Maternal and Child Health Journal最新文献

{"title":"Promoting Kindergarten Readiness in Primary Care: Perspectives of Children's Primary Care Providers.","authors":"Reilly Dever, Christel Wekon-Kemeni, Alicia Reynolds, Michael J Steiner, Jessica Young, Rushina Cholera, Kori B Flower","doi":"10.1007/s10995-025-04159-7","DOIUrl":"https://doi.org/10.1007/s10995-025-04159-7","url":null,"abstract":"<p><strong>Background and objective: </strong>Children's healthcare providers have important roles in kindergarten readiness. We sought to understand children's primary care providers' (PCP) current approaches to fostering kindergarten readiness for their patients, perceptions of barriers, and ideas for improvement.</p><p><strong>Methods: </strong>Children's PCPs were recruited and interviewed between June and August 2021. Interviews were audio recorded, transcribed, and iteratively analyzed to identify and refine emerging themes.</p><p><strong>Results: </strong>Eleven PCPs were interviewed from eleven unique practices across rural and urban settings in North Carolina. Key themes included (1) Integrating kindergarten readiness in the primary care clinic, (2) Partnering with communities to improve kindergarten readiness, and (3) Promoting equity to improve kindergarten readiness. Within the clinic, PCPs valued extended care teams and dedicated assessment tools. PCPs reported wanting greater collaboration with schools and community organizations and more transparent assessment and referral processes. PCPs identified inequities within existing systems and called for more culturally inclusive, equitable kindergarten readiness promotion. Recommendations included removing cultural and language bias from assessments, improving racial/ethnic concordance, and advocating for supportive systems-level policies.</p><p><strong>Conclusions: </strong>Children's PCPs identified many current and future opportunities to partner with families and communities to optimize children's school readiness throughout early childhood. Many school readiness promoting activities recommended by PCPs in this study could be supported through quality measures that track and provide financing for these specific actions.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993945","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":"Partner History of Problematic Substance Use and Self-Reported Substance Use During Early Pregnancy: Findings from Kaiser Permanente Northern California, 2021-2022.","authors":"Rachel Gallegos, Natalie E Slama, Mark C Duggan, Deborah Ansley, Carley Castellanos, Kelly C Young-Wolff","doi":"10.1007/s10995-025-04164-w","DOIUrl":"10.1007/s10995-025-04164-w","url":null,"abstract":"<p><strong>Objectives: </strong>The role of partner substance use as a risk factor for prenatal substance use remains understudied. This study aimed to investigate the association between self-reported partner history of problematic substance use and pregnant persons use of alcohol, cannabis, e-cigarettes, and tobacco during early pregnancy.</p><p><strong>Methods: </strong>A total of 82,180 pregnant individuals screened for substance use in Kaiser Permanente Northern California at their first prenatal visit (approximately 8-10 weeks gestation) during 2021-2022 were included. Partner substance use and prenatal substance use were determined via a self-administered questionnaire. Cannabis use was additionally determined by urine toxicology. Adjusted odds ratios (aOR) were calculated using binomial and multinomial logistic regression.</p><p><strong>Results: </strong>Among 82,180 pregnant people, 1,010 (1.2%) reported having a partner with history of problematic substance use. Partner history of problematic substance use was associated with higher adjusted odds of any prenatal substance use (aOR = 1.80; 95%CI:1.56-2.08) and prenatal alcohol (aOR = 1.58; 95%CI:1.33-1.87), cannabis (aOR = 1.89; 95%CI:1.57-2.27), e-cigarette (aOR = 3.38; 95%CI:2.43-4.58), and tobacco use (aOR = 3.66; 95%CI:2.63-4.96). Additionally, frequency analyses showed that a partner history of problematic substance use was associated with higher odds of weekly or daily and monthly or less substance use compared to no use.</p><p><strong>Conclusions: </strong>Self-reported partner history of problematic substance use was associated with increased odds of prenatal use of alcohol, cannabis, e-cigarettes, and tobacco during early pregnancy. Findings suggest that individuals with a partner with problematic substance use may benefit from targeted prevention prior to pregnancy to reduce substance use during pregnancy.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974589","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":"Adverse Childhood Experiences and Antenatal Depression: The Mediating Role of Social Support.","authors":"Wan-Lin Chiang, Chia-Ying Yu","doi":"10.1007/s10995-025-04154-y","DOIUrl":"https://doi.org/10.1007/s10995-025-04154-y","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to examine the association between adverse childhood experiences (ACEs) and antenatal depression among women in Taiwan and investigate the mediating effects of partner support and social support on that relationship.</p><p><strong>Methods: </strong>An online survey was conducted, and 456 women aged ≥ 20 years with childbirth experience responded. The participants were asked to recall and self-report their childhood experiences and their perceived social support and mental health status during pregnancy. Linear regression was used to test the association between ACEs and antenatal depression, and causal mediation analysis was performed to analyze the mediating effects of partner support and social support.</p><p><strong>Results: </strong>More than 85% of the participants had experienced at least one type of ACE, and 25.8% reported experiencing four or more ACEs. Our findings indicated that ACEs were associated with antenatal depression. We also found that participants who reported emotional abuse had the highest scores for antenatal depression, followed by those who reported a household member being treated violently and those who reported sexual abuse. Moreover, women with more ACEs were more likely to suffer from antenatal depression. Mediation analysis revealed that partner support and social support accounted for 20.23% and 36.83%, respectively, of the associations between ACEs and antenatal depression.</p><p><strong>Discussion: </strong>The findings of this study suggest that ACEs have a pervasive impact on antenatal depression. Early intervention to prevent ACEs as well as improvements to the availability of social support for pregnant women should be provided to prevent antenatal depression, which will in turn improve fetal growth and development.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974598","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":"Maternal and Neonatal Outcomes in Pregnancies with Adenomyosis.","authors":"Soukaina Hguig, Nicholas Czuzoj-Shulman, Andrea R Spence, Haim Arie Abenhaim","doi":"10.1007/s10995-025-04138-y","DOIUrl":"10.1007/s10995-025-04138-y","url":null,"abstract":"<p><strong>Objectives: </strong>Adenomyosis is a common gynecologic disease involving the uterus, with its effect on pregnancy being poorly understood. This study aimed to evaluate the associations between adenomyosis and obstetrical and newborn outcomes.</p><p><strong>Methods: </strong>Using the Healthcare Cost and Utilization Project-National Inpatient Sample from the United States, we conducted a retrospective cohort study of all birth-related admissions from 2016 to 2019. Pregnancies with adenomyosis were identified using the ICD-10 code N80.03, with the remaining pregnancies being the reference group. Then, ICD-10 codes were used to identify obstetrical and neonatal outcomes and multivariable logistic regression models, adjusted for baseline maternal demographics, were used to determine the impact of adenomyosis on these outcomes. Also, in light of the potential detection bias inherent in births by cesarean delivery, adjustment for mode of delivery was included in all regression analyses.</p><p><strong>Results: </strong>Among the 2,943,532 women who delivered between 2016 and 2019, 1,084 had adenomyosis, for an overall prevalence of 36 cases/100,000 births, which was stable throughout the study period. Adenomyosis in pregnancy was associated with increased frequency of placenta abruptio (adjusted OR 1.7, 95% CI 1.2-2.4), preterm delivery (1.4, 1.2-1.6), preterm premature rupture of membranes (1.3, 1.1-1.6), postpartum hemorrhage (2.7, 2.1-3.3), post-partum transfusion (2.2, 1.6-3.0), disseminated intravascular coagulation (9.3, 4.2-20.9), sepsis (2.7, 1.6-4.5), congenital anomalies (2.0, 1.3-2.8), and intrauterine fetal demise (2.0, 1.0-3.8). Also, these pregnancies had an elevated risk of delivering by cesarean (15.7, 12.7-19.3).</p><p><strong>Conclusion: </strong>Adenomyosis in pregnancy is associated with adverse obstetric and fetal outcomes. As such, pregnancies in patients with adenomyosis should be considered high-risk and should be delivered in centers capable of managing the potential poor events associated with these pregnancies.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1284-1292"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601951","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 Change in Medical Management of Early Pregnancy Loss before and after Implementation of a Learning Collaborative for Initiation of Mifepristone Use.","authors":"Catherine Hennessey, Lisa Wu, Lauren Harriett, Kathryn Nutting, Ashley McHugh, Julie Chor, Diane Lauderdale, Debra Stulberg","doi":"10.1007/s10995-025-04130-6","DOIUrl":"10.1007/s10995-025-04130-6","url":null,"abstract":"<p><strong>Objectives: </strong>ExPAND Mifepristone is a one-year learning collaborative providing support for mifepristone provision in primary care for early pregnancy loss (EPL) or abortion. This study measured change in prevalence of medical management of EPL at a federally qualified health center (FQHC) that participated in ExPAND Mifepristone's pilot year. Secondary objectives were to describe changes in referral patterns and medication choice for EPL.</p><p><strong>Methods: </strong>To quantify changes in medical management of EPL, we conducted a retrospective data query using International Classification of Diseases-10 codes during two time periods: pre-implementation (January 1, 2019 - February 29, 2020) and post-implementation (August 1, 2021 - June 30, 2022). Manual chart review was used to assess change in referral patterns for EPL.</p><p><strong>Results: </strong>There were 193 patients with EPL in the pre-implementation period and 115 post-implementation. Pre-implementation, 8.3% (n=16) of EPL patients received medical management versus 15.7% (n=18) post-implementation (p=0.046). The percentage of all patients with EPL who received misoprostol alone was 8.3% pre- and 8.7% (p=0.91) post-implementation. Treatment with mifepristone plus misoprostol increased to 44.4%. EPL referrals to Obstetrics/Gynecology (OB/GYN) decreased from 14.0% to 1.7% (p=0.001). The most frequent reason for referral was procedural management.</p><p><strong>Conclusion: </strong>After participation in ExPAND Mifepristone, there was an increase in medical management for EPL by PCPs and referrals to OB/GYN declined. ExPAND Mifepristone can help facilitate PCP use of mifepristone plus misoprostol for medical management of EPL.</p><p><strong>Key words: </strong>Primary Care, Early Pregnancy Loss, Mifepristone, Women's Health, Referral.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1318-1325"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683411","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":"Parenting Stress in Households Experiencing Food Insecurity: Mental Health as a Mediator?","authors":"Katherine Engel","doi":"10.1007/s10995-025-04131-5","DOIUrl":"10.1007/s10995-025-04131-5","url":null,"abstract":"<p><strong>Objectives: </strong>To examine associations between food insecurity and parenting stress and assess the extent to which parent and child mental health explain these associations.</p><p><strong>Methods: </strong>Cross-sectional data from the 2016-2019 National Survey of Children's Health (N = 72,763) were pooled to compare parenting stress between households experiencing different levels of food insecurity. Tests were then performed to determine whether parent and child mental health mediates the association between food insecurity and parenting stress.</p><p><strong>Results: </strong>Parents in households experiencing mild food insecurity had parenting stress scores that were 0.23 standard deviations higher than parents in food secure households. These parents were also 1.23% points (161.84%) more likely to report handling the demands of parenting poorly compared to parents in food secure households. The association between parenting stress and food insecurity increased in magnitude with more severe household food insecurity; parents in households experiencing moderate-to-severe food insecurity had parenting stress scores that were 0.46 standard deviations higher than parents in food secure households, and these parents were 4.3% points (565.79%) more likely to report handling the demands of parenting poorly compared to parents in food secure households. Differences in child and parent mental health explained only some of the identified disparities in parenting stress.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1244-1252"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12460468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676193","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 Cognitive-Behavioral Stress Management Training on Infertility-Related Stress in Couples: A Randomized Controlled Trial.","authors":"Razhan Chehreh, Sara Mohammadnejad, Zolaykha Karamelahi, Malihe Nasiri","doi":"10.1007/s10995-025-04136-0","DOIUrl":"10.1007/s10995-025-04136-0","url":null,"abstract":"<p><strong>Background: </strong>Infertility poses a significant emotional burden on couples, leading to increased stress levels. This study aimed to investigate the effectiveness of cognitive-behavioral stress management training in reducing infertility-related stress among infertile couples.</p><p><strong>Methods: </strong>A randomized clinical trial was conducted involving 20 infertile couples (40 individuals) who sought treatment at the Saboohi Infertility Center of Mahdieh in Tehran, Iran, between May and June 2018. Participants were selected using convenience sampling and randomly assigned to either the control group, which received routine infertility counseling, or the intervention group, which received cognitive-behavioral stress management training in addition to routine counseling. Independent t-tests and analysis of covariance (ANCOVA) were used.</p><p><strong>Results: </strong>In the post-time period, the intervention group demonstrated a significant decrease in total stress scores compared to the control group for both men (B =  - 15.07, p < 0.001) and women (B =  - 2.82, p = 0.003), controlling for pre-time values. Subscale analyses revealed that the intervention group had lower scores in social concern, sexual concern, communication concern, rejection of childfree lifestyle, and the need to be a parent compared to the control group, for both men and women (p < 0.001).</p><p><strong>Conclusions: </strong>In conclusion, our study highlights the effectiveness of a behavioral-based stress management intervention alongside infertility counseling in controlling infertility-related stress. These findings support the inclusion of this comprehensive counseling approach in the care package for infertile couples, enabling healthcare professionals to reduce stress and improve overall well-being.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1263-1274"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144620911","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":"Nipple Pain and its Characteristics During the Breastfeeding Process: A Longitudinal Brazilian Study.","authors":"Mariana Torreglosa Ruiz, Brenda Cristina Pereira Melo, Cynthya Viana de Resende, Marianne Guterres Ferreira, Michele Curcino Cavalcanti, Jéssica Aparecida da Silva, Marialda Moreira Christoffel, Elisa da Conceição Rodrigues","doi":"10.1007/s10995-025-04137-z","DOIUrl":"10.1007/s10995-025-04137-z","url":null,"abstract":"<p><strong>Objective: </strong>To characterize pain and its evolution during the breastfeeding process among primiparous women.</p><p><strong>Method: </strong>Longitudinal study nested within a clinical trial with 102 Brazilian primiparous women, with conditions and intentions favorable to breastfeeding. Pain level was measured using the Visual Analogue Scale and the descriptors, according to McGill. Follow-up was carried out via telephone in the first and second weeks postpartum. Failure to contact within 15 days was considered a loss. Fisher's exact test was applied to evaluate the association between the occurrence of pain and exclusive breastfeeding rates, and to evaluate the evolution of pain over the period, repeated measures ANOVA and Sidak's posthoc were applied. Values ​​of p ≤ 0.05 were considered significant.</p><p><strong>Results: </strong>Most participants reported moderate-intensity pain more frequently at the beginning of breastfeeding. The pain was classified as sensory and commonly described as 'pulling.' Notably, the study found pain scores, severe pain scores, and pain sensation descriptors reduced from hospitalization to two weeks after birth (p < 0.001). The study also found that pain in the second week postpartum was associated with lower rates of exclusive breastfeeding (p = 0.017), highlighting the need for early intervention and support to ensure successful breastfeeding.</p><p><strong>Conclusion: </strong>The study revealed nipple pain scores and qualifiers, its sensation during the breastfeeding process, and its evolution. Assessment and support in cases of this complaint are recommended.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1275-1283"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144620908","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":"Exploring Severe Fear of Childbirth in China: An In-depth Systematic Review of Prevalence, Risk Factors, and Interventions.","authors":"Chunning Chen, Siti Zuhaida Hussein, Zaleha Md Isa, Noor Wahidah Mohd Nasri, Jiasi Yao, Yanyue Qin, Chen Duan, Yuhe Bian, Ruoyang Hao","doi":"10.1007/s10995-025-04125-3","DOIUrl":"10.1007/s10995-025-04125-3","url":null,"abstract":"<p><strong>Objectives: </strong>Fear of childbirth (FOC) is a psychological symptom, prevalent among pregnant women, which negatively impacts women's health and well-being. The objective of this study is to analyze existing literature regarding pregnant women in China, evaluating the prevalence, risk elements, and interventions to alleviate severe childbirth fear.</p><p><strong>Methods: </strong>A comprehensive search was done across nine bibliographic databases to retrieve published research from their earliest records to August 2023. The Joanna Briggs Institute (JBI) Critical Appraisal instruments were employed to evaluate the quality of each article. Data were independently extracted by pairs of reviewers and synthesized through a narrative analysis.</p><p><strong>Results: </strong>The review comprised ten studies: seven cross-sectional studies and three randomized controlled trials. The results revealed varied prevalence rates of FOC. Risk factors identified were categorized into three main groups: sociodemographic characteristics, pregnancy and birth-related aspects, and mood-related aspects. Identified interventions included relaxation therapy and cognitive behavioral therapy.</p><p><strong>Conclusions: </strong>Studies are scarce concerning FOC among Chinese pregnant women. However, existing research indicates that FOC remains prevalent within the population. Moreover, these studies reveal that risk factors for this fear are multifaceted, and limited intervention approaches are available. This study highlights the urgent need for further research to deepen the understanding of FOC among Chinese women and develop more comprehensive and tailored interventions to improve the overall maternal health and childbirth experiences in China.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1216-1225"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601950","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":"Maternal Characteristics and U.S. Prenatal Care: Associations with Neonatal Health and Postpartum Maternal Wellbeing.","authors":"Inga Nordgren, Robert J Duncan, Kameron J Moding, German E Posada","doi":"10.1007/s10995-025-04128-0","DOIUrl":"10.1007/s10995-025-04128-0","url":null,"abstract":"<p><p>Prenatal care provides an opportunity for the promotion of healthy parent and neonatal outcomes, but there are gaps in understanding the consequences and antecedents of prenatal care experiences during pregnancy. The objective of the current study was to provide insight into the mediational processes of sociodemographic and pregnancy characteristics on neonatal health and postpartum maternal wellbeing outcomes through prenatal care experiences. Data were analyzed from the publicly available Listening to Mothers III dataset comprised of 2,400 online-survey participants (ages 18-45) who gave birth to singleton infants in hospitals between July 2011 and June 2012 in the U.S. Primary analyses were conducted using two separate path analysis models examining maternal characteristics (i.e., sociodemographic and pregnancy factors) and the mediation of prenatal care experiences (i.e., responsive provider behavior, week of first prenatal visit, and attendance in group prenatal care) on infant health (i.e., preterm, low birthweight, NICU stays) and postpartum maternal wellbeing (i.e., social support, depression, confidence). The perceived need for treatment of depression and smoking during pregnancy resulted in 0.15 and 0.20 larger proportions of infants admitted into the NICU, respectively. Women who reported responsive provider behavior indicated higher social support (b = 0.29, p <.001), less depressive symptomology (b = -0.20, p <.001), and felt more confident (b = 0.07, p =.005). While maternal characteristics were related to neonatal health, the interpersonal experiences during prenatal care related to postpartum maternal wellbeing, indicating a need for providers to bolster their responsiveness to women during prenatal visits.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1232-1243"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12460427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585325","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}