JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Exclusive Breastfeeding and its Association with Intimate Partner Violence during
Pregnancy: Analysis from Pakistan Demographic and Health Survey
Version: 3 Date: 25 Sep 2023
Reviewer's report:
abstract
exclusive breastfeeding in the first 6 months.
postpartum ? How long
practice or Pakistan
data available on IPV and breastfeeding practices
IPV (physical, sexual, or emotional violence)
key word: be written based on the mesh Breastfeeding; Human milk; Intimate partner
violence;Domestic violence;
methods:It is not compatible with abstract
It has been based on probable violent events a mother has experienced through her present male
partner during the last one year During the last year, it is better before, during and after pregnancy
Results
Basic Characteristics of the Sample
The average age of the children under five years old in the current study was 3 months
Revise the sentence
Table 2 Non-weighted cross-tabulation basic characteristics of respondents by EBF practice
Education (In years) Revise the sentence
Table 4 Demographical Analysis of Exclusive Breastfeeding by Age of Infants
Revise the sentence
Funding
Explain more, there is a contradiction
Title: Exclusive Breastfeeding and its Association with Intimate Partner Violence during
Pregnancy: Analysis from Pakistan Demographic and Health Survey
Version: 3 Date: 29 Nov 2023
Reviewer's report:
This was a good article providing us evidence about exclusive breastfeeding and association
with intimate partner violence. But, I was just interested in one result, that showed the median
age of participants was 15. Maybe they have to check this data again.
Title: Immediate Postpartum Anemia and Associated Factors among Mothers Who Gave Birth
at Shewarobit Health Facilities, Amhara, Ethiopia, 2022: A Cross Sectional Study
Version: 1 Date: 28 Sep 2023
Reviewer:  Dereje Tsegaye
Reviewer's report:
Review report
Thank you very much for the opportunity to review this manuscript that addresses an important
clinical subject in its field.  However, I feel that there are number issues that need to address as
detailed in the attached document with track changes.
Major comments
• General comments
- The language, grammar and punctuation needs to be significantly improved. T
• Abstract
- You stated that you used a systematic random sampling to select the study participants. Do you
think that this sampling technique is appropriate for institution based studies like this?? What
was your sample frame? You have not clearly described this in the methods section.
• Background
- This section is very brief and uninformative because it does not review the literature on the
physiological changes that affect the HB during labor and immediately after child birth. For
example why did the authors choose the immediate post-partum and not any other day?  We
know that maternal hemoglobin level tends to increase by the third day postpartum and there is
a diuresis-induced resolution of pregnancy-induced anemia by the 6th week postpartum.
- Highlight on the epidemiological burden of post-partum anemia in terms of its prevalence /
rate in the background section.
• methods and Materials
- In the current form this section is very shallow because a lot of information is missing. For
example, sampling procedure, eligibility criteria etc are not described.
- I would like to suggest that the authors make use of the STROBE checklist for observational
studies in order to improve this section.
• results;
o You assessed IFA and categorized the response as yes/No. What does it mean?  When do you
say yes? How many pills?
• Discussion
o Authors have not written implications of their findings. Better to include the implications of
the major findings.
•   minor comments –
- The authors need to change the phrase “data was” to data were throughout the document as
data is always pleural.
Title: Immediate Postpartum Anemia and Associated Factors among Mothers Who Gave Birth
at Shewarobit Health Facilities, Amhara, Ethiopia, 2022: A Cross Sectional Study
Version: 1 Date: 27 Jan 2024
Reviewer's report:
Reviewer # 1
This manuscript could be of interest to those who are programming maternal care interventions
in Ethiopia.
General comments are:
1. The grammar and spelling issues should be solved.
2. Missed components of the manuscript should be solved.
Specific comments are:
Tittle
3. It is better if it is about the incidence of postpartum anemia than the prevalence, which is not
about new cases only but rather includes preexisting anemia.
Abstract
Background
4. Line 27: The definition of anemia is not for postpartum mothers, but rather for pregnant
women. So, the authors need to check it.
Methods
5.  Line 32: A total of 307 postnatal mothers participated in this study. Better if written under
the result Line 34: Data was entered into Epi Data software. Write the version of the software.
Results
6. Line 38, IFA, and Line 40, MUAC. Abbreviations or acronyms are not recommended.
7. Line 45: ANC... write in full format (antenatal care)
Background
8. What does the existing evidence say about post-partum anemia in Ethiopia, and what are the
current health policy efforts to prevent it? .Even better if the title was incidence of postpartum
anemia than prevalence in order to give more emphasis to the problem. Moreover, how did you
control mothers who had anemia before delivery?
Methods
9. Who were the populations (source and study populations)?
10. The authors need to describe the sampling techniques and inclusion and exclusion criteria.
11. Show the model fitness method the authors used.
12. Who did the authors check for multi-collinarity?. For instance, is there no collinarity between
PPH and perianal tear?
Results
13. The authors said chi-square was used under analysis, but nothing was there in the result.
14. Line 170: The captions did not answer the three questions: what, where, and when.
15. Justifications for high or low findings need scientific justification rather than the opinion
of the authors alone.
16. Line 280-283: The possible explanation might be that the second stage of labor is prolonged,
and managements like trial of instrumental delivery, episiotomy, perineal tears, and C/S delivery
are expected, which increase the chance of bleeding and the risk of immediate postpartum
anemia. The authors need to support the justifications with evidence (references).
Conclusion
17. The proportion of immediate postpartum anemia was high in Shewarobit health facilities.
What is your base to say high?
References
18. References 9, 14, and 21 are not standard.
Title: Immediate Postpartum Anemia and Associated Factors among Mothers Who Gave Birth
at Shewarobit Health Facilities, Amhara, Ethiopia, 2022: A Cross Sectional Study
Version: 5 Date: 24 Feb 2024
Reviewer's report:
I thank the invitation and authors who invest their time to incorporate the comments. Almost all
comments were incorporated. But, I have the following concerns.
1. Tittle: Immediate Postpartum Anemia and Associated Factors among Mothers Who Gave
Birth at Shewarobit Health Facilities, Amhara, Ethiopia, 2022: A Cross Sectional Study.. better
if the tittle is Immediate Postpartum Anemia and Associated Factors at Shewarobit Health
Facilities, Amhara, Ethiopia, 2022. Because already you said immediate postpartum anemia…
no need mother who gave birth.
2. Line 113….This study did not include mothers who were anemic prior to conception or during
pregnancy. How the authors know whether the mother was anemic of not before delivery if they
have no ANC?
3. Check as the references are standard. For instance Line 365…reference 8,
Title: Knowledge of cytology results affects the performance of colposcopy: a crossover study
Version: 2 Date: 24 Jan 2024
Reviewer's report:
Thank you for this interesting paper evaluating the role of cytology knowledge on colposcopes
impression.
Given that most programs are moving to primary HPV with cytology triage  of HR-HPV+ve
cases, do you have any HPV data to add to the evaluation, i.e. HPV 16 + ve ASC-H may increase
the accuracy etc?
If not this should be discussed in the discussion
Title: Knowledge of cytology results affects the performance of colposcopy: a crossover study
Version: 2 Date: 24 Jan 2024
Reviewer's report:
A well organized structured manuscript demonstrating how knowledge of cytology outcome at
colposcopy has an  impact on diagnostic accuracy for histologically confirmed CIN2+.
I have only a few minor comments/questions
1. The discussion addresses that cytologist pre-knowledge of HPV status influences the accuracy
of cytology and how this should be further investigated. The principle reason for referral in your
study was due to an abnormal pap smear, for clarity was this primary cytology or triage cytology
to a positive HPV primary screen?  I've made the assumption its based on primary cytology , is
this true? If so  manuscript could be clearer that there is no underlying knowledge of a  HPV
result which may further influence Colposcopist outcome.
2.  I find it interesting that professionals with greater recent experience (>50 colposcopies per
year) had a worse sensitivity. This is a minimum standard  for Colposcopists  in our  screening
programme.  The study is relatively small, could this have impacted on the  difference in
sensitivities?
3. Whilst participants were unaware of the ratio of positive and negative CIN2+ cases could
knowledge of the cohort having a biopsy due to routine clinical management  (and increased
risk of CIN2+) have improved sensitivity or do you think the study  design rules out such bias?
With Colposcopy generally conducted with knowledge of cytology , this  is a valuable piece
of work  that provides reassurance  for routine practice.  Most programmes now however have
some  form of HPV testing embedded and it is therefore even more important we understand
the impact of HPV status.
Title: KNOWLEDGE AND ATTITUDE TOWARDS PRECONCEPTION CARE AND
ASSOCIATED FACTORS AMONG WOMEN OF REPRODUCTIVE AGE WITH CHRONIC
DISEASE IN AMHARA REGION REFERRAL HOSPITALS, ETHIOPIA, 2022
Version: 1 Date: 17 Jun 2023
Reviewer's report:
Preconception care is essential care, yet it is rarely provided in low-resource environments.
The researcher has excellent insight. Evidence shows that these components of care are crucial
to continuum maternal healthcare services and that they significantly lower nearly all poor
birth outcomes. To make preconception care more accessible, it is essential to understand the
knowledge and attitudes of various communities.
Title: Long title
Abstract
Well written.
There is minor grammatical error. The authors should pay attention.
In conclusion, the authors have given attention to preconception counseling only. They should
indicate other options based on the findings and give direction for further research.
Introduction
The introduction clear and concise. The authors addressed research background and clearly
discussed research questions.
Study design, setting, and period in one paragraph.
Summarize the sample size calculation and sampling procedure in one paragraph.
Operational definition
• Avoid the value of mean.
Avoid some grammar errors.
How did you maintain data quality before and after data collection?
Data collection tools and procedures
Avoid some grammar errors.
Include lines 175–178 in the Data Quality Control Section, or avoid the data quality control
section and summarize in the Data Collection Tools and Procedures section. …..“Both data
collectors and supervisors were given one-day training before the actual work on the aim of
the study, procedures, and ways to collect the data while keeping the confidentiality of the
information gained from the respondents. The data collection process was closely supervised by
four BSc nurses (OPD coordinators).”
Data processing and analysis
Needs some grammatical corrections.
Why do you use both Pearson's chi-squared test and bivariate logistic regression?
Results
Change from Results to Results
Discussion
The discussion is well organized and includes all components but some points like copied-paste
result. Just avoid AOR and IC.
Conclusion
Looks like a result. What your study results mean? You have to show direction based on your
result to increase PCC.
Title: Coping with breast cancer during medical and occupational rehabilitation: A qualitative
study of strategies and contextual factors
Version: 1 Date: 07 Dec 2023
Reviewer:  Ana Grilo
Reviewer's report:
The manuscript under review is within the scope of the Journal and is relevant to the aims of
BMC Women's Health. The manuscript aligns well with the scope of BMC Women's Health,
showcasing relevance to its aims. It explores significant aspects of coping strategies related to
breast cancer survivors during medical and occupational rehabilitation, making it of considerable
interest to health professionals.
Abstract:
The abstract provides a clear overview of the study's objectives, methods and key findings [1].
Introduction:
The authors effectively introduce the reader to the manuscript's topic, setting the stage for the
research and highlighting the need for further investigation. They successfully identify gaps in
the existing literature and formulate a well-defined aim for the study [1].
Methods:
However, some areas in the Methods section require clarification. The authors should provide
more details about the recruitment process and clearly explain the PIAT (Psychological Impact
of Assistive Technology) and its relevance to the study. Additionally, it would be helpful to
include information about the interview process, such as the number of questions included in
the script and examples of these questions [1].
Moreover, scientific research needs to be replicable. Therefore, the authors should clearly
explain the process used to code the answers obtained during the interviews, making it possible
for other researchers to reproduce the study. The use of examples in this explanation would be
beneficial [1].
Results:
The authors are encouraged to improve Figure 1, making it easier to read and ensuring that
the factors associated with each coping strategy are clearly presented. This will enhance the
understanding of the results [1].
Discussion:
The conclusion is well-structured and substantiated by existing literature. The clinical
implications outlined in the discussion section offer noteworthy guidance, contributing valuable
insights for healthcare professionals and employers.
In conclusion, the manuscript on understanding coping strategies during BCS's medical and
occupational rehabilitation process is well-written and addresses an important topic. However,
some areas in the Methods section require further clarification, and improvements can be made
to present the results visually. Overall, the paper provides valuable insights that can benefit
health professionals and employers working with BCS.
Title: Coping with breast cancer during medical and occupational rehabilitation: A qualitative
study of strategies and contextual factors
Version: 1 Date: 15 Dec 2023
Reviewer's report:
First of all I want to give my compliments to the authors. They have conducted thorough research
to better understand BCSs coping strategies.
I have a few questions/ comments:
1. The introduction decribes incidence and cheallenges for BCS, the literature references  [1-4]
are quite dated (2013-2016). Have the  researchers also looked for more recent sources?
2. In Materials  & methods is written that 26 interviewees were selected using purposal sampling
until data saturation was reached. The used method is clear. However if purposal sampling has
continued to saturation then the total number of interviewees  is a result of the sampling method?
And should be described in the Results section?
3. Data collection: How and where are data stored?
4. The coding trees are clearly worked out. In the contextual factors, support and understandig
of managers/supervisors  and colleagues  (is not the same as a positive working climate)  and
the influence of legislation/regulations are not mentioned.   We know from literature that these
contextual factors make  an important contribution to promoting or hindering return to work.
In my daily care practice I see that lack of support at work can seriously negatively affect
active coping.  The same for problems with legislation. Did the authors investigate this in the
interviews? Perhaps this still needs to be adressed in the discussion?
Title: Coping with breast cancer during medical and occupational rehabilitation: A qualitative
study of strategies and contextual factors
Version: 3 Date: 05 Feb 2024
Reviewer's report:
I would like to compliment the authors for the proper processing of the comments provided. The
manuscript has now become more readable and the results have been better processed. This has
improved the quality of the manuscript.
The comment I had has been well processed.
Title: Women’s Autonomy and Maternal Health Decision Making in Kenya: Implications for
Service Delivery Reform - A Qualitative Study
Version: 1 Date: 14 Dec 2023
Reviewer:  Beverly M. Ochieng
Reviewer's report:
Abstract
The background should describe the context and purpose of the study; in this case, the study was
done in Kakamega, which should be clearly highlighted in the abstract.
On the last sentence in the background section, it will be better to expose the specific maternal
services being presented in the findings of this study to enable the reader to understand,
especially those with no health background.
Conclusion: a brief summary and potential implications. This has not been spelt out in the
abstract
Background: The background section should be written from the standpoint of researchers
without specialist knowledge in that area and must clearly state—and, if helpful, illustrate and
justify—why the selected county is selected in connection with the background to the research
and its aims.
This should be backed by a summary of a search of the literature to indicate why this study was
necessary, particularly in Kakamega County and what it aimed to contribute to the field. The
section should end with a very brief statement of what of what is being reported in the article.
Research question or objectives of the study
It would be better if the authors provided a description of the role of women’s autonomy and
empowerment in maternal health decision-making in the setting where the study was conducted
(Kakamega County). The architecture of the maternal and child health service delivery redesign
(SDR), in general, will lead to understanding the linkage being made with the specific service
that is studied within this work.
The background is too long; try summarising the section using the above suggested structure; the
section will sound interesting and will encourage the reader to want to continue reading through
the whole document.
The study setting should be one paragraph and precise; consider shifting the bulk of the
information to the background section.
It’s not clear how saturation was achieved in these interviews or how we can say that the opinions
being expressed fully represent reality (link with the selection criteria that should be done within
a strategy to cover all aspects that are presented in the objectives list but also avoid biases)
Have you shared the answers with your interviewees before sending them for publication? If
not, how can you be sure that you have transcribed the right opinions?
Discussion
Suggestions on the structuring of the discussion section in presenting synthesised results in a
systematic flow.
Statement of principal findings;
-strengths and weaknesses of the study;
strengths and weaknesses in relation to other studies;
discussion of important differences in results;
meaning of the study;
Unanswered questions and future research.
Conclusion: The conclusion should provide a brief summary of the key findings, potential
implications, and the way forward.
Title: Women’s Autonomy and Maternal Health Decision Making in Kenya: Implications for
Service Delivery Reform - A Qualitative Study
Version: 2 Date: 27 Jan 2024
Reviewer:  Solomon Cheboi
Reviewer's report:
1. General comment: There is a considerable revision of the manuscript apart from minor
concerns as suggested here under
a. Abstract- well improved.
b. Background- Sufficient but seems very long. It is also advisable that the typo in line 147
(refrm) be corrected.
c. Methods-revise sentence 195-195 to conform with the wording of line 25-27; also revise line
208-209 to include all the guides (FGDS, KII, and small group interviews guides). Additional the
response differentiating small interview and FGDs provided in response to reviewer document
would be appropriate if its incorporated in the manuscript as well as the interviews distribution
and management of demographic traits in the groups.
d. Results- consider replacing the word confident in line 249 and 507 with independent
e. Discussion- the words ‘a powerful predictor’ is used in 466 yet the authors did not undertake
power predictor analysis. As such there is need to review the use of these two words
f. Conclusion: improved
Title: Deep-learning-based radiomics of intratumoral and peritumoral MRI images to predict the
pathological features of adjuvant radiotherapy in early-stage cervical squamous cell carcinoma
Version: 0 Date: 26 Dec 2023
Reviewer's report:
Zhang et al. developed a deep-learning radiomic signature based on intratumoral and peritumoral
MRI images which yielded better performances than traditional clinical signature or radiomics
signature. The study is generally well-designed, butI have some improvement comments listed
as follow.
1.  Abstract: the background and methods  give too much unnecessary details while results is
too simple.
2. Method:
a. Please indicate the hospital name.
b.  All patients were randomly divided into the training and validation cohorts with a 4:1 ratio.
Why 4:1  was selected?
c. A independent paragraph of general descriptions on statistical analyses should be provided,
rather than combined with the construction of radiomics.
d. Please specify the study outcome. Statistical significance and software should also be
provided.
3. Results:
a. Table 1: What do you mean by 0 or 1? It's informal.
b. There's no difference in the performance of Rad_Sig and DLR_nomogram in the training set.
The performance of signatures vary significantly between training set and validation set. The
variations itself even much larger than the differences between signatures within the  training set.
c. How could you declaim that you had developed a model to assess radiotherapy options in
early-stage cervical squamous cell carcinoma. The study did not provide any analysis to support
this conclusion. The model is little more than a prediction model, not a decision-making system.
I am confused about the study outcome,  is postoperative radiotherapy or pathological features?
Does it make sense to predict postoperative radiotherapy in a retrospective cohort? How did
you know such intervention is beneficial. As I can learn from the background, postoperative
pathological features seem to play the key role in  decion-making in clinic.
d. There's no external validation.