Maternal health, neonatology and perinatology最新文献

{"title":"How did we get here? A qualitative study of contributors to traumatic birth experiences in NICU parents.","authors":"Roopa Gorur, Paris S Ekeke","doi":"10.1186/s40748-025-00236-5","DOIUrl":"10.1186/s40748-025-00236-5","url":null,"abstract":"<p><strong>Background: </strong>Birth trauma is a complex concept that encompasses experiences spanning the perinatal period, from prenatal care to delivery and postpartum care. Despite NICU parents being a high-risk population, there are limited studies examining interpersonal trauma in the NICU. Our study sought to explore the perspectives of NICU families on contributors to birth trauma and assess concordance with NICU staff knowledge on traumatic births.</p><p><strong>Methods: </strong>A multi-methods study was performed exploring the qualitative experience of postpartum parents with infants admitted to a level IV NICU. Each participant shared their prenatal, delivery, and postnatal experiences through a semi-structured, audio-recorded interview. Interviews were transcribed using HIPAA compliant software and verified by principal investigators for accuracy. Each principal investigator performed thematic analysis using the constant comparative method until saturation and consensus was reached. Additionally, NICU Staff completed an anonymous survey soliciting baseline knowledge and attitudes regarding birth trauma. Perspectives from birthing parents and medical staff were compared.</p><p><strong>Results: </strong>Three themes contributing to birth trauma emerged among birthing parents (1) inadequate communication with the medical team (2) lack of support from trusted sources (3) fear of the unknown regarding their infants medical condition. While 96% of medical staff acknowledged that implicit bias and interpersonal trauma contribute negatively to healthcare disparities, when probed about real life examples, 50% of staff were unsure if they had personally witnessed such events. Majority of staff believed \"deviation from birth plans\", \"prolonged hospitalization\", and \"treatment decisions\" would be the primary contributors to patients' negative feelings about their birth. This was discordant with patient perspectives who frequently cited provider-patient interactions as the biggest contributor.</p><p><strong>Conclusions and relevancy: </strong>Interpersonal interactions play a huge role in patients' perception of the birth experience. Despite this, good communication, access to support, and anticipatory guidance can be protective factors, but providers need more education to better understand birth trauma and how it can present. Trauma-informed care education among medical staff is needed to improve recognition of signs and symptoms of trauma responses and reduce re-traumatization of patients during the perinatal experience.</p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"11 1","pages":"38"},"PeriodicalIF":0.0,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12593826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neonatal malnutrition, body composition, and childhood obesity in critically ill infants.","authors":"Allison D Ta, Ting Ting Fu, Gillian R Goddard, Kera McNelis","doi":"10.1186/s40748-025-00233-8","DOIUrl":"10.1186/s40748-025-00233-8","url":null,"abstract":"<p><strong>Background: </strong>There are expert-agreed upon malnutrition indicators for infants, but the meaningfulness of these indicators in hospitalized neonates is unknown.</p><p><strong>Methods: </strong>Eighty-four term infants hospitalized in a level IV neonatal intensive care unit had body composition measurements and other anthropometric data extracted from the medical record. Linear regression using maximum likelihood estimation was performed to evaluate the relationship of malnutrition status (assessed at time of body composition assessment) with each body composition metric (body fat percent z-score, fat mass z-score, fat-free mass z-score) and with toddler body mass index (BMI) z-score. Linear regression was also performed to evaluate the relationship between each body composition metric and toddler BMI z-score.</p><p><strong>Results: </strong>There was a statistically significant negative association between neonatal malnutrition diagnosis with a -0.83 change in fat-free mass z-score (95% CI -1.61 to -0.05, p = 0.04). There was no statistically significant association between body fat percent or fat mass and neonatal malnutrition diagnosis. There was no statistically significant relationship between each infant body composition metric and toddler BMI z-score in unadjusted linear regression models.</p><p><strong>Conclusions: </strong>Neonatal malnutrition diagnosis is associated with lower fat-free mass in critically ill infants with a variety of conditions.</p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"11 1","pages":"37"},"PeriodicalIF":0.0,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12590893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145454210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of neonatal near miss among newborns admitted to SOS Mother & Child Hospital, Benadir region, Somalia: a case-control study.","authors":"Hassan Abdullahi Dahie, Falis Ibrahim Mohamud, Mohamed Abdullahi Osman, Yusuf Ali Jimale, Hamdi Ahmed Hussein, Mohamed Osman Alasow, Abukar Abdi Osman, Abdirahman Mohamed Abdullahi, Mohamed Maalin Dakane, Dek Abdi, Abdullahi Adan Isak, Lukman Sheikh Omar, Bashir Said Hassan, Sadia Hussein Mohamud, Abdihakin Mohamed Hassan","doi":"10.1186/s40748-025-00234-7","DOIUrl":"10.1186/s40748-025-00234-7","url":null,"abstract":"<p><strong>Background: </strong>While the birth of a newborn is often a moment of great joy, it can be overshadowed by life-threatening complications that endanger survival in the early days of life. Neonatal near-miss (NNM) cases are infants who survive severe complications, offer a valuable lens for evaluating the quality of neonatal care. Somalia continues to have one of the highest neonatal mortality rates globally, with about 37 deaths per 1,000 live births, highlighting significant gaps in maternal and child health services. This study aimed to identify the determinants of neonatal near miss among neonates admitted to SOS Mother & Child Hospital, Banadir, Somalia.</p><p><strong>Methods: </strong>An unmatched case-control study was conducted at SOS Mother and Child Hospital in Banadir region from December 2024 to April 2025. A total of 243 neonatal near miss (NNM) cases and 730 healthy neonate controls were included. Cases were identified using pragmatic and management criteria from the Centro Latinoamericano de Perinatología (CLAP) criteria. For each case, three controls were randomly selected. Data were collected using structured questionnaire and record reviews and analyzed using SPSS v25. Logistic regression was employed to identify independent predictors of neonatal near miss.</p><p><strong>Results: </strong>Significant predictors of neonatal near miss included lack of maternal (aOR: 2.61) and paternal education (AOR: 3.64), monthly household income below 100 USD (aOR: 2.82), short birth interval under 24 months (aOR: 1.97), lack of antenatal care (ANC) attendance (aOR: 6.25), history of stillbirth (aOR: 4.35), obstetric complications (aOR: 4.46), preterm or post-term birth (AOR: 1.89), prolonged labor (aOR: 3.58), home delivery (aOR: 4.76), maternal chronic illness (aOR: 3.37), male sex of the newborn (aOR: 1.86), and low birth weight (aOR: 9.34).</p><p><strong>Conclusion & recommendation: </strong>Neonatal near miss remains a pressing public health concern in Somalia, influenced by socio-demographic, obstetric, and neonatal factors. Strengthening maternal education, promoting antenatal care, ensuring skilled birth attendance, and improving facility-based delivery services are essential to reducing neonatal complications and improving outcomes. Policymakers and humanitarian partners must prioritize investments in maternal and newborn health to address these preventable risks.</p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"11 1","pages":"36"},"PeriodicalIF":0.0,"publicationDate":"2025-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12587735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145446774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of a nomogram for predicting neonatal acute kidney injury in very low birth weight infants.","authors":"Erika Hidawa, Ryuichiro Araki, Tetsuya Kunikata, Yuko Akioka","doi":"10.1186/s40748-025-00231-w","DOIUrl":"10.1186/s40748-025-00231-w","url":null,"abstract":"<p><p>BACKGROUND: Acute kidney injury (AKI) is an independent risk factor associated with mortality among neonates. In this study, we aimed to evaluate the incidence and predictive factors associated with AKI and develop and validate a nomogram to predict neonatal AKI in very low birth weight (VLBW) infants. METHODS: In this retrospective cohort study, VLBW infants admitted to our neonatal intensive care unit between April 2014 and March 2020 were included. We analyzed the incidence of AKI, as defined by changes in serum creatinine and urine output, and its associated risk factors and outcomes. A multivariate logistic regression analysis with backward elimination was used to build a prediction nomogram for AKI development. Using receiver operating characteristic analyses, we determined cutoff values that provide appropriate sensitivity and specificity. RESULTS: Among the 234 infants included, 91 (38.9%) had AKI. In the multivariate logistic regression analysis, indomethacin use (adjusted odds ratio [OR]: 14.87; 95% confidence interval [CI]: 6.31–35.03; p < 0.001), gestational age (adjusted OR: 0.71; 95% CI: 0.57–0.87; p = 0.004), and small for gestational age (adjusted OR: 0.26; 95% CI: 0.09–0.87; p = 0.03) were significantly associated with the risk of AKI. The incidence of neonatal AKI with indomethacin had a sensitivity of 75.8% (95% CI: 66.1–83.5%) and a specificity of 89.5% (95% CI: 83.4–93.5%). A nomogram to predict neonatal AKI was developed using these three factors. The model exhibited good discrimination with an area under the curve of 0.92 (95% CI: 0.87–0.95). The cutoff values for adequate sensitivity and specificity were 0.18 with 92.3% sensitivity and 64.3% specificity, 0.26 with 85.7% sensitivity and 79.0% specificity, and 0.42 with 76.9% sensitivity and 90.9% specificity. CONCLUSIONS: The developed nomogram is a valid and convenient model that can be used to predict the risk of neonatal AKI in VLBW infants. With appropriate adjustment of cutoff values, our three-variable prediction model for neonatal AKI was able to achieve a sensitivity as high as 92.3%. Our model is more valuable as a screening test than a prediction model with indomethacin alone. This nomogram may facilitate early diagnosis and be useful for the management of kidney function in VLBW infants at risk of neonatal AKI. </p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"11 1","pages":"35"},"PeriodicalIF":0.0,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12584217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145440152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Ringleader who has no power\": a qualitative study of parent uncertainty during a NICU admission unrelated to prematurity.","authors":"Erin Rholl, Steven R Leuthner, Kathryn J Malin, Joanne Lagatta, Krisjon R Olson","doi":"10.1186/s40748-025-00232-9","DOIUrl":"10.1186/s40748-025-00232-9","url":null,"abstract":"<p><strong>Background: </strong>Parents of preterm infants experience stress related to uncertainty which impacts parent health outcomes. Less is known about the experience of parents whose infants are admitted for reasons other than prematurity. In this study we sought to describe (1) the experience of parents whose infants are admitted to a level IV NICU for reasons unrelated to prematurity in relation to uncertainty and (2) the effect of social and structural determinants on parent experience with uncertainty.</p><p><strong>Methods: </strong>This single center qualitative study utilized interviews, questionnaires, and chart review at 2 time points: 2 weeks after admission and 3 months after discharge. Parents enrolled in a prospective study of parent mental health related to infant medical complexity were purposively selected to achieve a sample representative of the study NICU. Interviews occurred between July 2019 - September 2020.</p><p><strong>Results: </strong>49 parents of 35 infants completed initial interviews and 26 completed follow up interviews. Parents experienced uncertainty related to diagnostic and prognostic trajectory as well as experiences prior to admission and NICU process of care. Themes included: (1) Parents of infants with medically complex presentations experience significant uncertainty. (2) Lived experience of structural vulnerability helped parents manage medical uncertainty. Some parents more readily accepted uncertainty due to prior experiences though often had fewer resources for managing needs after discharge. (3) Discrimination created mistrust preventing adaptation to uncertainty. (4) Provider counseling impacted parent adaptation. Counseling accounting for families lived experiences and focusing on practical aspects of a NICU admission such as team lead, how multidisciplinary teams arrive at decisions and steps to decrease uncertainty increased parent acceptance.</p><p><strong>Conclusion: </strong>Parents of NICU infants admitted for reasons other than prematurity experience uncertainty related to both medical and non-medical events during their NICU stay. Communication that practically guides parents through NICU uncertainty, assesses structural vulnerability, and fosters trust in the medical system may help parents adapt to NICU uncertainty.</p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"11 1","pages":"34"},"PeriodicalIF":0.0,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12581531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145433068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends and determinants of breastfeeding continuation up to two years in Ethiopia: a two-decade analysis from EDHS (2000-2019).","authors":"Hailemariam Mamo Hassen","doi":"10.1186/s40748-025-00230-x","DOIUrl":"10.1186/s40748-025-00230-x","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding continuation up to two years provides essential nutrients for children and has health benefits for both children and mothers. Despite efforts to promote breastfeeding in Ethiopia, there is limited evidence on trends and factors influencing breastfeeding continuation for up to two years. This study examined these aspects to assess the impact of past policies.</p><p><strong>Methods: </strong>The five Ethiopian Demographic and Health Surveys (EDHS2000-2019) were used to extract data for the analysis of breastfeeding continuation for 1-year-olds (aged 12-15 months) and 2-year-olds (aged 20-23 months) children. Trend analysis and multivariable logistic regression were performed using SPSS version 27.</p><p><strong>Results: </strong>Breastfeeding continuation rates at 1 year and 2 years have declined for the last 20 years, ranging from 92.43% in 2000 to 83.63% in 2019, and from 78.75% in 2000 to 66.42% in 2019, respectively, despite in some regions maintaining relative increases in recent times. It was strongly linked with recent survey years, residence, regions, education attainment, pregnancy status, place of delivery, and repeated utilization of antenatal care.</p><p><strong>Conclusion: </strong>The study showed an inconsistent decline in breastfeeding continuation for up to two years and complex patterns across regions and between urban and rural areas. This suggests a need to re-evaluate current policies, devise diverse interventions. Further research is also warranted to better understand the complex trends and disparities across Ethiopia for culturally sensitive and regionally tailored strategies.</p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"11 1","pages":"33"},"PeriodicalIF":0.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12498474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Kaiser sepsis score with confirmed intrauterine infection and inflammation (Triple-I) in clinical chorioamnionitis: a retrospective cohort study.","authors":"Sophia Rafferty, Amy Heerema-McKenney, Melanie Kasaris, Amanda Smith, Gloria Gordon-Ocejo, Hany Aly, Anirudha Das","doi":"10.1186/s40748-025-00226-7","DOIUrl":"10.1186/s40748-025-00226-7","url":null,"abstract":"<p><strong>Background: </strong>Chorioamnionitis is a known independent risk factor for early-onset sepsis (EOS) in infants. In 2015, the term was redefined as \"intrauterine inflammation or infection or both\" (Triple-I) to improve clinical management of maternal and neonatal infections. This study evaluated the association between the Kaiser sepsis score (KSS), a tool for predicting and managing EOS in newborns, and histopathologic chorioamnionitis (HCA) and confirmed Triple-I.</p><p><strong>Methods: </strong>This retrospective cohort study included mother-infant dyads with a gestational age of ≥ 34 weeks at birth, delivered between January 2014 and December 2019, with a maternal diagnosis of clinical chorioamnionitis. Receiver operating characteristic (ROC) curves were used to assess the association between the KSS, Triple-I, and HCA.</p><p><strong>Results: </strong>A total of 230 mother-infant dyads were analyzed, of whom 157 (68.2%) had HCA and 86 (37.3%) had confirmed Triple-I. Infant demographic characteristics were comparable between groups, except for the KSS, which was significantly higher in the Triple-I group [1.22 vs. 0.83, p < 0.001; OR 1.21, 95% CI 1.04-1.4]. The KSS demonstrated a strong positive association with confirmed Triple-I (AUC 0.77, 95% CI 0.71-0.83), while its association with HCA was weaker (AUC 0.59, 95% CI 0.51-0.67). At the same KSS threshold, sensitivity for diagnosing Triple-I was higher than for HCA.</p><p><strong>Conclusion: </strong>KSS showed a stronger association with confirmed Triple-I compared to HCA in mothers with clinical chorioamnionitis, suggesting that Triple-I is a better predictor of EOS risk.</p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"11 1","pages":"32"},"PeriodicalIF":0.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12492799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fear of child birth and its associated factors among pregnant women in Ethiopia: systematic review and meta-analysis.","authors":"Tirusew Nigussie Kebede, Kidist Ayalew Abebe, Birhan Tsegaw Taye, Tebabere Moltot, Moges Sisay Chekole, Bezawit Melak Fente, Tamiru Minwuye Andargie, Worku Taye Getahun, Ambachew Getahun, Leweyehu Alemaw Mengstie","doi":"10.1186/s40748-025-00228-5","DOIUrl":"10.1186/s40748-025-00228-5","url":null,"abstract":"<p><p>BACKGROUND: Fear of childbirth (FOCB) significantly contributes to labor abnormalities, needless caesarean sections, and postpartum psychotic illnesses that occur throughout pregnancy, childbirth, and the postpartum period. This directly or indirectly increases unfavorable maternal and neonatal outcomes. However, there was a paucity of data regarding the scope and contributing factors of birthing fear in Ethiopia. OBJECTIVE: To assess the pooled prevalence of fear of childbirth and its associated factors among pregnant women in Ethiopia. METHODS: This systematic review and meta-analysis adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 checklist. A comprehensive search was conducted using PubMed, Cochrane Library, Scopus, Web of science and African Journals Online databases and search engines like Google Scholar. The quality of the included studies was assessed using the Joanna Briggs Institute (JBI) quality assessment tool for cross-sectional studies. Heterogeneity among the studies was evaluated using the I² statistic, while publication bias was assessed with funnel plot, and Egger’s test. A fixed-effects model was applied to calculate the pooled prevalence and odds ratios, with results presented as 95% confidence intervals. RESULT: A total of six studies, involving 2,579 pregnant women, were included in this review. The pooled prevalence of FOCB was found to be 25.48% (95% CI: 23.77–27.16). In Ethiopia unplanned pregnancy (AOR: 4.45, 95% CI: 2.68–7.38), a previous history of pregnancy complications (AOR: 6.43, 95% CI: 2.43–16.98), and a previous history of labor and delivery complications (AOR: 6.05, 95% CI: 3.65–10.01) were significantly associated with FOCB. CONCLUSION: The prevalence of FOCB in Ethiopia is higher than in other countries. Key factors contributing to FOCB include unplanned pregnancies, a history of pregnancy complications, and past labor or delivery issues. To reduce FOCB, reducing unplanned pregnancies through various strategies and offering preconception counseling, especially for women with prior obstetric complications, is recommended. PROSPERO REGISTRATION NUMBER: CRD42024538215. </p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"11 1","pages":"30"},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Posttraumatic stress disorder in the preconception period: an open pilot feasibility study.","authors":"Leah Danson, Marissa J Ward, Lily J Jiang, Michelle L Miller","doi":"10.1186/s40748-025-00227-6","DOIUrl":"10.1186/s40748-025-00227-6","url":null,"abstract":"<p><strong>Background: </strong>Posttraumatic stress disorder (PTSD) symptoms are associated with poorer direct and downstream health outcomes for reproductive-aged individuals. There is limited literature targeting treatment of PTSD symptoms during reproductive time periods, especially the preconception period, yet effective and acceptable interventions are needed.</p><p><strong>Objective: </strong>The current study is an open pilot feasibility study that aimed to explore acceptability, feasibility, and preliminary efficacy of a 4-week virtual Acceptance and Commitment Therapy (ACT) psychotherapy group for trauma-exposed reproductive aged women with PTSD.</p><p><strong>Methods: </strong>A trauma-exposed treatment-seeking sample (N = 8, mean age = 30, 60% White) participated in an ACT for PTSD group (two cohorts). Participants completed self-report measures assessing PTSD symptoms at baseline, 1-week post-intervention, and 1-month post-intervention.</p><p><strong>Results: </strong>Participation in the group was feasible, with most participants (87.5%) attending most sessions (≥ 75%). Participants reported high levels of acceptability and satisfaction. The intervention demonstrated preliminary efficacy in the preconception period as participants showed clinically meaningful reduction in PTSD symptoms (≥ 10 points on PTSD Checklist for DSM-5 (PCL-5)) from baseline (M = 46.25, SD = 24.04) to post-intervention (M = 27.33, SD = 22.35, d = 0.82) and baseline to follow-up (M = 34.25, SD = 31.58, d = 0.43).</p><p><strong>Conclusion: </strong>This is the first study to look at a group intervention to reduce PTSD for individuals in the preconception period. The protocol was acceptable, feasible, and efficacious, although there were challenges to consider for future tailoring.</p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"11 1","pages":"31"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gestational weight gain and its determinant factors among women attending at public health facilities, Northwest Ethiopia, 2023.","authors":"Mulu Alemu, Tefera Alemayehu, Mengistu Abebe Messelu, Tsehay Alemu, Habitamu Mekonen, Alehegn Aderaw Alamneh, Eskeziyaw Agedew, Melese Linger Endalifer","doi":"10.1186/s40748-025-00220-z","DOIUrl":"10.1186/s40748-025-00220-z","url":null,"abstract":"<p><strong>Background: </strong>Women who do not gain enough weight during pregnancy had increased risk of preterm delivery, low birth weight, prematurity, a longer hospital stay, and consequently, higher health-related costs. However, research on gestational weight gain and its determinants is scarce in developing countries, including Ethiopia. Therefore, this study aimed to assess adequate gestational weight gain and its determinant factors among pregnant women who had ANC follow-up visits at public health facilities in Debre Markos town, Northwest Ethiopia.</p><p><strong>Methods: </strong>An institutional-based cross-sectional study was conducted from January 1, 2023 to June 30, 2023. The Ethiopian National Antenatal Guideline (ENAG) was used to define Gestational Weight Gain (GWG). A systematic random sampling technique was employed to select 532 study participants. Data was entered into Epidata Version 3.1 and exported into SPSS Version 25 for statistical analysis. Bivariable and multivariable binary logistic regression analyses were conducted to examine the association between the outcome variable and independent variables. An adjusted odds ratio with a 95% confidence interval was used to report the strength of the association.</p><p><strong>Results: </strong>This study found that 30.9% (95% CI: 27.0, 34.7) of women gained adequate gestational weight. Number of ANC visits (AOR = 5.9, 95% CI: 3.02, 14.7), Meal frequency (AOR = 3.2, 95% CI: 1.56, 6.67), and consumption of animal source foods at least once per week (AOR = 2.7, 95% CI: 1.47, 4.90) were statistically associated with adequate weight gain.</p><p><strong>Conclusion and recommendation: </strong>Nearly one-third of pregnant women gain adequate gestational weight. Women who had frequent ANC visits, meal frequency, and consumption of animal source foods at least once per week were significantly associated with adequate gestational weight gain. Women centered nutritional counseling and support is essential to improve weight gain during pregnancy.</p>","PeriodicalId":74120,"journal":{"name":"Maternal health, neonatology and perinatology","volume":"11 1","pages":"29"},"PeriodicalIF":0.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}