Andrea Mantsios, Shokufeh M Ramirez, Juliette E Frazier, Katherine P Theall, Alessandra N Bazzano
{"title":"20 Years of Impact on the MCH Workforce: The Tulane Center of Excellence in Maternal and Child Health.","authors":"Andrea Mantsios, Shokufeh M Ramirez, Juliette E Frazier, Katherine P Theall, Alessandra N Bazzano","doi":"10.1007/s10995-026-04254-3","DOIUrl":"10.1007/s10995-026-04254-3","url":null,"abstract":"<p><strong>Purpose: </strong>The Health Resources and Services Administration's (HRSA) Maternal and Child Health Bureau (MCHB) provides funding to support Centers of Excellence (CoE) to prepare the next generation of Maternal and Child Health (MCH) leaders through specialized training and mentorship. This study describes the impact of Tulane University's workforce development program in MCH.</p><p><strong>Description: </strong>We utilized a holistic evaluation approach to examine the impact of Tulane University's CoE, from the program's inception in 2000 through 2024, in building the MCH workforce.</p><p><strong>Assessment: </strong>Utilizing a retrospective evaluation design, routinely collected quantitative and qualitative enrollment and follow-up survey data from program alumni were analyzed. Data reveal the following: (1) the program has trained a broad group of MCH professionals from a wide range of backgrounds, strengthening a workforce prepared to respond to needs of varied communities, (2) alumni overwhelmingly continue to work in MCH after graduation, frequently serving populations with significant unmet health needs and in collaboration with Title V (MCH) agencies, and (3) the majority of trainees go on to serve in leadership positions in policy, practice, academia, or clinical settings.</p><p><strong>Conclusions: </strong>A well-trained MCH workforce is contingent upon high-quality education and preparation for leadership roles. Through funding from HRSA's MCH Workforce Development Division, Tulane University's CoE has trained people from varied backgrounds, including from populations not well represented in health sciences and communities disproportionately affected by adverse health outcomes, to assume leadership roles and contribute substantively to the field. These results can inform MCH training programs to further strengthen their impact on developing the MCH workforce.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"470-476"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692809","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}
Ellen Bartolini, Tracy Moran Vozar, Adré du Plessis, Nickie Andescavage, Catherine Limperopoulos
{"title":"Prenatal Mental Health Screening and Support in a Multidisciplinary Fetal Imaging Program: a Brief Report on Protocol and Early Findings.","authors":"Ellen Bartolini, Tracy Moran Vozar, Adré du Plessis, Nickie Andescavage, Catherine Limperopoulos","doi":"10.1007/s10995-026-04243-6","DOIUrl":"10.1007/s10995-026-04243-6","url":null,"abstract":"","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"465-469"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628864","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":"Breast Milk Expression Experiences of Public Employees Working for the State of Utah.","authors":"Logan Waechtler","doi":"10.1007/s10995-026-04250-7","DOIUrl":"10.1007/s10995-026-04250-7","url":null,"abstract":"","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"564-574"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619235","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}
Aaron Kobina Christian, Charles Agyei-Asabere, Akosua Afriyie Osei-Appaw, D Yaw Atiglo
{"title":"Marital Structure and Children's Nutritional Status in Sub-Saharan Africa: Exploring the Role of Household Size and Women's Empowerment.","authors":"Aaron Kobina Christian, Charles Agyei-Asabere, Akosua Afriyie Osei-Appaw, D Yaw Atiglo","doi":"10.1007/s10995-026-04244-5","DOIUrl":"10.1007/s10995-026-04244-5","url":null,"abstract":"<p><strong>Background: </strong>Ample research explores marital structures' impact on children's nutrition, yet results are mixed, and pathways remain underexplored. In this study, we examine the effect of marital structure on children's nutritional status while estimating the mediation and moderation effects of household size and women's empowerment, respectively.</p><p><strong>Methods: </strong>We analyzed the latest Demographic and Health Survey data from 24 sub-Saharan African countries to evaluate the odds of stunting, anaemia, and underweight in children from polygynous households compared to those with single mothers and monogamous caregivers, using multinomial logit regression.</p><p><strong>Results: </strong>Children from polygynous households were more likely to be anaemic, stunted, and underweight. Children of empowered monogynous mothers were associated with lower risks of malnutrition, whereas an increase in household size amplified childhood malnutrition in single and polygynous families. Wealth and sanitation also influenced childhood nutrition, with poorer households and those lacking proper sanitation experiencing worse nutritional outcomes.</p><p><strong>Conclusion: </strong>This study underscores the complexity of the maternal structure and children's outcomes and suggests interventions that seek to improve children's nutrition status should factor mother's empowerment and household size as key influencers.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"508-516"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624296","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}
Deysiane Santiago da Silva, Letícia Karla Cunha Dos Santos, Suamy Sales Barbosa, Ádila Danielly Souza Costa, Nivia Maria Rodrigues Arrais, Karla Danielly da Silva Ribeiro, Márcia Marilia Gomes Dantas Lopes
{"title":"Malnutrition in Children with Congenital Zika Virus Syndrome: A Systematic Review.","authors":"Deysiane Santiago da Silva, Letícia Karla Cunha Dos Santos, Suamy Sales Barbosa, Ádila Danielly Souza Costa, Nivia Maria Rodrigues Arrais, Karla Danielly da Silva Ribeiro, Márcia Marilia Gomes Dantas Lopes","doi":"10.1007/s10995-026-04252-5","DOIUrl":"10.1007/s10995-026-04252-5","url":null,"abstract":"<p><strong>Objective: </strong>We examined previous studies to describe growth deviations in children with Congenital Zika virus Syndrome (CZS), and to determine the factors associated with malnutrition.</p><p><strong>Study design: </strong>Protocol of systematic review registered on the PROSPERO platform under code CRD42023460505. The searches were conducted in SciELO, LILACS, Embase, Scopus, and PubMed/MEDLINE databases, as well as in dissertation and thesis repositories. The eligibility criteria required that the publications must be observational, cross-sectional, cohort, or case-control studies conducted with children with microcephaly associated with CZS, which presented results (z-score) of anthropometric indices of weight-for-age, height-for-age, weight-for-height, and/or body mass index (BMI)-for-age; written in English, Portuguese, or Spanish; and published between 2010 and 2023. The z-score values from anthropometric indices and the factors associated with malnutrition (wasting, underweight, overweight, or stunting) were extracted.</p><p><strong>Results: </strong>Eleven studies met our inclusion criteria. In these studies, children's ages ranged from 0 to 48 months. Malnutrition was identified as stunting (14.3% to 57.1%), underweight (14.3% to 54.4%), wasting (4.3% to 48.0%), and, to a lesser extent, as overweight (4.6% to 68.6%). The association of these indices was examined in relation to dysphagia, absence or duration of breastfeeding, delayed introduction of complementary feeding, consumption of ultra-processed foods, and feeding route.</p><p><strong>Conclusion: </strong>It was possible to identify short stature, wasting, excess weight, and inappropriate eating practices in children with CZS.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"477-489"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640223","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}
Abigail Palmer Molina, Elizabeth M Premo, Lei Duan, Ferol E Mennen
{"title":"Correlates of Maternal Depressive Symptomatology Among Latina Head Start Mothers.","authors":"Abigail Palmer Molina, Elizabeth M Premo, Lei Duan, Ferol E Mennen","doi":"10.1007/s10995-026-04253-4","DOIUrl":"10.1007/s10995-026-04253-4","url":null,"abstract":"","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"490-497"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647076","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}
Sandhya Lohani, Tilicia L Mayo-Gamble, Joanne Chopak-Foss, Bettye Apenteng
{"title":"Navigating Motherhood Alone: A Qualitative Exploration of Postpartum Experiences Among Women with Labor Migrant Husbands in Nepal.","authors":"Sandhya Lohani, Tilicia L Mayo-Gamble, Joanne Chopak-Foss, Bettye Apenteng","doi":"10.1007/s10995-026-04231-w","DOIUrl":"10.1007/s10995-026-04231-w","url":null,"abstract":"<p><strong>Objective: </strong>The postpartum period is a critical phase in a woman's life, marked by physical, emotional, and social changes. In Nepal, where labor migration is prevalent, many women experience this transformative period without their husbands' physical presence, who often work abroad to support their families. This study explores the lived experiences of these women, shedding light on the intersection of motherhood, migration, and socio-cultural contexts in Nepal.</p><p><strong>Methodology: </strong>A deductive and inductive qualitative approach was adopted to capture the subjective lived experiences of women with labor migrant husbands during the postpartum period. Semi-structured interviews were conducted with a purposive sample of 16 participants, and thematic analysis was used to identify patterns, themes, and insights emerging from the data. An interview guide was developed based on the Biopsychosocial Model to explore and gain a deeper understanding of women's postpartum experiences.</p><p><strong>Results: </strong>The findings reveal a myriad of challenges faced by women with labor-migrant husbands during the postpartum period. Four themes were identified: the emotional landscape of motherhood, the struggles of new mothers facing postpartum challenges without spousal support, the power of community: stories of support during the postpartum journey, and coping strategies.</p><p><strong>Conclusion: </strong>While the qualitative approach of this study provided valuable insights into women's lived experiences, it may not allow for generalization to the population of postpartum women with labor migrant husbands in Nepal. The results of this study further highlight the need for an inquiry into the long-term impacts of spousal absence on maternal mental health and child development.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"394-402"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114998","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":"Effectiveness of the Web-Based Support Program Based on the Health Promotion Model in Pregnant Women with Preeclampsia.","authors":"Büşra Yilmaz, Ümran Oskay","doi":"10.1007/s10995-026-04234-7","DOIUrl":"10.1007/s10995-026-04234-7","url":null,"abstract":"<p><p>The study was conducted to determine the effect of a web-based support program based on the Health Promotion Model (HPM) on healthy lifestyle behaviors, self-efficacy, and prenatal distress in pregnant women with preeclampsia. The study was conducted with 82 pregnant women diagnosed with preeclampsia, 41 of whom were in the web-based support group and 41 in the control group. Participant introduction form, Healthy Lifestyle Behaviors Scale-II (HLBS-II), Self-Efficacy Scale (SES), Prenatal Distress Scale (PDS), pregnant women's self-monitoring form, and postpartum assessment form were used for data collection. The increase in the total scores of the HLBS-II and the SES and the decrease in the total score of the PDS was found to be statistically significant in the pregnant women in the web support-based group after the web support. The HPM-based web-based support program improved healthy lifestyle behaviors and self-efficacy and reduced prenatal stress levels of pregnant women with preeclampsia but did not contribute to neonatal outcomes. SIGNIFICANCE: Pregnant women diagnosed with preeclampsia often face heightened physiological and psychological challenges. This study demonstrates that a web-based support program structured around the Health Promotion Model (HPM) significantly improves healthy lifestyle behaviors and self-efficacy while reducing prenatal distress in this high-risk population. These findings suggest that digital health interventions are effective, accessible tools for enhancing maternal well-being. By integrating such platforms into standard obstetric care, healthcare providers can offer continuous, evidence-based support that empowers patients to manage their condition more effectively outside of clinical settings.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"413-424"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120707","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}
Melissa Soto, Elizabeth Crouch, Paul Watson, Cassie Odahowski, Emma Boswell, Monique J Brown
{"title":"Parenting Stress, Family Resilience, and Emotional Support Among US Military Families.","authors":"Melissa Soto, Elizabeth Crouch, Paul Watson, Cassie Odahowski, Emma Boswell, Monique J Brown","doi":"10.1007/s10995-026-04227-6","DOIUrl":"10.1007/s10995-026-04227-6","url":null,"abstract":"<p><strong>Objectives: </strong>Military families experience lifestyle and circumstance-specific stressors that may impact their parental stress, family resilience, and emotional support for parenthood. These outcomes may influence parenting behaviors and mental health that have further implications on child development and growth. Research is needed to examine these outcomes among military families in the United States on a national scale due to the importance of potential intergenerational implications.</p><p><strong>Methods: </strong>This cross-sectional study used data from the 2021-2022 National Survey of Children's Health to investigate the relationship between caregiver military status and outcomes of parental stress, family resilience, and emotional support for parenthood (n = 99,869). Bivariate analyses through chi-square tests were calculated to determine differences between outcomes from military caregivers and civilian caregivers with select covariates. Multivariable regression analyses were calculated to further explore the relationship between caregiver military status and emotional support for parenthood.</p><p><strong>Results: </strong>The prevalence of emotional support with parenthood was higher among military caregivers compared to civilian caregivers (82.8% vs. 75.0%, p < 0.0001); however, this difference was not statistically significant in adjusted analyses. No statistically significant differences were found between military families and civilian families in parenting stress and family resilience.</p><p><strong>Conclusions: </strong>This study extended previous research that have focused on state or station specific outcomes in military families by examining these outcomes on a national scale. This study has important implications towards expanding research and interventions that reduce parenting stress and improve family resilience and emotional support for parenthood to ensure continued positive outcomes.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"385-393"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146067706","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":"Differential Effects of In-person and Telehealth Implementation of Attachment and Biobehavioral Catch-up on Parental Sensitivity and Intrusiveness.","authors":"Kirsten McLaughlin, Regina M Fasano, Mary Dozier","doi":"10.1007/s10995-026-04232-9","DOIUrl":"10.1007/s10995-026-04232-9","url":null,"abstract":"","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"403-412"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133387","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}