Maternal and Child Health Journal最新文献

{"title":"Assessing the Knowledge, Practices and the Associated Factors Among Postpartum Mothers Concerning Neonatal Umbilical Cord Care in Pakistan: A Cross-Sectional Study.","authors":"Mahnoor Atta, Yan Xie, Hong Qin","doi":"10.1007/s10995-025-04103-9","DOIUrl":"https://doi.org/10.1007/s10995-025-04103-9","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study is to estimate the maternal knowledge and practice levels regarding neonatal umbilical cord care and their associated factors in different provinces of Pakistan.</p><p><strong>Methods: </strong>A descriptive cross-sectional study design was used to collect data from the respondents. Multistage sampling techniques were carried out for this study. Semi-structured questionnaire was designed for collection of data after acquiring ethical approval and informed consent. Descriptive statistics were carried out by taking frequencies and percentages of the collected data and associated factors were analyzed by applying chi-square test at the p value of < 0.05.</p><p><strong>Results: </strong>245 (65.3%) of the respondents had poor knowledge levels about umbilical cord care and 220 (58.7%) respondents practiced poor cord care. More than half of the respondents had poor knowledge. 285 (76%) about the usage of chlorhexidine (CHX) on the cord for seven consecutive days. Some conventional and unhygienic practices were also recorded in this study. More than half of the mothers used cord clamps for tying the cord 245 (65.3%) followed by tailor's threads 77 (20.5%). The associated factors including parity, occupation and income were not showing statistically significant results at the p value of < 0.05 except for place of delivery (*p = 0.01), (*p = 0.005) and educational status (*p = 0.04), (*p = 0.03), which are showing statistically significant results.</p><p><strong>Conclusion: </strong>Paucity in both knowledge and practices of umbilical cord care were observed among mothers attending postnatal care in the hospitals. Programs need to be initiated for the improvement of knowledge of UCC and discouragement of unhygienic practices.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Content Analysis of Maternal Toxicology Testing Policies to Inform Equity in Substance Use Disorder Identification.","authors":"Leah L Habersham, Sugy Choi, Michelle Gelband, Wendy Wilcox, Angela Bianco, Peter S Bernstein, Kima J Taylor, Nihal E Mohamed","doi":"10.1007/s10995-025-04104-8","DOIUrl":"https://doi.org/10.1007/s10995-025-04104-8","url":null,"abstract":"<p><strong>Objective: </strong>Analyze existing hospital-level policies in New York City (NYC) regarding substance use and substance use disorders (SUDs) during the perinatal period to provide a comprehensive guide for hospital-level policy development, ensuring equitable maternal screening for substance use and SUDs.</p><p><strong>Methods: </strong>Maternal toxicology policies were collected from eight NYC health systems between 1/1/2021 and 12/31/2022. One policy focused exclusively on neonate toxicology testing and thus was excluded. The remaining seven policies were de-identified and underwent a qualitative thematic content analysis using the Health Equity Impact Assessment framework. Two researchers conducted the thematic analysis, and two others reviewed identified themes for distinctions between policies.</p><p><strong>Results: </strong>Seven hospital-level policies identified four distinct policy approaches (Types A, B, C, and D). The policies varied in their approach to prenatal substance use and SUD identification, highlighting gaps in knowledge and lack of standard guidelines. The different approaches involved combinations of standardized screening tools, toxicology tests, social service referrals, and patient consent procedures, among others. Researchers found that some policies may inadvertently reinforce stigma and bias due to a focus on high-risk characteristics not necessarily indicative of substance use or SUDs.</p><p><strong>Conclusion: </strong>Multidisciplinary-informed evidence-based guidelines are needed to address substance use and SUDs during pregnancy. Our findings support the integration of evidence-based screening, brief intervention, and referral to treatment (SBIRT) into policies, and discourage sole reliance on toxicology tests for SUD identification. The study's findings can potentially guide the development of equitable and clinically useful maternal substance use and SUD policies, thereby improving dyad outcomes.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal Experiences and Challenges in Breastfeeding Infants with Tongue-Tie: A Systematic Review.","authors":"Frances Rodriguez Lara, Jonathan M Carnino, Jessica R Levi","doi":"10.1007/s10995-025-04102-w","DOIUrl":"https://doi.org/10.1007/s10995-025-04102-w","url":null,"abstract":"<p><strong>Introduction: </strong>Tongue-tie, clinically referred to as ankyloglossia, is a common condition characterized by an unusually short lingual frenulum and is associated with breastfeeding difficulties. Mothers of infants with tongue-ties are at increased risk of not only painful breastfeeding and poor latching, but also increased maternal stress and decreased maternal-infant bonding. The purpose of this systematic review is to examine the literature on maternal experiences and wellbeing while feeding infants with tongue-ties.</p><p><strong>Methods: </strong>We searched MEDLINE, Web of Science and EMBASE for relevant articles. Keywords \"maternal experience\" and \"tongue-tie\" were among those used. An independent review was conducted by two authors, and studies were included if they reflected maternal experiences beyond breastfeeding outcomes.</p><p><strong>Results: </strong>We found 8 studies, including qualitative and quantitative studies, that described maternal experiences with breastfeeding tongue-tied infants. All studies noted an increase in physiologic symptoms such as nipple pain and bleeding, as well as psychological symptoms including stress and strained relationships.</p><p><strong>Conclusions: </strong>Our systematic review indicates that women breastfeeding infants with tongue-ties are at increased risk of breastfeeding complications which can result in maternal stress, frustration, and impaired mother-infant bonding. Early evaluation of tongue-tie as a potentially significant contributor to breastfeeding complications and early intervention is important in these mothers and would likely decrease these negative effects described. Further research is needed to determine which populations are most likely to benefit from early intervention and how to best address the issue.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potential Impact of Maternal and Newborn Health Improvements in Afghanistan: Projection of Mortality to 2030.","authors":"Farzana Maruf, Hannah Tappis, Randolph Augustin, Thomas van den Akker, Yvonne Tam","doi":"10.1007/s10995-025-04108-4","DOIUrl":"https://doi.org/10.1007/s10995-025-04108-4","url":null,"abstract":"<p><strong>Background: </strong>Despite remarkable progress, Afghanistan's health sector continued to be hampered by chronic challenges undermining its performance including pervasive poverty and ongoing instability. At present, many pregnant women remain vulnerable because of low access to antenatal care, postnatal care, and skilled birth attendance.</p><p><strong>Objective: </strong>To illustrate the potential impact that continued improvements in maternal and neonatal health can have in terms of lives saved, and progress towards development goals. More nuanced modeling to consider the current quality of services is needed to inform resource mobilization and allocation decisions in a constrained fiscal space.</p><p><strong>Results: </strong>If coverage of evidence-based neonatal and maternal interventions reaches 90% of those in need by 2030, the neonatal mortality rate would drop from 36 to 16 per 1,000 live births, and the maternal mortality ratio from 638 to 237 per 100,000 live births. These reductions would mostly be driven by increases in coverage of interventions during childbirth.</p><p><strong>Conclusion: </strong>Tenacity, innovation, reinvigorated commitment, and continued financial resources are critically needed from the international health community and local government to avoid needless deaths and save lives.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of Interaction Between Caregivers and Children with Chronic Diseases in Oral Medication-Taking Situations: A Validation Study of the Interaction Rating Scale.","authors":"Takuya Yasumoto, Tomoka Yamamoto, Atsuko Ishii, Hiroko Okuno, Haruo Fujino","doi":"10.1007/s10995-025-04099-2","DOIUrl":"https://doi.org/10.1007/s10995-025-04099-2","url":null,"abstract":"<p><strong>Introduction: </strong>Caregiver-child interaction is essential for maintaining adaptive oral medication-taking behavior in children. To evaluate interactive behavior between children and caregivers, the Interaction Rating Scale (IRS), an observation-based instrument for evaluating the quality of caregiver-child interaction, can be applied via observation of interactions. This study examined the applicability of the IRS in oral medication-taking situations.</p><p><strong>Methods: </strong>Sixty-six caregiver-child dyads were evaluated using the IRS. The reliability of the measure was evaluated using Cronbach's alpha for internal consistency and intra-class coefficient (ICC) for inter-rater reliability and test-retest reliability. The concurrent validity was evaluated using the Positive and Negative Parenting Scale and the Social Skills Scale for Preschool Children.</p><p><strong>Results: </strong>The IRS total, caregiver, and child scores showed high internal consistency (α = 0.86-0.92), test-retest reliability (ICC = 0.76-0.80) and inter-rater reliability (ICC = 0.86-0.91). The IRS indices were partially associated with the Positive and Negative Parenting Scale and Social Skills Scale scores in the hypothesized directions.</p><p><strong>Discussion: </strong>The results indicated the IRS is a reliable and validated instrument for measuring characteristics of caregiver-child interactions in medication-taking situations. Further studies may be helpful for validating the measure in wider patient groups and investigating the medication behavior of children.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 Knowledge, Message Perceptions and Behaviors among Pregnant and Postpartum Women During the Early Months of the COVID-19 Pandemic in the United States.","authors":"Kyrah K Brown, Oluwatosin Igenoza, Shuchika Gupta, Claudy Jean Pierre, Zoё A Anaman","doi":"10.1007/s10995-025-04095-6","DOIUrl":"https://doi.org/10.1007/s10995-025-04095-6","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined the factors associated with COVID-19 knowledge, perceptions of COVID-19 messaging related to the perinatal population, and examined the association between COVID-19 knowledge and adherence to COVID-19 preventive behaviors among pregnant and postpartum women during the first wave of the COVID-19 stay-at-home orders in the United States.</p><p><strong>Methods: </strong>This was a cross-sectional online survey. A convenience sample of pregnant and postpartum women (18-49) were recruited from across the United States between April and June 2020-during the first wave of the COVID-19 stay-at-home orders. Crude and adjusted logistic regression analyses were performed to estimate odds ratios (OR) with 95% confidence intervals.</p><p><strong>Results: </strong>Of the 584 participants, 22.8% correctly answered all COVID-19 knowledge questions and 85.8% correctly identified the primary COVID-19 symptoms. Participants with at least one chronic health condition (aOR = 0.60, 95% CI = 0.39, 0.94) and who were unmarried (aOR=, 95% CI = 0.43, 0.93) had a lower odds of correctly answering COVID-19 knowledge questions. 62% of participants reported COVID-19 messaging was consistent and 43.3% of participants reported being able to find enough COVID-19 information or resources for pregnant or postpartum women. Participants had high levels of adherence to preventive behaviors. Participants who avoided hosting small gatherings during stay-at-home orders were two time as likely to correctly answer COVID-19 knowledge questions (aOR=, (95% CI = 1.15,3.66).</p><p><strong>Discussion: </strong>The findings underline the importance of prioritizing tailored educational and care needs among pregnant and postpartum people as early as possible during a global health emergency.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in HPV Vaccine Information Usefulness and Understanding Between Parents With and Without a Child with Special Healthcare Needs.","authors":"Jennifer A Manganello, Regan M Murray, Wen-Juo Lo, Shawn C Chiang, Mengfei Guan, Ann C Klassen, Amy E Leader, Larry T Hill, Philip M Massey","doi":"10.1007/s10995-025-04093-8","DOIUrl":"https://doi.org/10.1007/s10995-025-04093-8","url":null,"abstract":"<p><strong>Introduction: </strong>Youth HPV vaccination rates have yet to reach the national goal of 80 percent. One understudied population with respect to the HPV vaccine is youth with special healthcare needs. This study seeks to understand differences in HPV vaccine health information preferences and ratings of narrative content of parents with children with special healthcare needs to inform future communication efforts to improve HPV vaccine rates.</p><p><strong>Methods: </strong>A national sample of U.S. parents and caregivers (N = 512) were recruited through Qualtrics panels. Parents completed a survey about their oldest child aged 9-14. Parents who answered yes to \"Does this child need or use more medical, mental health, or education services than most children who are the same age?\" were classified as having an index child with special healthcare needs. The survey also measured social media use and information seeking, narrative engagement, and perceptions of usefulness and understanding of vaccine messages.</p><p><strong>Results: </strong>Fifteen percent (N = 77) of parents indicated that their index child had special healthcare needs. These parents were more likely to have a male index child, report social media as a first source of health information, and report greater understanding of HPV vaccine information presented in the stimulus materials. There were no differences for most demographics, social media use, HPV vaccine information source, and perceived usefulness of the HPV vaccine information.</p><p><strong>Conclusion: </strong>Overall, parents in this sample with and without an index child with special healthcare needs are similar in terms of how useful they found the materials. Parents with children who have special healthcare needs may have a greater preference for accessing information on social media, and may be better able to understand narrative health messages.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Brief Scoping Review of Community Hubs for the Care of Pregnant Mothers and Their Infants.","authors":"Jack Tsai, Alexandra Camacho, Cecilia Ganduglia-Cazaban","doi":"10.1007/s10995-025-04105-7","DOIUrl":"https://doi.org/10.1007/s10995-025-04105-7","url":null,"abstract":"","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fetal Cannabis Exposure and Neonatal Outcomes: A Systematic Review and Meta-Analysis.","authors":"Anna Bailey, Whitney Kerr, Zahra Alhay, Morgan Rom, Sheryl Hamilton, Janis Campbell, Katrin Kuhn, David Thompson, Jessica A Reese","doi":"10.1007/s10995-025-04096-5","DOIUrl":"https://doi.org/10.1007/s10995-025-04096-5","url":null,"abstract":"<p><strong>Introduction: </strong>Current literature addressing fetal cannabis exposure and neonatal outcomes is based on subjective measures with varying levels of significance. This systematic review and meta-analysis determined if neonates with fetal cannabis exposure have an increased odds of being born small for gestational age, low birth weight, admitted to the Neonatal Intensive Care Unit (NICU) immediately after delivery, and/or preterm.</p><p><strong>Methods: </strong>To identify relevant articles, we searched five databases using standard search criteria. Two authors used the Newcastle-Ottawa Scale to exclude articles with a high risk of bias. To estimate the combined effect, we calculated pooled odd ratios (OR) with 95% confidence intervals (CI) using the Mantel-Haenszel method for dichotomous data.</p><p><strong>Results: </strong>Of 3,390 original articles we identified through the search strategy, 13 met the inclusion criteria. This meta-analysis indicates that neonates with fetal cannabis exposure have higher odds of being small for gestational age (OR = 1.79; 95% CI = 1.24-2.59) and/or having a low birth weight (OR = 1.38; 95% CI = 1.05-1.89) compared to neonates without fetal cannabis exposure. The results regarding NICU admission and preterm birth were statistically inconclusive (NICU admission: OR = 1.38, 95% CI = 0.86-2.22; Preterm birth: OR = 1.29, 95% CI = 0.97-1.71). Although the odds ratios for these associations span one suggesting a null relationship, they have an upper bound that may be clinically relevant.</p><p><strong>Discussion: </strong>Based on these findings, further research, as well as an evaluation of the current public health response, is warranted. Additional research is needed to identify the association between neonatal outcomes and specific nuances of fetal cannabis exposure, such as route of ingestion, frequency of use, dose consumed, and the timing of intrauterine exposure.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Postpartum Cardiovascular Biomarkers with HIV Among Women with Recent Preeclampsia in Zambia.","authors":"Moses Mukosha, Mwansa Ketty Lubeya, Wilbroad Mutale, Innocent Maposa, Benjamin H Chi, Abigail Hatcher","doi":"10.1007/s10995-025-04097-4","DOIUrl":"https://doi.org/10.1007/s10995-025-04097-4","url":null,"abstract":"<p><strong>Objectives: </strong>Women recovering from preeclampsia with elevated vascular biomarkers have a higher risk of future cardiovascular diseases. We investigated whether HIV on treatment was associated with biomarkers of cardiovascular risk in the weeks following delivery.</p><p><strong>Methods: </strong>We analyzed data from a six-month prospective cohort study conducted from January 2022 to June 2023. Following delivery and at six weeks postpartum, we measured cystatin C, high sensitivity C-reactive protein (hs-CRP), Interleukine-2 (IL-2), Interleukine-6 (IL-6) and Tumor necrosis factor-alpha (TNFa). A generalized linear regression model with Poisson distribution estimated the association between vascular biomarkers and HIV on treatment.</p><p><strong>Results: </strong>This study included 75 participants with a median age of 29 years (interquartile range [IQR] = 27-34 years), with 35 (46.7%) living with HIV on ART and 40 (53.3%) HIV-negative. Women living with HIV on ART had higher levels of hs-CRP than HIV-negative women (4.68 mg/l vs 3.60 mg/l, p = 0.025) at six weeks. On the other hand, women living with or without HIV on ART had similar levels of cystatin C (0.78 mg/l vs 0.81 mg/l, p = 0.303), IL-2 (0.64 pg/ml vs 0.67 pg/ml, p = 0.131), IL-6 (0.64 pg/ml vs 0.64 pg/ml, p = 0.422), and TNFa (24.2 pg/ml vs 24.1 pg/ml, p = 0.346). Living with HIV while on ART was associated with an increased risk of presenting as hypertensive with elevated hs-CRP (aRR = 2.88, 95% CI: 1.09-7.60).</p><p><strong>Conclusions: </strong>Women living with HIV on ART had elevated hs-CRP but similar levels of other biomarkers after preeclampsia. Further studies are needed to explore the differential impact of HIV disease vs. antiretroviral treatment on inflammatory responses.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}