BMJ SEXUAL & REPRODUCTIVE HEALTH 是一本多专业期刊，旨在促进全球性与生殖健康和福祉，以及最佳避孕实践。它发表研究、辩论和评论，为政策和实践提供信息，并认识到专业患者伙伴关系的重要性。

BMJ Sexual and Reproductive Health is a multidisciplinary journal aimed at promoting global sexual and reproductive health and well-being, as well as best practices in contraception. It publishes research, debates, and reviews to inform policy and practice, recognizing the importance of professional-patient partnerships.

BMJ Sexual and Reproductive Health 是一本多学科期刊，旨在促进全球性与生殖健康及福祉，并推广最佳避孕实践。期刊发表研究、辩论和评论，为政策和实践提供信息，同时强调专业与患者之间的合作关系的重要性。

BMJ Sexual and Reproductive Health

Objective To explore experiences of pain during medical abortion and provide patient-centred recommendations for improving abortion experience and pain counselling. Methods We invited patients of British Pregnancy Advisory Service who underwent medical abortion up to 10 weeks’ gestation to participate in an online, English language questionnaire from November 2021 to March 2022. Participants answered questions about pain, method preference, abortion experience, advice, and how they would describe pain experienced to a friend. In this secondary analysis, we analysed free-text responses using reflexive thematic analysis techniques. We used descriptive statistics and parametric tests to analyse quantitative responses. Results Of 11 906 patients invited to participate, 1596 (13.4%) completed the questionnaire, including at least one free-text comment. Participants used a range of descriptors for medical abortion pain across three broad themes: pain severity, pain quality and comparisons to other reproductive pain. Some found the commonly used analogy to period pain misleading. Many felt unprepared for the level of pain they experienced, which they attributed to provider comparisons to period pain, as well as a lack of detailed, realistic anticipatory pain counselling. Qualitative and quantitative results suggest pain experiences impact method preference. Participants recommended better counselling for pain and abortion preparation, including first-hand accounts of medical abortion at home and a wide and accessible range of descriptions of pain. Conclusions Abortion providers should use patient-centred recommendations to better prepare patients for pain during medical abortion. Setting realistic expectations can improve abortion experience and support informed method choice. Further research is needed to develop and test patient-centred counselling materials.

Hannah McCulloch

Danielle Perro

Neda Taghinejadi

Katherine C Whitehouse

Patricia A Lohr

BMJ Sexual & Reproductive Health

Expectations and experiences of pain during medical abortion at home: a secondary, mixed-methods analysis of a patient survey in England and Wales

医疗流产在家进行时的疼痛预期与体验：英格兰和威尔士患者调查的二次混合方法分析

Madeleine Benns

Corrina Horan

Sexual and reproductive health clinical consultations: Recurrent vulvovaginal candidiasis

性健康与生殖健康临床咨询：复发性外阴阴道念珠菌病

Introduction We sought to assess the efficacy of transabdominal intrafetal lidocaine to achieve fetal demise before pregnancy termination. Methods This study was a retrospective cohort analysis of patients undergoing transabdominal intrafetal lidocaine injections prior to abortion procedures after 24 weeks from January 2018 to June 2020 at DuPont Clinic, an outpatient obstetrics and gynaecology clinic in Washington, DC, USA. We recorded data on maternal factors, gestational age, time of injection and fetal asystole, and injection dose and location. We defined successful intrafetal lidocaine injection as asystole achieved prior to the patient leaving the clinic. Results We performed injections in 338 fetuses in 335 patients, with a median gestational age of 27 weeks and 6 days (range 24–32 weeks). Lidocaine dose was 200–240 mg in 310 cases (91.7%) and 400–480 mg in 27 cases (8.0%) without difference in success (p&gt;0.05). Lidocaine successfully induced fetal demise with one injection in 331 cases (97.9%). A second injection was required to induce demise for five fetuses (1.5%). Intracardiac injection was successful in 280 of 285 cases (98.3%), with asystole confirmed within 1 min in 75% of cases. Intrathoracic injection caused asystole in 45 of 47 cases (95.7%), with asystole confirmed within 2 min in 75% of cases. Success was not significantly associated with gestational age, body mass index or parity (p&gt;0.05). One patient reported lidocaine-related side effects (0.3%). Conclusions Intrafetal lidocaine is a safe and effective method of inducing fetal demise. Intracardiac injection achieves fetal asystole almost immediately. Intrathoracic injection is also highly effective.

Matthew F Reeves

Caroline N Goldfarb

Stacey Leigh Rubin

Jessica L Kuperstock

Leah DiBianco

Andrea Picciotto

Transabdominal lidocaine to induce fetal demise: a cohort study

剖宫产术前使用利多卡因致胎儿死亡的队列研究

Eloise Mary Aikin Smellie

Jayne Kavanagh

BMJ Sex Reprod Health

Sexual and reproductive health clinical consultations: problematic bleeding with the implant

性健康与生殖健康临床咨询：植入物引起的不规则出血问题

Lucy Grieve

Jeni Harden

Nicola Boydell

Providers’ perspectives on the barriers to post-20-week Ground C abortion in Scotland

苏格兰20周后地基堕胎障碍的提供者视角

GIlda Sedgh

Laura J Frye

Kristina Gemzell-Danielsson

Nathalie Kapp

Kayode Afolabi

Angela A Boateng

Mary Mulombe-Phiri

Sharon Cameron

Kanya Manoj

Kirti Iyengar

Abigail Grace Winskell

Kristen M Little

Susannah Gibbs

Eden Demise

Stephen Bell

Centring women’s voices in contraceptive innovation: building the case for an on-demand, pericoital pill

避孕创新中女性声音的中心化：构建按需、事后避孕药的案例

Abbreviation	BMJ Sex Reprod Health
Journal Impact	3.26
Quartiles(Global)	SOCIAL SCIENCES, BIOMEDICAL(Q1)

ISSN	2515-1991, 2515-2009
h-index	45

Publication Information	Publisher: BMJ Publishing Group，Publishing cycle: ，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 2018，Proportion of original research papers: 74.19%，Self Citation Rate:8.80%， Gold OA Rate: 27.41%

BMJ Sexual and Reproductive Health

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Expectations and experiences of pain during medical abortion at home: a secondary, mixed-methods analysis of a patient survey in England and Wales

Sexual and reproductive health clinical consultations: Recurrent vulvovaginal candidiasis

Transabdominal lidocaine to induce fetal demise: a cohort study

Sexual and reproductive health clinical consultations: problematic bleeding with the implant

Providers’ perspectives on the barriers to post-20-week Ground C abortion in Scotland

Sexual and reproductive health clinical consultations: Recurrent vulvovaginal candidiasis

Expectations and experiences of pain during medical abortion at home: a secondary, mixed-methods analysis of a patient survey in England and Wales

Sexual and reproductive health clinical consultations: problematic bleeding with the implant

Centring women’s voices in contraceptive innovation: building the case for an on-demand, pericoital pill

Providers’ perspectives on the barriers to post-20-week Ground C abortion in Scotland