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Journal articles on the topic 'Mother and child healthcare'
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Rahlin, Mary. "Mother and Child in Russian Healthcare." Pediatric Physical Therapy 7, no. 4 (1995): 187???188. http://dx.doi.org/10.1097/00001577-199500740-00007.
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Herrero-Roldán, Silvia, Inmaculada León, Juan Andrés Hernández-Cabrera, and María José Rodrigo. "Improving Early Diagnosis of Child Neglect for a Better Response in Healthcare Settings." Children 8, no. 10 (September 27, 2021): 859. http://dx.doi.org/10.3390/children8100859.
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Early diagnosis of child neglect is an ongoing challenge with consequences of the child’s safety, health, and effective referral for intervention. This study aims to obtain a selected set of family, maternal, and dyadic variables of the immediate caregiving environment for diagnosis, preventive, and intervention responses in healthcare settings. Mothers and their children under five years old: 51 in the neglected group (NG) and 89 in the non-neglected control group (CG), were recruited through pediatric primary care services and social services in Spain. Family demographics, adverse events, childhood maltreatment, maternal psychopathologies, personality variables, and observed mother–child interactions were assessed. Gradient boosting analyses were applied for the contributor’s relative importance (RI), followed by logistic regression and discriminant analyses for those with higher RI. Parametric analyses showed high diagnostic accuracy (80–82% of NG and 92% of CG) for risky factors of child neglect: having a physically neglected and depressed mother, living in families in need of financial assistance, and large families; and for protective factors: having an older mother and showing higher mother–child emotional availability. Identifying a select group of features makes early diagnosis and preventive intervention more effective for mitigating the impact of child neglect and building mother–child resilience.
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Ganjekar, Sundarnag, Anilkumar Viswananthan Thekkethayyil, and Prabha S. Chandra. "Perinatal mental health around the world: priorities for research and service development in India." BJPsych International 17, no. 1 (November 27, 2019): 2–5. http://dx.doi.org/10.1192/bji.2019.26.
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Maternal mental health disorders are a significant problem for mother–infant dyads in India, but have not received the attention that they should. However, recent major developments hold promise: the increase in coverage of the District Mental Health Programme; the growing emphasis in public health systems on newborn health; integration of maternal mental health into the Reproductive and Child Health Programme in the state of Kerala; and the Mental Health Care Act 2017, which mandates mother–infant joint care when a mother is admitted for mental illness, will lead to policy changes in services. Innovative implementation and translational research is needed to generate knowledge to strengthen maternal mental healthcare systems and improve maternal and child outcomes. Valuable ‘research rupees’ should be spent on ensuring equity of resources for physical and mental healthcare of mothers and providing optimal environments for every mother–infant dyad.
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Pulver, Ariel, Astrid Guttmann, Joel G. Ray, Patricia J. O'Campo, and Marcelo L. Urquia. "Receipt of routine preventive care among infant daughters and sons of immigrant mothers in Ontario, Canada: a retrospective cohort study." BMJ Open 10, no. 7 (July 2020): e036127. http://dx.doi.org/10.1136/bmjopen-2019-036127.
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ObjectivesTo explore gender disparities in infant routine preventive care across maternal countries of birth (MCOB) and by mother tongue among infants of Indian-born mothers.SettingRetrospective population-based administrative cohort in Ontario, Canada (births between 2002 and 2014).Participants350 366 (inclusive) healthy term singletons belonging to families with a minimum of one opposite gender child.Outcome measuresFixed effects conditional logistic regression generated adjusted ORs (aORs) for a daughter being underimmunised and having an inadequate number of well-child visits compared with her brother, stratified by MCOB. Moderation by maternal mother tongue was assessed among children to Indian-born mothers.ResultsUnderimmunisation and inadequate well-child visits were common among both boys and girls, ranging from 26.5% to 58.2% (underimmunisation) and 10.5% to 47.8% (inadequate well-child visits). depending on the maternal birthplace. Girls whose mothers were born in India had 1.19 times (95% CI 1.07 to 1.33) the adjusted odds of inadequate well-child visits versus their brothers. This association was only observed among the Punjabi mother tongue subgroup (aOR: 1.26, 95% CI 1.08 to 1.47). In the Hindi mother tongue subgroup, girls had lower odds of underimmunisation than their brothers (aOR: 0.73, 95% CI 0.54 to 0.98).ConclusionsGender equity in routine preventive healthcare is mostly achieved among children of immigrants. However, daughters of Indian-born mothers whose mother tongue is Punjabi, appear to be at a disadvantage for well-child visits compared with their brothers. This suggests son preference may persist beyond the family planning stage among some Indian immigrants.
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Fraser, Lorna Katharine, Fliss E. M. Murtagh, Trevor Sheldon, Simon Gilbody, and Catherine Hewitt. "Health of mothers of children with a life-limiting condition: a protocol for comparative cohort study using the Clinical Practice Research Datalink." BMJ Open 10, no. 7 (July 2020): e034024. http://dx.doi.org/10.1136/bmjopen-2019-034024.
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IntroductionThere are now nearly 50 000 children with a life-limiting or life-threatening condition in the UK. These include conditions where there is no reasonable hope of cure and from which they will die, as well as conditions for which curative treatment may be feasible but can fail, for example, cancer or heart failure. Having a child with a life-limiting condition involves being a coordinator and provider of healthcare in addition to the responsibilities and pressures of parenting a child who is expected to die young. This adversely affects the health and well-being of these mothers and affects their ability to care for their child, but the extent of the impact is poorly understood.This study aims to quantify the incidence and nature of mental and physical morbidity in mothers of children with a life-limiting condition, their healthcare use and to assess whether there is a relationship between the health of the mother and the child’s condition.Methods and analysisA comparative cohort study using data from the Clinical Practice Research Datalink and linked hospital data will include three groups of children and their mothers (those with a life-limiting condition, those with a chronic condition and those with no long-term health condition total=20 000 mother–child dyads). Incidence rates and incidence rate ratios will be used to quantify and compare the outcomes between groups with multivariable regression modelling used to assess the relationship between the child’s disease trajectory and mother’s health.Ethics and disseminationThis study protocol has approval from the Independent Scientific Advisory Committee for the UK Medicines and Healthcare products Regulatory Agency Database Research. The results of this study will be reported according to the STROBE and RECORD guidelines. There will also be a lay summary for parents which will be available to download from the Martin House Research Centre website (www.york.ac.uk/mhrc).
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Houben, E., L. Broeders, E. A. P. Steegers, and R. M. C. Herings. "Cohort profile: the PHARMO Perinatal Research Network (PPRN) in the Netherlands: a population-based mother–child linked cohort." BMJ Open 10, no. 9 (September 2020): e037837. http://dx.doi.org/10.1136/bmjopen-2020-037837.
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PurposeObservational population-based research is a very suitable non-invasive method for studies in the vulnerable populations of pregnant women and children. Therefore, the PHARMO Perinatal Research Network (PPRN) was set up as a resource for life course perinatal and paediatric research by linking population-based data from existing registrations.ParticipantsFrom 1999 to 2017, the PPRN captures approximately 542 900 pregnancies of 387 100 mothers (‘Pregnancy Cohort’). Additionally, mother–child linkage is currently available for a quarter of these pregnancies (‘Child Cohort’). The PPRN contains preconceptional information on maternal healthcare, as well as detailed pregnancy and neonatal data, extending into long-term follow-up and outcomes after birth for both mother and child up to nearly 20 years. It includes linked data from different primary and secondary healthcare settings.Findings to dateThrough record linkage of the Netherlands Perinatal Registry and the PHARMO Database Network, we have established a large population-based research network including data on demographics, medication use, medical conditions and details concerning labour, birth and neonatal outcomes. Here, we provide an overview of record types available from the PPRN, available database follow-up and pregnancy characteristics of the PPRN cohorts. The PPRN has been used for a number of different pharmacoepidemiological studies, for example, to confirm that preterm-born infants were more likely than full-term infants to be hospitalised or use medication. Similar long-term comparisons showed that children born following spontaneous preterm labour were at increased risk of neurodevelopmental and respiratory conditions. Most recently, the PPRN provided important evidence on the trends in use of potentially harmful medication during pregnancy.Future plansThe PPRN provides a unique and rich data set facilitating large-scale observational pharmacoepidemiological perinatal research. The patient-level linkage of many different healthcare data sources allows for long-term follow-up of mother and child, with ongoing annual updates.
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Jidong, Dung Ezekiel, Nusrat Husain, Tarela J. Ike, Maisha Murshed, Juliet Y. Pwajok, Ayesha Roche, Haruna Karick, et al. "Maternal mental health and child well-being in Nigeria: A systematic review." Health Psychology Open 8, no. 1 (January 2021): 205510292110121. http://dx.doi.org/10.1177/20551029211012199.
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Maternal mental health distress has a disease burden of severe adverse effects for both mother and child. This review identified maternal mental health concerns, their impact on child growth and the current practice of maternal healthcare for both mothers and their children in Nigeria. The Population, phenomenon of Interest and Context (PICo) model was adopted to formulate the review strategy, and five databases were searched for published articles between 1999 and 2019. Databases include Scopus, PubMed, ProQuest, Applied Social Science Index and Abstracts and Web of Science. Boolean operators (AND/OR/NOT) helped to ensure rigorous use of search terms which include ‘maternal’, ‘pre/peri/postnatal’, ‘mental health’, ‘mental illness’, ‘disorders’, ‘intervention,’ ‘Nigeria’, ‘child’, ‘infant growth’, and ‘wellbeing’. Thirty-four studies met the inclusion criteria, and extracted data were qualitatively synthesised and analysed thematically. Five themes emerged. These include (i) marital difficulties, (ii) relationship status of the mother, (iii) child’s gender, (iv) mode of child delivery and (v) child growth and development. The review showed a significant paucity of literature on the impact of specific maternal mental health problems on child physical growth and cognitive development. We concluded that culturally appropriate and evidence-based psychological interventions for maternal mental health problems would benefit Nigerian indigenous mothers. Therefore, the study recommends randomised controlled trials that are culturally appropriate and cost-effective for distressed mothers with children.
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Holland, Margaret L., Byung-Kwang Yoo, Harriet Kitzman, Linda Chaudron, Peter G. Szilagyi, and Helena Temkin-Greener. "Mother–Child Interactions and the Associations with Child Healthcare Utilization in Low-Income Urban Families." Maternal and Child Health Journal 16, no. 1 (December 3, 2010): 83–91. http://dx.doi.org/10.1007/s10995-010-0719-z.
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Ferdous, Farzana, Fahmida Dil Farzana, Shahnawaz Ahmed, Sumon Kumar Das, Mohammad Abdul Malek, Jui Das, Abu Syed Golam Faruque, and Mohammod Jobayer Chisti. "Mothers’ Perception and Healthcare Seeking Behavior of Pneumonia Children in Rural Bangladesh." ISRN Family Medicine 2014 (February 23, 2014): 1–8. http://dx.doi.org/10.1155/2014/690315.
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We describe mothers’ perception about signs and symptoms, causes of the illness, and healthcare seeking behaviors related to pneumonia and express the major modifiable barriers to seeking timely treatment when their under-5 children had pneumonia in rural Bangladesh. Using focus group discussion, we understood mothers’ perception and healthcare seeking behavior of childhood pneumonia. Although mothers described pneumonia as a serious life threatening disease in young children but most of the mothers (n=24) could not diagnose whether their child had pneumonia or not. Environmental factors such as dust particles, spread from coughing mother, and drinking cold water or playing with water were perceived as the causes for pneumonia. Three common barriers noted were as follows: illness was not perceived as serious enough or distance from healthcare facility or lack of money at household for seeking treatment outside. Most of the rural mothers did not have knowledge about severity of childhood pneumonia.
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Aker, Servet, Mustafa Kürşat Şahin, Ömer Kınalı, Elif Şimşek Karadağ, and Tuğba Korkmaz. "The attitudes of family physicians toward a child with delayed growth and development." Primary Health Care Research & Development 18, no. 05 (May 5, 2017): 411–18. http://dx.doi.org/10.1017/s1463423617000263.
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Aim The purpose of this study was to assess the attitude of family physicians toward a child with delayed growth and development. Background Primary healthcare professionals play a key role in monitoring growth and development, the best indicator of the child’s health status. If delayed growth and development can be detected early, then it is usually possible to restore functioning. Methods This descriptive study was performed in Samsun, Turkey, in May and June 2015. In total, 325 family physicians were included. The study consisted of two parts. In the first session of the research, the story of an 18-month-old child with delayed growth and development was presented using visual materials. An interview between the child’s mother and a member of primary healthcare staff was then enacted by two of the authors using role-playing. Subsequently, participants were given the opportunity to ask the mother and member of primary healthcare staff questions about the case. During the sessions, two observers observed the participants, took notes and compared these after the presentation. In the second part of the study, the participants were asked to complete a questionnaire consisting of three open-ended questions. Findings When asking questions of the mother, family physicians generally used accusatory and judgmental language. One of the questions most commonly put to the mother was ‘Do you think you are a good mother?’ Family physicians were keen to provide instruction for the patient and relatives. Family physicians to a large extent thought that the problem of a child with delayed growth and development can be resolved through education. Conclusions Family physicians’ manner of establishing relations with the patient and relatives is inappropriate. We therefore think that they should receive on-going in-service training on the subject.
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Belemsaga, Danielle Yugbare, Seni Kouanda, Anne Goujon, Joel A. Kiendrebeogo, Els Duysburgh, Olivier Degomme, and Marleen Temmerman. "A review of factors associated with the utilization of healthcare services and strategies for improving postpartum care in Africa." Afrika Focus 28, no. 2 (February 26, 2015): 83–105. http://dx.doi.org/10.1163/2031356x-02802006.
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Reducing maternal mortality continues to be a major challenge for African countries. We conducted a literature review to identify the factors associated with the utilization of maternal and child healthcare services during the postpartum period and the strategies for strengthening postpartum healthcare in Africa. We carried out an electronic search in several databases of texts published between 1995 and 2012 related to maternal and child health. Seventy-five publications fitted the eligibility criteria. Our analysis shows that to a large extent the socio-economic context was dominant among the factors associated with the quality and utilization of postpartum services. The best interventions were those on immediate postpartum maternal care combining several intervention packages such as community mobilization and provision of services, community outreach services and health training. The integration within health facilities of mother and child clinics was shown to contribute significantly to improving the frequency of mothers’ postpartum visits.
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Closson, Lia, Marjo Flykt, and Zeynep Biringen. "Evaluation of possums sleep intervention: A pilot feasibility study." Journal of Nursing Education and Practice 10, no. 2 (October 30, 2019): 15. http://dx.doi.org/10.5430/jnep.v10n2p15.
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The first year with a child is one of the most challenging times for mothers due to repeated awakenings typical for young infants. Research has shown that persistent fragmented sleep increases a mother’s risk for low overall well-being, which can challenge the mother-infant relationship. In an effort to improve sleep for both mother and infant, healthcare providers often recommend infant behavioral sleep interventions. The primary focus of this pilot study was to assess the feasibility of the Possums Sleep Intervention, a psychoeducational group workshop for women with infants between the ages of 0-6 months. A second goal of the study was to evaluate the potential of the Possums curriculum in improving maternal and infant sleep and self-reported mother-infant emotional availability. Participants were 24 mothers with their 0-6 month old infants assessed at the start of the study and again at the completion of the 4-week workshop. Results showed improvements in the perceived emotional availability in the mother-infant relationship; however, positive effects related to maternal or infant sleep were only on a trend level.
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Ranganathan, Ranjitha, Amir Maroof Khan, and Pragti Chhabra. "Antenatal care, care at birth, and breastfeeding during the Coronavirus (COVID-19) pandemic." Indian Journal of Community Health 32, no. 1 (March 31, 2020): 15–18. http://dx.doi.org/10.47203/ijch.2020.v32i01.005.
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Coronavirus (COVID-19) pandemic has been declared by the World Health Organization after it has gripped many countries of the world. The exponential increase in the number of cases has resulted in panic and confusion among healthcare workers and the vulnerable population. Pregnant and lactating mothers are a vulnerable group and need evidence-based advice to protect the health of the mother and the child. Healthcare workers can play an important role in dispelling the myths and misconceptions among pregnant and lactating mothers regarding COVID-19, if they are equipped with scientific information on antenatal care, care at birth, and breastfeeding. This review attempts to summarize the published evidence related to antenatal care, care at birth and breastfeeding during the COVID-19 pandemic.
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Ernawati, Ernawati, Antono Suryoputro, and Syamsulhuda Budi Mustofa. "Niat Ibu Hamil untuk Tes HIV di UPT (Unit Pelayanan Terpadu) Puskesmas Alun-Alun Kabupaten Gresik." Jurnal Promosi Kesehatan Indonesia 11, no. 1 (January 17, 2016): 38. http://dx.doi.org/10.14710/jpki.11.1.38-50.
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ABSTRACTThe spreading of HIV infection from mother to child is the main cause of HIV infection towards child below fifteen years old. The examination of HIV towards pregnant mother is a good opportunity to protect the spreading of HIV from mother to baby, wherein all pregnant mothers are suggested to have HIV test. This research aims to know factors of pregnant mother’s intention to get HIV test at UPT (Integrated Service Unit) of Public Health Center of Gresik Regency Town Square in 2015. Explanatory research which uses survey method with cross sectional approach. The samples of this research is pregnant mothers who carry out antenatal care examination at UPT (Integrated Service Unit) of Public Health Center of Regency Town Square uses purposive sampling technique with the amount of samples as many as 125 peoples. This research uses questionnaire instruments. Its relation analysis uses Chi Square and multivariate analysis by using logistic regression. Of research indicates that pregnant mothers who intend to get HIV test are 54,4%, while those less intend are 45,6%. Variables which are related to pregnant mother’s intention to do HIV test are knowledge about HIV/AIDS, HIV test, perception of severity, self efficacy, and midwife’s role in giving counseling. UPT (Integrated Service Unit) of Public Health Center of Gresik Regency Town Square is aimed to develop VCT socialization in cooperating with private healthcare institution, cadre, and village in giving information about VCT service.Keywords: intention of having HIV test, pregnant mother, Public Health Center
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Alvarenga, Willyane de Andrade, and Giselle Dupas. "Experience of taking care of children exposed to HIV: a trajectory of expectations." Revista Latino-Americana de Enfermagem 22, no. 5 (October 2014): 848–56. http://dx.doi.org/10.1590/0104-1169.3607.2489.
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OBJECTIVE: to learn about the experience of caregivers/mothers providing care to infants exposed to HIV through vertical transmission.METHODS: this qualitative study used Symbolic Interactionism as the theoretical framework. A total of 39 caregivers of children exposed to HIV in follow-up at a specialized service were interviewed. Data were analyzed through inductive content analysis.RESULTS: four categories were identified that report on the lonely experience of handling the child's antiretroviral therapy, mainly due to a lack of information or incomplete information; being attentive to required care, such as the use of prophylaxis for pneumonia, vaccines, and other practices restricted to the mother-child interaction; the desire to omit the HIV out of fear of prejudice and fear of the disease, considering future prospects.CONCLUSION: the HIV and the threat this infection may affect the child cause apprehension and feelings such as fear, guilt and anxiety in the caregivers. Healthcare workers need to work together with mothers so they are able to cope with demands and distress. Only then will the treatment to avoid vertical transmission be efficient and will mother and child be supported during the process, despite apprehension with the outcome.
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Manzo, Bruna Figueiredo, Anna Caroline Leite Costa, Miriã Diniz Silva, Danúbia Mariane Barbosa Jardim, and Laiana Otto da Costa. "Inevitable mother-baby separation in the immediate postpartum from a maternal perspective." Revista Brasileira de Saúde Materno Infantil 18, no. 3 (September 2018): 501–7. http://dx.doi.org/10.1590/1806-93042018000300004.
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Abstract Objectives: to understand the process of inevitable mother-baby separation in the immediate postpartum from a maternal perspective. Methods: this is a qualitative approach research study developed by interviewing 15 mothers who were separated from their children in the postpartum at a public maternity hospital in Belo Horizonte, Minas Gerais, Brazil. The analysis content was used for data interpretation. Results: the categories were evidenced through "Maternal feelings and perceptions regarding to the child's separation in the postpartum period" and "Women's perception about health professionals' performance at the time of the separation and the presence of their companions", the contradictions offeelings and challenges experienced by the mothers due to the separation as for, the happiness of her child's birth followed by the anguish of being separated and the fear of losing her child..The healthcare team plays a relevant role regarding the difficulties and helps to overcome these challenges. Conclusions: advances in healthcare actions are needed in order to offer directed care to the real necessities of these mothers and decrease the negative impacts caused by this separation.
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Olakunde, Babayemi O., Daniel A. Adeyinka, John O. Olawepo, Jennifer R. Pharr, Chamberline E. Ozigbu, Sabastine Wakdok, Tolu Oladele, and Echezona E. Ezeanolue. "Towards the elimination of mother-to-child transmission of HIV in Nigeria: a health system perspective of the achievements and challenges." International Health 11, no. 4 (April 27, 2019): 240–49. http://dx.doi.org/10.1093/inthealth/ihz018.
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Abstract Despite its scaled-up response for prevention of mother-to-child transmission of HIV (PMTCT), Nigeria still contributes the greatest number of infants infected with HIV worldwide. Drawing on our knowledge, and review of policy documents and research papers, we explored the achievements and challenges in the elimination of mother-to-child transmission of HIV in Nigeria using the WHO’s health systems framework. We found that Nigeria has increased the number of PMTCT sites, decentralized and integrated PMTCT care for expanded service delivery, adopted task-shifting to address the shortage of skilled healthcare providers, explored alternative sources of domestic funding to bridge the funding gap and harmonized the health management information system to improve data quality. Some of the challenges we identified included: difficulty in identifying HIV-infected pregnant women because of low uptake of antenatal care; interrupted supplies of medical commodities; knowledge gaps among healthcare workers; and lack of a national unique identifying system to enhance data quality. While there have been some achievements in the PMTCT program, gaps still exist in the different blocks of the health system. Elimination of mother-to-child transmission of HIV in Nigeria will require the implementation of feasible, culturally acceptable and sustainable interventions to address the health system-related challenges.
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황종윤. "Renovation of Maternal-child Healthcare Centers and the National Maternal-child Medical Center Based on the Mother and Child Act." JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHILD HEALTH 23, no. 1 (January 2019): 7–12. http://dx.doi.org/10.21896/jksmch.2019.23.1.7.
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Melo, Emiliana Cristina, and Thais Aidar de Freitas Mathias. "Spatial Distribution and Self-Correlation of Mother and Child Health Indicators in the State of Parana, Brazil." Revista Latino-Americana de Enfermagem 18, no. 6 (December 2010): 1177–86. http://dx.doi.org/10.1590/s0104-11692010000600019.
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Aiming to analyze the spatial distribution and self-correlation of data of mother-child health in Parana, Brazil, variables were selected from the Information System on Live Births, grouped into socioeconomic indicators: teenage mother, low education, high parity, race/color black of newborn; healthcare indicators: the prenatal coverage, prematurity and cesarean delivery and result indicators: low birth weight. The indicators were distributed in thematic maps and spatial self-correlation was measured using Moran’s index that quantifies the degree of self-correlation. There was significant spatial self-correlation of teenage mother, low education and high parity of the "high-high" type in the macro-regions East, Campos Gerais and South; of low coverage of antenatal care in Campos Gerais, Central-south and North and of cesarean delivery in the Northwest. Elevated proportions of indicators of risk to the health of mother and child were found in the regions East, Campos Gerais and South. These results support the evaluation and planning of health services.
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Chen, Y., C. Xie, Y. Zhang, Y. Li, S. Ehrhardt, C. L. Thio, K. E. Nelson, Y. Chen, and C. ‐S Lin. "Knowledge regarding hepatitis B mother‐to‐child transmission among healthcare workers in South China." Journal of Viral Hepatitis 25, no. 5 (January 24, 2018): 561–70. http://dx.doi.org/10.1111/jvh.12839.
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D’haenens, Florence, Bart Van Rompaey, Eva Swinnen, Tinne Dilles, and Katrien Beeckman. "The effects of continuity of care on the health of mother and child in the postnatal period: a systematic review." European Journal of Public Health 30, no. 4 (May 23, 2019): 749–60. http://dx.doi.org/10.1093/eurpub/ckz082.
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Abstract Background Continuity of care (COC) is essential for high-quality patient care in the perinatal period. Insights in the effects of COC models on patient outcomes are important to direct perinatal healthcare organization. To our knowledge, no previous review has listed the effects of COC on the physical and mental health of mother and child in the postnatal period. Methods A search was conducted in four databases (PubMed, Web of Knowledge, CENTRAL and CINAHL), from 2000 to 2018. Studies were included if: participants were healthy mothers or newborns with a gestational age between 37–42 weeks; they covered the perinatal period and aimed to measure breastfeeding or any outcome related to the maternal/newborn physical or mental health. At least one of the three COC types (management, informational and relationship) was identified in the intervention. The methodological quality was assessed. Results Ten articles were included. COC is mostly present in the identified care models. The effects of COC on the outcomes of mother and child in the postnatal period seem mostly to be positive, although not always significant. The relation between COC and the outcomes can be influenced by confounding factors, like the socio-economic status of the included population. Interventions with COC during pregnancy appear to be more effective for all the studied outcome factors. Conclusion COC as management, relational and informational continuity starting antenatal has the most impact on the postnatal outcomes of mother and child.
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Amorim, Tamiris Scoz, and Marli Terezinha Stein Backes. "Managing nursing care to puerperae and newborns in primary healthcare." Rev Rene 21 (June 18, 2020): e43654. http://dx.doi.org/10.15253/2175-6783.20202143654.
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Objective: understanding the meaning of managing nursing care for puerperae and newborns in primary healthcare. Methods: qualitative study, based on the theoretical framework of Data-based Theory. Participant observation and semi-structured individual interviews were conducted with eleven primary healthcare nurses. The analytical process involved open, axial, and selective coding/integration. Results: the central phenomenon, Promoting the management of nursing care in primary healthcare, indicates the leadership of nurses when dealing with challenges in the context of care. That suggests actions and interactions to guarantee autonomy and the quality of care, in addition to empowering the parents. Conclusion: the management of care from nurses who participated in the research aims to embrace the mother-child and family particularities since the prenatal, and to promote a singular, multidimensional, continuous, vigilant, and systematized care, which values the subjectivity and the main role of the woman-mother and the care they should have with themselves and the newborn.
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Manjourides, Justin, Emily Zimmerman, Deborah J. Watkins, Thomas Carpenito, Carmen M. Vélez-Vega, Gredia Huerta-Montañez, Zaira Rosario, et al. "Cohort profile: Center for Research on Early Childhood Exposure and Development in Puerto Rico." BMJ Open 10, no. 7 (July 2020): e036389. http://dx.doi.org/10.1136/bmjopen-2019-036389.
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PurposePuerto Rican children experience high rates of asthma and obesity. Further, infants born in Puerto Rico are more at risk for being born prematurely compared with infants on the mainland USA. Environmental exposures from multiple sources during critical periods of child development, potentially modified by psychosocial factors, may contribute to these adverse health outcomes. To date, most studies investigating the health effects of environmental factors on infant and child health have focused on single or individual exposures.ParticipantsInfants currently in gestation whose mother is enrolled in Puerto Rico Testsite for Exploring Contamination Threats (PROTECT) cohort, and infants and children already born to mothers who participated in the PROTECT study.Findings to dateData collection and processing remains ongoing. Demographic data have been collected on 437 mother–child pairs. Birth outcomes are available for 420 infants, neurodevelopmental outcomes have been collected on 319 children. Concentrations of parabens and phenols in maternal spot urine samples have been measured from 386 mothers. Center for Research on Early Childhood Exposure and Development mothers have significantly higher urinary concentrations of dichlorophenols, triclosan and triclocarban, but lower levels of several parabens compared with reference values from a similar population drawn from the National Health and Nutrition Examination Survey.Future plansData will continue to be collected through recruitment of new births with a target of 600 children. Seven scheduled follow-up visits with existing and new participants are planned. Further, our research team continues to work with healthcare providers, paediatricians and early intervention providers to support parent’s ability to access early intervention services for participants.
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Bustamante, Vania, and Cecilia McCallum. "Feeding practices, healthcare and kinship during the first year of life." Estudos de Psicologia (Campinas) 31, no. 3 (September 2014): 425–35. http://dx.doi.org/10.1590/0103-166x2014000300011.
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This paper reports a study of how babies are fed during their first year of life as practiced by families living in a low-income neighborhood of Salvador, Bahia, Brazil and served by the state's Family Health Program. Two families were followed up over a year using the Bick method for the observation of mother-infant relationships. The results showed that although the families appreciated the recommendations of health professionals regarding the need to practice exclusive breastfeeding until the child reached six months, in practice during their first few weeks of life the babies were started on complementary food in addition to breast milk. The mothers made decisions regarding feeding the babies taking into consideration the following: The opinions of a selection of relatives; food availability; ideas about what is suitable for the developing baby; and finally, their observations of the child's responses. The results show that food is part of the mutually imbricated processes of the social construction of the person and the constitution of kinship ties. The conclusion reflects on the implications of these findings for health practices.
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R. Shrivastava, Saurabh, Prateek S. Shrivastava, and Jegadeesh Ramasamy. "Fostering the practice of rooming-in in newborn care." Journal of Health Sciences 3, no. 2 (September 15, 2013): 177–78. http://dx.doi.org/10.17532/jhsci.2013.85.
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Practice of rooming-in meant that baby and mother stayed together in the same room day and night in the hospital, right from the time of delivery till the time of discharge. Adoption of rooming-in offers multiple benefits to the newborn, mother, and mother-child as a unit. It is a cost-effective approach wherefewer instruments are required and spares additional manpower. Rooming-in endeavors the opportunity to contribute signifi cantly in the child’s growth, development and survival by assisting in timely initiation of breastfeeding. To ensure universal application of rooming-in in hospitals, a comprehensive and technically sound strategy should be formulated and implemented with active participation of healthcare professionals. Measures such as advocating institutional delivery through outreach awareness activities; adoption of baby-friendly hospital initiative; inculcating a sense of ownership among health professionals, can be strategically enforced for better maternal and child health related outcomes.
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Campol, Meagan. "Engaging Healthcare Providers to Help Mothers with Eating Disorders Create Healthy Eating Environments for Their Children." Einstein Journal of Biology and Medicine 27, no. 2 (March 2, 2016): 67. http://dx.doi.org/10.23861/ejbm20112755.
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Eating disorders (EDs), such as anorexia, bulimia, and bingeeating disorder, involve extreme emotions, attitudes, and behaviors surrounding weight, food, and body image, all of which can lead to destructive health consequences. While EDs have innumerable effects on affected individuals, less is known about the consequences for the offspring of childbearing women with past or current EDs. Children of mothers with EDs are at increased risk of various problems during gestation and childhood, including higher rates of miscarriage, cesarean-section deliveries, and stillbirth; greater likelihood of preterm delivery, small- or large-for-gestational-age, low or high birth weight, and growth disturbances; and lower likelihood of being breastfed. These children are also more likely to develop dysfunctional eating habits, behaviors, and attitudes throughout adolescence. Possible effects of maternal EDs on parenting include withholding food from children, using food to reward or punish, a preoccupation with weight interfering with the mother’s responsiveness to her child, failure to express positive attitudes toward eating, and higher tension during mealtimes. These risks are influenced by a variety of factors and the consequences for children are difficult to predict. Complicating matters, the foundations of an ED are established long before diagnosis. The familial setting provides a unique opportunity for integrated and concurrent primary and tertiary ED-prevention strategies for both child and mother. It is imperative for healthcare providers to consider the potential value of educational programs and support for mothers with EDs, as early intervention could interrupt the cycle of risk associated with eating disorders and their effects on the developing child.
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Kadarina, T. M., and R. Priambodo. "Monitoring heart rate and SpO2 using Thingsboard IoT platform for mother and child preventive healthcare." IOP Conference Series: Materials Science and Engineering 453 (November 29, 2018): 012028. http://dx.doi.org/10.1088/1757-899x/453/1/012028.
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Lukoyanova, O. L., T. E. Borovik, A. P. Fisenko, V. A. Skvortsova, O. B. Ladodo, T. V. Bushueva, E. A. Roslavtseva, N. G. Zvonkova, I. M. Guseva, and V. V. Sytkov. "Possibility of breastfeeding support during the COVID-19 pandemic: a review of world and Russian protocols." Voprosy detskoj dietologii 18, no. 4 (2020): 5–16. http://dx.doi.org/10.20953/1727-5784-2020-4-5-16.
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The review analyses the available literature on the main principles of breastfeeding support in cases of confirmed/suspected novel coronavirus infection in breastfeeding mothers. Various approaches to management of mother and baby in the conditions of the COVID-19 pandemic have been studied that found reflection in the protocols of the World Health Organization, Chinese, American and European medical communities. The evolution of Russian recommendations is analysed. A rationale is offered for the current guidelines on temporary mother-child separation in the healthcare settings when maternal COVID-19 is suspected/confirmed and on the organization of infant feeding with expressed maternal milk. The literature on the nutritional and biological value and the safety of expressed breast milk stored in various conditions is reviewed. Practical advice is given on organization of an individual breast milk bank at home. Key words: breastfeeding, breast milk, individual milk bank, coronavirus infection, newborns, COVID-19 pandemic, breast milk expression
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Lee, Raphael, and Mark Lebwohl. "Comprehensive Literature Review of Obstetric Outcomes and Fetal Risk during Pregnancy with Pseudoxanthoma Elasticum." Journal of Clinical Medicine 10, no. 11 (June 7, 2021): 2532. http://dx.doi.org/10.3390/jcm10112532.
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Individuals with pseudoxanthoma elasticum (PXE) have often been advised against becoming pregnant due to a fear of the exacerbation of existing symptoms, likelihood of inheritance of the disease, and possible obstetric risks associated with the mother and child. PXE is a recessive multisystem disorder that leads to calcification of elastic tissues and fibers that can result in arterial rupture and gastrointestinal (GI) bleeding, possibly endangering the fetus and mother. PXE often manifests in skin lesions as well and the risk of exacerbation is a principal concern. To address these complications and to provide transparent understanding to healthcare providers and mothers of the associated risk factors with pregnancy and PXE, we conducted a comprehensive review of the current literature and found that there is no inherent risk for obstetric complications for PXE pregnancies and patients need not be advised against becoming pregnant as previously suggested. PXE-related pregnancies are unremarkable to the mother’s wellbeing and fetal complications are few, if any at all.
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Bhattarai, Saraswoti Kumari Gautam, and Kanchan Gautam. "Quality of Maternity Care and Client Satisfaction." Journal of Karnali Academy of Health Sciences 2, no. 1 (June 11, 2019): 73–76. http://dx.doi.org/10.3126/jkahs.v2i1.24419.
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Health service provided to pregnant women during antenatal, childbirth and postnatal period is essential for maternal and child health. Proper care during pregnancy, childbirth and postnatal period are important for the health of mother and baby. High maternal, infant and child morbidity and mortality demand improved healthcare which does not concern to coverage of health services alone. The health issues of pregnant women, mothers, infants and children need to be addressed with the attention to the quality of care (QoC). The Nepal Health Sector Strategy (NHSS) also identifies equity and quality of care gaps as areas of concern for achieving the maternal health sustainable development goal (SDG) target. So this review aims to sensitize and draw attention to the quality of maternity care and client satisfaction to improve maternal and child health. For this article, different studies related to the quality of maternity care and satisfaction from care service received on maternity care are reviewed.
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Ariyo, Tolulope, and Quanbao Jiang. "Mothers’ Healthcare Autonomy, Maternal-Health Utilization and Healthcare for Children under-3 Years: Analysis of the Nigeria DHS Data (2008–2018)." International Journal of Environmental Research and Public Health 17, no. 6 (March 11, 2020): 1816. http://dx.doi.org/10.3390/ijerph17061816.
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This study was designed to simultaneously examine if mothers’ personal healthcare autonomy within the household, and the level of their maternal-healthcare utilization, translates into better preventive (complete immunization) and curative (treatments for diarrhoea, fever and acute respiratory infection) efforts on morbidities in child healthcare. We analysed data pooled from three consecutive waves of the Nigeria Demographic and Health Survey: the surveys of 2008, 2013 and 2018. Using a multilevel logistic regression, we estimated the odds ratio for each of the outcome variables while adjusting for covariates. Findings revealed that mothers’ health autonomy is positively associated with child immunization and treatment of morbidities (except diarrhoea), a relationship moderated by the frequency of mothers’ exposure to media. Additionally, mothers’ healthcare utilization is positively associated with complete immunization, and all forms of morbidity treatment (except diarrhoea). Although the relationship between mothers’ healthcare-utilization and child immunization is not dependent on family wealth, however, the relationship between mothers’ healthcare utilization and treatment of morbidity is dependent. Policy effort should be geared towards stimulating mothers to seek appropriate and timely child healthcare and future studies could consider looking into the mediating role of paternal support in this relationship.
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Barros, Keila Cristina Costa, Rita de Cássia Rocha Moreira, Mariana Silveira Leal, Tânia Cristiane Ferreira Bispo, and Rosana Freitas Azevedo. "Healthcare experiences of homeless pregnant women." Rev Rene 21 (July 17, 2020): e43686. http://dx.doi.org/10.15253/2175-6783.20202143686.
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Objective: to understand healthcare experiences from the perspective of women who are or were pregnant while in homelessness. Methods: qualitative study based on Heideggerian phenomenology adapted to the field of health. There were ten participants. The technique of phenomenological interview and a semi-structured instrument were used. The comprehensive analysis methodically followed the stages of phenomenological reduction, construction,and destruction. Results: the existence of pregnant homeless women represents difficulties, discrimination, violence, prejudice, racism,and vulnerability. It is a violation of human dignity, revealing specificities and nuances of the triad women-maternity-street. Conclusion: the research made it possible to understand that healthcare, from the perspective of women who are pregnant while homeless, offers risks both to the mother and to the child. Both the self-care and the healthcare offered by health workers and services is precarious and has weaknesses, being different from any type of care that could be understood as solicitous, zealous, and concerned.
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Farooq, Faisal, Mohsin Raza, Zoofishan Imran, Fatima Zulfiqar, Fareeha Gul, and Hassaan Altaf. "Infant and Young Child Feeding Practices among Mothers in Lahore, Pakistan: A Cross-Sectional Study." Journal of Shalamar Medical & Dental College - JSHMDC 2, no. 1 (June 29, 2021): 29–38. http://dx.doi.org/10.53685/jshmdc.v2i1.14.
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Background: Inadequate child feeding practices lead to malnutrition, higher under-five mortality rates and adverse effects on quality of life. This study aimed to assess the breastfeeding and complementary feeding practices of mothers as well as the influence of various sociodemographic factors on them in local families of Lahore. Methods: This is a cross-sectional, descriptive study. It was conducted in CMH (Combined Military Hospital), Lahore in 2018. It comprises a sample of 203 mothers with children of at least two years of age, from various urban areas of Lahore. The subjects were selected on the basis of the inclusion criteria. Mothers with psychiatric illnesses and children with congenital anomalies were excluded from the study. Mothers were approached in the paediatric outpatient departments of four tertiary care hospitals of Lahore. Responses were recorded using a modified version of the Action Contre La Faim (ACF) questionnaire. Independent sample t-test and chi-square test were applied for analysis of the data. Results: Early initiation of breastfeeding within one hour from birth was observed in 83.3% children. Most children were administered colostrum (69.5%). The rate of exclusive breastfeeding for the first six months was 45.3%. A child was being breastfed 8.21 ± 6.67 (mean ± SD) times a day. Maternal educational status, total number of adults in a household, and access to free healthcare were identified as important factors influencing the practice of breastfeeding. Porridge, khichdi, eggs, fruit and yoghurt were the most frequently used complementary foods. Conclusions: A high rate of an early start of breastfeeding and a low rate of exclusive breastfeeding for at least six months were predominant in our population. Administration of colostrum was observed in approximately two-thirds of the study participants. Education of the mother, type of the family system (nuclear or combined), and access to free healthcare strongly influence the breastfeeding practices.
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Wallenborn, Jordyn T., Gregory Chambers, Elizabeth P. Lowery, and Saba W. Masho. "Discordance in Couples Pregnancy Intentions and Breastfeeding Duration: Results from the National Survey of Family Growth 2011–2013." Journal of Pregnancy 2018 (July 24, 2018): 1–8. http://dx.doi.org/10.1155/2018/8568341.
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Background. Parental disagreement in pregnancy intention elevates the risk of adverse health events for mother and child. However, research surrounding parental pregnancy intention discrepancies and breastfeeding duration is limited. This study aims to examine the relationship between couple’s discordant pregnancy intention and breastfeeding duration.Methods. Data from the 2011–2013 National Survey of Family Growth was analyzed. Parental pregnancy intention was categorized as “intended by both parents,” “unintended by both parents,” “father intended and mother unintended,” and “father unintended and mother intended.” Breastfeeding duration was categorized as “never breastfed,” “breastfed less than six months,” and “breastfed at least six months.” Multinomial logistic regression, odds ratios, and 95% confidence intervals were calculated.Results. Couples with a concordant unintended pregnancy were more likely to have a child who was never breastfed or breastfed less than six months compared to couples with a concordant intended pregnancy. Similarly, couples with a discordant pregnancy were more likely to have a child who was never breastfed or breastfed less than six months.Conclusions. Findings from this study show a relationship between couples’ pregnancy intentions and subsequent breastfeeding behaviors. Healthcare professionals should be cognizant of parents’ differing opinions surrounding pregnancy intention and the implications on breastfeeding outcomes.
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Ibu, Josephine Moshe, and Euphemia Mbali Mhlongo. "The Mentor Mothers Program in the Department of Defense in Nigeria: An Evaluation of Healthcare Workers, Mentor Mothers, and Patients’ Experiences." Healthcare 9, no. 3 (March 14, 2021): 328. http://dx.doi.org/10.3390/healthcare9030328.
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Nigeria contributes the highest to the global burden of HIV/AIDS and also accounts for the largest proportion of new vertically transmitted HIV infections among children. The Mentor Mothers program in the Nigerian Department of Defense was introduced in accordance with the World Health Organization and its implementing partner guidelines to curb the high incidence of vertically acquired HIV infections. Understanding the experiences of participants could serve as a gateway to evaluating the effectiveness of the program to better provide quality services within targeted health facilities. This qualitative study employed key informant interviews with six healthcare workers as well as two focus group discussions with six mentor mothers and six prevention of mother-to-child transmission (PMTCT) patients in four selected hospitals in the Nigerian Department of Defense to explore their experiences of the Mentor Mothers program. A thematic analysis technique was used to analyze the collated data. As a result, four main themes emerged, with the program perceived by most participants as providing psychosocial support to the patients, a valuable educational resource for raising HIV awareness, a valuable resource for promoting exclusive breastfeeding and mitigating vertical transmission of the virus, and functioning as a link between patients and the healthcare system. The participants reported that the program had effectively decreased HIV infections in children, reduced child and maternal mortality, and supported the livelihood and development of women, families, and communities in and around the Nigerian Department of Defense health facilities.
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Becker, Genevieve E. "Measuring Mothers’ Viewpoints of Breast Pump Usage." International Journal of Environmental Research and Public Health 18, no. 8 (April 7, 2021): 3883. http://dx.doi.org/10.3390/ijerph18083883.
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Breastfeeding has short- and long-term positive influences on the health and wellbeing of the child. There are situations where breastfeeding does not occur and expressed or pumped mother’s milk is used. Mothers and healthcare providers report problems or negative views on using pumps in studies across the globe. This systematic review and secondary analysis of 18 random control trials related to mothers’ views of breast pumps examines the range of viewpoints gathered, the variety of measurement instruments used, how the outcomes are reported and the challenges that occur. It aims to inform critical reading of research as well as future research design. Devices which the mother views as comfortable and useful will facilitate more infants to receive human milk when direct breastfeeding does not occur, and they will have a positive influence on health and wellbeing.
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Clément, Méda Ziemlé. "Short Communication : Mother, but without Forgetting Her Child: Time To Nationwide the Good Practices of Maternal and Newborn Deaths Audit for Better Healthcare Quality." Women Health Care and Issues 1, no. 1 (December 14, 2018): 01–02. http://dx.doi.org/10.31579/2642-9756/002.
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Mnyani, Coceka Nandipha, and James McIntyre. "Challenges to delivering quality care in a prevention of mother-to-child transmission of HIV programme in Soweto, South Africa." Southern African Journal of HIV Medicine 14, no. 2 (June 4, 2013): 64–69. http://dx.doi.org/10.4102/sajhivmed.v14i2.80.
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Objectives: There has been little focus on quality of care provided in prevention of mother-to-child transmission of HIV (PMTCT) services in South Africa. We assessed quality of care in PMTCT services in Soweto, South Africa, focusing on knowledge and experiences of healthcare workers and HIV-infected pregnant women accessing the services. Methods: A cross-sectional survey was conducted between November and December 2009. A total of 201 HIV-infected pregnant women and 80 healthcare workers, from 10 antenatal clinics, were interviewed using standardised questionnaires. Results: The median gestational age at first antenatal visit was 20 weeks and 32 weeks at the time of the interview. The majority of the women, 71.5%, discovered that they were HIV-infected in the index pregnancy, and 87.9% disclosed their HIV status. Overall, 97.5% received counselling and 33.5% were members of a support group. Knowledge of antenatal and intrapartum PMTCT interventions was correct in 62.7% and 43.3% of the women, respectively. Support group membership and current use of antiretroviral prophylaxis did not impact on the quality of knowledge. Of the healthcare workers, 43.8% were professional nurses and 37.5% were lay counsellors. The majority, 80.0%, felt satisfied with their knowledge of PMTCT guidelines and 96.3% felt competent in managing HIV-infected pregnant women. Yet, there were important deficiencies in knowledge of the guidelines. Conclusion: In our study, knowledge of PMTCT interventions was low in both clients and healthcare workers. These findings point to a need to improve quality of care in PMTCT services, especially with increasingly complex PMTCT interventions recommended by international policies.
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Nkhonjera, Joe, Leticia C. Suwedi-Kapesa, Benjamin Kumwenda, and Alinane Linda Nyondo-Mipando. "Factors Influencing Loss to Follow-up among Human Immunodeficiency Virus Exposed Infants in the Early Infant Diagnosis Program in Phalombe, Malawi." Global Pediatric Health 8 (January 2021): 2333794X2110041. http://dx.doi.org/10.1177/2333794x211004166.
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The efforts to prevent mother to child transmission of HIV in Malawi are impeded by the loss to follow-up of HIV-exposed infants (HEI) in care. Early infant diagnosis (EID) of HEI and linkage to care reduces morbidity and mortality. There has been limited attention to infants who are lost to follow up despite their mothers being compliant to the PMTCT program. This study explored factors that influence loss-to-follow up among HEI in the EID program whose mothers were retained in care for up to 24 months in Phalombe district, Malawi. We conducted a descriptive phenomenological qualitative study from May 2017 to July 2018. We purposively conducted 18 in-depth interviews among HIV positive mothers whose HEI were enrolled in the follow-up program and 7 key informant interviews among healthcare workers (HCW). All interviews were digitally recorded, transcribed, and translated verbatim. Data were analyzed manually using a thematic step-by-step approach. Results showed that retention in care is facilitated by aspirations to have a healthy infant and linkage to a nearer facility to a mother’s place of residency. The barriers to retention were non-disclosure of HIV status, inadequate resources, and support, suboptimal guidelines for, a lack of privacy, and unsynchronized hospital visits between a mother and her baby. The study has shown that successful implementation of EID services requires concerted efforts from various contextualized stakeholders whilst focusing on family-centered care. To maximize retention in EID and innovative ways of reaching mothers and babies through flexible guidelines are urgently needed.
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Lyon, Shannon M., Amy J. Katz, Anne G. Farrell, and Marcia L. Shew. "Reproductive health conversations in adolescents with CHD." Cardiology in the Young 31, no. 8 (February 15, 2021): 1263–68. http://dx.doi.org/10.1017/s1047951121000019.
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AbstractBackground:Reproductive issues as related to CHD must be discussed in the clinic and at home. Providers can ensure that correct information is imparted to the adolescent and encourage mothers to provide support and guidance to the adolescent. The level to which these conversations occur is unknown.Methods:A survey distributed to female adolescent/mother dyads assessed self-reported conversations with the healthcare provider and between each other about reproductive health topics. A clinician survey was completed to assess CHD diagnosis, risk of hormonal contraception, and pregnancy risk.Results:Among 91 dyads, 33.0% of adolescents and 42.9% of mothers reported discussing recurrence risk of CHD with the provider. In regard to the cardiac lesion affecting a baby, 30.7% of adolescents and 28.7% of mothers reported discussing this with a provider. Significantly less adolescents and mothers reported discussing the risks of hormonal contraception and pregnancy with a provider. In assessing conversations between adolescents and mothers, only 44.2% of adolescents and 52.3% of mothers reported discussing with each other the safety of using birth control and 46.5% of adolescents and 64.0% of mothers reported discussing the safety of pregnancy.Conclusions:Adolescents with CHD and their mothers report low rates of reproductive health-related conversations with the healthcare provider, and mothers report low rates of having these conversations with their daughters. These topics should be discussed at each appointment with the cardiologist and must be encouraged to continue at home.
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Bag, Mahadev. "Review of Literature with Data Analysis across Different Study Designs and Patterns, Related to Mother - Child Healthcare." International Journal for Research in Applied Science and Engineering Technology 8, no. 1 (January 31, 2020): 521–25. http://dx.doi.org/10.22214/ijraset.2020.1096.
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Hussein, Amira S. E., Wafaa E. A. Ouda, and Randa M. Adly. "Effect of Family-Centered Care on Maternal Coping and Care Participation for their Children with Congenital Heart Diseases." Evidence-Based Nursing Research 3, no. 2 (April 6, 2021): 10. http://dx.doi.org/10.47104/ebnrojs3.v3i2.192.
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Contents: Families of children with congenital heart disease face frequent healthcare encounters due to their child's care trajectory. With an emphasis on assuring caring in healthcare, it is necessary to understand parents’ perceptions of healthcare providers’ actions when their child undergoes heart surgery.
Aim: This study aimed to evaluate the effect of family-centered care intervention on maternal coping and participation in care for their children with congenital heart diseases.
Methods: A quasi-experimental design was used. The study was carried out at the pediatric inpatient department in Cardiovascular Hospital, affiliated to Ain Shams University Hospitals. A purposive sample of 50 children undergoing heart surgery and their accompanying mothers. The study was used a structured interview questionnaire, the family-centered care scale, the index of mothers' participation, mothers’ practice observational checklists, and the coping process scale to collect the study’s data.
Results: The study reveals a statistically significant difference in the mothers' total coping pattern after family-centered care intervention compared to before intervention at p=0.000. A statistically significant difference was also revealed regarding the total mothers' participation in the care of their children with congenital heart disease at p=0.000. There was a strong positive correlation between total mothers' coping patterns, participation, and mothers' total actual practices regarding their children's care suffering from congenital heart diseases after the intervention.
Conclusion: The family-centered care intervention effectively improved mothers' coping patterns and participation in care for their children with congenital heart diseases. Emphasizing the importance of family (usually the mother) participation in care for their children with congenital heart diseases during hospitalization for heart surgery. Designing and carrying out educational programs for pediatric nurses to promote family-centered care in clinical practice.
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Al-Mujtaba, Maryam, Nadia A. Sam-Agudu, Nguavese Torbunde, Muktar H. Aliyu, and Llewellyn J. Cornelius. "Access to maternal-child health and HIV services for women in North-Central Nigeria: A qualitative exploration of the male partner perspective." PLOS ONE 15, no. 12 (December 10, 2020): e0243611. http://dx.doi.org/10.1371/journal.pone.0243611.
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Background In much of sub-Saharan Africa, male partners play influential roles in women's access to maternal-child healthcare, including prevention of mother-to-child transmission of HIV services. We explored male partner perspectives on women’s access to maternal-child healthcare in North-Central Nigeria. Methods Three focus groups were conducted with 30 men, purposefully-selected on the basis of being married, and rural or urban residence. Major themes explored were men’s maternal-child health knowledge, gender power dynamics in women’s access to healthcare, and peer support for pregnant and postpartum women. Data were manually analyzed using Grounded Theory, which involves constructing theories out of data collected, rather than applying pre-formed theories. Results Mean participant age was 48.3 years, with 36.7% aged <40 years, 46.7% between 41 and 60 years, and 16.6% over 60 years old. Religious affiliation was self-reported; 60% of participants were Muslim and 40% were Christian. There was consensus on the acceptability of maternal-child health services and their importance for optimal maternal-infant outcomes. Citing underlying patriarchal norms, participants acknowledged that men had more influence in family health decision-making than women. However, positive interpersonal couple relationships were thought to facilitate equitable decision-making among couples. Financial constraints, male-unfriendly clinics and poor healthcare worker attitudes were major barriers to women’s access and male partner involvement. The provision of psychosocial and maternal peer support from trained women was deemed highly acceptable for both HIV-positive and HIV-negative women. Conclusions Strategic engagement of community leaders, including traditional and religious leaders, is needed to address harmful norms and practices underlying gender inequity in health decision-making. Gender mainstreaming, where the needs and concerns of both men and women are considered, should be applied in maternal-child healthcare education and delivery. Clinic fee reductions or elimination can facilitate service access. Finally, professional organizations can do more to reinforce respectful maternity care among healthcare workers.
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Sarwar, Rabbiya. "Self Medication and Associated Health Care Seeking Amongst Mothers of Children Aged Under 5 with Diarrhea and Respiratory Tract Infections in an Urban Slum." Proceedings of Shaikh Zayed Medical Complex Lahore 34, no. 2 (June 2, 2020): 26–31. http://dx.doi.org/10.47489/p000s342z7481-6mc.
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Introduction: Self-medication practice in childhood illnesses is quite common in developing countries. Self-medication practices are found to be influencing healthcare seeking behavior in developing countries. Aims & Objectives: To assess self-medication practices and its association with health care seeking in mothers of children aged under 5 with diarrheal and respiratory illness episodes residing in an urban slum. Place and duration of study: A cross-sectional analytical study conducted in Samsani-khui, an urban slum in district Lahore, from September 2016- February 2017. Material & Methods: 422 mother-child units (only one child aged under 5 years) were recruited through systematic random sampling. Responses were recorded on a structured, self-constructed questionnaire about self-medication practices of mothers for the selected child during last 6 months in acute episodes of diarrhea or respiratory illness. Data was entered and analyzed on SPSS version 21. Fisher’s exact test was applied. Results: Mean age of mothers was 26.81 ± 4.744 years, 16% were illiterate, 44.3% had attained primary education and 92.65% were housewives. 70.62% children included in study were boys. 61.8% mothers never practiced self-medication in their child whereas 38.2% administered medicines occasionally, frequently or every time the child got ill. 92.5% of the mothers practicing self-medication admitted that self-medication is responsible for delay in health care seeking. Out of these mothers, 59% sought formal health care without delay for their child suffering from diarrhea or RTI during last 6 months. 70.8% children recovered completely after practicing self-medication, as reported by mothers. While 23.0% reported late recovery, 3.1% reported complications and 3.1% reported hospitalization after self-medication. A highly significant association was found between practice of self-medication and health care seeking behavior (p=.001). Conclusion: Practice of self-medication is present in one third of mothers of low income, literacy poor families. Mothers of this stratum showed poor perception about self-medication and as well as treatment delay. Self-medication practice strongly affects health care seeking behavior.
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Nosratabadi, Mehdi, Mostafa Amini Rarani, Shahla Shahidi, and Nadia Rahimi. "An exploratory study into social and healthcare variables of maternal mortality: a case-control study." Journal of Perinatal Medicine 47, no. 4 (May 27, 2019): 409–17. http://dx.doi.org/10.1515/jpm-2018-0334.
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Abstract Background Regarding the important role the mothers’ health plays in shaping nations’ well-being, this study endeavored to explore the main social and healthcare factors related to maternal mortality. Methods In this case-control study, data (viz., all maternal mortalities) were gathered from the national maternal mortality surveillance system. Likewise, control data (viz., alive mothers) were obtained from mother health records in 22 health centers located in 21 cities of Isfahan, Iran. The data were related to the years 2001–2016. Case and control groups were matched according to year of delivery, mother’s age at delivery time and city of residence. Results Analysis of the gathered data revealed that during the years 2001–2016, 171 maternal mortalities occurred in Isfahan. In view of that, 523 mothers were selected as the control group. Most of the mothers attended high school (36%), were housewives (64%), delivered by cesarean section (59%) and suffered from different kinds of proximate medical causes (55%). The logistic regression results showed that being an immigrant, having a history of proximate medical cause, vaginal delivery and illiteracy raised the odds ratios (ORs) of maternal mortality up to 5.87, 4.41, 2.28 and 1.84 times, respectively. In contrast, using public antenatal care and planned pregnancy have had a protective, significant effect on maternal mortality (ORs <1). Conclusion The results suggested that in addition to social factors including immigrant status and low level of education which led to the increase of maternal mortality, healthcare factors including proximate medical causes, delivery method and antenatal care seem to be essential in tackling the issue of maternal mortality.
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Panza, Raffaella, Maria Elisabetta Baldassarre, Antonio Di Mauro, Alessandra Cervinara, Manuela Capozza, and Nicola Laforgia. "Infantile Functional Gastrointestinal Disorders and Maternal Psychological Status: A Narrative Review." Current Pediatric Reviews 17, no. 2 (August 23, 2021): 111–19. http://dx.doi.org/10.2174/1573396317666210208155106.
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Background: Functional gastrointestinal disorders are often extremely distressing for the infant and parents, leading to infant discomfort and crying, parental anxiety, repeated healthcare consultations, and escalating healthcare costs. Aim: In this narrative review we analyzed the relationship between maternal psychological status during pregnancy and postpartum and the main infantile functional gastrointestinal disorders. Materials and Methods: The narrative review was conducted searching scientific databases for articles reporting on infantile functional gastrointestinal disorders in association with maternal depressive or anxiety disorders. Results: Seven studies were suitable. Discussion: Maternal psychological disorders may be correlated to infantile functional gastrointestinal disorders. Whether it is the excessive crying that favors the onset of maternal psychological disorders or, in contrast, an altered attachment style due to the maternal status that facilitates the onset of functional gastrointestinal disorders in the infant is still an open question. Recent findings revealed that both anxious and depressed mothers are more likely to have an adverse gut microbiome. Conclusions: A healthy interaction of the mother-baby dyad is advantageous in ensuring the mental and physical development of the offspring. Gynecologists, general practitioners and pediatricians should be alert for early identification of mothers at risk with the aim to initiate timely targeted interventions. Further research on the role of microbiota and the possible therapeutic approaches with probiotics is required.
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Khan, Muhammad Amir, Syeda Somyyah Owais, Sehrish Ishaq, John Walley, Haroon Jehangir Khan, Claire Blacklock, Muhammad Ahmar Khan, and Muhammad Waqar Azeem. "Process evaluation of integrated early child development care at private clinics in poor urban Pakistan: a mixed methods study." BJGP Open 1, no. 3 (August 22, 2017): bjgpopen17X101073. http://dx.doi.org/10.3399/bjgpopen17x101073.
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BackgroundIn poor urban Pakistan, private GP clinics lack adequate services to promote early child development (ECD) care. A clinic-based contextualised ECD intervention was developed for quarterly tool-assisted counselling of mothers.AimTo explore the experience and implementation of ECD intervention by the private care providers and clients, for further adaptation for scaling of quality ECD care, at primary level private healthcare facilities in Pakistan.Design & settingA mixed methods approach using quantitative records review and qualitative interviews at poor urban clinics in Rawalpindi and Lahore, Pakistan.MethodQuantitative data from study-specific records were reviewed for 1242 mother–child pairs registered in the intervention. A total of 18 semi-structured interviews with clinic staff, mothers, and research staff were conducted at four clinics. The interviews were audiorecorded and transcribed verbatim.ResultsDistrict Health Office (DHO) support allowed transparent and effective selection and training of clinic providers. Public endorsement of ECD care at private clinics and the addition of community advocates promoted ECD care uptake. Clinic settings were found feasible for clinic assistants, and acceptable to mothers, for counselling sessions. Mothers found ECD counselling methods more engaging compared to the usual care provided.ConclusionIn poor urban settings where public health care is scarce, minimal programme investment on staff training and provision of minor equipment can engage private clinics effectively in delivering ECD care.
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Shivani G, Nisha B, Ruma Dutta, Timsy Jain, and Ananth Eashwar. "Prevalence, utilization and determinants of complete postnatal care services among rural women in northern Tamil Nadu." International Journal of Research in Pharmaceutical Sciences 11, no. 4 (October 31, 2020): 6576–82. http://dx.doi.org/10.26452/ijrps.v11i4.3556.
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Postnatal care is the care given to the mother and her newborn baby immediately after birth up to first six weeks after delivery. Receiving 4 complete postnatal visits by healthcare workers helps to decrease the maternal and neonatal mortality rates. The present study was conducted with the aim of assessing the utilization and determinants of post-natal care among mothers who gave birth. This community based cross sectional study was conducted in the rural area of northern Tamilnadu with 210 mothers who delivered a year prior to commencement of study by “30 cluster sampling method”. A pretested, semi-structured data tool was used. Descriptive variables were presented as proportions and frequencies. Chi-square test was used to ascertain the associations. Only 78.1% had received their first postnatal care within 24 hours. The prevalence of complete postnatal care services was found to be 16.2%. The main reason behind it was lack of knowledge / ignorance about the benefits of postnatal services. The present age of the mother, family type, parity, postnatal care counseling and cultural beliefs were significantly associated with utilization of post-natal check-ups. As the prevalence and utilization of postnatal care is considerably low, development of health facilities, the promotion of service providers, sustainable maternal and child health programs and awareness-raising will further promote better outcomes.
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Jawed, Makkiya, Nousheen Akber Pradhan, Rozina Mistry, Amirah Nazir, Sualeha Shekhani, and Tazeen Saeed Ali. "Management of maternal depression: Qualitative exploration of perceptions of healthcare professionals from a public tertiary care hospital, Karachi, Pakistan." PLOS ONE 16, no. 7 (July 7, 2021): e0254212. http://dx.doi.org/10.1371/journal.pone.0254212.
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The lack of implementation and routine screening of management techniques at tertiary care hospitals leads to an increased burden of maternal depression. The consequences are borne emotionally, physically, and mentally by the mother, the child, the overall family, and society. Hence, it is vital to contextualize this mental disorder to design and implement effective healthcare interventions. The study is aimed to assess the knowledge and practices of healthcare professionals, in a tertiary care setting, who deal with depressive symptoms amongst mothers. It gauges whether a psychological screening criterion is being implemented by the clinical staff during prenatal and postnatal visits to recommend steps that can help develop a service framework. A qualitative, exploratory study design was implemented for this research. With purposive sampling, eight in-depth interviews (three nurses and five doctors) at a single tertiary care hospital were conducted categorically using a semi-structured (open and close-ended questions) interview toolkit. Content Analysis was carried out using information gathered from the unit of analysis. The study provided evidence of the existing gaps in one particular tertiary healthcare system, within Pakistan, concerning diagnosis and management of maternal depression. Results highlighted that providers were well-versed with explanations of maternal depression, the aftermath of it, and the current status of healthcare; however, they were minimally educated about the specifics and levels of treatment. The gathered information assisted in recommending steps to develop a service framework.
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Borglin, Gunilla, Johanna Hentzel, and Doris M. Bohman. "Public health care nurses’ views of mothers’ mental health in paediatric healthcare services: a qualitative study." Primary Health Care Research & Development 16, no. 05 (February 16, 2015): 470–80. http://dx.doi.org/10.1017/s1463423615000055.
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AimTo investigate public health nurses’ perceptions and experiences of mental health and of the prevention of mental ill health among women postpartum, within paediatric healthcare services.BackgroundAlthough maternal health following childbirth should be a priority within primary care, it is known that women postpartum do not always receive the support they need to adapt to and cope with motherhood. Research implies that postnatal problems lack recognition and are not always acknowledged in routine practice. Few studies have been presented on this topic or from the perspective of nurses.MethodsFor this study, eight semi-structured interviews were conducted with public health nurses, and the transcribed texts were analysed through a process inspired by Burnard’s description of the four-step qualitative content analysis.FindingsThree categories – external influences on postpartum mental health, screening for and preventing postpartum mental ill health and paediatric healthcare services as a platform for support – were interpreted to reflect the nurses’ perceptions and experiences of mental health among women postpartum and of the prevention of mental ill health among women postpartum.ConclusionWe found that public health nurses can have an important role in supporting mothers’ mental health postpartum. Although caution is warranted in interpreting our results, the findings concur with those of other studies, highlighting that an equal care emphasis on both the mother and child can be an important aspect of successful support. Implementing person-centred care might be one strategy to create such an emphasis, while also promoting the mental health of new mothers. Public health nurses have a unique opportunity to support mothers’ transition into healthy motherhood, especially because they are likely to meet both mothers and children on a regular basis during the first year after birth.