Maternal and Child Health Journal最新文献

{"title":"Bridging the Gaps: A Critical Review of National Dietary and Lifestyle Guidelines for Pregnant Women in the Eastern Mediterranean Region.","authors":"Israa Mohamed Fadla Alla Elhaj, Fatima Al Zahraa Chokor, Katia AbuShihab, Maryam Alameddine, Hadia Radwan, Farah Naja","doi":"10.1007/s10995-026-04308-6","DOIUrl":"10.1007/s10995-026-04308-6","url":null,"abstract":"<p><strong>Introduction: </strong>Maternal nutrition and lifestyle during pregnancy critically influence health outcomes for mother and child. While many countries developed national dietary and lifestyle guidelines (DGs) for pregnant women, in the Eastern Mediterranean Region (EMR), the availability, quality, and coverage of such guidelines remain largely undocumented and inconsistent. This review assesses national DGs for pregnant women in the EMR, identifying gaps, strengths, and opportunities for enhancement.</p><p><strong>Methods: </strong>A scoping review was conducted between October 2024 and January 2025, following the PRISMA-ScR framework. Systematic searches were performed across general search engines (Google Search and Google Scholar) and academic databases (PubMed and Scopus). National DGs were included if they addressed nutrition or lifestyle recommendations for pregnant women in any of the 22 EMR countries. Thematic analysis was used to map and evaluate content and structure. Themes were identified inductively from the EMR guidelines and contextualized against established international guidelines.</p><p><strong>Results: </strong>Eleven EMR countries had DGs targeting pregnant women. Fourteen key themes were identified. Most guidelines covered diet, supplements, and gestational weight gain; meanwhile, hydration, physical activity, food safety, religious fasting, and gestational diabetes (GDM) were partially-addressed or absent. Lebanon and Saudi Arabia had the most comprehensive guidelines, addressing over 11 themes each. Only Lebanon adopted a dietary pattern-based approach. Few guidelines included medical consultation for supplementation or culturally-sensitive messaging.</p><p><strong>Conclusions: </strong>This review revealed that several EMR countries lack national DGs for pregnant women, highlighting the importance of encouraging and supporting their development. Few existing guidelines were comprehensive, with key themes like GDM, hydration, and religious fasting often absent. There is a need for more structured, context-specific, and inclusive guidelines across the region.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"982-993"},"PeriodicalIF":1.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690048","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":"Parental Engagement in Infant Obesity Preventative Interventions: Maternal Awareness, Barriers, and Facilitators Identified in a Cross-Sectional Survey.","authors":"Agnes Gelmini, Cassandra L Tellegen, Alina Morawska","doi":"10.1007/s10995-026-04294-9","DOIUrl":"10.1007/s10995-026-04294-9","url":null,"abstract":"<p><strong>Objectives: </strong>Although close to 1 in 10 children under age 2 gain excess weight and can remain overweight throughout life, engaging parents in early preventative interventions is challenging because they may not recognize the issue of overweight in infancy. This study aimed to inform knowledge about maternal perceptions of infant obesity, to investigate topics of interest for program content and identify barriers and facilitators to parental engagement.</p><p><strong>Methods: </strong>Mothers (N = 240) of 0 to 24-month-old children completed an online cross-sectional survey.</p><p><strong>Results: </strong>The majority of mothers were aware that overweight can affect infants, however most considered that excess weight becomes an issue only after 2 years of age and believed that parents should be more worried about their child being underweight than overweight. Mothers were also open to participating in a parenting program, were mostly interested in program content about promoting babies' health but not feeding, and preferred advertisements for positive parenting and promoting babies' health rather than preventing infant obesity.</p><p><strong>Conclusions for practice: </strong>These findings can help to develop effective strategies to enhance parental engagement and optimize parenting interventions in infant obesity prevention research.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1094-1102"},"PeriodicalIF":1.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13503499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680534","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":"Social Responsibility in Perinatology: An Evolving Paradigm in Healthcare Management.","authors":"Assaad Kesrouani, Cecilia Villalain","doi":"10.1007/s10995-026-04303-x","DOIUrl":"10.1007/s10995-026-04303-x","url":null,"abstract":"","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"979-981"},"PeriodicalIF":1.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594102","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":"Postpartum Implications of Screening for Social Determinants of Health at the Time of Delivery.","authors":"Nuong Truong, Marina Feffer, Nicole Sprawka, Layan Alrahmani, Ann Lal","doi":"10.1007/s10995-026-04288-7","DOIUrl":"10.1007/s10995-026-04288-7","url":null,"abstract":"<p><strong>Objectives: </strong>The Illinois Perinatal Quality Collaborative (ILPQC) aims to enhance perinatal care in Illinois. However, up to 50% of women do not attend postpartum care. This study assessed the impact of universal screening for social determinants of health (SDoH) during labor and delivery on postpartum care attendance.</p><p><strong>Methods: </strong>A retrospective chart review was conducted for women who delivered at a large academic medical center. The study received exempt status from Loyola University Institutional Review Board. Universal SDoH screening was implemented in March 2022. Data were collected from a control group (six months pre-implementation) and an intervention group (six months post-implementation). The primary outcome was attendance at both scheduled postpartum visits. Comparisons were made using Pearson chi-square for categorical variables and ANOVA for continuous variables. Finally, a multinomial regression model, adjusted for patient characteristics, was used to estimate the effect of universal screening on postpartum appointment attendance. Significance was set at p < .05.</p><p><strong>Results: </strong>The sample included 1,098 women, with 541 in the control group and 557 in the intervention group. The SDoH screening completion rate was 75.0% (n = 415). Basic demographics were similar, with minor differences addressed in regression models. Women in the intervention group were 1.69 times more likely to attend both postpartum visits (RRR = 1.69, 95% CI [1.14, 2.51], p = .009) compared to those in the control group.</p><p><strong>Conclusions: </strong>Implementing SDoH screening at our hospital improved postpartum visit attendance.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"994-1000"},"PeriodicalIF":1.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608325","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":"Effects of State Medicaid Expansions Affecting Parental Eligibility on Children's Healthcare Access and Health During the COVID-19 Pandemic.","authors":"Joel M James, George L Wehby","doi":"10.1007/s10995-026-04292-x","DOIUrl":"10.1007/s10995-026-04292-x","url":null,"abstract":"<p><strong>Objective: </strong>To examine whether pre-pandemic state Medicaid expansions for adults affected children's healthcare access and utilization, child health, and parental health during the COVID-19 pandemic.</p><p><strong>Methods: </strong>The sample includes children from households with incomes up to 138% of the Federal Poverty Level using data from the 2016-2023 National Survey of Children's Health. Child outcomes include insurance coverage, usual place for sick care, personal doctor or nurse, unmet healthcare needs, past 12-month utilization of any medical services, preventive medical and dental visits, mental health professional treatments, non-mental health specialist visits, emergency department visits, hospitalizations, and general/oral health ratings. Parent outcomes include physical and mental health ratings. Difference-in-differences models estimate year-by-year differences in outcomes between Medicaid expansion and non-expansion states.</p><p><strong>Results: </strong>There is a decline in usual place for sick care, personal doctor or nurse, and preventive medical visits in the first or second pandemic year and in child health in 2020/2023 in expansion versus non-expansion states. In contrast, there is an increase in mental health professional treatments and other specialist visits in 2021-2023 in expansion states. Lastly, there are declines in maternal physical/mental health and father's mental health in 2020 but increase in father's mental/physical health in 2023 in expansion states.</p><p><strong>Conclusion: </strong>During the pandemic, children in low-income households had less care continuity and preventive care but more mental health treatments and non-mental specialist visits in Medicaid expansion versus non-expansion states. There were also declines in both child and parent health. Findings potentially reflect intertwined effects from greater parental coverage but more pandemic-related social mobility restrictions disrupting routine/preventive care and worsening mental health more in expansion states.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1080-1093"},"PeriodicalIF":1.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13503441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686482","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":"Midwives' Views and Practices on Non-pharmacological Methods Used to Relieve Labor Pain: A Cross-Sectional Study from Türkiye.","authors":"Sinem Kurt, Aytül Hadımlı","doi":"10.1007/s10995-026-04295-8","DOIUrl":"10.1007/s10995-026-04295-8","url":null,"abstract":"<p><strong>Objectives: </strong>Labor is generally considered as an indescribably painful condition. Non-pharmacological methods applied by midwives during labor are very effective in relieving labor pain. This study was conducted to determine what the opinions of midwives working in the delivery room about non-pharmacological methods used to relieve labor pain are and how they perform such methods.</p><p><strong>Methods: </strong>This descriptive and cross-sectional study was conducted in public hospitals in Izmir, a province in western Türkiye. The study sample comprised 151 midwives who volunteered to participate in the study and met the inclusion criteria.</p><p><strong>Results: </strong>The participating midwives' mean length of service in the profession was 19.07 years. Of them, 80.1% stated that non-pharmacological methods should be used during labor. There was a statistically significant relationship between their working in a mother-friendly hospital and their opinions on the use of pharmacological methods during labor (p < 0.05). There was a statistically significant and negative relationship between the midwives' length of service in the profession and the number of non-pharmacological methods they had heard of (r=-0.198, p < 0.05).</p><p><strong>Conclusions for practice: </strong>The participating midwives were aware of the necessity of applying non-pharmacological pain relief methods in delivery. Their application of non-pharmacological methods was greatly affected by the institutions' approaches to this issue and their not having received training on the subject.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1038-1046"},"PeriodicalIF":1.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594095","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":"Associations Between Virtual Prenatal Care Utilization, Social Determinants of Health, and Stressful Life Events: A Multistate Analysis of U.S. Women, 2020-2021.","authors":"Don E Willis, Pearl A McElfish, Clare C Brown, Jennifer A Andersen, George C Pro, James P Selig, Cari A Bogulski","doi":"10.1007/s10995-026-04289-6","DOIUrl":"10.1007/s10995-026-04289-6","url":null,"abstract":"<p><strong>Objectives: </strong>To examine associations between virtual prenatal care utilization, social determinants of health, and stressful life events.</p><p><strong>Methods: </strong>We analyzed cross-sectional pooled survey data (N = 11,966) from phase 8 of the Pregnancy Risk Assessment Monitoring System for women who gave birth in 2020 or 2021 and received prenatal care.</p><p><strong>Results: </strong>A third (35%) of women utilized virtual rather than in-person-only prenatal care. Adjusted odds of receiving any virtual prenatal care were greater for women who identified as Asian (aOR = 1.23; 95% CI[1.01, 1.51]) or Hispanic (aOR = 1.61; 95% CI[1.37, 1.88]), and for those who experienced homelessness (aOR = 1.90; 95% CI[1.27, 2.84]) or job loss (aOR = 1.25; 95% CI[1.04, 1.51]). Adjusted odds were lower for women who did not have a bachelor's degree, had previously given birth, had no insurance pre-pregnancy (aOR = 0.69; 95% CI[0.56, 0.85]), were rural residents (aOR = 0.51; 95% CI[0.41, 0.63]), had been exposed to incarceration (aOR = 0.49; 95% CI[0.30, 0.79]), and had given birth in 2021 (aOR = 0.77; 95% CI[0.69, 0.86]).</p><p><strong>Conclusions: </strong>Social determinants of health and stressful life events are not uniformly associated with greater or lesser odds of utilizing virtual prenatal care.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1069-1079"},"PeriodicalIF":1.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13503387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680605","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 Burden of Malnutrition and Confounders Among Children Aged Between 6 and 60 Months: A Community-Based Cross-Sectional Study in Resources Constraint Region.","authors":"Prashant Tripathi, Alok Raghav, Yashwant K Rao, Malvika Mishra, Poonam Khanna, Anika Rao","doi":"10.1007/s10995-026-04300-0","DOIUrl":"10.1007/s10995-026-04300-0","url":null,"abstract":"<p><strong>Background: </strong>Child nutrition and the poor nutritional status of children remain a major public health challenge in many low-resource settings despite significant efforts by public authorities. The World Health Organization (WHO) recommends the weight-for-length z-score, the weight-for-height z-score, and mid-upper arm circumference (MUAC) as screening standards for severe acute malnutrition (SAM). Despite nutritional deficiencies and anomalies, numerous community-based predictors contribute to the establishment of malnutrition (moderate and severe). The present work will help policymakers and clinicians to look after the determinants of SAM.</p><p><strong>Objectives: </strong>The present study aimed to determine the World Health Organization (WHO) growth standards and confounder predictors of moderate and severe acute malnutrition among children aged 6-60 months in a resource-constrained community setting.</p><p><strong>Methods: </strong>A cross-sectional study was performed among children aged 6-60 months within a resource-constrained community setting. The anthropometric measurements were performed using MUAC and weight-for-length z-score and weight-for-height z-score, with values <-3 recommended by the WHO as the standard. Bivariate analysis was used to identify predictive variables and risk factors for severe, acute, and moderate malnutrition.</p><p><strong>Results: </strong>Of 301 children, 8.97%, 10.96%, and 18.93% presented with severe acute, moderate, and acute malnutrition, respectively, with a higher proportion of male children affected. Bivariate analysis showed that malnutrition (severe acute, moderate, and acute) was significantly associated with gender (OR: 5.321; 95% CI: [2.210, 13.25] and RR: 3.370 95% CI: [1.773, 6.275]. Children from resource-constrained urban households (OR: 2.00; 95% CI: [0.336, 22.16] and RR: 1.867; 95% CI: [0.398, 10.75] were two times more likely to be severely malnourished. Higher odds of SAM were observed among children whose parents used tobacco (OR: 6.508; 95% CI: [1.672,28.47] and RR: 5.565; 95% CI: [1.548,20.95].</p><p><strong>Conclusions: </strong>The findings of the present study showed that gender, household type, tobacco use by parents, family monthly income, anemia, and the status of antenatal care of women received during pregnancy were the major predictors of severe acute malnutrition. The study was conducted in a resource-constrained region, and to reduce the prevalence and causes of malnutrition, food safety and guarantee schemes should be strictly monitored, along with delivering education and awareness within the community, especially to parents and caregivers.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1047-1060"},"PeriodicalIF":1.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594064","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":"Baby-Feed Pilot Trial for Improving Diet and Weight Gain in Infants and Toddlers.","authors":"Jennifer Bolton, Wenjia Wang, Catherine Coccia, Vijaya Narayanan, Marcia Varella, Jean Hannan, Cristina Palacios","doi":"10.1007/s10995-026-04282-z","DOIUrl":"10.1007/s10995-026-04282-z","url":null,"abstract":"<p><strong>Objective: </strong>To pilot test the initial efficacy of the Baby-Feed website for improving infant diet quality (main outcome) and weight gain (exploratory outcome) compared to usual care.</p><p><strong>Methods: </strong>This was a 3-month randomized clinical trial, in which two healthcare providers and 50 caregivers of healthy-term infants (4-12 months) in a community health center were recruited. Participants were randomized to usual care or access to the Baby-Feed website, which assesses infants' diets, provides automated results, and delivers feedback. Measures were assessed at baseline and at the end of the study: diet quality from a validated infant food frequency questionnaire (FFQ), self-reported weight/length to calculate rate of weight gain, and a validated self-efficacy questionnaire. Changes were compared using analysis of covariance or Chi-square/Fisher's Exact test.</p><p><strong>Results: </strong>Baseline characteristics were similar between groups (n = 25 intervention; n = 25 control). Most caregivers were mothers (92%) and Hispanic (86%). Change in total diet quality scores was higher in the intervention (-2.95 ± 6.53) vs. controls (-7.69 ± 7.84; p = 0.031). Healthy weight gain was higher in the intervention group (n = 21, 95%) vs. controls (n = 14, 58%; p = 0.006). Changes in the self-efficacy score for promoting healthy foods were associated with changes in the fruit score (r = 0.46; p = 0.03), and changes in the self-efficacy score for limiting unhealthy foods were associated with changes in the juice score (r = 0.45; p = 0.04) only in the intervention group.</p><p><strong>Conclusions: </strong>Using Baby-Feed for 3 months improved diet quality and the rate of weight gain compared with controls in this small and short pilot trial. A larger, longer trial with a more diverse population is needed to confirm the results.</p><p><strong>Trial registry: </strong>https://clinicaltrials.gov/ : NCT05062824.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1017-1027"},"PeriodicalIF":1.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13503433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273529","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":"Differences in Maternal Outcomes Among American Indian/Alaska Native and White Women with Hypertensive Disorder of Pregnancy in a Rural State.","authors":"Megan Corn, Julia Dworsky, Abe E Sahmoun, James R Beal","doi":"10.1007/s10995-026-04273-0","DOIUrl":"10.1007/s10995-026-04273-0","url":null,"abstract":"<p><strong>Introduction: </strong>Hypertensive disorders of pregnancy (HDP) are associated with substantial maternal morbidity and mortality. The purpose of this study was to describe demographic and clinical factors that differ between American Indian/Alaska Native (AI/AN) and White women with HDP in North Dakota.</p><p><strong>Methods: </strong>We conducted a retrospective descriptive analysis of resident, in-state, singleton births among AI/AN and White women with HDP using 2007-2020 North Dakota birth records from the Division of Vital Records. Descriptive analyses were performed using summary statistics and bivariate comparisons to compare demographic risk factors and maternal outcomes between AI/AN and White women with HDP. Annual trends in HDP diagnoses were also analyzed.</p><p><strong>Results: </strong>From 2007 to 2020, the prevalence of HDP increased significantly from 4.4% to 12.1%. The prevalence increased significantly among both AI/AN women (6.6% to 13.6%, p < 0.001) and White women (4.1% to 11.9%, p < 0.001). Compared with White women, AI/AN women had higher rates of cesarean delivery (45.3% vs. 38.5%, p < 0.001), cesarean delivery after a trial of labor (30.5% vs. 23.1%, p < 0.001), preterm birth (23.1% vs. 17.0%, p < 0.001), fetal macrosomia (3.2% vs. 1.3%, p < 0.001), and blood transfusion (2.2% vs. 1.2%, p = 0.009). AI/AN women had lower rates of third- or fourth-degree perineal laceration (0.4% vs. 1.6%, p = 0.004) and cephalic presentation at delivery (91.9% vs. 94.9%, p < 0.001).</p><p><strong>Conclusion for practice: </strong>HDP increased significantly from 2007 to 2020 among both AI/AN and White women in North Dakota. Among pregnancies complicated by HDP, AI/AN women experienced higher rates of several adverse maternal and delivery outcomes. These findings highlight the need for targeted and culturally responsive strategies to improve maternal outcomes among AI/AN women.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1008-1016"},"PeriodicalIF":1.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177042","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}