暂无摘要。

The COVID-19 pandemic exacerbated the vulnerability of adolescents and young adults (AYAs) who face economic disadvantage, depend on social safety net resources, have politically targeted identities, are geopolitically displaced, and/or are racially or ethnically marginalized. A rapid change in social safety net policies has impacts that reverberate throughout interrelated domains of AYA health, especially for vulnerable AYAs. The authors analyze policy-related changes in mental health, climate change, and bodily autonomy to offer a paradigm for an equitable path forward.

OBJECTIVE: To explore the experiences of care surrounding hysterectomy as part of gender affirming surgery.
METHODS: An in-depth reflexive thematic analysis from accounts by 10 out of 12 people was undertaken. Experiences were then mapped to the surgery journey as a template for developing system responsiveness.
RESULTS: No one person\'s experience of the procedure was affirmed across the entire surgery journey. Transgender health literacy was central to inclusive practice as it mediated bodily autonomy being upheld. The physical care environment influenced the experience, for example, the waiting room was marginalizing (intimidating), with a gendered clinic name and toilets. Some participants took a female support person/partner so that \"people looking would assume that I was there supporting her, not the other way around.\" Communication misalignments were evident around information provided/understood about fertility and ovarian preservation. Participants were also placed in the position of both receiving care and providing education: \"I also shouldn\'t have to be going in there for treatment, and then being expected to educate the medical professional that\'s meant to be helping me… I\'m not getting paid to give you a TED talk on how my trans body works.\" The experiences mapped across the surgery journey highlighted multiple levels of service provision development needed to foster inclusive practice, for example, from workforce education to healthcare policy.
CONCLUSIONS: Healthcare for transgender people can be unsafe and inequitable. Increasing transgender health responsiveness across the surgery journey will facilitate better alignments in communication and uphold bodily autonomy, leading to safer and inclusive practice.

This poem was written by a high school student in the 9th grade and read aloud at an abortion speak out after the U.S. Supreme Court decision to overrule Roe v. Wade. The poem showcases the ways one young person has experienced the intersection of mental health, reproductive and sexual rights, and sense of wellbeing. To view the original version of this poem, see the supplemental material section of this article online.

暂无摘要。

This poem was written by a high school student in the 9th grade and read aloud at an abortion speak out after the U.S. Supreme Court decision to overrule Roe v. Wade. The poem showcases the ways one young person has experienced the intersection of mental health, reproductive and sexual rights, and sense of wellbeing. To view the original version of this poem, see the supplemental material section of this article online.

Abortion is healthcare. Bodily autonomy is a fundamental human right. As chief resident physicians representing family medicine residency programs in the Greater Bay Area and Central California in the University of California San Francisco Family Medicine Alliance, we share a deep commitment to promoting health equity, advancing social justice, and eliminating health disparities. The 2022 Supreme Court decision in Dobbs v. Jackson Women\'s Health Organization to overturn Roe v. Wade contradicts the inherent rights of patients to make their own reproductive healthcare decisions. This is a clarion call for all people to engage in activities to raise awareness and prompt discussion about abortion, reproductive rights, and maternal mortality.

In a recent article in this journal, Alex Mullock, Elizabeth Chloe Romanis and Dunja Begović provide an analysis of gestational surrogacy and uterus transplantation (UTx) from the perspective of those who may decide to act as gestational surrogates and womb donors, referred to as \'womb-givers\'. In this article, I advance two sets of claims aimed at critically engaging with some aspects of their analysis. Firstly, I argue that the expression \'womb-givers\' obscures the biologically, socially and politically salient issue that those who engage in these practices are primarily persons and women. My contention is that this is of substance in discussions of the burdens and benefits of gestational surrogacy and UTx, which need to consider the specific position that women occupy in society, and the hierarchies that mediate their lives, experiences and preferences. Second, I argue that, if one were to take seriously the experiences and preferences of the women who may engage in these practices, and their bodily autonomy, then gestational surrogacy and UTx should be regarded as biologically and sociopolitically incommensurable. Mullock et al. overlook important aspects of gestational surrogacy, such as the embodied nature of pregnancy and childbirth, the sociopolitical significance of these experiences, and the often-oppressive social norms that shape them. Whilst biology is not destiny, I suggest that it is socially and politically \'sticky\' when it comes to this significance and norms, especially within the sphere of reproduction. Towards the end of the article, I query the authors\' conceptualisation of bodily autonomy and of the instruments that enable its respect and promotion.

Background: A growing body of work focuses on transgender reproductive justice. However, little research has been undertaken on trans activists\' contributions to reproductive justice movements in general, or to abortion rights movements in particular. Countries where trans identities are depathologized, such as Argentina, provide a unique opportunity to study challenges, achievements, and demands around reproductive justice for trans individuals in contexts where reproductive trans bodies are enabled to exist and may obtain legal gender recognition. Aims: To explore critical interventions by trans and travesti activists and organizations in Argentina around the issue of abortion rights. Methods: This paper analyses public speeches, publications, artwork, and flyers by trans and travesti activists and organizations in Argentina. Results: Trans contributions to abortion rights struggles have established common ground between trans and feminist/women\'s movements around reproductive justice, have negotiated the inclusion of trans masculine persons within the abortion rights movement (both as activists and as potential users of abortion services), and have pointed to the country\'s depathologized Gender Identity Law as a potential model for abortion regulations. Discussion: This paper concludes by discussing trans and travesti activists\' contributions to framing abortion rights within a wider social and political agenda at the intersection between health, gender, sexuality, and bodily autonomy, which furthers the work done by reproductive justice perspectives.

OBJECTIVE: Some continuous electronic fetal monitoring (CEFM) devices restrict women\'s bodily autonomy by limiting their mobility in labour and birth.
BACKGROUND: Little is known about how midwives perceive the impact of CEFM technologies on their practice.
OBJECTIVE: This paper explores the way different fetal monitoring technologies influence the work of midwives.
METHODS: Wireless and beltless \'non-invasive fetal electrocardiogram\' (NIFECG) was trialled on 110 labouring women in an Australian maternity hospital. A focus group pertaining to midwives\' experiences of using CTG was conducted prior to the trial. After the trial, midwives were asked about their experiences of using NIFECG. All data were analysed using thematic analysis.
RESULTS: Midwives felt that wired CTG creates barriers to physiological processes. Whilst wireless CTG enables greater freedom of movement for women, it requires constant \'fiddling\' from midwives, drawing their attention away from the woman. Midwives felt the NIFECG better enabled them to be \'with woman\'.
CONCLUSIONS: Midwives play a pivotal role in mediating the influence of CEFM on women\'s experiences in labour. Exploring the way in which different forms of CEFM impact on midwives\' practice may assist us to better understand how to prioritise the woman in order to facilitate safe and satisfying birth experiences.
CONCLUSIONS: The presence of CEFM technology in the birth space impacts midwives\' ways of working and their capacity to be woman-centred. Current CTG technology may impede midwives\' capacity to be \'with woman\'. Compared to the CTG, the NIFECG has the potential to enable midwives to provide more woman-centred care for those experiencing complex pregnancies.