Maternal and Child Health Journal最新文献

{"title":"Racial/Ethnic Differences in Gestational Diabetes and Its Association with Maternal and Neonatal Outcomes among Women in Hawai'i.","authors":"Ingrid Chern, So Yung Choi, Hyeong Jun Ahn, Marjorie Mau, Kelly Yamasato","doi":"10.1007/s10995-025-04151-1","DOIUrl":"https://doi.org/10.1007/s10995-025-04151-1","url":null,"abstract":"<p><strong>Objectives: </strong>To assess racial/ethnic differences in gestational diabetes mellitus (GDM) prevalence in Hawai'i.</p><p><strong>Methods: </strong>This retrospective cross-sectional study included hospital deliveries at Kapi'olani Medical Center for Women and Children (Honolulu, Hawai'i) from 2009 to 2019. For birthing people with multiple deliveries during the study interval, only the last delivery was included. Birthing people with pregestational diabetes, delivery < 29 weeks, and multifetal gestations were excluded. GDM was identified through ICD-9 and -1 0 codes. Race and ethnicity were self-reported. Maternal body mass index (BMI) was recorded at delivery admission. GDM prevalence was determined for each race and the odds examined using logistic regression, also adjusting for maternal age and BMI. For analysis, three racial groups were sub-grouped into six ethnic categories as described: the three major racial groups were: (i) Asian, (ii) Native Hawaiian/Pacific Islander, and (iii) White. Six major ethnic sub-categories in the Asian racial group included: East Asians-identified as (1) Chinese/Taiwanese, (2) Japanese/Okinawan, (3) South East Asians identified as Filipino, (4) Native Hawaiian and (5) Pacific Islander identified as Micronesian/Samoan, and (6) White.</p><p><strong>Results: </strong>Of 57,031 deliveries, 31,663 were included in this study. Overall crude prevalence of GDM was estimated at 11.7%. The three Asian ethnic sub-categories had approximately twice the risk of GDM when compared to Whites (Filipina: OR 2.59, 95% CI = [2.27-2.96], Chinese/Taiwanese: OR = 2.38, 95% CI = [2.01-2.82], and Japanese/Okinawan: OR = 1.71, 95% CI = [1.47-1.99]). Native Hawaiians also had higher GDM prevalence estimates compared to Whites (OR = 1.50, 95% CI = [1.31-1.71]), though there was no significant difference for Pacific Islanders (OR = 1.14, 95% CI = [0.97-1.33]).</p><p><strong>Conclusions: </strong>Prevalence of GDM in hospitalized deliveries in Hawai'i's multi-ethnic population of women has increased nearly 2-fold in the last two decades. All Asian Americans remain at highest risk despite lower maternal BMI at delivery. NH women are younger yet have similar frequency of co-morbidities and comprise the largest proportion of GDM cases overall.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974644","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":"COVID-19 Disruption and Maternal and Child Health Services: Evidence from India.","authors":"Ambrish Dongre, Mitul Surana","doi":"10.1007/s10995-025-04134-2","DOIUrl":"10.1007/s10995-025-04134-2","url":null,"abstract":"<p><strong>Objectives: </strong>To analyze the impact of COVID-19 and subsequent lockdowns on maternal and child health services in India and investigate whether certain population groups that are disadvantaged along social, economic and geographical dimensions experienced differential impacts.</p><p><strong>Methods: </strong>Utilizing an unintended disruption in the fifth round of the National Family Health Survey (NFHS V) due to nationwide COVID-19 related lockdown, we create a sample of children and mothers who were 'exposed' to COVID-19 pandemic and lockdowns, and those who were not 'exposed'. We use multivariable regression to examine whether and to what extent antenatal care, pregnancy and post-pregnancy care of the 'exposed' mothers and children were adversely impacted as compared to those who were 'unexposed'.</p><p><strong>Results: </strong>The 'exposed' mothers were less likely to receive two tetanus injections, and iron folic acid tablets during pregnancy, and were less likely to stay in medical facility for 48 hours post-delivery as recommended by the government guidelines. More critically, 'exposed' children had lower probability of receiving immunizations due at birth, 6-weeks, 10-weeks, and 14-weeks, with the magnitude of decline increasing for successive immunizations. The impacts were even more adverse in rural areas as reflected in heterogeneity analysis.</p><p><strong>Conclusions: </strong>COVID-19 pandemic and lockdowns adversely affected MCH services in India, and even more so in rural India. Policy interventions targeted specifically at groups who were impacted would be needed to restore MCH services to pre-pandemic levels.</p><p><strong>Clinical trial registration: </strong>Not Applicable.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1253-1262"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643898","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":"Hospital Breastfeeding Support during the Early Coronavirus Disease 2019 (COVID-19) Pandemic: Worsening Care for Black, Hispanic, and Asian Mothers.","authors":"Jane Lazar Tucker, Kimberly Arcoleo, Diane DiTomasso, Brietta M Oaks, Howard Cabral, Thaís São-João","doi":"10.1007/s10995-025-04123-5","DOIUrl":"10.1007/s10995-025-04123-5","url":null,"abstract":"","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1226-1231"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12460545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709469","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":"Maternal Sociodemographic Factors, Adiposity, and Pregnancy Outcomes Among Preterm Deliveries Admitted to the Neonatal Intensive Care Unit.","authors":"Mary Clare Lipa, Larske M Soepnel, Emily Flammersfeld, Kaavya Adam, Julia Organ, Candice Choo-Kang, Sachin Amin, Bridget Boyd, Lara Dugas","doi":"10.1007/s10995-025-04129-z","DOIUrl":"10.1007/s10995-025-04129-z","url":null,"abstract":"<p><strong>Introduction: </strong>Preterm birth represents about 10% of all births in the United States and is known to be influenced by maternal factors, including pre-pregnancy adiposity, measured using BMI. Pre-pregnancy adiposity is influenced by environmental and sociodemographic factors. This exploratory analysis aimed to explore the complex relationship between pre-pregnancy adiposity, sociodemographic factors, and delivery outcomes among preterm deliveries.</p><p><strong>Methods: </strong>In this retrospective record review study, participants were mothers of infants born before 34 weeks and 6 days gestational age (GA) and admitted to the NICU at Loyola University Medical Center between 2018 and 2020. Maternal data were extracted using EPIC electronic medical record review. We used Chi-square test/Fisher's exact test for categorical variables and Kruskal-Wallis or Mann-Whitney U tests for continuous variables to test for significance across BMI categories. An exploratory multiple linear regression analysis to test the association between gestational age at delivery, obesity/overweight, socioeconomic status, and ethnicity/race was performed and supplemented with permutation testing. Statistical significance was set at p < 0.05.</p><p><strong>Results: </strong>Among the 27 included participants, the median maternal age was 34 years. The prevalence of pre-pregnancy obesity was 42.9%. Women with obesity/overweight tended to have a lower GA at delivery than women with a normal pre-pregnancy BMI (29.5 weeks vs. 31 weeks, p = 0.073). GA at delivery trended positively with higher socioeconomic status (B = 4.2, 95%CI 1.4-7.0, p = 0.007), and inversely with having overweight/obesity (B=-3.6, 95%CI -5.7- -1.6, p = 0.002), and identifying as non-Hispanic Asian or non-Hispanic Black race/ethnicity (B=-6.3, 95%CI -10.3- -2.4, p = 0.005 and B=-0.50, 95%CI -7.8- -2.2, p = 0.002, respectively).</p><p><strong>Discussion: </strong>In addition to adiposity, race, ethnicity, and socioeconomic status may be associated with more severe preterm delivery (lower GA). While this exploratory study is limited by the small sample size, our findings highlight the impact of sociodemographic factors on maternal obesity and severity of pregnancy complications in the context of preterm birth with NICU admission.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1207-1215"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12460354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785678","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":"Correction: Intimate Partner Violence against Indigenous Women and Association with Stunting and Anemia in Children: A Mixed Approach in Chimborazo-Ecuador.","authors":"María F Rivadeneira, María D Naranjo, María F Barrera, Patricio Trujillo, María A Montaluisa, Ana L Moncayo, David Grijalva, Ana L Torres","doi":"10.1007/s10995-025-04147-x","DOIUrl":"https://doi.org/10.1007/s10995-025-04147-x","url":null,"abstract":"","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974600","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 the Impact of Social Factors on Survival Among Infants Born with Transposition of the Great Arteries, Tetralogy of Fallot, and Diaphragmatic Hernia in Texas, 2011-2019.","authors":"Dayana Betancourt, Charles Shumate, Mark A Canfield, Alva Ferdinand, Robin Page, Theresa Morris, Susan Ayres, Samiran Sinha","doi":"10.1007/s10995-025-04126-2","DOIUrl":"10.1007/s10995-025-04126-2","url":null,"abstract":"<p><strong>Introduction: </strong>Social factors impact survival for infants with birth defects. This analysis describes the impact of social factors on one-year survival for infants with congenital diaphragmatic hernia (CDH), transposition of the great arteries (TGA), and tetralogy of Fallot (TOF).</p><p><strong>Methods: </strong>Survival estimates were generated using the Kaplan-Meier method and the log-rank test with 0.05 significance stratified by social factors for infants born 2011-2019 with CDH (N = 942), TGA (N = 1,102), or TOF (N = 1,545). Crude hazard ratios (HR) and adjusted hazard ratios (AHR) with 95% confidence intervals (CI) were calculated for infant death using the Cox proportional hazards models.</p><p><strong>Results: </strong>One-year survival was 88.7% for TOF, 88.0% for TGA, and 72.7% for CDH. Infants with CDH whose mother resided along the Texas-Mexico border had an increased risk of death compared to non-border residents (HR = 1.68, p =.003). Lower maternal education attainment was associated with increased risk of death for infants with TGA (HR = 1.75, p =.002) or TOF (HR = 1.54, p =.005) compared to infants whose mother had more than a high school education. Maternal Hispanic ethnicity increased the risk of death for infants with TGA (HR = 1.75, p =.005) or TOF (HR = 1.74, p =.002) compared to NH White infants.</p><p><strong>Discussion: </strong>Hispanic maternal ethnicity, lower maternal educational attainment, and residence along the Texas-Mexico border negatively impact infant one-year survival.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1293-1306"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592634","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":"The Determinants of Influenza Vaccine Uptake in Pregnant Women During the COVID-19 Pandemic Using the Theory of Planned Behavior: A Cross-Sectional Study.","authors":"Boyeon Kim, Kangwon Lee, Eunyoung Kim","doi":"10.1007/s10995-025-04132-4","DOIUrl":"10.1007/s10995-025-04132-4","url":null,"abstract":"<p><p>Among pregnant women, influenza increases the risk of complications such as hospitalization, intensive care unit admission, and death. To prepare for new pandemics in the future, pregnant women's perceptions of influenza vaccines during the COVID-19 pandemic should be investigated. This study used the theory of planned behavior (TPB) to identify the determinants of pregnant women's intention to receive the influenza vaccine and their uptake of it during the COVID-19 pandemic. A cross-sectional study was conducted among pregnant or postpartum women within one year of delivery from the largest online panel (n = 351). Data were collected using an online survey during April 1-15, 2022. Path analysis was performed to investigate the pathways of the TPB constructs' effects on influenza vaccine uptake. The influenza vaccination rate among pregnant women during the pandemic was 51%. Attitude towards vaccine (β = 0.60, p < 0.001) and subjective norms (β = 0.28, p < 0.001) directly and positively affected intention, which directly and positively affected uptake (β = 0.48, p < 0.001). Attitude towards vaccine (β = 0.29, p = 0.006) and subjective norms (β = 0.134, p = 0.015) also positively and indirectly affected uptake. Influenza vaccine uptake remains suboptimal among pregnant women in many countries. Attitude towards vaccine is the strongest determinant of the intention to receive the vaccine and its uptake during pregnancy. More active efforts are required to improve pregnant women's attitudes toward the vaccine.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1326-1333"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627477","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":"Health Care Utilization and Family Frustration: Do Health Insurance Coverage and Medical Homes for US Children Matter?","authors":"Gahssan Mehmood, Theodoros V Giannouchos","doi":"10.1007/s10995-025-04127-1","DOIUrl":"10.1007/s10995-025-04127-1","url":null,"abstract":"<p><strong>Objective: </strong>To examine the association of health services utilization and family frustration in getting health care services with the intersection of consistent and adequate health insurance coverage and access to medical home care among children in the US.</p><p><strong>Methods: </strong>We conducted a pooled, cross-sectional data analysis using the 2016-2023 National Survey of Children's Health data. Survey-weighted multivariable logistic regressions were used to estimate the association of emergency department (ED) visits, preventive care utilization, and family frustration in getting services with the intersection of having consistent and adequate health insurance coverage and comprehensive access to medical home care.</p><p><strong>Results: </strong>Of 279,789 children representing 61.9 million children from 2016 to 2023, 79.0% had one or more preventive care visits, 17.9% had at least one ED visit, and 18.7% of families reported being frustrated in efforts to get care for their children in the past 12 months. Overall, 33.1% of children were consistently and adequately insured and had access to medical home care, while 21.0% had neither. Compared to children with consistent and adequate health insurance coverage and access to a medical home, children without either or both consistent and adequate health insurance coverage and access to medical home care were less likely to have at least one preventive care visit and, their families were more likely to report frustration in obtaining services.</p><p><strong>Conclusion for practice: </strong>Improving access to medical home care is critical to minimize disparities in preventive care use and to improve health outcomes for children, beyond comprehensive health insurance coverage.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1307-1317"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12460389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565412","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":"Maternal Smoking During Pregnancy and Adverse Childhood Experiences: The Role of Socioeconomic Status in Adulthood and Perinatal Abuse.","authors":"Patricia Da Rosa, Ananda Stullich, Matthias Richter","doi":"10.1007/s10995-025-04133-3","DOIUrl":"10.1007/s10995-025-04133-3","url":null,"abstract":"<p><strong>Objectives: </strong>Previous research has linked adverse childhood experiences (ACEs) to maternal smoking, but the role of socioeconomic status (SES) in adulthood and perinatal abuse remains unclear. This study examined the strength of the association between ACEs and maternal smoking behaviors before, during, and after pregnancy and investigated whether maternal SES and perinatal abuse modify this association.</p><p><strong>Methods: </strong>This cross-sectional study used data from the Pregnancy Risk Assessment Monitoring System survey (2017-2020). The weighted prevalence of self-reported ACEs and smoking was calculated. Multivariate logistic regression models were conducted to examine the association between ACEs and maternal smoking throughout pregnancy, accounting for maternal SES and perinatal abuse.</p><p><strong>Results: </strong>Of the 6,595 respondents, nearly 20% of mothers reported experiencing one ACEs, while 29.3% reported three or more. Smoking prevalence was significantly higher among those with ACEs: 2.3% (95% CI 1.7%-3.2%) for mothers reporting zero ACEs, compared to 18.7% (95% CI 16.7%-20.8%) for those reporting three or more ACEs. While SES and perinatal abuse partially explained the association, women with three or more ACEs still had over four times the odds of smoking during pregnancy (aOR = 4.84, 95% CI 3.29-7.10), even after full adjustment.</p><p><strong>Conclusions: </strong>These results highlight the long-lasting consequences of adversities encountered in early life, which can shape the smoking behaviors of women even during the critical stages of their own pregnancy. There is a need for tobacco control interventions among the most vulnerable that extend beyond the traditional services and address deeply rooted factors from past experiences.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1334-1344"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12460459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668775","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":"Vaccination Coverage and Determinants Among Children Aged 12-35 Months Following Internal Conflict in Yemen: Insights from a Nationwide Population-Based Survey.","authors":"Omid Dadras, Christina El Saaidi","doi":"10.1007/s10995-025-04156-w","DOIUrl":"https://doi.org/10.1007/s10995-025-04156-w","url":null,"abstract":"<p><strong>Introduction: </strong>Child vaccination is a crucial public health indicator, especially in conflict-affected regions. Despite the benefits, vaccination rates in Yemen remain suboptimal. This study evaluates vaccination coverage and its correlates among children aged 12-35 months in Yemen.</p><p><strong>Methods: </strong>Data from the Yemen Multiple Indicator Cluster Survey (MICS) 2022-23 were used. The survey covered 22 governorates, using a two-stage household selection process, and included 7,796 children. Vaccination status was assessed using a binary composite variable for full immunization. Multilevel logistic regression with robust error variance identified predictors of full vaccination.</p><p><strong>Results: </strong>The overall vaccination coverage was 29%, with urban areas (41%) having higher rates compared to rural areas (25%). Female children had slightly lower odds of being fully vaccinated than male children, though not statistically significant. First-born children had the highest vaccination rates (31%), with odds decreasing with higher birth order. Mothers' secondary or higher education (AOR: 1.59, 95% CI: 1.19-2.13), receiving prenatal care (AOR: 1.97, 95% CI: 1.26-3.07), and reading newspapers at least once a week (AOR: 1.72, 95% CI: 1.21-2.44) were significant positive predictors. Higher fathers' education, fewer children under five in the household, higher household wealth, and urban residence were also associated with higher vaccination rates. Other factors such as hospital delivery, TV watching, internet access, and mobile phone ownership were not significantly associated with full vaccination after adjustment.</p><p><strong>Conclusion: </strong>Significant gaps in immunization coverage among children in Yemen, particularly in rural areas, highlight the need for educational programs for parents, enhanced healthcare infrastructure, and improved health communication strategies.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974450","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}