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

Examining the Potential Mediating Role of Maternal Mental Health in the Association Between Socioeconomic Deprivation and Child Development Outcomes.

IF 1.8 4区医学

Maternal and Child Health Journal Pub Date : 2025-03-01 Epub Date: 2025-02-07 DOI: 10.1007/s10995-025-04050-5

Kenneth Okelo, Aja Murray, Josiah King, Iain Hardie, Hildigunnur Anna Hall, Emily Luedecke, Louise Marryat, Lucy Thompson, Helen Minnis, Michael Lombardo, Philip Wilson, Bonnie Auyeung

{"title":"Examining the Potential Mediating Role of Maternal Mental Health in the Association Between Socioeconomic Deprivation and Child Development Outcomes.","authors":"Kenneth Okelo, Aja Murray, Josiah King, Iain Hardie, Hildigunnur Anna Hall, Emily Luedecke, Louise Marryat, Lucy Thompson, Helen Minnis, Michael Lombardo, Philip Wilson, Bonnie Auyeung","doi":"10.1007/s10995-025-04050-5","DOIUrl":"10.1007/s10995-025-04050-5","url":null,"abstract":"Background: Socioeconomic deprivation has been linked to negative child developmental outcomes including brain development, psychological well-being, educational attainment, and social-emotional well-being. Maternal mental health has also been linked to mothers' parenting practices and their children's developmental outcomes. However, limited evidence exists regarding the role of maternal mental health (prenatal and postnatal) in the association between socioeconomic deprivation and children's developmental outcomes.Methods: We examined the potential role of maternal mental health in the association between socioeconomic deprivation (SED) and child development outcomes. We used a large linked administrative health dataset covering children born between 2011 and 2015 in Greater Glasgow and Clyde, Scotland. Of the 76,483 participants, 55,856 mothers with matched children's developmental outcome data were included. A mediation analysis model, adjusted for confounders and covariates, was used.Results: Maternal mental health assessed by a history of hospital admissions mediated, but to a small extent, the relationship between SED and children's developmental outcomes. The average direct effect (ADE), of SED in the first model with a history of hospital admissions, was ADE: ES = - 0.0875 (95% CI = - 0.097, - 0.08; p < 0.001) and ACME: ES = - 0.0002 (95% CI = - 0.001, - 0.0001; p = 0.01). The proportion mediated by the history of mental health admission was 0.3%.Conclusion: The association between SED and children's developmental outcomes appears to be partially mediated by maternal mental health, although the proportional-mediated effect was very small.","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"338-348"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365840","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

Patient Experiences of a Postpartum Cardiovascular Disease Intervention Clinic for Pregnancy Complications.

IF 1.8 4区医学

Maternal and Child Health Journal Pub Date : 2025-03-01 Epub Date: 2025-02-07 DOI: 10.1007/s10995-025-04047-0

Tegan Manthorpe, Margaret Arstall, Prabha H Andraweera, Emily Aldridge

{"title":"Patient Experiences of a Postpartum Cardiovascular Disease Intervention Clinic for Pregnancy Complications.","authors":"Tegan Manthorpe, Margaret Arstall, Prabha H Andraweera, Emily Aldridge","doi":"10.1007/s10995-025-04047-0","DOIUrl":"10.1007/s10995-025-04047-0","url":null,"abstract":"Objectives: Experiencing a maternal complication of pregnancy conveys a significantly higher risk of developing premature cardiovascular disease compared to having an uncomplicated pregnancy. Postpartum interventions that aim to improve lifestyle and modifiable risk factors for people in this cohort may reduce cardiovascular disease risk. This study will explore the experiences and barriers to attendance of patients referred to one such clinic located in South Australia.Methods: This qualitative study conducted six focus groups comprised of two-six patients who had attended at least one postpartum intervention clinic appointment (N = 19). Audio recordings were captured and transcribed and NVivo was used to perform a thematic analysis.Results: Participants found the clinic informative as it educated them on their greater risk of cardiovascular disease and how to reduce this risk. They reported wanting more frequent appointments and the ability to opt in for additional contact, including newsletters and social media groups. We also identified several barriers to attendance, including an unclear clinic referral and appointment booking process, and missing clinic correspondence including appointment letters and pathology forms.Conclusions for practice: This study provides insight into the experiences of patients who attended a postpartum cardiovascular disease prevention clinic. The clinic model can be operated in different health care settings to become part of standardized care in the postpartum period for patients who have had a pregnancy complication. Refinement of the clinic model referral and booking processes could reduce potential barriers to patient attendance.","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"310-321"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365898","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

Correction: Patient Experiences of a Postpartum Cardiovascular Disease Intervention Clinic for Pregnancy Complications.

IF 1.8 4区医学

Maternal and Child Health Journal Pub Date : 2025-03-01 DOI: 10.1007/s10995-025-04083-w

Tegan Manthorpe, Margaret Arstall, Prabha H Andraweera, Emily Aldridge

引用次数: 0

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

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

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

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