MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Maternal and Child Health Journal' source. Thu, 09 Feb 2012 10:13:02 +0100 http://www.medworm.com/index.php?rid=5672525&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg642352062873u32%2F This study addresses this gap by examining potential risk factors associated with prenatal alcohol use (any versus none) by maternal age (<20, 20–25, 26–34, and 35 years or older). Descriptive and logistic regression analyses were completed on survey data from 9,004 pregnant women from the north central U.S. Descriptive statistics revealed teens in general had a higher level or greater occurrence of risk factors previously identified with prenatal drinking compared to older women, yet women of advanced maternal age (35 years or older) were most likely to drink alcohol during pregnancy. Based on the regression by age, 20–25 year old women had the greatest number of significant risk factors associated with prenatal drinking including being employed, white, unma... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5672525 Fri, 03 Feb 2012 17:51:18 +0100 5672525 http://www.medworm.com/index.php?rid=5672524&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1t816q4240381671%2F This study provides additional insight into the comparability of the LMP and CE measures currently used on vital records among births at risk for poor outcomes. The data consisted of all New York State (NYS) (excluding New York City) singleton births in 2005 among mothers enrolled in the NYS Women Infants and Children (WIC) program during pregnancy. Prenatal WIC records were matched to NYS’ Statewide Perinatal Data System. The analysis investigates differences between LMP and CE recorded gestations. Relative risks between risk factors and preterm birth were compared for LMP and CE. Exact agreement between gestation measures exists in 49.6% of births. Overall, 6.4% of records indicate discordance in full term/preterm classifications; CE is full term and LMP preterm in 4.9%, with the... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5672524 Fri, 03 Feb 2012 17:51:18 +0100 5672524 http://www.medworm.com/index.php?rid=5672526&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff21128461441h738%2F Abstract  We sought to describe the impact of pica, the craving for and intentional ingestion of substances not defined as food, as a risk factor for lead poisoning in New York City (NYC) pregnant women. In order to describe pregnant women with elevated blood lead levels (BLLs) who report pica, NYC health department data from 491 cases of lead-poisoned pregnant women from January 2001 to June 2009 were reviewed. Descriptive frequencies were obtained for women reporting pica. Data were compared between women reporting and not reporting pica. In NYC, of the 43 (9%) lead-poisoned pregnant women reporting pica, 42 (97.7%) were immigrants and 28 (64.6%) had consumed soil. Compared to lead-poisoned pregnant women not reporting pica, women reporting pica had higher peak BLLs (29.5... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5672526 Thu, 02 Feb 2012 18:12:12 +0100 5672526 http://www.medworm.com/index.php?rid=5672527&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1125r1r1r00p71x5%2F Abstract  During the 2009–2010 A/H1N1 influenza pandemic, pregnant women infected with the virus experienced excess morbidity and mortality when compared with other groups. Once a vaccine was available, pregnant women were a priority group for vaccination. Only a few studies have reported on the uptake of 2009 A/H1N1 influenza vaccine among pregnant women during the pandemic and none were from Asia. The purpose of this study was to examine factors associated with 2009 A/H1N1 influenza vaccine uptake among pregnant women in Hong Kong. Using a multi-center, cross-sectional design, we recruited 549 postpartum women from four post-natal wards in Hong Kong over a 4-month period during the second wave of the A/H1N1 influenza pandemic in the winter and spring of 2010. Only 6.2% ... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5672527 Wed, 01 Feb 2012 17:54:21 +0100 5672527 http://www.medworm.com/index.php?rid=5654831&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc0431583838qk6qk%2F This study, conducted in Şanlıurfa, Turkey, between March 2008 and April 2009, examined multiple stages of MPHS implementation in both a permanent settlement (336 children aged 5 and under; 580 women of reproductive age) and a working settlement (85 living units; 217 children and 257 women). The stages included: (1) identifying the problem, (2) identifying a potential solution and a quasi-experimental study to evaluate the effect of intervention, (3) utilizing and disseminating results to stakeholders, and (4) implementing sustainable MPHS county-wide. Rates of selected outcome measures, including full childhood and tetanus vaccination, phenylketonuria screening, and safer usage of pesticides, iodine salt, and sanitary toilet facilities, increased significantly following the interv... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5654831 Wed, 25 Jan 2012 18:09:10 +0100 5654831 http://www.medworm.com/index.php?rid=5654830&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Flk44210046651102%2F Abstract  To develop a framework, using Louisiana as a case study, for estimating the potential cost savings to individual states if families were able to meet current recommendations for breastfeeding. Using cost-analyses methods, cost savings, as well as, case and death reductions of infant illnesses and deaths on four selected infant diseases (respiratory tract infections, gastroenteritis, necrotizing enterocolitis, and Sudden Infant Death Syndrome) were calculated utilizing the most recent data of breastfeeding and low/very low birth weight rates in Louisiana. To estimate the incidence of a disease in exclusive breastfed infants and formula fed infants respectively, we used the following formula: x = s/br + 1 − b. Here “x” is the incid... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5654830 Wed, 25 Jan 2012 18:09:10 +0100 5654830 http://www.medworm.com/index.php?rid=5642505&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft571383650r735ju%2F Abstract  The aim of the present study was to examine the association between emotional and behavioral problems in preschool children and maternal attitudes. The predictor variables were parental attitudes, maternal depression and anxiety symptoms. Our sample consisted of the mothers of 204 preschool children attending different preschools in Ankara, Turkey. Mothers were asked to complete the parental attitude research instrument, the beck depression inventory, the trait anxiety inventory, and the child-behavior checklist. Hierarchical regression analysis revealed that when considered jointly, maternal anxiety but not maternal depression explained variability in preschool children internalizing and externalizing their problems. Mothers rejecting attitudes towards family lif... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5642505 Wed, 25 Jan 2012 06:52:19 +0100 5642505 http://www.medworm.com/index.php?rid=5602734&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F855q6u9241316167%2F Abstract  This qualitative study analyzes mothers’ reports of breastfeeding care experiences from pregnancy through infancy. Most research on medical support for breastfeeding examines a specific practice or intervention during an isolated phase of care. Little is know about how mothers experience breastfeeding education and support from the prenatal period through their child’s first year. A convenience sample of 75 black and white WIC participants with infants was recruited at three Maryland WIC agencies. In-depth interviews covered mothers' comprehensive experiences of breastfeeding education and support from pregnancy through the interview date. Most mothers received education or support from a medical professional prenatally, at the hospital, or during the child’... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5602734 Sat, 14 Jan 2012 16:42:38 +0100 5602734 http://www.medworm.com/index.php?rid=5602736&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7461jnt7v2524715%2F The objective of this study is to report the findings of a 7-month pilot for an integrated system evaluating a state-wide home visiting program. A cross-sectional study design was used to determine baseline process and outcome measures for Tennessee’s home visiting program which provides services to families, from pregnancy through 5-years-old. Baseline process measures included: time to initiate service after referral; frequency, duration and intensity of visits; completion of continuous assessment; and time from identification of a need to referral. The baseline outcome measures included: needs of eligible services (e.g. developmental screenings, WIC); prenatal care utilization; biological risks (prematurity; low birth weight); tobacco use and second-hand smoke exposure; and famil... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5602736 Sat, 14 Jan 2012 16:42:37 +0100 5602736 http://www.medworm.com/index.php?rid=5602735&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff31732u377174109%2F Abstract  To describe the design and implementation of an evaluation system to facilitate continuous quality improvement (CQI) and scientific evaluation in a statewide home visiting program, and to provide a summary of the system’s progress in meeting intended outputs and short-term outcomes. Help Us Grow Successfully (HUGS) is a statewide home visiting program that provides services to at-risk pregnant/post-partum women, children (0–5 years), and their families. The program goals are to improve parenting skills and connect families to needed services and thus improve the health of the service population. The evaluation system is designed to: (1) integrate evaluation into daily workflow; (2) utilize standardized screening and evaluation tools; (3) facilitate a cult... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5602735 Sat, 14 Jan 2012 16:42:37 +0100 5602735 http://www.medworm.com/index.php?rid=5602737&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp76450270r138524%2F We examined the relationship between maternal knowledge of anemia and anemia in the mother and the youngest child, aged 6–59 months, in 7,913 families from urban slums and 37,874 families from rural areas of Indonesia. Knowledge of anemia was defined based upon the mother’s ability to correctly name at least one symptom of anemia and at least one treatment or strategy for reducing anemia. Hemoglobin was measured in both the mother and the child. In urban and rural areas, respectively, 35.8 and 36.9% of mothers had knowledge of anemia, 28.7 and 25.1% of mothers were anemic (hemoglobin <12 g/dL), and 62.3 and 54.0% of children were anemic (hemoglobin <11 g/dL). Maternal knowledge of anemia was associated with child anemia in urban and rural areas, respectively ... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5602737 Thu, 12 Jan 2012 16:47:11 +0100 5602737 http://www.medworm.com/index.php?rid=5567203&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn6610770x80172q3%2F This study identified socio-cultural determinants of tobacco use and explored possible approaches to prevent adolescents’ tobacco use in Saudi Arabia. A cross-sectional survey was administered using a self-administered questionnaire for collecting information on risk and protective factors for tobacco use among middle school students. School selection was stratified by region, gender, and type (public or private). Of 1,186 7–9th grade students, 1,019 questionnaires were analyzed. Risk factors affecting tobacco use included all important others’ perceptions; mother, sister, friend, teacher and important person’s tobacco use; pressure to use tobacco from brother, sister, friend and important persons; easy access to tobacco and frequent skipping of classes. Protective factors fo... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5567203 Sat, 31 Dec 2011 16:48:54 +0100 5567203 http://www.medworm.com/index.php?rid=5556182&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft73268l2081u1711%2F This study investigated the impact of in-hospital breastfeeding, receipt of a formula discharge pack, and maternal return to work on the long-term breastfeeding outcomes of 4,725 WIC participants in Los Angeles County, California. Multivariate logistic regression analyses were used to assess determinants of exclusive breastfeeding at 6 months and breastfeeding at 6, 12, and 24 months. In-hospital initiation of breastfeeding, exclusive breastfeeding in the hospital, receipt of a formula discharge pack, and maternal return to work before 3 months were all significantly associated with breastfeeding outcomes after controlling for known confounders. Mothers who exclusively breastfed in the hospital were eight times as likely as mothers who did not breastfeed in the hospita... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5556182 Wed, 28 Dec 2011 16:53:28 +0100 5556182 http://www.medworm.com/index.php?rid=5541621&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw3628513375j424t%2F Discussion of routine childhood immunization between obstetricians and their patients is an area for future improvements in childhood vaccination. Content Type Journal ArticleCategory Brief ReportPages 1-5DOI 10.1007/s10995-011-0936-0Authors Ruth Link-Gelles, Emory Preparedness and Emergency Response Research Center, Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, Atlanta GA 30322, USAAllison T. Chamberlain, Emory Preparedness and Emergency Response Research Center, Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, Atlanta GA 30322, USAJay Schulkin, American Congress of Obstetricians and Gynecologists, Washington, DC, USAKevin Ault, Emory University School of Medicine, Atlanta, GA, USAEllen Whitney, Emory Preparedness and Emergency... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5541621 Fri, 23 Dec 2011 16:55:30 +0100 5541621 http://www.medworm.com/index.php?rid=5541622&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft1318283717705h8%2F Abstract  There is increasing interest in the study of the social determinants of maternal and child health. While there has been growth in the theory and empirical evidence about social determinants, less attention has been paid to the kind of modeling that should be used to understand the impact of social exposures on well-being. We analyzed data from the nationwide 2006 Canadian Maternity Experiences Survey to compare the pervasive disease-specific model to a model that captures the generalized health impact (GHI) of social exposures, namely low socioeconomic position. The GHI model uses a composite of adverse conditions that stem from low socioeconomic position: adverse birth outcomes, postpartum depression, severe abuse, stressful life events, and hospitalization durin... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5541622 Tue, 20 Dec 2011 06:48:45 +0100 5541622 http://www.medworm.com/index.php?rid=5519599&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu43510r312454580%2F Content Type Journal ArticlePages 1-4DOI 10.1007/s10995-011-0933-3Authors Donna J. Petersen, Tampa, FL, USA Journal Maternal and Child Health JournalOnline ISSN 1573-6628Print ISSN 1092-7875 (Source: Maternal and Child Health Journal) Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5519599 Fri, 16 Dec 2011 16:55:04 +0100 5519599 http://www.medworm.com/index.php?rid=5519600&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5j0507405l88p227%2F The objective of our analysis was to assess the associations between receipt of PCC and positive maternal behaviors before and during pregnancy. We analyzed 2004–2008 Pregnancy Risk Assessment Monitoring System data from Maine, New Jersey, Utah, and Vermont. Multivariable logistic regression was used to investigate the associations between receipt of PCC and prepregnancy daily multivitamin consumption, first-trimester entry into prenatal care, and cessation of smoking and drinking before pregnancy among women who smoked/drank in the 2 years preceding the survey, adjusting for a wide range of maternal characteristics. Overall, 32% of women reported receipt of PCC, with particularly low rates reported among women with an unintended pregnancy (14%) and no health insurance prior t... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5519600 Thu, 15 Dec 2011 16:49:46 +0100 5519600 http://www.medworm.com/index.php?rid=5510870&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx803g663h1019207%2F Abstract  Teen pregnancy is a major public health concern and the majority of these pregnancies are unintended. The study population included women whose first pregnancy occurred at age 19 or younger (n = 2,142). Data from the 2002 National Survey of Family Growth was used to determine whether women’s reports of her own pregnancy intentions differed from her perception of her male partner’s pregnancy intentions at the time of conception. Chi-square tests and multinomial logistic regression were used to examine perceived discrepant pregnancy intent. Most (55.4%) reported that the pregnancy was unintended by both, 22.1% indicated only he intended the pregnancy, 5.6% indicated only she intended the pregnancy, and 16.9% reported both intended the pregnancy. Compar... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5510870 Wed, 14 Dec 2011 16:40:21 +0100 5510870 http://www.medworm.com/index.php?rid=5510871&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv11244853384545p%2F This study investigated changes in cesarean delivery rate and cesarean indications in 3 county-level hospitals in rural China. Hospital delivery records in 1997 and 2003 were used to examine the reasons behind the changes. In Chengde County Hospital, the cesarean delivery rate increased from 28% in 1997 to 54% in 2003. The rate increased from 43% in 1997 to 65% in 2003 in Anxian County Hospital and Anxian Maternal and Child Health Hospital. The dramatic increase in cesarean delivery in the study hospitals was associated with a shift from more severe to mild or no clinical indications. The ratio of mild to moderate to severe hypertension increased substantially. More than half of the cephalopelvic disproportion cases were diagnosed prior to labor. The majority of nuchal cord cases wer... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5510871 Mon, 12 Dec 2011 17:13:59 +0100 5510871 http://www.medworm.com/index.php?rid=5499952&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr565031x81273679%2F Abstract  A rising number of low-income African-American mothers gain more weight in pregnancy than is recommended, placing them at risk for poor maternal and fetal health outcomes. Little is known about the perceptions of mothers in this population that may influence excessive gestational weight gain. In 2010–2011, we conducted 4 focus groups with 31 low-income, pregnant African-Americans in Philadelphia. Two readers independently coded the focus group transcripts to identify recurrent themes. We identified 9 themes around perceptions that encouraged or discouraged high gestational weight gain. Mothers attributed high weight gain to eating more in pregnancy, which was the result of being hungrier and the belief that consuming more calories while pregnant was essential fo... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5499952 Sat, 10 Dec 2011 16:56:14 +0100 5499952 http://www.medworm.com/index.php?rid=5499953&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F55q04p5712222087%2F Abstract  Few studies have examined the influence of acculturation on dietary behaviors of young children while controlling for other demographic variables. The purpose of this study was to assess reported dietary intakes of preschool-aged children (3–5 years) and subsequent associations with caregivers’ race/ethnicity, acculturation and demographic characteristics, using data from the 2007 California Health Interview Survey (CHIS). Analysis was restricted to Hispanic and non-Hispanic white caregivers and their preschool-aged children (n = 1,105). Caregivers’ acculturation was assessed using place of birth, duration of United States residence, and language spoken at home. Proxy-reports by caregivers to a dietary screener were used to estimate children’... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5499953 Fri, 09 Dec 2011 17:05:28 +0100 5499953 http://www.medworm.com/index.php?rid=5499954&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc074476l4u713259%2F Abstract  Unintended pregnancy and associated behaviors may play a substantial role in the increased risk of adverse maternal and neonatal outcomes associated with teen pregnancy. We evaluate a multi-dimensional measure of pregnancy intention among pregnant adolescents and quantify the association between intention dimensions and adverse outcomes and risk behaviors. Pregnancy intention measures were examined in a cohort of 300 pregnant adolescent women. We considered 18 items assessing elements of pregnancy intention including pregnancy planning, timing, emotional response, and readiness. Latent class analysis was performed to identify dimensions of pregnancy intention. Parsimonious scores were created by minimizing the number of covariates while maintaining substantial agr... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5499954 Fri, 09 Dec 2011 17:05:26 +0100 5499954 http://www.medworm.com/index.php?rid=5491520&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy2m7w4t230046373%2F Abstract  Recent literature has shown that analyzing newborn dried blood spots (DBS) may be effective in assessing some prenatal environmental exposures, such as exposure to lead. The purpose of this study was to evaluate the relationship between prenatal exposure to lead (as measured by newborn DBS results) and blood lead levels (BLLs) in infants 6 months of age or younger, using public health registry data for infants born in Texas from July 2002 through July 2006. The Texas Child Lead Registry (TCLR) was used to identify infants with documented elevated BLLs of 10 μg/dL or higher as well as infants with documented low BLLs. BLLs for these children were compared to their corresponding newborn DBS results using Pearson correlation coefficients and exact logistic... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5491520 Wed, 07 Dec 2011 16:44:50 +0100 5491520 http://www.medworm.com/index.php?rid=5481768&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb22077160v456352%2F Abstract  To study teen birth rates, trends, and socio-demographic and pregnancy characteristics of AI/AN across geographic regions in the US. The birth rate for US teenagers 15–19 years reached a historic low in 2009 (39.1 per 1,000) and yet remains one of the highest teen birth rates among industrialized nations. In the US, teen birth rates among Hispanic, non-Hispanic black, and American Indian/Alaska Native (AI/AN) youth are consistently two to three times the rate among non-Hispanic white teens. Birth certificate data for females younger than age 20 were used to calculate birth rates (live births per 1,000 women) and joinpoint regression to describe trends in teen birth rates by age (<15, 15–17, 18–19) and region (Aberdeen, Alaska, Bemidji, Billings, Cali... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5481768 Mon, 05 Dec 2011 17:35:26 +0100 5481768 http://www.medworm.com/index.php?rid=5481769&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj373j868l0007073%2F Abstract  Providing a medical home to children with Attention-Deficit Hyperactivity Disorder (ADHD) is challenging. Little is known about the factors associated with having a medical home for these children, or how comorbidities affect having a medical home. Our study aims are: (1) identify factors associated with having a medical home and five sub-components of a medical home and (2) determine the effect of medical home on several outcomes for children with ADHD. The sample included 5,495 children with ADHD from the 2007 National Survey of Children’s Health. Descriptive and multivariate analyses were conducted. Children with ADHD alone and children with ADHD plus a physical diagnosis had greater frequencies of having a medical home, or meeting the five sub-components, th... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5481769 Mon, 05 Dec 2011 17:35:25 +0100 5481769 http://www.medworm.com/index.php?rid=5481771&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F436l3w8382748275%2F Abstract  While much attention has been paid to women’s drinking during pregnancy, few studies address a woman’s drinking once she has given birth, which presents potential dangers to herself and her child. This time of transition can be extremely stressful, potentially leading to problem drinking. On the other hand, this new role and change in lifestyle may be protective against alcohol use and abuse. We used the California Women’s Health Survey (CWHS), a randomized sample of adult women in California, to compare new mothers’ drinking behaviors to other women. In order to obtain a large enough sample to observe trends in subpopulations, we combined CWHS data from years 1997–2008 (n = 28,537 women aged 18–48). We used logistic regression to determine th... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5481771 Sat, 03 Dec 2011 16:49:10 +0100 5481771 http://www.medworm.com/index.php?rid=5481772&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F38k1028105645803%2F Abstract  Research presenting outcomes for women who enter substance abuse treatment during pregnancy consistently shows benefits. While treatment has nearly universal benefits, there are many barriers to seeking substance abuse treatment for pregnant women. The purpose of this study is to explore barriers for rural pregnant women seeking substance abuse treatment. There were three eligibility criteria for study participation: (1) aged 18 and older, (2) pregnant, and (3) undergoing short-term inpatient detoxification at the University of Kentucky Chandler Medical Center. Eighty-five rural women (N = 85) were included in the analysis. Substance use history and previous treatment were assessed with measures adapted from the Addiction Severity Index. Treatment barrie... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5481772 Sat, 03 Dec 2011 16:49:09 +0100 5481772 http://www.medworm.com/index.php?rid=5481770&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fuk6gk1k461181x36%2F This study investigates parents’ ability to correctly classify their child’s weight status. The influence of parent and child socio-demographic and lifestyle factors on parental misclassification of their child’s weight status is explored. A representative sample of Irish children (aged 5–12 (n = 596) years, aged 13–17 years (n = 441)) and their parents (n = 1885) were recruited to participate in a national dietary survey. Parental perceptions of their child’s weight and their own weight were measured. Anthropometric measurements (weight and height) were objectively measured for parents and children. Body Mass Index (BMI) scores were derived and categorised as normal, overweight or obese using standard references. Over 80% of parents of o... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5481770 Sat, 03 Dec 2011 16:49:09 +0100 5481770 http://www.medworm.com/index.php?rid=5472897&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F651u121547r65820%2F Abstract  Pregnancy complications and poor birth outcomes can affect the survival and long-term health of children. The preconception period represents an opportunity to intervene and improve outcomes; however little is known about women’s mental health prior to pregnancy as a predictor of such outcomes. We sought to determine if and to what extent women’s preconception mental health status impacted subsequent pregnancy complications, non-live birth, and birth weight using a nationally representative, population-based sample. We used pooled 1996–2006 data from the nationally-representative Medical Expenditure Panel Survey (MEPS). Poor preconception mental health was defined as women’s global mental health rating of “fair” or “poor” before conception. Logistic... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5472897 Tue, 29 Nov 2011 22:20:03 +0100 5472897 http://www.medworm.com/index.php?rid=5453200&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft631226423701507%2F Abstract  To compare hospital-based utilization for early childhood injuries between program recipients and local-area comparison families following statewide implementation of an evidence-based home visitation program, and to describe site-level program variation. Propensity score matching on baseline characteristics was used to create a retrospective cohort of Nurse-Family Partnership (NFP) clients and local area matched comparison women. The main outcome, a count of injury visit episodes, was enumerated from Medicaid claims for injuries examined in an emergency department or hospital setting during the first 2 years of life of children born to included subjects. Generalized linear models with a Poisson distribution examined the association between injury episode cou... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5453200 Fri, 25 Nov 2011 17:42:36 +0100 5453200 http://www.medworm.com/index.php?rid=5453199&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3267120x47x057u4%2F Abstract  The purpose of the study was to validate the Prenatal Risk Overview (PRO) Alcohol use domain against a structured diagnostic interview. The PRO was developed to screen for 13 psychosocial risk factors associated with poor birth outcomes. After clinic staff administered the PRO to prenatal patients, they asked for consent to administration of selected modules of the structured clinical interview for DSM-IV (SCID) by a research assistant. To assess the criterion validity of the PRO, low and moderate/high risk classifications from the alcohol use domain were cross-tabulated with SCID Alcohol Use Disorder variables. The study sample included 744 women. Based on PRO responses, 48.7% reported alcohol use during the 12 months before they learned they were pregnant; ... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5453199 Fri, 25 Nov 2011 17:42:36 +0100 5453199 http://www.medworm.com/index.php?rid=5453198&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fkh50033h81681j11%2F We examined differences in initial depression ratings for demographic subgroups and explored patterns of change in health literacy among depressed versus not-depressed parents. Correlation analysis showed that at each of four assessments better depression scores were consistently and positively correlated with use of information and services (r = 21–22, P < .001) and with self-management of personal and child health (r = 42–49, P < .001). Overall, parents made significant improvements in health literacy (P < .001). As expected, depressed parents demonstrated lower baseline health literacy scores than not-depressed parents; however, they achieved greater gains (P < .001). While depression is linked with lower pa... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5453198 Fri, 25 Nov 2011 17:42:36 +0100 5453198 http://www.medworm.com/index.php?rid=5453201&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F21v5800q5678262w%2F This study aims to validate a semi-quantitative interview-administered food frequency questionnaire (FFQ) for retrospectively estimating nutrient intake at two critical time points during pregnancy. The FFQ was administered to women (N = 84), who 4–6 years earlier had participated in a prospective study to evaluate dietary intake during pregnancy. The FFQ queried participants about intake during the previous month (FFQ-month). This was then used as a reference point to estimate consumption by trimester (FFQ-pregnancy). The resulting data were compared to data collected during the original study from two 24-h recalls (24 h-original) using Spearman correlation and Wilcoxon sign-rank-test. Total energy intake as estimated by the retrospective and original instrumen... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5453201 Thu, 24 Nov 2011 17:49:59 +0100 5453201 http://www.medworm.com/index.php?rid=5446487&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn333470l8800l177%2F This study aimed to explore whether recording of a prior adverse pregnancy outcome (postpartum hemorrhage) in a medical record increases the likelihood that recurrence of the same event is reported in hospital data. Using a sample of 588 pregnancies [2 consecutive pregnancies for 294 randomly selected women with at least one postpartum hemorrhage (PPH)], we compared ‘coded’ recurrence rates in hospital data with those obtained from medical record audit. ‘Coded’ recurrence in a second pregnancy was also compared for women with or without a documented history of prior PPH. We found a ‘coded’ recurrence rate of 18.5% and an ‘audited’ recurrence rate of 28.4%. The ‘coded’ rate of recurrence among women who had a documented history of PPH was 27.4% compared to 19.1% wh... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5446487 Wed, 23 Nov 2011 16:38:37 +0100 5446487 http://www.medworm.com/index.php?rid=5446488&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3w48736548h03721%2F We examined racial/ethnic disparities in maternal morbidities (MM) and the number of MM during labor and delivery among hospital discharges in Wisconsin. We conducted a retrospective cohort study of hospital discharge data for 206,428 pregnant women aged 13–53 years using 2005–2007 Healthcare Cost and Utilization Project State Inpatient Dataset (HCUP-SID) for Wisconsin. After adjustments for covariates, MM (preterm labor, antepartum and postpartum hemorrhage, hypertension in pregnancy, gestational diabetes, membrane-related disorders, infections and 3rd and 4th perineal lacerations) were examined using logistic regression models, and number of MM (0, 1, 2, >2 MM) were examined using multivariable ordered logistic regressions with partial proportional odds models. Afr... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5446488 Mon, 21 Nov 2011 18:10:13 +0100 5446488 http://www.medworm.com/index.php?rid=5446489&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F2u6184361t467664%2F Abstract  Segregation effects may vary between areas (e.g., counties) of low and high low birth weight (LBW; <2,500 g) and preterm birth (PTB; <37 weeks of gestation) rates due to interactions with area differences in risks and resources. We assess whether the effects of residential segregation on county-level LBW and PTB rates for African-American infants vary by the prevalence of these conditions. The study sample includes 368 counties of 100,000 or more residents and at least 50 African-American live births in 2000. Residentially segregated counties are identified alternatively by county-level dissimilarity and isolation indices. Quantile regression is used to assess how residential segregation affects the entire distributions of county-level LBW and PTB ... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5446489 Mon, 21 Nov 2011 18:10:12 +0100 5446489 http://www.medworm.com/index.php?rid=5436274&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff570317vv4748227%2F Abstract  Drawing on Bronfenbrenner’s ecological theory and prior empirical research, the current study examines the way that blogging and social networking may impact feelings of connection and social support, which in turn could impact maternal well-being (e.g., marital functioning, parenting stress, and depression). One hundred and fifty-seven new mothers reported on their media use and various well-being variables. On average, mothers were 27 years old (SD = 5.15) and infants were 7.90 months old (SD = 5.21). All mothers had access to the Internet in their home. New mothers spent approximately 3 hours on the computer each day, with most of this time spent on the Internet. Findings suggested that frequency of blogging predicted feeling... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5436274 Fri, 18 Nov 2011 06:58:22 +0100 5436274 http://www.medworm.com/index.php?rid=5415822&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F24301w0044168173%2F Content Type Journal ArticleCategory ErratumPages 1-1DOI 10.1007/s10995-011-0903-9Authors Kesha Baptiste-Roberts, School of Nursing, Penn State University, University Park, 1300 ASB/A110, 600 Centerview Drive, Hershey, PA 17033, USAWanda K. Nicholson, Department of Obstetrics & Gynecology, University of North Carolina, Chapel Hill, NC, USANae-Yuh Wang, Department of Medicine, Johns Hopkins University, Baltimore, MD, USAFrederick L. Brancati, Department of Medicine, Johns Hopkins University, Baltimore, MD, USA Journal Maternal and Child Health JournalOnline ISSN 1573-6628Print ISSN 1092-7875 (Source: Maternal and Child Health Journal) Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5415822 Wed, 09 Nov 2011 17:57:27 +0100 5415822 http://www.medworm.com/index.php?rid=5394728&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh1h507k63q7v2031%2F This study is among the first to focus on the associations of birth spacing with maltreatment, behavior and development outcomes in the index child. Future work regarding the effects of birth spacing should include a focus on the index child. Content Type Journal ArticlePages 1-8DOI 10.1007/s10995-011-0909-3Authors Sarah Shea Crowne, Department of Pediatrics, Johns Hopkins University School of Medicine, 200 North Wolfe Street, Baltimore, MD 21287, USAKay Gonsalves, Department of Pediatrics, Johns Hopkins University School of Medicine, 200 North Wolfe Street, Baltimore, MD 21287, USALori Burrell, Department of Pediatrics, Johns Hopkins University School of Medicine, 200 North Wolfe Street, Baltimore, MD 21287, USAElizabeth McFarlane, Department of Pediatrics, Johns Hopkins Universi... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5394728 Fri, 04 Nov 2011 16:55:06 +0100 5394728 http://www.medworm.com/index.php?rid=5394729&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq983483233744275%2F Discussions of the effect of spacing on the health of the mother or child did not emerge frequently. Themes underlying postpartum women’s desire for particular birth spacing are varied, but social and family considerations seem to predominate over concerns or knowledge about potential health effects. Improving women’s knowledge about these consequences could lead to lowering the incidence of short interpregnancy intervals, known to be associated with adverse perinatal outcomes. Content Type Journal ArticlePages 1-7DOI 10.1007/s10995-011-0911-9Authors Allison Bryant, Vincent Department of Obstetrics and Gynecology, Massachusetts General Hospital, 55 Fruit Street, Founders 4, Boston, MA 02114, USAAna Fernandez-Lamothe, Departments of Obstetrics, Gynecology and Reproductive Scie... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5394729 Fri, 04 Nov 2011 16:55:05 +0100 5394729 http://www.medworm.com/index.php?rid=5394730&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh7521lp263145751%2F The objective of this study is to describe the fetal phenotype in utero and its associations with maternal pre-pregnancy weight and gestational weight gain. This prospective longitudinal cohort included 179 Australian women with singleton pregnancies. Serial ultrasound measurements were performed at 19, 25, 30 and 36 (±1) weeks gestation and maternal anthropometry were collected concurrently. The ultrasound scans included the standard fetal biometry of head circumference, biparietal diameter, abdominal circumference, and femur length, and body composition at the abdomen and mid-thigh, including fat and lean mass cross-sectional areas. Maternal gestational weight gain was compared to current clinical guidelines. The participants had an average of 3.7 ± 0.8 scans and birth ... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5394730 Fri, 04 Nov 2011 05:44:40 +0100 5394730 http://www.medworm.com/index.php?rid=5394732&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fpl422vnxv276846n%2F This study was designed as a cross-sectional and exploratory survey. A total of 454 pregnant women participated in the study between December 2009 and June 2010 in central China. The data was collected using the Medical Outcomes Study short form 36 v2 and the Edinburgh Postnatal Depression Scale. Participants were recruited at outpatient departments of obstetrics and gynecology. Findings show that almost 40% of pregnant women experience prenatal depression. Depression was significantly associated with physical and mental health-related quality of life (HRQoL). Depression, increased age, higher gestational age, being employed and married were significant predictors of lower physical HRQoL. Depression, lower BMI and having an unintended pregnancy were significant predictors of lower me... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5394732 Tue, 01 Nov 2011 16:50:26 +0100 5394732 http://www.medworm.com/index.php?rid=5394731&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy423766524h6v337%2F This study examines predictors of drinking during pregnancy among first-time mothers, in order to distinguish those in need of targeted screening and intervention. Data from the prenatal panel of the Parenting for the First Time study were used in hierarchical linear regressions to determine likelihood of prenatal alcohol consumption among a sample of 645 women. African-American women and those of race/ethnicities other than White were less likely to drink, regardless of age or level of education. Among all women, being in school was associated with abstention (P = 0.05). Among teens, endorsing a perception of feeling “pushed around” was a significant indicator of prenatal alcohol consumption (P = 0.05), as was not having plans for infant feeding shortly before... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5394731 Tue, 01 Nov 2011 16:50:26 +0100 5394731 http://www.medworm.com/index.php?rid=5394733&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F774304n74mg35176%2F Abstract  Our goal was to develop a comprehensive conceptual research framework on mode of delivery and to identify research priorities in this topic area through a Delphi process. We convened a multidisciplinary team of 16 experts (North Carolina Collaborative on Mode of Delivery) representing the fields of obstetrics and gynecology, neonatology, midwifery, epidemiology, psychometrics, decision sciences, bioethics, health care engineering, health economics, health disparities, and women’s studies. We finalized the conceptual framework after multiple iterations, including revisions during a one-day in-person conference. The conceptual framework illustrates the causal pathway for mode of delivery and the complex interplay and relationships among patient, fetal, family, pro... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5394733 Tue, 01 Nov 2011 16:50:25 +0100 5394733 http://www.medworm.com/index.php?rid=5372354&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv433041502261474%2F Abstract  To examine the association between breastfeeding duration and sources of education about breastfeeding and breast pumps. We analyzed data from the Infant Feeding Practices Survey II (n = 2,586), a national longitudinal consumer-based study. We used χ2 and ANOVA to contrast categorical and continuous variables, respectively, and logistic regression to model the association between breastfeeding duration and sources of education about breastfeeding and breast pump use. In unadjusted results, multiple sources of breastfeeding and breast pump education were significantly associated with breastfeeding duration. However, in multivariable logistic regression models, there was a negative association between longer breastfeeding duration and receiving breast pump... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5372354 Sat, 29 Oct 2011 05:41:49 +0100 5372354 http://www.medworm.com/index.php?rid=5342235&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr1mlu44hpx5406vt%2F Abstract  Assess whether the 55% increase in Florida’s Hispanic infant mortality rate (HIMR) during 2004–2007 was real or artifactual. Using linked data from Florida resident live births and infant deaths for 2004–2007, we calculated traditional (infant Hispanic ethnicity from death certificates and maternal Hispanic ethnicity from birth certificates) and nontraditional (infant and maternal Hispanic ethnicity from birth certificate maternal ethnicity) HIMRs. We assessed trends in HIMRs (per 1,000 live births) using Chi-square statistics. We tested agreement in Hispanic ethnicity after implementation of a revised 2005 death certificate by using kappa statistics and used logistic regression to test the associations of infant mortality risk factors. Hispanic was defined ... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5342235 Wed, 19 Oct 2011 05:52:22 +0100 5342235 http://www.medworm.com/index.php?rid=5342236&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1826401677u6g804%2F Abstract  Annual meetings provide the opportunity to communicate with colleagues with similar professional interests and bolster training initiatives. However, the cost of face-to-face meetings, including travel expenses and lost work time, is high. Although face-to-face meetings offer unique advantages, fiscal considerations compel consideration of alternatives. Distance Learning Grantees (Division of Research, Training and Education, MCH Bureau, Health Resources and Services Administration) and MCH project staff conducted their annual grantee meeting online in 2010. The meeting featured project updates and technical skills training over the course of a three-day meeting. Direct costs of the online meeting were low, and evaluations indicated that all participants were sati... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5342236 Tue, 18 Oct 2011 15:55:16 +0100 5342236 http://www.medworm.com/index.php?rid=5342237&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq86723444398w125%2F We report unadjusted contributor (state, territory or Indian tribal organization) specific trends, and both unadjusted and adjusted overall trends, to account for changes in maternal age and race-ethnic distributions, using 1999 as the referent. Of the 27 contributors in 1999, 2 had a prepregnancy obesity prevalence <20%, and 1 had a prevalence ≥30%. Of the 35 contributors in 2008, none had a prepregnancy obesity prevalence <20%, and 14 had a prevalence ≥30%. From 1999 to 2008, the overall prevalence of prepregnancy obesity increased among all racial-ethnic groups, except among American Indian/Alaskan Natives, where it remained high, but stable. Overall prepregnancy obesity increased most rapidly among Hispanics, and remained stable from 2004 to 2008 among non-Hispanic bla... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5342237 Tue, 18 Oct 2011 15:55:15 +0100 5342237 http://www.medworm.com/index.php?rid=5329174&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F57094528411qn065%2F Abstract  We aimed to examine associations between factors readily obtainable in health care settings and post-partum smoking relapse in women of differing marital status. We analysed data on 1,829 mothers in the Millennium Cohort Study who reported quitting smoking during their pregnancy using multivariate logistic regression. We analysed single, married and cohabiting women separately. Fifty-seven percent of mothers who quit during pregnancy had relapsed at 9 months. The risk of relapse was highest for single women, followed by cohabiting, then married women. Higher parity and not managing financially were associated with relapse for single women. For married women the greatest risk of relapse was associated with having a partner who also relapsed. Women whose husban... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5329174 Sat, 15 Oct 2011 15:45:23 +0100 5329174 http://www.medworm.com/index.php?rid=5329175&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg2547428r3410w53%2F Abstract  To describe a program to study medication safety in pregnancy, the Medication Exposure in Pregnancy Risk Evaluation Program (MEPREP). MEPREP is a multi-site collaborative research program developed to enable the conduct of studies of medication use and outcomes in pregnancy. Collaborators include the U.S. Food and Drug Administration and researchers at the HMO Research Network, Kaiser Permanente Northern and Southern California, and Vanderbilt University. Datasets have been created at each site linking healthcare data for women delivering an infant between January 1, 2001 and December 31, 2008 and infants born to these women. Standardized data files include maternal and infant characteristics, medication use, and medical care at 11 health plans within 9 states; bi... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5329175 Sat, 15 Oct 2011 05:53:35 +0100 5329175 http://www.medworm.com/index.php?rid=5329176&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8264457033818671%2F Abstract  Our objective was to determine if a summative scale reflecting the number of positive criteria on the Children with Special Health Care Needs (CSHCN) Screener is useful in identifying subgroups of CSHCN at risk for poorer oral health and unmet dental care needs and who should be considered to have special dental care needs. Data were analyzed for a population-based sample of 91,642 US children <18 years from the 2007 National Survey of Children’s Health. The independent variable of interest was the summative number of positive CSHCN Screener criteria. Dependent variables were parent-perceived condition of child’s teeth, toothache, cavities, broken teeth, bleeding gums in the previous 6 months, and unmet dental care needs in the past 12 months.... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5329176 Fri, 14 Oct 2011 06:08:38 +0100 5329176 http://www.medworm.com/index.php?rid=5320226&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fhk47tqx3u47373qq%2F Abstract  Most previous studies of preterm birth have considered risk factors in isolation rather than examining the collective impact of multiple candidate determinants. In order to examine the combined impact of a set of behavioral risk factors on the risk of preterm birth, we analyzed data collected for the Pregnancy, Infection, and Nutrition Study on a range of sociodemographic, behavioral, and related factors. Women who received prenatal care at selected clinics in central North Carolina and gave birth in the period 1995–2005 were recruited into a prospective cohort study, with 4,251 women providing the required information on risk factors and pregnancy outcome. A number of demographic and behavioral attributes were modestly associated with preterm birth, with odds r... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5320226 Wed, 12 Oct 2011 05:44:53 +0100 5320226 http://www.medworm.com/index.php?rid=5320228&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F117655318wm57633%2F This study is based on data from the Bangladesh Demographic Health Survey, 2007 (BDHS). A subset of interviews from currently pregnant women (718) were extracted from 10,146 married women of reproductive age. The BDHS 2007 used a pre-tested, structured questionnaire to collect sociodemographic, women’s empowerment, and pregnancy information. Associations between unintended pregnancy and explanatory variables were assessed using bivariate analysis. Logistic regression was used to assess the net effect of women’s autonomy on current pregnancy intention status after controlling for other variables. Results indicate that women’s autonomy is a significant predictor of unintended pregnancy after adjusting for other factors. A unit increase in the autonomy scale decreases the odds of ... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5320228 Wed, 12 Oct 2011 05:44:52 +0100 5320228 http://www.medworm.com/index.php?rid=5320227&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F90t112u8850p6g3p%2F Abstract  While up to 45% of women quit smoking during pregnancy, nearly 80% return to smoking within a year after delivery. Interventions to prevent relapse have had limited success. The study objective was to understand what influences return to smoking after pregnancy among women who quit smoking during pregnancy, with a focus on the role of social networks. We conducted in-depth, semi-structured interviews during the postpartum hospital stay with women who quit smoking while pregnant. Over 300 pages of transcripts were analyzed using qualitative methods to identify common themes. Respondents [n = 24] were predominately white (63%), had at least some college education (54%) and a mean age of 26 years (range = 18–36). When reflecting on the expe... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5320227 Wed, 12 Oct 2011 05:44:52 +0100 5320227 http://www.medworm.com/index.php?rid=5300964&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx2712t334v424716%2F Abstract  Unintended pregnancy impacts both maternal and child health. International studies continue to emphasize the importance of reproductive health in the context of community. Only a few researchers have explored the impact of community factors on pregnancy intention using population-based surveys. This issue is of particular importance for women of low socioeconomic status in developing countries, where unintended fertility rates remain relatively high. Using the 1998 (n = 6,849) and 2003 (n = 6,773) Demographic and Health Surveys in the Philippines, we employed multilevel logistic models to explore whether community factors are associated with pregnancy intention among these women. The results showed community social capital, comprised of communit... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5300964 Fri, 07 Oct 2011 15:58:08 +0100 5300964 http://www.medworm.com/index.php?rid=5300965&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F658m6x845604t478%2F Abstract  Although, the Centers for Disease Control and the American College of Obstetricians and Gynecologists have advised rapid HIV testing for laboring women of unknown human immunodeficiency virus (HIV) status since 2004 to ensure that results are known prior to delivery, physicians and hospital staff have been slow to follow the recommendation. A multi-component intervention was implemented to educate physicians and hospital staff. There was low baseline knowledge (<50% correct) in the areas of HIV prevalence, use of rapid testing in the prevention of perinatal HIV transmission, and treatment. On 9 out of 14 items, participants demonstrated a >35% increase in correct responses from pre-test to 3 month post-test. Baseline knowledge among obstetric health car... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5300965 Fri, 07 Oct 2011 15:58:06 +0100 5300965 http://www.medworm.com/index.php?rid=5300966&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj4421h2125265512%2F The objectives of this study were to investigate the relationships between elevated symptoms of depression and anxiety and subsequent likelihood of any alcohol use and binge drinking during pregnancy. The sample consisted of 12,824 women from a prospective, population-based study from the United Kingdom, the Avon Longitudinal Study of Parents and Children. Participants completed questionnaires assessing alcohol use and depressive and anxious symptoms during the first and third trimesters of pregnancy. A series of multivariable regression models was fit using multiply imputed data. Thirty four percent of women reported having at least one alcoholic drink at 32 weeks’ gestation and 17% reported binge drinking. We found a weak association between elevated symptoms of anxiety and ... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5300966 Wed, 05 Oct 2011 05:46:22 +0100 5300966 http://www.medworm.com/index.php?rid=5280150&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv7525408j8616v35%2F Abstract  To identify pre-pregnancy risk factors for diabetes in pregnancy among a cohort of Australian Indigenous women. Data on 1,009 Indigenous women of childbearing age who participated in a 1998–2000 health screening program in far north Queensland were linked to Queensland hospitalisations data. Women who attended hospital after their health check for a pregnancy-related condition were identified. The data on women who were hospitalised for birth were also linked to Queensland perinatal data. Of 220 women who gave birth, 23 had diabetes in the pregnancy following their health check. A strong predictor of having a subsequent pregnancy affected by diabetes was suboptimal glucose control before conception. The presence of the metabolic syndrome predicted over a threefo... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5280150 Fri, 30 Sep 2011 06:32:02 +0100 5280150 http://www.medworm.com/index.php?rid=5280149&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv819n818n2376650%2F Abstract  With its independence secured on 9th July 2011, the Republic of South Sudan faces a daunting task to improve public health and primary care in one of the poorest countries in the world. Very high maternal and child mortality rates must be a major concern for the new national government and for the many international agencies working in the country. Poor maternal health outcomes are primarily due to poor prenatal, delivery and post natal care services in health facilities, coupled with low literacy, widespread poverty, and poor nutrition among the general population. Child mortality is the result of widespread malnutrition, pneumonia, malaria, vaccine preventable diseases and diarrheal diseases. National responses to HIV and AIDS with international assistance have ... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5280149 Fri, 30 Sep 2011 06:32:02 +0100 5280149 http://www.medworm.com/index.php?rid=5256196&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk23w7h126u8748jq%2F Abstract  To identify risk factors for discontinuing breastfeeding during an infant’s first year of life. A cohort study recruited mothers in a hospital in São Leopoldo, Brazil, which mainly serves the low-income population. In order to obtain socioeconomic, environmental, and behavioral information, face-to-face interviews with mothers were conducted after birth, and when their infants were 6 and 12 months old. The duration of breastfeeding was investigated at 6 and 12 months, and recorded separately for each month. Depressive symptoms were assessed using the Beck Depression Inventory. The multivariate model for predicting the discontinuation of breastfeeding, adjusted Kaplan–Meier survival curves and Cox regression were used. Of the 360 participants, 201 (55... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5256196 Sat, 24 Sep 2011 15:46:49 +0100 5256196 http://www.medworm.com/index.php?rid=5256197&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F37221h608671u171%2F Abstract  Breastfeeding policies and practices were analysed in childcare settings in the metropolitan area of Adelaide, South Australia. Childcare centres were purposively selected based on their geographical location, type and socioeconomic score of the area. Qualitative inquiry approach was employed by undertaking interviews with childcare centres’ director or baby house coordinator to explore their perception towards breastfeeding practice and support within their centre. Breastfeeding related policy documents, where available, were also collected during the interviews to triangulate data. A total of 15 face-to-face interviews were conducted. Six childcare centres had a written policy specifically on breastfeeding support, although the technical issues of handling bre... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5256197 Sat, 24 Sep 2011 15:46:48 +0100 5256197 http://www.medworm.com/index.php?rid=5256199&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3x31u161n7357272%2F Abstract  To assess the sensitivity of birth certificates to preterm birth history and determine whether omissions are randomly or systemically biased. Subjects who experienced a preterm birth followed by a subsequent pregnancy were identified in a regional database. The variable “previous preterm birth” was abstracted from birth certificates of the subsequent pregnancy. Clinical characteristics were compared between subjects who were correctly versus incorrectly coded. 713 subjects were identified, of whom 65.5% were correctly coded in their subsequent pregnancy. Compared to correctly coded patients, patients who were not correctly identified tended to have late and non-recurrent preterm births or deliveries that were secondary to maternal or fetal indications. A recur... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5256199 Fri, 23 Sep 2011 15:49:12 +0100 5256199 http://www.medworm.com/index.php?rid=5256198&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb1515117773kr656%2F This study used data from the 2007 National Survey of Children’s Health on 80,982 children ages 2–17. The presence of a child mental health condition was defined as a parent-reported diagnosis of at least one of seven child mental health conditions. Parent mental health was assessed via a 5-point scale. Logistic regression was used to assess the association of child mental health conditions and parent mental health status, while examining socioeconomic, parent, family, and community factors as potential effect modifiers and confounders of the association. 11.1% of children had a mental health condition (95% CI = 10.5–11.6). The prevalence of child mental health conditions increased as parent mental health status worsened. Race/ethnicity was the only significant effect... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5256198 Fri, 23 Sep 2011 15:49:12 +0100 5256198 http://www.medworm.com/index.php?rid=5244863&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5150674465m5wg04%2F This study confirms that biomedical factors significantly contribute to adverse outcomes in low income AA women. Biomedical factors outweighed psychosocial factors in contributing to adverse pregnancy and neonatal outcomes in this high-risk population. Early identification and management of hypertension, diabetes and previous PTB in low income AA women may reduce health disparities in birth outcomes. Level of evidence I. Content Type Journal ArticlePages 1-10DOI 10.1007/s10995-011-0875-9Authors Siva Subramanian, Division of Neonatology, Georgetown University Hospital, 3800 Reservoir RD NW, Main 3400, Washington, DC 20007, USAKathy S. Katz, Departments of Pediatrics and Psychiatry, Georgetown University Medical Center, 2115 Wisconsin Ave NW Suite 200, Washington, DC 20007... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5244863 Mon, 19 Sep 2011 13:43:33 +0100 5244863 http://www.medworm.com/index.php?rid=5244864&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ffv0qr3262w71376h%2F In conclusion, health care providers should be aware that depressed urban minority women are at risk of continued smoking/HH-ETSE during pregnancy. Interventions designed to encourage behavior change should include screening for depression, and build skills so that women are better able to address the social environment. Content Type Journal ArticlePages 1-10DOI 10.1007/s10995-011-0876-8Authors Sylvia Tan, Statistics and Epidemiology Unit, Research Triangle Institute (RTI International), 701 13th Street NW, Suite 750, Washington, DC 20005, USALauren P. Courtney, Statistics and Epidemiology Unit, Research Triangle Institute (RTI International), 701 13th Street NW, Suite 750, Washington, DC 20005, USAAyman A. E. El-Mohandes, College of Public Health, University of Nebraska Medical C... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5244864 Sun, 18 Sep 2011 05:51:35 +0100 5244864 http://www.medworm.com/index.php?rid=5244865&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu716415831167908%2F Abstract  This is an exploratory study to identify the predictors that Chinese men will spontaneously quit smoking during their wives’ pregnancy. Smoking husbands who accompanied their non-smoking pregnant wives to an antenatal clinic were invited to complete a questionnaire soliciting information regarding their smoking behaviours, perceptions of support received from their wives, and motivating factors for quitting smoking. A total of 74 men were recruited. Two-thirds (67.6%) were daily smokers, had started smoking under the age of 18 (66.2%), and smoked 6–15 cigarettes (48.6%) a day. Nearly one-third of the smoking husbands (n = 50, 67.6%) reported that their wife was the person who provided them with the necessary main support in quitting. Nearly a quarter... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5244865 Sat, 17 Sep 2011 16:54:47 +0100 5244865 http://www.medworm.com/index.php?rid=5231460&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp101n8215615011h%2F Abstract  To compare the quality of antenatal care (ANC) between Community-based Health Planning and Services (CHPS) and non-CHPS areas in the Birim North District of Ghana. A cross-sectional study was conducted in May, 2010. We collected data from 600 women (300 from CHPS areas and 300 from non-CHPS areas) recruited from six CHPS and six non-CHPS areas, using a structured questionnaire. Participants were aged 15–49 years, had at least one child within 18 months old, and resided in the district for at least 2 years before data collection. Outcomes included: (1) index of ANC utilization (dichotomized as full and partial), (2) receipt of anti-malarial drugs, (3) testing for HIV infection, and (4) index of knowledge about pregnancy danger signs (expressed in t... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5231460 Tue, 13 Sep 2011 15:43:42 +0100 5231460 http://www.medworm.com/index.php?rid=5231462&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn187267425h306t1%2F Abstract  The terms mistimed pregnancy (MP) and unwanted pregnancy (UWP) refer to a woman’s intentions regarding childbearing. Determinants for each type of pregnancy have not been well understood. The present study aims to investigate whether MP and UWP have different sets of psychosocial determinants compared to intended pregnancy, with a particular emphasis on any difference in the history of maternal psychiatric diagnosis. Using an ongoing birth cohort study, we consecutively enrolled parturients who were at mid-pregnancy (n = 780) and were expected to give birth at either of our two research sites. MP and UWP were defined according to previous studies. To avoid multiple testing, we adopted multinomial logistic regression to estimate the independent contribut... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5231462 Tue, 13 Sep 2011 15:43:41 +0100 5231462 http://www.medworm.com/index.php?rid=5231461&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn7024u8672l58t38%2F Abstract  To identify gender differences in correlates of anticipation and initiation of sexual activity in the baseline survey of 562 African-American 5th grade students prior to initiation of a school-based pregnancy prevention intervention curriculum. Students from 16 elementary schools were administered the baseline questionnaire during classroom periods. Using these data, binary and ordered logistic regression models were used to analyze the factors affecting virginity and anticipation of sexual activity separately by gender, and tests of interaction between each factor and gender were conducted on the combined sample. More boys than girls had already had sex (18% vs. 5%) and anticipated having sexual intercourse in the next 12 months (56% vs. 22%). Boys and girls... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5231461 Tue, 13 Sep 2011 15:43:41 +0100 5231461 http://www.medworm.com/index.php?rid=5216690&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F63365v47nx35774h%2F Abstract  Exercise may decrease the incidence of obesity and obesity related complications during pregnancy including gestational diabetes and preeclampsia. African American women are at higher risk for obesity and physical inactivity during pregnancy when compared to other patient groups. The purpose of this qualitative study was to describe in detail the unique beliefs and perspectives regarding exercise during pregnancy of African American women. A series of 6 focus groups discussions with pregnant African American women were audio-recorded and transcribed verbatim. Focus group transcripts were qualitatively analyzed for major themes and independently coded for beliefs regarding exercise during pregnancy. A total of 34 pregnant, African American women participated in 6 f... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5216690 Sat, 10 Sep 2011 15:47:05 +0100 5216690 http://www.medworm.com/index.php?rid=5216691&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F587587j486433176%2F Abstract  To assess the validity of probabilistic linkage (PL) in combining national surveillance data on assisted reproductive technology (ART) with Massachusetts birth and infant death data, for the purpose of monitoring maternal and child health outcomes of ART. A study conducted in 2006 utilized direct identifiers to match Massachusetts birth records with records on ART procedures performed to Massachusetts residents in fertility clinics located in Massachusetts and Rhode Island, achieving a linkage rate of 87.5%. The present study employed PL using the program Link Plus, without access to direct identifiers. The primary linking variables were maternal and infant dates of birth, and plurality. Ancillary variables such as maternal ZIP code and gravidity helped resolve du... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5216691 Fri, 09 Sep 2011 16:46:59 +0100 5216691 http://www.medworm.com/index.php?rid=5216692&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv4n2637k40x5v243%2F The objective of this study is to determine prevention strategies for potentially serious injury events among children younger than 3 years of age based upon circumstances surrounding injury events. Surveillance was conducted on all injuries to District of Columbia (DC) residents less than 3 years old that resulted in an Emergency Department (ED) visit, hospitalization, or death for 1 year. Data were collected through abstraction of medical records and interviews with a subset of parents of injured children. Investigators coded injury-related events for the potential for death or disability. Potential prevention strategies were then determined for all injury events that had at least a moderate potential for death or disability and sufficient detail for coding (n =... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5216692 Fri, 09 Sep 2011 05:44:41 +0100 5216692 http://www.medworm.com/index.php?rid=5216693&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7t383x564103223v%2F Content Type Journal ArticlePages 1-3DOI 10.1007/s10995-011-0878-6Authors Richard David, Stroger Hospital of Cook County, Chicago, USALynne Messer, Duke University, Durham, NC, USA Journal Maternal and Child Health JournalOnline ISSN 1573-6628Print ISSN 1092-7875 (Source: Maternal and Child Health Journal) Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5216693 Thu, 08 Sep 2011 06:10:17 +0100 5216693 http://www.medworm.com/index.php?rid=5202399&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw7403rg744188vj2%2F Abstract  Maternal and child mortality rates are still unacceptably high in South Africa. The health status of women in peri-urban areas has been influenced by political and socio-economic factors. Examining socio-economic variables (SEV) in a population aids in the explanation of the impact of social structures on an individual. Risk factors can then be established and pregnant women in these higher risk groups can be identified and given additional support during pregnancy. The aim of this study was to investigate the association between SEV and gestational Body Mass Index (GBMI) in a peri-urban settlement, South Africa. This was a sub-study of the Philani Mentor Mothers’ Study (2009–2010). Maternal anthropometry and SEV were obtained from 1,145 participants. Multinom... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5202399 Mon, 05 Sep 2011 16:15:29 +0100 5202399 http://www.medworm.com/index.php?rid=5189857&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F676m5046178u2777%2F Abstract  To compare the obesity related training, practices, and perceptions of home child care providers and center care providers. A self-administered survey was collected from child care providers who attended local child care training workshops in east central Illinois from March 2009 to August 2010. Study results were based on responses from 88 home care providers and 94 center providers. The survey questions addressed child care providers’ training in the prior year, their obesity prevention practices including written policies, their perceptions of influences on children’s health, and factors determining food menu selection. Paired t tests and Chi-square tests were used to compare the difference by child care type. 81.9% of home care providers and 58.6% of cente... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5189857 Tue, 30 Aug 2011 05:43:04 +0100 5189857 http://www.medworm.com/index.php?rid=5173441&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx7x82713m2007171%2F Content Type Journal ArticlePages 1-13DOI 10.1007/s10995-011-0843-4Authors Michele Kiely, Division of Epidemiology, Statistics and Prevention Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development/NIH/DHHS, 6100 Executive Blvd, Rockville, MD 20852-7510, USAMaurice Davis, Division of Epidemiology, Statistics and Prevention Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development/NIH/DHHS, 6100 Executive Blvd, Rockville, MD 20852-7510, USAJutta S. Thornberry, RTI International, Rockville, MD, USAJill Joseph, Children’s National Medical Center, Washington, DC, USA Journal Maternal and Child Health JournalOnline ISSN 1573-6628Print ISSN 1092-7875 (Source: Maternal and Child Health Journal) Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5173441 Sat, 27 Aug 2011 15:47:23 +0100 5173441 http://www.medworm.com/index.php?rid=5173442&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft8447w1072687052%2F Abstract  Promotion of a healthy pregnancy is a top priority of the health care policy in many European countries. Perinatal mortality is an important indicator of the success of this policy. Recently, it was shown that the Netherlands has relatively high perinatal death rates when compared to other European countries. This is in particular true for large cities where perinatal mortality rates are 20–50% higher than elsewhere. Consequently in the Netherlands, there is heated debate on how to tackle these problems. Without the introduction of measures throughout the entire perinatal health care chain, pregnancy outcomes are difficult to improve. With the support of health care professionals, the City of Rotterdam and the Erasmus University Medical Centre have taken the ini... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5173442 Thu, 25 Aug 2011 15:49:14 +0100 5173442 http://www.medworm.com/index.php?rid=5167632&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F15n4jpkp73664w23%2F Abstract  Bronchopulmonary dysplasia (BPD) continues to be a major pulmonary complication in very low birth weight (VLBW) and extremely low birth weight (ELBW) survivors of neonatal intensive care units (NICUs). Many factors including partial pressures of carbon dioxide (Paco 2) have been implicated as possible causes. Permissive hypercapnia has become a more common practice in ventilated infants, but its effect on BPD is unclear. The hypothesis of this study was that hypercarbia is associated with increased BPD in infants with birth weights of 500–1,499 g. Nine hospitals were involved in this observational cohort study. Maternal and infant information including socio-demographics, antenatal steroids, gender, race, gestational age, birth weight, intubation and ventil... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5167632 Tue, 23 Aug 2011 15:50:34 +0100 5167632 http://www.medworm.com/index.php?rid=5153614&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe202643422728373%2F We examined the association between maternity care practices and breastfeeding duration to ≥10 weeks overall and among various racial and ethnic groups using data from the Pregnancy Risk Assessment and Monitoring System (PRAMS). PRAMS is a state, population-based surveillance system that collects information on maternal behaviors. We used maternity care practices data from 11 states and New York City with response rates ≥70% from 2004 to 2006. Multiple maternity care practices were examined and the analysis adjusted for demographic characteristics, participation in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), lifestyle, and infant variables. The outcome variable for multivariable analysis was breastfeeding duration to <10 weeks o... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5153614 Wed, 17 Aug 2011 05:52:20 +0100 5153614 http://www.medworm.com/index.php?rid=5153613&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fxv0w464q4j5583t7%2F Abstract  The aim of this study is to investigate the association between oral health experiences of women in the peripartum period and the risk of preterm delivery (<37 weeks). We analyzed 2004–2006 data from the CDC Pregnancy Risk Assessment Monitoring System (PRAMS), a population-based surveillance system that collects data on pregnancy and postpartum experiences of mothers who have recently delivered a live infant. Ten states included in the analysis had a ≥70% weighted response rate and three standard questions pertaining to oral health. White non-Hispanic (WNH), Black non-Hispanic (BNH), and Hispanic women were selected for analysis. Chi-squared analysis was performed for our bivariate analysis and multivariate logistic regression models were created to ca... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5153613 Wed, 17 Aug 2011 05:52:20 +0100 5153613 http://www.medworm.com/index.php?rid=5153615&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F12121762p4n82778%2F Abstract  Maternal exposure to environmental tobacco smoke (ETS) is a major health hazard as it contains lower doses of the toxins that smokers’ inhale. Prenatal exposure to wood fuel smoke has been linked to delivering low birth weight (LBW) infants. The study aims to assess the association between prenatal exposure to ETS and wood fuel smoke and LBW. A case–control study in ratio 1:1 was conducted in two hospitals with obstetric services in Gaza Strip. Subjects were selected during May–June and July–August 2007 from attenders of Mbarak Hospital and Shifa Medical Centre, respectively. 184 (41.2%), and 79 (17.7%) out of 446 participants were exposed to environmental tobacco smoke and wood fuel smoke, respectively. Adjusted maternal exposure to ETS (especially the nu... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5153615 Sun, 14 Aug 2011 05:44:47 +0100 5153615 http://www.medworm.com/index.php?rid=5136835&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F18663m3849142347%2F Abstract  Few studies have compared provider and patient perceptions of barriers, motivators and facilitators of prenatal care (PNC) initiation. The current study compared these perceptions in providers and patients in Washington, DC, a city characterized by infant mortality and low birth weight rates that are among the highest in the nation, and poor utilization of PNC, particularly among minority groups. The results reported here were part of a larger study of barriers, motivators and facilitators influencing PNC utilization in Washington, DC. A convenience sample of 331 African American and Latino patients and 61 providers were interviewed to identify which of 63 motivators, facilitators, and barriers significantly influenced PNC initiation. Both sample groups were recru... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5136835 Sat, 13 Aug 2011 06:05:50 +0100 5136835 http://www.medworm.com/index.php?rid=5136836&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg567t5115726t244%2F This study compiled the publicly available Treatment Episode Datasets from the Substance Abuse Mental Health Services Administration from 1998 to 2008. Subjects included 1,724,479 women entering publicly funded substance abuse treatment for the first time, 81,818 of whom were pregnant. Compared to non-pregnant women, pregnant women were more likely to be younger, minority, never married, less educated, homeless, and on public-assistance or have no income. Referrals from health care providers (HCPs) among pregnant women entering treatment have stayed consistently low while referrals from the criminal justice system accounted for the largest portion of pregnant women entering treatment. Over the past eleven years, there has been a general decline in alcohol abuse and an increase in dru... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5136836 Sat, 13 Aug 2011 06:05:49 +0100 5136836 http://www.medworm.com/index.php?rid=5129434&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx3446t62320p812k%2F Abstract  To investigate maternal characteristics associated with breastfeeding initiation and success. Women enrolled in the Mothers Outcomes After Delivery study reported breastfeeding practices 5–10 years after a first delivery. Women were classified as successful breastfeeding initiators, unsuccessful initiators, or non-initiators. For the first birth, demographic and obstetrical characteristics were compared across these three breastfeeding groups. For multiparous women, agreement in breastfeeding status between births was evaluated. Multivariate regression analysis was used to identify characteristics associated with non-initiation and unsuccessful breastfeeding across all births. Of 812 participants, 740 (91%) mothers tried to breastfeed their first child and ... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5129434 Fri, 12 Aug 2011 06:14:06 +0100 5129434 http://www.medworm.com/index.php?rid=5129436&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd89726lgv6844g71%2F Abstract  This paper examines the role of state residence and Medicaid reimbursement rates in explaining the relationship between having autism and access to care for children. Three questions are addressed: (1) Is there variation across states in the relationship between having autism and access to care? (2) Does taking account of state residence explain a significant amount of the variation in this relationship? (3) Does accounting for Medicaid reimbursement rates enhance our understanding of this relationship? Data from the 2005 National Survey of Children with Special Health Care Needs were combined with state characteristics to estimate a hierarchical generalized linear model of the association between state residence, Medicaid reimbursement rate and problems accessing... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5129436 Thu, 11 Aug 2011 06:57:19 +0100 5129436 http://www.medworm.com/index.php?rid=5129435&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6650504ln8r81167%2F Abstract  We sought to assess the association between air particulate pollutants and feto-infant morbidity outcomes across racial/ethnic subgroups. This is a retrospective cohort study from 2000 through 2007 based on three linked databases: (1) The Florida Hospital Discharge database; (2) The vital statistics records of singleton live births in Florida; (3) Air pollution and meteorological data from the Environmental Protection Agency. Using computerized mathematical modeling, we assigned exposure values of the air pollutants of interest (PM2.5, PM10 and the PM coarse fraction [PM10 − PM2.5]) to mothers over the period of pregnancy based on Euclidean minimum distance from the air pollution monitoring sites. The primary outcomes of interest were: low birth weight,... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5129435 Thu, 11 Aug 2011 06:57:19 +0100 5129435 http://www.medworm.com/index.php?rid=5115721&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F961415325645t787%2F The objective of this study was to apply the positive deviance concept to explore the characteristics of positive deviants for breastfeeding among WIC-enrolled first-time mothers in Louisiana. The cross sectional study included data on 2,036 WIC-enrolled first time mothers (52.6% black) from the LaPRAMs, 2000–2004. Chi-square test was used to compare groups. Multivariable logistic regression was applied to calculate adjusted OR and 95% CI by breastfeeding initiation status. The average age was 21.3 years, 31.5% had less than 12 years of education, and 44.6% of the sample reported having initiated breastfeeding. Black mothers were less likely to initiate breastfeeding than their white counterparts (OR 0.39 (95% CI: 0.31, 0.48)). Among 641 WIC-enrolled first time mothers wi... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5115721 Sun, 07 Aug 2011 05:48:30 +0100 5115721 http://www.medworm.com/index.php?rid=5115720&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr51912070573l70h%2F The objective of this study was to explore pregnant and recently pregnant women’s perceptions of influenza vaccine and antivirals during the 2009 H1N1 pandemic. We conducted 18 focus groups with pregnant and recently pregnant women in three US cities in September 2009. Participants were segmented into groups by insurance status (no or public insurance vs. private insurance), vaccine attitudes (higher vs. lower likelihood of acceptance of any vaccines, not only influenza vaccines), and parity (first child vs. other children in the home) based on information they provided on the screening questionnaire at the time of recruitment. We found that women are not well informed about influenza vaccinations and antiviral medicine and have significant concerns about taking them during pregnan... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5115720 Sun, 07 Aug 2011 05:48:30 +0100 5115720 http://www.medworm.com/index.php?rid=5101805&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg2pt6324l1t38240%2F Abstract  Describe the prevalence of and characteristics associated with being hurt in a car accident during pregnancy; the resulting medical care needed; and the association between counseling and the medical care needed after a car accident. Secondary data analysis of PRAMS (Pregnancy Risk Assessment Monitoring System) data, a population based survey of women with a recent live birth. Two percent of women were hurt in a car accident during their pregnancy. Only 57% of them had received counseling on seat belt use. Most women (87%) who were hurt in an accident needed medical care. Being counseled on seat belt use was not associated with the level of care needed. Most pregnant women who are hurt in a car accident require medical care or bed rest. Public health action and re... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5101805 Tue, 02 Aug 2011 15:53:06 +0100 5101805 http://www.medworm.com/index.php?rid=5101806&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw00v11734v1503q0%2F This study tested the efficacy of a counseling intervention delivered by cell phone and focused on postponing subsequent teen pregnancies by strengthening healthy relationships, reproductive practices, and positive youth assets. The objective of this study was to compare time to a repeat pregnancy between the intervention and usual care groups, and, secondarily, to determine whether treatment intensity influenced time to subsequent conception. Primiparous pregnant teens ages 15–19, were recruited in Washington, DC. Of 849 teens screened, 29.3% (n = 249) met inclusion criteria, consented to participate, and completed baseline measures. They were then randomized to the intervention (N = 124) or to usual care (N = 125). Intervention group teens received ce... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5101806 Tue, 02 Aug 2011 05:52:14 +0100 5101806 http://www.medworm.com/index.php?rid=5084552&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg320t67787746p07%2F We describe the validity and reliability of midwife-administered postpartum questionnaires in home and clinic settings. Women identified prospectively before or following hospital delivery (n = 476), September 2004–January 2005, were re-contacted at 6 months postpartum for home interview and medical examination. Reliability was measured by comparing women’s responses to the same questions at home and in clinic interviews. Validity was measured by comparing questionnaire responses with results of medical examination. Reliability of responses to questions comparing home and clinic interview was very good (κ > 0.6) for resumption of menstruation and occurrence of hemorrhoids, moderate (0.4 < κ ≤ 0.6) for weight loss and incontine... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5084552 Thu, 28 Jul 2011 15:54:08 +0100 5084552 http://www.medworm.com/index.php?rid=5075131&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq0v377350423p30w%2F This study proposed to test whether paraprofessional visitors drawn from the community could effectively influence health and mothers’ parenting behaviors and attitudes. African American mothers with inadequate prenatal care were recruited at delivery and randomized to intervention or usual care groups. The intervention curriculum was delivered through both home visitation and parent-infant groups for 1 year. The intervention curriculum was designed to improve knowledge, influence attitudes, and promote life skills that would assist low-income mothers in offering better health oversight and development for their infants. Both intervention and usual care groups received monthly social work contact over the one-year study period to provide referrals for identified needs. The int... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5075131 Tue, 26 Jul 2011 15:48:40 +0100 5075131 http://www.medworm.com/index.php?rid=5060949&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh23v50213th836t0%2F This study investigates the relationship between adverse pregnancy outcomes in high-risk African American women in Washington, DC and sociodemographic risk factors, behavioral risk factors, and the most common and interrelated medical conditions occurring during pregnancy: diabetes, hypertension, preeclampsia, and Body Mass Index (BMI). Data are from a randomized controlled trial conducted in 6 prenatal clinics. Women in their 1st or 2nd trimester were screened for behavioral risks (smoking, environmental tobacco smoke exposure, depression, and intimate partner violence) and demographic eligibility. 1,044 were eligible, interviewed and followed through their pregnancies. Classification and Regression Trees (CART) methodology was used to: (1) explore the relationship between medical a... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5060949 Fri, 22 Jul 2011 17:02:24 +0100 5060949 http://www.medworm.com/index.php?rid=5060953&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw607m52264761512%2F Abstract  To identify maternal and infant characteristics associated with accidental suffocation and strangulation in bed (ASSB) in US infants. Using 2000–2002 US linked infant birth and death certificate cohort files, we compared ASSB deaths to survivors. Adjusted odds ratios (aOR) from logistic regression were used to analyze associations between selected maternal and infant characteristics and ASSB mortality. During 2000–2002, 1,064 infants died from ASSB, resulting in an ASSB mortality rate of 9.2 per 100,000 live births. Most ASSB deaths (71%) occurred before an infant reached 4 months old. Maternal factors associated with an increased risk of ASSB were younger age (using maternal age of 25–29 years as reference aOR 2.6 for mothers <20 years old... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5060953 Tue, 19 Jul 2011 06:08:00 +0100 5060953 http://www.medworm.com/index.php?rid=5060952&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn7w5113p861w350n%2F Abstract  We sought to assess (1) the relationship between air particulate pollutants and feto-infant morbidity outcomes and (2) the impact of a Federal Healthy Start program on this relationship. This is a retrospective cohort study using de-identified hospital discharge information linked to vital records, and air pollution data from 2000 through 2007 for the zip codes served by the Central Hillsborough Federal Healthy Start Project in Tampa, Florida. Mathematical modeling was employed to compute minimal Euclidean distances to capture exposure to ambient air particulate matter. The outcomes of interest were low birth weight (LBW), very low birth weight (VLBW), small for gestational age, preterm (PTB), and very preterm birth. We used odds ratios to approximate relative ris... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5060952 Tue, 19 Jul 2011 06:08:00 +0100 5060952 http://www.medworm.com/index.php?rid=5060951&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx253788j53j5523q%2F This study compared healthy late-preterm (34–36 week) and healthy full-term (37–41 week) singleton infants on a range of cognitive, motor, and behavioral outcomes at 2 and 4 years. Eighteen developmental outcomes were analyzed using the Early Childhood Longitudinal Survey-Birth Cohort, a nationally representative panel study. Ordinary Least Squares and logistic regressions were performed to estimate unadjusted and adjusted differences in developmental outcomes between late-preterm and full-term children. In unadjusted models, late-preterm children scored more poorly than full-term children on most assessments of cognitive ability at 2 and 4 years. After adjusting for demographic, economic, and obstetrical factors, late-preterm children continued to score lower... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5060951 Tue, 19 Jul 2011 06:08:00 +0100 5060951 http://www.medworm.com/index.php?rid=5060950&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ffn3320148p217317%2F This study compares background characteristics and rates of prenatal and postpartum health care utilization between Hispanic and non-Hispanic white women. Using the Rhode Island Pregnancy Risk Assessment Monitoring System (PRAMS), 2002–2008, we assess rates of prenatal and postpartum healthcare utilization relevant to maternal and neonatal care. Associations between maternal ethnicity and adequacy of health care utilization were quantified using survey weighted multivariable logistic regression. Compared with non-Hispanic white women, Hispanic women were younger (less than 24 years, 43.8% vs. 25.2%), had less education (less than 12 years of education, 38.2% vs. 10.6%), lower annual income levels (incomes less than $19,999, 72.2% vs. 21.7%), and lower insurance rates befo... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5060950 Tue, 19 Jul 2011 06:08:00 +0100 5060950 http://www.medworm.com/index.php?rid=5034651&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Frj138t6491l85887%2F The objective of this study is to examine the relationship between a vulnerable child’s family composition (family size and primary caregiver) and three child well-being indicators (immunization status, access to food, educational security). Using 2006–2009 intake data from a Kenyan non-governmental aid agency, this cross-sectional study evaluated a population of 1,424 children in two urban slum settlements in Nairobi. Logistic regression was used to obtain adjusted odds ratios and 95% confidence intervals to examine the relationship between family composition measures and child well-being. Multivariate results were also stratified by orphan status. Vulnerable children who live in household sizes of 4–6 members and vulnerable children who live with non-relatives had greater odd... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5034651 Wed, 13 Jul 2011 06:03:13 +0100 5034651 http://www.medworm.com/index.php?rid=5034652&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl778w5gg88261q9n%2F Content Type Journal ArticlePages 1-8DOI 10.1007/s10995-011-0847-0Authors Vijaya K. Hogan, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 425 Rosenau Hall, 421 Pittsboro Street, 135 Dauer Drive, Campus Box 7445, Chapel Hill, NC 27599, USADiane Rowley, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 425 Rosenau Hall, 421 Pittsboro Street, 135 Dauer Drive, Campus Box 7445, Chapel Hill, NC 27599, USATrude Bennett, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 425 Rosenau Hall, 421 Pittsboro Street, 135 Dauer Drive, Campus Box 7445, Chapel Hill, NC 27599, USAKaren D. Taylor, Edgecombe Avenue, New York, NY 10032, USA Journal Maternal and Child Health JournalOnline ISSN... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5034652 Tue, 12 Jul 2011 06:09:28 +0100 5034652 http://www.medworm.com/index.php?rid=5016143&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F27x2306x81722w72%2F This study aimed to assess the scope of depressive symptoms among pregnant and postnatal Israeli Arab women and to identify possible risk factors. Data were collected from a screening program at 58 Mother–Child Health Care clinics in northern Israel from June to December, 2009. Participants included 1,254 pregnant and 2,326 postnatal women. The rate of antenatal depressive symptoms, i.e., a score of ≥10 on the Edinburgh Postnatal Depression Scale (EPDS) was 20.8%. Women attending clinics with primarily religious or traditional populations had lower rates antenatally than did those described as secular. During the postnatal period 16.3% of the women scored ≥10 on the EPDS. The rate of postnatal depressive symptoms was significantly higher among women living in Moslem than Druze ... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5016143 Thu, 07 Jul 2011 05:48:03 +0100 5016143 http://www.medworm.com/index.php?rid=5016144&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fqx1838706581641x%2F Abstract  The preconception counseling model tested in the CDC funded Project CHOICES efficacy trial to reduce the risk of an alcohol-exposed pregnancy (AEP) could be extended to smokers to prevent a nicotine-exposed pregnancy (NEP), when pharmacotherapy can be provided safely and disclosure of these risk behaviors is more likely. The CHOICES model, which incorporates motivational interviewing, encourages reduction of AEP risk by decreasing risky drinking or using effective contraception; in the efficacy trial, most women chose both options. We conducted a secondary analysis of the CHOICES epidemiologic survey data (N = 2,672) (Project CHOICES Research Group in Am J Prev Med 23(3), 166–173, 2002) to identify the prevalence of risk of NEP and the factors associated... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5016144 Thu, 07 Jul 2011 05:48:01 +0100 5016144 http://www.medworm.com/index.php?rid=5016145&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F82u185677rq5m538%2F We examined 3,015 singleton births to women without pregnancy complications from the Child Health and Development Studies prospective cohort with measured weights during pregnancy. We used multivariable regression to examine the associations between total and trimester gestational weight gain (GWG) and birth weight for gestational age and child BMI outcomes, adjusting for maternal age, race/ethnicity, education, marital status, parity, pre-pregnancy body mass index (BMI), and smoking; paternal overweight, gestational age, and infant sex. We explored differences in associations by maternal BMI and infant sex. GWG in all trimesters was significantly and independently associated with birth weight with associations stronger, though not significantly, in the second trimester. First trime... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=5016145 Thu, 07 Jul 2011 05:48:00 +0100 5016145 http://www.medworm.com/index.php?rid=4996773&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fdn027n1176843242%2F Abstract  With the increasing Latino population in the United States, it is critical to examine the influence of the process of acculturation on health care practices and utilization. The purpose of this study was to evaluate the relationship between acculturation level and post-partum visit (PPV) compliance among Latinas participating in a larger psycho-educational intervention aimed at encouraging women to engage in positive healthcare practices. Acculturation was measured with the Bicultural Involvement Questionnaire which assigned participants to five categories: Assimilated, Separated, Moderate, Bicultural and Alienation. Logistic Regression analyses were conducted to predict post-partum visit attendance. Odds ratios and relative risk of not attending the post-partum v... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4996773 Fri, 01 Jul 2011 17:41:56 +0100 4996773 http://www.medworm.com/index.php?rid=4990413&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff82372701866251r%2F This study examined the impact of the Centers for Disease Control and Prevention’s (CDC’s) One Test. Two Lives.™ (OTTL) campaign on key outcomes related to CDC’s revised HIV testing recommendations and the use of the campaign materials. Data from three cross-sectional surveys were used to assess the effect of OTTL on Obstetricians/Gynecologists’ (OB/GYN) HIV knowledge and practice. A 2-year combined sample of 500 OB/GYNs completed DocStyles, a Web-based survey for physicians, and 575 American College of Obstetricians and Gynecologists (ACOG) Fellows completed an ACOG survey. The surveys were similar in focus but did not contain the same items. Data were analyzed using cross-tabulations, χ2 analyses, and logistic regression. There was a 20% recall of exposure to OTTL with DocS... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4990413 Tue, 28 Jun 2011 15:48:40 +0100 4990413 http://www.medworm.com/index.php?rid=4990414&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa246306122m18g66%2F Abstract  The association between smoking during pregnancy and adverse maternal/neonatal health outcomes is widely acknowledged, and recent health care reform has filled a much-needed gap by extending prenatal smoking cessation intervention coverage to all pregnant women on Medicaid. While more extensive coverage will improve quit rates during pregnancy, there continues to be a need to address high relapse rates in the postpartum period for both the insured and the uninsured. Smoking during the postpartum period exposes infants directly and indirectly to negative health effects, and has additional costs to mothers and society. Approximately 80% of women who quit smoking during pregnancy relapse in the first year postpartum, highlighting a need for effective continuing care ... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4990414 Tue, 28 Jun 2011 05:57:31 +0100 4990414 http://www.medworm.com/index.php?rid=4981290&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F72604235267nj351%2F In this study we examine mortality rates of birth mothers of children with FASD, using a retrospective case control methodology. We utilized the North Dakota FASD Registry to locate birth certificates for children with FASD which we used to identify birth mothers. We then searched for mothers’ death certificates. We then compared the mortality rates of the birth mothers with an age matched control group comprised of all North Dakota women who were born and died in the same year as the birth mother. The birth mothers of children with FASD had a mortality rate of 15/304 = 4.93%; (95% CI 2.44–7.43%). The mortality rate for control mothers born in same years as the FASD mothers was 126/114,714 = 0.11% (95% CI 0.09–0.13%). Mothers of children with an FASD had a 4... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4981290 Mon, 27 Jun 2011 17:51:14 +0100 4981290 http://www.medworm.com/index.php?rid=4981289&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff6004420n16pk448%2F Abstract  Infantile colic, the cause of 10–20% of all early paediatrician visits, can lead to parental exhaustion and stress. A systematic review was conducted to examine whether dietary change provides an effective therapy for infantile colic. Six databases were searched from 1960, and 24 studies selected for inclusion. In breastfed infants, evidence suggests that a hypoallergenic maternal diet may be beneficial for reducing symptoms of colic. In formula-fed infants, colic may improve after changing from a standard cow’s milk formula to either a hydrolysed protein formula or a soy-based formula. Fibre-supplemented formulae had no effect. Removal of poorly digested carbohydrates from the infant’s diet has promise, but additional clinical studies must be conducted befo... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4981289 Mon, 27 Jun 2011 17:51:14 +0100 4981289 http://www.medworm.com/index.php?rid=4973990&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg62076h07535v641%2F The objective of this study is to demonstrate the use of measuring PCM dosage when assessing pregnancy outcomes. A birth cohort (N = 4,582) encompassing Medicaid-insured Iowa residents enrolled in PCM who gave birth to a singleton from October 2005 to December 2006 was constructed from linked Iowa birth, Medicaid Claims, and Women’s Health Information Systems datasets. Data was used to create a dosage measure capturing the duration of enrollment, amount of time spent with a case manager, and breadth of interventions. Bivariate analysis and logistic regression were used to assess the relationship between PCM dosage and the birth outcomes. Dosage was significantly associated with LBW (X 2 = 31.1, P < 0.001) and PTB (X 2 = 56.2, P <&... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4973990 Sat, 25 Jun 2011 15:52:46 +0100 4973990 http://www.medworm.com/index.php?rid=4966419&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6v155685184rh037%2F Abstract  Mobile health (mHealth) encompasses the use of mobile telecommunication and multimedia into increasingly mobile and wireless health care delivery systems and has the potential to improve tens of thousands of lives each year. The ubiquity and penetration of mobile phones presents the opportunity to leverage mHealth for maternal and newborn care, particularly in under-resourced health ecosystems. Moreover, the slow progress and funding constraints in attaining the Millennium Development Goals for child and maternal health encourage harnessing innovative measures, such as mHealth, to address these public health priorities. This literature review provides a schematic overview of the outcomes, barriers, and strategies of integrating mHealth to improve prenatal and neon... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4966419 Tue, 21 Jun 2011 17:59:30 +0100 4966419 http://www.medworm.com/index.php?rid=4966420&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm5t216m2n0872768%2F Abstract  Delivery assistance by skilled health personnel is a key progress indicator for Millennium Development Goal 5, which aims to reduce the worldwide maternal mortality ratio by 75% between 1990 and 2015. The role of socio-demographic factors in determining skilled attendance at delivery has been widely explored, but relatively little attention has been paid to the effect of gender power relations on delivery care. This analysis investigated whether women’s status in the household, as measured by their experience of intimate partner violence (IPV), affected skilled attendance at most recent delivery among women in Kenya. Cross-sectional data were obtained from the 2003 Kenya Demographic and Health Surveys (KDHS). 975 ever-married women who had given birth in the pas... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4966420 Tue, 21 Jun 2011 17:59:29 +0100 4966420 http://www.medworm.com/index.php?rid=4950586&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe982754628g071w1%2F This study included 3,597 White, African American, Hispanic, and Asian/Pacific Islander NYC resident women who completed the Pregnancy Risk Assessment Monitoring System (PRAMS) survey from 2004–2007, a population-based assessment of patient and health care characteristics. Social determinants including race, nativity, maternal age, prenatal health care setting, and payment type were associated with patient report of having had a conversation about perinatal mood with their provider. Compared to Whites, Asian/Pacific Islanders were less likely to have this conversation (OR = 0.7, CI = 0.5–0.9). Older (OR = 0.6, CI = 0.4–0.9), non-US born (OR = 0.6, CI = 0.5–0.8), and women receiving care from a private doctor or HMO c... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4950586 Fri, 17 Jun 2011 12:00:45 +0100 4950586 http://www.medworm.com/index.php?rid=4950587&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr50t771t5t777n79%2F We examined the associations between vigorous physical activity during pregnancy and length of gestation and birthweight. Methods: Women were recruited before 10 weeks gestation. At 13–16 weeks gestation, participants reported the type, frequency, and duration of their typical weekly vigorous physical activities. Activity domains included recreational, occupational, household, and child/adult care. Infant birth date was obtained from medical or vital records; if unavailable, self-report was used. Birthweight (from vital records) was studied among term births. We analyzed gestational age among 1,647 births using discrete-time survival analysis. We used logistic and linear regression to analyze preterm birth (birth at <37 weeks) and birthweight, respectively. Vigoro... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4950587 Wed, 15 Jun 2011 05:49:44 +0100 4950587 http://www.medworm.com/index.php?rid=4930688&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh8032l77058p4148%2F Abstract  The gendered nature of special health care needs in childhood is an important yet understudied area. Although gendered differences in the prevalence of special health care needs have been documented, there is less knowledge about the factors which contribute to those differences. Two research questions guide this inquiry. First, is the gender gap consistent across child special health care need indicators? Second, to what extent is the gender gap in special health care needs driven by behavioral conditions? We use multiple indicators from the U.S. National Survey of Children’s Health to expand our understanding about the dynamic relationship between gender and childhood health. There are clear gender differences in the prevalence of special health care needs. Bo... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4930688 Sun, 12 Jun 2011 06:04:00 +0100 4930688 http://www.medworm.com/index.php?rid=4930689&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9026m5407u624277%2F Abstract  To investigate the health care experiences of children with autism spectrum disorder, whether they have unmet needs, and if so, what types, and problems they encounter accessing needed care. We address these issues by identifying four core health care services and access problems related to provider and system characteristics. Using data from the 2005–2006 National Survey of Children with Special Health Care Needs (NS-CSHCN) we compared children with autism spectrum disorder with children with special health care needs with other emotional, developmental or behavioral problems (excluding autism spectrum disorder) and with other children with special health care needs. We used weighted logistic regression to examine differences in parent reports of unmet needs fo... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4930689 Sat, 11 Jun 2011 06:05:48 +0100 4930689 http://www.medworm.com/index.php?rid=4930690&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw4qvn05715042068%2F Abstract  Parents and caretakers of young children often have concerns about vaccine safety and adverse events following immunization (AEFI). Little is known about vaccine safety perceptions in Uganda and their influence on parental decision-making about infant immunization. The study objectives were: to identify community sources of information on immunization, vaccine safety and AEFI; determine caretakers’ knowledge of immunization; identify community concerns/fears about immunization and AEFI and their influence on caretakers’ decisions to vaccinate; and obtain an understanding of knowledge, perceptions, and experience of health care workers (HCWs) and policy administrators on vaccine safety and AEFI. Twelve focus group discussions with 136 caretakers who were very o... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4930690 Fri, 10 Jun 2011 06:03:24 +0100 4930690 http://www.medworm.com/index.php?rid=4930691&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fdq6x4335h7g82017%2F The objective of this study is to estimate the elective delivery rate between 360/7 and 386/7 weeks gestation and compare NICU admission rates between elective and non-elective deliveries. We conducted a retrospective cohort (n = 1,577) study. Charts were reviewed for all singleton deliveries (2006–2007) between 360/7 and 386/7 weeks gestation taking place at one hospital in NYS to determine delivery status. We computed adjusted relative risks (RR) with 95% confidence intervals (CI) for elective delivery in relation to NICU admission using robust Poisson regression. 32.8% of all births were elective: 20.7% of vaginal and 55.7% of cesarean births. Elective delivery increased with increasing gestational age. After controlling for potential confounders, infants... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4930691 Fri, 10 Jun 2011 06:03:16 +0100 4930691 http://www.medworm.com/index.php?rid=4919036&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F232mp7673547022u%2F This study examines smoking behaviors during pregnancy in a high risk population of African Americans. The study also examines risk factors associated with smoking behaviors and cessation in response to a cognitive behavioral therapy (CBT) intervention. This study is a secondary analysis of data from a randomized controlled trial addressing multiple risks during pregnancy. Five hundred African-American Washington, DC residents who reported smoking in the 6 months preceding pregnancy were randomized to a CBT intervention. Psycho-social and behavioral data were collected. Self-reported smoking and salivary cotinine levels were measured prenatally and postpartum to assess changes in smoking behavior. Comparisons were made between active smokers and those abstaining at baseline and ... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4919036 Wed, 08 Jun 2011 05:47:07 +0100 4919036 http://www.medworm.com/index.php?rid=4919035&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa2x044921884x347%2F Abstract  To determine the age-related patterns of low birth weight, preterm birth, and intrauterine growth retardation among first generation and established US-born Mexican–American mothers. We performed stratified analyses on an Illinois transgenerational dataset of Mexican–American infants (1989–1991) and their mothers (1956–1976) with appended U.S. census income information. In Cook County, Illinois established (second or higher generation) US-born Mexican–American women (N = 2,006) had a low birth weight (<2,500 g) rate of 6.2% compared to 4.8% for first generation US-born Mexican–American women (N = 1,450), RR = 1.3 (1.0–1.6). In both subgroups, low birth weight, preterm, and intrauterine growth retarded components r... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4919035 Wed, 08 Jun 2011 05:47:07 +0100 4919035 http://www.medworm.com/index.php?rid=4919037&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh106j82n80062753%2F The objective of this article is to examine the association of teen motherhood and long-term physical and mental health outcomes. The physical and mental health components (PCS and MCS) of the SF-12 Healthy Survey in the NLSY79 health module were used to assess long-term health outcomes of women who experienced teenage motherhood. Various familial, demographic, and environmental characteristics were indentified and controlled for that may have predicted teen motherhood and long-term health outcomes. The two comparison groups for teen mothers were women who experienced teen-pregnancy only and women who were engaged in unprotected sexual activity as a teenage but did not experience pregnancy. Multivariate ordinary least squares regression was used for analysis. The average PCS and MCS ... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4919037 Wed, 08 Jun 2011 05:47:05 +0100 4919037 http://www.medworm.com/index.php?rid=4919038&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq3748307x3828571%2F Abstract  The lack of easy to use protocols and monitoring charts in the management of pre-eclampsia/eclampsia contribute to substandard care of women in resource poor settings. A treatment monitoring tool (LIVKAN chart) has been developed to improve the quality of care for these women. Based on feedback from skilled birth attendants (SBAs), a two page document which provides a visual record of the treatment and monitoring of women with severe pre-eclampsia/eclampsia over a 24 h period was developed. It also contains detailed treatment guidelines as well as a summary of the woman’s treatment. A two page document on instructions for use of the chart was also developed. The chart design was evaluated by different level SBAs via a semi structured questionnaire. There wa... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4919038 Wed, 08 Jun 2011 05:47:03 +0100 4919038 http://www.medworm.com/index.php?rid=4919039&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fvu02v23451j53734%2F Abstract  Early life physical activity may help prevent obesity but is difficult to measure. The purpose of this study was to examine associations of age of achievement of gross motor milestones in infancy with adiposity at age 3 years. Seven forty one mother/infant dyads participated in a longitudinal study in Massachusetts. Exposures were age of attainment of 4 gross motor milestones—rolling over, sitting up, crawling, and walking. Outcomes were 3-year sum of subscapular and triceps skinfold thickness (SS + TR) for overall adiposity, their ratio (SS:TR) for central adiposity, and body mass index (BMI) z-score. We used linear regression models adjusted for confounders to examine motor milestone achievement and later adiposity. Rolling over (0.04, 95% CI: 0.... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4919039 Sat, 04 Jun 2011 05:53:34 +0100 4919039 http://www.medworm.com/index.php?rid=4900219&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fxr61u46514784426%2F Abstract  Mental illness (MI), substance abuse (SA), and intentional injury (II) are known individual risk factors for adverse pregnancy outcomes. Their combined association with preterm birth (PTB) and low birth weight (LBW) remains relatively unexplored. We examined hospital utilization for the co-occurrence of II and MI or SA in pregnant women in Massachusetts and assessed their interactive association with PTB and LBW. This retrospective cohort study used ICD-9 and E-codes reported on linked birth and hospital utilization data to identify MI, SA, and II diagnoses during pregnancy for 176,845 Massachusetts resident women who delivered during 2002–2004. Adjusted odds ratios (OR) for the independent and joint associations of MI, SA, and II on PTB and LBW were calculated.... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4900219 Thu, 02 Jun 2011 06:09:46 +0100 4900219 http://www.medworm.com/index.php?rid=4900220&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F814u2764772xl320%2F Abstract  For many decades, early access to prenatal care has been considered the gold standard for improving birth outcomes. In Contra Costa County, a diverse urban and suburban county of over one million people in the San Francisco Bay Area, the Family Maternal and Child Health Programs of Contra Costa Health Services (CCHS) have seen high rates of early entry into prenatal care since 2000. Yet despite our best efforts to increase access to quality prenatal care, our rates of low birth weight and infant mortality, especially among African Americans, continue to be high. When we were introduced to the Life Course Perspective in 2003 as an organizational framework for our programmatic activities, we recognized that emerging scientific evidence in the literature demonstrated... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4900220 Wed, 01 Jun 2011 06:00:12 +0100 4900220 http://www.medworm.com/index.php?rid=4900221&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn8r7x4735h683424%2F Abstract  Disparities in infant mortality by race/ethnicity and nativity are widely known. Patterns of marriage and union formation also vary by race, ethnicity and nativity and may contribute to disparities in birth outcomes. Using population level data, we build on previous research of race/ethnic disparities in birth outcomes by investigating the role of union status. Data come from the 2006 Birth Record from Texas Vital Statistics. The final sample size included 369,839 births to Texas women aged 18 and older. Birth outcomes were constructed from indicators of low birth weight and preterm birth. Logistic regression estimates odds of low birth weight and preterm birth by race/ethnicity and nativity and union status. Race/ethnicity/nativity and union status are significan... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4900221 Mon, 30 May 2011 17:13:12 +0100 4900221 http://www.medworm.com/index.php?rid=4900222&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe7v217711026j205%2F Abstract  To demonstrate the validity and internal consistency of a multi-item scale measuring women’s satisfaction with health care received in the weeks following childbirth for both themselves and their newborns. Data are from 1,154 women delivering healthy singletons or twins recruited for a randomized trial. Satisfaction with care items were selected from prior research, including the previously validated Primary Care Satisfaction Survey for Women (PCSSW) and studies of postpartum care. After randomly splitting the sample (1:1) for cross-validation purposes, Exploratory (EFA) and Confirmatory factor analysis (CFA) on ordinal data using the WLSMV estimator available in the MPLUS statistical modeling program were conducted. A CFA was also conducted on available data at... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4900222 Mon, 30 May 2011 17:13:11 +0100 4900222 http://www.medworm.com/index.php?rid=4900223&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe43k4429t6512046%2F Abstract  Though correlated, birthweight (BW) and gestational age (GA) have independent effects on cognitive and neurological outcomes. Jurisdictions vary in their inclusion of these two characteristics in their list of established conditions for automatic eligibility for Early Intervention (EI) services, which may lead them to miss important high-risk groups. We evaluated the relationship between BW–GA combinations and both EI referral rates and risk of EI-diagnosed significant developmental delay in a population of New York City (NYC) births. We linked birth certificates of children born in NYC to resident mothers during 1999–2001 and surviving the first 28 days of life (n = 339,522) to EI administrative data. We calculated EI referral rates for various ... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4900223 Fri, 27 May 2011 05:45:19 +0100 4900223 http://www.medworm.com/index.php?rid=4900224&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr4272v15417t4463%2F Abstract  The study aimed to assess the number of medically indicated and elective cesarean deliveries among foreign-born and native-born mothers in Taiwan. National Health Insurance (NHI) inpatient datasets in Taiwan between 2001 and 2003 showed 673,830 singleton deliveries, of which 66,687 were to foreign-born mothers and 607,143 were to Taiwan-born mothers. Univariate and multivariate logistic regression models were used to estimate the likelihood of using inpatient services for medically indicated and elective cesarean delivery. During the study period, foreign-born mothers were significantly less likely to undergo medically indicated (odds ratio [OR], 0.82; 95% confidence interval (95% CI), 0.79–0.85) and elective (OR, 0.50; 95% CI, 0.47–0.53) cesarean delivery tha... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4900224 Tue, 24 May 2011 16:02:06 +0100 4900224 http://www.medworm.com/index.php?rid=4900225&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg693778515h4062x%2F Abstract  Adolescent dating violence is increasingly recognized as a public health problem. Our qualitative investigation sought input from urban, African-American adolescents at risk for dating violence concerning (Tjaden and Thoennes in Full report of the prevelance, incidence, and consequences of violence against women: findings from the national violence against women survey. US Department of Justice, Washington, DC, 2000) dating violence descriptions, (WHO multi-country study on women’s health and domestic violence against women: Summary report of initial results on prevalence, health outcomes and women’s responses. World Health Organization, Geneva, 2005) preferences for help-seeking for dating violence, and (Intimate partner violence in the United States. Bureau ... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4900225 Tue, 24 May 2011 16:02:04 +0100 4900225 http://www.medworm.com/index.php?rid=4900226&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4273u18287623266%2F Abstract  Maternal smoking is a key preventable cause of poor pregnancy outcomes, such as low birthweight. In many areas of the United States, including Eastern North Carolina, rates of prenatal smoking are high. Prenatal depressive symptoms are associated with maternal smoking, but there remains much to learn about this relationship, especially among Black women, who have double the risk of poor pregnancy outcomes of White women. In the study reported in this paper, we investigated the relationship between maternal prenatal depressive symptoms with smoking behaviors, beliefs and attitudes, environmental factors which promote smoking and nicotine addiction. Pregnant women were enrolled in the study at the first prenatal visit to the clinics of the Departments of Obstetrics ... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4900226 Mon, 23 May 2011 17:05:24 +0100 4900226 http://www.medworm.com/index.php?rid=4851698&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F90787067431h83j6%2F This study aimed to identify maternal care services utilization among ever married female youths (15–24 years) in Kyimyindaing Township, Yangon, Myanmar. A quantitative cross-sectional survey was conducted. A total of 196 ever married females who had delivered at least one child were included. Multistage sampling was employed. Face to face interviews using a structured questionnaire were carried out. Respondents were asked about their maternal care services utilization at the last pregnancy. Bivariate and logistic regression analyses were applied to determine the factors associated with utilization of maternal care services. Overall 96% of respondents received antenatal care (ANC) at least once and 79% had at least 4 ANC visits. The mean number of antenatal visits increased wi... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4851698 Wed, 18 May 2011 21:23:48 +0100 4851698 http://www.medworm.com/index.php?rid=4851699&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8407102g4541p3k5%2F The objectives of the current study were to identify the factors associated with parental concern about child weight and determine if parental concern is associated with specific actions to improve diet and increase physical activity. A stratified random sample of 1,500 parents of children in kindergarten, 2nd, 4th, 5th, 7th, and 9th grade were interviewed. Interviews addressed: (a) child and parent physical activity, (b) child and family nutrition, (c) child and parent BMI weight category, (d) interactions with health care providers, (e) parent obesity knowledge, (f) school assessment of BMI, and (g) parent perception of and concern about child weight. Child gender, weight status, and parent perception of child weight were significant predictors of parental concern. Parents were sig... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4851699 Wed, 18 May 2011 21:23:47 +0100 4851699 http://www.medworm.com/index.php?rid=4851700&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq4087n180002136p%2F Abstract  To determine how psychosocial factors affect the association between a history of abuse and postpartum depression (PPD). Women at four urban hospitals in Utah were enrolled ≤48 h of delivering a live-born infant. At enrollment, pregravid history of physical or sexual abuse was obtained via self-report. Psychosocial covariates such as pregnancy stressors and depression were also collected. Pregnancy stressors were categorized using “stressor” questions from the Pregnancy Risk Assessment Monitoring System. The primary outcome measure, a pre-specified Edinburgh Postnatal Depression Scale score of ≥12 was obtained 6–8 weeks postpartum. Among the 1,038 women studied, psychosocial risk factors were common: abuse history 11.7%, pregnancy stressors–fi... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4851700 Tue, 17 May 2011 06:14:58 +0100 4851700 http://www.medworm.com/index.php?rid=4851701&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp2500502633w1147%2F This study tested the feasibility of using an interactive voice response (IVR) phone system to screen for postpartum depression among low-income, English- and Spanish-speaking mothers. Newly delivered mothers were interviewed in the hospital. Consenting subjects completed a background questionnaire and were asked to call an automated phone system 7 days postpartum to complete an IVR version of the Edinburgh Postnatal Depression Screen (EPDS). During the phone screen, subjects were branched to different closing narratives based on their depression scores which were later posted to a password protected website. Logistic regression was used to assess relationships between demographic and psychosocial factors, IVR participation, and depression scores. Among 838 ethnically diverse, l... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4851701 Tue, 17 May 2011 06:14:57 +0100 4851701 http://www.medworm.com/index.php?rid=4838294&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff888j053687p2157%2F This study examined the predictive ability of mother’s age, antenatal depression, education, financial difficulties, partner status, and smoking for a range of poor maternal and offspring outcomes assessed up to 61 months postnatally. Outcomes obtained from the Avon Longitudinal Study of Parents and Children (ALSPAC) were maternal postnatal depression at 8 weeks (n = 10,070), never breastfeeding (n = 7,976), feelings of poor attachment (n = 8,253) and hostility (n = 8,159) at 47 months, and not in employment, education or training (NEET, n = 8,265) at 61 months. Only a small proportion of women with each outcome were aged less than 20 years when they were pregnant. At least half of the women experiencing thes... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4838294 Sat, 14 May 2011 15:51:22 +0100 4838294 http://www.medworm.com/index.php?rid=4818720&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4lm747w429v2322g%2F This study aimed to investigate the prevalence of maternal depressive symptoms at 5 and 9 months postpartum in a low-income and predominantly Hispanic sample, and evaluate the impact on infant weight gain, physical health, and sleep at 9 months. Participants included 132 low-income mother-infant pairs who participated in a larger investigation on prenatal care utilization. Mothers were interviewed in person 24–48 h after birth and by phone at 5 and 9 months postpartum. Clinically significant levels of depressive symptoms were reported in 33% of the women at 5 months postpartum, and 38% at 9 months postpartum. Higher depressive symptoms at 5 months were associated with less infant weight gain from 5 to 9 months, p = .002, increased in... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4818720 Wed, 11 May 2011 05:50:48 +0100 4818720 http://www.medworm.com/index.php?rid=4818719&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu4v8741046281353%2F Abstract  To describe the characteristics of women seeking infertility treatment and the types of fertility treatment sought within a population-based sample. We analyzed data from the cross-sectional Pregnancy Risk Assessment Monitoring System (PRAMS) of women with a live birth using data from seven states. Logistic regression was used to determine factors associated with infertility treatment utilization. Infertility treatment was reported by 10.5% of women who were trying to become pregnant. The most common treatment reported was fertility enhancing drugs (29%), followed by assisted reproductive technology including in vitro fertilization (21%), and artificial insemination together with fertility enhancing drugs (15%). Some women reported using other types of treatment (... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4818719 Wed, 11 May 2011 05:50:48 +0100 4818719 http://www.medworm.com/index.php?rid=4818721&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fkg3131vt21ng65k7%2F Abstract  To assess the association between perinatal care expenditures and a Medicaid waiver to increase Florida Healthy Start services among Florida Medicaid non-managed care organization (non-MCO) program enrollees. We assessed perinatal care expenditures from Medicaid claims and encounter data among non-MCO enrollees with increased risk pregnancies who gave birth in Florida during 1998–2006. We used a pre-post design to compare adjusted perinatal medical expenditures among women who received Healthy Start care coordination (n = 41,067) to women who were not contacted by the Healthy Start program after screening (n = 24,282). We calculated adjusted average costs and difference-in-differences using marginal estimates from multivariable linear mixed r... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4818721 Wed, 11 May 2011 05:50:47 +0100 4818721 http://www.medworm.com/index.php?rid=4818722&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl47382m7417462p2%2F The objective of this study was to describe the prevalence of physical abuse before and during pregnancy among a representative sample of Massachusetts women with and without disabilities. Data from the 2007–2008 Massachusetts Pregnancy Risk Assessment Monitoring System (PRAMS) were analyzed in 2010. Disability prevalence was 4.9% (95% CI = 3.9–6.2) among Massachusetts women giving birth during 2007–2008. The prevalence of physical abuse during the 12-months before pregnancy among women with disabilities was 13.6% (95% CI = 7.2–24.0) compared to 2.8% for women without disabilities (95% CI = 2.1–3.7). Similarly, 8.1% (95% CI = 4.0–15.7) of women with disabilities compared to 2.3% (95% CI = 1.7–3.1) of women without disabil... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4818722 Tue, 10 May 2011 06:01:22 +0100 4818722 http://www.medworm.com/index.php?rid=4818723&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb2v03045gg172008%2F Abstract  Previous studies have suggested that adolescent mothers with higher social support have lower depressive symptoms. This is a longitudinal study of adolescent mothers to examine the association of social support and depressive symptoms over one year postpartum. This was a prospective study of adolescent mothers (N at baseline = 120, N at 1 year = 89; age < 19 years) enrolled in a teen tot program. Participants completed the Center for Epidemiological Studies Depression Scale for children (CES-DC) and the Duke-UNC Functional Social Support Questionnaire at baseline, 12 weeks, and 1 year. A score of ≥ 16 on the CES-DC was suggestive of major depression. The mean CES-DC scores of the adolescent mothers were �... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4818723 Tue, 10 May 2011 06:01:21 +0100 4818723 http://www.medworm.com/index.php?rid=4811005&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh806815jq75t061v%2F This study assessed the quality of data from relatives and the impact of the data source on the association between the use of prenatal care and pregnancy outcomes. Data for 3,673 new mothers and 293 proxy respondents were available from a house-hold survey in 2008–2009 in rural China. Analyses were performed using chi-square test, ANOVA, Kruskal–Wallis test, and logistic regression models. Differences in the studied variables were small, but proxy respondents were slightly more likely to have missing data than the new mothers. Differences and missing data were more common for the use of prenatal care and outcome variables (mode of delivery, place of delivery, birth weight, use of postnatal care, and gestational age at birth) than for the background characteristics of the partici... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4811005 Fri, 06 May 2011 16:16:11 +0100 4811005 http://www.medworm.com/index.php?rid=4793514&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F05631242546831qj%2F Abstract  Folate and vitamin B12 are involved in homocysteine metabolism and are critical to the methylation of DNA. We aimed to assess plasma vitamin B12 (pB12), plasma folate (pFol), and red cell folate (rcFol) in women and their infants during pregnancy and after birth. Maternal biomarkers were tested as predictors of infant biomarkers, including plasma homocysteine (pHcy), at age 6 months. Participants (n = 153) were recruited at the John Hunter Hospital, Australia. Maternal fasting blood samples were collected at 20 and 36 weeks gestation, and at 14 and 27 weeks postpartum. Fifty healthy, term infants provided non-fasting samples at age 6 months. Plasma homocysteine data were available for 16 infants at age 6 months. Maternal pB12 conc... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4793514 Wed, 04 May 2011 15:04:46 +0100 4793514 http://www.medworm.com/index.php?rid=4779107&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg276pp3762t3741j%2F Abstract  To identify (1) the association between pre-pregnancy BMI (PP-BMI) and PPD symptoms, and (2) the association between PP-BMI and PPD symptoms after considering PNC utilization as a moderating variable. Data from the 2004 and 2005 Pregnancy Risk Assessment Monitoring System (PRAMS) were analyzed from 15 states. The study design utilized two risk-adjustment approaches. One approach included all women in the dataset and used statistical analyses to risk-adjust for pregnancy risk status, and the other approach, through a sensitivity analysis, modified the design of the study by truncating the sample to include only women with healthy pregnancies. An initial association was seen between obesity and PPD symptoms, and PNC and PPD symptoms in the multivariate analyses. How... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4779107 Sat, 30 Apr 2011 23:41:42 +0100 4779107 http://www.medworm.com/index.php?rid=4779108&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F54n62539k274r5m7%2F Abstract  Since that first day of the millennium the United States has experienced two recessions. The first recession began in 2001 and lasted for10 months. The second, now referred to as the Great Recession, began in December of 2007, was approximately 18 months in duration and was followed by a weak and jobless recovery that has persisted into the second decade of this century. This commentary will examine how low-income children have fared in regard to economic security, food insecurity and housing instability as a result of the Great Recession and recent economic downturn. It concludes with a call to action for a renewed investment in our children through a Children’s Recovery and Stimulus Initiative. Content Type Journal ArticlePages 1-2DOI 10.1007/s10... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4779108 Fri, 29 Apr 2011 05:41:32 +0100 4779108 http://www.medworm.com/index.php?rid=4752171&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F07p7501868711510%2F Abstract  To evaluate the risk of adverse birth outcomes among US- and foreign-born Korean women compared to US-born white women, we used the 2004 US natality file to assess the risk of low birth weight (LBW), preterm delivery (PTD), and cesarean delivery (CD) among US-born (N = 943) and foreign-born Koreans (N = 11,974) compared to white women (N = 25,834). Adjusted odds ratios (aOR) and 95% confidence intervals (CI) were calculated using regression models to assess the risk of these outcomes. US-born (aOR = 0.66, 95% CI 0.43–1.02) and foreign-born Korean women (aOR 0.86, 95% CI 0.70–1.06) exhibited a lowered risk of LBW than white women, although not statistically significant. The risks of PTD and CD among Korean women were simil... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4752171 Sat, 23 Apr 2011 15:41:47 +0100 4752171 http://www.medworm.com/index.php?rid=4752172&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4n476u8568683246%2F This study compares cost burden, access to care, and patient/provider communication within New Jersey’s SCHIP for CSHCN versus those without such needs. We used data from the 2003 NJ FamilyCare (NJFC) Supplement to the New Jersey Family Health Survey on 444 children enrolled in NJFC and 145 children disenrolled from NJFC but covered by other insurance at the time of the survey. The CSHCN Screener was used to identify CSHCN. CSHCN in NJFC had 1.5 times the odds of an unmet need for health care; 2.7 times the odds of a cost burden; and 2.2 times the odds of any coverage or service inadequacy than those without SHCN, even when demographic factors and NJFC plan level (which is based on income) were taken into account. CSHCN enrolled in NJFC have more difficulties in some areas of acces... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4752172 Fri, 22 Apr 2011 16:02:11 +0100 4752172 http://www.medworm.com/index.php?rid=4752173&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk57x0w13543271l0%2F We examined the validity of child birthweight and gestational age recall by mothers, and the extent to which recall bias affects associations between birthweight and childhood obesity in children from Bogotá, Colombia. We surveyed mothers of 3,202 schoolchildren aged 5–12 years about child’s weight and gestational age at birth, and sociodemographic characteristics. In a subsample of 279 children, we obtained hospital birth records and extracted birthweight, gestational age, and other perinatal information. Mean birthweight (SD) was 3,106 (739) grams according to maternal recall and 2,977 (462) grams according to hospital records (difference 129 g; 95% CI = 55, 203). Thirty-three percent of mothers recalled their children’s birthweights exactly as they appea... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4752173 Fri, 22 Apr 2011 16:02:10 +0100 4752173 http://www.medworm.com/index.php?rid=4752174&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft6w460vl2746549g%2F The objectives of this study were to determine risk factors for early (less than 34 weeks gestation) and late (34–36 weeks gestation) preterm singleton birth, by assisted reproductive technology (ART) status. We linked data from Massachusetts birth records and ART records representing singleton live births from 1997 through 2004. Using multinomial regression models, we assessed risk factors for early and late preterm birth by ART status. From 1997 to 2004 in Massachusetts, among non-ART births, risk factors for early and late preterm birth were similar and included women <15 and ≥35 years of age, those of non-white race or Hispanic ethnicity, those with ≤12 years of education, those with chronic diabetes, those with gestational diabetes, th... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4752174 Fri, 22 Apr 2011 16:02:07 +0100 4752174 http://www.medworm.com/index.php?rid=4752175&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1732x7347r757776%2F We examined the association of self-reported maternal dieting behaviors on the occurrence of NTDs. We conducted a population based case–control study among Mexican–American women who were residents of the 14 Texas counties bordering Mexico. Case women had an NTD-affected pregnancy identified at birth or prenatally and had deliveries during the years 1995–2000. Control women were those who delivered live born infants without an apparent congenital malformation, randomly selected and frequency-matched to cases by year and facility. One hundred eighty-four case women and 225 control women were asked in person about the use of nutritional supplements, dieting to lose weight, and type of weight reduction supplements used during the 3 months before conception. Women who reported... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4752175 Thu, 21 Apr 2011 18:01:13 +0100 4752175 http://www.medworm.com/index.php?rid=4752176&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F87835114w03x6703%2F Abstract  Obesity rates remain high among children in the United States (US), but children of low-income, minority families are at particularly high risk. Latinos are the largest and most rapidly growing US population group. Effective strategies will require attention to a wide array of culturally mediated variables that influence child feeding practices through the social contexts in which behaviors take place. This paper presents the design and implementation of a qualitative study examining low-income, Latina mothers’ perceptions of child weight status and feeding practices, and their associations with the development of overweight in children. Guided by the social ecologic model and social contextual model on the role of the family in mediating health behavior, the La... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4752176 Thu, 21 Apr 2011 18:01:12 +0100 4752176 http://www.medworm.com/index.php?rid=4752178&cid=s_35996_51_f&fid=35996&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7p8887441738060u%2F Abstract  To assess the effects of an Integrated Care System (ICS) on parent-reported quality of care and satisfaction for Children with Special Health Care Needs (CSHCN). In 2006 Florida reformed its Medicaid program in Broward and Duval counties. Children’s Medical Services Network (CMSN) chose to participate in the reform and developed an ICS for CSHCN. The ICS ushered in several changes such as more prior approval requirements and closing of the provider network. Telephone surveys were conducted with CMSN parents whose children reside in the reform counties and parents whose children reside outside of the reform counties in 2006 and 2007 (n = 1,727). Results from multivariate quasi-experimental models show that one component of parent-report quality of care,... Maternal and Child Health Journal journals http://www.medworm.com/rss/comments.php?id=4752178 Thu, 21 Apr 2011 06:07:53 +0100 4752178