Maternal and Child Health Journal最新文献

{"title":"Lessons Learned from Evaluation of the Convergent Validity the SPARK36 in Preventive Youth Health Care: Implications for Further Research and Practice.","authors":"Ann Keymeulen, Ingrid I E Staal, Theo van Achterberg, Marlou L A de Kroon","doi":"10.1007/s10995-025-04215-2","DOIUrl":"10.1007/s10995-025-04215-2","url":null,"abstract":"<p><strong>Objective: </strong>SPARK36 is a structured interview tool for nurse-led consultations with parents of 3-year-olds in Youth Health Care. Previous studies demonstrated its feasibility, reliability and known-groups validity. This study examined its convergent validity.</p><p><strong>Methods: </strong>In a cross-sectional study during the COVID-19 period, associations between scores on 12 SPARK36 domains and conceptually related subscales of three parent-reported instruments were explored. Correlations were assessed using Kendall's Tau-C.</p><p><strong>Results: </strong>Of the 599 parents of children attending a SPARK36 consultation, 286 (41.7%) did not return a questionnaire. These parents more often had lower educational levels, non-Belgian nationalities, less often spoke Dutch at home, and more often showed increased or high risk based on the SPARK36 (19.9% vs. 13.7% respectively; p = 0.04), indicating potential selection bias. None of 32 tested correlation coefficients (e.g., SPARK36 'child behavior' with SDQ scales) exceeded 0.20.</p><p><strong>Conclusion for practice: </strong>Convergent validity could not be demonstrated possibly due to the overall response rate, selective non-reporting, and the fact that most children showed no developmental or parenting problems. Three lessons emerged: (1) equity challenges occur, when parent-report tools are used among higher-risk families; (2) ongoing support may be needed to ensure consistent data collection by the nurses, given the large variation in data collection across them; (3) crisis situations disturb data collection, though a 50% questionnaires response rate may still be achievable during adverse contexts. The lessons also suggest that interview formats like SPARK36 may help reduce inequities that arise when preventive care relies on parent-report questionnaires.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"321-332"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020264","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":"Clinical Assessment of the Parent-Infant Relationship: A Global Survey of Clinician Attitudes and Practice.","authors":"Pavitra Aran, Andrew J Lewis, Stuart Watson, Evelyn Werner, Megan Galbally","doi":"10.1007/s10995-025-04198-0","DOIUrl":"10.1007/s10995-025-04198-0","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the practices and preferences of perinatal and infant mental health (PIMH) clinicians, towards the clinical assessment of the parent-infant relationship in mental health settings.</p><p><strong>Methods: </strong>A cross-sectional, multilingual, 36-item survey was distributed globally from December 2019 to June 2020. Data from 321 qualified health professionals (Medicine, Nursing, Psychology, Social Work, Occupational Therapy, Speech Pathology) from 16 countries were examined. The survey captured participants' own assessment preferences and practices (clinician perspective) and their perceptions of the attitudes and practices of the service in which they work (service perspective). Differences between clinician and service perspectives were examined using Chi-squared tests of proportions.</p><p><strong>Results: </strong>Respondents endorsed the clinical importance of assessing parent-infant relationship quality across outpatient and inpatient settings. A dyadic focus to assessment, evaluating the parent-infant relationship as a unit rather than assessing the parent or infant separately, was more popular as a personal preference (52.6%) than as a service preference (31.7%), PD = 20.9% [95% CI 12.6-28.8], χ²(1, N = 268) = 24.0, p < .0001. Most respondents endorsed partner involvement in PIMH care; however, a minority belonged to a service that provided partner-infant assessments (49.2%). Only a small proportion reported family-focused assessment as their individual preference (14%) or service preference (7%).</p><p><strong>Conclusions: </strong>The positive attitudes suggest overall support among clinicians for the assessment of parent-infant relationship quality as a routine practice within PIMH service delivery. Survey findings also suggest efforts should be made to include greater partner involvement and a family focus.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"272-285"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054666","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":"In Appreciation of the Maternal and Child Health Journal's Peer Reviewers, 2025.","authors":"","doi":"10.1007/s10995-025-04220-5","DOIUrl":"https://doi.org/10.1007/s10995-025-04220-5","url":null,"abstract":"","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913566","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":"Response to McLemore et al.'s Letter to the Editor.","authors":"Deborah Allen, Marjorie R Sable, Trude Bennett","doi":"10.1007/s10995-026-04223-w","DOIUrl":"10.1007/s10995-026-04223-w","url":null,"abstract":"","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"13"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203556","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":"Evaluating the Impact of Gestational Weight Gain Based on an Increase in BMI Class in Patients with Obesity During Pregnancy.","authors":"Maranda V Sullivan, Jordan A Gillenwater, Amanda J Young, Celia Gray, Michael J Paglia, A Dhanya Mackeen","doi":"10.1007/s10995-025-04203-6","DOIUrl":"10.1007/s10995-025-04203-6","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the impact of BMI class increase during pregnancy on perinatal outcomes.</p><p><strong>Methods: </strong>This retrospective cohort study from 2009 to 2022 included singleton pregnancies with a pre-gravid BMI ≥ 30 kg/m² that then increased ≥ 3 BMI points by the time of delivery. Patients without obesity and those who decreased BMI class were excluded. The primary composite outcome included fetal growth abnormalities, cesarean delivery, oligohydramnios, polyhydramnios, and stillbirth. Both superiority and equivalence analyses were performed.</p><p><strong>Results: </strong>16,835 pregnancies were included. The majority of patients were White/not Hispanic (80.3%) and multiparous (65.6%); co-morbidities increased as BMI increased. An increase from BMI class I to II led to more adverse outcomes than maintaining class I BMI (aOR 1.17, 95% CI 1.06, 1.28), and equivalent outcomes as those who had a pre-gravid class II BMI (adjusted 90% CI, -0.022, 0.019; p < 0.01). This increased odds of adverse outcomes doubled when the BMI increase from I to II occurred prior to 30 weeks gestation (aOR 1.34, 95% CI 1.21, 1.48). An increase from BMI class II to III led to higher odds of adverse outcomes than maintaining BMI class II (aOR 1.40, 95% CI 1.25, 1.58). The data does not provide sufficient evidence that the outcomes were equivalent to those with a pre-gravid BMI class III (adjusted 90% CI, -0.52, -0.017; p = 0.26).</p><p><strong>Conclusions for practice: </strong>For pregnant patients with obesity, recommendations for pregnancy management should be based on current BMI, rather than pre-gravid BMI.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"117-125"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805934","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":"Community-Rooted Innovation: Transforming Maternal Health Through the Safer Childbirth Cities Initiative.","authors":"Giannina Ong, Lisa Asare","doi":"10.1007/s10995-025-04190-8","DOIUrl":"10.1007/s10995-025-04190-8","url":null,"abstract":"<p><p>The maternal health crisis in the United States continues to affect some communities more severely than others, often due to historic and systemic barriers to care. Addressing these challenges requirehs solutions that are built with, and trusted by, the communities they serve. This supplement highlights the Safer Childbirth Cities initiative, a multi-year investment by Merck for Mothers and philanthropic partners that supported twenty community-based organizations across the country. These organizations implemented a wide range of approaches-including community-based doula care, storytelling initiatives, health information exchange systems, and new ways of defining and measuring evidence-to improve maternal health outcomes in their cities. By elevating local leadership, building trust through collaboration, and tailoring care to reflect the knowledge and needs of patients, the efforts featured here provide valuable lessons on how maternal health systems can be reshaped to deliver high quality, accessible, and culturally responsive care.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"1-3"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12909394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606909","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":"Variability of Safe Sleep Practices Among Missouri PRAMS Participants 2016-2022.","authors":"Taufa Ahmed, Lisa Giles, Leslie Decker, Karen Harbert","doi":"10.1007/s10995-025-04188-2","DOIUrl":"10.1007/s10995-025-04188-2","url":null,"abstract":"","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"24-30"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145446295","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":"Does Antenatal Care Integrate with Home Visits Effect Perinatal Outcomes? A Randomized Control Trial.","authors":"Ayça Demir Yildirim, Nevin Hotun Şahin","doi":"10.1007/s10995-025-04202-7","DOIUrl":"10.1007/s10995-025-04202-7","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to assess whether the combination of home visits and traditional antenatal care leads to better perinatal outcomes than standard antenatal care alone does and to assess the level of perinatal knowledge.</p><p><strong>Methods: </strong>A randomized controlled trial design was used in this study. The study was conducted with pregnant women in their first trimester who were registered at Family Health Centers (primary care) in a district of Istanbul. The study sample consisted of 32 women in the intervention group and 32 women in the control group. Pregnant women in the intervention group participated in an antenatal care program integrated with home visits, whereas those in the control group participated in a standard antenatal care program. The primary outcome of this randomized controlled trial was the change in perinatal knowledge score, which was assessed using a validated perinatal knowledge questionnaire administered before the intervention (pretest) and after program completion (posttest). Secondary outcomes included birth-related characteristics such as mode of delivery, maternal postpartum depressive symptoms as measured by the Edinburgh Postnatal Depression Scale, and breastfeeding self-efficacy as assessed by the Breastfeeding Self-Efficacy Scale.</p><p><strong>Results: </strong>No statistically significant difference was observed between the intervention and control groups in terms of sociodemographic characteristics. Following the intervention, perinatal knowledge scores significantly increased in both groups; however, the increase was significantly greater in the intervention group (P < .05). Whereas pretest knowledge scores were comparable between groups, posttest scores were significantly higher in the intervention group. Additionally, the quality and completeness of antenatal care received were markedly better among women in the intervention group. The rate of term deliveries (≥ 40 weeks) was significantly greater and the rate of preterm/early-term deliveries was significantly lower in the intervention group than in the control group (P < .05). Although there was a statistically significant relationship between group allocation and the planned mode of delivery, there were no significant differences between groups in terms of postpartum depression scores or breastfeeding self-efficacy levels.</p><p><strong>Conclusions for practice: </strong>Integrating structured home visits into routine antenatal care significantly improves the level of perinatal knowledge and quality of care received. This intervention increases maternal readiness and contributes to more informed and confident decision-making during pregnancy and childbirth.</p><p><strong>Clinical study registration: </strong>Since our research constituted a randomised controlled study, it was registered on the ClinicalTrials.gov website under ClinicalTrials ID No. NCT04628598.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"105-116"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145774467","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":"Integrating Obstetricians into Childbirth Education and Its Association with Reduced Intrapartum Interventions.","authors":"H Şule Selman, Saliha B Selman, Hakan Çoker, Neşe Karabekir","doi":"10.1007/s10995-025-04210-7","DOIUrl":"10.1007/s10995-025-04210-7","url":null,"abstract":"<p><strong>Background: </strong>Global concern about unwarranted childbirth interventions has intensified, with calls for respectful, evidence-based intrapartum care that supports physiologic birth. While antenatal education for expectant parents is common, the impact of multidisciplinary childbirth education for obstetricians has been underexplored.</p><p><strong>Methods: </strong>In a study of obstetricians (N = 112, M_age = 44.1 years, SD = 6.8, 57% female), those completing the Istanbul Birth Academy's Childbirth Educator and Doula Training (CEDT) program (n = 67) were compared with obstetricians without such training (n = 45) via a survey. Group differences were tested with independent-samples t test (Bonferroni-adjusted) and ANCOVA controlling for age, academic title, experience, low-risk caseload, and employer.</p><p><strong>Results: </strong>Of 31 practices, 26 differed by t test; 19 remained significant after correction. In adjusted models, 21 practices differed. CEDT-trained clinicians reported lower routine enemas, frequent digital exams, continuous CTG, routine IV lines, and IV fluids to shorten labor, with greater oral intake and nonpharmacologic pain relief; they more often supported instinctive pushing, upright positions, and delayed cord clamping, and less often used lithotomy and routine neonatal suctioning. Primary cesarean in nulliparas was lower.</p><p><strong>Conclusion: </strong>This study's significance is that multidisciplinary childbirth educator-doula training for obstetricians is associated with fewer routine interventions and lower nulliparous primary cesarean rates. Prospective studies are warranted.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"142-152"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805953","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":"Influence of Carbohydrate Intake During Pregnancy in the Offspring's Dietary Pattern and Food Preferences: A Systematic Review.","authors":"Tainá Fontes de Souza, Mariana Leonel Martins, Marcela Baraúna Magno, Lucianne Cople Maia, Andréa Fonseca-Gonçalves","doi":"10.1007/s10995-025-04199-z","DOIUrl":"10.1007/s10995-025-04199-z","url":null,"abstract":"<p><strong>Objective: </strong>To investigate evidence regarding the association between carbohydrate intake (general and sugar) during pregnancy and offspring's diet pattern and/or food preference in animals and humans until adolescence.</p><p><strong>Methods: </strong>Interventional and observational studies with animals (AS) and humans (HS) were included. Six databases and gray literature were consulted. Risk of bias was assessed using the SYRCLE tool for AS and the Newcastle-Ottawa Scale (NOS, 9 stars in total) for HS. The certainty of evidence was evaluated using GRADE.</p><p><strong>Results: </strong>Eleven articles were included. In AS (n = 6), general carbohydrate intake during pregnancy was associated with offspring's preference for high-fat and high-fat-protein diets, while in HS (n = 5) it was associated with increased carbohydrate consumption by children (p = 0.002) and a Western diet pattern in infants. AS studies on maternal sugar intake during pregnancy showed inconsistent results, with some associating it with offspring's sucrose preference and others finding no effect. In HS, maternal sugar intake was linked to the consumption of high-sugar products by infants up to adolescence. A high risk of bias was attributed to most categories in AS. In HS, NOS scores ranged from 7 (n = 2) to 8 (n = 3) stars, indicating methodological flaws. All studies were classified as having low certainty of evidence.</p><p><strong>Conclusion: </strong>Maternal carbohydrate intake during pregnancy was associated in some studies with offspring's dietary patterns and preferences, supporting nutritional guidance during this period to promote healthier long-term habits. However, the evidence remains limited, reinforcing the need for further research.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"47-68"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145897013","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}