Diversity Drives Democracy: Women in Politics 

Diversity Drives Democracy: Women in Politics 

Yashaswini Repaka

June 2024

The current state of women in politics is an important issue that continues to evolve through generations. While we have come a long way from gaining the right to vote, much must be done to achieve gender equality in democracy. The number of women holding political office has increased in many countries over time. However, significant disparities regarding access to power and decision-making roles are still barricades in the political careers of many aspiring women. 

In addition, representing women in politics is important for many reasons. Women’s unique perspectives and experiences can be considered when forming policies and making decisions. This can lead to more equitable and inclusive governance that better reflects the needs and interests of the entire population. Having more women in government can inspire future generations of women leaders, encouraging greater diversity and gender equality in leadership positions. 

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History and Women 

Throughout history, many prominent figures and movements have fought for gender equality in democracy. For example, The Women’s Suffrage movement was influenced by the publication of the Declaration of Independence: “Although the Declaration of Independence specifies that ‘all men are created equal,’ its publication sowed the seeds the seeds for the women’s suffrage movement in the United States”[4]. Lucretia Mott and Elizabeth Cady Stanton, denied participation in an 1840 conference in London due to being female, were inspired to work together by this rebuff. 

In 1916, Jeanette Rankin was the first woman elected to Congress, representing Montana. Rankin “helped destroy negative public attitudes about women as members of Congress”[1]. Agreeing with a colleague’s famous comment, “I’m no lady. I’m a member of Congress,” Rankin displayed tenacity and individuality, aiding her in improving societal views on the political standards of women. 

Barriers to Entry 

According to the Pew Research Center, “More than four-in-ten point to gender discrimination (47%), women getting less support from party leaders (47%), many Americans not being ready

to elect a woman to higher office (46%), and family responsibilities (44%) as major obstacles for women in politics” [2]. The population of women who participate in the political field is low due to how society is conservative about a woman’s place because more obstacles than a lack of interest prevent many from advancing in the field. 

Throughout history, many have adjusted to the societal norms that separate the two genders. Centuries ago, women were given the title of homemaker, meaning they were expected to take care of household chores and raise children. Women were also required to display a distinct elegance, often interpreted as timid or weak for many generations. It was in the 20th century that there came big changes in societal expectations for women. However, there are still some glass ceilings we as a generation are still fighting to overcome. Politics has been inversely characterized as rough and argumentative, and those who continue to hold conservative beliefs maintain women’s involvement as inappropriate and even unnatural. 

Women in politics face numerous societal, cultural, and institutional barriers. For example, the lack of support and encouragement for women to pursue political careers is scarily low. According to the Pew Research Center, “About a third (34%) say women aren’t encouraged to be leaders from an early age and 23% say not as many women are interested in holding higher office”[2]. In addition, some discriminatory laws and policies disadvantage women in the political arena. In only 67 out of 173 countries, there are laws in place that are against gender discrimination in hiring practices[6], which probably includes the political field. These barriers contribute to the persistent gender gap in political representation and influence, and addressing them is crucial for achieving gender equality in politics. 

Ultimately, embracing diversity in political leadership leads to more inclusive policies and better reflects the needs of society as a whole. Through politics, women can feel empowered and gain further support for gender equality. Actively working towards breaking down barriers that prevent women from fully participating in political decision-making, and providing insight and advice on the political field to aspiring woman politicians, can aid in creating a more equitable and representative political landscape. 


Nourishing the Journey: The Vital Role of Good Nutrition During Pregnancy

Nourishing the Journey: The Vital Role of Good Nutrition During Pregnancy

Pooja Bhavsar

June 2024

Pregnancy is a transformative period in a woman’s life. The excitement that comes with the journey is unparalleled, an astonishing experience for everyone involved. In the miscellany of all of these emotions, good nutrition can easily be overlooked. It has recently been discovered the vitality of good nutrition during this time and how a lack of nourishment can undermine the health of the baby.    

In some underprivileged countries, women’s diets are lacking in main food groups, like dairy and legumes. Since the pandemic, malnutrition in adolescent girls and women has skyrocketed by twenty-five percent, from 5.5 million to 6.9 million.[1] Malnutrition has severe effects when only one individual is dependent on the body’s nourishment. When two are reliant, the response can be detrimental.  Malnutrition can lead to an increased risk in neonatal death, which is defined by the death of a live-born infant within the first 28 completed days of life.[1]  It can also impair fetal development with lifelong consequences for children’s nutrition and growth.[1] However, these are just the effects on the baby. The effects on the mother are just as dangerous.

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Vitamins are key in any diet. From iron to calcium, these nutrients are building blocks for exceptional health. Poor diet during pregnancy is represented with reduced levels of necessary vitamins, like iodine, iron, folate, calcium and zinc.[2] This can often lead to anemia, preeclampsia, hypertension and more.[2] Disease is a less harsh repercussion of this loss. Malnourishment leads to double the chances of maternal mortality.[2] There are many elements when thinking about malnutrition in pregnant women like a lack of resources, prior health detriments and furthermore. These factors are out of one’s control and are not at all the fault of the mother . There are few and far between programs to help mothers sustain themselves and to aid with good maternal nutrition. It is vital for the health of children and women globally that there are more of these programs instituted as the malnourishment crisis continues to grow.  

We see the harms of malnutrition. But what can a good diet do for mothers and their babies? A well-balanced diet, rich in legumes, proteins, grains and healthy fats aid the immune system and reduce inflammation.[4] Physiological changes and stressors can be a lot for women to bear during pregnancy, however this benefit makes it easier for them to cope with the adaptations. It also helps regulate blood glucose, weight fluctuations etc.[4] Good nutrition can aid a pregnancy tremendously, making the process easier and less stressful for mothers.

Maintaining good nutrition during pregnancy has a few requirements. Eating nutrient-dense foods, smaller meals, staying hydrated and limiting processed food can ensure mothers getting the key nutrients to keep them and their babies healthy.[3] If available, consulting with a healthcare provider or dietician is always a beneficial way of ensuring that your diet is in check. 

By eating healthily, pregnant women can enhance the health of themselves and their children. Empowering expectant mothers with the knowledge and resources to make informed dietary choices goes hand in hand in promoting positive birth outcomes and ensuring a healthy start for both mother and baby.


Enlightening the Complexity of Maternal Mortality 

Enlightening the Complexity of Maternal Mortality 

Isha Gupta
April 2024

About every two minutes, a maternal death occurred in the year 2020, according to the World Health Organization (WHO).[5] Maternal mortality is a critical global health issue that takes away numerous women’s lives around the world. Data from 2020 reveals that around 95% of all maternal deaths happened in low and lower-middle-income countries, most of which could have been prevented.[5] Since maternal mortality causes so many deaths worldwide, it is important to unravel the intricacies and be aware of diverse outcomes, factors, and prevention strategies that can influence maternal mortality and save women’s lives. 

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Maternal mortality is an essential concern to be aware of not only because it takes away so many women’s lives, but it can also directly affect the life course of infants born to mothers who have passed away during and after childbirth. For instance, the infants may not be able to be breastfed and receive the health benefits of breastfeeding as well as lack a maternal figure in their lives. Moreover, the death of a woman during pregnancy or childbirth can drastically affect the lives of her other loved ones. For example, research has found that among previous children of mothers who have died during or after the subsequent pregnancy, their mental health and emotional well-being can be significantly impacted. This, in turn, can also make it more difficult for them to concentrate on academics,[6] especially when they mourn and grieve the loss of their mother. By the same token, some men who have lost their wives to maternal mortality can be at risk of developing post-traumatic stress disorder.[6] Maternal death can also bring up concerns about additional child caregiving responsibilities and financial worries[6] among men whose wives have passed away during pregnancy or childbirth. Therefore, along with posing a threat to women’s lives, maternal mortality can affect men and children to some degree, which is why it is such an important global health concern. 

Throughout pregnancy and childbirth, several complications can arise, some of which can lead to maternal mortality. The most common complications leading to maternal mortality include severe bleeding, infections, high blood pressure, and complications from delivery, as well as unsafe abortions.[5]In order to effectively mitigate such complications as well as other biological and physical health factors leading to maternal mortality, proper medical facilities with trained healthcare workers, medical supplies, access to pharmaceutical drugs, and sanitary services are essential. Women’s lives can also be saved by addressing complications in a time-efficient manner. For example, although a woman experiencing severe bleeding after childbirth can die within hours, medical professionals can help reduce the risk by immediately administering oxytocics after childbirth.[5] Moreover, the WHO suggests that maternal deaths linked to unsafe abortion can be reduced by providing access to safe abortion services and post-abortion care. Additionally, ensuring access to contraception can help address maternal mortality, by preventing unintended pregnancies.[5] Furthermore, women who are pregnant[4] or planning on becoming pregnant[2] should maintain healthy lifestyles and regularly monitor their health and wellness. Women should be encouraged to continue positive health behaviors, such as eating nutritious food, and eliminate behaviors that can pose a threat to their or their infant’s life, such as substance use.[2] 

Maternal mortality can be complex especially since along with the biological and physical health aspects that can lead to it, numerous and diverse socio-cultural factors can influence it. For instance, in societies where women are considered inferior to men, women’s dietary needs are often ignored. Interestingly, in some cultures, traditionally, the women in a family are able to start eating only after the men and children in the family have finished their meals, as opposed to all members of the family eating together at the same time. Some women cannot access adequate and nutritious food, which is necessary during pregnancy and after childbirth to safeguard their health and prevent complications.[3] Additionally, exposure to stress and traumatic experiences, including violence, can affect maternal health and well-being. For example, research has shown that intimate partner violence can significantly increase the risk of maternal mortality, especially since it can increase the risk of developing complications such as preterm labor.[1] Furthermore, since pregnancy and childbirth are so common and natural, women often get ignored or dismissed when they share concerns about them. Research found that especially in societies where pregnant women lack autonomy and mobility, their in-laws decide whether it is worth seeking healthcare, based on components such as the perceived severity of concern, the nature of the threat, and healthcare cost. Many families doubt why they should spend a lot of money on medical facilities when women have given birth in their own homes throughout generations.[3] As a result, oftentimes, pregnant women are brought to medical facilities when it is too late and they are nearing death due to complications.[3] 

Although pregnancy and childbirth are natural processes that countless women have undergone throughout history for the creation of new lives, it is important to be aware of the diverse factors surrounding maternal mortality and continue advocating for maternal health. Researchers acknowledge that governmental efforts have been made to help provide access to healthcare and basic needs including food, as well as advocating for women’s education and economic empowerment. Nonetheless, awareness[3] of maternal health should be further raised to promote health literacy and prevent adverse outcomes associated with delays in seeking medical care and complications. Awareness of maternal health should be spread in comprehensive ways and include essential information about the significance of nutritious food, the importance of seeking timely medical care, and effectively caring for women before and after childbirth. The WHO also recognizes the importance of remembering that the health of a pregnant woman directly affects the health and life of both her and her newborn.[5] Therefore, pregnant women as well as women in the postpartum period should be attentively and responsibly monitored, supported, cared for, and empowered. 


From the Eyes of a Women  

From the Eyes of a Women  

Tanvir Bhamra
April 2024

A woman may just be on her way to work, but with each step she takes she navigates through a minefield of double standards. This woman and countless others go through similar experiences of these ridiculous expectations and treatment compared to their male counterparts, as if they’re walking on eggshells. Double standards are far from unknown, and women have protested against them repeatedly; however, many do not know that they are still present. 

The gender pay gap started back around the 1800s when it was finally common for women to work; the University of Missouri states in 1840-1841, men were paid $33.81 per month while women were paid 21 dollars less.[2] This only devalues the time and effort women now put in, as it shows how they are not appreciated with the jarring contrast in wages. Unfortunately, this still continues now, multiple studies have shown that women are paid only 84% of what men are paid, and this is also dependent on their race with Black and Hispanic women getting paid less than men of the same race.[3] 

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While walking the streets, women find themselves being cautious to avoid the degrading experience of catcalling, where a stranger makes inappropriate or suggestive comments about their appearance. Despite it being a clear form of harassment, women are expected to tolerate such behavior and are mocked for speaking out against it. The normalization of this not only violates a woman’s dignity but also contributes to other women’s feelings of discomfort and fear. 

These double standards also exist in parenting, beginning with the expectation that women should stay at home with the kids. Meanwhile, fathers pay no attention. These ideas continue to influence present-day norms for the division of domestic labor. While mothers have the majority of childcare responsibilities, fathers are praised for performing even the most basic tasks. To add on, when fathers take care of their kids, others will call it “babysitting.” This can be infuriating for both parents as the father is just carrying out his responsibilities while everyone expects the mother to go above and beyond with childcare, sometimes ridiculing her if she gets “lazy.” This only places a burden on women and hinders the importance of fatherhood.[1] 

Besides the expectations of parents, double standards even affect how parents treat their children; it is often shown that fathers are way more protective and strict with their daughters, giving them early curfews, forbidding them from dating, monitoring the clothes they wear, and more. Even my father brings up the idea of me having children in the future,  even though I’m not fond of kids. I notice that these comments are not directed at my brother, only mentioning that he’ll find a nice woman in the future. Fortunately, my father is not as strict with me on other matters, like curfews and diet, but he certainly treats me differently from my brother, though this is affected by age as well. 

In the midst of all of this, women feel pressured to fit into unrealistic beauty standards. For instance, having a shaved body has been very normalized in women. Many times in public I’ve made sure my underarm hair wasn’t showing in fear of dirty looks and judgment, a concern not present in the minds of men.   Additionally, women face criticism and harsh comments for exhibiting characteristics considered to be “manly” such as having body hair or a smaller chest.   A study from the National Library of Medicine says, “The results indicate that men devalue non-ideal bodies and upvalue ideal bodies when they are self-related, whereas women rate in a fair-minded manner. Thus, in contrast to women, an advantage for men may be that they can self-enhance in the case of desirable bodies.”[4] In simpler terms, this talks about how men tend to devalue bodies that don’t match their ideal standards to boost their confidence; on the other hand, women judge bodies overall regardless of whether they match; possibly because of the many beauty standards pushed onto them. 

Noticing these situations in my day-to-day life has proven that these double standards have never disappeared and have been integrated into our culture and minds such that many don’t notice. In fact, women now hold men to high standards of being their partners, some more reasonable than others such as simply treating them with respect since it’s not shown as often. Either way, we need an environment where all individuals, regardless of gender, can thrive and flourish, and release ourselves from double standards. 


Silent Killers: The Lethal Consequences of Health Misinformation 

Silent Killers: The Lethal Consequences of Health Misinformation 

Roma Bhavsar
April 2024

What is Misinformation? 

Misinformation is defined as information that is inaccurate, misleading, or false and  deliberately intended to deceive.[1,2] According to the current Surgeon General of the United States, Dr. Vivek Murthy, “health misinformation is a serious threat to public health. It can  cause confusion, sow mistrust, harm people’s health, and undermine public health efforts.” A dire consequence of health misinformation can lead individuals to decline vaccines or essential medicines, ignore public health measures, and consume unproven treatments that pose potential harm when ingested.[2] 

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Navigating Reliable Sources in the Social Media Era 

In the past decade, an increasing number of people began to rely on social media for their news. Although convenient, accessing information online poses significant challenges because not all content is reliable, leading to the rapid spread of misinformation. 

One of the biggest ways to avoid getting wrong information is to make sure you are getting  facts from credible, reputable, and cited sources. From a health perspective, this could be a peer-reviewed medical journal (The New England Journal of Medicine, The Lancet, etc.) or educational website (.gov and .edu), a health organization such as Mayo Clinic, or a reputable online newspaper.[3] Misinformation is detrimental to society and can lead to increased fatalities and exacerbated public health crises; ultimately endangering the lives of our loved ones and people within our communities. 

Identifying the most vulnerable individuals to misinformation allows for targeted allocation of  resources and attention to those who are most susceptible. Certain demographics, including the  elderly, young individuals, frequent social media users, and those with limited formal education, are particularly vulnerable to misinformation. Additionally, individuals with strong political affiliations are more inclined to believe information aligning with their existing biases, especially when it originates from trusted sources. This highlights the critical concern  surrounding the dissemination of misinformation among susceptible populations.[4] 

Decreasing the Burden of Misinformation

Unfortunately, the vast amount of healthcare misinformation has significantly influenced how and where people look to consume information, often leading to a lack of verification of its authenticity. 

There are numerous solutions to mitigate the impact of misinformation. A collaborative approach  involving governments, health entities, technology firms, social media, and the public is  essential. Governments must rebuild trust by delivering clear, frequent messages and  demonstrating transparency in decision-making processes. Identifying vulnerable populations  and factors contributing to susceptibility is crucial for targeted interventions. Governments  should collaborate with health organizations to create platforms that easily disseminate evidence based information. Social media companies need to enhance surveillance of their platforms and  create frameworks for removing false data. Phone apps providing up-to-date scientific data and  government recommendations can help combat misinformation effectively.[3] Lastly, creating  awareness campaigns, implementing legal policies, and enhancing health literacy are additional  strategies that can be executed.[1] 

During the COVID-19 pandemic, it was evident that healthcare misinformation had significantly influenced public behavior. Social media was a driving force in misinformation spreading and a  way to mitigate this risk is increased monitoring of websites to remove incorrect information,  using algorithms and software to comb through and fact check data, and working more closely with evidence-based, peer-reviewed medical journals.[3] 

What Does This All Mean? 

Misinformation about the COVID-19 virus’s spread has made people less cautious in recent  years. Moreover, doubts about vaccine safety, fueled by false claims, have led to widespread  hesitancy. This highlights the need for trustworthy health information and vigilant monitoring of  social media. To tackle this “infodemic,” collaboration among governments, scientists, social  media companies, and community organizations is vital.[3] 

Those who share information publicly, particularly healthcare professionals who are seen as  scientific subject matter experts, have a moral duty to ensure the information they share is  sourced from reputable sources. Given their influence, their words can profoundly shape public  perception and behavior.[4] 

Enhancing the quality of health information we consume has widespread benefits, enabling us to make informed decisions for ourselves, our families, and our communities while mitigating the spread of misinformation.[2] 


PCOS: Can It Affect Brain Function? 

PCOS: Can It Affect Brain Function? 

Rachel Marti
April 2024

Whether this is the first time you are hearing about polycystic ovary syndrome (PCOS) or not, the name of this disorder may mislead you into thinking that it is caused explicitly by having several ovarian cysts, but that is not entirely true[12]. The National Library of Medicine defines PCOS as an endocrine disorder that involves having two or more of these three determining factors: irregular menses, hyperandrogenism, and polycystic ovaries[3,6]. Currently, the cause of PCOS in women of reproductive ages (18-40 years old) is still unknown[3,4]. But, scientists believe that perhaps hereditary genes, environmental factors, hormonal imbalances, and/or insulin resistance may play a role in developing PCOS[3,4]. Since there is no known cure, the disorder is currently being managed via medications and lifestyle modifications in an attempt to alleviate its symptoms[3,14,15]

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PCOS in Everyday Life 

PCOS is accompanied by several unpleasant symptoms such as weight gain, pelvic pain, headaches, acne, edema, decreased libido, mood swings, etc [9,14,15]. PCOS significantly affects a woman’s quality of life as it is one of the leading causes of infertility[11,14,15]. Various combinations of the three previously mentioned PCOS factors can cause an overexpression of androgens, such as testosterone[4,15]. This can prohibit ovulation, and therefore fertilization, from occurring[4,15]. Infertility can also cause major psychological distress as becoming a mother is a future many women look forward to[15]. Not only does this affect the PCOS patient, but it can affect the relationship with their partner and/or family members[15]. This can cause feelings of unworthiness, guilt, and barrenness which may lead to anxiety and depression[11]. Couples battling PCOS-related infertility may try certain medications and/or fertility treatments in order to achieve stable hormone levels and increase their chances of egg fertilization. This can be a time-consuming and mentally draining process as one’s rate of success with these methods is not always guaranteed[10,11]

The aforementioned high levels of testosterone and other androgenic hormones frequently lead to hirsutism in women suffering with PCOS[4,15]. This condition causes excessive hair growth on parts of the body such as the face, chest, legs, back, or arms[4,15,16]. It can be a debilitating condition, especially for young women, who are often judged by others, and made to feel abnormal, ashamed, and less feminine[4,15,16]. Although there are hair reduction options, removing the hair professionally usually takes multiple sessions in order to see results and the process can be painful[16]. Not only does this require time and money, but keeping the condition hidden is stressful as well[15,16]. In summary, living with PCOS can cause women to feel social stigma, anxiety, and depression, they may also create a negative body image of themselves[13]

Diagnostic Dilemma 

Despite PCOS being deemed a medical disorder over 100 years ago, up to 70% of affected women remain undiagnosed worldwide[1,2,7]. But, why is that? Physicians face a challenge when it comes to diagnosing PCOS because of one thing: the symptoms. PCOS can present itself through many symptoms that overlap and mimic what you would commonly find in other diseases such as pelvic inflammatory disease, thyroid disease, diabetes, etc[5,7,8]. Therefore, physicians request certain lab tests to be conducted and from their results, they eliminate other similar diseases; it could take several months or years for a true PCOS diagnosis to be reached[1]. This period of time where the patient is waiting to be diagnosed could potentially allow other harmful, long-term complications associated with PCOS to develop such as obesity, type 2 diabetes mellitus (DM-2), depression, endometrial cancer, and nonalcoholic fatty liver disease[1,8,15]. On a similar note, PCOS has also been found to increase one’s risk of heart disease and metabolic disorders. Recently, scientists have also discovered that it may also increase one’s risk of memory loss[2,5]

A New Study Relating Brain Health and PCOS, Results Discussed 

An ongoing cohort study conducted by CARDIA Women’s health has collected new data that suggests PCOS may have negative impacts on the brain[5]. Approximately one thousand women participated in this study, with roughly 6% of those women having PCOS per the study’s definition of PCOS[5]. The participants partook in a variety of cognitive tests that measured brain memory, reaction time/attention capacity, and verbal fluency[5]. In addition, a subset of the participants had brain MRI’s conducted in order to observe any differences between PCOS vs. non-PCOS participants[5]

The results of the study show that the PCOS patients, in fact, did score lower on the cognitive tests compared to the participants without PCOS. In addition, PCOS patients exhibited decreased white matter density in their brains[5]. White matter is the portion of your brain that is responsible for memory retention and coordination[17]. However, this study is unable to conclusively state that there is a significant decrease in brain function directly caused by PCOS[5]

Most published PCOS studies focus on its relation to heart health and infertility, but this is the first study that has attempted to observe a direct correlation between brain health and PCOS in women of middle age; with these new findings come a few caveats[5]. One limitation from this experiment is that the group size is not very large; the number of participants for both the cognitive testing and the MRI testing was relatively small[5]. A larger group of participants would yield a more accurate dataset and give us a greater understanding of the toll this disorder can take on the brain. Regarding the brain MRI results, further research is needed to verify whether or not the decrease in cognitive performance is directly related to PCOS or simply a consequence of aging[5]. Scientists should consider looking into certain metabolic and hormonal factors that can affect the brain as well as the current mental state of the PCOS patients. For example, depression is a common PCOS symptom which is known to decrease brain function[5]. Although performing this study was a huge step in the right direction, more research must be conducted. If future research provides evidence to support this study, it should primarily focus on preventing or slowing the rate of memory loss for affected women[2]. This could greatly improve the quality of life for PCOS patients as it may allow us to gain more insight into the mysteriously complex inner workings of this disorder[2].


Mothers First, Women Second: Childfree Women’s Fight for Sterilization 

Mothers First, Women Second: Childfree Women’s Fight for Sterilization 

Lisa Samy
April 2024

For a woman to decide to be childfree—meaning to not have children—they are chained to a never-ending struggle for bodily autonomy. In particular, when it comes to the fight for permanent sterilization. Sue, a childfree woman living in Queensland, Australia, had long suffered uncomfortable side effects from hormonal contraception.[1] Yet, her doctor refused to consider her request for permanent sterilization, and “treated [her] very condescendingly,” leaving her with “long-lasting trauma.”[1] 

Surely if women are old enough to have children, then they are old enough to choose not to have them as well. As of now, many people believe this isn’t the case. 

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Don’t Want Children? Prepare to get “Bingoed” 

Rising inflation, living costs, climate change, and stricter anti-abortion legislations ( the reversal of Roe v. Wade) have solidified an increasing number of young women’s choice to be childfree.[4] Still, there are women who don’t wish to have children simply because they don’t feel “that calling” to be a mother.[4] Any and all reasons should be treated as enough, but society’s overwhelmingly pronatalist views and enforced gender roles bar its validation. 

Therefore, childfree women are lambasted with negative and presumptuous comments about their decision, even from friends and family. One of the largest online childfree communities—the r/childfree subreddit on the platform Reddit—has labeled these remarks as “bingos.”[2] Some notable bingos are “you’ll change your mind,” “don’t worry, you’ll find the one someday” or “so, you just sleep around then?”[2] In short, their choices aren’t taken seriously and reduced to a phase. 

The Hard-fought Battle for Sterilization 

The main reason doctors deny sterilization requests to child-free women are their potential regret for their decision.[3] However, studies show that post sterilization regret for women is merely “20.3 percent of those 30 or younger and 5.9 percent of those over 30.”[3] Regardless, the world constantly equates motherhood to womanhood, forcing childfree women into a status of perceived inferiority. They are stereotyped as selfish and immature, shirking from their duty to reproduce, and regarded with a less rewarding life compared to women with children.[3]

On the other hand, childfree men don’t deal with nearly as much backlash. Fatherhood is associated as a learned skill rather than an intrinsic one—as in, separate to a man’s biological makeup.[3] Furthermore, studies indicating the sterilization regret for childfree men are sparse, cementing that men aren’t held up to the same level of scrutiny.[3] As such, sexism creates a division between childfree men and childfree women’s experiences. 

In fact, childfree women with partners have attested to this disparity. Jess Lawry, a military spouse, says her husband was able to receive a vasectomy with little to no pushback from doctors.[4] It’s a stark contrast compared to her journey for a tubal ligation: one of countless attempts, ending with no approval for sterilization.[4] 

Opening the Doors to Communication 

Women are slowly realizing that having children isn’t an obligation—it’s a choice. Those who do opt to be childfree hope to have candid discussions with their friends and family one day, but fear the derisive remarks they may receive.[1] When people let go of gendered prejudices, it opens a much needed path for childfree women to find support from loved ones, and access birth control that caters to their needs. 


The Miraculous Journey of Labor and Delivery 

The Miraculous Journey of Labor and Delivery 

Rebecca Johnson
April 2024

For many young women, the thought of labor and delivery has always been daunting…but the journey is truly astounding, and is separated into multiple stages till birth. The technical term for childbirth is “Parturition”, which is calculated to be 280 days from a woman’s last menstrual period. Now, we are going to walk through each stage and dive deeper into this interesting topic. The definition of labor is the series of events that expel the infant from the birth giver. The whole experience is extremely terrifying, especially if the woman experiences Braxton- Hicks contractions, which are false uterine contractions caused by the peaking of estrogen. The peak of estrogen increases the amount of oxytocin receptors, which inhibits progesterone from calming the uterine muscle during the birth process.

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Stage 1: Dilation

The first stage is the dilation stage. During this time, the cervix is 8-10 cm and is fully dilated in 8 to 18 hours. In subsequent pregnancies, the time to full dilation decreases to 5-12 hours.  At the end of this stage, the mother will feel the urge to push.[1] This stage creates true contractions, but only until the cervix is fully dilated. At this time, the baby’s head will be pushed against the cervix, and water breaks as the amnion ruptures. Amnion is the inner membrane that surrounds the embryo [2] During pregnancy, the amniotic fluid, which fills the amniotic sac, protects the fetus from injury and temperature changes such as maintaining heat. Since it is soft, it allows the fetus to move freely and assists with musculoskeletal development, lung development, and pressure on the umbilical cord[.4] There are many hormones and chemicals working behind the scenes to make this happen. For example, atural and synthetic prostaglandins help relax cervical muscles to soften the cervix, which makes it easier to dilate.[3]

Stage 2: Expulsion

By the second stage, the cervix will have been fully dilated and prepared for childbirth. Now, it is time for the woman to start pushing her baby out. Although the amount of time this takes will vary with every birth, it typically lasts from 20 minutes to a few hours. This time period will decrease with the second child, and so on.[5] This time is also ideal to get an epidural, because it cannot be given right before the mother gives birth, but must be fully dilated. However, an epidural can be given any time the mother can remain relatively still.[6] The purpose of an epidural is to relieve any intense pain the mother feels while pushing. An epidural can be a steroid or an anesthetic, injected into your spinal nerves. [7] A catheter is the tube that injects the medicine into the spine, as a small tube.[8]

Stage 3: Placental stage

The uterine contractions will continue for about 15 minutes after birth,  the placenta detaches from the uterine wall. After it detaches, the doctor will pull the umbilical cord which removes the placenta. During birth, the placenta, a temporary organ, attaches to the uterus, and helps pass oxygen, nutrients, and antibodies from the mother to the baby, while getting rid of wastes from the baby. In the case of twins, identical twins may share a placenta, but fraternal twins have their own placentas. [9]


Understanding PCOS: Risks and Changes Over the Ages 

Understanding PCOS: Risks and Changes Over the Ages 

Emily Bergin

April 2024

Background

Polycystic ovary syndrome (PCOS) impacts approximately 10% of females and is a lifelong condition.[1] It can be diagnosed in adolescence but often goes unrecognized for some time with the mean age of cases around 27 years of age.[2] Despite being an endocrine condition, it is associated with a host of other risks and comorbidities. 

Correlated Conditions 

Patients with PCOS often struggle with additional conditions such as obesity, metabolic syndrome, and diabetes.[2] All these conditions can increase individuals’ risk of developing PCOS. Therefore it is important to target preventing excessive weight gain and insulin resistance early in life to reduce the risk.[2]Insulin resistance in particular is highly prevalent and experienced by 50-95% of general and obese PCOS women.[3] 

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Due to the correlation with weight gain and metabolic conditions, there is a need to better understand how disordered eating may be related to PCOS. In a study of 46 PCOS patients and 56 controls, binge eating symptoms were found to be more prevalent in the PCOS group.[4] Symptoms including uncontrolled, emotional, and binge eating were observed as positively correlated, highlighting the need to further investigate this association to reduce PCOS risk and associated comorbidities. 

Changes Over the Years 

In addition to the concerns highlighted above, PCOS is also associated with other eating disorders and body image concerns. PCOS is associated with risks of infertility and sleep issues as well.[1] Since this is a lifelong condition, concerns tend to change over the course of time depending on the individual’s age. Younger patients tend to be more concerned over increased risks of dermatological issues like acne, irregular periods, and body image. As they age into the family planning stage of life, fertility troubles and the development of cardiac diseases become more relevant and important.[1] 

It is important to not only be aware of the symptoms of PCOS to help with early diagnosis but also to better understand how this chronic condition affects all aspects of life. With the right approach, including healthier lifestyle changes and seeking medical help where need be, PCOS can be a well-managed disease that does not have to negatively impact women’s overall health and well-being. 


The Loneliness Epidemic and What the World is Doing to Fight It 

The Loneliness Epidemic and What the World is Doing to Fight It 

Paz Etcheverry, MS, PhD

April 2024

The loneliness epidemic has been touted as an epidemic of modern societies. According to Dr. Vivek Murthy, the current Surgeon General of the United States, more than half of American adults are lonely.[9] Globally, it has been estimated that 1 in 4 older people experience social isolation and between 5 and 15 percent of adolescents experience loneliness.[20] 

Loneliness is a feeling that may arise at certain moments in life and affects anyone, regardless of gender, age, or socio-demographic characteristics.[22] Loneliness is synonymous with perceived social isolation, not with objective social isolation. In other words, people can live relatively solitary lives and not feel lonely. Conversely, people can lead a seemingly rich social life and feel lonely.[10] Loneliness is a distressing feeling that accompanies the perception that one’s social needs are not being met by the quantity or quality of one’s social relationships.[10] 

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Causes of Loneliness 

There are numerous root causes of loneliness such as lack of social skills, disagreeableness, and antisocial behavioral tendencies. For example, less agreeable adolescents are more likely to report a chronically high level of loneliness.[6] Social media might also be to blame.[6] A study found that the more time spent on social media, the greater the risk of loneliness overall, especially for people who used social media as a means for maintaining relationships.[3] We have become less trustworthy of others, which contributes to social isolation and loneliness.[2] [18] [21] Living alone, the loss of family or friends, chronic illnesses, long-term disabilities, going through changes such as the loss of a job or divorce, sensory impairments, and psychiatric or depressive disorders might cause or exacerbate social isolation or loneliness.[4] [16] 

Effects of Loneliness on Health

Loneliness can impact both physical and mental well-being. Higher risk of heart disease, lung disease, cardiovascular disease, hypertension, atherosclerosis, stroke, and metabolic disorders, such as obesity and metabolic disease, have all been associated with loneliness.[22] In fact, loneliness increases the likelihood of early death by 26 percent—an increase roughly equivalent to smoking 15 cigarettes a day. Loneliness has been associated with an increased risk of depression, psychosis, mental disorders, anxiety, stress, and suicide.[12] [14] [22] 

What the World is Doing to Fight Loneliness 

In light of this epidemic and its insidious effects, governments and companies alike are attempting to tackle loneliness. Here are a few examples. 

  • In 2018, the UK appointed its first Loneliness Ministry to develop and support innovative anti-loneliness programs.[11] 
  • The National Health Service of the UK has funded social prescribing, an approach where doctors can refer their patients to activities, groups, and services in their community,[9] such as pottery classes, language courses, dance, and cooking lessons to name a few. 
  • The Know Your Neighbourhood Fund, launched by the UK government in January 2023, is a £30-million funding initiative aimed at increasing community participation and addressing loneliness in 27 disadvantaged areas across England. The fund focuses on supporting individuals in these areas to connect through volunteering, enhancing their well-being.[5] 
  • Japan’s Prime Minister appointed a Minister of Loneliness in 2021 to address the rising issues of loneliness, social isolation, and increased suicide rates exacerbated by COVID-19 restrictions, which have mainly affected women and the elderly.[17] 
  • In 2023, New York Governor Kathy Hochul appointed 95-year-old media personality and sex therapist Dr. Ruth, also known as Ruth Westheimer, as the state’s Loneliness Ambassador to address the growing issue of loneliness.[19] 
  • That same year, Australia launched its first ever Loneliness Awareness Week (7 through 11 August), which aims to raise awareness about loneliness and its impact on mental and physical health and to encourage individuals and communities to take action to reduce loneliness and increase social connections.[13]
  • In response to reports of over a million people in South Korea living as recluses due to the coronavirus scare, the government has introduced a monthly living allowance of US $490 for lonely youths to encourage them to leave their homes.[1] 
  • It is not only governments that take action when it comes to fighting loneliness. The Dutch grocery store chain Jumbo has created slow “chat checkout” lanes where cashiers take time to talk with people. Additionally, Jumbo has created “chat corners” where people can enjoy coffee and small talk.[15] 
  • In Ireland, Friends of the Elderly, established in 1980 as a volunteer-based charity, is dedicated to combating loneliness among older individuals living alone. With a small staff and committed volunteers, the organization provides emotional and social support to improve the lives of older members, promoting independence and a sense of community connection.[8] 
  • Ventilen, which translates to “friend to one” in Danish, is a two-decade-old initiative designed to unite individuals aged 15 to 25 in Denmark. Organized twice a week, the program pairs 2 or 3 volunteers with the participants. Within the group, activities such as playing games, preparing meals, attending cinema outings, and fostering essential human connections take place, addressing the sense of connection that many in this age group may be seeking.[7] 

In conclusion, the global battle against the loneliness epidemic is gaining momentum, with various nations implementing strategies to address this pervasive issue. From government to community-based initiatives fostering social connections, the world is actively seeking solutions to combat loneliness.