Matern Child Health J [JOURNAL]
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200 papers
Effectiveness of the Web-Based Support Program Based on the Health Promotion Model in Pregnant Women with Preeclampsia.
Yilmaz B, Oskay Ü
Matern Child Health J · 2026 Mar · PMID 41637027 · Publisher ↗
The study was conducted to determine the effect of a web-based support program based on the Health Promotion Model (HPM) on healthy lifestyle behaviors, self-efficacy, and prenatal distress in pregnant women with preecla...
The study was conducted to determine the effect of a web-based support program based on the Health Promotion Model (HPM) on healthy lifestyle behaviors, self-efficacy, and prenatal distress in pregnant women with preeclampsia. The study was conducted with 82 pregnant women diagnosed with preeclampsia, 41 of whom were in the web-based support group and 41 in the control group. Participant introduction form, Healthy Lifestyle Behaviors Scale-II (HLBS-II), Self-Efficacy Scale (SES), Prenatal Distress Scale (PDS), pregnant women's self-monitoring form, and postpartum assessment form were used for data collection. The increase in the total scores of the HLBS-II and the SES and the decrease in the total score of the PDS was found to be statistically significant in the pregnant women in the web support-based group after the web support. The HPM-based web-based support program improved healthy lifestyle behaviors and self-efficacy and reduced prenatal stress levels of pregnant women with preeclampsia but did not contribute to neonatal outcomes. SIGNIFICANCE: Pregnant women diagnosed with preeclampsia often face heightened physiological and psychological challenges. This study demonstrates that a web-based support program structured around the Health Promotion Model (HPM) significantly improves healthy lifestyle behaviors and self-efficacy while reducing prenatal distress in this high-risk population. These findings suggest that digital health interventions are effective, accessible tools for enhancing maternal well-being. By integrating such platforms into standard obstetric care, healthcare providers can offer continuous, evidence-based support that empowers patients to manage their condition more effectively outside of clinical settings.
Comparison of the Anxiety, Stress, Sleep Quality, Occupational Pattern and Leisure Satisfaction of Pregnant Women in Different Trimesters: A Cross-Sectional Study.
Akyurek G, Karakus A
Matern Child Health J · 2026 Feb · PMID 41637026 · Publisher ↗
OBJECTIVES: The study aimed to compare anxiety, stress, sleep quality, occupational pattern and leisure satisfaction of pregnant women in different trimesters. METHODS: Pregnant women who came for routine check-ups (n = ...
OBJECTIVES: The study aimed to compare anxiety, stress, sleep quality, occupational pattern and leisure satisfaction of pregnant women in different trimesters. METHODS: Pregnant women who came for routine check-ups (n = 156) were evaluated in clinics and family health centers. The pregnant women's anxiety, perceived stress levels, sleep quality, occupational pattern, occupational balance, and leisure time satisfaction were measured using the Perinatal Anxiety Screening Scale (PASS), Perceived Stress Scale (PSS), Pittsburgh Sleep Quality Inventory (PSQI), Modified Activity Questionnaire (MOQ), Occupational Balance Questionnaire (OBQ11-T), and Leisure Satisfaction Scale (LSS), respectively. RESULTS: The PASS and PSS total scores in the second and third trimesters were similar, yet higher than in the first trimester (F = 13.496, F = 39.401; p < 0.001, respectively). The PSQI and QBQ11-T total scores were highest in the first trimester and gradually decreased in the second and third trimesters (F = 25.029, F = 30.108; p < 0.001, respectively). The mean sports repetition was similar in the second and third trimesters and lower than in the first trimester (F = 14.087, p < 0.001). The LSS total scores were similar in the second and third trimesters and lower than in the first trimester (p < 0.05). CONCLUSIONS FOR PRACTICE: The anxiety and perceived stress levels increased, and occupational balance and sleep quality deteriorated gradually throughout the trimesters. It may be important for the pregnancy curriculum for health professionals working with pregnant women to consider the impact of the changes on participation in daily life.
Navigating Motherhood Alone: A Qualitative Exploration of Postpartum Experiences Among Women with Labor Migrant Husbands in Nepal.
Lohani S, Mayo-Gamble TL, Chopak-Foss J … +1 more , Apenteng B
Matern Child Health J · 2026 Mar · PMID 41632231 · Publisher ↗
OBJECTIVE: The postpartum period is a critical phase in a woman's life, marked by physical, emotional, and social changes. In Nepal, where labor migration is prevalent, many women experience this transformative period wi...
OBJECTIVE: The postpartum period is a critical phase in a woman's life, marked by physical, emotional, and social changes. In Nepal, where labor migration is prevalent, many women experience this transformative period without their husbands' physical presence, who often work abroad to support their families. This study explores the lived experiences of these women, shedding light on the intersection of motherhood, migration, and socio-cultural contexts in Nepal. METHODOLOGY: A deductive and inductive qualitative approach was adopted to capture the subjective lived experiences of women with labor migrant husbands during the postpartum period. Semi-structured interviews were conducted with a purposive sample of 16 participants, and thematic analysis was used to identify patterns, themes, and insights emerging from the data. An interview guide was developed based on the Biopsychosocial Model to explore and gain a deeper understanding of women's postpartum experiences. RESULTS: The findings reveal a myriad of challenges faced by women with labor-migrant husbands during the postpartum period. Four themes were identified: the emotional landscape of motherhood, the struggles of new mothers facing postpartum challenges without spousal support, the power of community: stories of support during the postpartum journey, and coping strategies. CONCLUSION: While the qualitative approach of this study provided valuable insights into women's lived experiences, it may not allow for generalization to the population of postpartum women with labor migrant husbands in Nepal. The results of this study further highlight the need for an inquiry into the long-term impacts of spousal absence on maternal mental health and child development.
"I'm going to use the formula God gave me": The Role of the Black Church in Breastfeeding Support for Black Mothers.
Palomino KA, Thorpe S, Verty VPA … +2 more , Malone N, Stevens-Watkins D
Matern Child Health J · 2026 Mar · PMID 41615625 · Publisher ↗
INTRODUCTION: Black women face several obstacles in breastfeeding promotion, education, support, and continuation. The Black church symbolizes a powerful beacon of health and advocacy within the Black community. However,...
INTRODUCTION: Black women face several obstacles in breastfeeding promotion, education, support, and continuation. The Black church symbolizes a powerful beacon of health and advocacy within the Black community. However, there are limited studies that investigate the impact of the church on Black women's breastfeeding practices and experiences. This study examines how the Black church influences Black women's breastfeeding experiences. METHODS: Three breastfeeding cohorts of Black women in Kentucky (n = 15) completed 45-60-minute individual semi-structured qualitative interviews on their breastfeeding initiation, sources of support, challenges, successes, and healthcare experiences. Reflexive thematic analysis was used to analyze the data. RESULTS: Five themes captured how the church influenced Black women's breastfeeding experiences: (1) Reflecting breastfeeding as normal in church, (2) Designated spaces for breastfeeding, (3) Breastfeeding etiquette at church, (4) The role of elders, and (5) Breastfeeding as a natural or spiritual choice. DISCUSSION: Findings emphasize the Black church's unique and advantageous position in supporting nursing women by normalizing breastfeeding and fostering advocacy through partnerships with health organizations. Such efforts have the potential to address breastfeeding disparities and advance health equity for Black women by aligning support with their cultural and communal values.
Project Detroit: Voices for Life - The Power of Storytelling in Reducing Maternal Mortality: Amplifying Voices. Changing Lives.
Carr A, Anthony VD, Taylor I
Matern Child Health J · 2026 Jan · PMID 41604132 · Full text
PURPOSE: The purpose of this paper is to describe the design and implementation of the storytelling component of a multiprong, community-based project that shares the lived experience of Black and Brown women's birthing...
PURPOSE: The purpose of this paper is to describe the design and implementation of the storytelling component of a multiprong, community-based project that shares the lived experience of Black and Brown women's birthing journey to reduce maternal mortality. DESCRIPTION: Beginning 2021, the Southeast Michigan Perinatal Quality Improvement Coalition (SEMPQIC) worked with community perinatal care providers to administer a multiprong project to reduce maternal mortality in Detroit. The goal of the project was to build upon existing community assets to examine and replicate circumstances and conditions where Black mothers thrive. This article will focus on one component of this four-part effort that included production of storytelling videos of the birthing journey by Black and Brown women. ASSESSMENT: A partnership with SEMPQIC and trusted, established community perinatal service providers was the operational foundation to identify 110 perinatal women from Detroit, willing to engage in storytelling training to tell their unique birthing journey story. 22 videos were professionally produced for use in Detroit to offer the lived experience of the current perinatal system of care. The engagement of the women for storytelling led to the development of a broader campaign and tool kit about maternal health called Our Voices Our Births: Hear Us! - Detroit Mothers Speak. CONCLUSION: SEMPQIC works to reduce maternal mortality and improve the perinatal care system through promotion of racial health equity, using community collaboration for collective impact. This storytelling initiative demonstrates the transformative power of storytelling in addressing the maternal mortality crisis.
Parenting Stress, Family Resilience, and Emotional Support Among US Military Families.
Soto M, Crouch E, Watson P … +3 more , Odahowski C, Boswell E, Brown MJ
Matern Child Health J · 2026 Mar · PMID 41604131 · Publisher ↗
OBJECTIVES: Military families experience lifestyle and circumstance-specific stressors that may impact their parental stress, family resilience, and emotional support for parenthood. These outcomes may influence parentin...
OBJECTIVES: Military families experience lifestyle and circumstance-specific stressors that may impact their parental stress, family resilience, and emotional support for parenthood. These outcomes may influence parenting behaviors and mental health that have further implications on child development and growth. Research is needed to examine these outcomes among military families in the United States on a national scale due to the importance of potential intergenerational implications. METHODS: This cross-sectional study used data from the 2021-2022 National Survey of Children's Health to investigate the relationship between caregiver military status and outcomes of parental stress, family resilience, and emotional support for parenthood (n = 99,869). Bivariate analyses through chi-square tests were calculated to determine differences between outcomes from military caregivers and civilian caregivers with select covariates. Multivariable regression analyses were calculated to further explore the relationship between caregiver military status and emotional support for parenthood. RESULTS: The prevalence of emotional support with parenthood was higher among military caregivers compared to civilian caregivers (82.8% vs. 75.0%, p < 0.0001); however, this difference was not statistically significant in adjusted analyses. No statistically significant differences were found between military families and civilian families in parenting stress and family resilience. CONCLUSIONS: This study extended previous research that have focused on state or station specific outcomes in military families by examining these outcomes on a national scale. This study has important implications towards expanding research and interventions that reduce parenting stress and improve family resilience and emotional support for parenthood to ensure continued positive outcomes.
A Cross-Sectional Content Analysis Exploring Women's Experiences of Family Support Towards Tandem Breastfeeding in a Global Facebook Group sample.
Jackson JE, Hallam J
Matern Child Health J · 2026 Mar · PMID 41591745 · Full text
OBJECTIVES: This study explored how tandem-feeding mothers felt supported or unsupported by their family members, to identify common responses to this breastfeeding practice. METHODS: Free-text data were collected via an...
OBJECTIVES: This study explored how tandem-feeding mothers felt supported or unsupported by their family members, to identify common responses to this breastfeeding practice. METHODS: Free-text data were collected via an online questionnaire from a global sample of 1,209 tandem-feeding mothers. An emergent content analysis was conducted on 795 statements describing supportive experiences and 1,342 statements describing unsupportive experiences. Coding categories were developed inductively from the data. RESULTS: Five coding categories emerged from supportive comments and seven from unsupportive comments. The most prevalent supportive categories were normalisation of breastfeeding and respect for the mother's choice (52%), emotional support and encouragement (19%), and support provided without specific context (11%). The most prevalent unsupportive categories were questioning, challenging or pressuring mothers to stop tandem feeding (34%); disapproving comments, gestures or insults that caused mothers to feel uncomfortable (22%); and misinformed comments about tandem feeding (18%). CONCLUSIONS FOR PRACTICE: Tandem-feeding mothers frequently experience both support and opposition from family members, with unsupportive responses often characterised by judgment and misinformation. These findings highlight the need for increased education and visibility of tandem feeding to normalise this practice and reduce stigma. Improving family understanding of tandem feeding may enhance social support for mothers and contribute to more positive breastfeeding experiences.
Clinical Assessment of the Parent-Infant Relationship: A Global Survey of Clinician Attitudes and Practice.
Aran P, Lewis AJ, Watson S … +2 more , Werner E, Galbally M
Matern Child Health J · 2026 Feb · PMID 41591744 · Publisher ↗
OBJECTIVES: To explore the practices and preferences of perinatal and infant mental health (PIMH) clinicians, towards the clinical assessment of the parent-infant relationship in mental health settings. METHODS: A cross-...
OBJECTIVES: To explore the practices and preferences of perinatal and infant mental health (PIMH) clinicians, towards the clinical assessment of the parent-infant relationship in mental health settings. METHODS: A cross-sectional, multilingual, 36-item survey was distributed globally from December 2019 to June 2020. Data from 321 qualified health professionals (Medicine, Nursing, Psychology, Social Work, Occupational Therapy, Speech Pathology) from 16 countries were examined. The survey captured participants' own assessment preferences and practices (clinician perspective) and their perceptions of the attitudes and practices of the service in which they work (service perspective). Differences between clinician and service perspectives were examined using Chi-squared tests of proportions. RESULTS: Respondents endorsed the clinical importance of assessing parent-infant relationship quality across outpatient and inpatient settings. A dyadic focus to assessment, evaluating the parent-infant relationship as a unit rather than assessing the parent or infant separately, was more popular as a personal preference (52.6%) than as a service preference (31.7%), PD = 20.9% [95% CI 12.6-28.8], χ(1, N = 268) = 24.0, p < .0001. Most respondents endorsed partner involvement in PIMH care; however, a minority belonged to a service that provided partner-infant assessments (49.2%). Only a small proportion reported family-focused assessment as their individual preference (14%) or service preference (7%). CONCLUSIONS: The positive attitudes suggest overall support among clinicians for the assessment of parent-infant relationship quality as a routine practice within PIMH service delivery. Survey findings also suggest efforts should be made to include greater partner involvement and a family focus.
Lessons Learned from Evaluation of the Convergent Validity the SPARK36 in Preventive Youth Health Care: Implications for Further Research and Practice.
Keymeulen A, Staal IIE, van Achterberg T … +1 more , de Kroon MLA
Matern Child Health J · 2026 Feb · PMID 41569309 · Publisher ↗
OBJECTIVE: SPARK36 is a structured interview tool for nurse-led consultations with parents of 3-year-olds in Youth Health Care. Previous studies demonstrated its feasibility, reliability and known-groups validity. This s...
OBJECTIVE: SPARK36 is a structured interview tool for nurse-led consultations with parents of 3-year-olds in Youth Health Care. Previous studies demonstrated its feasibility, reliability and known-groups validity. This study examined its convergent validity. METHODS: In a cross-sectional study during the COVID-19 period, associations between scores on 12 SPARK36 domains and conceptually related subscales of three parent-reported instruments were explored. Correlations were assessed using Kendall's Tau-C. RESULTS: Of the 599 parents of children attending a SPARK36 consultation, 286 (41.7%) did not return a questionnaire. These parents more often had lower educational levels, non-Belgian nationalities, less often spoke Dutch at home, and more often showed increased or high risk based on the SPARK36 (19.9% vs. 13.7% respectively; p = 0.04), indicating potential selection bias. None of 32 tested correlation coefficients (e.g., SPARK36 'child behavior' with SDQ scales) exceeded 0.20. CONCLUSION FOR PRACTICE: Convergent validity could not be demonstrated possibly due to the overall response rate, selective non-reporting, and the fact that most children showed no developmental or parenting problems. Three lessons emerged: (1) equity challenges occur, when parent-report tools are used among higher-risk families; (2) ongoing support may be needed to ensure consistent data collection by the nurses, given the large variation in data collection across them; (3) crisis situations disturb data collection, though a 50% questionnaires response rate may still be achievable during adverse contexts. The lessons also suggest that interview formats like SPARK36 may help reduce inequities that arise when preventive care relies on parent-report questionnaires.
Understanding the Complexities of Peripartum Mood and Anxiety Disorders: A Qualitative Assessment of Current Issues in Management and Treatment.
Ramanathan S, Mbuqe S, Sedykh A … +2 more , Pal S, Keefe R
Matern Child Health J · 2026 Feb · PMID 41524892 · Publisher ↗
OBJECTIVES: Perinatal Mood and Anxiety Disorders (PMADs) are an important public health issue that can have detrimental consequences to both the woman and the child. Despite our extensive understanding about the conseque...
OBJECTIVES: Perinatal Mood and Anxiety Disorders (PMADs) are an important public health issue that can have detrimental consequences to both the woman and the child. Despite our extensive understanding about the consequences and the availability of treatments, only 3% individuals with PMADs are treated to remission. Our aim was to understand the community's needs, barriers to accessing care for PMADs, and obtain feedback on current services. METHODS: In this study, we carried out qualitative interviews with 32 relevant individuals from varied backgrounds to understand the complexities related to PMADs and barriers to help-seeking. These narratives were transcribed, and an inductive thematic analysis approach was used to identify codes which were used in an iterative manner until data saturation was reached. RESULTS: Three broad themes were identified related to the key questions including prevalence, barriers to care and finally, service needs and home visiting programs. All participants acknowledged the high prevalence of PMADs, particularly during and after the COVID-19 pandemic. They identified multiple barriers related to individual attitudes, knowledge, and stigma; health systems knowledge, attitude and access; and social determinants including poverty, race, geography, childcare and insurance. They also identified societal and cultural attitudes and the role of social support systems in help-seeking. All participants acknowledged the importance of home-visiting programs in addressing the needs of peripartum individuals. CONCLUSION: Our findings provide an in-depth insight into the complex underpinnings of PMADs, particularly barriers to accessing care. This information, along with the positive feedback on home-visiting programs, can contribute to the development of innovative programs.
Third Generation Consequences of Small for Gestational Age Births.
Collins JW, Batish T, Doi SJC … +3 more , Lamere L, Rankin KM, Prachand NG
Matern Child Health J · 2026 Feb · PMID 41524891 · Publisher ↗
OBJECTIVE: To ascertain whether former small for gestational age (weight-for-gestational age < 10th percentile, SGA), compared to non-SGA, US-born women have greater SGA rates in their grandchildren. METHODS: A multi-ste...
OBJECTIVE: To ascertain whether former small for gestational age (weight-for-gestational age < 10th percentile, SGA), compared to non-SGA, US-born women have greater SGA rates in their grandchildren. METHODS: A multi-step strategy utilizing mother's date of birth and full name was used to link the vital records of Chicago-born infants (born 2005-2017) to the Illinois transgenerational birth-file of their mothers (born 1989-1991) and maternal grandmothers (born 1956-1976). These matches accounted for differing naming practices, misspellings, and typographical errors. Our population was used to define generation-one women's SGA based on sex. A population-based reference was used to define generation-three infant's SGA based on sex average birthweight. Stratified and multivariable log binomial regression analyses were performed on singleton births. The Population Attributable Risk (PAR) percentages were calculated: P * [(adjRR-1)/adjRR] were calculated. RESULT: Former SGA women (n = 1510) had a greater percentage of SGA births in their grandchildren than former non-SGA women (n = 9466): 23.3% versus 17.6%; RR = 1.30 (1.14, 1.52). The adjusted (controlling for daughters' selected covariates including race, education, prenatal care usage, and cigarette smoking) RR of grandchildren SGA among former SGA (compared to non-SGA) women equaled 1.22 (1.09, 1.36). The PAR of maternal grandmother's SGA status equaled 4.3% percent among African-Americans. There were too few non-Latina White women to calculate a meaningful PAR%. CONCLUSIONS: In the US, urban women who were themselves born SGA (compared to non-SGA) have a modest increased SGA frequency in their grandchildren. A small percentage of SGA African-American births is attributable to their maternal grandmother's SGA status.
Strengthening Collaboration Between Community-Based Organizations, State Title V Agencies, and Funders by Uplifting Community-Rooted Evidence: A Qualitative Research Study.
Powis L, Alvarez ES, Krisowaty L … +8 more , Kuo O, Vasquez NI, Callejas LM, Burns R, Gore S, Whitner S, Charles C, Taylor-Schiro E
Matern Child Health J · 2026 Jan · PMID 41524890 · Full text
BACKGROUND: What is considered 'evidence' in maternal and child health (MCH) has major implications for which organizations and initiatives receive funding. Despite growing recognition of the importance of community-root...
BACKGROUND: What is considered 'evidence' in maternal and child health (MCH) has major implications for which organizations and initiatives receive funding. Despite growing recognition of the importance of community-rooted work, state and jurisdictional MCH agencies, (Title V) operate from an evidence framework that typically prioritizes empirical research and large-scale evaluations over community-rooted evidence (CRE). OBJECTIVES: This study sought to examine how CRE informs decision-making within Title V agencies, understand capacity-building needs of community-based organizations (CBOs), and explore strengthening relationships between CBOs and Title V. METHODS: This qualitative study interviewed Title V and CBO staff to explore current CRE perceptions and funder/CBO relationships. 16 CBO and 11 Title V staff participated in compensated interviews from February to July 2024. Interviews were conducted, transcribed, coded, and analyzed using a thematic analysis approach. RESULTS: CBO interviewees stressed the need to reimagine misaligned funder and CBO relationships to be rooted in trust, allow CBOs agency to define metrics of success for their work, recognize the credibility of CRE including qualitative data and storytelling, and introduce more flexibility into funding opportunities and reporting structures. Title V respondents expressed capacity building needs around how to operationalize CRE in their work and decision-making practices, as well as build CBO capacity. CONCLUSIONS FOR PRACTICE: Funders including Title V can support tailored, innovative, and community-driven solutions to MCH challenges through uplifting CRE in evidence frameworks, investing in trust-based relationships with CBOs, and supporting CBO capacity building. Recommendations for how Title V can operationalize CRE in their work are also provided.
Child Malnutrition and Morbidity in Uttar-Pradesh: An Application of Structural Equation Modeling and Geo-Spatial Analysis.
Singh A, Tiwari AK, Singh M
Matern Child Health J · 2026 Mar · PMID 41511629 · Publisher ↗
BACKGROUND: Child malnutrition remains a major public health concern in low and middle-income countries, and Uttar Pradesh (UP), India, continues to experience some of the highest levels of stunting, wasting, and underwe...
BACKGROUND: Child malnutrition remains a major public health concern in low and middle-income countries, and Uttar Pradesh (UP), India, continues to experience some of the highest levels of stunting, wasting, and underweight among children under five. OBJECTIVES: This study examines the determinants of child malnutrition and its association with morbidity using data from the National Family Health Survey (NFHS-5). METHODS: Univariate and bivariate analyses, generalized Structural Equation Modeling (GSEM), and spatial analysis (Moran's I statistics and LISA cluster maps) were applied to assess both individual-level and district-level patterns. The NFHS-5 sample for Uttar Pradesh included 59,232 children under five, providing statistically robust estimates at both state and district levels. RESULTS: GSEM results indicated that maternal height, place of delivery, child age, caste, wealth index, and maternal education were significantly associated with stunting. Wasting was influenced by maternal height, birth order, child age, caste, wealth index, place of residence, and maternal education. Underweight was associated with maternal height, work status, child age, caste, wealth index, and maternal education. Malnutrition had a significant positive association with childhood morbidity (β = 0.032), indicating higher morbidity levels among malnourished children. Spatial analysis revealed clear geographic clustering of stunting, wasting, and underweight across districts, identifying several high-burden hotspots. CONCLUSION: These findings highlight the need for integrated, geographically targeted interventions addressing socio-economic inequalities, healthcare access, maternal factors, and environmental conditions to improve child nutrition and health outcomes in Uttar Pradesh.
The Association Between Maternal Adiposity and Breastfeeding Initiation and Duration: Evidence from the Southampton Women's Survey.
Bird AG, Inskip H, Godfrey KM … +4 more , Harvey NC, Crozier S, Baird J, SWS study team
Matern Child Health J · 2026 Jan · PMID 41511628 · Publisher ↗
BACKGROUND: Most mothers in the UK are not meeting the breastfeeding recommendations set by the World Health Organisation (WHO, Breastfeeding - Recommendations. https://www.who.int/health-topics/breastfeeding#tab=tab_2 ,...
BACKGROUND: Most mothers in the UK are not meeting the breastfeeding recommendations set by the World Health Organisation (WHO, Breastfeeding - Recommendations. https://www.who.int/health-topics/breastfeeding#tab=tab_2 , 2023). Maternal obesity has variably been associated with lower initiation and shorter duration of breastfeeding, but few studies have examined the impact of maternal adiposity estimated from skinfold thicknesses. AIM: To investigate the relationship between maternal adiposity and breastfeeding initiation and duration. METHODS: Data from 2,873 mother-offspring pairs in the Southampton Women's Survey (SWS) mother-offspring cohort study were used to assess the relationship between a mother's adiposity and breastfeeding initiation and duration. The exposure variables were body mass index (BMI) and body fat percentage, calculated from 4-site skinfold thickness measurements measured prior to conception. The outcome variables were breastfeeding initiation and duration. All analyses were adjusted for confounders identified using a Directed Acyclic Graph. RESULTS: After adjustment for confounders, no associations were found between maternal BMI (RR 0.99 per 5 kg/m, 95% CI 0.97, 1.01) or body fat percentage (RR 0.99 per 5%, 95% CI 0.97, 1.00) and initiation of breastfeeding. After adjustment for confounders, amongst women who initiated breastfeeding, higher maternal BMI (β -0.09 SDs per 5 kg/m, 95% CI -0.13, -0.04) and body fat percentage (β -0.10 SDs per 5%, 95% CI -0.16, -0.04) were associated with shorter breastfeeding duration. CONCLUSIONS: In this study maternal adiposity had little impact on breastfeeding initiation but higher maternal adiposity was associated with shorter breastfeeding duration. This study suggests that more support should be given to mothers with overweight and obesity to promote longer duration of breastfeeding.
Exploring the Impact of Race/Ethnicity Match on Relationship Quality: Incorporating Parent and Home Visitor Perspectives.
Tang S, Jacob R, Friedman MF
Matern Child Health J · 2026 Feb · PMID 41493515 · Full text
OBJECTIVE: The primary goal of this study is to investigate whether a race/ethnicity match between parents and home visitors (HV) is associated with their relationship quality and whether quality ratings differ depending...
OBJECTIVE: The primary goal of this study is to investigate whether a race/ethnicity match between parents and home visitors (HV) is associated with their relationship quality and whether quality ratings differ depending on parent or HV report. METHODS: Participants included 1,461 parent/HV dyads who participated in the Maternal Infant Health Program, Michigan's largest evidence-based home visiting program for Medicaid-eligible pregnant people and infants. At the time of discharge, parents and HVs were asked to complete a brief survey and reported on their background, program experiences, and relationship quality. We ran a series of multivariable logistic regression analyses and regressed HV- and parent-reported relationship quality ratings on race/ethnicity (mis)match controlling for covariates that likely contribute to the HV-parent relationship quality. MAIN FINDINGS: Both parents and HVs rated the relationship quality positively, but their ratings were only moderately correlated, which suggests that parents and HVs use different criteria to determine relationship quality. When there is a race/ethnicity match, HVs rate the relationship quality higher, but match is not associated with parents' relationship quality ratings. In general, Black parents reported lower relationship quality ratings compared to White parents, which suggests that Black parents' dissatisfaction is stemming from sources other than a race/ethnicity mismatch.
Influence of Carbohydrate Intake During Pregnancy in the Offspring's Dietary Pattern and Food Preferences: A Systematic Review.
de Souza TF, Martins ML, Magno MB … +2 more , Maia LC, Fonseca-Gonçalves A
Matern Child Health J · 2026 Jan · PMID 41484566 · Publisher ↗
OBJECTIVE: To investigate evidence regarding the association between carbohydrate intake (general and sugar) during pregnancy and offspring's diet pattern and/or food preference in animals and humans until adolescence. M...
OBJECTIVE: To investigate evidence regarding the association between carbohydrate intake (general and sugar) during pregnancy and offspring's diet pattern and/or food preference in animals and humans until adolescence. METHODS: Interventional and observational studies with animals (AS) and humans (HS) were included. Six databases and gray literature were consulted. Risk of bias was assessed using the SYRCLE tool for AS and the Newcastle-Ottawa Scale (NOS, 9 stars in total) for HS. The certainty of evidence was evaluated using GRADE. RESULTS: Eleven articles were included. In AS (n = 6), general carbohydrate intake during pregnancy was associated with offspring's preference for high-fat and high-fat-protein diets, while in HS (n = 5) it was associated with increased carbohydrate consumption by children (p = 0.002) and a Western diet pattern in infants. AS studies on maternal sugar intake during pregnancy showed inconsistent results, with some associating it with offspring's sucrose preference and others finding no effect. In HS, maternal sugar intake was linked to the consumption of high-sugar products by infants up to adolescence. A high risk of bias was attributed to most categories in AS. In HS, NOS scores ranged from 7 (n = 2) to 8 (n = 3) stars, indicating methodological flaws. All studies were classified as having low certainty of evidence. CONCLUSION: Maternal carbohydrate intake during pregnancy was associated in some studies with offspring's dietary patterns and preferences, supporting nutritional guidance during this period to promote healthier long-term habits. However, the evidence remains limited, reinforcing the need for further research.
Trends and Correlates of Cigarette, Electronic Cigarette, and Hookah Use Among Women of Childbearing Age in the U.S. Health and Human Services Regions: Insights from PRAMS Phase 8 (2016‒2022) Data.
Camacho RB, Nistar R, Shenoy RD … +1 more , Acuña JM
Matern Child Health J · 2026 Feb · PMID 41484565 · Publisher ↗
OBJECTIVES: The study aimed to analyze the prevalence, trends, and sociodemographic factors associated with the use of conventional cigarettes (CCs), electronic cigarettes (ECs), hookahs, or polytobacco products (PTPs) a...
OBJECTIVES: The study aimed to analyze the prevalence, trends, and sociodemographic factors associated with the use of conventional cigarettes (CCs), electronic cigarettes (ECs), hookahs, or polytobacco products (PTPs) among women of childbearing age. METHODS: The U.S. Pregnancy Risk Assessment Monitoring System Phase 8 (2016‒2022) surveys women who have recently given birth on various tobacco products during the preceding two years. The study included 228,353 women (weighted count: 11,656,616), comparing exclusive CC, EC, and hookah users to non-users. Multiple logistic regression was used to estimate adjusted odds ratios (AORs) with 95% confidence intervals (95%CIs). Tobacco use preferences in the Health and Human Services regions were mapped. RESULTS: Approximately 21.5% of respondents reported tobacco product use, with CC (11.7%) widely prevalent. Trends showed a decline in CC and PTP use alongside increased EC use. CC users were defined by low-income (AOR:2.2; 95%CI:2.0‒2.4) and low-education (AOR:1.6; 95%CI:1.5‒1.7). Significant correlates for EC use were the survey year 2022 (AOR:5.8; 95%CI:4.5-7.6) and age under 20 (AOR:3.5; 95%CI:2.8-4.4). Hookah use was higher among Blacks (AOR:8.3; 95%CI:7.2-9.5) and Hispanics (AOR:4.6; 95%CI:4.0-5.3). PTP use correlated with low income (AOR:1.9; 95%CI:1.7-2.1) and young age (AOR:1.3; 95%CI:1.2-1.4). Variations within the U.S. were noted, with a high prevalence of hookahs in New York and Philadelphia and CC and PTP in Atlanta, Dallas, Chicago, and the Kansas City regions. CONCLUSIONS FOR PRACTICE: The findings underscore the need for targeted pre-pregnancy counseling based on sociodemographic and regional correlates. Public health strategies should incorporate ECs and hookahs into pre-pregnancy and prenatal care counseling.
Building Strong Foundations in the NICU: Reducing Risk Factors of Postpartum Depression Through Occupational Therapy.
Carpenter R, Craven C, Asiello J
Matern Child Health J · 2026 Feb · PMID 41483087 · Publisher ↗
PURPOSE: Giving birth to a premature infant is a major risk factor for maternal postpartum depression (PPD), which may negatively impact parent-child bonding and result in long lasting behavioral and neurodevelopmental r...
PURPOSE: Giving birth to a premature infant is a major risk factor for maternal postpartum depression (PPD), which may negatively impact parent-child bonding and result in long lasting behavioral and neurodevelopmental risks for the infant. Strong Foundations: An Occupational Therapist-Led, Activity-Based Support Group was developed to address the increased risk of PPD for mothers in the Neonatal Intensive Care Unit (NICU). The objectives of this formative pilot program evaluation were to assess the feasibility and potential effectiveness of this unique program. METHODS: Participants were selected from mothers with infants in the Level II NICU of a community hospital in the Greater Boston area. Group sessions, led by a certified neonatal occupational therapist, included Infant-Care Techniques, Meditation and Gentle Movement, and Creative Discussion Activity Classes provided over 4 weeks. Participants completed pre- and post-surveys on self-efficacy, stress, social support, and program feedback. RESULTS: This program was found to be moderately feasible. Comparison of pre- and post-Likert scale scores demonstrated neutral or positive change. Two areas, "perception of maternal role" and "desire to remain in contact with other participants" revealed a directional, however not statistically significant, increase. Participant responses to open-ended questions demonstrated that the program was well received. CONCLUSION: Using an activity-based support group, such as the Strong Foundations program, is an avenue to support mothers in the NICU as it addresses the three main contributing factors of maternal confidence, stress level, and support network. PPD is a critical health care problem. The opportunity to reach the NICU mothers while they visit their infants is one that should not be overlooked.
Mental and Emotional Health of Primary Caregivers as Determinants of Childhood Anxiety and Depression.
Kaleem S, Dunn A, Eldawy N … +4 more , Mendonca J, Dean A, Densley S, Sacca L
Matern Child Health J · 2026 Jan · PMID 41460557 · Publisher ↗
BACKGROUND: Recent findings indicate a sharp increase in childhood anxiety/depression, necessitating investigation into factors influencing these rates. We aimed to provide more current nationwide rates of childhood anxi...
BACKGROUND: Recent findings indicate a sharp increase in childhood anxiety/depression, necessitating investigation into factors influencing these rates. We aimed to provide more current nationwide rates of childhood anxiety and depression and their association with caregiver mental and emotional health. METHODS: This retrospective cross-sectional study analyzes self-reported data from the National Survey of Children's Health (NSCH) to examine associations between childhood anxiety and depression and their severity levels, and the mental and emotional health of primary caregivers. A series of binary and ordinal logistic regression was carried out to assess such associations. RESULTS: 54,103 caregiver reported responses were analyzed. 12.0% and 5.8% reported anxiety and depression in their children, respectively. Caregivers who report "very good" mental and emotional health have 1.905 (1.757-2.066; p < 0.001) higher adjusted odds of their children having anxiety compared those whose who answered "excellent." Logistic regression results showed that caregivers with "excellent" (0.449; 0.312-0.649; p < 0.001) and "very good" (0.547; 0.384-0.778; p < 0.001) mental and emotional health reported lower adjusted odds of anxiety severity in their children compared to those with "poor" mental and emotional health. Additionally, caregivers with "excellent" (0.328; 0.195-0.550; p < 0.001) and "very good" (0.463; 0.287-0.745; p = 0.002) mental and emotional health reported lower adjusted odds of depression severity in their children compared to those with "poor" mental and emotional health. CONCLUSION: Addressing social determinants of health, such as caregiver mental well-being, is essential in reducing the prevalence of mental health issues among children and ensuring the efficacy of evidence-based interventions.
Impact of Dobbs v. Jackson on Abortion Access in Colorado: An Analysis of Incidence and Demographic Shifts Post-Roe.
Bryer A, McAndrew T, Wakeel F … +1 more , Daley C
Matern Child Health J · 2026 Jan · PMID 41460556 · Full text
OBJECTIVES: To estimate the impact of the Dobbs v. Jackson decision on the number of incident abortions. METHODS: We fit an interrupted time series model to annual incident abortions from 2004 to 2023 in the state of Col...
OBJECTIVES: To estimate the impact of the Dobbs v. Jackson decision on the number of incident abortions. METHODS: We fit an interrupted time series model to annual incident abortions from 2004 to 2023 in the state of Colorado. In addition, we computed the proportion of residents that received abortive care from outside Colorado before and after the Dobbs v. Jackson decision. Finally, we estimated the proportion of abortions over time stratified by gestation week of the mother. RESULTS: We found that in the state of Colorado, after Dobbs v. Jackson (compared to before): (1) an increase in non-resident incident abortions immediately after the decision (2) which is driven by residents in the states surrounding Colorado with the most restrictive abortion laws. The uptick in non-resident abortions has likely led to longer wait times, a higher burden on facilities, and (3) later gestation times for the mother. CONCLUSIONS: Shifts in abortion patterns in Colorado is evidence that the ramifications of Dobbs v. Jackson extend beyond individual state borders, impacting both state-residents and non-residents seeking care. Policymakers must consider these findings in future reproductive legislation to ensure access to abortion in protective states, such as Colorado. PUBLIC HEALTH IMPLICATIONS: This work underscores the immediate impact of healthcare legislation and the increased burden on healthcare services for states with more permissible abortion legislation.
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