Maternal and Child Health Journal最新文献

{"title":"A Systematic Review of the Use of Doulas to Support Rural Perinatal People in the United States.","authors":"Jessica L Liddell, Al Garnsey, Annie Glover, Emma Piskolich","doi":"10.1007/s10995-025-04106-6","DOIUrl":"10.1007/s10995-025-04106-6","url":null,"abstract":"<p><strong>Introduction: </strong>Maternal health outcomes are frequently worse for individuals living in rural and remote communities due to the distance people must travel for healthcare, higher rates of poverty, and higher risk factors for related health conditions, such as mental illness and substance use. Doulas, non-medical childbirth companions, provide emotional, informational, physical, and advocacy support to people during pregnancy, birth, and postpartum. Research has documented doulas' positive impact on birth outcomes, including lower rates of induction and cesarean birth. The benefits of doulas may be especially important for marginalized and underserved populations who experience disparate health outcomes, including rural residents. This scoping review was conducted to describe and assess the landscape of doula-focused research that focuses on the unique contextual challenges faced by rural communities.</p><p><strong>Methods: </strong>We conducted a scoping review of research exploring the use of doulas in rural contexts. Peer-reviewed articles presenting original research using both quantitative and qualitative methods were included. Target populations for the included studies were rural perinatal people receiving doula support or doulas in rural contexts. All definitions of rurality were included. Database index terms were searched as well as keyword search terms: \"rural\" AND \"doula\" OR \"labor coach\" OR \"birthing coach\" OR \"childbirth coach\" OR \"birth attendant\" AND \"United States\" OR \"U.S.A.\"12 peer-reviewed journal databases and Google Scholar were searched May 2022- September 2023. Data was synthesized using tabular and narrative methods to capture (a) study design and type, b) study purpose, c) population, d) study location, e) analysis, d) definition of rurality, and e) reported results and gaps in the literature.</p><p><strong>Results: </strong>2,195 articles were identified. After removing duplicates and ineligible studies, 3 articles were included in the final results. These articles included quantitative (1), qualitative (1), and mixed methods (1) studies exploring access to and perceptions of doulas in rural areas.</p><p><strong>Conclusion: </strong>Findings demonstrate limited scholarship on the use of doulas in rural settings. This area of research warrants further attention.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"733-740"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143973","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":"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":"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":"808-817"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","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":"Factors Associated with Positive Toxicology at Delivery: Insights From the University of Maryland Medical System.","authors":"Leah L Habersham, Candice L Woolfolk, Kima J Taylor, Mishka Terplan, Katrina Mark","doi":"10.1007/s10995-025-04107-5","DOIUrl":"10.1007/s10995-025-04107-5","url":null,"abstract":"<p><strong>Objective: </strong>To explore factors associated with positive toxicology tests during birthing admissions within a hospital system employing universal toxicology testing.</p><p><strong>Methods: </strong>A retrospective cross-sectional study from 2019 to 2022, within a health system where toxicology tests are performed routinely during the birth admission. Substance use was defined as a positive toxicology test and race was self-reported. The association between substance use with race and insurance was analyzed. Assessments were made using descriptive statistics, chi-squared tests, and logistic regression models, controlling for maternal age, gestational age, birth year, insurance, and birth hospital. Separate analyses were conducted excluding cannabis from the toxicology evaluations.</p><p><strong>Results: </strong>Of 37,438 deliveries, 97% (36,323) underwent toxicology testing. Unadjusted odds for positive toxicology tests (including amphetamines, barbiturates, benzodiazepines, cannabis, cocaine, fentanyl, methadone, opioids (all), phencyclidine) were: Black (OR 1.91), Hispanic (OR 0.36), and Other (OR 0.56), compared with White. After adjusting for confounders, all groups showed decreased odds: Black (aOR 0.75), Hispanic (aOR 0.15), and Other (aOR 0.36). For insurance, the unadjusted odds were compared to private insurance: Public (OR 4.18) and Other (OR 1.81). When excluding cannabis, unadjusted odds for Black individuals increased (OR 1.21) while adjusted odds for Black, Hispanic, and 'Other' groups decreased relative to White individuals.</p><p><strong>Conclusion: </strong>Substance use during pregnancy exhibits sociodemographic variations. Initial unadjusted findings indicated racial disparities in substance use. However, adjusted models shifted these initial observations. Findings highlight the intertwined nature of sociodemographic factors in toxicology test results. Study findings underscore the need for comprehensive research to inform interventions, focusing on racial and socioeconomic inequities.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"783-790"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121345","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":"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":"835-844"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12206201/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Logos on Intrastate Variation of Response Rates for the Pregnancy Risk Assessment Monitoring System in Nevada.","authors":"Randall J Owen, Lex Owen, Rishab Karki","doi":"10.1007/s10995-025-04100-y","DOIUrl":"10.1007/s10995-025-04100-y","url":null,"abstract":"<p><strong>Introduction: </strong>Survey response rates have varied for Nevada's administration of the Pregnancy Risk Assessment Monitoring System (PRAMS) across the state. The authors evaluated whether using different logos for survey distribution would impact response rates.</p><p><strong>Methods: </strong>Using focus groups and an online survey, we asked how participants perceived three logos (which was the most likely to be opened, most trustworthy, and must credible).</p><p><strong>Results: </strong>Results showed that the State seal would be the mostly likely opened, but they were likely to discard it if the envelope's contents were not official business. The University's logo was polarizing in some areas.</p><p><strong>Conclusions: </strong>A PRAMS-specific logo survey may be more effective, as it was seen as \"inviting\" and adequately described the contents of the envelope. Further research is needed to better explore the impact of logos on mail distributions for public health surveillance surveys.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"777-782"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035108","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":"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":"845-855"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12206160/pdf/","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":"OA","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":"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":"799-807"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","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":"Obstetric Unit Closure Effects on Child Academic Achievement, Infant Health, and Maternal Care.","authors":"George L Wehby","doi":"10.1007/s10995-025-04112-8","DOIUrl":"10.1007/s10995-025-04112-8","url":null,"abstract":"<p><strong>Objective: </strong>To examine effects of obstetric unit closures on children's academic achievement, infant health, and maternal care outcomes.</p><p><strong>Methods: </strong>This retrospective cohort study employs 1994-2009 birth certificate data from Iowa linked to school test scores for grades 2-11 through 2017-2018. Regressions based on two-way fixed effects (TWFE) and Callaway and Sant'Anna (C&S) difference-in-differences models estimate the effects of maternal residence in counties that had obstetric unit closures within 5 years before birth year. Outcomes are national percentile rankings (NPRs) on math and reading, gestational age, preterm birth, birthweight, low birthweight, prenatal visits, cesarean delivery, and labor induction.</p><p><strong>Results: </strong>The sample included 2,414,393-2,424,184 child-grade observations and 379,772-381,228 children depending on the outcome. TWFE estimates were - 0.66 (95% CI: - 1.48, 0.15) NPRs for math and - 0.86 (95% CI: - 1.93, 0.21) NPRs for reading. C&S estimates were - 0.88 (95% CI: - 4.48, 2.72) NPRs for math and 0.30 (95% CI: - 4.93, 5.52) NPRs for reading. Closure associations with gestational age were - 0.1 (95% CI: - 0.17, - 0.028) and - 0.09 weeks (95% CI: - 0.28, 0.09) in the TWFE and C&S models, respectively; associations with birthweight were - 33 g (95% CI: - 59, - 7) and - 2 g (95% CI: - 57, 54), respectively. Associations with other infant health and maternal outcomes were small and not statistically significant.</p><p><strong>Conclusions: </strong>There is overall little evidence that obstetric unit closure within 5 years before birth impact children's math and reading scores and infant health and maternal care outcomes. Future research can evaluate how closures affect care continuity and access and potential heterogeneity including by maternal health risks and pregnancy complications.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"825-834"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12206179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286883","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":"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":"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":"791-798"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12206177/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interventions Initiated Before and After Pregnancy for Women who Experience Severe Nausea and Vomiting of Pregnancy: A Scoping Review.","authors":"Zeinab El-Dirani, Kurdo Araz, Ola Bazzi, Noreen O'Leary, Grainne Kent, Melanie Nana, Catherine Williamson, Joan Devin, Eileen O'Brien, Angela C Flynn","doi":"10.1007/s10995-025-04113-7","DOIUrl":"10.1007/s10995-025-04113-7","url":null,"abstract":"<p><strong>Introduction: </strong>Nausea and vomiting of pregnancy (NVP) affects up to 90% of women, while hyperemesis gravidarum (HG), a severe form of NVP, impacts quality of life, and ability to eat and drink normally, with reported recurrence rates up to 89% in subsequent pregnancies. Severe NVP has a profound impact on maternal physical and mental health, impairing daily functioning and quality of life, and is associated with anxiety and depression.</p><p><strong>Aims: </strong>To conduct a scoping review to identify and characterise interventions initiated before and after pregnancy that aim to mitigate the impact and consequences of severe NVP on maternal health.</p><p><strong>Methods: </strong>A comprehensive search was conducted across seven electronic databases and included grey literature without restrictions on language or date. Eligible studies were identified according to a prespecified criteria. All references were screened independently by two reviewers.</p><p><strong>Findings: </strong>Three studies were included; two utilised pre-emptive counselling and antiemetic treatment beginning before pregnancy or in early pregnancy/upon recognition of pregnancy, while one focused on post-pregnancy writing therapy. Both pre-emptive interventions reported a reduction in NVP symptom severity and a lower recurrence rate of HG, while writing therapy was beneficial in aiding recovery from severe NVP and allowed women an opportunity to externalise and process the experience.</p><p><strong>Discussion: </strong>This study revealed a paucity of interventions initiated before and after pregnancy for women with severe NVP. The included studies showed some benefits of pre-emptive treatment and writing therapy.</p><p><strong>Conclusion: </strong>Tailored pre-pregnancy and postpartum interventions for women with previous severe NVP are urgently needed to address the physical and mental health burden of the condition.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"767-776"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12206181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152421","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}