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1

STANTON, CYNTHIA, ANN K. BLANC, TREVOR CROFT, and YOONJOUNG CHOI. "SKILLED CARE AT BIRTH IN THE DEVELOPING WORLD: PROGRESS TO DATE AND STRATEGIES FOR EXPANDING COVERAGE." Journal of Biosocial Science 39, no. 1 (March 8, 2006): 109–20. http://dx.doi.org/10.1017/s0021932006001271.

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Анотація:
Skilled attendance at delivery is one of the key indicators to reflect progress toward the Millennium Development Goal of improving maternal health. This paper assesses global progress in the use of skilled attendants at delivery and identifies factors that could assist in achieving Millennium Development Goals for maternal health. National data covering a substantial proportion of all developing country births were used for the estimation of trends and key differentials in skilled assistance at delivery. Between 1990 and 2000, the percentage of births with a skilled attendant increased from 45% to 54% in developing countries, primarily as a result of an increasing use of doctors. A substantial proportion of antenatal care users do not deliver with a skilled attendant. Delivery care use among antenatal care users is highly correlated with wealth. Women aged 35 and above, who are at greatest risk of maternal death, are the least likely to receive professional delivery care. Births in mid-level facilities appear to be a strategy that has been overlooked. More effective strategies are needed to promote skilled attendance at birth during antenatal care, particularly among poor women. Specific interventions are also needed to encourage older and high parity mothers to seek professional care at delivery.
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2

Umar, Nurul Habibah. "Analisis Pemilihan Dukun sebagai Penolong Persalinan (Studi Kasus di Puskesmas Bulak Banteng, Kota Surabaya)." Jurnal Manajemen Kesehatan Indonesia 7, no. 1 (April 12, 2019): 9–15. http://dx.doi.org/10.14710/jmki.7.1.2019.9-15.

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Maternal mortality of Surabaya, in 2017, reached 79.40 per 100,000 live births due to direct causes by 77.2%. There are many programs to reduce maternal mortality and infant mortality such as improving delivery services in the health facility. In 2008, the partnership program between midwives and traditional birth attendants had developed to increase the access of quality maternal services for mothers and babies. However, in 2017 the delivery practice with traditional birth attendants has remained active in the area of Bulak Banteng Community Health Center, Surabaya. This study aimed to analyze the women’s decision selecting the traditional birth attendants for their delivery practice by exploring knowledge factor, belief factor, health service access factor, and family factor in Bulak Banteng Community Health Center of Surabaya. The research was a qualitative study using the approach of case study including in-depth interview and exploring secondary data. The sample was the mothers who delivered the baby with the traditional birth attendant from a previous year ago, and the midwife of health community center. The variable from this study were knowledge factor, belief factor, health service access factor, and family factor. The study used the analytical method consisted of data collecting, data reduction, and verification. The result showed less knowledge factor of healthy and safe delivery in the community. The belief factor and family factor held an important role in the selection of the traditional birth attendants during birth attendance, while the factor of health service access showed nothing related to the selection process. There is a need to implement health education for pregnant women, husband, family, and people with an aim of giving the understanding about healthy and safe birth attendance. In conclude, the selection on traditional birth attendant was influenced by knowledge factor, belief factor, and family factor.
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3

Dickson, Kwamena Sekyi, Kenneth Setorwu Adde, and Edward Kwabena Ameyaw. "Women empowerment and skilled birth attendance in sub-Saharan Africa: A multi-country analysis." PLOS ONE 16, no. 7 (July 7, 2021): e0254281. http://dx.doi.org/10.1371/journal.pone.0254281.

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Introduction In 2017, the highest global maternal deaths occurred in sub-Saharan Africa (SSA). The WHO advocates that maternal deaths can be mitigated with the assistance of skilled birth attendants (SBAs) at childbirth. Women empowerment is also acknowledged as an enabling factor to women’s functionality and healthcare utilisation including use of SBAs’ services. Consequently, this study investigated the association between women empowerment and skilled birth attendance in SSA. Materials and methods This study involved the analysis of secondary data from the Demographic and Health Surveys of 29 countries conducted between January 1, 2010, and December 3, 2018. For this study, only women who had given birth in the five years prior to the surveys were included, which is 166,022. At 95% confidence interval, Binary Logistic Regression analyses were conducted and findings were presented as adjusted odds ratios (aORs). Results The overall prevalence of skilled birth attendance was 63.0%, with the lowest prevalence in Tanzania (13.8%) and highest in Rwanda (91.2%). Women who were empowered with high level of knowledge (aOR = 1.60, 95% CI = 1.51, 1.71), high decision-making power (aOR = 1.19, 95% CI = 1.15, 1.23), and low acceptance of wife beating had higher likelihood of skill birth attendance after adjusting for socio-demographic characteristics. Women from rural areas had lesser likelihood (OR = 0.53, 95% CI = 0.51–0.55) of skilled birth attendance compared to women from urban areas. Working women had a lesser likelihood of skilled birth attendance (OR = 0.91, 95% CI = 0.88–0.94) as compared to those not working. Women with secondary (OR = 2.13, 95% CI = 2.03–2.22), or higher education (OR = 4.40, 95% CI = 3.81–5.07), and women in the richest wealth status (OR = 3.50, 95% CI = 3.29–3.73) had higher likelihood of skilled birth attendance. Conclusion These findings accentuate that going forward, successful skilled birth attendant interventions are the ones that can prioritise the empowerment of women.
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4

Gitonga, Eliphas. "Skilled Birth Attendance among Women in Tharaka-Nithi County, Kenya." Advances in Public Health 2017 (2017): 1–5. http://dx.doi.org/10.1155/2017/9740196.

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Анотація:
Background. The burden of maternal mortality is concentrated in sub-Saharan Africa with an estimation of 500 000 deaths annually. In 2012, about forty million births occurred without a skilled attendant in developing countries. Skilled birth attendance improves maternal and newborn survival. The aim of this study therefore was to establish the level of skilled birth attendance and the associated factors. Methods. A cross-sectional survey was carried out using structured questionnaires as tools of data collection. Systematic sampling was used to select the respondents from the facilities that were stratified. The dependent variable was skilled birth attendance. Descriptive statistics were used to generate proportions and percentages while chi-square and Fisher’s exact tests were used to draw inferences. Association was significant if P<0.05. Results. The level of utilisation of skilled birth attendance was 77%. Skilled birth attendance was noted to be associated with age, level of education, average family income, parity, distance to the health facility, timing of initiation of antenatal care, level of facility attended during pregnancy, and birth preparedness status. Conclusion. The level of skilled birth attendance among women in Tharaka-Nithi County, Kenya, despite being higher than in some counties, requires improvement.
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5

Wang, Yan, Eric Zhu, Erin R. Hager, and Maureen M. Black. "Maternal depressive symptoms, attendance of sessions and reduction of home safety problems in a randomized toddler safety promotion intervention trial: A latent class analysis." PLOS ONE 17, no. 1 (January 19, 2022): e0261934. http://dx.doi.org/10.1371/journal.pone.0261934.

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Objective Little is known about the association between maternal depressive symptoms and attendance at safety promotion interventions. This study used latent class analysis (LCA) to identify the profile of attendance within a toddler safety intervention and assessed its relation with maternal depressive symptoms at baseline and reduction of home safety problems over time, separately. Methods The analytic sample included 91 mothers of toddlers (mean maternal age 28.16 years) who were assigned to the safety promotion intervention group as part of a randomized trial and assessed at baseline, 6-month and 12-month follow-ups. Using LCA, we classified mothers into low and high attendance classes based on their attendance at 8 intervention sessions. We assessed maternal depressive symptoms with the Beck Depression Inventory (BDI) and home safety problems with a 9-item home safety problem observation. Results The mothers were classified into low attendance (45%) and high attendance classes (55%). The posterior probability of attending each session ranged from 0–0.29 for the low attendance class and 0.68–0.92 for the high attendance class. Each one unit increase of BDI sum score at baseline was associated with an 8% reduced odds of being in the high attendance class (aOR = 0.92, 95% CI: 0.86, 1.00, p = 0.037). The home safety problem score reduction was greater among high attendance class participants than low attendance class participants at the 6-month follow-up (b = -1.15, 95% CI:-2.09, -0.20, p = 0.018). Conclusion Maternal depressive symptoms were associated with the reduced probability of maternal attendance at toddler safety promotion sessions; high session attendance was related to greater reduction of toddler home safety problems. Identifying risk factors for maternal low attendance to interventions and developing strategies to promote attendance should lead to reductions in home safety problems and reductions in unintentional injuries among young children.
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6

Burdette, Amy M., Janet Weeks, Terrence D. Hill, and Isaac W. Eberstein. "Maternal religious attendance and low birth weight." Social Science & Medicine 74, no. 12 (June 2012): 1961–67. http://dx.doi.org/10.1016/j.socscimed.2012.02.021.

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7

Baral, Y. R., K. Lyons, J. Skinner, and E. R. Van Teijlingen. "Determinants of skilled birth attendants for delivery in Nepal." Kathmandu University Medical Journal 8, no. 3 (June 4, 2012): 325–32. http://dx.doi.org/10.3126/kumj.v8i3.6223.

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Анотація:
This review is to explore the factors affecting the uptake of skilled birth attendants for delivery and the issues associated with women’s role and choices of maternal health care service for delivery in Nepal. Literature was reviewed across the globe and discussed in a Nepalese context. Delivery by Skilled Birth Attendance serves as an indicator of progress towards reducing maternal mortality worldwide, the fifth Millennium Development Goal. Nepal has committed to reducing its maternal mortality by 75% by 2015 through ensuring accessibility to the availability and utilisation of skilled care at every birth. The literature suggests that several socio-economic, cultural and religious factors play a significant role in the use of Skilled Birth Attendance for delivery in Nepal. Availability of transportation and distance to the health facility; poor infrastructure and lack of services; availability and accessibility of the services; cost and convenience; staff shortages and attitudes; gender inequality; status of women in society; women’s involvement in decision making; and women’s autonomy and place of residence are significant contributing factors for uptake of Skilled Birth Attendance for delivery in Nepal. The review found more quantitative research studies exploring the determinants of utilisation of the maternal health services during pregnancy in Nepal than qualitative studies. Findings of quantitative research show that different social demographic, economic, socio-cultural and religious factors are responsible for the utilisation of maternal health services but very few studies discussed how and why these factors are responsible for utilisation of skilled birth attendants in pregnancy. It is suggested that there is need for more qualitative research to explore the women’s role and choice regarding use of skilled birth attendants services and to find out how and why these factors are responsible for utilisation of skilled birth attendants for delivery. Qualitative research will help further exploration of the issues and contribute to improvement of maternal health services.DOI: http://dx.doi.org/10.3126/kumj.v8i3.6223 Kathmandu Univ Med J 2010;8(3):325-32
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8

Burt, Jessica Florence, Joseph Ouma, Lawrence Lubyayi, Alexander Amone, Lorna Aol, Musa Sekikubo, Annettee Nakimuli, et al. "Indirect effects of COVID-19 on maternal, neonatal, child, sexual and reproductive health services in Kampala, Uganda." BMJ Global Health 6, no. 8 (August 2021): e006102. http://dx.doi.org/10.1136/bmjgh-2021-006102.

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BackgroundCOVID-19 impacted global maternal, neonatal and child health outcomes. We hypothesised that the early, strict lockdown that restricted individuals’ movements in Uganda limited access to services.MethodsAn observational study, using routinely collected data from Electronic Medical Records, was carried out, in Kawempe district, Kampala. An interrupted time series analysis assessed the impact on maternal, neonatal, child, sexual and reproductive health services from July 2019 to December 2020. Descriptive statistics summarised the main outcomes before (July 2019–March 2020), during (April 2020–June 2020) and after the national lockdown (July 2020–December 2020).ResultsBetween 1 July 2019 and 31 December 2020, there were 14 401 antenatal clinic, 33 499 deliveries, 111 658 childhood service and 57 174 sexual health attendances. All antenatal and vaccination services ceased in lockdown for 4 weeks.During the 3-month lockdown, the number of antenatal attendances significantly decreased and remain below pre-COVID levels (370 fewer/month). Attendances for prevention of mother-to-child transmission of HIV dropped then stabilised. Increases during lockdown and immediately postlockdown included the number of women treated for high blood pressure, eclampsia and pre-eclampsia (218 more/month), adverse pregnancy outcomes (stillbirths, low-birth-weight and premature infant births), the rate of neonatal unit admissions, neonatal deaths and abortions. Maternal mortality remained stable. Immunisation clinic attendance declined while neonatal death rate rose (from 39 to 49/1000 livebirths). The number of children treated for pneumonia, diarrhoea and malaria decreased during lockdown.ConclusionThe Ugandan response to COVID-19 negatively impacted maternal, child and neonatal health, with an increase seen in pregnancy complications and fetal and infant outcomes, likely due to delayed care-seeking behaviour. Decreased vaccination clinic attendance leaves a cohort of infants unprotected, affecting all vaccine-preventable diseases. Future pandemic responses must consider impacts of movement restrictions and access to preventative services to protect maternal and child health.
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9

Soderquist, TR. "Maternal Strategies of Phascogale-Tapoatafa (Marsupialia, Dasyuridae) .2. Juvenile Thermoregulation and Maternal Attendance." Australian Journal of Zoology 41, no. 6 (1993): 567. http://dx.doi.org/10.1071/zo9930567.

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When juvenile Phascogale tapoatafa first release the maternal teats and are left in the nursery nest (c. 48 days of age), they lack fur, weight about 4 g, and are poikilothermic. Thermoregulation of wild litters was measured using a temperature-sensitive radio-transmitter inserted into the huddled litter after the mother's departure at night. On cold nights (less-than-or-equal-to 10-degrees-C), juveniles lose heat rapidly in the absence of their mother, with litter temperatures declining to an average of 6-degrees-C in 4 h. Litter temperatures of 3-degrees-C were common. Maternal attendance (incubation) is frequent and of long duration during the early-nesting period, then decreases as juveniles acquire fur and develop endothermy. The mother contributes to litter thermoregulation and security by constructing a large nest of bark, feathers and fur in a tree cavity with a small entrance hole.
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10

Bobo, Firew Tekle, Augustine Asante, Mirkuzie Woldie, Angela Dawson, and Andrew Hayen. "Spatial patterns and inequalities in skilled birth attendance and caesarean delivery in sub-Saharan Africa." BMJ Global Health 6, no. 10 (October 2021): e007074. http://dx.doi.org/10.1136/bmjgh-2021-007074.

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BackgroundImproved access to and quality obstetric care in health facilities reduces maternal and neonatal morbidity and mortality. We examined spatial patterns, within-country wealth-related inequalities and predictors of inequality in skilled birth attendance and caesarean deliveries in sub-Saharan Africa.MethodsWe analysed the most recent Demographic and Health Survey data from 25 sub-Saharan African countries. We used the concentration index to measure within-country wealth-related inequality in skilled birth attendance and caesarean section. We fitted a multilevel Poisson regression model to identify predictors of inequality in having skilled attendant at birth and caesarean section.ResultsThe rate of skilled birth attendance ranged from 24.3% in Chad to 96.7% in South Africa. The overall coverage of caesarean delivery was 5.4% (95% CI 5.2% to 5.6%), ranging from 1.4% in Chad to 24.2% in South Africa. The overall wealth-related absolute inequality in having a skilled attendant at birth was extremely high, with a difference of 46.2 percentage points between the poorest quintile (44.4%) and the richest quintile (90.6%). In 10 out of 25 countries, the caesarean section rate was less than 1% among the poorest quintile, but the rate was more than 15% among the richest quintile in nine countries. Four or more antenatal care contacts, improved maternal education, higher household wealth status and frequently listening to the radio increased the rates of having skilled attendant at birth and caesarean section. Women who reside in rural areas and those who have to travel long distances to access health facilities were less likely to have skilled attendant at birth or caesarean section.ConclusionsThere were significant within-country wealth-related inequalities in having skilled attendant at birth and caesarean delivery. Efforts to improve access to birth at the facility should begin in areas with low coverage and directly consider the needs and experiences of vulnerable populations.
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11

Cadime, Irene, Carla Silva, Iolanda Ribeiro, and Fernanda Leopoldina Viana. "Early lexical development: Do day care attendance and maternal education matter?" First Language 38, no. 5 (May 31, 2018): 503–19. http://dx.doi.org/10.1177/0142723718778916.

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The aim of this study was to analyse the existence of differences in lexical development as a function of day care attendance and maternal education. Data were collected using the MacArthur–Bates Communicative Development Inventory: Words and Sentences. The reports of 2084 toddlers were analysed. The results for toddlers older than 24 months indicated that those from mothers with higher educational levels produced a higher number of words in all lexical categories than those from mothers with lower educational levels. When considering younger toddlers, a significant effect of maternal education was only found on the number of common nouns produced. Nevertheless, the size of these effects was small. Quantity of day care attendance had no effect on the number of words produced. No interaction effects between maternal education and day care attendance were found. These findings indicate that maternal education may be differently associated with the production of words from different lexical categories.
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Gao, Yifei, Yunhui Tang, Mancy Tong, Yan Du, and Qi Chen. "Does attendance of a prenatal education course reduce rates of caesarean section on maternal request? A questionnaire study in a tertiary women hospital in Shanghai, China." BMJ Open 9, no. 6 (June 2019): e029437. http://dx.doi.org/10.1136/bmjopen-2019-029437.

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ObjectiveCaesarean section rates have significantly increased worldwide. China has a caesarean rate of 46%, with a moderate contribution of caesarean section on maternal request. In this study, we investigated the association between maternal characteristics, attendance at a prenatal education course and caesarean section on maternal request.DesignQuestionnaire study.SettingTertiary hospital in China.Sample564 questionnaires.MethodsOn postpartum day 42, questionnaire data were collected. Data including age, parity, gravida, delivery mode, educational level, residence status, living condition and attendance of prenatal education course were analysed.Primary and secondary outcome measuresFactors associated with caesarean section on maternal request.Results46% of women were delivered by caesarean section on maternal request. Maternal age and residence status were all significantly associated with having a caesarean section on maternal request. The OR of an increase in caesarean section on maternal request in women over 30 years was 2.42 (95%confidence limits 1.597 to 3.666), compared with women under 30 years. 75% more women who resided in Shanghai had caesarean section on maternal request, compared with women who resided outside of Shanghai. However, there was a significant reduction (35%) in the number of caesarean sections on maternal request in women who attended a prenatal education course (p=0.029). There was no significant association between attendance of a prenatal education course and the other maternal characteristics studied.ConclusionMaternal age is associated with an increased risk of caesarean section on maternal request. For women of all age, attendance of a prenatal education course significantly reduced the rate of caesarean section on maternal request. Our data suggest that promotion of a prenatal education course is an important tool in China to reduce the rate of caesarean section.
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13

Alemayehu, Mulunesh, and Wubegzier Mekonnen. "The Prevalence of Skilled Birth Attendant Utilization and Its Correlates in North West Ethiopia." BioMed Research International 2015 (2015): 1–8. http://dx.doi.org/10.1155/2015/436938.

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The low utilization of skilled birth attendants sustained high maternal mortality. The aim of this study was to assess its magnitude and correlates in Northwest Ethiopia. A study was conducted on 373 randomly selected women who gave birth in the 12 months preceding the survey. Correlates were identified using binary logistic regression. Skilled birth attendance was 18.8%. Inability to perform cultural practices in health facilities (65.5%), expecting smooth delivery (63.4%), and far distance (62%) were the main barriers. Women with urban residence (AOR = 5.46: 95% CI[2.21–13.49]), primary (AOR = 2.10: 95% CI[0.71–6.16]) and secondary-plus (AOR = 6.12:[1.39–26.92]) educational level, four-plus ANC visits (AOR = 17.33: 95% CI[4.22–71.29]), and proximity to health centers (AOR = 5.67: 95% CI[1.47–25.67]) had higher odds of using skilled birth attendants though women with no labor complications had lower odds (AOR = 0.02: 95% CI[0.01–0.05]). Skilled birth attendance use was low. Urban residence, primary-plus level of education, frequent ANC visits, living nearby the health centers, and a problem during labor were positively correlated with skilled birth attendance utilization. Stakeholders should enhance girls’ education beyond primary level and ANC services and shorten distances to health facilities.
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14

Karamanlidis, AA, P. Dendrinos, and F. Trillmich. "Maternal behavior and early behavioral ontogeny of the Mediterranean monk seal Monachus monachus in Greece." Endangered Species Research 45 (May 6, 2021): 13–20. http://dx.doi.org/10.3354/esr01114.

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Understanding behavioral ontogeny is important for the successful conservation of endangered marine mammals. This is particularly the case for phocid seals, as during the early stages of their life they must acquire, largely independently, essential survival skills. We studied the maternal behavior and early behavioral ontogeny of the Mediterranean monk seal, one of the most endangered marine mammals on Earth, by installing a remote-controlled, infrared, video system in a pupping cave in Greece and recording the behavior of 2 adult females and their newborn pups (September 2007 to March 2008). Behavioral observations focused on the monitoring of individual attendance (i.e. percentage of time spent in attendance and attendance time) and the description of interactions. Following parturition, the percentage of time spent in attendance of both mothers and pups decreased gradually as pups developed towards independence. Overall, the pupping cave was used almost continuously by the 4 individuals for 3 to 4 mo. Similarly, attendance times also decreased after parturition. During the first 10 d postpartum, maternal attendance was followed by a 0.5 to 13.8 h absence, during which we presume that the adult females went out foraging. We also detail various in-cave interactions for the first time in Mediterranean monk seals in Greece, including lactations, interactions between mothers and pups, interactions between pups and general seal interactions. Our study increases our understanding of the in-cave behavior of the Mediterranean monk seal, while highlighting the vital role of suitable caves in the reproduction and survival of the species and the necessity to effectively protect this type of habitat.
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15

Milkowska-Shibata, Maja Aleksandra, Thin Thin Aye, San Myint Yi, Khin Thein Oo, Kyi Khaing, Marlar Than, Thinzar Win, et al. "Understanding Barriers and Facilitators of Maternal Health Care Utilization in Central Myanmar." International Journal of Environmental Research and Public Health 17, no. 5 (February 25, 2020): 1464. http://dx.doi.org/10.3390/ijerph17051464.

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The study objective was to examine barriers and facilitators of maternal health services utilization in Myanmar with the highest maternal mortality ratio in Southeast Asia. Data for 258 mothers with children under five were extracted from a community health survey administered between 2016 and 2017 in Mandalay, the largest city in central Myanmar, and analyzed for associations between determinants of maternal health care choices and related outcomes. The study showed that late antenatal care was underutilized (41.7%), and antenatal care attendance was significantly associated with geographical setting, household income, education, and access to transportation (p ≤ 0.05). Less than one-third of women gave birth at home and 18.5% of them did so without the assistance of traditional birth attendants. Household education level was a significant predictor for home delivery (p < 0.01). Utilization of postnatal care services was irregular (47.9%–70.9%) and strongly associated with women’s places of delivery (p < 0.01). Efforts geared towards improving maternal health outcomes should focus on supporting traditional birth attendants in their role of facilitating high-quality care and helping women reach traditional health facilities, as well as on maternal health literacy based on culturally appropriate communication.
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Kirkman, S. P., M. N. Bester, G. J. G. Hofmeyr, P. A. Pistorius, and A. B. Makhado. "Pup growth and maternal attendance patterns in Subantarctic fur seals." African Zoology 37, no. 1 (April 2002): 13–19. http://dx.doi.org/10.1080/15627020.2002.11657149.

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17

Ambrose, Naawa, Baatiema Leonard, Jacob Aaworb-nang Maabobr Kor, Anthony Nwinkaara Sumah, and Prisca Zwanikken. "The Underlying Gendered Factors Influencing Access to and Utilization of Skilled Birth Attendance (Sba): A Case Study in Ghana." Advances in Social Sciences Research Journal 9, no. 7 (July 26, 2022): 307–27. http://dx.doi.org/10.14738/assrj.97.12668.

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Анотація:
Maternal mortality continues to be a major public health concern in Ghana where women still die from preventable maternal deaths. Several factors contribute to the high maternal mortality in the country including delay in seeking skill birth attendance, sociocultural factors among others. Pursuance to the aforesaid, the study aimed at analyzing the role of gender in accessing skilled birth attendance in Ghana. A review of relevant literature was conducted to respond to the role of gender in accessing and utilizing skilled birth attendance. The search was conducted in Web of Science, Medline, PubMed, Academic Search Complete, and Cochrane database of systematic reviews including manual search of relevant literature in articles reference list. The 12 Centre for Evidence Based Management (CEBM) guidelines were used to assess the quality of the studies. The findings revealed a power play and a significant role of gender in accessing skilled birth attendance. Among the 10 studies included in this review, half of them were from northern Ghana whiles the other half in southern Ghana. Significant element discussed among the papers reviewed included male involvement, participation in decision making processes to seek skilled delivery and the effect of women social network. Men although appreciate the importance of skilled birth attendance, they are unable to provide the needed support to their partners during labour. The decision on the place of birth is mostly taken by the elderly women in the families. Gender indeed plays a significant role in determining women access and utilization of skilled birth attendance.
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Yeasmin, Farzana, Peter J. Winch, Sharon T. Hwang, Elli Leontsini, Tania Jahir, Jyoti B. Das, Mohammad R. Amin, et al. "Exploration of Attendance, Active Participation, and Behavior Change in a Group-Based Responsive Stimulation, Maternal and Child Health, and Nutrition Intervention." American Journal of Tropical Medicine and Hygiene 104, no. 4 (April 7, 2021): 1586–95. http://dx.doi.org/10.4269/ajtmh.20-0991.

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ABSTRACTDelivery of interventions through group sessions allows for in-depth discussions and creates opportunities for group members to work together to identify and solve common problems. However, low attendance may limit impact. We explored factors affecting attendance, active participation, and behavior change in an integrated group-based child development and maternal and child health intervention in Bangladesh. Community health workers (CHWs) facilitated two sessions a month including material on child stimulation; water, sanitation, and hygiene; nutrition, maternal depression, and lead exposure prevention. Sessions were conducted with 320 pregnant women and mothers with children younger than 24 months, in 16 villages in Kishoreganj district. After 4 and 9 months of intervention, we conducted focus group discussions and in-depth interviews with mothers (n = 55 and n = 48) to identify determinants of attendance and behavior change, and to examine potential for intervention scale-up. Recruiting family members to assist with childcare resulted in improved attention during sessions. Adopting a storytelling format for presentation of session materials resulted in more engaged participation during courtyard sessions. Session attendance and behavior change, especially purchasing decisions, were difficult for participants without the support of male heads of the household. Selecting a rotating leader from among the group members to remind group members to attend sessions and support CHWs in organizing the sessions was not successful. Facilitating self-appraisals and planning for water and sanitation allowed participants to identify areas for improvement and track their progress. Key determinants of a participant’s attendance were identified, and the resulting intervention shows promise for future implementation at scale.
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Setiyorini, Ana, Friska Yuliana Sijabat, and Maudy Anita Sari. "Faktor yang Mempengaruhi Kepatuhan Ibu Hamil dalam Melakukan Kunjungan Antenatal Care (ANC) di Layanan Kesehatan.pdf." I Care Jurnal Keperawatan STIKes Panti Rapih 2, no. 1 (March 25, 2021): 1–12. http://dx.doi.org/10.46668/jurkes.v2i1.147.

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Background: Antenatal care (ANC) is a health service from professionals for pregnant women in accordance with service standards that implemented to improve the physical and mental health of pregnant women optimally, so that they able to face childbirth, postpartum periode, exclusive breastfeeding preparation, and periode of reproductive system return to its normal pre-pregnant stage. Mother’s adherence in ANC attendance can detect and treat pregnancy problems which could impact on maternal mortality. Inadequate utilization of health services can be caused by many factors, including knowledge of pregnant women, distance of residence, family income, information from media, family support, and health workers’ factor. Objective: Determined the factors that influence the adherence of pregnant women to ANC attendance at Panti Rini Hospital Yogyakarta Method: This research is a descriptive analytic study with a cross sectional design at Panti Rini Hospital Yogyakarta. The sample in this study were thirty-two of third trimester pregnant women who visited antenatal care during 15 December 2020-6 January 2021 which recruited with an accidental sampling. Univariate, bivariate analysis with the Spearman correlation statistical test used to determine the relationship of each variables (p-value) at the level of significance p <0.05. Results: Factors that influence maternal adherence to ANC attendance were family support (p-value: 0,000). The factors that did not affect were maternal age (p-value: 0.868), maternal education (p-value: 0.644), employment status (p-value: 0.224), maternal knowledge (p-value: 0.175), distance of residence (p-value: 0.613), family income (p-value: 0.921), media information (p-value: 0.233), support from officers (p-value: 0.141). Conclusions: Factors that influence maternal adherence to ANC attendance were family support. The factors that did not affect were maternal age, maternal education, employment status, maternal knowledge, distance of residence, family income, media information, support from officers. It is hoped that the family will always offer support the mother in checking her pregnancy.
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Nyang’au, Rose A. M., Maximilla Wanzala, and Tom Were. "Male Partner Involvement in Promoting Antenatal Care and Skilled Delivery Attendance in Bumula Sub-County, Kenya." European Journal of Medical and Health Sciences 3, no. 5 (October 14, 2021): 43–51. http://dx.doi.org/10.24018/ejmed.2021.3.5.978.

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Globally, male partner involvement in antenatal care and skilled delivery services remains a challenge to effective management of maternal health. Maternal morbidities and mortalities have been increasing due to the underutilization of antenatal care and skilled delivery attendance at a global level. However, developed countries have had a different story on male partner involvement in antenatal care and skilled delivery attendance – most male partners are involved in the process. But sub-Saharan Africa in the global south records the highest percentage of male partners who are never active in accompanying their female counterparts to visit antenatal care and skilled delivery. In Kenya male involvement in maternal services remains low despite it being recognized as one of the pillars of safe motherhood. Therefore, this study was conducted to investigate male partner involvement in promoting antenatal care and skilled delivery attendance in Bumula Sub-County of Bungoma County in Kenya. It focused on the level of male partners involvement in maternal health. The study adopted a cross-sectional design. The target populations were married men and community health volunteers. The study had a sample size of 427 persons. Data was collected using a pre-tested semi-structured questionnaire, key in-depth interview guides, focused group discussion guides and observation checklist. Data were analysed using descriptive statistics with the aid of the Statistical Package for Social Scientist version 25. Data were presented using tables, figures, narratives and direct quotes. The study found a low level of male involvement (18%) in promoting antenatal care and skilled delivery attendance. Most of the male partners (83.1%) did not plan with their partners for ANC and skilled delivery services, however, (54.1%) accompanied their partners to the clinics. The study concluded There was a low level of male partner involvement in ANC and skilled delivery attendance. About 18% of male partners were involvement in ANC and skilled delivery attendance. There was an improvement of male partner involvement in accompaniment and provision of support. The study recommended that the two levels of government through the Ministry of Health should create awareness campaigns and public education with a targeted massage on negative cultural practices/mindset that hinder male partner involvement in maternal health services in the Bumula sub-county.
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Ballantyne, M., B. Stevens, A. Guttmann, A. R. Willan, and P. Rosenbaum. "Maternal and infant predictors of attendance at Neonatal Follow-Up programmes." Child: Care, Health and Development 40, no. 2 (January 7, 2013): 250–58. http://dx.doi.org/10.1111/cch.12015.

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Gazo, Manel, and Alex Acuilar. "MATERNAL ATTENDANCE AND DIVING BEHAVIOR OF A LACTATING MEDITERRANEAN MONK SEAL." Marine Mammal Science 21, no. 2 (April 2005): 340–45. http://dx.doi.org/10.1111/j.1748-7692.2005.tb01235.x.

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Aryastami, Ni Ketut, and Rofingatul Mubasyiroh. "Traditional practices influencing the use of maternal health care services in Indonesia." PLOS ONE 16, no. 9 (September 10, 2021): e0257032. http://dx.doi.org/10.1371/journal.pone.0257032.

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Background Maternal Mortality Ratio (MMR) in Indonesia is still high, 305, compared to 240 deaths per 100,000 in South East Asian Region. The use of Traditional Birth Attendance (TBA) as a cascade for maternal health and delivery, suspected to be the pocket of the MMR problem. The study aimed to assess the influence of traditional practices on maternal health services in Indonesia. Methods We used two data sets of national surveys for this secondary data analysis. The samples included 14,798 mothers whose final delivery was between January 2005 and August 2010. The dependent variables were utilization of maternal healthcare, including receiving antenatal care (ANC≥4), attended by skilled birth attendance (SBA), and having a facility-based delivery (FBD). The independent variables were the use of traditional practices, type of family structure, and TBA density. We run a Multivariate logistic regression for the analysis by controlling all the covariates. Results Traditional practices and high TBA density have significantly inhibited the mother’s access to maternal health services. Mothers who completed antenatal care were 15.6% lost the cascade of facility-based delivery. The higher the TBA population, the lower cascade of the use of Maternal Health Services irrespective of the economic quintile. Mothers in villages with a high TBA density had significantly lower odds (AOR = 0.30; CI = 0.24–0.38; p<0.01) than mothers in towns with low TBA density. Moreover, mothers who lived in an extended family had positively significantly higher odds (AOR = 1.33, CI = 1.17–1.52; p<0.01) of using maternal health services. Discussion Not all mothers who have received proper antenatal delivered the baby in health care facilities or preferred a traditional birth attendance instead. Traditional practices influenced the ideal utilization of maternal health care. Maternal health care utilization can be improved by community empowerment through the maternal health policy to easier mothers get delivery in a health care facility.
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Tenaw, Shegaw Geze, Daniel Tsega, Bitew Tefera Zewudie, Bogale Chekole, Muche Argaw Eniyew, and Yibeltal Mesfin. "Completion of the maternal continuum of care and its association with antenatal care attendance during previous pregnancy among women in rural areas of the Gurage Zone, Southwest Ethiopia: a community-based cross-sectional study." BMJ Open 12, no. 11 (November 2022): e066536. http://dx.doi.org/10.1136/bmjopen-2022-066536.

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ObjectiveThe maternal continuum of care is a cost-effective intervention to prevent pregnancy and childbirth-related maternal and neonatal mortality and morbidity. This study aimed to investigate the prevalence of completion of the maternal continuum of care and its association with antenatal care (ANC) attendance during previous pregnancy among women in rural kebeles of Gurage Zone, Southwest Ethiopia.DesignA community-based cross-sectional study.SettingThe study took place in 12 rural kebeles of the Gurage Zone from 1 April 2022 to 12 May 2022.ParticipantsRandomly selected 497 women who gave birth in the previous 12 months in rural kebeles of the Gurage Zone.OutcomeThe outcome of this study was the prevalence of completion of the maternal continuum of care.ResultsOverall, the prevalence of completion of the maternal continuum of care was 15.5% (95% CI: 12.55% to 18.9%). After adjusting for potential confounders, having ANC attendance during a previous pregnancy (adjusted OR (AOR): 2.01; 95% CI: 1.07 to 3.76) was positively associated with the completion of the maternal continuum of care. In addition, having access to ambulance service as a means of transportation (AOR: 6.01; 95% CI: 3.16 to 11.39)andexposure to mass media (AOR: 2.43; 95% CI: 1.27 to 4.68) were positively associated with completion of the maternal continuum of care.ConclusionThe prevalence of completion of the maternity continuum of care was unacceptably low in this study. This result indicates that the women did not receive the maximum possible health benefit from existing maternal healthcare services. The completion of the maternal continuum of care was affected by ANC attendance in a previous pregnancy. Therefore, interventions that can strengthen ANC are crucial in the maternal continuum of the care pathway.
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Lea, Mary-Anne, and Mark A. Hindell. "Pup Growth and Maternal Care in New Zealand Fur Seals, Arctocephalus forsteri, at Maatsuyker Island, Tasmania." Wildlife Research 24, no. 3 (1997): 307. http://dx.doi.org/10.1071/wr96054.

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The growth, maternal attendance and sucking behaviour of 11 New Zealand fur seal pups, Arctocephalus forsteri, on Maatsuyker Island, Tasmania, were studied during the first six months of lactation. Early growth rates (0–50 days) ranged from 78 to 138 g day-1 and were amongst the highest recorded for any fur seal. Male pups from Maatsuyker Island in 1993 grew at double the rate reported from Kangaroo Island in 1989 and 1990. Growth of pups was influenced by the attendance behaviour of mothers. Mothers that spent relatively long periods at sea had pups that grew more slowly. The proportion of time spent sucking by pups decreased during the attendance period of mothers. Distinct interannual variability was also determined for body masses of pups weighed in March in five successive years, 1990–94, with mean body mass differing by up to 20% between years.
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Wilk, Piotr, Alana Maltby, Martin Cooke, and Janice Forsyth. "The effect of parental residential school attendance and parental involvement on Indigenous youth’s participation in sport and physical activity during school." International Journal of Indigenous Health 14, no. 2 (August 9, 2019): 133–49. http://dx.doi.org/10.32799/ijih.v14i2.31929.

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Introduction: The objective of this study was to assess the effect of parental residential school attendance on youth's participation in sport and physical activity (S/PA) at school and to explore the potential role that parental education and parental involvement in school activities may play in mediating this relationship. Methods: This cross-sectional study used the 2012 Aboriginal Peoples Survey and included youth ages 12-17 (N=4,840). Structural equation modeling techniques were used for models with observed and latent variables. Sampling weights and bootstrap weights were used for all analyses. Results: The results indicate 62.87% of youth participated in S/PA; 27.54% at school; 31.52% outside of school, and 40.94% in school and outside school. Mothers who attended residential schools had lower levels of educational attainment. Maternal education had a positive effect on parental involvement in school activities in dual parent households and parental involvement had a positive effect on S/PA. The indirect effects of residential school attendance on parental involvement and participation in S/PA were significant only for youth living with both parents and only for the effect of maternal residential school attendance. Maternal residential school attendance had a negative effect on parental involvement and on participation in S/PA. Discussion: The findings from this study indicate that interpersonal factors and historical contexts shape Indigenous youth's participation in S/PA.
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Taleb El Hassen, Mohamed Vadel, Juan M. Cabases, Moulay Driss Zine Eddine El Idrissi, and Samuel Mills. "Changes in Inequality in Use of Maternal Health Care Services: Evidence from Skilled Birth Attendance in Mauritania for the Period 2007–2015." International Journal of Environmental Research and Public Health 19, no. 6 (March 17, 2022): 3566. http://dx.doi.org/10.3390/ijerph19063566.

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Skilled birth attendance is critical to reduce infant and maternal mortality. Health development plans and strategies, especially in developing countries, consider equity in access to maternal health care services as a priority. This study aimed to measure and analyze the inequality in the use of skilled birth attendance services in Mauritania. The study identifies the inequality determinants and explores its changes over the period 2007–2015. The concentration curve, concentration index, decomposition of the concentration index, and Oaxaca-type decomposition technique were performed to measure socioeconomically-based inequalities in skilled birth attendance services utilization, and to identify the contribution of different determinants to such inequality as well as the changes in inequality overtime using data from Mauritania Multiple Indicator Cluster Surveys (MICS) 2007 and 2015. The concentration index for skilled birth attendance services use dropped from 0.6324 (p < 0.001) in 2007 to 0.5852 (p < 0.001) in 2015. Prenatal care, household wealth level, and rural−urban residence contributed most to socioeconomic inequality. The concentration index decomposition and the Oaxaca-type decomposition revealed that changes in prenatal care and rural−urban residence contributed positively to lower inequality, but household economic status had an opposite contribution. Clearly, the pro-rich inequality in skilled birth attendance is high in Mauritania, despite a slight decrease during the study period. Policy actions on eliminating geographical and socioeconomic inequalities should target increased access to skilled birth attendance. Multisectoral policy action is needed to improve social determinants of health and to remove health system bottlenecks. This will include the socioeconomic empowerment of women and girls, while enhancing the availability and affordability of reproductive and maternal health commodities. This policy action can be achieved through improving the availability of obstetric service providers in rural areas; ensuring better distribution and quality of health infrastructure, particularly health posts and health centers; and, ensuring user fees removal for equitable, efficient, and sustainable financial protection in line with the universal health coverage objectives.
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Bintabara, Deogratius. "Addressing the huge poor–rich gap of inequalities in accessing safe childbirth care: A first step to achieving universal maternal health coverage in Tanzania." PLOS ONE 16, no. 2 (February 16, 2021): e0246995. http://dx.doi.org/10.1371/journal.pone.0246995.

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Introduction Despite skilled attendance during childbirth has been linked with the reduction of maternal deaths, equality in accessing this safe childbirth care is highly needed to achieving universal maternal health coverage. However, little information is available regarding the extent of inequalities in accessing safe childbirth care in Tanzania. This study was performed to assess the current extent, trend, and potential contributors of poor-rich inequalities in accessing safe childbirth care among women in Tanzania. Methods This study used data from 2004, 2010, and 2016 Tanzania Demographic Health Surveys. The two maternal health services 1) institutional delivery and 2) skilled birth attendance was used to measures access to safe childbirth care. The inequalities were assessed by using concentration curves and concentration indices. The decomposition analysis was computed to identify the potential contributors to the inequalities in accessing safe childbirth care. Results A total of 8725, 8176, and 10052 women between 15 and 49 years old from 2004, 2010, and 2016 surveys respectively were included in the study. There is an average gap (>50%) between the poorest and richest in accessing safe childbirth care during the study period. The concentration curves were below the line of inequality which means women from rich households have higher access to the institutional delivery and skilled birth attendance inequalities in accessing institutional delivery and skilled birth attendance. These were also, confirmed with their respective positive concentration indices. The decomposition analysis was able to unveil that household’s wealth status, place of residence, and maternal education as the major contributors to the persistent inequalities in accessing safe childbirth care. Conclusion The calls for an integrated policy approach which includes fiscal policies, social protection, labor market, and employment policies need to improve education and wealth status for women from poor households. This might be the first step toward achieving universal maternal health coverage.
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Husna, Lailathul, Abdiana Abdiana, and Sunesni Sunesni. "Factors Associated to Choice of Birth Attendance in Work Area Of Silago Health Center, Dharmasraya Regency In 2017." Journal of Midwifery 2, no. 2 (December 21, 2017): 100. http://dx.doi.org/10.25077/jom.2.2.100-111.2017.

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Maternal mortality in Indonesia can occur during pregnancy, labor and delivery. The biggest cause is bleeding. Bleeding can occur during labor or postpartum. Birth attendant can be an indirect determinant of the incidence in postpartum hemorrhage. The aim of this study is to determine factors associated to choice of birth attendance.An analitycal research based cross sectional study was conducted from November 2016-November 2017. The study included 66 subjects who gave birth in 2016 were selected by purposive sampling technique. Data were collected by questionnaire. The collected data were analyze with chi square test using p value <0,05The result of statistic test showed that there was a significant correlation between knowledge (p = 0,000) and attitude (p=001) with the choice of birth attendant. There was no significant correlation between age (p = 0,253), education (p=0,071), employment (p=0,227) and accesibility (p=p=1,000) with the choice of birth attendant. Meanwhile, for support of the husband level chi square test was not performed.From the results of the study it can be concluded that knowledge and attitude were factors related to choice of birth attendance. Meanwhile, age, education, employment and accesibility were not factors associated to choice of birth attendance in work area of Silago Health Center.
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Mander, Anthony J., Beverley Norton, and Peter Hoare. "The Effect of Maternal Psychotic Illness on a Child." British Journal of Psychiatry 151, no. 6 (December 1987): 848–50. http://dx.doi.org/10.1192/bjp.151.6.848.

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We report the case of an 11-year-old girl who had been living with only her mother, a woman with chronic schizophrenia. The girl had been caught shoplifting with her mother, and had a long history of non-attendance at school. The case emphasises that adult psychiatrists should always consider the impact of chronic parental psychiatric disorder on children, particularly in one-parent families.
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Ssetaala, Ali, Julius Ssempiira, Mathias Wambuzi, Gertrude Nanyonjo, Brenda Okech, Kundai Chinyenze, Bernard Bagaya, Matt A. Price, Noah Kiwanuka, and Olivier Degomme. "Improving access to maternal health services among rural hard-to-reach fishing communities in Uganda, the role of community health workers." Women's Health 18 (January 2022): 174550572211039. http://dx.doi.org/10.1177/17455057221103993.

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Objectives: To explore whether community health worker household-based maternal health visits improve antenatal care and skilled birth attendance among hard-to-reach fishing villages on Lake Victoria, Uganda. Methods: This quasi-experimental 18-month prospective study involved 486 consenting women aged 15–49 years, who were pregnant or had a pregnancy outcome in the past 6 months, from 6 island fishing communities. The community health worker household-based intervention (community health workers’ household visits to provide counseling, blood pressure measurement, anemia, and HIV testing) involved 243 women from three fishing communities. Random effects logistic regression was used to determine the association between the community health worker intervention and antenatal care and skilled birth attendance among women who had at least 5 months of pregnancy or childbirth at follow-up. Results: Almost all women accepted the community health worker intervention (90.9% (221/243)). Hypertension was at 12.5% (27/216) among those who accepted blood pressure measurements, a third (33.3% (9/27)) were pregnant. HIV prevalence was 23.5% (52/221). Over a third (34.2% (69/202)) of women tested had anemia (hemoglobin levels less than 11 g/dL). The community health worker intervention was associated with attendance of first antenatal care visit within 20 weeks of pregnancy (adjusted odd ratio = 2.1 (95% confidence interval 0.6–7.6)), attendance of at least four antenatal care visits (adjusted odd ratio = 0.9 (95% confidence interval 0.4–2.0)), and skilled birth attendance (adjusted odd ratio = 0.5 (95% confidence interval 0.1–1.5)), though not statistically significant. Conclusion: Community health workers have a crucial role in improving early antenatal care attendance, early community-based diagnosis of anemia, hypertensive disorders, and HIV among women in these hard-to-reach fishing communities.
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Thapa, Jeevan, Shyam Sundar Budhathoki, Rejina Gurung, Prajwal Paudel, Bijay Jha, Anup Ghimire, Johan Wrammert, and Ashish KC. "Equity and Coverage in the Continuum of Reproductive, Maternal, Newborn and Child Health Services in Nepal-Projecting the Estimates on Death Averted Using the LiST Tool." Maternal and Child Health Journal 24, S1 (November 30, 2019): 22–30. http://dx.doi.org/10.1007/s10995-019-02828-y.

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Abstract Introduction The third Sustainable Development Goal, focused on health, includes two targets related to the reduction in maternal, newborn and under-five childhood mortality. We found it imperative to examine the equity and coverage of reproductive, maternal, newborn and child health (RMNCH) interventions from 2001 to 2016 in Nepal; and the death aversion that will take place during the SDG period. Methods We used the datasets from the Nepal Demographic Health Surveys (NDHS) 2001, 2006, 2011 and 2016. We calculated the coverage and equity for RMNCH interventions and the composite coverage index (CCI). Based on the Annualized Rate of Change (ARC) in the coverage for selected RMNCH indicators, we projected the trend for the RMNCH interventions by 2030. We used the Lives Saved Tools (LiST) tool to estimate the maternal, newborn, under-five childhood deaths and stillbirths averted. We categorised the interventions into four different patterns based on coverage and inequity gap. Results Between 2001 and 2016, a significant improvement is seen in the overall RMNCH intervention coverage-CCI increasing from 46 to 75%. The ARC was highest for skilled attendance at birth (11.7%) followed by care seeking for pneumonia (8.2%) between the same period. In 2016, the highest inequity existed for utilization of the skilled birth attendance services (51%), followed by antenatal care (18%). The inequity gap for basic immunization services reduced significantly from 27.4% in 2001 to 5% in 2016. If the current ARC continues, then an additional 3783 maternal deaths, 36,443 neonatal deaths, 66,883 under-five childhood deaths and 24,024 stillbirths is expected to be averted by the year 2030. Conclusion Nepal has experienced an improvement in the coverage and equity in RMNCH interventions. Reducing inequities will improve coverage for skilled birth attendants and antenatal care. The current annual rate of change in RMNCH coverage will further reduce the maternal, neonatal, under-five childhood deaths and stillbirths.
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Faber, Mieke, Michael A. S. Phungula, Jane D. Kvalsvig, A. J. Spinnler Benadé, and Helen Young. "Acceptability of Community-Based Growth Monitoring in a Rural Village in South Africa." Food and Nutrition Bulletin 24, no. 4 (January 2003): 350–59. http://dx.doi.org/10.1177/156482650302400405.

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In rural areas, a lack of infrastructure often limits the promotion and implementation of community-based nutrition activities. Growth monitoring can potentially provide a platform for the promotion and implementation of community-based nutrition activities, provided that the growth-monitoring program has a high coverage. The aim of this study was to determine the acceptability of a community-based growth-monitoring project in terms of child attendance and maternal attitude. The study was done in a mountainous rural village that lacks health facilities in KwaZulu-Natal, South Africa. Attendance registers from 1996 to 2000 were used to determine the attendance ratio, coverage, adequacy of growth monitoring, and frequency distribution of the age of participating children. In 2001, focus group discussions were used for the qualitative assessment of maternal attitudes. The community-based growth-monitoring project had an estimated coverage of 90%, at least 60% of these children were covered adequately, and attendance was equally distributed over one-year-interval age categories for children aged five years and younger. Community-based growth monitoring can therefore provide a suitable platform for the promotion and implementation of community-based nutrition activities.
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Anichukwu, Onyekachi Ibenelo, and Benedict Oppong Asamoah. "The impact of maternal health care utilisation on routine immunisation coverage of children in Nigeria: a cross-sectional study." BMJ Open 9, no. 6 (June 2019): e026324. http://dx.doi.org/10.1136/bmjopen-2018-026324.

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ObjectiveTo examine the impact of maternal healthcare (MHC) utilisation on routine immunisation coverage of children in Nigeria.DesignIndividual level cross-sectional study using bivariate and multivariable logistic regression analyses to examine the association between MHC utilisation and routine immunisation coverage of children.SettingNigeria Demographic and Health Survey 2013.Participants5506 women aged 15–49 years with children aged 12–23 months born in the 5 years preceding the survey.Primary outcome measuresFully immunised children and not fully immunised children.ResultsThe percentage of children fully immunised with basic routine childhood vaccines by the age of 12 months was 25.8%. Antenatal care (ANC) attendance irrespective of the number of visits (adjusted OR (AOR)1–3 visits2.4, 95% CI 1.79 to 3.27; AOR4–7 visits3.2, 95% CI 2.52 to 4.13; AOR≥ 8 visits3.5, 95% CI 2.64 to 4.50), skilled birth attendance (SBA) (AOR 1.9, 95% CI 1.65 to 2.35); and maternal postnatal care (PNC) (AOR 1.7, 95% CI 1.46 to 2.06) had positive effects on the child being fully immunised after adjusting for covariates (except for each other, ie, ANC, SBA and PNC). Further analyses (adjusting stepwise for each MHC service) showed a mediation effect that led to the effect of PNC not being significant.ConclusionsThe percentage of fully immunised children in Nigeria was very low. ANC attendance, SBA and maternal PNC attendance had positive impact on the child being fully immunised. The findings suggest that strategies aimed at maximising MHC utilisation in Nigeria could be effective in achieving the national coverage target of at least 80% for routine immunisation of children.
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Apreh Siaw, Nicholas, and Samuel Kwofie. "Assessment of the Effects of the Free Maternal Health Policy on Maternal Health: A Case Study of New Juaben Municipality, Koforidua, Ghana." International Journal of Business and Social Research 6, no. 7 (August 22, 2016): 51. http://dx.doi.org/10.18533/ijbsr.v6i7.292.

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<p>The main objective of the study was to verify the effect of the free maternal care policy on maternal health in the New Juaben Municipality, Ghana. The population for the study encompassed women of the child bearing age (10-49) in the New Juaben Municipality. Both primary and secondary sources of data were employed for this study. Purposive and accidental sampling procedures were used to select the respondents. The sample size was two hundred (200). This study used trend analysis as its main approach of analyzing the available data. The findings show that antenatal attendance has been increasing over the years. This is attributed to the introduction of the free maternal health policy. However, quality of care remains a problem due to the enormous attendance. It was also recommended that there is still a great need to introduce other measures to reduce maternal mortality in the municipality. It was also recommended that quality of care must be addressed and also more efforts should be made in the services that have provided to the patients. It was concluded that, although the policy has not eradicated maternal mortality completely yet it has contributed to its significant reduction in the region.</p>
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Lyngsøe, Bente Kjær, Claus Høstrup Vestergaard, Dorte Rytter, Mogens Vestergaard, Trine Munk-Olsen, and Bodil Hammer Bech. "Attendance of routine childcare visits in primary care for children of mothers with depression: a nationwide population-based cohort study." British Journal of General Practice 68, no. 667 (January 15, 2018): e97-e104. http://dx.doi.org/10.3399/bjgp18x694565.

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BackgroundDepression is a common and potentially debilitating illness worldwide. Attendance to routine childcare appointments is a key point of interest in the effort to improve the health and care for families facing depression.AimTo evaluate the association between maternal depression and offspring non-attendance to the Danish childcare and vaccination programme (CCP) for children from 0–5 years of age. The CCP consists of seven separate visits and several vaccinations. To investigate if exposure to recent and previous depression may affect attendance differently.Design and settingPopulation-based cohort study using Danish nationwide registers.MethodParticipants were all live-born children (n = 853 315) in Denmark in the period from 1 January 2000 until 31 August 2013, and their mothers. The outcome of interest was non-attendance of each one of the seven scheduled childcare visits and two vaccination entities in the CCP. Exposure was maternal (both previous and recent) depression. All information was obtained from Danish national registries.ResultsThe risk of not attending CCP was higher for children of mothers with depression. For children of mothers with previous depression, the relative risk (RR) was 1.01 (95% confidence interval [CI] = 0.98 to 1.03) at the 5-week childcare visit, and 1.12 (95% CI = 1.09 to 1.14) at the 5-year childcare visit. For children of mothers with recent depression, the RR was 1.07 (95% CI = 1.03 to 1.13) at the 5-week visit, and 1.15 (95% CI = 1.13 to 1.17) at the 5-year visit. Furthermore, the risk of missing at least four of the seven childcare visits was higher for children of females with maternal depression (RR = 1.16, 95% CI = 1.13 to 1.19).ConclusionMaternal depression seems to compromise CCP attendance. These findings suggest a need for careful clinical attention to these vulnerable families, even years after a diagnosis of depression.
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37

Bruno Tongun, Mukunya, Tylleskar, Sebit, Tumwine, and Ndeezi. "Determinants of Health Facility Utilization at Birth in South Sudan." International Journal of Environmental Research and Public Health 16, no. 13 (July 9, 2019): 2445. http://dx.doi.org/10.3390/ijerph16132445.

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South Sudan has a high maternal mortality ratio estimated at 800 deaths per 100,000 live births. Birth in health facilities with skilled attendants can lower this mortality. In this cross-sectional study, we determined the level and determinants of health facility utilization and skilled birth attendance in Jubek State, South Sudan. Mothers of children aged less than two years were interviewed in their homes. Multivariable regression analysis was performed to determine factors associated with health facility births. Only a quarter of the mothers had given birth at health facilities, 209/810 (25.8%; 95% CI 18.2–35.3) and 207/810 had a skilled birth attendant (defined as either nurse, midwife, clinical officer, or doctor). Factors positively associated with health facility births were four or more antenatal visits (adjusted odds ratio (AOR) 19; 95% CI 6.2, 61), secondary or higher education (AOR 7.9; 95% CI 3, 21), high socio-economic status (AOR 4.5; 95% CI 2.2, 9.4), and being primipara (AOR 2.9; 95% CI 1.5, 5.4). These findings highlight the need for efforts to increase health facility births in South Sudan.
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38

Varon, Stuart R., and Anne W. Riley. "Relationship Between Maternal Church Attendance and Adolescent Mental Health and Social Functioning." Psychiatric Services 50, no. 6 (June 1999): 799–805. http://dx.doi.org/10.1176/ps.50.6.799.

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39

Elder, John P., and Rene Salgado. "The Well Baby Lottery: Motivational Procedures for Increasing Attendance at Maternal and Child Health Clinics." International Journal of Health Services 18, no. 1 (January 1988): 165–71. http://dx.doi.org/10.2190/a5m3-5ht9-jm5b-m4u9.

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A lottery system was used to improve attendance at four well baby clinics in four colonias in Tijuana, Mexico. Mothers earned one lottery ticket for each visit to each clinic during the intervention period. At the end of each month, ticket receipts were entered into drawings for one of three bags of groceries. The lottery system was evaluated within a “multiple baseline design” whereby the intervention was staggered across the four clinics on a month-by-month basis. Although attendance was not enhanced uniformly, an overall improvement of 25 percent was realized. The lottery system was at times hampered by administrative problems, such as the breakdown of a public address system used to announce the open hours of a clinic in one of the colonias.
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40

Demurin, Ya N., O. A. Rubanova, Yu V. Chebanova, T. A. Zemtseva, and A. V. Epishkina. "Variability of reproductive traits in sunflower genotypes with different content of fatty acids and tocopherols in seeds." Oil Crops 4, no. 192 (December 25, 2022): 3–11. http://dx.doi.org/10.25230/2412-608x-2022-4-192-3-11.

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The aim of the work was to study the reproductive characteristics of sunflower genotypes with altered composition of fatty acids and tocopherols in seeds. Studies were conducted in 2017, 2020 and 2022 at the VNIIMK, Krasnodar. The material was a high oleic hybrid of sunflower Oxy with a modified composition of tocopherols, as well as its maternal VK 876 and male VK 195 parent lines. Moreover 19 samples of the genetic collection were studied. The assessment of bee attendance showed significant hereditary variability from 98 to 0.5 bee/plant/hour. The Oxy confirmed a low level of bee attendance, on average, 14 bee/plant/hour. The lines with the maximum values of bee attendance MVG-8 and K 2479 showed a greater amount of nectar and a high level of its sugar content than the genotypes with the minimum values of bee attendance. The data obtained confirm the main role of the nectar of tubular flowers in the pollinator attractiveness. The Oxy had a low pollen grain diameter of 29 microns, a high proportion of defective pollen grains of 37%, a low level of self-fertility of 19% and the seed setting of 47%. The transmission of these negative traits to the hybrid comes from the maternal line of VK 876, and not from the male form of VK 195, which is characterized by normal reproductive traits. The content of oleic acid did not significantly correlate with any of the seven reproductive traits. Correlation coefficients were established: the amount of nectar – bee attendance (0.57), the amount of nectar – sugar content of nectar (0.55), the amount of nectar – the number of defective pollen grains (-0.55), the number of defective pollen grains – self-fertility (-0.72), the number of defective pollen grains – seed setting (-0.47) and a self-fertility – seed setting (0.60). Mutations of high oleic Ol and the composition of tocopherols tph1 and tph2 did not have a pleiotropic effect on reproductive traits in the lines of the genetic collection.
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41

Milette, Linda L., and Andrew W. Trites. "Maternal attendance patterns of Steller sea lions (Eumetopias jubatus) from stable and declining populations in Alaska." Canadian Journal of Zoology 81, no. 2 (February 1, 2003): 340–48. http://dx.doi.org/10.1139/z03-008.

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Maternal attendance patterns of Alaskan Steller sea lions (Eumetopias jubatus) were compared during the summer breeding seasons in 1994 and 1995 at Sugarloaf Island (a declining population) and Lowrie Island (a stable population). Our goal was to determine whether there were differences in maternal attendance between the two populations that were consistent with the hypothesis that lactating Steller sea lions in the area of decline were food-limited during summer. Our a priori expectations were based on well-documented behavioural responses of otariids to reduced prey availability. We found that foraging trips were significantly shorter in the area of population decline, counter to initial predictions. The mean length of foraging trips in the declining area was 19.5 h compared with 24.9 h in the stable area. In contrast, the mean perinatal period (time between parturition and first feeding trip) was significantly longer in the area of decline (9.9 versus 7.9 days), again countering initial predictions. The mean length of shore visits for the declining population was also significantly longer (27.0 h compared with 22.6 h where the population was stable). For both populations, the mean time that mothers foraged increased as pups grew older, whereas the time that they spent on shore with their pups became shorter. Behavioural observations of maternal attendance patterns are inconsistent with the hypothesis that lactating Steller sea lions from the declining population had difficulty obtaining prey during summer.
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42

Stoll, Kathrin H., and Wendy Hall. "Childbirth Education and Obstetric Interventions Among Low-Risk Canadian Women: Is There a Connection?" Journal of Perinatal Education 21, no. 4 (2012): 229–37. http://dx.doi.org/10.1891/1058-1243.21.4.229.

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The objective of this study was to examine the associations between attendance at childbirth education classes and maternal characteristics (age, income, educational level, single parent status), maternal psychological states (fear of birth, anxiety), rates of obstetric interventions, and breastfeeding initiation. Between women’s 35th and 39th weeks of gestation, we collected survey data about their childbirth fear, anxiety, attendance at childbirth education classes, choice of health-care provider, and expectations for interventions; we then linked women’s responses (n = 624) to their intrapartum records obtained through Perinatal Services British Columbia. Older, more educated, and nulliparous women were more likely to attend childbirth education classes than younger, less educated, and multiparous women. Attending prenatal education classes was associated with higher rates of vaginal births among women in the study sample. Rates of labor induction and augmentation and use of epidural anesthesia were not significantly associated with attendance at childbirth education classes. Future studies might explore the effect of specialized education programs on rates of interventions during labor and mode of birth.
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43

Asmara, Andy. "Kompetensi Bidan Puskesmas dalam Meningkatkan Pelayanan Antenatal (Studi Kasus di Puskesmas Tambak Rejo, Surabaya)." Jurnal Manajemen Kesehatan Indonesia 7, no. 1 (April 12, 2019): 1–8. http://dx.doi.org/10.14710/jmki.7.1.2019.1-8.

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The daily facts indicated that an individual is the key factor to achieve organization’s success. Every organization with its best performance is always related to its human resources’ balanced competency. The midwife has role, function, and competencies to provide maternal services for women. The midwife’s role is not only a doer, but also an organizer, an educator, and a researcher. Therefore, the midwife is expected to focus on prevention and health promotion aspect with basis of partnership, and community empowerment collaboration with other health workers in order to be readily prepare the health services for anyone who is in need.This was qualitative research method with case study approach. The informant was the midwives of Tambakrejo Community Health Center of Surabaya. According to the data of antenatal care attendance, trained birth attendance, and perinatal care, there were 859 pregnant women, 581 persons on phase of K1 (67.64%), and 551 persons on phase of K4 (64.14%). The birth attendances by trained birth attendants are 513 people (62.56%), while perinatal care recorded 570 people attending the health service (69.51%). The data indicated the performance by the midwives of Tambakrejo Community Health Center categorized in the lowest position among 63 community health centers in Surabaya. The result showed poor soft skill competency and poor hard skill competency on midwives. In conclusion, poor soft skill competency including personal competence and social competence should be trained and developed by obstetrics and gynecology specialist of Soewandhi Public Hospital of Surabaya. The study suggested Surabaya District Health Office needs to conduct training of technology information and computer in order to increase the service quality and to solved the problem related to hard skill competencies on technology and computer skill.
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44

Buser, Julie M., Michelle L. Munro-Kramer, Philip T. Veliz, Xingyu Zhang, Nancy Lockhart, Godfrey Biemba, Thandiwe Ngoma, Nancy Scott, and Jody R. Lori. "How maternity waiting home use influences attendance of antenatal and postnatal care." PLOS ONE 16, no. 1 (January 22, 2021): e0245893. http://dx.doi.org/10.1371/journal.pone.0245893.

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As highlighted in the International Year of the Nurse and the Midwife, access to quality nursing and midwifery care is essential to promote maternal-newborn health and improve survival. One intervention aimed at improving maternal-newborn health and reducing underutilization of pregnancy services is the construction of maternity waiting homes (MWHs). The purpose of this study was to assess whether there was a significant change in antenatal care (ANC) and postnatal care (PNC) attendance, family planning use, and vaccination rates before and after implementation of the Core MWH Model in rural Zambia. A quasi-experimental controlled before-and-after design was used to evaluate the impact of the Core MWH Model by assessing associations between ANC and PNC attendance, family planning use, and vaccination rates for mothers who gave birth to a child in the past 13 months. Twenty health care facilities received the Core MWH Model and 20 were identified as comparison facilities. Before-and-after community surveys were carried out. Multivariable logistic regression were used to assess the association between Core MWH Model use and ANC and PNC attendance. The total sample includes 4711 mothers. Mothers who used the Core MWH Model had better ANC and PNC attendance, family planning use, and vaccination rates than mothers who did not use a MWH. All mothers appeared to fare better across these outcomes at endline. We found an association between Core MWH Model use and better ANC and PNC attendance, family planning use, and newborn vaccination outcomes. Maternity waiting homes may serve as a catalyst to improve use of facility services for vulnerable mothers.
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45

Cassino, Cara, Marilyn Auerbach, Sandra Kammerman, Erin Birgfeld, Ingrid Bordman, Carlo Ciotoli, and Joan Reibman. "Effect of Maternal Asthma on Performance of Parenting Tasks and Children's School Attendance." Journal of Asthma 34, no. 6 (January 1997): 499–507. http://dx.doi.org/10.3109/02770909709055394.

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46

Chen, Kai-Wei Kevin, Daniel Tsung-Ning Huang, Li-Tuan Chou, Hsi-Ping Nieh, Ren-Huei Fu, and Chien-Ju Chang. "Childhood otitis media: Relationship with daycare attendance, harsh parenting, and maternal mental health." PLOS ONE 14, no. 7 (July 16, 2019): e0219684. http://dx.doi.org/10.1371/journal.pone.0219684.

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47

García-Hernández, S., and G. Machado. "Effectiveness of maternal egg attendance in an exclusively cave-dwelling harvestman (Arachnida: Opiliones)." Journal of Zoology 302, no. 4 (March 14, 2017): 228–35. http://dx.doi.org/10.1111/jzo.12452.

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48

Nackenson, Marcle J., Sol Neuhoff, and Neville H. Golden. "School attendance amongst pregnant adolescents and its relationship to maternal and neonatal outcome." Journal of Adolescent Health Care 9, no. 3 (May 1988): 269. http://dx.doi.org/10.1016/0197-0070(88)90230-6.

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49

Peters, Sarah, Rachel Calam, and Richard Harrington. "Maternal attributions and expressed emotion as predictors of attendance at parent management training." Journal of Child Psychology and Psychiatry 46, no. 4 (April 2005): 436–48. http://dx.doi.org/10.1111/j.1469-7610.2004.00365.x.

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50

Kirk, KM, HH Maes, MC Neale, AC Heath, NG Martin, and LJ Eaves. "Frequency of church attendance in Australia and the United States: models of family resemblance." Twin Research 2, no. 2 (April 1, 1999): 99–107. http://dx.doi.org/10.1375/twin.2.2.99.

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AbstractData on frequency of church attendance have been obtained from separate cohorts of twins and their families from the USA and Australia (29 063 and 20 714 individuals from 5670 and 5615 families, respectively). The United States sample displayed considerably higher frequency of attendance at church services. Sources of family resemblance for this trait also differed between the Australian and US data, but both indicated significant additive genetic and shared environment effects on church attendance, with minor contributions from twin environment, assortative mating and parent–offspring environmental transmission. Principal differences between the populations were in greater maternal environmental effects in the US sample, as opposed to paternal effects in the Australian sample, and smaller shared environment effects observed for both women and men in the US cohort.
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