{"title":"Cross-Sectional Study of Mothers' Perception of Postpartum Visit Benefit by Rural Status.","authors":"Sionika Thayagabalu, Dominick J Lemas, Stacy Wright, Bethsaida Lopez Gillum, Jessica S Bahorski","doi":"10.62858/apph250401","DOIUrl":"10.62858/apph250401","url":null,"abstract":"<p><p>The postpartum period is associated with a high prevalence of maternal mortality and morbidity, particularly among rural communities. This study aimed to identify differences in the perceived benefit of the postpartum visit among participants in rural and non-rural counties. This cross-sectional study recruited postpartum mothers from counties in north-central Florida. Participants completed an online survey focused on experiences during pregnancy, birth, and postpartum. Eligibility criteria included being at least 18 and giving birth to a healthy, full-term, singleton infant in the past year. Mann-Whitney U and Fisher's exact tests were used to compare the differences in mothers from rural versus non-rural counties. Participants (<i>N</i> = 91) lived in rural (<i>n</i> = 18) and non-rural counties (<i>n</i> = 73), and most attended the postpartum visit (93.8% of rural and 97.2% of non-rural participants). Rural participants reported higher scores in receiving information on health services (4.24 vs. 3.6, <i>p</i> = 0.02), physical health (4.24 vs. 3.43, <i>p</i> = 0.01), and mood changes (3.71 vs. 3.21, <i>p</i> = 0.14) compared to non-rural participants. Rural participants perceived greater benefits from the postpartum visit than non-rural participants, highlighting the need to explore why attendance rates at this visit are often low for mothers from rural counties. These results support the need to restructure postpartum care to meet the needs of mothers from all areas and make policy changes to support mothers. Future research should explore the individual barriers and facilitators to postpartum care for those in rural versus non-rural areas.</p>","PeriodicalId":89426,"journal":{"name":"Journal of prenatal & perinatal psychology & health","volume":"39 1","pages":"5-21"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031205","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}
Farah Ulfat, Sionika Thayagabalu, Alejandra Iglesias, Ke Xu, Callie Reeder, Erica Smith, Michelle Cardel, Matthew Loop, Paola Rodriguez, Janitza Montalvo-Ortiz, Jaclyn Hall, Lauren Silva, Marcella Rodriguez, Tony Wen, John Smulian, Adetola Louis-Jacques, Magda Francois, Elizabeth Shenkman, Dominick Lemas
{"title":"Pandemic Perceptions and Healthcare Decisions: Exploring Perceived COVID-19 Threat's Impact on Perinatal Healthcare in Florida.","authors":"Farah Ulfat, Sionika Thayagabalu, Alejandra Iglesias, Ke Xu, Callie Reeder, Erica Smith, Michelle Cardel, Matthew Loop, Paola Rodriguez, Janitza Montalvo-Ortiz, Jaclyn Hall, Lauren Silva, Marcella Rodriguez, Tony Wen, John Smulian, Adetola Louis-Jacques, Magda Francois, Elizabeth Shenkman, Dominick Lemas","doi":"10.62858/apph241203","DOIUrl":"10.62858/apph241203","url":null,"abstract":"<p><p>The COVID-19 pandemic directly impacted well-being and healthcare delivery, but its indirect effects on health services utilization among pregnant women and new mothers remain less understood. Understanding how big events like pandemics impact health behaviors is essential for anticipating healthcare needs during future crises. This study examined how the perceived COVID-19 threat influenced health concerns and service utilization among 378 participants who were either pregnant or mothers of infants less than 12 months old, 18 years or older, and lived within a 50-mile radius of healthcare sites in the OneFlorida+ Clinical Research Consortium. An online Qualtrics survey assessed COVID-19 threat perception, distress related to health and resource concerns (e.g., access to medicine, baby supplies, mental and general healthcare, and social interactions), and changes to health service utilizations (e.g., induction schedule, hospital/birthing center choices, prenatal provider, and visit frequency) during the pandemic. Participants who perceived COVID-19 as a significant threat were more likely to report concerns about reduced access to general healthcare (<i>p</i> = 0.043). Pregnant participants, compared to mothers with infants under 12 months of age, expressed greater concern about reduced access to mental healthcare (<i>p</i> = 0.015). Additionally, the perceived COVID-19 threat was linked to changes in prenatal care providers and labor induction schedules (<i>p</i> < 0.001). These findings highlight the importance of integrating the perceived threat of pandemics or other major events into mental health screenings. Healthcare providers should proactively address potential changes in patient behavior during major events in anticipation of future crises.</p>","PeriodicalId":89426,"journal":{"name":"Journal of prenatal & perinatal psychology & health","volume":"38 3","pages":"58-74"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11759499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048956","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}
Anna R Brandon, Sandra Pitts, Wayne H Denton, C Allen Stringer, H M Evans
{"title":"A HISTORY OF THE THEORY OF PRENATAL ATTACHMENT.","authors":"Anna R Brandon, Sandra Pitts, Wayne H Denton, C Allen Stringer, H M Evans","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>John Bowlby's theory of human attachment has become widely applied across disciplines and across the stages of human development. This discussion explores the evolution of an application of Bowlby's theory to the experience of pregnancy, from both maternal and paternal perspectives. Although the theoretical construct of maternal fetal attachment (MFA) requires continued theoretically-driven research, existing studies have associated this proposed construct with health behaviors, marital relationship, depressive symptoms, and the postpartum mother-infant relationship, pointing toward its relevance for academicians and clinicians devoted to the service of women and infants.</p>","PeriodicalId":89426,"journal":{"name":"Journal of prenatal & perinatal psychology & health","volume":"23 4","pages":"201-222"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3083029/pdf/nihms184421.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29849990","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}
Marjukka Pajulo, Nancy Suchman, Mirjam Kalland, Jari Sinkkonen, Hans Helenius, Linda Mayes
{"title":"Role of Maternal Reflective Ability for Substance Abusing Mothers.","authors":"Marjukka Pajulo, Nancy Suchman, Mirjam Kalland, Jari Sinkkonen, Hans Helenius, Linda Mayes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper reports on a study designed to explore factors contributing to better outcomes for substance abusing pregnant and parenting women in residential treatment, and, as a result, contribute to better outcomes for their children. The setting was three live-in units focusing in supporting both abstinence from substances and mother-child relationship. Participants were 18 mother-baby pairs in treatment from perinatal phase to 4 months of child's age. Pilot results demonstrated more sensitive maternal interaction tended to be associated with higher pre-and postnatal reflective functioning and better child developmental scores at 4 months of child's age. Reflective functioning (RF) refers to the essential human capacity to understand behavior in light of underlying mental states and intentions. An indicated conclusion is that enhancement of maternal reflective ability seems an important focus in developing the content and effectiveness of interventions for substance abusing mothers.</p>","PeriodicalId":89426,"journal":{"name":"Journal of prenatal & perinatal psychology & health","volume":"23 1","pages":"13-31"},"PeriodicalIF":0.0,"publicationDate":"2008-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3200528/pdf/nihms87404.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30239173","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}