Maternal and Child Health Journal最新文献

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Correction: What Do Mothers Know About Nutrition? Impacts on Childhood Nutrition Outcomes in Sub-Saharan Africa. 更正:妈妈们对营养了解多少?对撒哈拉以南非洲儿童营养结果的影响。
IF 1.8 4区 医学
Maternal and Child Health Journal Pub Date : 2025-03-01 DOI: 10.1007/s10995-025-04071-0
Achamyeleh Birhanu Teshale, Godness Kye Biney, Michael Sarfo, Edward Kwabena Ameyaw, Sanni Yaya
{"title":"Correction: What Do Mothers Know About Nutrition? Impacts on Childhood Nutrition Outcomes in Sub-Saharan Africa.","authors":"Achamyeleh Birhanu Teshale, Godness Kye Biney, Michael Sarfo, Edward Kwabena Ameyaw, Sanni Yaya","doi":"10.1007/s10995-025-04071-0","DOIUrl":"10.1007/s10995-025-04071-0","url":null,"abstract":"","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"361-362"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450448","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}
引用次数: 0
Out of Pocket Expenditure on Institutional Deliveries in India. 印度机构分娩的自付支出。
IF 1.8 4区 医学
Maternal and Child Health Journal Pub Date : 2025-03-01 Epub Date: 2025-01-23 DOI: 10.1007/s10995-025-04060-3
R Lusome, Ambady Sivan, M Arun Kumar
{"title":"Out of Pocket Expenditure on Institutional Deliveries in India.","authors":"R Lusome, Ambady Sivan, M Arun Kumar","doi":"10.1007/s10995-025-04060-3","DOIUrl":"10.1007/s10995-025-04060-3","url":null,"abstract":"<p><strong>Background: </strong>Out-of-pocket expenditure (OOPE) and catastrophic health expenditure (CHE) on institutional deliveries in India impose significant financial burdens, disproportionately affecting socio-economically vulnerable populations and regions despite various policy interventions.</p><p><strong>Purpose: </strong>This study evaluates the extent of OOPE and CHE associated with institutional deliveries across Indian states and analyse regional variations using data from National Family Health Survey -5 (2019-21).</p><p><strong>Results: </strong>The findings reveal substantial inter-state and regional disparities in mean OOPE and CHE incidence, with socioeconomic and healthcare system factors significantly influencing these outcomes.</p><p><strong>Conclusion: </strong>Effective interventions to reduce OOPE and CHS on deliveries can significantly improve maternal and child health outcomes thereby achieving healthcare equity in the country.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"386-395"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025284","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}
引用次数: 0
Association Between Preterm Birth and Fulfillment of Desired Permanent Contraception. 早产与永久避孕之间的关系。
IF 1.8 4区 医学
Maternal and Child Health Journal Pub Date : 2025-03-01 Epub Date: 2025-01-29 DOI: 10.1007/s10995-025-04063-0
Andrea Chalem, Claire E Jensen, Brooke W Bullington, Kristen A Berg, Emily S Miller, Margaret Boozer, Tania Serna, Jennifer L Bailit, Kavita Shah Arora
{"title":"Association Between Preterm Birth and Fulfillment of Desired Permanent Contraception.","authors":"Andrea Chalem, Claire E Jensen, Brooke W Bullington, Kristen A Berg, Emily S Miller, Margaret Boozer, Tania Serna, Jennifer L Bailit, Kavita Shah Arora","doi":"10.1007/s10995-025-04063-0","DOIUrl":"10.1007/s10995-025-04063-0","url":null,"abstract":"<p><strong>Objectives: </strong>In cases of preterm delivery, the Medicaid sterilization policy mandates a signed consent form at least 72 h before surgery for permanent contraception, which is less than the 30 day minimum waiting period for term births. This study evaluated the association between preterm birth and fulfillment of planned permanent contraception.</p><p><strong>Study design: </strong>This was a secondary analysis of a multi-center retrospective cohort study of 3013 patients with a postpartum contraceptive plan of permanent contraception. Primary outcomes were permanent contraception fulfillment, compared between preterm and term deliveries. Secondary analyses examined moderation by delivery mode and insurance type.</p><p><strong>Results: </strong>At hospital discharge, patients who had a preterm delivery were less likely to undergo desired permanent contraception than those with a term delivery (adjusted odds ratio (aOR): 0.67, 95% CI: 0.53-0.84), and this finding persisted up to one year postpartum (aOR: 0.65, 95% CI: 0.53-0.8). For patients with cesarean deliveries, the odds of permanent contraception fulfillment were significantly lower among those with preterm compared to term deliveries (aOR: 0.54, 95% CI: 0.39-0.76). Among patients with Medicaid insurance, those who delivered preterm were less likely than those who delivered term to undergo desired permanent contraception (aOR: 0.66, 95% CI: 0.59-0.88).</p><p><strong>Conclusions for practice: </strong>Patients delivering preterm face barriers to fulfillment of desired permanent contraception postpartum. Prioritization of contraceptive goals is important for patient autonomy and increasing equitable access to contraception for all.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"396-404"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060903","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}
引用次数: 0
What Do Antenatal Women Want From Their Antenatal Education? A National Survey. 产前妇女想从产前教育中得到什么?一项全国性调查。
IF 1.8 4区 医学
Maternal and Child Health Journal Pub Date : 2025-03-01 Epub Date: 2025-02-03 DOI: 10.1007/s10995-025-04048-z
Eva Larkai, Anna Davies, Miriam Toolan, Mary Lynch, Rachel Plachcinski, Michael Larkin, Abigail Fraser, Christy Burden, Abi Merriel
{"title":"What Do Antenatal Women Want From Their Antenatal Education? A National Survey.","authors":"Eva Larkai, Anna Davies, Miriam Toolan, Mary Lynch, Rachel Plachcinski, Michael Larkin, Abigail Fraser, Christy Burden, Abi Merriel","doi":"10.1007/s10995-025-04048-z","DOIUrl":"10.1007/s10995-025-04048-z","url":null,"abstract":"<p><strong>Introduction: </strong>Antenatal education (ANE) equips pregnant women with knowledge and skills for pregnancy, birth, and the postnatal period. It should facilitate preparation for the whole spectrum of the maternal journey and empower women to make informed decisions. This study aimed to explore the antenatal education needs and preferences of women who are currently pregnant or planning a pregnancy.</p><p><strong>Methods: </strong>A UK wide cross-sectional survey was conducted (September 2019 to July 2020), recruiting women living in the UK, above 16, who were currently pregnant or planning a pregnancy. The survey gathered demographic information, details of current or planned class attendance, preferred ANE providers and desired skills and information. Quantitative data were analysed descriptively, and free-text responses underwent thematic analysis.</p><p><strong>Results: </strong>Of 553 participants included in the analyses, 77% preferred free National Health Service (NHS) classes and 60% planned to attend multiple class types, including paid options. Participants valued practical skills, particularly for labour and the postpartum period, and actively sought perinatal social networks. Multiparous women were less likely to attend classes, citing prior experience or practical barriers. Despite high interest in NHS classes, regional variations in availability and limited accessibility were noted.</p><p><strong>Conclusion: </strong>NHS antenatal classes are a trusted source of ANE, forming a core element of many women's antenatal journey. However, inconsistent provision highlights the need for a standardised, comprehensive curriculum. Flexible delivery models and tailored content are crucial to address diverse needs, particularly for multiparous women and underrepresented groups. Enhanced accessibility could reduce inequalities in ANE provision and improve maternal outcomes.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"324-337"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123820","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}
引用次数: 0
Brief Scoping Review of Pathways Community Hubs for the Care of Pregnant Mothers and Their Infants. 孕妇及其婴儿护理途径社区中心的简要范围综述。
IF 1.8 4区 医学
Maternal and Child Health Journal Pub Date : 2025-03-01 Epub Date: 2025-01-28 DOI: 10.1007/s10995-025-04042-5
Jack Tsai, Alexandra Camacho, Cecilia Ganduglia-Cazaban
{"title":"Brief Scoping Review of Pathways Community Hubs for the Care of Pregnant Mothers and Their Infants.","authors":"Jack Tsai, Alexandra Camacho, Cecilia Ganduglia-Cazaban","doi":"10.1007/s10995-025-04042-5","DOIUrl":"10.1007/s10995-025-04042-5","url":null,"abstract":"<p><strong>Objectives: </strong>Pathways Community Hub (PCH) programs help connect pregnant women to healthcare and social services. A scoping review of peer-reviewed studies on PCHs that reported quantitative outcomes was conducted.</p><p><strong>Methods: </strong>A search of academic databases from 1901 to 2024 initially yielded a total of 1,312 articles, which was ultimately reduced to 4 articles after duplicates were removed, and two levels of screening were conducted to determine whether studies met the inclusion criteria of evaluating a community hub for pregnant women, was written in English, was peer-reviewed, and reported quantitative outcomes.</p><p><strong>Results: </strong>The four studies in the scoping review included data collected from 2014 to 2020 in Ohio, Arizona, and Kansas. Sample sizes of participants in PCHs ranged from 112 to 7,212. In all four studies, the majority of participants was mothers from racial/ethnic minority groups. All four studies had a comparison group, and three of the four used propensity score matching. Three studies focused on infants' low birth weight (LBW) as an outcome and found PCHs were associated with reduced rates of LBW. The fourth study reported that PCHs were associated with a greater likelihood of receipt of adequate prenatal care among participating women.</p><p><strong>Conclusions: </strong>While these studies provide some preliminary evidence of the benefits of PCHs, no randomized trial could be found. More rigorous, multi-site studies are needed to move PCHs up the evidence hierarchy as an effective model of care for pregnant women and their babies.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"304-309"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053846","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}
引用次数: 0
What Do Mothers Know About Nutrition? Impacts on Childhood Nutrition Outcomes in Sub-Saharan Africa. 母亲对营养了解多少?对撒哈拉以南非洲儿童营养结果的影响。
IF 1.8 4区 医学
Maternal and Child Health Journal Pub Date : 2025-03-01 Epub Date: 2025-01-13 DOI: 10.1007/s10995-025-04052-3
Achamyeleh Birhanu Teshale, Godness Kye Biney, Michael Sarfo, Edward Kwabena Ameyaw, Sanni Yaya
{"title":"What Do Mothers Know About Nutrition? Impacts on Childhood Nutrition Outcomes in Sub-Saharan Africa.","authors":"Achamyeleh Birhanu Teshale, Godness Kye Biney, Michael Sarfo, Edward Kwabena Ameyaw, Sanni Yaya","doi":"10.1007/s10995-025-04052-3","DOIUrl":"10.1007/s10995-025-04052-3","url":null,"abstract":"<p><strong>Introduction: </strong>Globally, the prevalence of undernutrition is highest in the sub-Saharan African region with over a third of the world's stunted children residing in this region. Many studies have explored child nutrition in sub-Saharan Africa, but they often overlook the intricate nuances of maternal knowledge. We examined the association between maternal nutritional knowledge and childhood nutritional outcomes.</p><p><strong>Methods: </strong>This was a secondary analysis utilizing data from the Demographic and Health Survey of eight sub-Saharan African countries that were conducted between 2019 and 2022, focusing on children aged 6 to 23 months. The study used latent class analysis to identify discrete patterns of nutrition and health-related knowledge and mixed-effects logistic regression to assess their association with childhood nutritional outcomes namely, stunting and wasting. Statistical significance was determined at p < 0.05.</p><p><strong>Results: </strong>Most participants knew the importance of colostrum (76.8%) and continued breastfeeding (76.7%), as well as immunization (60.0%) and diarrhoea prevention and treatment strategies (65.1%). However, only 24.49% knew about family planning. Children of high knowledge group/class had a 17% lower risk of childhood stunting (crude model; COR = 0.83; 95%CI: 0.77, 0.90, adjusted model; AOR = 0.89; 95%CI: 0.82, 0.97) and a 22% lower risk of wasting (COR = 0.78; 95%CI: 0.69, 0.89, adjusted model; AOR = 0.84; 95%CI: 0.73, 0.96) compared to those from the low knowledge group/class.</p><p><strong>Conclusion: </strong>These results highlight the pivotal role of maternal knowledge in shaping children's health outcomes and emphasize the urgent need for targeted interventions and comprehensive maternal education programs to address the identified knowledge gaps and improve child health outcomes.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"349-360"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972650","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}
引用次数: 0
The Association Between Longer Maternal Leukocyte Telomere Length in the Immediate Postpartum Period and Preterm Birth in a Predominately Latina Cohort of Mothers. 在以拉丁裔为主的母亲群体中,产后初期较长的母体白细胞端粒长度与早产之间的关系。
IF 1.8 4区 医学
Maternal and Child Health Journal Pub Date : 2025-03-01 Epub Date: 2025-02-19 DOI: 10.1007/s10995-025-04056-z
Usah Dutson, Jue Lin, Laura L Jelliffe-Pawlowski, Kimberly Coleman-Phox, Larry Rand, Janet M Wojcicki
{"title":"The Association Between Longer Maternal Leukocyte Telomere Length in the Immediate Postpartum Period and Preterm Birth in a Predominately Latina Cohort of Mothers.","authors":"Usah Dutson, Jue Lin, Laura L Jelliffe-Pawlowski, Kimberly Coleman-Phox, Larry Rand, Janet M Wojcicki","doi":"10.1007/s10995-025-04056-z","DOIUrl":"10.1007/s10995-025-04056-z","url":null,"abstract":"<p><strong>Objectives: </strong>We investigated the association between maternal leukocyte telomere length (LTL) in the immediate postpartum period and moderate to late preterm birth (32- < 37 weeks) among Latinas, a population at high risk for preterm birth.</p><p><strong>Methods: </strong>Maternal LTL was measured using quantitative polymerase chain reaction at delivery in a prospective San Francisco primarily Latina birth cohort. Logistic regression models were used to investigate the association between postpartum maternal LTL and preterm birth. Maternal LTL was analyzed as a continuous predictor.</p><p><strong>Results: </strong>Out of 194 participants, 23 (11.9%) had preterm delivery. Longer postnatal maternal LTL was associated with preterm birth (crude OR 4.68; 95% confidence interval (CI) 1.07, 20.6, p = 0.039; adjusted OR 12.8, 95% CI 1.83, 99.9, p = 0.010). Age-stratified analysis showed that being under 35 years increased the effect size of the association between maternal LTL and preterm birth (adjusted OR 32.5, 95% CI 2.58, 597, p < 0.01).</p><p><strong>Conclusions for practice: </strong>Latina mothers with moderate to late preterm infants had longer LTL in the immediate postpartum period compared to those with term infants. This association was stronger for mothers under the age of 35 years. LTL may serve as a biomarker to better understand the pathophysiology and risk of preterm birth and could inform targeted interventions for prevention and early detection. Future studies are needed to understand physiological changes in maternal LTL from the prenatal to postnatal period in relation to birth outcomes.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"415-427"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450406","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}
引用次数: 0
The Impact of the COVID-19 Pandemic on Pregnancy, Birth Experiences, and Mental Health: Voices from Women in Puerto Rico. COVID-19 大流行对怀孕、分娩经历和心理健康的影响:波多黎各妇女的声音》。
IF 1.8 4区 医学
Maternal and Child Health Journal Pub Date : 2025-02-01 Epub Date: 2024-12-14 DOI: 10.1007/s10995-024-04026-x
Irene Lafarga Previdi, Carmen Vélez Vega, Nobel Hernández Otero, Ana Guzzi Vasques, Génesis Alvelo Colón, Ishwara Ayala, Natacha Guilloty, Jessica Medina, Marialane Cancel, Sofía Contreras, José Cordero, Akram Alshawabkeh
{"title":"The Impact of the COVID-19 Pandemic on Pregnancy, Birth Experiences, and Mental Health: Voices from Women in Puerto Rico.","authors":"Irene Lafarga Previdi, Carmen Vélez Vega, Nobel Hernández Otero, Ana Guzzi Vasques, Génesis Alvelo Colón, Ishwara Ayala, Natacha Guilloty, Jessica Medina, Marialane Cancel, Sofía Contreras, José Cordero, Akram Alshawabkeh","doi":"10.1007/s10995-024-04026-x","DOIUrl":"10.1007/s10995-024-04026-x","url":null,"abstract":"<p><strong>Objectives: </strong>The specific aims of the project are: (1) Examine the impact of COVID-19 on pregnancy experiences and outcomes; (2) Examine the mental health impact of COVID-19 in pregnant women and mothers of children 12 months or younger; (3) Identify risk and protective factors among this population in Puerto Rico.</p><p><strong>Methods: </strong>Participants were recruited from the Puerto Rico Team for Exploring Contamination Threats (PROTECT) Superfund Program, which is composed of pregnant women and mothers from the northern karst region of Puerto Rico. The research had a mixed methods approach with a quantitative survey (n = 184) and qualitative interviews (n = 10); data collection was done in virtual mode.</p><p><strong>Results: </strong>Findings from the qualitative interviews highlight the experiences regarding access to healthcare services, pregnancy and birth experiences, social support, and mental health during the pandemic among women with young children. These narratives serve to illustrate the particular challenges and opportunities that the participants faced during the year 2021 in regard to maternal health in Puerto Rico.</p><p><strong>Conclusions for practice: </strong>COVID-19 restrictions impacted the experiences in receiving healthcare services, particularly regarding the birthing process and the participants' mental health. Social support, particularly from family, was found to be a protective factor for facing the challenges during pandemic times. We expect that the findings can lead to the development of interventions for community health centers, prenatal clinics, non-governmental organizations, and parents/caretakers in Puerto Rico.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"139-147"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11821663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824547","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}
引用次数: 0
Impact of COVID-19 Pandemic-Related Workflow Changes on a Clinically-Integrated Breastfeeding Peer Counselor Program. COVID-19大流行相关工作流程变化对临床整合母乳喂养同伴咨询计划的影响
IF 1.8 4区 医学
Maternal and Child Health Journal Pub Date : 2025-02-01 Epub Date: 2024-12-19 DOI: 10.1007/s10995-024-04035-w
Fatima Sattar, Ann E B Borders, Lauren S Keenan-Devlin
{"title":"Impact of COVID-19 Pandemic-Related Workflow Changes on a Clinically-Integrated Breastfeeding Peer Counselor Program.","authors":"Fatima Sattar, Ann E B Borders, Lauren S Keenan-Devlin","doi":"10.1007/s10995-024-04035-w","DOIUrl":"10.1007/s10995-024-04035-w","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate whether Covid-19 related workflow changes to a clinically-integrated breastfeeding peer counseling (ci-BPC) program were associated with poorer breastfeeding outcomes for Medicaid-enrolled patients.</p><p><strong>Methods: </strong>This retrospective chart review included patients who received ci-BPC care during January 2017-March 2020 (\"Pre-Pandemic,\" N = 318); March 2020-September 2020 (\"During-Peak,\" N = 53); and September 2020-May 2021 (\"Post-Peak,\" N = 97). ANOVA evaluated differences in encounter type frequencies for each time point, as well as differences in breastfeeding initiation, exclusivity during inpatient admission, and continuation of breastfeeding at least 6 weeks post-delivery.</p><p><strong>Results: </strong>In-person prenatal counseling significantly decreased from Pre-Pandemic to During-Peak (43.9-8.2%, p < 0.05). Breastfeeding at 6 weeks postpartum significantly increased from the Pre-Pandemic cohort to the During-Peak cohort (67-85%, p < 0.05), and returned to baseline for the Post-Peak cohort (74%).</p><p><strong>Conclusions for practice: </strong>Covid-19 related workflow changes for the peer counselor did not decrease breastfeeding outcomes as anticipated.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"148-155"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855802","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}
引用次数: 0
Development and Validation of a Decision Support Tool for Baby Formula Prescription. 婴儿配方奶粉处方决策支持工具的开发与验证。
IF 1.8 4区 医学
Maternal and Child Health Journal Pub Date : 2025-02-01 Epub Date: 2025-01-23 DOI: 10.1007/s10995-024-04036-9
Leonara Carla de Araújo Pereira, Gabrielle Mahara Martins Azevêdo Castro, Anna Cecília Queiroz de Medeiros
{"title":"Development and Validation of a Decision Support Tool for Baby Formula Prescription.","authors":"Leonara Carla de Araújo Pereira, Gabrielle Mahara Martins Azevêdo Castro, Anna Cecília Queiroz de Medeiros","doi":"10.1007/s10995-024-04036-9","DOIUrl":"10.1007/s10995-024-04036-9","url":null,"abstract":"<p><strong>Introduction: </strong>Although there are acceptable medical reasons for the use of food supplements, most prescriptions for newborns do not comply with current recommendations, putting continued breastfeeding at risk. This study aimed to create and validate a flowchart for newborn supplement prescription.</p><p><strong>Methods: </strong>The flowchart was created and submitted to two rounds of assessments by a panel of judges, who calculated the content validity index (CVI) (acceptable > 0.80). Flowchart use in clinical practice (applicability) was validated by professional prescribers through the resolution of 3 clinical cases. Data were analyzed using Pearson`s chi-squared test (p < 0.05).</p><p><strong>Results: </strong>The flowchart was assessed by 17 judges and validated regarding its content (CVI = 0.84). Took part in validating the applicability of this study 169 doctors and nutritionists who work in maternal and child health. There was a statistical association between correct case resolution and flowchart utilization in two of the three clinical cases (p < 0.05). In situation 1, the use of a validated flowchart increased the likelihood of correct answers 7.76 times.</p><p><strong>Discussion: </strong>Prescribing baby formula is complex and requires careful assessment of several factors. Thus, knowledge translation is an effective intervention to eliminate the gaps between knowledge and clinical practice. The validated flowchart allows more assertive conduct regarding breastfeeding management and food supplement prescription for newborns.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"249-257"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025218","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}
引用次数: 0
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