Maternal and Child Health Journal最新文献_第7页

Interpersonal, Community/Environmental, and Societal Risk and Protective Factors for Gestational Diabetes and Hypertensive Disorders of Pregnancy Among Black Women in the United States: A Systematic Review. 美国黑人妇女妊娠期糖尿病和高血压疾病的人际、社区/环境和社会风险和保护因素：一项系统综述

IF 1.9 4区医学

Maternal and Child Health Journal Pub Date : 2026-06-01 Epub Date: 2026-05-18 DOI: 10.1007/s10995-026-04268-x

Shewit Jaynes, Sarah Janek, Akemi Huynh, Steph Hendren, Rosa M Gonzalez-Guarda

{"title":"Interpersonal, Community/Environmental, and Societal Risk and Protective Factors for Gestational Diabetes and Hypertensive Disorders of Pregnancy Among Black Women in the United States: A Systematic Review.","authors":"Shewit Jaynes, Sarah Janek, Akemi Huynh, Steph Hendren, Rosa M Gonzalez-Guarda","doi":"10.1007/s10995-026-04268-x","DOIUrl":"10.1007/s10995-026-04268-x","url":null,"abstract":"Objectives: Gestational diabetes (GDM) and hypertensive disorder of pregnancy (HDP) disproportionallyaffect the health of Black women during pregnancy and after birth. These conditions have mostly been examined separately and have largely focused on individual-level risk factors. We used an adapted socioecological model (SEM) to explore risk and protective factors for GDM and HDP among Black women beyond the individual level of influence.Methods: We searched MEDLINE, Embase, CINAHL Complete and Scopus databases for articles published through November 2023. Studies were included if they had samples of ≥ 50% Black women or stratified data by race and included measures of effect of interpersonal, community/environmental, or societal factors. We used PRISMA 2020 reporting guidelines and narratively synthesized the results by level of the SEM. We used QualSyst to assess the quality of included studies.Results: Nineteen studies met all our inclusion criteria; 10 examined societal factors making it the most examined socioecological level, six examined community/environmental factors, and three examined interpersonal level factors. Only three studies included outcomes of both GDM and HDP. Intimate partner violence was the only significant risk factor for both GDM and HDP.Conclusion for practice: Although several risk factors were explored, protective factors have not been examined to the same extent and warrant further investigation. Findings from this review can be used to inform more comprehensive assessment tools for identifying patients at increased risk for adverse pregnancy outcomes. Limitations of our review include the inability to determine causality due to study designs and the inability to conduct a meta-analysis due to heterogeneity of findings.","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"755-771"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976431","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}

引用次数: 0

Physical Activities Promote Resilience of Children in Single-Mother Families: Results from A-CHILD Study. 体育活动促进单亲母亲家庭儿童心理弹性：来自A-CHILD研究的结果。

IF 1.9 4区医学

Maternal and Child Health Journal Pub Date : 2026-06-01 Epub Date: 2026-05-20 DOI: 10.1007/s10995-026-04271-2

Yui Yamaoka, Yukako Tani, Tomoki Kawahara, Yuto Maeda, Takeo Fujiwara

{"title":"Physical Activities Promote Resilience of Children in Single-Mother Families: Results from A-CHILD Study.","authors":"Yui Yamaoka, Yukako Tani, Tomoki Kawahara, Yuto Maeda, Takeo Fujiwara","doi":"10.1007/s10995-026-04271-2","DOIUrl":"10.1007/s10995-026-04271-2","url":null,"abstract":"Objectives: Children from single-mother families often face adverse health and developmental outcomes. However, limited research exists on the potential effectiveness of support systems in fostering resilience among these children. This study aimed to examine the effects of physical activity on the resilience of children in single-mother families.Methods: This study used longitudinal data from the Adachi Child Health Impact of Living Difficulty (A-CHILD) study in Japan (N = 3076). Single motherhood status was assessed at baseline in 2015 (when the children were in 1st grade). Subsequently, the frequency of children's engagement in physical activity was evaluated in 2016 (2nd grade). The resilience of children was assessed in 2020 (in 6th grade) using the Children's Resilient Coping Scale (CRCS). Structural equation modeling was used to examine the mediating effects of physical activity on child resilience.Results: Single-mother families constituted 7.2% of study samples in 1st grade. In the 2nd grade, the children exhibited lower participation in physical activities, which subsequently showed lower resilience scores by the time they reached 6th grade. The duration of physical activity mediated the effect of single-mother families on resilience only for boys (84% of total effect).Conclusions for practice: The relationship between single motherhood and children's lower resilience was found to be mediated by the duration of children's physical activity, specifically among boys attending elementary school in Japan. Enhancing opportunities for physical activities among children from single-mother families could prove effective in enhancing their resilience levels.","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"790-798"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13275753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976452","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}

引用次数: 0

A Typology of Strategies Women Use to Navigate Alcohol Abstinence During Pregnancy. 女性在怀孕期间戒酒的策略类型。

IF 1.9 4区医学

Maternal and Child Health Journal Pub Date : 2026-06-01 Epub Date: 2026-05-26 DOI: 10.1007/s10995-026-04281-0

Simone Pettigrew, Bella Sträuli, Leon Booth, Keira Bury, James Stevens-Cutler, Annet Hoek

{"title":"A Typology of Strategies Women Use to Navigate Alcohol Abstinence During Pregnancy.","authors":"Simone Pettigrew, Bella Sträuli, Leon Booth, Keira Bury, James Stevens-Cutler, Annet Hoek","doi":"10.1007/s10995-026-04281-0","DOIUrl":"10.1007/s10995-026-04281-0","url":null,"abstract":"Introduction: Current guidelines recommend alcohol abstinence during pregnancy and while trying to conceive to prevent avoidable harms. However, social norms favoring alcohol use can make abstinence difficult, especially while trying to conceal a pregnancy. The aim of this study was to identify feasible alcohol avoidance strategies and categorize them into a typology that can be used to communicate about this topic with women of child-bearing age.Methods: Online focus groups (n = 37) and individual interviews (n = 6) were conducted with 43 Australian women aged 18-44 years who were pregnant or had recently been pregnant at the time of data collection and who had consumed alcohol at least weekly before conception. Projective techniques were used that involved presenting participants with scenarios of fictional women in situations that may arise when trying to avoid alcohol during pregnancy.Results: Findings indicate that those who are pregnant or trying to conceive may benefit from ready access to information about alcohol avoidance strategies that have been found effective by the women who went before them. Identified strategies were classified as Avoid/constrain the drinking context, Substitute drinks, Use an accomplice, Simulate drinking, Fib, Educate, Refuse, and Disclose.Discussion: These strategies could form the basis of health practitioner advice and user-friendly resources that are made available to women of childbearing age and pregnant women to increase their ability to avoid alcohol while trying to conceive and during pregnancy.","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"855-863"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13275573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036571","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}

引用次数: 0

The Economics of Group Antenatal Care: A Systematic Review and Narrative Analysis. 群体产前护理经济学：系统回顾与叙事分析。

IF 1.9 4区医学

Maternal and Child Health Journal Pub Date : 2026-06-01 Epub Date: 2026-05-13 DOI: 10.1007/s10995-026-04276-x

M Elske van den Akker-van Marle, Nathalie Leister, Ashna D Hindori-Mohangoo, Ilir Hoxha, Marlies E Rijnders, Christine McCourt

{"title":"The Economics of Group Antenatal Care: A Systematic Review and Narrative Analysis.","authors":"M Elske van den Akker-van Marle, Nathalie Leister, Ashna D Hindori-Mohangoo, Ilir Hoxha, Marlies E Rijnders, Christine McCourt","doi":"10.1007/s10995-026-04276-x","DOIUrl":"10.1007/s10995-026-04276-x","url":null,"abstract":"Introduction: Group antenatal care (GANC) is an alternative to traditional individual antenatal care (IANC), which combines health assessment, interactive learning, and community building in group sessions. GANC has been associated with positive health outcomes. To scale up GANC, more evidence is needed on the financial implications of its initial implementation and (long-term) cost-effectiveness. This study aims to review and synthesise the available evidence on the economics of GANC.Methods: We searched for observational and experimental studies assessing the cost aspects of implementing and running GANC with or without comparison with IANC.Information sources: We searched PubMed, EMBASE, and Ovid Emcare up to 22 August 2024 using keywords and controlled vocabulary without restriction by year of publication.Quality assessment: CASP Economic Evaluation Checklist.Data synthesis: Narrative synthesis.Results: A limited number of studies (n = 9) addressing the costs and/or benefits of GANC were eligible to be included in the review. These studies varied considerably in setting, design, quality, type of cost data, cost categories included and perspective used.Conclusion: Evidence on the costs of GANC is sparse. Future studies of the lifetime costs and health outcomes of GANC compared with IANC are needed to gain insight into the cost implications and cost-effectiveness of GANC and to scale up its implementation.Trial registration: PROSPERO 2023 CRD42023454379.","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"820-830"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13275586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934137","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}

引用次数: 0

Integrative Review: Pregnant Women's Perception of Smoking Tobacco Risks During Pregnancy. 综合评价：孕妇对孕期吸烟风险的认知。

IF 1.9 4区医学

Maternal and Child Health Journal Pub Date : 2026-06-01 Epub Date: 2026-05-20 DOI: 10.1007/s10995-026-04279-8

Teresa Gulley, Denise Hammer, Melissa Jarvill

{"title":"Integrative Review: Pregnant Women's Perception of Smoking Tobacco Risks During Pregnancy.","authors":"Teresa Gulley, Denise Hammer, Melissa Jarvill","doi":"10.1007/s10995-026-04279-8","DOIUrl":"10.1007/s10995-026-04279-8","url":null,"abstract":"Purpose: To review the current state of the literature regarding pregnant women's perception of smoking tobacco risk during pregnancy.Methods: CINAHL Complete, ProQuest Nursing & Allied Health Source, and PubMed were searched using the keyword combination of (a) perception or knowledge or attitude or belief or perspective or opinion, (b) tobacco, and (c) pregnancy or pregnant or prenatal or antenatal or perinatal or maternal. Whittmore and Knafl's integrative method was the framework utilized. Each study's level and quality of evidence were assessed according to the Johns Hopkins Nursing Evidence-Based Practice Level and Quality Guide. The findings of each study were then grouped into themes.Results: Nineteen articles were included in the review. Major themes identified included pregnant women's perception of risk or knowledge, perception of benefits or barriers to smoking cessation, and pregnant women's source of information. Specifically, pregnant women who smoked tobacco were less likely to believe in the risk of associated adverse health outcomes than pregnant women who did not smoke tobacco; and pregnant women valued information from family and friends over healthcare providers.Discussion: Pregnant women with a low risk perception who continued to smoke tobacco suggests the need to improve public awareness of documented adverse pregnancy outcomes. Education needs to be directed towards the individual's perception of the susceptibility of risk and the severity of risk. This can increase motivation for tobacco cessation during pregnancy and potentially lead to increased cessation success, leading to improved pregnancy health outcomes.","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"742-754"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976490","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}

引用次数: 0

Factors Associated with Growth and Weight Status in Indigenous Children Under 5 Years of Age in Northeastern Brazil. 巴西东北部5岁以下土著儿童生长和体重状况的相关因素

IF 1.9 4区医学

Maternal and Child Health Journal Pub Date : 2026-06-01 Epub Date: 2026-05-14 DOI: 10.1007/s10995-026-04274-z

Ana Beatriz Sousa Luz Dos Anjos, Valéria Clarisse de Oliveira, Tamara Rodrigues Dos Santos, Haroldo da Silva Ferreira, Marly Augusto Cardoso, Bárbara Hatzlhoffer Lourenço

{"title":"Factors Associated with Growth and Weight Status in Indigenous Children Under 5 Years of Age in Northeastern Brazil.","authors":"Ana Beatriz Sousa Luz Dos Anjos, Valéria Clarisse de Oliveira, Tamara Rodrigues Dos Santos, Haroldo da Silva Ferreira, Marly Augusto Cardoso, Bárbara Hatzlhoffer Lourenço","doi":"10.1007/s10995-026-04274-z","DOIUrl":"10.1007/s10995-026-04274-z","url":null,"abstract":"Objective: Indigenous children in Brazil experience persistent health and nutritional inequities, yet remain underrepresented in epidemiological research. This study investigated factors associated with the nutritional status of Indigenous children under 5 years in Northeastern Brazil.Methods: A cross-sectional household survey collected demographic, socioeconomic, maternal, perinatal, and anthropometric data of 329 children across 13 Indigenous communities in Alagoas, Brazil. Height-for-age (HAZ) and body mass index-for-age (BAZ) z-scores were calculated using the World Health Organization growth standards. Multiple linear regression models were used to estimate coefficients (β) and confidence intervals (95%CI) of factors associated with HAZ and BAZ.Results: Among 329 Indigenous children (52% boys, mean age [standard deviation, SD]: 2.4 [1.4] years), the mean HAZ was - 0.38 (SD: 1.09) and BAZ was 0.50 (SD: 1.10). Overall, 6.1% of children were stunted (HAZ <-2) and 9.5% were overweight (BAZ > + 2). HAZ was negatively associated with moderate or severe food insecurity (β: -0.37; 95%CI: -0.71, -0.03). Children living in masonry households (β: 0.71; 95%CI: 0.10, 1.32) and whose mothers were taller (β: 0.54; 95%CI: 0.24, 0.85) had higher HAZ. Regarding weight status, maternal underweight (β: -1.02; 95%CI: -2.00, -0.03) and cesarean section (β: 0.38; 95%CI: 0.14, 0.63) were significantly associated with BAZ.Conclusions for practice: Monitoring the nutritional status of Indigenous children is important in the first years of life. Strengthening traditional practices within Indigenous territories is essential for improved nutritional outcomes.","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"799-808"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13275511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943310","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}

引用次数: 0

Does Quality of Prenatal Care for Black Birthing Women Impact Social Media Use? 黑人分娩妇女产前护理质量是否影响社交媒体使用？

IF 1.9 4区医学

Maternal and Child Health Journal Pub Date : 2026-05-01 Epub Date: 2026-05-05 DOI: 10.1007/s10995-026-04267-y

Nerissa George, Simone Reynolds, Rachel de Long, Rukhsana Ahmed, Marilyn Kacica, Jennifer A Manganello

{"title":"Does Quality of Prenatal Care for Black Birthing Women Impact Social Media Use?","authors":"Nerissa George, Simone Reynolds, Rachel de Long, Rukhsana Ahmed, Marilyn Kacica, Jennifer A Manganello","doi":"10.1007/s10995-026-04267-y","DOIUrl":"10.1007/s10995-026-04267-y","url":null,"abstract":"Objectives: To examine the relationship between perceived prenatal care quality and social media use for pregnancy-related information among Black women in the United States during their most recent pregnancy.Methods: This cross-sectional study used a national sample of Black women who were pregnant or recently postpartum. Prenatal care quality was assessed using the Anticipatory Guidance and Support and Respect subscales of the Quality of Prenatal Care Questionnaire. Social media use measures included frequency of use, use for giving and getting support, and sharing pregnancy-related information. Multivariable linear regression models adjusted for demographic and provider-related factors.Results: Participants rated prenatal care guidance quality as moderately good (mean item score: 3.86, SD: 0.85) and support and respect quality as high (mean item score: 4.09, SD: 0.88). Greater perceived prenatal care guidance quality was associated with social media use (r = 0.246, p < 0.0001) and use of social media for support (r = 0.272, p < 0.0001), and these associations remained significant after adjustment. Associations between support and respect quality and social media use observed in bivariate analyses were not significant in adjusted models. Both guidance quality and support and respect quality were associated with increased sharing of pregnancy-related information found on social media. Effect sizes were small.Conclusion: Social media is a routine source of pregnancy-related information among Black women, regardless of prenatal care experiences. Higher perceived guidance quality is associated with greater engagement in social media, though causality cannot be determined. Integrating discussions of online information into prenatal care may support informed decision-making and help reduce exposure to misinformation.","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"700-710"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844661","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}

引用次数: 0

Oral Health Literacy Among Pregnant Women in Urban Malaysia: A Cross-Sectional Study. 马来西亚城市孕妇口腔健康素养：一项横断面研究。

IF 1.9 4区医学

Maternal and Child Health Journal Pub Date : 2026-05-01 Epub Date: 2026-04-20 DOI: 10.1007/s10995-026-04255-2

Zanjebil Abdulkadir Alsagoff, Chiu Wan Ng, Noraini Nun Nahar Yunus

{"title":"Oral Health Literacy Among Pregnant Women in Urban Malaysia: A Cross-Sectional Study.","authors":"Zanjebil Abdulkadir Alsagoff, Chiu Wan Ng, Noraini Nun Nahar Yunus","doi":"10.1007/s10995-026-04255-2","DOIUrl":"10.1007/s10995-026-04255-2","url":null,"abstract":"OBJECTIVES: Oral health literacy (OHL) is an important determinant of oral health outcomes. Low parental OHL has been associated with higher rates of dental caries among children. This study examined OHL and factors associated with it among pregnant women in an urban area in Malaysia. METHODS: This cross-sectional study included a convenience sample of 455 pregnant women attending antenatal clinics in an urban district near Kuala Lumpur. Self-administered questionnaires collected sociodemographic information. OHL was measured using the validated Malay version of the 14-item Health Literacy in Dentistry Scale (MHeLD-14). HeLD-14 scores were analysed as a continuous variable, and associations between sociodemographic factors and OHL were explored using multivariable linear regression. RESULTS: The mean age of respondents was 29.7 years (SD 4.7). Of the 455 respondents, 439 had complete MHeLD-14 responses, and 418 were included in regression analyses after excluding cases with missing covariate data. The median OHL score was 52 (IQR 46-54.5; range 0–56). Item-level responses indicated greater difficulty with support-related items, such as bringing someone to a dental appointment, compared with utilisation-related items. In exploratory adjusted analyses, tertiary education was significantly associated with higher OHL scores, while Chinese and Indian ethnicity were associated with lower OHL scores compared with Malay respondents. CONCLUSIONS FOR PRACTICE: Respondents reported relatively high oral health literacy (OHL) scores. However, difficulties in support-related tasks suggest that practical and contextual barriers may limit the effective use of oral health services during pregnancy. These findings highlight the need for maternal oral health promotion strategies that go beyond information provision and address logistical and social barriers within antenatal care settings. ","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"620-627"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147729947","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}

引用次数: 0

Variations in Eclampsia Risk Across Asian Origin Groups in the United States. 美国亚裔人群子痫风险的差异

IF 1.9 4区医学

Maternal and Child Health Journal Pub Date : 2026-05-01 Epub Date: 2026-04-29 DOI: 10.1007/s10995-026-04261-4

Weisi Huang, Guohua Li, Alexander Friedman, Jean Guglielminotti

{"title":"Variations in Eclampsia Risk Across Asian Origin Groups in the United States.","authors":"Weisi Huang, Guohua Li, Alexander Friedman, Jean Guglielminotti","doi":"10.1007/s10995-026-04261-4","DOIUrl":"10.1007/s10995-026-04261-4","url":null,"abstract":"Objectives: Eclampsia is a leading contributor of severe maternal morbidity in the United States. Although the rates of severe maternal morbidity for Asian and non-Hispanic White birthing people are similar, variations in eclampsia risk across Asian origin groups have not been adequately studied.Methods: A cross-sectional study using public access Natality Files data (2018-2021). The exposure was maternal race (non-Hispanic White or Asian), and nativity (foreign- or US-born), with foreign-born non-Hispanic White birthing people defined as the reference group. The outcome was eclampsia. Adjusted odds ratios (aOR) and 95% confidence intervals (CI) of eclampsia associated with race and nativity were estimated using multivariable logistic regression models.Results: Of the 8,295,025 birth certificates analyzed, 21,547 (26.0 per 10,000) recorded eclampsia. The incidence of eclampsia per 10,000 was 14.7 for foreign-born White people, 26.7 for US-born White, 20.9 for foreign-born Asians, and 49.6 for US-born Asians. Among Asian origin groups, the highest incidence of eclampsia per 10,000 was observed among US-born Japanese (256.0), followed by US-born Filipinos (120.6), foreign-born Filipinos (82.9) and US-born Japanese (32.7). After adjustment and compared to foreign-born White people, US-born Filipinos had the highest odds of eclampsia (aOR: 9.36; 95% CI: 7.51, 11.67), followed by foreign-born Filipino (aOR: 6.09; 95% CI: 4.95, 7.50), US-born Japanese (aOR: 4.89; 95% CI: 3.45, 6.92), foreign-born Japanese (aOR: 3.18; 95% CI:2.26, 4.47), and US-born non-Hispanic White (aOR: 2.13; 95% CI: 1.96, 2.32).Conclusions for practice: Eclampsia risk varies significantly across Asian origin groups and by nativity.","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"653-662"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785889","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}

引用次数: 0

Investigating Sustained Breastfeeding: A Grounded Theory Study. 调查持续母乳喂养：一个有根据的理论研究。

IF 1.9 4区医学

Maternal and Child Health Journal Pub Date : 2026-05-01 Epub Date: 2026-04-21 DOI: 10.1007/s10995-026-04248-1

Holly A Meyer, Elaine L Miller, Francoise Knox Kazimierczuk, Caroline F Morrison, Julie Ware

{"title":"Investigating Sustained Breastfeeding: A Grounded Theory Study.","authors":"Holly A Meyer, Elaine L Miller, Francoise Knox Kazimierczuk, Caroline F Morrison, Julie Ware","doi":"10.1007/s10995-026-04248-1","DOIUrl":"10.1007/s10995-026-04248-1","url":null,"abstract":"OBJECTIVE: Despite the well-documented barriers to breastfeeding and reasons for cessation, a group of resilient women residing in low breastfeeding initiation regions are defying the odds. They continue to breastfeed for longer than six months. This research aimed to identify the common factors and social processes contributing to their longer breastfeeding duration. METHODS: A Grounded Theory study investigated sustained breastfeeding in women who attended a support group in neighborhoods where breastfeeding initiation was low. Breastfeeding women (N = 10) who had provided human milk for more than six months were recruited. In semi-structured interviews, participants responded to questions formulated to understand common factors and social processes for these women. Constant comparative analysis continued until all emerging concepts became saturated. RESULTS: The emergent theoretical framework for sustained breastfeeding is a complex social process comprised of internal and external influences. The individual lens of the breastfeeding person filters perceptions of barriers, hardships, sources of support, and their external environment. The critical social process for sustained breastfeeding among this group of women was personally constructing breastfeeding-supportive environments in which they could thrive. CONCLUSIONS FOR PRACTICE: The findings underscore the importance of establishing individualized breastfeeding-supportive environments early in the breastfeeding journey. This insight can guide lactation professionals in assisting breastfeeding persons in finding the right community to sustain breastfeeding. Open conversations about breastfeeding exposure, social supports, and positive/negative influences on breastfeeding can be instrumental in this process. ","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"607-619"},"PeriodicalIF":1.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785927","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}

引用次数: 0