Maternal and Child Health Journal最新文献_第3页

Correction: What Do Mothers Know About Nutrition? Impacts on Childhood Nutrition Outcomes in Sub-Saharan Africa.

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

引用次数: 0

Strategies for Promoting Doula Inclusivity in the Labor and Delivery Setting.

IF 1.8 4区医学

Maternal and Child Health Journal Pub Date : 2025-03-01 Epub Date: 2025-02-20 DOI: 10.1007/s10995-025-04051-4

Holly DeBernard Perkins, Christine Isaacs

引用次数: 0

Out of Pocket Expenditure on Institutional Deliveries in India.

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

引用次数: 0

Association Between Preterm Birth and Fulfillment of Desired Permanent Contraception.

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":"Objectives: 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.Study design: 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.Results: 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).Conclusions for practice: 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.","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.

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":"Introduction: 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.Methods: 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.Results: 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.Conclusion: 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.","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.

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":"Objectives: 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.Methods: 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.Results: 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.Conclusions: 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.","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

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":"Objectives: 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.Methods: 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.Results: 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).Conclusions for practice: 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.","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

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":"Introduction: 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.Methods: 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.Results: 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.Conclusion: 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.","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

Profiles of Family Stressors Among Low-Income Families with Young Children.

IF 1.8 4区医学

Maternal and Child Health Journal Pub Date : 2025-02-25 DOI: 10.1007/s10995-025-04061-2

Laura M Justice, Britt Singletary, Hui Jiang, Kammi K Schmeer

{"title":"Profiles of Family Stressors Among Low-Income Families with Young Children.","authors":"Laura M Justice, Britt Singletary, Hui Jiang, Kammi K Schmeer","doi":"10.1007/s10995-025-04061-2","DOIUrl":"https://doi.org/10.1007/s10995-025-04061-2","url":null,"abstract":"Objectives: This study examined profiles of family stressors, based on the five dimensions of the Family Stress Model (economic hardship, economic pressure, parental psychological distress, interparental relationship problems, and disrupted parenting) among low-income families with young children. We aimed to validate the model with a sample of low-income families and then to determine whether there were reliable profiles of families on the five dimensions.Methods: Mothers completed questionnaires when children were between six and 15 months old to capture background information and 14 key indicators of the five Family Stress Model dimensions. Our analytical sample comprised 353 families that provided data for at least one key indicator. We conducted confirmatory factor analysis (CFA) to statistically validate the Family Stress Model, then explored distinct profiles using latent profile analyses (LPA), and examined how profile membership correlated with family characteristics.Results: CFA model fit indices indicated a good fit of the data relative to the theoretical model. LPA revealed three distinct profiles of stressor among families, consistent with low, medium, and high patterns of stressors. Families in the high-stress profile experienced larger household numbers, higher maternal loneliness, reduced social connectedness, and higher reports of unplanned pregnancy.Conclusions for practice: Findings show applicability of the Family Stress Model to low-income families with young children, and indicate that these families are diverse in terms of the stressors they experience, characterized by three distinct profiles. In this regard, low-income families should not be viewed monolithically, but rather as experiencing variability in the stressors they face.","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504449","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

Adequate Prenatal Care and Maternal Morbidity Among Birthing People with Preexisting Comorbidities.

IF 1.8 4区医学

Maternal and Child Health Journal Pub Date : 2025-02-25 DOI: 10.1007/s10995-025-04069-8

Laura Chaves Cerdas

{"title":"Adequate Prenatal Care and Maternal Morbidity Among Birthing People with Preexisting Comorbidities.","authors":"Laura Chaves Cerdas","doi":"10.1007/s10995-025-04069-8","DOIUrl":"https://doi.org/10.1007/s10995-025-04069-8","url":null,"abstract":"Introduction: Preexisting comorbidities can make the pregnancy experience difficult. Prenatal care has been suggested as a mechanism to identify and control preexisting conditions and prevent adverse maternal outcomes. Maternal morbidity encompasses health conditions attributed to and/or aggravated by pregnancy and childbirth that negatively impact the birthing person's well-being.Methods: Using North Carolina's birth records for 2011-2019, this analysis employs multivariate logistic regression to examine whether adequate prenatal care reduces the likelihood of maternal morbidity outcomes. The analysis examines both the overall birthing population (n = 1,020,639) and the birthing population with preexisting diabetes and/or hypertension (n = 29,230).Results: Having inadequate prenatal care increases the probability of experiencing maternal morbidity outcomes by 7.2% (OR = 1.072, 95%CI:1.01-1.13) compared to having adequate prenatal care. The effect is more pronounced among individuals with preexisting diabetes and/or hypertension, where having inadequate prenatal care increases the probability of maternal morbidity outcomes by 45.6% (OR = 1.456, 95% CI: 1.03-2.07) compared to those with adequate prenatal care.Discussion: These results suggest that adequate prenatal care may help prevent maternal morbidity outcomes across the birthing population, with particularly strong protective effects for those with preexisting conditions.","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494269","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