Exploring the role of prenatal, perinatal, and postnatal factors in child development among adolescent and adult mothers in Brazil

IF 2.4 3区心理学 Q3 PSYCHOLOGY, DEVELOPMENTAL

Infant Behavior & Development Pub Date : 2025-12-01 Epub Date: 2025-10-22 DOI:10.1016/j.infbeh.2025.102158

Nadia Cristina Valentini , Eloá Maria Chiquetti , Júlia Vicente Hass , Michele Caroline de Souza Ribas , Glauber Carvalho Nobre

{"title":"Exploring the role of prenatal, perinatal, and postnatal factors in child development among adolescent and adult mothers in Brazil","authors":"Nadia Cristina Valentini , Eloá Maria Chiquetti , Júlia Vicente Hass , Michele Caroline de Souza Ribas , Glauber Carvalho Nobre","doi":"10.1016/j.infbeh.2025.102158","DOIUrl":null,"url":null,"abstract":"<div><div>This study examined the influence of prenatal, perinatal, and postnatal factors on early motor development, comparing clinical, environmental, and cumulative risks among children of adolescent and adult mothers in Brazil. The aim was to generate evidence to guide interventions that improve maternal and child health outcomes.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 662 infants (176 preterm; 486 full-term) and their mothers (140 adolescents; 522 adults) from 17 cities across Brazil. Infants aged 0–4 months were consecutively recruited, and those with musculoskeletal disorders, genetic syndromes, or congenital malformations were excluded. The motor development was assessed with the Alberta Infant Motor Scale (AIMS), the home affordances with the AHEMD-IS, and maternal knowledge with the KIDI. Assessments were conducted in hospitals, clinics, or home setting. Statistical analyses included ANOVA, Pearson correlations, Chi-square, and backward regression. Inter- and intra-rater reliability form motor assessments was high (α =.99 and α =.97, respectively). Ethical approval and informed consent were obtained.</div></div><div><h3>Results</h3><div>Infants of adolescent mothers had lower birth weights and head circumferences and were exposed to more environmental risks. Adolescent mothers showed lower education, income, and knowledge of infant development and provided fewer motor developmental opportunities. Motor scores were positively associated with birth outcomes, breastfeeding, and maternal education. Regression analysis identified breastfeeding and gestational age as the strongest predictors of motor development. Higher cumulative prenatal, perinatal, and postnatal risks were linked to poorer motor performance.</div></div><div><h3>Conclusion</h3><div>These findings underscored the combined influence of biological and socio-environmental factors on early motor development and highlight the need for early interventions and integrated policies to reduce health disparities and support children of adolescent mothers.</div></div>","PeriodicalId":48222,"journal":{"name":"Infant Behavior & Development","volume":"81 ","pages":"Article 102158"},"PeriodicalIF":2.4000,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Infant Behavior & Development","FirstCategoryId":"102","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0163638325001328","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/10/22 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PSYCHOLOGY, DEVELOPMENTAL","Score":null,"Total":0}

引用次数: 0

Abstract

This study examined the influence of prenatal, perinatal, and postnatal factors on early motor development, comparing clinical, environmental, and cumulative risks among children of adolescent and adult mothers in Brazil. The aim was to generate evidence to guide interventions that improve maternal and child health outcomes.

Methods

This cross-sectional study included 662 infants (176 preterm; 486 full-term) and their mothers (140 adolescents; 522 adults) from 17 cities across Brazil. Infants aged 0–4 months were consecutively recruited, and those with musculoskeletal disorders, genetic syndromes, or congenital malformations were excluded. The motor development was assessed with the Alberta Infant Motor Scale (AIMS), the home affordances with the AHEMD-IS, and maternal knowledge with the KIDI. Assessments were conducted in hospitals, clinics, or home setting. Statistical analyses included ANOVA, Pearson correlations, Chi-square, and backward regression. Inter- and intra-rater reliability form motor assessments was high (α =.99 and α =.97, respectively). Ethical approval and informed consent were obtained.

Results

Infants of adolescent mothers had lower birth weights and head circumferences and were exposed to more environmental risks. Adolescent mothers showed lower education, income, and knowledge of infant development and provided fewer motor developmental opportunities. Motor scores were positively associated with birth outcomes, breastfeeding, and maternal education. Regression analysis identified breastfeeding and gestational age as the strongest predictors of motor development. Higher cumulative prenatal, perinatal, and postnatal risks were linked to poorer motor performance.

Conclusion

These findings underscored the combined influence of biological and socio-environmental factors on early motor development and highlight the need for early interventions and integrated policies to reduce health disparities and support children of adolescent mothers.

查看原文本刊更多论文

探讨产前、围产期和产后因素在巴西青少年和成年母亲儿童发育中的作用。

本研究考察了产前、围产期和产后因素对早期运动发育的影响，比较了巴西青少年母亲和成年母亲所生儿童的临床、环境和累积风险。目的是产生证据，以指导改善孕产妇和儿童健康结果的干预措施。方法：这项横断面研究包括来自巴西17个城市的662名婴儿（176名早产儿，486名足月婴儿）及其母亲（140名青少年，522名成年人）。连续招募0-4个月的婴儿，排除有肌肉骨骼疾病、遗传综合征或先天性畸形的婴儿。运动发展是用艾伯塔省婴儿运动量表（AIMS）评估的，用AHEMD-IS评估家庭能力，用KIDI评估母亲的知识。评估在医院、诊所或家庭环境中进行。统计分析包括方差分析、Pearson相关性、卡方和反向回归。运动评估的内部和内部信度较高（分别为α = 0.99和α = 0.97）。获得了伦理批准和知情同意。结果：青少年母亲的婴儿出生体重和头围较低，暴露于更多的环境风险。青少年母亲的受教育程度、收入和对婴儿发育的了解程度较低，提供的运动发展机会较少。运动得分与分娩结果、母乳喂养和母亲教育呈正相关。回归分析确定母乳喂养和胎龄是运动发育的最强预测因子。较高的产前、围产期和产后累积风险与较差的运动表现有关。结论：这些发现强调了生物学和社会环境因素对早期运动发育的综合影响，并强调了早期干预和综合政策的必要性，以减少健康差距和支持青少年母亲的孩子。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Infant Behavior & Development PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

4.10

自引率

4.80%

发文量

期刊介绍： Infant Behavior & Development publishes empirical (fundamental and clinical), theoretical, methodological and review papers. Brief reports dealing with behavioral development during infancy (up to 3 years) will also be considered. Papers of an inter- and multidisciplinary nature, for example neuroscience, non-linear dynamics and modelling approaches, are particularly encouraged. Areas covered by the journal include cognitive development, emotional development, perception, perception-action coupling, motor development and socialisation.