Maternal and Child Health Journal最新文献

{"title":"Evaluation of Group Therapy Intervention for Anxiety and Depression in the Postnatal Period.","authors":"Jessica Appleton, Cathrine Fowler, Lisiane Latouche, Jenny Smit, Margaret Booker, Greg Fairbrother","doi":"10.1007/s10995-025-04076-9","DOIUrl":"10.1007/s10995-025-04076-9","url":null,"abstract":"<p><strong>Objectives: </strong>Effective interventions for the prevention and treatment of postnatal depression and anxiety are important for family functioning and infant development. Group psychotherapy is one such intervention used in the postnatal period. This evaluation tests the efficacy of an eight-week group psychotherapy on participants' symptoms of postnatal depression and anxiety. The study also reports on the addition of a sequential attachment-based parenting program on participants' symptoms of depression and anxiety.</p><p><strong>Methods: </strong>The study setting was a child and family health service in New South Wales, Australia. 141 women participating in a group psychotherapy program consented to participate in the study. A pre-test post-test design with four week follow up was used. Depression was measured by the Edinburgh Postnatal Depression Scale (EPDS) and anxiety with the anxiety subscale (EPDS-3a). Repeated measures analysis of variance and multiple factorial mixed analysis of variance were conducted.</p><p><strong>Results: </strong>The mean EPDS score reduced significantly from 14.11 pre-intervention to 9.99 (p < .001). The mean EPDS-3a score reduced significantly from 5.68 pre-intervention to 4.37 (p < .001). These improvements were still present four weeks after completion of the program at a 'group reunion' session. The addition of a sequential attachment-based parenting program was not shown to be effective in further reducing symptoms of depression or anxiety (p =.183).</p><p><strong>Conclusions for practice: </strong>These findings support the efficacy of group psychotherapy interventions for reducing both depression and anxiety symptoms in the postnatal period. This intervention demonstrated lower depression symptoms in the post test compared to the pre-test periods for women with and without previous history of mental illness and those with varied baseline depression symptoms.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"537-548"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12006229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732448","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":"Perception of Quality of Life by Primary Caregivers of Children with Congenital Zika Syndrome: a Cross-Sectional Study.","authors":"Pedro Henrique Moreira Lima, Lorena Araújo Silva Jorge, Francisco César Monteiro Chaves Filho, Renata Torreão Viana de Melo Costa, André Jalles Monteiro, Thyciana Rodrigues Ribeiro, Anya Pimentel Gomes Fernandes Vieira-Meyer, Sara Maria Silva, André Luiz Santos Pessoa, Erlane Marques Ribeiro, Cristiane Sá Roriz Fonteles","doi":"10.1007/s10995-025-04057-y","DOIUrl":"10.1007/s10995-025-04057-y","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to evaluate the quality of life (QoL) of caregivers of children diagnosed with CZS and to assess the association of findings with socioeconomic and CZS-associated variables.</p><p><strong>Methods: </strong>This was a cross-sectional, quantitative study, carried out over three days of multidisciplinary care for patients with CZS. Sixty-four participants underwent a quality of life assessment using the World Health Organization Quality of Life questionnaire (WHOQOL-BREF) in Portuguese.</p><p><strong>Results: </strong>Both groups of caregivers attributed regular scores for Global QoL, and all WHOQOL-BREF domains. Among caregivers of children with CZS, QoL correlated with three of the four WHOQOL-BREF domains (psychological health: rho = 0.49, p < 0.001; social relationships: rho = 0.28, p < 0.023; and environment: rho = 0.11, p < 0.006), while general health perception correlated with three other domains (physical health: rho = 0.49, p < 0.001; psychological health: rho = 0.31, p < 0.012; and social relationships: rho = 0.30, p < 0.016). The environment domain was associated with the level of education in this population (p < 0.001). Macular scarring and focal pigmentary retinal mottling were significantly associated with the physical environment (p = 0.039), negative feelings (p = 0.035), support and social aid (p = 0.020).</p><p><strong>Conclusion: </strong>The present study demonstrates that the WHOQOL-BREF is an effective method to evaluate the general perception of QoL among caregivers of children with CZS. Our results also suggest that caregivers of children with CZS do not experience a reduced quality of life compared to caregivers of typically developing children.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"363-375"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014212","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":"Digital Motherhood in the Postpartum Period: A Descriptive Study.","authors":"İlgün Özen Çınar, Edanur Özkaya Bozkurt","doi":"10.1007/s10995-025-04058-x","DOIUrl":"10.1007/s10995-025-04058-x","url":null,"abstract":"<p><strong>Background: </strong>During the first 6 weeks after birth, women often encounter problems and seek answers to their questions. This period is also crucial in terms of technology use.</p><p><strong>Aim: </strong>The aim of this study was to examine the digital motherhood approach to self-care and infant care in the 6-week postpartum period, and its association with different variables.</p><p><strong>Methods: </strong>This descriptive study recruited 278 women in the postpartum period. Data were collected from the Digital Motherhood Survey. Descriptive statistics and chi-squared analysis were performed.</p><p><strong>Results: </strong>The mean age of the women was 28.9 ± 5.14 years; 50.4% had a high school education or less, and 49.6% had a university education or higher. The types of digital media consulted included institutional sites, blogs, and commercial sites. The three topics most frequently researched by women in the postpartum period using digital media were breastfeeding, infant nutrition, and general infant care. The top three reasons given by participants for preferring digital media were faster access to information, access to information from their own setting, and benefiting from the experiences of others. The following factors were significantly associated with digital media being a participant's first-choice information source: the woman and her partner having a university education or above, having a male infant, having received information about infant care, and having a postpartum hospital stay duration of 0-2 days.</p><p><strong>Conclusion: </strong>This study defined postpartum digital motherhood. The preference of women for digital media is influenced by their educational status and that of their partners, the sex of the infant, their prior knowledge of infant care, and the early discharge of their infants after birth. Healthcare professionals, especially nurses, must be aware of the digital media used by postpartum women to supervise them and provide guidance.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"376-385"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068931","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":"Prevalence and Clinical Features of Pulmonary Embolism in Pregnancy and Puerperium in the Post-COVID-19 Era.","authors":"Thai Lun Tan, Noor Emillia Binti Illa, Siew Ying Ting, Shoen Chuen Chiew, De Yee Gan, Zhong Wei Ong, Vijayan","doi":"10.1007/s10995-025-04067-w","DOIUrl":"10.1007/s10995-025-04067-w","url":null,"abstract":"<p><strong>Objective: </strong>Interest in pulmonary embolism (PE) has undergone a renaissance since the emergence of COVID-19 pandemic, but PE researches among pregnant mothers in this post-COVID-19 era remains scarce. This study was conducted to (a) determine PE prevalence rate among pregnant and post-partum women with suspected PE after the COVID 19 pandemic, (b) compare the clinical characteristics, laboratory findings and CT features between the PE and non-PE cohorts, and (c) validate the Pregnancy-Adapted Geneva (PAG) score in our population.</p><p><strong>Methods: </strong>This retrospective cross-sectional study involved the review of all maternal cases with suspected PE who underwent diagnostic CTPA in year 2022.</p><p><strong>Results: </strong>A total of 120 patients represented by 90 pregnant patients and 30 post-partum patients were included in the analysis. The prevalence rate of PE was 22.5% (27/120) and gestational diabetes mellitus prevalence rate was significantly higher (48.1% vs. 26.9%; p = 0.037) in PE cohort. Besides, the proportion of patients with moderately and extremely raised peak D-dimer levels were significantly higher among the PE cohort. In patients with PE, the position of the most proximal clot was identified as subsegmental (n = 6, 22.2%) and segmental (n = 21; 77.8%). The predicted PE risk based on PAG score demonstrated poor calibration with the observed PE risk across all three groups, namely low-risk group (2.3% vs. 15.4%), intermediate-risk group (11.6% vs. 26.3%) and high-risk groups (61.5% vs. 0.0%).</p><p><strong>Conclusion: </strong>Overall, PE among pregnant and post-partum populations remain a convoluted disease without distinctive clinical features. There is a need for a prospectively validated PE risk scores to guide its clinical diagnostic pathway.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"428-437"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630877","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":"Interventions to Prevent Relapse or Recurrence of Preconception Anxiety and/or Depression in Perinatal Women: A Systematic Review.","authors":"Celia Rae, Rebecca McRae, Elizabeth Holliday, Catherine Chojenta","doi":"10.1007/s10995-025-04054-1","DOIUrl":"10.1007/s10995-025-04054-1","url":null,"abstract":"<p><strong>Objectives: </strong>Women with preconception anxiety and/or depression experience high rates of relapse or recurrence of the disorders in the perinatal period. This review aimed to identify perinatal interventions that were designed to prevent relapse or recurrence in women with a history of anxiety and/or depression.</p><p><strong>Methods: </strong>The review was conducted based on the PRISMA guidelines. Six medical databases were searched with specific search strategies for each. The reference lists of literature reviews retrieved in this search were also screened, as well as the reference lists of reviews identified within these reviews. Additionally, the publications of the first authors of included studies were reviewed for relevant articles.</p><p><strong>Results: </strong>There were 10 articles eligible for inclusion. These articles described pharmacological or dietary supplement interventions, as well as psychological and/or behavioural interventions. All identified studies focused on the prevention of recurrent depression, comprising four antenatal interventions and six postnatal interventions. No studies reporting interventions for the prevention of recurrent anxiety were identified.</p><p><strong>Conclusions for practice: </strong>Several published studies provided evidence supporting the use of prophylactic antidepressants and progesterone to prevent relapse or recurrence of depression, although studies were limited by small sample sizes and the potential for study bias. More recent and higher quality evidence exists for the role of mindfulness and cognitive behavioural therapy in the prevention of depressive relapse. Further exploration of relapse prevention strategies for women with preconception anxiety and/or depression is required, particularly for recurrent anxiety.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"294-303"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025266","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":"Impact of Systems of Care on Emotional Well-Being of Primary Family Caregivers of Children with Medical Complexity.","authors":"Jessica L Schnell, Julia B Tager, Ansley E Kenney, Paulina S Lim, Samantha A Everhart, Sarah Johaningsmeir, Kathryn A Balistreri, Amy Morgan-Tautges, Kevin E Berridge, Maura Brophey, Charles B Rothschild, Matthew C Scanlon, W Hobart Davies, K Jane Lee","doi":"10.1007/s10995-025-04066-x","DOIUrl":"10.1007/s10995-025-04066-x","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to explore the experiences of caregivers of children with medical complexity (CMC) enrolled in a complex care program, focusing on their interactions with the healthcare system and the impact on caregiver well-being.</p><p><strong>Methods: </strong>Qualitative interviews were conducted with 20 caregivers, and data were analyzed using interpretative phenomenological analysis. The interviews covered topics such as navigating the medical system, accessing resources, and interactions with healthcare providers.</p><p><strong>Results: </strong>Caregivers faced challenges in navigating the healthcare system, including scheduling appointments, finding suitable treatment plans, and managing hospitalizations. They expressed the need for more practical, financial, and informational resources to support their caregiving responsibilities. Access to respite care was identified as a significant challenge, with limited availability and affordability. Caregivers highlighted the importance of connecting with other caregivers and accessing accurate information specific to their child's condition.</p><p><strong>Conclusions for practice: </strong>The findings emphasize the unmet needs of caregivers of CMC and the barriers they face within the healthcare system. To support caregiver well-being, interventions should address these barriers by improving infrastructural support, enhancing training for in-home caregivers, and advocating for comprehensive support services for the entire family. Involving caregivers in the development and implementation of interventions is crucial to ensure their feasibility, applicability, and desirability. By addressing these challenges and tailoring interventions to the unique needs of caregivers of CMC, healthcare providers can promote better outcomes for both caregivers and their CMC.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"405-414"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371309","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":"Examining the Potential Mediating Role of Maternal Mental Health in the Association Between Socioeconomic Deprivation and Child Development Outcomes.","authors":"Kenneth Okelo, Aja Murray, Josiah King, Iain Hardie, Hildigunnur Anna Hall, Emily Luedecke, Louise Marryat, Lucy Thompson, Helen Minnis, Michael Lombardo, Philip Wilson, Bonnie Auyeung","doi":"10.1007/s10995-025-04050-5","DOIUrl":"10.1007/s10995-025-04050-5","url":null,"abstract":"<p><strong>Background: </strong>Socioeconomic deprivation has been linked to negative child developmental outcomes including brain development, psychological well-being, educational attainment, and social-emotional well-being. Maternal mental health has also been linked to mothers' parenting practices and their children's developmental outcomes. However, limited evidence exists regarding the role of maternal mental health (prenatal and postnatal) in the association between socioeconomic deprivation and children's developmental outcomes.</p><p><strong>Methods: </strong>We examined the potential role of maternal mental health in the association between socioeconomic deprivation (SED) and child development outcomes. We used a large linked administrative health dataset covering children born between 2011 and 2015 in Greater Glasgow and Clyde, Scotland. Of the 76,483 participants, 55,856 mothers with matched children's developmental outcome data were included. A mediation analysis model, adjusted for confounders and covariates, was used.</p><p><strong>Results: </strong>Maternal mental health assessed by a history of hospital admissions mediated, but to a small extent, the relationship between SED and children's developmental outcomes. The average direct effect (ADE), of SED in the first model with a history of hospital admissions, was ADE: ES = - 0.0875 (95% CI = - 0.097, - 0.08; p < 0.001) and ACME: ES = - 0.0002 (95% CI = - 0.001, - 0.0001; p = 0.01). The proportion mediated by the history of mental health admission was 0.3%.</p><p><strong>Conclusion: </strong>The association between SED and children's developmental outcomes appears to be partially mediated by maternal mental health, although the proportional-mediated effect was very small.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"338-348"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365840","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":"Patient Experiences of a Postpartum Cardiovascular Disease Intervention Clinic for Pregnancy Complications.","authors":"Tegan Manthorpe, Margaret Arstall, Prabha H Andraweera, Emily Aldridge","doi":"10.1007/s10995-025-04047-0","DOIUrl":"10.1007/s10995-025-04047-0","url":null,"abstract":"<p><strong>Objectives: </strong>Experiencing a maternal complication of pregnancy conveys a significantly higher risk of developing premature cardiovascular disease compared to having an uncomplicated pregnancy. Postpartum interventions that aim to improve lifestyle and modifiable risk factors for people in this cohort may reduce cardiovascular disease risk. This study will explore the experiences and barriers to attendance of patients referred to one such clinic located in South Australia.</p><p><strong>Methods: </strong>This qualitative study conducted six focus groups comprised of two-six patients who had attended at least one postpartum intervention clinic appointment (N = 19). Audio recordings were captured and transcribed and NVivo was used to perform a thematic analysis.</p><p><strong>Results: </strong>Participants found the clinic informative as it educated them on their greater risk of cardiovascular disease and how to reduce this risk. They reported wanting more frequent appointments and the ability to opt in for additional contact, including newsletters and social media groups. We also identified several barriers to attendance, including an unclear clinic referral and appointment booking process, and missing clinic correspondence including appointment letters and pathology forms.</p><p><strong>Conclusions for practice: </strong>This study provides insight into the experiences of patients who attended a postpartum cardiovascular disease prevention clinic. The clinic model can be operated in different health care settings to become part of standardized care in the postpartum period for patients who have had a pregnancy complication. Refinement of the clinic model referral and booking processes could reduce potential barriers to patient attendance.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"310-321"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365898","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: Patient Experiences of a Postpartum Cardiovascular Disease Intervention Clinic for Pregnancy Complications.","authors":"Tegan Manthorpe, Margaret Arstall, Prabha H Andraweera, Emily Aldridge","doi":"10.1007/s10995-025-04083-w","DOIUrl":"10.1007/s10995-025-04083-w","url":null,"abstract":"","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"322-323"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617651","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":"Strategies for Promoting Doula Inclusivity in the Labor and Delivery Setting.","authors":"Holly DeBernard Perkins, Christine Isaacs","doi":"10.1007/s10995-025-04051-4","DOIUrl":"10.1007/s10995-025-04051-4","url":null,"abstract":"<p><strong>Purpose: </strong>Our facility aimed to establish a standardized process to guide healthcare team members to incorporate doulas in the labor and delivery setting while meeting regulatory and safety requirements and promoting operational transparency.</p><p><strong>Description: </strong>Doulas provide emotional, physical, and educational support to patients and families throughout the pregnancy, birth, and postpartum journey. Doula care has been identified with improved maternal and neonatal birth outcomes, as well as improved perceptions of the birthing process.</p><p><strong>Assessment: </strong>Our facility lacked a standard operating procedure for successfully incorporating doulas into the healthcare team.</p><p><strong>Conclusion: </strong>We developed strategies to promote doula inclusivity in our labor and delivery environment with safety and quality at the core of our focus.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"287-293"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459846","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}