JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: A case of gigantic ovarian thecoma with normal estrogen during puberty
Version: 1 Date: 12 Jul 2024
Reviewer's report:
The case report has been well written and clearly presented for the consumption of readers. This
case report was properly drafted.
How was her postoperative course? What was her follow up plan following the surgery? If there
is a follow-up plan, what kind of examinations performed in each visit?
The conclusion is a bit overstated, as some of the points have been mentioned in the discussion.
It is recommended to only point out learning point from case in the conclusion part
Overall, this case report was well written, concise and detailed.
Title: A case of gigantic ovarian thecoma with normal estrogen during puberty
Version: 2 Date: 13 Aug 2024
Reviewer's report:
Evaluation of the manuscripts entitled - A Case of Gigantic Ovarian Thecoma with Normal
Estrogen during Puberty.
Dr. Zhilian Hu, Ph.D.
Editorial Board Member
BMC Women’s Health
Dear Professor Zhilian Hu,
Subject: Evaluation of Manuscript.
Thank you very much again for the opportunity to re-evaluate the manuscript entitled: A Case
of Gigantic Ovarian Thecoma with normal estrogen during puberty.
Comments to the Author
I thank the authors of this manuscript, Jiahui Dai and colleagues, for effecting the corrections
suggested. The manuscript is improved, well-written, and detailed for a better impact.
Dear Editorial Board Member, I know that with these changes, the authors have improved the
manuscript to a higher standard fit for publication for the readers of your highly esteemed
journal.
Yours Sincerely,
Doctor.
Title: Developmental trajectories of maternal fear of childbirth at different times: a prospective
longitudinal study
Version: 1 Date: 08 Jan 2025
Reviewer's report:
- L45-51 is confusing and needs to be proofread.
- L166: Please explain why the outcome of childbirth is an important aspect to explore in this
study, given that the research aims to understand the changes and development trends of the fear
of childbirth before and after delivery.
- All data that were already presented in the table, does not need to be presented in the narrative
section.
Title: Developmental trajectories of maternal fear of childbirth at different times: a prospective
longitudinal study
Version: 1 Date: 17 Jan 2025
Reviewer:  Y#lda Arzu Aba
Reviewer's report:
Dear Editor,
The article titled ‘Developmental trajectories of maternal fear of childbirth at different times:
a prospective longitudinal study’ is a comprehensive and methodologically sound study
examining the changes in fear of childbirth (FOC) during the prenatal and postnatal period. Its
longitudinal design, the use of the Latent Class Growth Model (LCGM) to identify potential
categories and the detailed analysis of factors affecting fear of childbirth increase the scientific
contribution of the study. I believe that the following minor suggestions will improve the quality
of the article.
- This introductory section clearly sets out the importance of fear of childbirth and the purpose
of the study. However, the fluency of the text could be improved and some points could be
discussed in more detail. The predominance of cross-sectional data in the Chinese studies
is emphasised, but it could be more clearly explained how this limits the specific results.
More concrete examples of how a longitudinal study can fill this gap could be provided.
The introduction would provide a stronger foundation if the gaps in the literature and the
contributions of the study were made more explicit.
- The Discussion section is generally comprehensive and effectively addresses the findings in
relation to the literature. However, the fluency of the writing could be improved, limitations
could be discussed more clearly and there could be more focus on socioeconomic contexts.
Conclusion:
This article makes an important contribution on fear of childbirth and is suitable for publication.
Implementation of the above minor improvement suggestions will increase the overall impact of
the study. Finally, I sincerely congratulate the authors for this successful work and their valuable
contribution. Such comprehensive and well-structured studies make an important contribution
to the literature.
Sincerely yours,
Title: Developmental trajectories of maternal fear of childbirth at different times: a prospective
longitudinal study
Version: 1 Date: 18 Jan 2025
Reviewer:  Henny Dwi Susanti
Reviewer's report:
Dear
Please revise it
1. Methodology:
How did the authors determine the appropriate sample size for this longitudinal study, and were
there any considerations to enhance the representativeness of the sample?
Were any adjustments or controls applied for other variables influencing childbirth fear, such
as social support or mental health conditions?
2. Results and Analysis:
Can the authors provide a more detailed explanation of how the trajectories of childbirth fear
significantly differed among the three identified groups?
How do the findings of this study compare with similar research conducted in other countries,
and what are the implications for the cultural context of China?
3. Practical Implications
Based on the study's findings, what interventions do the authors suggest to reduce childbirth
fear?
How do the authors propose implementing effective prenatal education to address childbirth fear
across different groups of pregnant women?
4. Study Limitations
Are there any limitations identified in this study that could affect the interpretation of the results?
How do the authors plan to address these limitations in future research?
5. Social and Cultural Context
How do cultural norms and values influence the increase or decrease in childbirth fear among
pregnant women in China?
Did the authors consider differences in access to healthcare or prenatal education that might
affect levels of childbirth fear?
Title: Developmental trajectories of maternal fear of childbirth at different times: a prospective
longitudinal study
Version: 2 Date: 04 Feb 2025
Reviewer's report:
Dear Editor,
Revision: Thank you for the revisions of the authors. However, I recommend adding the
Conclusion section, which should be included in an article. After it is added, the article can be
published. I wish the authors success in their work.
Best regards
Title: Developmental trajectories of maternal fear of childbirth at different times: a prospective
longitudinal study
Version: 2 Date: 13 Feb 2025
Reviewer:  Y#lda Arzu Aba
Reviewer's report:
Dear Authors,
I have reviewed the revised version of your study titled ‘Developmental trajectories of maternal
fear of childbirth at different times: a prospective longitudinal study’. I would like to thank you
for carefully considering my feedback during the revision process and making the necessary
adjustments.
The updated version of your study contains significant improvements in both methodological
and conceptual aspects. Your clarifications and additions have improved the clarity and
academic contribution of the study.
In this respect, I think that your study is suitable for publication in its current form and I thank
you for your contributions. I wish you success in your academic studies.
Yours sincerely,
Title: Age at First Marriage and Women’s Psychosocial Wellbeing in the Amhara Region,
Ethiopia
Version: 3 Date: 06 Dec 2023
Reviewer's report:
Thank you for this submission, it provides an interesting and novel exploration into the
psychosocial effects of child marriage and takes an honest look at how girls and women interpret
their own well-being. The paper could be strengthened by a more comprehensive explanation
of the methods and reasoning behind those methods, as well as a more thorough interpretation
of the qualitative data in the results and discussion. Some suggestions for how this can be done
are below:
1. Introduction doesn't include mention of qualitative component/reasoning for it
2. You mention that the study area was chosen because WVE operates there, but this might
present a conflict of interest if the data is collected in an area where specific resources are
available. Please describe the nature of their work there and how their funding impacted the
study design and interpretation of results.
3. Can you describe why the number of FGDs was chosen? How did you ensure this achieved
saturation? Especially considering that the second focus group describes participation by
stakeholders of vastly different experiences. I'm curious why those were all combined?
4. Please include description of what was included in FGD guides.
5. Please describe in more detail the statistical procedures performed on the data in the methods.
6. How were participants identities kept secure? Were data de-identified?
7. Please identify quotes to the type of participant it is attributed to. Considering the diversity in
stakeholders in those FGDs, their relationship to the topic might differ greatly.
8. The quantitative measures of social interaction do not seem to include anything about
education. However, it is being contrasted with qualitative quotes about isolation from school.
I don't think this is a fair comparison.
9. Most of the text in the results is taken up by writing out quotes. The section would have been
strengthened by more analysis of the patterns of quotes, rather than continuously listing them out.
10. I appreciate the authors' honest assessment of their methods and the acknowledgement that
the methods applied in this setting might not have been appropriate given the local context.
However, I can't help but wonder if any of the qualitative results are a result of response bias?
As there was no explication in the methods of how the FGD guides were developed or what they
included, it is hard to know how that bias would have been mitigated. This is a common issue
in child marriage research and I think should be discussed.
11. I think the findings on psychosocial wellbeing and social capital are interesting and should
not necessarily be disregarded based on the qualitative results alone, especially given the above
comment. Additionally considering the authors posit that the social capital largely stems from
their ability to bear children at a younger age, there was very little attention given to this idea in
the qualitative results presented. Were there any qualitative results to support this?
Title: Quality of Life, Insomnia, Attitudes and Beliefs in Women Undergoing Chemotherapy
for Breast Cancer: A Cross-Sectional Study in Amol city Northern Iran
Version: 1 Date: 25 Apr 2025
Reviewer:  Elahe Ramezanzade Tabriz
Reviewer's report:
1- The epidemiological statistics of the most common malignancy in the world should be updated
in the first paragraph.
2- In light of similar studies, specify the reason for repeating the study and its innovation in
the introduction.
3- In the introduction, you talk about the stigma of the disease, but in the title, it is beliefs and
attitudes. Please clarify.
4- Throughout the manuscript, women with breast cancer should be emphasized because you
did not have a male patient sample.
5- The inclusion and exclusion criteria should be clearly and separately specified.
6- A chemotherapy center in a small city in northern Iran has been studied. Why did you
generalize it to the entire northern Iran? Please correct the sampling location precisely in the
title and throughout the manuscript.
7- Convenience sampling was chosen. Specify the reason for choosing this sampling method,
which causes a lot of bias.
8- The results of the present study and the method of data analysis are almost the same as
those of similar studies, and no new results have been presented. Please address this issue in the
introduction and use expert statisticians for new statistical analyses.
9- Discuss the research findings and write systematically based on the research objectives.
10- Identify the limitations of the research in the last paragraph of the discussion
11- Clearly state the application of the results in clinical practice and research.
Title: Quality of Life, Insomnia, Attitudes and Beliefs in Women Undergoing Chemotherapy
for Breast Cancer: A Cross-Sectional Study in Amol city Northern Iran
Version: 2 Date: 08 May 2025
Reviewer:  Amirmohammad Dahouri
Reviewer's report:
Overall, the revisions made to the manuscript are acceptable, and I appreciate the authors’ efforts
to address previous feedback. However, several critical concerns remain.
1. The use of the Shapiro-Wilk test for normality is inappropriate given the large sample
size (n=468); instead, skewness and kurtosis indices should be reported as I recommended in
previous round of review. Kindly can I see your skewness and kurtosis indices report?
2. The manuscript contains numerous errors in academic tone, grammar, and terminology, such
as “Spir-Wilk” term in abstract section and incorrect usage of terms like "krammer" instead of
"Cramér’s V." in method section.
These issues must be addressed to ensure clarity and academic rigor.
Title: Quality of Life, Insomnia, Attitudes and Beliefs in Women Undergoing Chemotherapy
for Breast Cancer: A Cross-Sectional Study in Amol city Northern Iran
Version: 2 Date: 15 May 2025
Reviewer:  Elahe Ramezanzade Tabriz
Reviewer's report:
The authors responded well and patiently to the reviewers' comments. The manuscript is much
improved from its previous version and is now suitable for publication. I hope that the readers
will benefit from this study's findings.
Title: Endometriosis – “Either way a tragedy”? A qualitative social media analysis of
endometriosis perceptions in Germany
Version: 1 Date: 16 Mar 2025
Reviewer's report:
The findings of the study contribute significantly to the body of work in understanding the
experience of patients suffering from endometriosis.  qualifying the  selection of included
material will help the reader contextualize the findings of the study.
Title: Endometriosis – “Either way a tragedy”? A qualitative social media analysis of
endometriosis perceptions in Germany
Version: 2 Date: 04 Jun 2025
Reviewer's report:
Dear Authors,
I have now read the revised manuscript along with your responses to the reviewer comments.
I find that you have made the necessary adjustments based on the feedback provided and have
offered well-reasoned justifications for your choices.
I have no further comments and look forward to seeing the article published.
Kind regards
Title: Healthcare Disparities in Gynecological Health Services for Women with Disabilities: A
Cross-Sectional Study from Iraq
Version: 3 Date: 23 May 2025
Reviewer's report:
General Comments:
This is an important and timely topic that addresses a significant gap in healthcare literature.
The manuscript has the potential to make a valuable contribution by providing supplementary
data to existing studies.
Abstract:
The abstract is concise and informative. However, it would be beneficial to include the mean
age of the sample in the results section.
Specific Comments:
1. Introduction:
The introduction is well-constructed and clearly highlights a gap in the existing literature.
2. Methodology:
a. Sample Size: Please clarify how the sample size was calculated.
b. Data Collection and Measures: Further elaboration is needed on the questionnaire's validation
process. Was a pilot study conducted? Please also report the internal consistency of the
questionnaire, such as Cronbach's alpha.
c. Data Collection: It appears that data were collected from both women with disabilities and,
in some cases, their guardians. This raises concerns about potential reporting bias due to the
non-homogeneous nature of the sample. It is recommended to analyze the responses of women
with disabilities separately from those of their guardians to yield more informative and accurate
findings.
3. Results:
The results are clearly presented.
o Figure 3: It appears that diabetes is included as a type of disability. Please provide a rationale
or further clarification for this classification.
4. Discussion:
The discussion is thorough and well-written.
o Please avoid reiterating the results in this section; focus instead on interpretation, implications,
and comparison with previous literature.
Title: Healthcare Disparities in Gynecological Health Services for Women with Disabilities: A
Cross-Sectional Study from Iraq
Version: 4 Date: 02 Jun 2025
Reviewer's report:
Dear authors,
Thank you very much for revising the manuscript. The text is now considerably clearer and
more coherent.
I have two small comments:
1) Since you have also performed binomial logistic regressions, this needs to be reflected in the
abstract (Methods), as well as in the manuscript in the Statistical Analysis section.
2) Limitations: while you have added the aspect on generalizability of the findings, I believe
it should be stated more clearly, for example something on the line: the sample is small, the
sampling method was not probabilistic, therefore, the findings cannot be generalized to the entire
population with disability in the country (omit "may" in "may limit generalizability").
Overall, great work. Thank you!
Title: Prediction Model for Assessing HER2 status Patient with Invasive Ductal Carcinoma
Based on Clinical Parameters and Ultrasound Features: A Dual-Center Study
Version: 0 Date: 12 Dec 2024
Reviewer:  Samaneh Rokhgireh
Reviewer's report:
Dear Authors
Thanks for your study
1-How did you calculate the sample size?
2-why did you choose sonography imaging for your evaluation? Why not mammography?
3- Did you use machine learning to process data and develop a prediction model?
Title: Prediction Model for Assessing HER2 status Patient with Invasive Ductal Carcinoma
Based on Clinical Parameters and Ultrasound Features: A Dual-Center Study
Version: 0 Date: 24 Dec 2024
Reviewer's report:
This is a well-presented study by  Lei Zhou et al.
Even though the statistical analysis and the data presentation are very thorough and structured
it is still unclear to me the purpose of this manuscript. Is it the suggestion of the authors to
replace the biopsy and immunochemical analysis of the specimen with non-invasive methods?
If a histopathology report will eventually be available for the patients why is there a need for
establishing other non-invasive and nonspecific methods for detecting the HERR 2 mutations?
Title: Prediction Model for Assessing HER2 status Patient with Invasive Ductal Carcinoma
Based on Clinical Parameters and Ultrasound Features: A Dual-Center Study
Version: 1 Date: 05 Feb 2025
Reviewer's report:
This is a well-presented study by Lei Zhou et al.
The statistical analysis and the data presentation are very thorough and structured
This is a well-presented study by Lei Zhou et al.
My main question remains: Is it the suggestion of the authors to replace the biopsy and
immunochemical analysis of the specimen with non-invasive methods? If a histopathology
report
will eventually be available for the patients why is there a need for establishing other non-
invasive and nonspecific methods for detecting the HERR
mutations?
Title: Women’s and Girls’ Sexual Empowerment Differs by Geographical Context: A
Population-Based Validation Study
Version: 4 Date: 20 May 2025
Reviewer's report:
Reviewer 2 comments:
Thank you for addressing the comments and for your responses.
Title: I think the change you have made to include ‘validation’ is clear and pertinent to the aim
of the study. One concern I have related to the revised title is how it states that the validation
was done across Asia and Sub-Saharan Africa. Whilst you have conducted the validation across
multiple sub-Saharan African regions, I am unsure whether inclusion of one region (Rajasthan)
in India is enough to claim that the validation was conducted across Asia.
Methods, Results: The changes to the methods, the inclusion of the table 1 and results are clear.
I have one minor comment; please ensure the Stata citation is correct.
Discussion: Two minor comments about the description of gender norms programs.
Page 4, line 36 or 44: Could you please give a bit more specific detail about the ‘programs and
intervention’ you make reference to as initiatives that could support women and their choices?
The current wording may be too vague. If appropriate could you mention a specific setting where
such interventions could be delivered e.g. schools, women’s groups, healthcare etc?
Page 8, line 22-23: Could you please clarify “different stages of gender norms programs”? I
assume this is in reference to the programs brought up in the last paragraph on page 7, however,
it is not clear by what is meant by “different stages”.
Title: Maternal Mental Health Improvement in Ghana: Role of Green Spaces Exposure
Version: 1 Date: 24 Apr 2025
Reviewer:  Benjamin Spears Ngmekpele Cheabu
Reviewer's report:
Thank you for the interesting topic and effort. The study makes a valuable contribution to the
literature on green spaces and maternal mental health, particularly in a Sub-Saharan African
context where such research is scarce. The use of validated scales, theoretical grounding, and
policy-relevant conclusions are notable strengths. However, the cross-sectional design, reliance
on self-reported measures, and limited exploration of confounders and insignificant findings
weaken the study’s impact. Please address the recommended improvements, particularly through
objective measures, deeper contextual analysis, and clearer statistical reporting to strengthen the
manuscript’s scientific rigor and relevance.
Title: Primary pelvic retroperitoneal smooth muscle tumor with cystic degeneration: A case
report and review of the literature
Version: 1 Date: 22 May 2024
Reviewer's report:
The authors present in a very well nice and well documented manner the case of a 34 year
old patient who was finally diagnosed with a primary pelvic retroperitoneal smooth muscle
tumors  developed along the right ureter and right iliac vessels  which was succesfully removed
in a minimally invasive manner. However, in order to increase the strength of the manuscript,
I recommned increasing the number of references (over 25). Meanwhile. minor language
corrections should also be performed.
Title: Primary pelvic retroperitoneal smooth muscle tumor with cystic degeneration: A case
report and review of the literature
Version: 1 Date: 22 May 2024
Reviewer's report:
Thank you for the opportunity to review this article.
There are many concerns
Many language errors
Non standard medical terms
Figures without arrows
Ct chest images , what are their aim
Why this mass was defined as retroperitoneal as on the images , it seems to be a peritoneal one?
How was it movable in exam and it is a fixed one ?
What about ovaries on ultrasound and imaging ?
What about iota scoring for the mass ?
What are the extra uterine sites of fibroma ?
How to differentiate them from ovarian masses  ?
Why was the afp elevated ?and hope and significance
Title: Primary pelvic retroperitoneal smooth muscle tumor with cystic degeneration: A case
report and review of the literature
Version: 1 Date: 02 Jun 2024
Reviewer:  Monika Anant
Reviewer's report:
1) They usually originate in the tissues that make up the retroperitoneal space rather than in a
retroperitoneal organ. Line 32-33
This is only a repetition of line 1 and 2  of introduction.
2) Specify the presenting symptom of the patient in case details
3)  Explain/revise : line 52 “no discomfort such as anal distension”,  line 55-56 “she has a clean
bill of health” “peripheral blood flow signals in the form of dots and stripes” ,line 82 “cardiac
shadow mediastinum”
4) Discuss the observations related to the uterus and ovaries in the vaginal ultrasound, in line 69.
5) Regarding a standard chest CT scan, images can be excluded as they do not hold significance
or provide additional insights for the case.
6) Legend of the Figure 3 “The pathological image of the pelvic retroperitoneal smooth muscle
tumor.” Needs revision to a histo-pathological description, magnification, staining, cells, mitotic
counts.
7) Retroperitoneal smooth muscle tumor is a rare benign disease that rarely occurs in the
retroperitoneum. Line 137-138, is a repetition.