Maternal and Child Health Journal最新文献

{"title":"Evaluation of Prescription Practices for Antenatal Steroids in Pregnant Women.","authors":"Antalya Jano, Caroline Madigan, Paris Ekeke","doi":"10.1007/s10995-025-04070-1","DOIUrl":"10.1007/s10995-025-04070-1","url":null,"abstract":"<p><strong>Objective: </strong>The significant racial disparity in adverse birth outcomes is unexplained by individual-level stressors. This implores us to explore modifiable prenatal care delivery characteristics. Our objective was to evaluate if racial disparities in infant respiratory outcomes were explained by inequitable exposure to antenatal steroids.</p><p><strong>Methods: </strong>We included women who delivered infants between 23 and 34 weeks gestation in Level 3 NICU between January 2017 and December 2020. Prenatal and postnatal variables, including exposure to antenatal steroids, were collected. A community need index was assigned designating level of neighborhood deprivation. Chi squared and t tests were performed to look for racial differences in prenatal and delivery characteristics.</p><p><strong>Results: </strong>There were no racial differences in steroid administration with 89.9% of eligible Black women and 89.8% of eligible White women completing an antenatal steroid course. Despite no differences in maternal risk factors such as diabetes, pre-eclampsia, prenatal care utilization and PPROM, Black infants were more likely to require intubation (p = 0.04), oxygen (p = 0.001), and surfactant (p = 0.008) in the delivery room compared to White infants. Compared to the lower community need groups exposed to ANS, the high need group had higher rates of chorioamnionitis and were more likely to be on Medicaid and Black race. Despite this, there were no differences in infant respiratory outcomes by community need group.</p><p><strong>Conclusions: </strong>Despite the shift in focus to include the interaction between individuals and their community exposures, the racial disparity in birth outcomes persists. Attention should be paid to other modifiable elements of a mother's prenatal experience.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"614-620"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469556","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":"Health on the Margins: A Qualitative Inquiry into Maternal Well-Being Among Bakerwal Tribes in Kashmir.","authors":"Irshad Ahmad Shah, Zakir Hussain Gadda, Shameem Ahamad Ganayee, Mohmad Saleem Jahangir, Hilal Ahmad Kumar, Aneesa Shafi","doi":"10.1007/s10995-025-04092-9","DOIUrl":"10.1007/s10995-025-04092-9","url":null,"abstract":"<p><strong>Objective: </strong>This study examines the critical issue of maternal health among tribal women in developing countries, with a specific focus on the Bakerwal tribe in Kashmir. Tribal women encounter significant challenges, including poverty, restricted access to medical facilities, and inadequate maternal care. Understanding these barriers is essential for addressing maternal health disparities and improving healthcare interventions tailored to their unique socio-cultural and economic conditions.</p><p><strong>Methodology: </strong>The research was conducted among the Bakerwal community in Check Village, Anantnag, using a qualitative approach to explore maternal health experiences. Given the community's low literacy levels, restricted healthcare access, and limited social mobility, data were collected from 20 tribal women who had recently given birth. Employing purposive sampling and guided by the principle of data saturation, in-depth interviews were conducted with 12 Bakerwal women and 5 healthcare professionals specializing in maternal care. This approach facilitated a deeper understanding of the maternal health challenges within the cultural and socio-economic context of the community.</p><p><strong>Results: </strong>The study reveals that Bakerwal tribal women are experiencing a transitional phase in maternal health, shaped by socio-economic and cultural challenges. Poverty restricts their ability to afford nutritious food, exacerbating malnutrition and related health risks. Limited awareness and deeply rooted cultural norms further hinder the integration of pregnancy into their daily lives. Financial constraints not only reinforce stereotypes but also contribute to infrequent hospital visits, limiting access to essential maternal healthcare. Despite their heightened vulnerability to health risks, significant barriers, including geographical isolation, inadequate healthcare infrastructure, and cultural apprehensions, continue to obstruct their access to timely medical treatment.</p><p><strong>Conclusion: </strong>The maternal health of Bakerwal tribal women in Kashmir faces significant challenges at the intersection of poverty, cultural norms, and limited healthcare access. Economic constraints, lack of awareness, and the marginalization of pregnancy within their lifestyle contribute to malnutrition, infrequent hospital visits, and heightened health risks. Caught between tradition and modernity, their maternal health remains vulnerable to systemic disparities. Addressing these issues requires culturally sensitive interventions, improved healthcare infrastructure, and targeted awareness programs to bridge existing gaps and ensure equitable maternal care.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"676-685"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988390","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":"Birth Outcomes Following Anti-viral Therapy for Treatment of COVID-19 During Pregnancy.","authors":"Hannah Yang, Yosra Elsayed, Victoria Zablocki, Beth Bailey","doi":"10.1007/s10995-025-04091-w","DOIUrl":"10.1007/s10995-025-04091-w","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this pilot study was to examine, using observational data, birth outcomes following the use of antiviral therapy in pregnancy.</p><p><strong>Methods: </strong>This retrospective chart review study involved patients diagnosed with COVID-19 who received care at a single university-affiliated obstetrics practice grouped as having received, or not received, Ritonavir-Boosted Nirmatrelvir (NMV-r). Participant background information and birth outcomes were extracted and analyzed.</p><p><strong>Results: </strong>Of 141 patients, nine were prescribed and took a course of NMV-r. Infants born to patients who were pregnantand took NMV-r had significantly shorter hospital stays (average of 2.5 days less) compared to infants born to patients who did not take NMV-r. In addition, there were multiple non-significant but clinically meaningful group differences: more than 10% of those who did not take NMV-r delivered preterm, while all those who took NMV-r delivered after 37 weeks, and infants born to those who did not take NMV-r were three times more likely to be admitted to the NICU compared to infants born to those who took a course of NMV-r.</p><p><strong>Conclusion: </strong>Patients who are pregnant andtake NMV-r as treatment for COVID-19 appear to have better birth outcomes than those who do not, with no identified adverse effects in this small convenience sample. Based on this pilot study, NMV-r may improve clinical outcomes for obstetrics patients who contract COVID-19 during pregnancy.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"599-603"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034890","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":"Comparison of Random Forest and Stepwise Regression for Variable Selection Using Low Prevalence Predictors: A case Study in Paediatric Sepsis.","authors":"Patricia Gilholm, Paula Lister, Adam Irwin, Amanda Harley, Sainath Raman, Luregn J Schlapbach, Kristen S Gibbons","doi":"10.1007/s10995-025-04038-1","DOIUrl":"10.1007/s10995-025-04038-1","url":null,"abstract":"<p><strong>Introduction: </strong>Variable selection is a common technique to identify the most predictive variables from a pool of candidate predictors. Low prevalence predictors (LPPs) are frequently found in clinical data, yet few studies have explored their impact on model performance during variable selection. This study compared the Random Forest (RF) algorithm and stepwise regression (SWR) for variable selection using data from a paediatric sepsis screening tool, where 18 out of 32 predictors had a prevalence < 10%.</p><p><strong>Methods: </strong>Variable selection using RF was compared to forward and backward SWR. Model performance was evaluated using the area under the receiver operating characteristic curve (AUC), and the variables retained. Additionally, a simulation study assessed how increasing the prevalence of the predictors impacted the variable selection results.</p><p><strong>Results: </strong>The best fitting RF and SWR models retained were 22, and 17 predictors, respectively, with 14 and 10 predictors having a prevalence < 10%. Both the RF and SWR models had similar predictive performance (RF: AUC [95% Confidence Interval] 0.79 [0.77, 0.81], LR: 0.80 [0.78, 0.82]). The simulation study revealed differences for both RF and SWR models in variable importance rankings and predictor selection with increasing prevalence thresholds, particularly for moderately and strongly associated predictors.</p><p><strong>Discussion: </strong>The RF algorithm retained a number of very low prevalence predictors compared to SWR. However, the predictive performance of both models were comparable, demonstrating that when applied correctly and the number of candidate predictors is small, both methods are suitable for variable selection when using low prevalence predictors.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"604-613"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984933","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":"A Qualitative Study To Understand Parental, Health Care Provider and WIC Nutritionist Perspectives on Early Childhood Beverage Choices for WIC-enrolled Families in a Southeastern US Health System.","authors":"Sophia Ali, Sydney-Evelyn Gibbs, Kimberly Wiseman, Jamie Zoellner, Kimberly Montez, Alysha Taxter, Mallory Suarez, Leah Hindel, Kristina H Lewis","doi":"10.1007/s10995-025-04075-w","DOIUrl":"10.1007/s10995-025-04075-w","url":null,"abstract":"<p><strong>Objectives: </strong>Nutritionists for the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), along with healthcare providers, can influence beverage choices for young children in WIC-enrolled families. Coordination of messaging about beverages and between-provider communication may be important for facilitating behavior change.</p><p><strong>Methods: </strong>In preparation for a planned intervention, during Spring through Fall of 2021, we conducted a qualitative study to understand perceptions around family beverage choice discussions across three groups: parents of WIC-enrolled children, WIC nutritionists and practicing clinicians. Semi-structured interviews were conducted with 25 individuals, with sample size determined a priori. Thematic content analysis was used to summarize transcribed data.</p><p><strong>Results: </strong>There was broad agreement that children should not consume sugar-sweetened beverages (SSB), but disagreement on tap water safety. Both clinicians and WIC nutritionists reported educating families about healthy drink choices, and parents recalled similar messages during these conversations. Parents were very supportive of fruit juice as part of the WIC package, with near universal opposition among clinicians. Many parents expressed concerns about tap water. Both provider groups perceived difficulty in reaching out to each other, and felt more communication would be helpful.</p><p><strong>Conclusions for practice: </strong>Our findings highlight a need for more regular communication between WIC nutritionists and children's healthcare providers within our system, and more consistent parental education on juice and tap water safety. Future studies could evaluate whether these types of communication gaps and perceptions are regional or more widespread across the US.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"628-638"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755200","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":"Impact of Mediterranean Diet Adherence in Early Pregnancy on Nausea, Vomiting, and Constipation.","authors":"Isabel Barroso-Ruiz, Naomi Cano-Ibáñez, Rebeca Benito-Villena, Sandra Martín-Peláez, Carmen Amezcua-Prieto","doi":"10.1007/s10995-025-04078-7","DOIUrl":"10.1007/s10995-025-04078-7","url":null,"abstract":"<p><strong>Objectives: </strong>Common maternal digestive symptoms, such as nausea, vomiting, and constipation during pregnancy, can impair pregnant women's quality of life. The Mediterranean diet (MedDiet), characterized by a high consumption of olive oil, vegetables, fruits, legumes, and grains; moderate fish and dairy intake; and low meat consumption, could alleviate these symptoms. This study aims to study the prevalence of maternal digestive symptoms in the different pregnancy trimesters and to examine the association between baseline MedDiet adherence and the prevalence of maternal digestive symptoms during pregnancy.</p><p><strong>Methods: </strong>A secondary analysis of the Walking Preg_Project trial was conducted in a cohort of adult Spanish pregnant women (N = 237) who provided data about MedDiet adherence and maternal digestive symptoms (nausea, vomiting, constipation) at baseline (12th ), 19^th, and 32nd Gestational Week (GW). MedDiet adherence was appraised through a 13-item questionnaire and categorized into low, medium, and high adherence. Digestive symptoms were assessed by the Pregnancy Symptoms Inventory. The association between baseline MedDiet adherence and maternal digestive symptoms was evaluated through adjusted multinomial analysis.</p><p><strong>Results: </strong>Differences among MedDiet adherence categories were considerable during pregnancy. Some of the greatest decreases were observed in high adherence to MedDiet in comparison with low MedDiet adherence at 32nd GW vs. 19th GW for the prevalence of nausea (10.0% vs. 18.8%, p < 0.001) and vomiting (5.0% vs. 8.7%, p < 0.001). Constipation remained during pregnancy. There was no significant association between the baseline MedDiet adherence and maternal gastrointestinal symptoms.</p><p><strong>Conclusion for practice: </strong>Baseline adherence to the MedDiet was not proven to influence nausea, vomiting, and constipation during pregnancy. For all MedDiet adherence groups, nausea and vomiting prevalence decreased throughout pregnancy, but not constipation.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"639-649"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804566","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":"Changes in Hospital Care of Newborn Infants with Trisomy 13.","authors":"Allison O Ignatz-Hoover, Mohsen A A Farghaly, Anna Crist, Alshimaa Abdalla, Hany Aly, Mohamed A Mohamed","doi":"10.1007/s10995-025-04072-z","DOIUrl":"10.1007/s10995-025-04072-z","url":null,"abstract":"<p><strong>Objective: </strong>To examine the changes over recent years in neonatal survival to discharge, prevalence of adverse events, surgical procedures, tracheostomy and/or gastrostomy tube (G-tube) placement, and length of stay (LOS) in infants with Trisomy 13.</p><p><strong>Methods: </strong>We identified newborn infants with Trisomy 13 in the National Inpatient Sample in the years 2003-2018. We calculated prevalence of associated conditions. We examined procedures done, and common adverse events associated with each condition, survival rates, and LOS. We also calculated changes in trends over the years.</p><p><strong>Results: </strong>The study identified 5792 newborn infants with Trisomy 13. Mortality during neonatal period was 58%. There was no significant change in mortality trends over the years, (p < 0.001). Average LOS was 10 (+ 34) days which had significantly increased over recent years (p < 0.001) and it was highest in conditions of NEC followed by gastrointestinal anomalies and sepsis. Among survivors, 2% were discharged with tracheostomy and 9% with G-tubes. LOS was significantly increased in association with these procedures.</p><p><strong>Conclusion: </strong>There was a slight decrease in infants admitted to neonatal intensive care units with Trisomy 13 over recent years. In-hospital neonatal mortality was unchanged. However, there was a significant increase in LOS, which was increased with procedures such as tracheostomy and G-tube placement, which may reflect a trend toward increasing interventions without a corresponding improvement in mortality.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"622-627"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477195","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":"Paternal Health and Health Behaviors During the Perinatal Period: Results from a Representative Survey of Fathers in Georgia, 2018-2019.","authors":"Raj M Dalal, Clarissa D Simon, John James Parker, Anne Bendelow, Michael Bryan, Craig F Garfield","doi":"10.1007/s10995-025-04090-x","DOIUrl":"10.1007/s10995-025-04090-x","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the associations between paternal sociodemographic characteristics, healthcare utilization and self-reported health status among a state-representative sample of fathers.</p><p><strong>Methods: </strong>The Pregnancy Risk Assessment Monitoring System for Dads pilot study sampled 857 fathers in Georgia from October 2018-July 2019. It surveyed fathers 2-6 months after their infants' birth to assess paternal experiences and behaviors during the perinatal period. Multivariable logistic regression examined associations between paternal characteristics and three outcomes: having a primary care physician (PCP), having any personal healthcare visit, and self-reported health status.</p><p><strong>Results: </strong>Among 266 respondents, 53.9% reported having a PCP, 46.2% reported any healthcare visit, and 65.2% reported very good or excellent health. Insured fathers were more likely to have a PCP (65.6% vs. 26.6%; adjusted Prevalence Ratio [aPR] = 2.47, 95% CI 1.41-4.33) and a healthcare visit (59.9% vs. 21.5%; aPR = 2.60, 95% CI 1.30-5.22) than fathers who were uninsured. Fathers with a college degree or higher were more likely to have a healthcare visit (59.4% vs. % 39.3%; aPR = 1.68, 95% CI 1.13-2.49), and to report very good or excellent health (79.1% vs. % 52.2%; aPR = 1.52, 95% CI 1.16-1.98) than fathers with a high school diploma/GED or less. Fathers reporting very good or excellent health were more likely to have a PCP (59.9% vs. 42.1%); aPR = 1.42, 95% CI 1.02-1.99) than fathers reporting fair or good health.</p><p><strong>Conclusions: </strong>Fathers' participation in healthcare was suboptimal. Identifying barriers impacting men's interactions with the healthcare system is essential to develop strategies to improve the overall health of fathers and families.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"669-675"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032572","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":"Intrauterine Devices: Take Up and Discontinuation in a Time of Change.","authors":"Valerie Leiter, Gracyn Delaune","doi":"10.1007/s10995-025-04098-3","DOIUrl":"10.1007/s10995-025-04098-3","url":null,"abstract":"<p><strong>Objectives: </strong>Intrauterine devices (IUDs) are a highly effective form of contraception. This paper examines who is more likely to use an IUD, who is more likely to discontinue IUD use due to dissatisfaction, and reasons for dissatisfaction, just before and after the Supreme Court's Dobbs decision that eliminated the federal right to abortion.</p><p><strong>Methods: </strong>This study analyzes data from the 2017-2019 and 2022-2023 National Survey of Family Growth. Changes in IUD prevalence and removal for dissatisfaction were estimated. Logistic regression was used to examine IUD use and discontinuation due to dissatisfaction. Respondents' reasons for discontinuation were explored.</p><p><strong>Results: </strong>IUD use increased very slightly but significantly, from 11.6 to 13.0%. Education, age, race, insurance status, living in a rural area, having given birth, and wanting any/more children were significant predictors of IUD use. The percentage of women who discontinued IUD use due to dissatisfaction decreased significantly, from 33.2 to 22.2%. Education and race/ethnicity were significant predictors of IUD removal. Most women who discontinued use due to dissatisfaction reported side effects.</p><p><strong>Conclusions for practice: </strong>IUDs are an increasingly important contraceptive method in the post-Dobbs era. However, we need to keep an eye on possible patient problems with the devices, particularly side effects such as pain, bleeding, and device migration, and educate patients on these possible side effects in advance of inserting an IUD. We also need to maintain users' ability to remove their IUDs if its benefits no longer outweigh its side effects, to preserve patient autonomy and well-being.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"724-731"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045770","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":"Single-Parent Births in California: A Population-Based Examination of the Risk of Child Protective Services Involvement.","authors":"Lindsey Palmer, Bryn King, Andrea Lane Eastman, Eunhye Ahn, Julia Reddy, Emily Putnam-Hornstein","doi":"10.1007/s10995-025-04080-z","DOIUrl":"10.1007/s10995-025-04080-z","url":null,"abstract":"<p><strong>Objectives: </strong>The current study examined differential rates of child protective services (CPS) involvement between infants with one or two legally established parents at birth.</p><p><strong>Methods: </strong>Vital birth records were used to document all children with a registered birth in California in 2017 (N = 470,854). This birth cohort was then prospectively followed in linked CPS records through age 1 year.</p><p><strong>Results: </strong>Birth records indicated that 7.1% of infants (n = 33,597) had only one legally established parent. Adjusting for sociodemographic factors, infants with only one parent documented on the birth record were more than twice as likely to be reported for maltreatment (IRR = 2.20; 99% CI [2.12, 2.29]). In the overall birth cohort, significant differences in the likelihood of a CPS report were observed by parental sociodemographic factors (education, age, public insurance, race and ethnicity); however, these same factors were attenuated, to varying degrees, among infants with a single legal parent.</p><p><strong>Conclusions for practice: </strong>Infants born with a single legal parent had a higher concentration of factors associated with heightened rates of CPS involvement. Assessing the circumstances associated with single parenthood, such as understanding household composition and who is involved in the infant's care, may explain potential vulnerability and identify service needs.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"650-659"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781694","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}