Maternal and Child Health Journal最新文献

{"title":"A Pilot Program to Promote Maternal and Infant Oral Health Through Collaboration Between Dental and Obstetric Providers: Impact on Dental Visits During Pregnancy.","authors":"Sarah J Clark, Divesh Byrappagari, Lindsay Sailor","doi":"10.1007/s10995-025-04158-8","DOIUrl":"10.1007/s10995-025-04158-8","url":null,"abstract":"<p><strong>Objectives: </strong>The Michigan Initiative for Maternal and Infant Oral Health (MIMIOH) program provided funding to federally qualified health centers (FQHCs) to hire and embed a dental hygienist in the obstetrics clinic, with the goal of increasing the provision of dental care during pregnancy. Ten sites participated in two cohorts. Our objective was to assess the impact of the MIMIOH program on receipt of dental visits during pregnancy.</p><p><strong>Methods: </strong>Using Medicaid paid claims, we documented quarterly trends in dental visits during pregnancy, describing trends for each MIMIOH sites and comparing aggregate results for MIMIOH Cohorts 1 and 2 vs. FQHCs that did not participate in MIMIOH.</p><p><strong>Results: </strong>The proportion of women with a dental visit during pregnancy varied across MIMIOH sites, and was higher during periods of active participation. For both MIMIOH Cohorts 1 and 2, the aggregate proportions of dental visits during periods of active participation was higher than that for non-MIMIOH FQHCs. In contrast, dental visits were lower for Cohort 1 after MIMIOH participation ended, and for Cohort 2 before MIMIOH began.</p><p><strong>Conclusions: </strong>The MIMIOH program was successful at increasing dental visits among pregnant women during periods of active participation.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1707-1715"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12675546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mid-Trimester Allostatic Load and Spontaneous Preterm Birth in a Cohort of Pregnant Women Living with HIV in Zambia.","authors":"Katelyn J Rittenhouse, Bellington Vwalika, Yuri V Sebastião, Rachel S Resop, Humphrey Mwape, Kristina De Paris, Mwansa K Lubeya, Margaret P Kasaro, Jeffrey S A Stringer, Joan T Price","doi":"10.1007/s10995-025-04186-4","DOIUrl":"10.1007/s10995-025-04186-4","url":null,"abstract":"<p><strong>Objectives: </strong>Maternal HIV is associated with preterm birth (PTB). In resource-rich settings, spontaneous preterm birth (SPTB) has been linked to biomarkers of stress. We examined the association between allostatic load and SPTB among women with HIV.</p><p><strong>Methods: </strong>In a nested case-cohort analysis of a randomized trial of intramuscular progesterone to prevent PTB in women with HIV in Lusaka, Zambia, we measured 15 midtrimester plasma biomarkers from 4 domains: cardiovascular, immune, metabolic, and neuroendocrine. SPTB was defined as delivery <37wks preceded by spontaneous labor or membrane rupture. A composite ALI was calculated by summing Z-scores from all markers (ALI-15); another was calculated from a 7 marker subset (ALI-7) with Z-score differences >0.1 between outcome groups. We estimated SPTB time-to-event curves and hazard ratios (HR) between ALI quartiles.</p><p><strong>Results: </strong>Of 800 women enrolled in IPOP (2015-2017), 51 (6%) had SPTB. We randomly selected 107 participants, including 6 with SPTB (cases). We then selected all remaining cases (n=45), yielding a final sample of 152. Z-score distributions of systolic blood pressure, heart rate, HDL, triglycerides, hemoglobin A1C, albumin, and 25-OH Vitamin D were included in ALI-7. Participants in the fourth quartile of ALI-7 were more likely to experience SPTB (HR 2.49, 95% CI 1.15-5.40) than participants in the second quartile; this association was attenuated when quartile groups were defined by ALI-15 (HR 1.24, 95% CI 0.59-2.60).</p><p><strong>Conclusions: </strong>High ALI among women with HIV was associated with SPTB. A seven marker ALI appeared a more meaningful indicator of risk than one composed of all measured markers.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1759-1770"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13099250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community-Based Approaches to Developing a Community-Level Intervention to Improve Black Maternal and Infant Health.","authors":"Serwaa S Omowale, Cherell Cottrell-Daniels, Kobi Miller, Linda Jones, Tracy Jones, Maile Chand, Brionna McGhee, Brittany Slatton, Miriam Kuppermann","doi":"10.1007/s10995-025-04183-7","DOIUrl":"10.1007/s10995-025-04183-7","url":null,"abstract":"<p><strong>Purpose: </strong>Persistent racial inequities and inadequate healthcare for Black women during childbirth and postpartum have led to disturbing maternal and infant mortality disparities in the United States. The purpose of the current manuscript is to describe community-based approaches to inform the development of a maternal and child health intervention.</p><p><strong>Description: </strong>To address these health disparities, a community-based research team was formed to develop a population-specific community-level intervention that pairs social workers and doulas to improve Black maternal and infant health.</p><p><strong>Assessment: </strong>A community-based research team was established with a birth doula, a clinical social worker, a Black mother, community research scientists, and a community research assistant from the San Francisco Bay Area, California. Moreover, the team members brought their lived experiences and professional expertise, which informed our research approach. The community team members were integral in developing research protocols and approaches. We leveraged university infrastructure, trained team members in research methods, and compensated team members for their expertise.</p><p><strong>Conclusion: </strong>This ongoing community-based research approach will build long-term capacity and engagement to develop a community-level population-specific intervention to improve Black maternal and infant health outcomes.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1641-1647"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145313810","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":"Vaccination Coverage and Determinants Among Children Aged 12-35 Months Following Internal Conflict in Yemen: Insights from a Nationwide Population-Based Survey.","authors":"Omid Dadras, Christina El Saaidi","doi":"10.1007/s10995-025-04156-w","DOIUrl":"10.1007/s10995-025-04156-w","url":null,"abstract":"<p><strong>Introduction: </strong>Child vaccination is a crucial public health indicator, especially in conflict-affected regions. Despite the benefits, vaccination rates in Yemen remain suboptimal. This study evaluates vaccination coverage and its correlates among children aged 12-35 months in Yemen.</p><p><strong>Methods: </strong>Data from the Yemen Multiple Indicator Cluster Survey (MICS) 2022-23 were used. The survey covered 22 governorates, using a two-stage household selection process, and included 7,796 children. Vaccination status was assessed using a binary composite variable for full immunization. Multilevel logistic regression with robust error variance identified predictors of full vaccination.</p><p><strong>Results: </strong>The overall vaccination coverage was 29%, with urban areas (41%) having higher rates compared to rural areas (25%). Female children had slightly lower odds of being fully vaccinated than male children, though not statistically significant. First-born children had the highest vaccination rates (31%), with odds decreasing with higher birth order. Mothers' secondary or higher education (AOR: 1.59, 95% CI: 1.19-2.13), receiving prenatal care (AOR: 1.97, 95% CI: 1.26-3.07), and reading newspapers at least once a week (AOR: 1.72, 95% CI: 1.21-2.44) were significant positive predictors. Higher fathers' education, fewer children under five in the household, higher household wealth, and urban residence were also associated with higher vaccination rates. Other factors such as hospital delivery, TV watching, internet access, and mobile phone ownership were not significantly associated with full vaccination after adjustment.</p><p><strong>Conclusion: </strong>Significant gaps in immunization coverage among children in Yemen, particularly in rural areas, highlight the need for educational programs for parents, enhanced healthcare infrastructure, and improved health communication strategies.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1696-1706"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12675556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Variations in Screening Practices for Congenital Cytomegalovirus Infections Among Birthing Hospitals in the United States.","authors":"Sheevaun Khaki, Eli Binder, Robert Cicco, Ivan Hand, Julia Hecht, Lynn Iwamoto, Julie Kessel, Betty Vohr, Deepa Sekhar","doi":"10.1007/s10995-025-04175-7","DOIUrl":"10.1007/s10995-025-04175-7","url":null,"abstract":"<p><strong>Objective: </strong>Evaluate screening practices for congenital cytomegalovirus (cCMV), the most common infectious cause of childhood deafness, in American birthing hospitals.</p><p><strong>Study design: </strong>A survey was developed and distributed to hospitals across the US including the Northeast, Midwest, West, and Southwest between November-December 2023 to understand cCMV screening practices. Summary data were calculated. Hospital characteristics associated with screening were analyzed using a logistic regression model. Hospital practice was reported as a function of legislative mandate.</p><p><strong>Results: </strong>134 responses were received (28.5% response rate). 78 respondents (58.2%) indicated their hospital screens for cCMV. Common screening indications were newborn hearing screen referral (67.5%) and symptoms that could be attributed to cCMV (57.1%). Odds ratio of cCMV screening for states with screening legislation versus without was 18.0 (p < 0.001). Odds ratio of cCMV screening for urban, level 3 facilities versus rural, level 1 facilities was 6.7 (p < 0.02).</p><p><strong>Conclusion: </strong>Wide variability exists in cCMV screening practices. Legislative screening mandates are associated with higher screening rates. Opportunity exists for development of screening guidelines for newborns at risk for cCMV infection.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1575-1582"},"PeriodicalIF":1.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252097","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":"The Impact of a Transition to Motherhood Program on Postpartum Outcomes of Primiparous Women: A Randomized Controlled Trial.","authors":"Dilek Çelik Eren, İlknur Aydin Avci","doi":"10.1007/s10995-025-04181-9","DOIUrl":"10.1007/s10995-025-04181-9","url":null,"abstract":"<p><strong>Objectives: </strong>Pregnant women who have no experience in the transition to motherhood may face various problems such as low self-evaluation, physically problems, low maternal attachment both in the prenatal and postpartum period.</p><p><strong>Methods: </strong>This research was conducted as a randomized, controlled, single-blind pretest-post-test experimental study, was performed with primiparous women registered 73 pregnant meeting the inclusion criteria between December 2019 and December 2021. Pretest was applied to the experimental and control groups, Transition to Motherhood program based on Meleis' Transition Theory was applied to the experimental group; two post-tests were applied to the experimental and control groups group at the postpartum sixth week and fourth month.</p><p><strong>Results: </strong>The mean age of the experimental group was 26.91 ± 3.10, 45.7% of them had university or higher education level, 77.1% of them had a planned pregnancy, 88.6% of them had fear of birth. There was no statistically significant difference in terms of characteristic features between the experimental and control groups (p < 0.05). There was no statistically significant difference between the total mean scores of Prenatal Self-Evaluation Questionnaire and Prenatal Attachment Inventory applied as pretest of the pregnant women in the experimental and control groups (p > 0.05). A statistically significant difference was found between the groups; in terms of the Postpartum Self-Assessment Scale, Postpartum Physical Symptoms Severity, and the Maternal Attachment Inventory scores which were applied as the first post-test (postpartum sixth week), and the scores of the Maternal Attachment Inventory applied as the second posttest (postpartum fourth month) (p < 0.05).</p><p><strong>Conclusion: </strong>The Transition to Motherhood program had positive effects on postpartum self-assessment, postpartum physical symptom severity and maternal attachment of the primiparas.</p><p><strong>Clinical trial registration: </strong>This report was prepared in line with the Consort and TIDieR guideline. The research was also registered with Clinical Trials under no. NCT05272527.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1610-1620"},"PeriodicalIF":1.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139185","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":"Predisposing, Enabling, and Need Factors Associated with Postpartum Depression Treatment Among Women Enrolled in Texas Medicaid.","authors":"Emma L Pennington, Jamie C Barner, Carolyn M Brown, Leticia R Moczygemba, Divya A Patel","doi":"10.1007/s10995-025-04145-z","DOIUrl":"10.1007/s10995-025-04145-z","url":null,"abstract":"<p><strong>Objectives: </strong>To determine which of the available predisposing, enabling, and need factors are related to receipt of postpartum depression (PPD) treatment among postpartum women with Texas Medicaid.</p><p><strong>Methods: </strong>This retrospective database analysis used Texas Medicaid claims (1/1/2018-6/30/2022) and included women 12-55 years, continuously enrolled 84 days pre- to 12 months post-delivery, with a PPD diagnosis. The outcome was receipt of PPD treatment (psychotherapy and/or antidepressant medication) within 12 months post-delivery. Independent variables were guided by the Andersen Behavioral Model and included predisposing (age, race/ethnicity), enabling (urbanicity, prenatal care), and need (depression/anxiety, substance use disorder [SUD], cesarean delivery, preterm birth, pregnancy complications) factors. Multivariable logistic regression was used.</p><p><strong>Results: </strong>Included women (N = 25,976) were 26.7 ± 5.9 years and 42.1% were Hispanic. Most women resided in urban counties (80.6%) and had 6.2 ± 3.4 prenatal visits, 3.3 ± 2.8 postpartum visits, and 1.4 ± 0.9 pregnancy complications. Nearly half (44.7%) had baseline depression/anxiety, 17.4% had baseline SUD, 35.8% had cesarean delivery, and 13.5% had preterm birth. Approximately, three-fourths (76.2%) received treatment within 12 months after delivery. Logistic regression (p < 0.0001) revealed that the likelihood of treatment receipt was significantly associated with age (25-29:odds ratio [OR] = 1.155, 95% confidence interval 1.039-1.284, 30-34: OR = 1.186;1.058-1.330, > 34: OR = 1.295;1.134-1.479; reference:<20), race (White: OR = 1.700;1.556-1.857; Hispanic: OR = 1.179;1.087-1.277; reference: Black), urbanicity (OR = 0.869;0.799-0.944), prenatal care (4-6 visits: OR = 1.178;1.039-1.336, 7-9 visits: OR = 1.156;1.020-1.311, > 9 visits: OR = 1.406;1.217-1.625; reference:0 visits), and cesarean delivery (OR = 1.099;1.031-1.173).</p><p><strong>Conclusions for practice: </strong>While over 75% of women with PPD received treatment, additional efforts to mitigate disparate consequences of untreated PPD should be focused on younger, Black, and urban women.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1621-1629"},"PeriodicalIF":1.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660761","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":"Associations Between Food Insecurity and Child BMI: Cross-Sectional Versus Longitudinal Mediational Analysis of Maternal Weight-Related Parenting Practices and Concerns.","authors":"Eleanor Shonkoff, Tyler Mason, Christine Naya, Genevieve F Dunton","doi":"10.1007/s10995-025-04146-y","DOIUrl":"10.1007/s10995-025-04146-y","url":null,"abstract":"<p><strong>Objective: </strong>To test whether parent restriction, pressure to eat, and maternal concern for child weight mediated the positive association between food insecurity and child body mass index (BMI) in cross-sectional and longitudinal analysis.</p><p><strong>Methods: </strong>Data were from mother-child pairs (n = 202 at baseline). Children were M = 10.1 y (range 8-12) at baseline, 56% Hispanic, and 49% female; mothers were M = 41.2 y, and 58% had a college education or higher. Mediation models with maximum likelihood multiple imputation were conducted in MPlus, controlling for child age, child gender, and baseline scores on mediator and outcome variables (in longitudinal models).</p><p><strong>Results: </strong>Greater maternal concern for child weight mediated the association between greater food insecurity and higher child BMI in the cross-sectional model (indirect effect = 0.115, p < .010) but not the longitudinal model (indirect effect = < .001, p =.960). No evidence of mediation was found for pressure to eat or restriction in cross-sectional or longitudinal models. In cross-sectional models, food insecurity was associated with higher child BMI (B_{restriction model} = 0.20; B_{pressure model} = 0.24; B_{concern model} = 0.90, ps <.01); and greater concern with child weight (B = 0.19, p < .01, which was a precondition for mediation).</p><p><strong>Conclusions: </strong>Current findings suggest that food insecurity is associated with higher subsequent maternal concern for child weight and in turn higher child BMI (cross-sectionally). However, there was no support for feeding practices or concern as longitudinal mediators of food insecurity and child BMI change.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1630-1639"},"PeriodicalIF":1.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030970","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":"African-American Women's Early-Life Exposure to Neighborhood Mortgage Discrimination and Preterm Birth Rates: A Population-Based Study.","authors":"Christina Kim, S J Cavé Doi, Liz Lamere, Kristin Rankin, Nana Matoba, Nikhil Prachand, James W Collins","doi":"10.1007/s10995-025-04171-x","DOIUrl":"10.1007/s10995-025-04171-x","url":null,"abstract":"<p><strong>Objective: </strong>To determine the extent to which African-American women's early-life residence in urban neighborhoods with mortgage discrimination (compared to neighborhoods without mortgage discrimination) is associated with preterm birth (< 37 weeks, PTB).</p><p><strong>Methods: </strong>Stratified and multivariable binominal regression analyses were performed on a Chicago transgenerational dataset of African-American women (born 1989-1991) and their infants (born 2005-2017) with appended Home Mortgage Disclosure Act and Index of Concentration at the Extremes (ICE) data.</p><p><strong>Results: </strong>In mortgage discriminated neighborhoods, the proportion of non-Hispanic White residents exceeded that of neighborhoods without mortgage discrimination: 84% vs. 31%, p < 0.01. Additionally, mean ICE_{race/ethnicity} for mortgage discriminated neighborhoods equaled 0.78 (0.64-0.91) confirming the greater concentrations of non-Hispanic White populations. African-American women (n = 735) with early-life residence in mortgage discriminated neighborhoods had a PTB rate of 15.8% compared to 13.1% for those (n = 23,369) with early-life residence in non-mortgage discriminated neighborhoods; RR = 1.20 (1.01, 1.43). The adjusted (controlling for trimester of prenatal care usage and cigarette smoking) RR of early (< 34 weeks), late (34-36 weeks), and total PTB for African-American women with early-life residence in mortgage (compared to non-mortgage discriminated) neighborhoods equaled 1.60 (1.20, 2.14), 1.18 (0.92,1.53), and 1.31 (1.09,1.57), respectively. The subgroup of African-American women (n = 536) with early-life residence in mortgage discriminated neighborhoods and adulthood residence in non-mortgage discriminated neighborhoods had an early PTB rate of 8.0% versus 5.1% for those (n = 20,298) with a lifelong residence in non-mortgage discriminated neighborhoods; RR = 1.58 (1.18, 2.12).</p><p><strong>Conclusions: </strong>Urban African-American women's early-life residence in predominately non-Hispanic White, mortgage discriminated neighborhoods is associated with an increased risk of PTB, particularly its' early component, independent of adulthood risk status.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1556-1564"},"PeriodicalIF":1.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12583332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postpartum Opioid Use in the United States and the Implications to Maternal and Public Health: A Scoping Review.","authors":"Allison N Miller, Dennis E N Daniels, Sarah Cercone Heavey","doi":"10.1007/s10995-025-04163-x","DOIUrl":"10.1007/s10995-025-04163-x","url":null,"abstract":"<p><strong>Introduction/purpose: </strong>Postpartum opioid prescription rates remain high, leading to increased morbidity and mortality and increased licit opioid medications diverted into communities. This scoping analysis examined the current processes of postpartum opioid prescribing patterns in America and the implications to maternal and public health.</p><p><strong>Methods: </strong>From the databases PubMed, Medline, and Web of Science, a scoping review was performed utilizing the PRISMA-ScR checklist (Tricco et al. in Ann Intern Med 169(7):467-473, 2018, https://doi.org/10.7326/M18-0850 ). The primary objective of the search strategy was to identify studies that focused on the postpartum timeframe (obstetric delivery to one year postpartum) and prescribed opioids.</p><p><strong>Results: </strong>A total of 26 articles met inclusion criteria. Articles were broken down into four themes: trends or current state of postpartum opioid prescribing practices (n = 7); postpartum opioid related risk factors (n = 6); rates of new persistent opioid use and opioid use disorder (OUD; n = 5); protocols or research into reducing postpartum opioid use (n = 8).</p><p><strong>Discussion/conclusion: </strong>A variety of interventions and protocols have been found to be advantageous in reducing postpartum opioid use. Despite many of these successful efforts, postpartum opioid prescription rates remain high. Implementation of any number of interventions and protocols may be beneficial to reducing postpartum opioid use. Initiating a postpartum pain task force protocol (PPTFP) before obstetric delivery is recommended.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1541-1555"},"PeriodicalIF":1.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12583398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}