Maternal and Child Health Journal最新文献

{"title":"Correction: Variability of Safe Sleep Practices Among Missouri PRAMS Participants 2016-2022.","authors":"Taufa Ahmed, Lisa Giles, Leslie Decker, Karen Harbert","doi":"10.1007/s10995-025-04201-8","DOIUrl":"10.1007/s10995-025-04201-8","url":null,"abstract":"","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"31-36"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811648","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":"Children's Healthy Weight State Capacity Building Program: Incorporating Nutrition Into States' Maternal and Child Health Programming.","authors":"M Pia Chaparro, Sandy Perkins, Ann Webb Price, Susan M Wolfe, Karen Probert","doi":"10.1007/s10995-025-04208-1","DOIUrl":"10.1007/s10995-025-04208-1","url":null,"abstract":"<p><strong>Purpose: </strong>To describe the Children's Healthy Weight State Capacity Building Program (CHW-SCBP) and report on progress after 3 years of program implementation.</p><p><strong>Description: </strong>The CHW-SCBP was a 5-year cooperative agreement (2020-2025) between the Association of State Public Health Nutritionists (ASPHN) and the Health Resources & Services Administration (HRSA), with the specific objective of developing state models in maternal child health (MCH) nutrition integration, which could then be implemented and replicated in states nationwide. Three states - North Dakota, Oregon, and Wisconsin - were selected to be part of CHW-SCBP and worked with ASPHN on their specific priorities and models of MCH nutrition integration. The implementation of the CHW-SCBP program followed two strategies, based on the goals of the HRSA Notice of Funding Opportunity (HRSA-20-043): (1) the workforce strategy, focused on increasing the MCH nutrition competency of the state Title V workforce and (2) the data strategy, focused on optimizing MCH nutrition-related data sources to contribute to data-driven programs and activities related to assessment, policy development, and assurance, within states' Title V.</p><p><strong>Assessment: </strong>Activities implemented within the workforce and data strategies, as well as each state's outcomes, are summarized and discussed. Results from Year 3 program evaluation are also included.</p><p><strong>Conclusion: </strong>The CHW-SCBP program successfully engaged with the three selected states, increasing the MCH nutrition competency of their Title V workforce and their knowledge and usage on MCH nutrition data. Sustainability plans need to be developed for program gains to be maintained beyond the CHW-SCBP funding period.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"37-46"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146195426","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":"Revisionist History is Not Helpful. A Response to Allen, et al., MCH and Abortion: Toward a Stronger Relationship.","authors":"Monica R McLemore, Joia A Crear-Perry, Karen A Scott, Sarah Roberts","doi":"10.1007/s10995-026-04222-x","DOIUrl":"10.1007/s10995-026-04222-x","url":null,"abstract":"","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"6-9"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203561","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 Depressive Symptoms and Child Injury Risk.","authors":"Lindsay A Bryant, Barbara A Morrongiello","doi":"10.1007/s10995-025-04193-5","DOIUrl":"10.1007/s10995-025-04193-5","url":null,"abstract":"<p><strong>Objective: </strong>Unintentional injury poses a health threat to children, and toddlerhood (2 to 4 years) is a particularly vulnerable period. At this stage, parental intervention and monitoring are essential for mitigating injury risk. Maternal depressive symptoms are associated with greater frequency of injuries to young children in the home, however, our understanding of why remains limited. This study examined associations between maternal depressive symptoms and reactions to children's injury-risk behaviors, as well as children's injury rates.</p><p><strong>Method: </strong>The sample comprised 84 mothers of children (24-47 months) and included a broad range of scores for symptoms of depression. Participants provided questionnaire and observational data.</p><p><strong>Results: </strong>Mothers with more elevated depressive symptoms had children who experienced higher injury rates. These mothers showed frequent reactions to intervene when children were engaging in risk behaviors, however, they responded with ineffective strategies (i.e., increased prohibitions, reduced teaching).</p><p><strong>Conclusion: </strong>Mothers having greater depressive symptoms focused more on stopping children's risk behaviors than teaching about safety, and children had higher injury rates.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"79-86"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745185","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 Association Between Maternal Adiposity and Breastfeeding Initiation and Duration: Evidence from the Southampton Women's Survey.","authors":"Amelia Grace Bird, Hazel Inskip, Keith M Godfrey, Nicholas C Harvey, Sarah Crozier, Janis Baird","doi":"10.1007/s10995-025-04211-6","DOIUrl":"10.1007/s10995-025-04211-6","url":null,"abstract":"<p><strong>Background: </strong>Most mothers in the UK are not meeting the breastfeeding recommendations set by the World Health Organisation (WHO, Breastfeeding - Recommendations. https://www.who.int/health-topics/breastfeeding#tab=tab_2 , 2023). Maternal obesity has variably been associated with lower initiation and shorter duration of breastfeeding, but few studies have examined the impact of maternal adiposity estimated from skinfold thicknesses.</p><p><strong>Aim: </strong>To investigate the relationship between maternal adiposity and breastfeeding initiation and duration.</p><p><strong>Methods: </strong>Data from 2,873 mother-offspring pairs in the Southampton Women's Survey (SWS) mother-offspring cohort study were used to assess the relationship between a mother's adiposity and breastfeeding initiation and duration. The exposure variables were body mass index (BMI) and body fat percentage, calculated from 4-site skinfold thickness measurements measured prior to conception. The outcome variables were breastfeeding initiation and duration. All analyses were adjusted for confounders identified using a Directed Acyclic Graph.</p><p><strong>Results: </strong>After adjustment for confounders, no associations were found between maternal BMI (RR 0.99 per 5 kg/m², 95% CI 0.97, 1.01) or body fat percentage (RR 0.99 per 5%, 95% CI 0.97, 1.00) and initiation of breastfeeding. After adjustment for confounders, amongst women who initiated breastfeeding, higher maternal BMI (β -0.09 SDs per 5 kg/m², 95% CI -0.13, -0.04) and body fat percentage (β -0.10 SDs per 5%, 95% CI -0.16, -0.04) were associated with shorter breastfeeding duration.</p><p><strong>Conclusions: </strong>In this study maternal adiposity had little impact on breastfeeding initiation but higher maternal adiposity was associated with shorter breastfeeding duration. This study suggests that more support should be given to mothers with overweight and obesity to promote longer duration of breastfeeding.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"16-23"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935843","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 Impact of Mothers' Perceptions of Partners' Emotional Distress on Mother-Infant Bonding: Mediating Effects of Maternal Depression and Anxiety.","authors":"Sara Albuquerque, Bárbara Sousa, Ana Beato, Stephanie Alves","doi":"10.1007/s10995-025-04194-4","DOIUrl":"10.1007/s10995-025-04194-4","url":null,"abstract":"<p><strong>Objectives: </strong>Having a child is a shared experience where partners influence each other's adaptation to parenthood. While much research focuses on mother-infant bonding, the impact of partners' psychological functioning on this outcome is underexplored. This study investigated how mothers' perceptions of partners' pre- and postnatal depressive and anxiety symptoms affect mother-infant bonding difficulties and whether mothers' own symptoms mediate these relationships.</p><p><strong>Method: </strong>A sample of 525 Portuguese women (M age = 32.85, SD = 5.13) with infants < 24 months completed an online survey from February to March 2020. Assessments included history of depression and anxiety, current symptoms, perceptions of partners' symptoms, and mother-infant bonding difficulties. Multiple hierarchical linear regressions and mediation analyses were conducted.</p><p><strong>Results: </strong>Women's current depressive symptoms and perceptions of partners' current anxiety symptoms were associated with greater bonding difficulties. In contrast, perceptions of partners' prenatal anxiety symptoms were associated with fewer bonding difficulties. Perceptions of higher levels of partners' current depressive symptoms were indirectly related to increased bonding difficulties through mothers' own depressive symptoms.</p><p><strong>Conclusions: </strong>Partners' psychological functioning impacts mothers' adaptation to motherhood differently across the perinatal period. Perceived prenatal anxiety in partners may serve as a protective factor, whereas postpartum depressive and anxiety symptoms contribute to bonding difficulties. These findings highlight the importance of considering dyadic processes in understanding and supporting parent-infant relationships.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"87-97"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145688231","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":"Social Vulnerability is Associated with Greater Risk of Cesarean Delivery Following a Trial of Labor After Cesarean.","authors":"Nicola F Tavella, Sara R Wetzler, Lily McCarthy, Gabriele Baptiste, Toni Stern, Chelsea A DeBolt, Angela T Bianco","doi":"10.1007/s10995-025-04213-4","DOIUrl":"10.1007/s10995-025-04213-4","url":null,"abstract":"<p><strong>Objectives: </strong>Following calls to reduce the prevalence of non-medically indicated cesarean deliveries (CD), there has been increased focus on trials of labor after cesarean (TOLAC). TOLAC requires a risk-benefit analysis, as unsuccessful TOLAC resulting in CD may compound morbidity. Prior work has attempted to develop risk prediction models that guide TOLAC counseling and account for sociostructural barriers. This study examined associations between social vulnerability and birth outcomes among patients with a history of one prior CD.</p><p><strong>Methods: </strong>This retrospective case-control study included patients who attempted a TOLAC at term from 2016 - 2020. We divided patients into two groups: vaginal birth after cesarean (VBAC) and CD. We analyzed social disparities including race and ethnicity, health insurance type, and Social Vulnerability Index (SVI). Chi-squared tests examined proportional differences between groups and multivariable logistic regressions examined adjusted odds ratios of a CD.</p><p><strong>Results: </strong>We included 976 births. There were significant sociodemographic disparities in VBAC success. Greater rates of morbidity were observed in the CD group. Multivariable regression models revealed that patients with high vulnerability had a 1.2 (1.1, 1.5) greater adjusted odds ratio (aOR) of CD. Patients who identified as Black had a 2.0 (1.1, 3.3) greater aOR of CD compared to White patients. Patients with public (0.6 [0.4,0.9]) or no (0.3 [0.1,0.9]) health insurance coverage had lower aOR of CD.</p><p><strong>Conclusions: </strong>Our findings suggest that socially vulnerable patients may be more likely to have a CD, and social disparities persist in TOLAC outcomes. This suggests inclusion of social measures be considered with VBAC risk prediction.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"69-78"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811696","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":"Mental and Emotional Health of Primary Caregivers as Determinants of Childhood Anxiety and Depression.","authors":"Sahar Kaleem, Ayden Dunn, Nada Eldawy, Jennifer Mendonca, Adrienne Dean, Sebastian Densley, Lea Sacca","doi":"10.1007/s10995-025-04205-4","DOIUrl":"10.1007/s10995-025-04205-4","url":null,"abstract":"<p><strong>Background: </strong>Recent findings indicate a sharp increase in childhood anxiety/depression, necessitating investigation into factors influencing these rates. We aimed to provide more current nationwide rates of childhood anxiety and depression and their association with caregiver mental and emotional health.</p><p><strong>Methods: </strong>This retrospective cross-sectional study analyzes self-reported data from the National Survey of Children's Health (NSCH) to examine associations between childhood anxiety and depression and their severity levels, and the mental and emotional health of primary caregivers. A series of binary and ordinal logistic regression was carried out to assess such associations.</p><p><strong>Results: </strong>54,103 caregiver reported responses were analyzed. 12.0% and 5.8% reported anxiety and depression in their children, respectively. Caregivers who report \"very good\" mental and emotional health have 1.905 (1.757-2.066; p < 0.001) higher adjusted odds of their children having anxiety compared those whose who answered \"excellent.\" Logistic regression results showed that caregivers with \"excellent\" (0.449; 0.312-0.649; p < 0.001) and \"very good\" (0.547; 0.384-0.778; p < 0.001) mental and emotional health reported lower adjusted odds of anxiety severity in their children compared to those with \"poor\" mental and emotional health. Additionally, caregivers with \"excellent\" (0.328; 0.195-0.550; p < 0.001) and \"very good\" (0.463; 0.287-0.745; p = 0.002) mental and emotional health reported lower adjusted odds of depression severity in their children compared to those with \"poor\" mental and emotional health.</p><p><strong>Conclusion: </strong>Addressing social determinants of health, such as caregiver mental well-being, is essential in reducing the prevalence of mental health issues among children and ensuring the efficacy of evidence-based interventions.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"126-133"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145850721","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":"Project Detroit: Voices for Life - The Power of Storytelling in Reducing Maternal Mortality: Amplifying Voices. Changing Lives.","authors":"Alethia Carr, Vernice Davis Anthony, Iris Taylor","doi":"10.1007/s10995-025-04191-7","DOIUrl":"10.1007/s10995-025-04191-7","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is to describe the design and implementation of the storytelling component of a multiprong, community-based project that shares the lived experience of Black and Brown women's birthing journey to reduce maternal mortality.</p><p><strong>Description: </strong>Beginning 2021, the Southeast Michigan Perinatal Quality Improvement Coalition (SEMPQIC) worked with community perinatal care providers to administer a multiprong project to reduce maternal mortality in Detroit. The goal of the project was to build upon existing community assets to examine and replicate circumstances and conditions where Black mothers thrive. This article will focus on one component of this four-part effort that included production of storytelling videos of the birthing journey by Black and Brown women.</p><p><strong>Assessment: </strong>A partnership with SEMPQIC and trusted, established community perinatal service providers was the operational foundation to identify 110 perinatal women from Detroit, willing to engage in storytelling training to tell their unique birthing journey story. 22 videos were professionally produced for use in Detroit to offer the lived experience of the current perinatal system of care. The engagement of the women for storytelling led to the development of a broader campaign and tool kit about maternal health called Our Voices Our Births: Hear Us! - Detroit Mothers Speak.</p><p><strong>Conclusion: </strong>SEMPQIC works to reduce maternal mortality and improve the perinatal care system through promotion of racial health equity, using community collaboration for collective impact. This storytelling initiative demonstrates the transformative power of storytelling in addressing the maternal mortality crisis.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"10-14"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12909462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146067676","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":"Low Calcium Intake in High-Risk Pregnant Women: What are the Associated Factors?","authors":"Daiane Sofia Morais Paulino, Iara Olinda Dos Reis, Carolina F A Amaral-Moreira, Fernanda Garanhani Surita","doi":"10.1007/s10995-025-04200-9","DOIUrl":"10.1007/s10995-025-04200-9","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the dietary calcium intake in high-risk pregnant women and determine the factors associated with the adequacy of the calcium requirements.</p><p><strong>Methods: </strong>A prospective cohort study was carried out with adult high-risk pregnant women, in the third trimester of pregnancy. Sociodemographic data, obstetric history, maternal comorbidity, pre-gestational body mass index were collected from medical records and three 24-h dietary recalls were performed.</p><p><strong>Results: </strong>A total of 125 pregnant women were included. The mean calcium intake was 652.76 ± 294.58 mg/day and 24.8% of women had adequate calcium intake. We found a correlation between low daily calcium intake (< 800 mg) with non-white pregnant women (p 0.017), and obesity (p = 0.010). Eating frequency demonstrated an inverse correlation with low daily calcium intake (p < 0.001).</p><p><strong>Conclusions for practice: </strong>Dietary calcium intake was insufficiente for most high risk pregnant women in this study. Eating frequency was associated with improved calcium intake, while obesity and non-White race/ethnicity were risk factors for inadequate intake.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"98-104"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745187","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}