductive technologies: from prohibition to recognition. Hist sci technol. 2021 Dec 12;11(2):315-28.
https://doi.org/10.32703/2415-7422-2021-11-2-315-328
Ngilangwa DP, Rajesh S, Kawala M, Mbeba R, Sambili B, Mkuwa S, et al. Accessibility to sexual and reproductive health and rights education among marginalized youth in selected districts of Tanzania. Pan Afr Med J. 2016 Nov 26;25(Suppl 2):2.
https://doi.org/10.11604/pamj.supp.2016.25.2.10922
Santa Maria D, Guilamo-Ramos V, Jemmott LS, Derouin A, Villarruel A. Nurses on the Front Lines: Improving Adolescent Sexual and Reproductive Health Across Health Care Settings. AJN The American Journal of Nursing. 2017 Jan;117(1):42.
https://doi.org/10.1097/01.NAJ.0000511566.12446.45
Crisp N, Brownie S, Refsum C. Nursing & Midwifery: The key to the rapid and cost effective expansion of high quality universal healthcare. Doha, Qatar, World Innovation Summit for Health. 2018 Nov 13;:1-39.
Kwame A, Petrucka PM. Universal healthcare coverage, patients' rights, and nurse-patient communication: a critical review of the evidence. BMC Nurs. 2022 Mar 7;21(1):54.
https://doi.org/10.1186/s12912-022-00833-1
Rumsey M, Leong M, Brown D, Larui M, Capelle M, Rodrigues N. Achieving Universal Health Care in the Pacific: The need for nursing and midwifery leadership. The Lancet Regional Health-Western Pacific. 2022 Feb 1;19:100340.
https://doi.org/10.1016/j.lanwpc.2021.100340
Ayebare E, Lavender T, Mweteise J, Nabisere A, Nendela A, Mukhwana R, et al. The impact of cultural beliefs and practices on parents' experiences of bereavement following stillbirth: a qualitative study in Uganda and Kenya. BMC Pregnancy Childbirth. 2021 Jun 25;21(1):443.
https://doi.org/10.1186/s12884-021-03912-4
Mirzaei Moghadam S, Mahmoodi H, Zaheri F, Shokri A. Gender inequalities in perceived stress and the factors affecting it in infertile couples in Iranian society: a case in one of the provinces of Iran. International Journal of Human Rights in Healthcare. 2024 Feb 20;17(1):1-1.
https://doi.org/10.1108/IJHRH-11-2020-0104
Blanchet Garneau A, Pepin J. A constructivist theoretical proposition of cultural competence development in nursing. Nurse Education Today. 2015 Nov;35(11):1062-8.
https://doi.org/10.1016/j.nedt.2015.05.019
Gradellini C, Gómez-Cantarino S, Dominguez-Isabel P, Molina-Gallego B, Mecugni D, Ugarte-Gurrutxaga MI. Cultural competence and cultural sensitivity education in university nursing courses. A scoping review Frontiers in psychology. 2021 Sep 29;12: 682920.
https://doi.org/10.3389/fpsyg.2021.682920
Vasudevan SR, Bhuvaneswari M. Sociocultural Perspectives on Infertility: Examining the Psychological Burdens, Attitudes, Coping Methods, and Societal Impact in India and Beyond. Journal for ReAttach Therapy and Developmental Diversities. 2023 Oct 30;6(1):507-15.
Morshed-Behbahani B, Lamyian M, Joulaei H, Rashidi BH, Montazeri A. Infertility policy analysis: a comparative study of selected lower middle- middle- and high-income countries. Global Health. 2020 Oct 23;16(1):104.
https://doi.org/10.1186/s12992-020-00617-9
Kawwass JF, Penzias AS, Adashi EY. Fertility-a human right worthy of mandated insurance coverage: the evolution, limitations, and future of access to care. Fertility and Sterility. 2021 Jan;115(1):29-42.
https://doi.org/10.1016/j.fertnstert.2020.09.155
Mackay A, Taylor S, Glass B. Inequity of Access: Scoping the Barriers to Assisted Reproductive Technologies. Pharmacy. 2023 Jan 16;11(1):17.
https://doi.org/10.3390/pharmacy11010017
Turner KA, Rambhatla A, Schon S, Agarwal A, Krawetz SA, Dupree JM, et al. Male Infertility is a Women's Health Issue-Research and Clinical Evaluation of Male Infertility Is Needed. Cells. 2020 Apr;9(4):990.
https://doi.org/10.3390/cells9040990
Eisenberg ML, Esteves SC, Lamb DJ, Hotaling JM, Giwercman A, Hwang K, et al. Male infertility. Nat Rev Dis Primers. 2023 Sep 14;9(1):1-22.
https://doi.org/10.1038/s41572-023-00459-w
Gullo G, Cucinella G, Perino A, Gullo D, Segreto D, Laganà AS, et al. The Gender Gap in the Diagnostic-Therapeutic Journey of the Infertile Couple. IJERPH. 2021 Jun 8;18(12):6184.
https://doi.org/10.3390/ijerph18126184
Cappiello J, Coplon L, Carpenter H. Systematic Review of Sexual and Reproductive Health Care Content in Nursing Curricula. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2017 Sep;46(5):e157-67.
https://doi.org/10.1016/j.jogn.2017.04.132
Ren M, Shireman H, VanGompel EW, Bello JK, Carlock F, McHugh A, et al. Preconception, Interconception, and reproductive health screening tools: A systematic review. Health Services Research. 2023;58(2):458-88.
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