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1
Ayton, Jennifer, Ingrid van der Mei, Karen Wills, Emily Hansen, and Mark Nelson. "Cumulative risks and cessation of exclusive breast feeding: Australian cross-sectional survey." Archives of Disease in Childhood 100, no. 9 (June 8, 2015): 863–68. http://dx.doi.org/10.1136/archdischild-2014-307833.
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ObjectivesTo estimate the prevalence of cessation of exclusive breast feeding at each month up to 6 months and document key factors and cumulative risks associated with exclusive breastfeeding cessation for children aged from 0 to 6 months.MethodsSecondary analysis using a national representative sample of 22 202 mother and infant pairs derived from the 2010 Australian Institute of Health and Welfare cross-sectional survey, the Australian Infant Feeding Survey.ResultsAmong breastfed infants, 49% had ceased exclusive breast feeding before they had reached 2 months of age. In the final Cox proportional hazards model, cessation of exclusive breast feeding was most strongly associated with partners preferring bottle feeding (HR 1.86, 95% CI 1.69 to 20.6) or having no preference (HR 1.37, 95% CI 1.33 to 1.42), regular dummy use (HR 1.35, 95% CI 1.31 to 1.39) and maternal obesity (HR 1.29, 95% CI 1.24 to 1.35). Living within the most disadvantaged areas of Australia (quintile 1) was not strongly associated with cessation (HR 1.08, 95% CI 1.02 to 1.14) compared with least disadvantaged areas. Having three risk factors significantly increased the risk of cessation by 31% (HR 1.31, 95% CI 1.07 to 1.6).ConclusionsThe prevalence of early cessation of exclusive breast feeding is alarmingly high with 50% of infants no longer exclusively breast fed by age 2 months. Given that not one factor is associated with cessation of exclusive breast feeding, the greatest public health impact is likely to be achieved when multiple risk factors are modified or prevented.
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Thorley, Virginia. "Accounts of infant-feeding advice received by mothers: Queensland, Australia, 1945-1965." Nursing Reports 2, no. 1 (October 31, 2012): 12. http://dx.doi.org/10.4081/nursrep.2012.e12.
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In the period 1945-1965 most women in the state of Queensland, Australia, gave birth in hospitals and thereafter they used a variety of services and individuals for advice on infant feeding. The services available were similar throughout the period. As mothers rarely worked outside the home, being <em>good mothers</em> was important to their identity. In this historical study, telephone interviews and written responses involving 44 mothers and former nurses from every region of this geographically vast state were used in order to investigate sources of personal advice on infant feeding used during this period, mothers’ experience relating to this advice, and the extent to which they followed the advice. The free, nurse-run well-baby clinics and related services conducted by the state’s Maternal and Child Welfare service were the most commonly mentioned services. However, the uptake of advice from this source showed considerable variation as women also drew upon family members, their general practitioners, advice columns, radio broadcasts, other mothers and their own judgment. Only rarely was a specialist pediatrician consulted. A minority of mothers was advised by pharmacists, private baby nurses, or entered residential mothercraft facilities. An important finding is that attendance at the baby clinics did not necessarily equate with compliance, especially as mothers became more experienced.
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Hughes, James G. "Conception and Creation of the American Academy of Pediatrics." Pediatrics 92, no. 3 (September 1, 1993): 469–70. http://dx.doi.org/10.1542/peds.92.3.469.
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In the latter years of the 19th century, and to an increasing degree in the first decades of the 20th, there arose in the United States and elsewhere a growing concern for the health and welfare of women and children, especially pregnant mothers and infants. Compared with current figures, maternal and infant mortality rates were extremely high, and there were virtually no widespread programs to avoid malnutrition and a host of preventable diseases and disabilities in childhood. Isolated instances of good maternal and infant programs existed, but it became obvious that our country needed national programs to improve child health and welfare.
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Jones, M. "Infant and Maternal Health Services in Ceylon, 1900-1948: Imperialism or Welfare?" Social History of Medicine 15, no. 2 (August 1, 2002): 263–89. http://dx.doi.org/10.1093/shm/15.2.263.
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HARRIS, BERNARD. "Review Article: Household, family and welfare: past, present and future." Continuity and Change 14, no. 2 (August 1999): 267–73. http://dx.doi.org/10.1017/s026841609900332x.
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J. Robin, From childhood to middle age: cohort analysis in Colyton, 1851–1891. (Cambridge: Cambridge Group for the History of Population and Social Structure, Working Paper Series, no. 1, n.d.). Pages iv+83. £2.50.H. Cunningham and P. P. Viazzo (eds.), Child labour in historical perspective, 1800–1985: case studies from Europe, Japan and Colombia. (Florence: United Nations Children's Fund, International Child Development Centre, 1996.) Pages 105. US$9.00.L. Marks, Metropolitan maternity: maternal and infant welfare services in early-twentieth century London. (Amsterdam: Rodopi, 1996.) Pages xxii+344.A. Walker (ed.), The new generational contract: intergenerational relations, old age and welfare. (London: UCL Press, 1996). Pages xiii+241.These four publications vary significantly in their geographical coverage and general subject matter, but it is still possible to identify a number of common themes. They are particularly important for what they reveal about the links between formal welfare provision, protective legislation, family care, and the standard of living. They also yield many individual insights into such matters as family reconstitution, migration, child labour, working conditions, municipal welfare services, the decline of infant and maternal mortality, and the possible existence of a demographic threat to the viability of modern welfare states.
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Ngui, Emmanuel M., Alicia L. Cortright, and Karen Michalski. "Relationship of Paternity Status, Welfare Reform Period, and Racial/Ethnic Disparities in Infant Mortality." American Journal of Men's Health 9, no. 5 (July 24, 2014): 350–59. http://dx.doi.org/10.1177/1557988314543906.
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The objective of this study was to examine the relationship of paternity status, welfare reform period, and racial/ethnic disparities in infant mortality. The study used retrospective analysis of birth outcomes data from singleton birth/infant death data in Milwaukee, Wisconsin, from 1993 to 2009. Multivariate logistic regression was used to examine the relationship between paternity status, welfare reform period, and infant mortality, adjusting for maternal and infant characteristics. Data consisted of almost 185,000 singleton live births and 1,739 infant deaths. Although unmarried women with no father on record made up about 32% of the live births, they accounted for over two thirds of the infant deaths compared with married women with established paternity who made up 39% of live births but had about a quarter of infant deaths. After adjustments, any form of paternity establishment was protective against infant mortality across all racial/ethnic groups. Unmarried women with no father on record had twice to triple the odds of infant mortality among all racial/ethnic groups. The likelihood of infant mortality was only significantly greater for African American women in the postwelfare (1999-2004; odds ratio = 1.27; 95% confidence interval = 1.10-1.46) period compared with the 1993 to 1998 period. Study findings suggest that any form of paternity establishment may have protective effect against infant mortality. Welfare reform changes may have reduced some of the protection against infant mortality among unmarried African American women that was present before the welfare legislation. Policies and programs that promote or support increased paternal involvement and establishment of paternity may improve birth outcomes and help reduce infant mortality.
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Lee, Kyunghee. "Effects of Maternal Employment and Receiving Welfare on Family Outcomes among Low-Income Families." Families in Society: The Journal of Contemporary Social Services 91, no. 2 (April 2010): 178–85. http://dx.doi.org/10.1606/1044-3894.3972.
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This study investigated how maternal employment and welfare-receipt were associated with family outcomes, using data from the Infant Health and Development Program (IHDP). This study looked at mothers and children among low-income families who received welfare and/or were employed during the first 3 years of the child's life. Mothers whose incomes were from welfare only had lower outcomes than mothers who earned some or all their income from employment. Those in the intervention groups receiving enrichment services had more positive outcomes than those of the group with only follow-up. The findings suggest that maternal employment for low-income families should be encouraged when mothers are ready to participate in employment and when support systems such as quality child care are provided.
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Winarso, Inang, and Ressa Ria Lestari. "Cultural Value Factors That Affect Mother and Child Health." Jurnal Perempuan 24, no. 3 (September 12, 2019): 165. http://dx.doi.org/10.34309/jp.v24i3.341.
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<p>Mother and child health as a key indicator of community welfare is measured by the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). But why have efforts to reduce MMR and IMR not yet reached the target? This research answers this question by using an approach of cultural values in mother and child health. The focus of this research is on the human life cycle starting from marriage, pregnancy, birth and death in Situbondo Regency, East Java and Ngada Regency, NTT. Research has found four cultural elements that predominantly influence health beliefs, family and community decisions in dealing with maternal and infant health problems. These cultural elements are the religious system, the kinship system, the knowledge system and the livelihood system. These four systems can increase or decrease the risk of maternal and infant mortality. The government must consider the cultural values of the community in making health policies. First, strengthen factors that reduce the risk of maternal and child mortality. Second, reduce the factors that increase the risk of maternal and child mortality.</p>
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Kitchens, Rachael. "‘Mothercraft not learnt by instinct’: An investigation of the infant welfare movement in Australia 1919–1939." Children Australia 31, no. 1 (2006): 31–36. http://dx.doi.org/10.1017/s1035077200011032.
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Drawing from the work of Norbert Elias, this paper examines the infant welfare movement in Australia in the inter-war years. Elias maintains that during the course of what he describes as the ‘civilising process’, the psychological and behavioural distance between adults and children has increased. As a result of this growing distance, the period of childhood has become longer and the process of the transition to adulthood more complex. In this way, parenthood is experienced as an increasingly difficult task, and one that does not come naturally but requires education and training. It is the contention of this paper that the infant welfare movement, with its emphasis on parental education, can be understood as part of the civilising process: as an unintended consequence of the growing distance between children and adults.
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Yuniwati, Cut, Fithriany Fithriany, and Cut Nurhasanah. "Analysis of the Utilization of Antenatal Care Services in Pregnant Women at Health Center Langsa City." Open Access Macedonian Journal of Medical Sciences 10, E (May 16, 2022): 1137–40. http://dx.doi.org/10.3889/oamjms.2022.9605.
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BACKGROUND: Perinatal mortality is a problem for developing countries, including Indonesia. Maternal and infant mortality is influenced by various factors, one of which is health services. Antenatal care (ANC) services efforts to reduce maternally and infant mortality are ANC services. Therefore, it is essential to know the quality of ANC services for the welfare of the fetus in pregnant women. AIM: The aim of this study was to determine the quality of ANC services that affect the welfare of the fetus in pregnant women METHODS: This type of research is evaluative research with a cross-sectional design (cross-sectional design). The sample in this study amounted to 206 people in the Langsa Health Center Work Area, Langsa City. The sample was taken using the proposed random sampling formula. The statistical test used the Chi-square test. RESULTS: The results showed that the quality of ANC affected the welfare of the fetus with a sig. 0.000. Average fetal well-being was 163 people (79%), and the quality of ANC services mainly was in average condition as many as 171 people (83%). ANC services effectively reduce the risk of maternal mortality and morbidity. CONCLUSION: There is an influence of quality of ANC services on Fetal Welfare in Pregnant Women at the Langsa Health Center.
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Douglas, TA, PG Buettner, and J. Whitehall. "Maternal awareness of sudden infant death syndrome in North Queensland, Australia: An analysis of infant care practices." Journal of Paediatrics and Child Health 37, no. 5 (October 14, 2001): 441–45. http://dx.doi.org/10.1046/j.1440-1754.2001.00670.x.
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Mark, Nicholas D. E., and Sarah K. Cowan. "Do Pregnancy Intentions Matter? A Research Note Revisiting Relationships Among Pregnancy, Birth, and Maternal Outcomes." Demography 59, no. 1 (January 18, 2022): 37–49. http://dx.doi.org/10.1215/00703370-9710311.
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Abstract The prevention of unplanned or unintended pregnancies continues to be a cornerstone of U.S. reproductive health policy, but the evidence that such pregnancies cause adverse maternal and child outcomes is limited. In this research note, we examine these relationships using recent large-scale data and inverse propensity weights estimated from generalized boosted models. We find that pregnancy timing is related to maternal experience during pregnancy, but not to infant outcomes at birth—both of which are consistent with prior research. In an addition to the literature, we show that pregnancy timing is relevant for a number of maternal outcomes, such as the onset of depression and intimate partner violence, changes in smoking behavior, and receipt of medical care. These findings suggest that policy intended to improve infant welfare by preventing unintended pregnancies has little empirical support, but that policy focused on increasing reproductive autonomy and maternal well-being has the potential to improve outcomes.
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Mogi, Imelda Ririn Obo, and Lina Dewi Anggraeni. "Faktor-Faktor yang Berhubungan dengan Kematian Bayi di RSUD Ende." Jurnal Promosi Kesehatan Indonesia 16, no. 1 (January 5, 2021): 7–13. http://dx.doi.org/10.14710/jpki.16.1.7-13.
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Background: Infant mortality at the age of ≤1 year per 1000 live births is one of the benchmarks for assessing the extent to which the achievement of people's welfare as a result of implementing development in the health sector. This research aimed to identify the factors associated with infant mortality in Ende Hospital. Method: Cross-sectional design was applied in this research. Data retrieval was collected by using medical records in 2017 and 2018. There were 122 mothers had infant mortality aged ≤1 year enrolled in this research with a total population sampling technique. This study used Kendal Tau-b statistical test. Results: The results showed the highest infant mortality occurred at 0-28 days as many as 77,9%. There was a relationship between maternal education (p-value=0.042), asphyxia (p-value=0.014) and infant mortality in Ende Hospital. There was no relationship between maternal age (p-value=0.602), maternal occupation (p-value=0.842), pregnancy danger signs (p-value=0.713), birth weight (p-value=0.587), labor (p-value=0.845), delivery helper (p-value=0.419), place of delivery (p-value=0.354) and infant mortality in Ende Hospital. Health workers need to consider facilities for newborn care, must be able to measure the Apgar Score for asphyxia measurement, and should provide information regarding the importance of conducting ANC examinations to prevent complication during pregnancy and asphyxia.
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Mogi, Imelda Ririn Obo, and Lina Dewi Anggraeni. "Faktor-Faktor yang Berhubungan dengan Kematian Bayi di RSUD Ende." Jurnal Promosi Kesehatan Indonesia 16, no. 1 (January 5, 2021): 7–13. http://dx.doi.org/10.14710/jpki.16.1.7-13.
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Background: Infant mortality at the age of ≤1 year per 1000 live births is one of the benchmarks for assessing the extent to which the achievement of people's welfare as a result of implementing development in the health sector. This research aimed to identify the factors associated with infant mortality in Ende Hospital. Method: Cross-sectional design was applied in this research. Data retrieval was collected by using medical records in 2017 and 2018. There were 122 mothers had infant mortality aged ≤1 year enrolled in this research with a total population sampling technique. This study used Kendal Tau-b statistical test. Results: The results showed the highest infant mortality occurred at 0-28 days as many as 77,9%. There was a relationship between maternal education (p-value=0.042), asphyxia (p-value=0.014) and infant mortality in Ende Hospital. There was no relationship between maternal age (p-value=0.602), maternal occupation (p-value=0.842), pregnancy danger signs (p-value=0.713), birth weight (p-value=0.587), labor (p-value=0.845), delivery helper (p-value=0.419), place of delivery (p-value=0.354) and infant mortality in Ende Hospital. Health workers need to consider facilities for newborn care, must be able to measure the Apgar Score for asphyxia measurement, and should provide information regarding the importance of conducting ANC examinations to prevent complication during pregnancy and asphyxia.
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Bardina, G. A., L. A. Nikolskaya, F. A. Fattakhova, and Kh Kh Minnekaev. "Ways to reduce infant mortality in the Tatar ASSR." Kazan medical journal 69, no. 3 (June 15, 1988): 161–63. http://dx.doi.org/10.17816/kazmj97062.
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In recent years the country has implemented a number of social and medical measures aimed at improving medical care for the population, with priority given to maternal and child health care. However, further development of obstetric and child welfare services is possible only by combining the efforts of all branches of practical healthcare. In order to determine the causes of infant mortality in the TASSR, to develop ways to reduce it, and to identify the reserves for improving medical care for women and children, the results of the child and obstetric services for 1985-1987 were analyzed.
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Saha, Ranjana. "Motherhood on display: The child welfare exhibition in colonial Calcutta, 1920." Indian Economic & Social History Review 58, no. 2 (April 2021): 249–77. http://dx.doi.org/10.1177/0019464621999308.
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This article focuses on the Health and Child Welfare Exhibition held in colonial Calcutta in 1920. Despite a few scholarly references, however, there has been no detailed study till date. The vicereines of India launched child welfare exhibitions motivated by the transnational exhibitory baby health week propaganda initiative to curb infant mortality. These exhibitions were also locally organised and collaborative in nature with an urgent nationalist appeal. The study critically engages with select Exhibition lectures about so-called ‘clean’ midwifery and ‘scientific’ motherhood given by famous Bengali medical practitioners and other prominent professionals, predominantly men and a few women. These drew intimate sociobiological connections between the problems of ‘dirty’ midwifery, ritual pollution, improper confinement, insanitary childbirth, insufficient lactation and the excessive maternal and infant deaths in Calcutta. The central argument is that these public lectures primarily focused on the very making of the ‘ideal’ Indian nursing mother, often imagined as the traditional yet modern bhadramahila mother figure, for rejuvenating community and national health and vigour. Correspondingly, it highlights the transnational resonance of famous Frederic Truby King’s ‘mothercraft’ popularised as childcare by the clock. The paper is, therefore, guided by the twin purposes of filling the gap in our knowledge about child welfare exhibitions in colonial India and illuminating extant scholarship on the global infant welfare movement.
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Quine, Susan. "Social class as a risk factor for infant mortality in an Australian population." Journal of Biosocial Science 23, no. 1 (January 1991): 65–72. http://dx.doi.org/10.1017/s0021932000019088.
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SummaryStudies in other countries have identified social class as a risk factor for infant mortality. In Australia there is no systematic collection of population data by social class, partly due to the absence of a recognized measure. The use of occupational prestige as an indicator of social class is discussed and Australian prestige scales reviewed. In a population based study, logistic regression analysis of infant mortality in an Australian (NSW) population shows the effects of social class on infant mortality which remain when maternal age, marital status and parity are controlled.
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Nelson, Sioban, and Philippa Mein Smith. "Mothers and King Baby: Infant Survival and Welfare in an Imperial World: Australia 1880-1950." Health and History 1, no. 2/3 (1999): 232. http://dx.doi.org/10.2307/40111350.
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MOHSIN, M., F. WONG, ADRIAN BAUMAN, and JUN BAI. "MATERNAL AND NEONATAL FACTORS INFLUENCING PREMATURE BIRTH AND LOW BIRTH WEIGHT IN AUSTRALIA." Journal of Biosocial Science 35, no. 2 (April 2003): 161–74. http://dx.doi.org/10.1017/s0021932003001615.
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This study identified the influences of neonatal and maternal factors on premature birth and low birth weight in New South Wales, Australia. Bivariate and multivariate analyses were used to explore the association of selected neonatal and maternal characteristics with premature birth and low birth weight. The findings of this study showed that premature birth and low birth weight rate significantly varied by infant sex, maternal age, marital status, Aboriginality, parity, maternal smoking behaviour during pregnancy and maternal hypertension. First-born infants, and infants born to mothers aged less than 20 years, or who were single, separated/divorced, Aboriginal or who smoked during the pregnancy, were at increased risk of being premature or of low birth weight. This study also found that risk factors for premature births and low birth weight were similar in both singleton and multiple births. Gestational age was confirmed to be the single most important risk factor for low birth weight. The findings of this study suggest that in order to reduce the incidence of low birth weight and premature births, health improvement strategies should focus on antismoking campaigns during pregnancy and other healthcare programmes targeted at the socially disadvantaged populations identified in the study.
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Lindner, Ulrike. "The transfer of European social policy concepts to tropical Africa, 1900–50: the example of maternal and child welfare." Journal of Global History 9, no. 2 (May 23, 2014): 208–31. http://dx.doi.org/10.1017/s1740022814000047.
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AbstractConcerns about a sinking birth rate and possible ‘national degeneration’ led to the implementation of various measures in maternal and child welfare across Europe at the dawn of the twentieth century. Infant health was strongly connected with the idea of population as both a national and imperial resource. In the colonies of the imperial powers, similar issues started to be addressed later, mostly after the First World War, when colonial administrations, who until then had predominantly worried about the health of the white European colonizers, started to take an interest in the health of the indigenous population. This article investigates the transfer of maternal and infant health policies from Britain and Germany to their tropical African colonies and protectorates. It argues that colonial health policy developed in a complex interplay between imperial strategies and preconceptions as well as local reactions and demands, mostly reifying racial demarcation lines in colonial societies. It focuses on examples from German East Africa, which became the British Tanganyika mandate after the First World War, and from the British sub-Saharan colonies Kenya and Nigeria.
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Ashford, Holly. "The Red Cross and the Establishment of Maternal and Infant Welfare in the 1930s Gold Coast." Journal of Imperial and Commonwealth History 47, no. 3 (February 13, 2019): 514–41. http://dx.doi.org/10.1080/03086534.2019.1576831.
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THORLEY, VIRGINIA. "VOLUNTEERISM AND GOVERNMENT POLICY IN INFANT WELFARE IN QUEENSLAND, AUSTRALIA, 1931-1961: WORKING ROUND THE BAN." International Journal of Self Help and Self Care 1, no. 4 (January 1, 2001): 345–52. http://dx.doi.org/10.2190/63g9-h26e-ew0d-c70g.
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Edvardsson, Kristina, Elizabeth Hughes, Beverley Copnell, Ingrid Mogren, Don Vicendese, and Richard Gray. "Severe mental illness and pregnancy outcomes in Australia. A population-based study of 595 792 singleton births 2009–2016." PLOS ONE 17, no. 2 (February 28, 2022): e0264512. http://dx.doi.org/10.1371/journal.pone.0264512.
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Background Women with Severe Mental Illness (SMI) may have more complex pregnancies and pregnancy outcomes that require different care and management, but this has not been extensively studied. The aim of this study was to explore associations between SMI and adverse maternal and infant outcomes in the state of Victoria, Australia. Methods Our sample included all reported live singleton births in Victoria 2009–2016 (N = 595 792). Associations between SMI and adverse pregnancy outcomes were explored using Odds Ratios (OR), adjusted for sociodemographic and lifestyle factors, and co-morbidities, including any other mental illness. Results Of all singleton births, 2046 (0.34%) were to a mother diagnosed with a SMI. We found evidence of an association between SMI and a range of adverse maternal and infant outcomes. Compared to women without SMI, women with a SMI had higher adjusted odds of being admitted to a High Dependency Unit or Intensive Care Unit (aOR 1.83, 1.37–2.43), having gestational diabetes mellitus (1.57, 1.34–1.84), undergoing an unplanned caesarean section (1.17, 1.02–1.33), induction of labour (1.17, 1.05–1.30) and postpartum haemorrhage (1.15, 1.03–1.29). Newborns of women with SMI had higher adjusted odds of being admitted to Special Care Nursery (aOR 1.61, 1.43–1.80), a low Apgar score at 5 minutes (1.50, 1.19–1.90), preterm birth (1.40, 1.20–1.63), and low birthweight (1.26, 1.06–1.49). Conclusion Women with SMI are at higher risk for a range of adverse maternal and infant outcomes and are a population that may benefit from targeted early identification and enhanced antenatal care.
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Huynh, Dao, Dominique Condo, Robert Gibson, Beverly Muhlhausler, Philip Ryan, Sheila Skeaff, Maria Makrides, and Shao J. Zhou. "Iodine status of postpartum women and their infants in Australia after the introduction of mandatory iodine fortification." British Journal of Nutrition 117, no. 12 (June 28, 2017): 1656–62. http://dx.doi.org/10.1017/s0007114517001775.
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AbstractMandatory I fortification in bread was introduced in Australia in 2009 in response to the re-emergence of biochemical I deficiency based on median urinary I concentration (UIC)<100 µg/l. Data on the I status of lactating mothers and their infants in Australia are scarce. The primary aim of this study was to assess the I status, determined by UIC and breast milk I concentration (BMIC), of breast-feeding mothers in South Australia and UIC of their infants. The secondary aim was to assess the relationship between the I status of mothers and their infants. The median UIC of the mothers (n 686) was 125 (interquartile range (IQR) 76–200) µg/l and median BMIC (n 538) was 127 (IQR 84–184) µg/l. In all, 38 and 36 % of the mothers had a UIC and BMIC below 100 µg/l, respectively. The median UIC of infants (n 628) was 198 (IQR 121–296) µg/l, and 17 % had UIC<100 µg/l. Infant UIC was positively associated with maternal UIC (β 0·26; 95 % CI 0·14, 0·37, P<0·001) and BMIC (β 0·85; 95 % CI 0·66, 1·04, P<0·001) at 3 months postpartum after adjustment for gestational age, parity, maternal secondary and further education, BMI category and infant feeding mode. The adjusted OR for infant UIC<100 µg/l was 6·49 (95 % CI 3·80, 11·08, P<0·001) in mothers with BMIC<100 µg/l compared with those with BMIC≥100 µg/l. The I status of mothers and breast-fed infants in South Australia, following mandatory I fortification, is indicative of I sufficiency. BMIC<100 µg/l increased the risk of biochemical I deficiency in breast-fed infants.
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Gay, Melvin, Petya Koleva, Carolyn Slupsky, Elloise Toit, Merete Eggesbo, Christine Johnson, Ganesa Wegienka, et al. "Worldwide Variation in Human Milk Metabolome: Indicators of Breast Physiology and Maternal Lifestyle?" Nutrients 10, no. 9 (August 23, 2018): 1151. http://dx.doi.org/10.3390/nu10091151.
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Human milk provides essential substrates for the optimal growth and development of a breastfed infant. Besides providing nutrients to the infant, human milk also contains metabolites which form an intricate system between maternal lifestyle, such as the mother’s diet and the gut microbiome, and infant outcomes. This study investigates the variation of these human milk metabolites from five different countries. Human milk samples (n = 109) were collected one month postpartum from Australia, Japan, the USA, Norway, and South Africa and were analyzed by nuclear magnetic resonance. The partial least squares discriminant analysis (PLS-DA) showed separation between either maternal countries of origin or ethnicities. Variation between countries in concentration of metabolites, such as 2-oxoglutarate, creatine, and glutamine, in human milk, between countries, could provide insights into problems, such as mastitis and/or impaired functions of the mammary glands. Several important markers of milk production, such as lactose, betaine, creatine, glutamate, and glutamine, showed good correlation between each metabolite. This work highlights the importance of milk metabolites with respect to maternal lifestyle and the environment, and also provides the framework for future breastfeeding and microbiome studies in a global context.
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Hume-Nixon, Maeve, Tupou Ratu, Stephanie Clark, Cattram Duong Nguyen, Eleanor F. G. Neal, Casey L. Pell, Kathryn Bright, et al. "Prevention of young infant infections using oral azithromycin in labour in Fiji (Bulabula MaPei): study protocol of a randomised control trial." BMJ Open 12, no. 12 (December 2022): e061157. http://dx.doi.org/10.1136/bmjopen-2022-061157.
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IntroductionInfections are a leading cause of neonatal mortality globally and can be transmitted from mother-to-child vertically or horizontally. Fiji has higher rates of serious neonatal infections and infant skin and soft tissue infections (SSTIs) than high-income countries. Research from the Gambia found that a single dose of oral azithromycin in labour decreased bacterial carriage and infections in mothers and infants, particularly infant skin infections. The Bulabula MaPei clinical trial evaluates the safety and efficacy of a single dose of azithromycin in labour in reducing the incidence of maternal and infant SSTIs and other infections and the impact on bacterial carriage. It will also describe the effect of azithromycin on antimicrobial (AMR) resistance, the maternal and infant microbiome, and infant dysbiosis.Methods and analysisWe are conducting a blinded, placebo-controlled randomised clinical trial administering 2 g of oral azithromycin, or placebo, given to healthy, pregnant women (≥18 years) in labour in Suva, Fiji. The primary outcome is the cumulative incidence of SSTIs in infants by 3 months of age. Secondary outcomes include the incidence of other infant and maternal infections, and safety and tolerability of azithromycin in mother and infant. Following informed consent, 2110 pregnant women will be randomised in a 1:1 ratio, with all study staff and participants masked to group allocation. Mother/infant pairs will be followed up for 12 months over six visits collecting clinical data on infections, antimicrobial use, safety and anthropometrics, in addition to nasopharyngeal, oropharyngeal, rectovaginal and vaginal swabs, maternal breastmilk and infant stool samples, in order to compare bacterial carriage, AMR rates and microbiome. Recruitment for Bulabula MaPei started in June 2019.Ethics and disseminationThis trial was approved and is being conducted according to the protocol approved by The Royal Children’s Hospital Human Research Ethics Committee, Australia, and the Fiji National Health Research and Ethics Review Committee. The findings of this study will be disseminated in peer-reviewed journals and presented at conferences.Trial registration numberNCT03925480.
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Mendis, Nalaka. "Mental health services in Sri Lanka." International Psychiatry 1, no. 3 (January 2004): 10–12. http://dx.doi.org/10.1192/s1749367600006585.
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Relative to its economic indicators, Sri Lanka has a high health status. The life expectancy in the year 2001 was 70.7 years for males and 75.4 years for females. Maternal and infant mortality rates have shown a downward trend over the past half century and now are around 2.3 per 10 000 live births and 16 per 1000 live births, respectively. These trends are mainly due to the high literacy rate and comparatively large investments made in health and social welfare.
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Watson, Claire F. I., and Tetsuro Matsuzawa. "Behaviour of nonhuman primate mothers toward their dead infants: uncovering mechanisms." Philosophical Transactions of the Royal Society B: Biological Sciences 373, no. 1754 (July 16, 2018): 20170261. http://dx.doi.org/10.1098/rstb.2017.0261.
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In comparative thanatology, most reports for nonhuman mammals concern mothers' behavioural responses to their dead offspring: most prominently, dead-infant carrying (sometimes of extended duration); but also inspection, proximity, maternal care such as grooming, protective behaviours and filial cannibalism. Documented across many primate species, these behaviours remain poorly understood in all. The literature is dominated by relatively brief qualitative descriptions of isolated anecdotal cases in apes and monkeys. We argue for quantitative coding in case reports, alongside analyses of longitudinal records of such events to allow objective evaluation of competing theories, and systematic comparisons within and across species and populations. Obtaining necessary datasets depends on raised awareness in researchers of the importance of recording occurrences and knowledge of pertinent data to collect. We review proposed explanatory hypotheses and outline data needed to test each empirically. To determine factors influencing infant-corpse carriage, we suggest analyses of deaths resulting in ‘carry’ versus ‘no carry’. For individual cases, we highlight behavioural variables to code and the need for hormonal samples. We discuss mothers' stress and welfare in relation to infant death, continued transportation and premature removal of the corpse. Elucidating underlying proximate and ultimate causes is important for understanding phylogeny of maternal responses to infant death. This article is part of the theme issue ‘Evolutionary thanatology: impacts of the dead on the living in humans and other animals’.
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Vallino-Napoli, Linda D., Merilyn M. Riley, and Jane L. Halliday. "An Epidemiologic Study of Orofacial Clefts with Other Birth Defects in Victoria, Australia." Cleft Palate-Craniofacial Journal 43, no. 5 (September 2006): 571–76. http://dx.doi.org/10.1597/05-123.
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Objective: To describe the epidemiological characteristics of oral clefts occurring with other birth defects in Victoria, Australia. Methods: Information on infants and fetuses reported to the Victorian Birth Defects Register from 1983 to 2000 was collected. Birth defects were classified as Pierre Robin Sequence, chromosomal anomaly, nonchromosomal syndrome, single-system defect, or multiple-system defect. Pregnancy outcome and associations with selected infant and maternal features was examined. Results: One third of the 2022 oral clefts recorded had other birth defects. There were more overall cleft cases involving multiple systems and chromosomal anomalies than any other birth defect group. The prevalence ratio of cleft lip with or without cleft palate (CL/P) was highest among multiple-system defects and chromosomal anomalies. Perinatal mortality was high, with termination of pregnancy highest in CL/P and chromosomal anomalies and multiple-system defects. There was a nonsignificant excess of clefts among multiple births. Women ≥40 years old had a tendency toward having a child with a cleft palate and another birth defect. There was an increased likelihood that women born in the U.K. would have a baby with CL/P and another birth defect. Conclusions: This is among the first reports in Victoria, Australia, describing oral clefts and other birth defects and associations between infant and maternal factors. Although some findings confirmed other population-based studies, some continued to be at variance. Nonetheless, the data derived support examination of babies diagnosed with clefts for associated comorbidities.
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Yuill, Susan, Sam Egger, Megan Smith, Louiza Velentzis, C. David Wrede, Deborah Bateson, and Karen Canfell. "Has Human Papillomavirus (HPV) Vaccination Prevented Adverse Pregnancy Outcomes? Population-Level Analysis After 8 Years of a National HPV Vaccination Program in Australia." Journal of Infectious Diseases 222, no. 3 (May 9, 2020): 499–508. http://dx.doi.org/10.1093/infdis/jiaa106.
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Abstract Background Human papillomavirus (HPV) infection, and its sequelae of precancerous cervical lesions and their subsequent treatment, have been linked with an increased risk of adverse pregnancy outcomes. Publicly funded HPV vaccination of female adolescents began in Australia in 2007 with initial catch-up to age 26 years. Methods Using data from the National Perinatal Data Collection we compared rates of preterm births and small-for-gestational-age infants born in Australia 2000–2015. We used generalized linear models, assuming a Poisson distribution and log link function, with single-year categories of infant birth year, maternal age, and age-specific HPV vaccination coverage as independent variables. Results In maternal cohorts with 60%–80% HPV vaccination coverage as achieved in Australia, there was a relative rate reduction of 3.2% (95% confidence interval, 1.1%–5.3%) in preterm births and 9.8% (8.2% to 11.4%) in small-for-gestational-age infants, after adjustment for infant’s birth year and maternal age. Conclusion This analysis provides provisional population-level evidence of a reduction in adverse pregnancy outcomes in cohorts of women offered HPV vaccination. Confounding by smoking or other variables and/or ecological analysis limitations, however, cannot be excluded. These findings indicate potential broader benefits of HPV vaccination than have been documented to date.
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Risa Intan Fitriyani, Ellyzabeth Sukmawati, and Dahlia Arief Rantauni. "STUDI KASUS : ASUHAN KEBIDANAN PADA Ny.E MASA KEHAMILAN TRIMESTER III, PERSALINAN, NIFAS, NEONATUS DAN KELUARGA BERENCANA." Jurnal Ilmiah Kedokteran dan Kesehatan 1, no. 3 (September 3, 2022): 62–67. http://dx.doi.org/10.55606/klinik.v1i3.589.
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This report is a comprehensive midwifery care carried out at the Maos Health Center in 2022 for Mrs. “E” G2P1A0 35 weeks 5 days of pregnancy which was carried out from January to March from the third trimester of pregnancy, maternity, postpartum, newborn and family planning services. The documented Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are indicators to see the welfare of a nation in determining optimal health status (Prawiroharjo, 2016). The number of maternal deaths in Indonesia in 2020 increased by 8.92% from the previous year, which was 4,221 to 4,627 people. One of the efforts made in reducing maternal and infant mortality is increasing quality antenatal care, with the aim of alleviating these morbidity and mortality rates.
This report is a comprehensive midwifery care carried out at the Maos Health Center on Ny. “E” G2P1A0 The gestational age of 35 weeks 5 days was carried out from January to March from the third trimester of pregnancy, postpartum, postpartum, neonate and family planning services that were documented with the application of varney management and SOAP documentation.
Based on the observations of this Final Project, no gaps were found between theory and practice during the implementation of comprehensive midwifery care provided from the initial visit to the last visit.
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Sved Williams, Anne E. "Perinatal and infant mental health in Australia: moving forward towards REAL prevention and early intervention – can we do it?" Australasian Psychiatry 25, no. 3 (April 27, 2017): 274–76. http://dx.doi.org/10.1177/1039856217700761.
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Objectives: Australia has been at the forefront of appropriate early intervention. Prevention of mental illness in infants by early identification and intervention in the mental health of their mothers has stalled since the cessation of funding through the National Perinatal Depression Initiative (NPDI, 2009–2015). Whilst screening for maternal mental illness has been widely implemented throughout Australia during the last two decades, services are now diminishing and great opportunities to ride the crest of a wave for appropriate mental illness intervention are receding. Reviews of history and interventions internationally may help guide future directions. Conclusions: Advocacy through across-agency and across-political-party support has been markedly successful for perinatal and infant mental health in the United Kingdom. A solid foundation exists in Australia. Australian psychiatrists have the ability to continue to change the face of prevention and early intervention.
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MCHUGH, L., K. A. VINEY, R. M. ANDREWS, and S. B. LAMBERT. "Pertussis epidemiology prior to the introduction of a maternal vaccination program, Queensland Australia." Epidemiology and Infection 146, no. 2 (December 6, 2017): 207–17. http://dx.doi.org/10.1017/s0950268817002722.
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SUMMARYPertussis morbidity is highest in infants too young to be fully protected by routine vaccination schedules. Alternate vaccine strategies are required to maximise protection in this age-group. To understand baseline pertussis epidemiology prior to the introduction of the maternal pertussis vaccination program in 2014, we conducted a retrospective case series analyses of 53 901 notifications and temporal trends from 1997 to 2014. Notifications were highest in infants younger than 4 months of age and highest annual notification rates in infants younger than 1 month of age (308/100 000 per year). Amongst Aboriginal and Torres Strait Islander infants aged younger than 1 month, this rate was 576/100 000 per year. Notification rates were 40% higher amongst women 15–44 years, 62·4/100 000 population compared with men (44·5/100 000) and 90% higher in Aboriginal and Torres Strait Islander women of the same age (38·2/100 000) compared with men (19·7/100 000). Six infant deaths were identified, all younger than 2 months of age. Monitoring epidemiology in at-risk groups – infants too young to be vaccinated, women of childbearing age and Aboriginal and Torres Strait Islander peoples – following implementation of the maternal pertussis vaccination program will be important to assess its impact and safety.
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MOHSIN, M., A. E. BAUMAN, and B. JALALUDIN. "THE INFLUENCE OF ANTENATAL AND MATERNAL FACTORS ON STILLBIRTHS AND NEONATAL DEATHS IN NEW SOUTH WALES, AUSTRALIA." Journal of Biosocial Science 38, no. 5 (July 11, 2005): 643–57. http://dx.doi.org/10.1017/s002193200502701x.
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This study identified the influences of maternal socio-demographic and antenatal factors on stillbirths and neonatal deaths in New South Wales, Australia. Bivariate and multivariate analyses were used to explore the association of selected antenatal and maternal characteristics with stillbirths and neonatal deaths. The findings of this study showed that stillbirths and neonatal deaths significantly varied by infant sex, maternal age, Aboriginality, maternal country of birth, socioeconomic status, parity, maternal smoking behaviour during pregnancy, maternal diabetes mellitus, maternal hypertension, antenatal care, plurality of birth, low birth weight, place of birth, delivery type, maternal deaths and small gestational age. First-born infants, twins and infants born to teenage mothers, Aboriginal mothers, those who smoked during the pregnancy and those of lower socioeconomic status were at increased risk of stillbirths and neonatal deaths. The most common causes of stillbirths were conditions originating in the perinatal period: intrauterine hypoxia and asphyxia. Congenital malformations, including deformities and chromosomal abnormalities, and disorders related to slow fetal growth, short gestation and low birth weight were the most common causes of neonatal deaths. The findings indicate that very low birth weight (less than 2000 g) contributed 75·6% of the population-attributable risks to stillbirths and 59·4% to neonatal deaths. Low gestational age (less than 32 weeks) accounted for 77·7% of stillbirths and 87·9% of neonatal deaths. The findings of this study suggest that in order to reduce stillbirths and neonatal deaths, it is essential to include strategies to predict and prevent prematurity and low birth weight, and that there is a need to focus on anti-smoking campaigns during pregnancy, optimizing antenatal care and other healthcare programmes targeted at the socially disadvantaged populations identified in this study.
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Suhirman, Suhirman, and Hero Wintolo. "System for Determining Public Health Level Using the Agglomerative Hierarchical Clustering Method." Compiler 8, no. 1 (March 22, 2019): 95. http://dx.doi.org/10.28989/compiler.v8i1.425.
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Regions having higher level of welfare do not always have better indicator values than other regions having lower level of welfare. The problem is the lack of information related to the indicator values needed to determine the health level. Therefore, clustering using health data becomes necessary. Data were clustered to see the maximum or the minimum level of similarity. The clustered data were based on the similarity of four morality indicator values of the regional health level. Morality indicator values used in this research are infant mortality rate, child mortality rate, maternal mortality rate, and rough birth rate. The method used is Agglomerative Hierarchical Clustering (AHC) - Complete Linkage. Data were calculated using Euclidean Distance Equation, then Complete Linkage. Four clustered data were grouped into two clusters, healthy and/or unhealthy. The result, combining from all clusters into two large clusters to see healthy and unhealthy results.
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Saunders, Kay, and Katie Spearritt. "Hazardous beginnings: childbirth practices in frontier tropical Australia." Queensland Review 3, no. 2 (July 1996): 1–12. http://dx.doi.org/10.1017/s1321816600006401.
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Europeans living in the northern half of the Australian continent during the nineteenth century were united, and spurred on by, a dominant ideology of material progress, combined with a strong fear of being engulfed, both numerically and culturally, by foreign invaders. These bulwarks of Eurocentricism gave voice to strongly pro-natalist policies, coupled with intense immigration drives. The image of vast, uninhabited stretches of country waiting to be tamed by resolute, hard-working Britons added to the momentum for increased population. Progress, conceived in the masculinist framework of aggressive expansion, ruthless destruction of the Aboriginal people, economic development and environmental exploitation, needed not only capital, brawn and sheer determination to succeed but, also, healthy young citizens. Demographers graphs, however, fuelled anxiety that this dream might be undermined - for infant and maternal mortality rates in the tropics and sub-tropics were high compared with the rest of Australia and Britain. Masculinist attributes alone could not build the new society. Childbirth was potentially a hazardous and lethal undertaking which threatened to deprive the nascent colony of many fertile women and, in their demise, future generations.
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Kildea, Sue, Sophie Hickey, Carmel Nelson, Jody Currie, Adrian Carson, Maree Reynolds, Kay Wilson, et al. "Birthing on Country (in Our Community): a case study of engaging stakeholders and developing a best-practice Indigenous maternity service in an urban setting." Australian Health Review 42, no. 2 (2018): 230. http://dx.doi.org/10.1071/ah16218.
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Developing high-quality and culturally responsive maternal and infant health services is a critical part of ‘closing the gap’ in health disparities between Aboriginal and Torres Strait Islander people and other Australians. The National Maternity Services Plan led work that describes and recommends Birthing on Country best-practice maternity care adaptable from urban to very remote settings, yet few examples exist in Australia. This paper demonstrates Birthing on Country principles can be applied in the urban setting, presenting our experience establishing and developing a Birthing on Country partnership service model in Brisbane, Australia. An initial World Café workshop effectively engaged stakeholders, consumers and community members in service planning, resulting in a multiagency partnership program between a large inner city hospital and two local Aboriginal Community-Controlled Health Services (ACCHS). The Birthing in Our Community program includes: 24/7 midwifery care in pregnancy to six weeks postnatal by a named midwife, supported by Indigenous health workers and a team coordinator; partnership with the ACCHS; oversight from a steering committee, including Indigenous governance; clinical and cultural supervision; monthly cultural education days; and support for Indigenous student midwives through cadetships and placement within the partnership. Three years in, the partnership program is proving successful with clients, as well as showing early signs of improved maternal and infant health outcomes. What is known about the topic? Birthing on Country has been described as a metaphor for the best start in life for Aboriginal and Torres Strait Islander babies, and services that incorporate Birthing on Country principles can improve outcomes for mothers and babies. Currently, few such models exist in Australia. What does this paper add? This paper demonstrates that Birthing on Country principles can be successfully applied to the urban context. We present a real case example of the experience of setting up one such best-practice, community-engaged and informed partnership model of maternity and child healthcare in south-east Queensland. We share our experience using a World Café to facilitate community engagement, service delivery and workforce planning. What are the implications for practitioners? Health professionals providing maternity care for Aboriginal and Torres Strait Islander families are encouraged to incorporate Birthing on Country principles into their model of care to address the specific needs and demands of the local Indigenous community and improve maternal and infant health outcomes.
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Marcellus, Lenora. "Foster Families Who Care for Infants with Prenatal Drug Exposure: Support During the Transition from NICU to Home." Neonatal Network 23, no. 6 (November 2004): 33–41. http://dx.doi.org/10.1891/0730-0832.23.6.33.
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Infants exposed prenatally to drugs and alcohol tend to enter the child welfare system at a younger age than many other foster children and often directly from the hospital following birth. This article examines three concepts from the postpartum family adaptation literature: transition to parenthood, maternal and paternal role identities, and attachment. It applies these concepts to the experiences of foster parents who care for infants with prenatal drug and alcohol exposure. Also reviewed are recommended strategies to promote development of the foster parent–infant relationship and to increase parental knowledge within the NICU setting and during the period of transition from hospital to home. Nurses within the NICU have a unique knowledge and experience of caring for infants in withdrawal. This knowledge needs to be shared beyond the hospital with community professionals, who may have limited training in infant health, mental health, or development.
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Borschmann, Rohan, Emma Molyneaux, Elizabeth Spry, Paul Moran, Louise M. Howard, Jacqui A. Macdonald, Stephanie J. Brown, Margarita Moreno-Betancur, Craig A. Olsson, and George C. Patton. "Pre-conception self-harm, maternal mental health and mother–infant bonding problems: a 20-year prospective cohort study." Psychological Medicine 49, no. 16 (December 18, 2018): 2727–35. http://dx.doi.org/10.1017/s0033291718003689.
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AbstractBackgroundSelf-harm in young people is associated with later problems in social and emotional development. However, it is unknown whether self-harm in young women continues to be a marker of vulnerability on becoming a parent. This study prospectively describes the associations between pre-conception self-harm, maternal depressive symptoms and mother–infant bonding problems.MethodsThe Victorian Intergenerational Health Cohort Study (VIHCS) is a follow-up to the Victorian Adolescent Health Cohort Study (VAHCS) in Australia. Socio-demographic and health variables were assessed at 10 time-points (waves) from ages 14 to 35, including self-reported self-harm at waves 3–9. VIHCS enrolment began in 2006 (when participants were aged 28–29 years), by contacting VAHCS women every 6 months to identify pregnancies over a 7-year period. Perinatal depressive symptoms were assessed with the Edinburgh Postnatal Depression Scale during the third trimester, and 2 and 12 months postpartum. Mother–infant bonding problems were assessed with the Postpartum Bonding Questionnaire at 2 and 12 months postpartum.ResultsFive hundred sixty-four pregnancies from 384 women were included. One in 10 women (9.7%) reported pre-conception self-harm. Women who reported self-harming in young adulthood (ages 20–29) reported higher levels of perinatal depressive symptoms and mother–infant bonding problems at all perinatal time points [perinatal depressive symptoms adjusted β = 5.40, 95% confidence interval (CI) 3.42–7.39; mother–infant bonding problems adjusted β = 7.51, 95% CI 3.09–11.92]. There was no evidence that self-harm in adolescence (ages 15–17) was associated with either perinatal outcome.ConclusionsSelf-harm during young adulthood may be an indicator of future vulnerability to perinatal mental health and mother–infant bonding problems.
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Taylor, Lee, Delyse Hutchinson, Ron Rapee, Lucy Burns, Christine Stephens, and Paul S. Haber. "Clinical Features and Correlates of Outcomes for High-Risk, Marginalized Mothers and Newborn Infants Engaged with a Specialist Perinatal and Family Drug Health Service." Obstetrics and Gynecology International 2012 (2012): 1–8. http://dx.doi.org/10.1155/2012/867265.
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Background. There is a paucity of research in Australia on the characteristics of women in treatment for illicit substance use in pregnancy and the health outcomes of their neonates.Aims. To determine the clinical features and outcomes of high-risk, marginalized women seeking treatment for illicit substance use in pregnancy and their neonates.Methods. 139 women with a history of substance abuse/dependence engaged with a perinatal drug health service in Sydney, Australia. Maternal (demographic, drug use, psychological, physical, obstetric, and antenatal care) and neonatal characteristics (delivery, early health outcomes) were examined.Results. Compared to national figures, pregnant women attending a specialist perinatal and family drug health service were more likely to report being Australian born, Aboriginal or Torres Strait Islander, younger, unemployed, and multiparous. Opiates were the primary drug of concern (81.3%). Pregnancy complications were common (61.9%). Neonates were more likely to be preterm, have low birth weight, and be admitted to special care nursery. NAS was the most prevalent birth complication (69.8%) and almost half required pharmacotherapy.Conclusion. Mother-infant dyads affected by substance use in pregnancy are at significant risk. There is a need to review clinical models of care and examine the longer-term impacts on infant development.
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Gould, Jacqueline F., Karen Best, Merryn J. Netting, Robert A. Gibson, and Maria Makrides. "New Methodologies for Conducting Maternal, Infant, and Child Nutrition Research in the Era of COVID-19." Nutrients 13, no. 3 (March 15, 2021): 941. http://dx.doi.org/10.3390/nu13030941.
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The severe acute respiratory syndrome coronavirus disease 2019 (COVID-19) outbreak rapidly became a worldwide pandemic in early 2020. In Australia, government-mandated restrictions on non-essential face-to-face contact in the healthcare setting have been crucial for limiting opportunities for COVID-19 transmission, but they have severely limited, and even halted, many research activities. Our institute’s research practices in the vulnerable populations of pregnant women and young infants needed to adapt in order to continue without exposing participants, or staff, to an increased risk of exposure to COVID-19. Here, we discuss our pre-and-post COVID-19 methods for conducting research regarding nutrition during pregnancy, infancy, and early childhood. We discuss modifications to study methods implemented to avoid face-to-face contact when identifying and recruiting potential participants, gaining informed consent, conducting appointments, and collecting outcome data, and the implications of these changes. The COVID-19 pandemic has required numerous changes to the conduct of research activities, but many of those modifications will be useful in post-COVID-19 research settings.
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Croft, Maxine L., Vera Morgan, Anne W. Read, and Assen S. Jablensky. "Recorded Pregnancy Histories of the Mothers of Singletons and the Mothers of Twins: A Longitudinal Comparison." Twin Research and Human Genetics 13, no. 6 (December 1, 2010): 595–603. http://dx.doi.org/10.1375/twin.13.6.595.
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A population-based record linkage case cohort of 239,995 births, to 119,214 women, born in Western Australia from 1980 to 2001 inclusive, was used to measure the recording of selected indicators of maternal health (current and prior) during pregnancy. We compared records of women with singleton pregnancies with that in twin pregnancies Mothers of first- and second-born singletons (n= 117,647) were compared with women with a first-born singleton followed by twins (n= 1,567). Binary indicators were used to calculate population prevalence of medical conditions, pregnancy complications and birth outcomes. Infant outcomes included stillbirth, low birthweight, preterm birth and birth defects. Women with twins were significantly older and taller, with similar rates of medical conditions and pregnancy complications during first singleton pregnancies compared with women with two consecutive singletons. However, during their second pregnancy, women with twins had significantly higher rates of essential hypertension, pre-eclampsia, threatened abortion, premature rupture of the membranes and ante partum hemorrhage with abruption than women with singletons. For both groups, maternal conditions in the first pregnancy were underreported in the second pregnancy, including diabetes, epilepsy, asthma, chronic renal dysfunction and essential hypertension. At the second birth, twins were 3 times more likely to be stillborn, 17 times more likely to be low birthweight and 4 times more likely to be delivered preterm compared with singletons. This research demonstrates the importance for epidemiologists and others, of having access to a complete maternal medical history for analyses of risks associated with maternal, infant and childhood morbidity.
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Nurfirdaus, Yasmine, and Philip Etabee Macdonald Bassey. "SOCIODEMOGRAPHIC FACTOR RELATIONSHIP WITH INFANT SURVIVAL IN INDONESIA." Jurnal Biometrika dan Kependudukan 10, no. 1 (June 25, 2021): 11. http://dx.doi.org/10.20473/jbk.v10i1.2021.11-17.
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Child survival can be reflected in the presence of the Infant Mortality Rate (IMR). Indonesia has an Infant Mortality Rate (IMR) according to the 2017 IDHS, which reaches 24 deaths per 1000 live births. This figure has decreased compared to a survey conducted by the 2012 IDHS, where infant mortality reached 32 deaths per 1000 live births. Even though it experienced a decrease, the IMR in Indonesia was higher when compared to the IMR in other Southeast Asian countries. Socioeconomic factors for individuals, families, and communities, including the influence of infant mortality. Not only that, but infant mortality can also be due to the absence of awareness of maternal health. Thus, this study aims to determine several variables related to survival in infants in Indonesia. This type of research is a non-reactive study. This study uses quantitative analysis and a methodical approach with a cross-sectional approach that takes data from the 2017 IDHS. This study took a sample following the 2017 IDHS with the criteria that mothers who had babies still drank breast milk, were born single, and were still alive after the first three days in Indonesia. The number of respondents in this study was 7,599 mothers with babies. Analysis of the research data using Chi-Square analysis. Bivariable analysis shows that infants' survival has a relationship with the mother's education, type of area, and welfare level. However, infant survival also has no association with the age of the mother and birth attendants. Counseling pregnant women regarding risks, causes,
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Tran, Mai, Hai Phung, Lisa Young, Ursula Hopper, and Ken Hillman. "Patterns and characteristics of ethnic Australian women utilising ethno-specific maternal and child health services." Australian Health Review 25, no. 4 (2002): 107. http://dx.doi.org/10.1071/ah020107.
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Few studies have explored the socio-economic profile, service utilisation, obstetric history and pregnancy outcomes of ethnic women who utilise ethno-specific obstetric services in Australia. The purpose of this study was to form a profile of women who accessed the Ethnic Obstetric Liaison Services (EOLO) in South Western Sydney Area Health Service (SWSAHS), New South Wales and explore their beliefs about using maternal and infant health services. We found that the prevalence of risks and special needs varied significantly by language groups in this study sample. Our results suggest that equity of access to quality care for this group of mothers and infants can be assured if models similar to the EOLO in SWSAHS are thoroughly planned and developed, and take account of cultural appropriateness for the population served.
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Bacciaglia, Meagan, and Hannah Neufeld. "Examining the Application and Use of the Baby-Friendly Hospital Initiative Within Rural and Urban Health Facilities in Canada and Australia Among Indigenous Mothers." Current Developments in Nutrition 6, Supplement_1 (June 2022): 1131. http://dx.doi.org/10.1093/cdn/nzac072.003.
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Abstract Objectives To prevent infant mortality and morbidity, the WHO and UNICEF established the Baby-Friendly Hospital Initiative (BFHI) to support breastfeeding initiation and duration by improving the quality of care provided in health facilities globally. Indigenous communities across the world report lower breastfeeding rates compared to non-Indigenous populations. There is very limited research surrounding the implementation of the BFHI to support Indigenous women. The objectives of this research are: to gather firsthand experiences of policymakers, administrators, and health care providers on implementing and supporting access among Indigenous mothers; and apply and adapt the Interactive Theory of Breastfeeding to explore theoretical concepts influencing breastfeeding practices among Indigenous women within Canada and Australia. Methods A case study research design will be implemented to explore the experiences of policymakers, health service providers, and advocates in implementing the BFHI in health facilities servicing Indigenous women. Targeted emails and flyers will be posted on social media to recruit participants with expertise in Indigenous maternal health and infant feeding. Participants will be recruited from four health facilities, either from a small, rural location or a large urban facility. Examining facilities with different resources available will help shine light on how the implementation of the BFHI may differ. In addition, representatives of local, provincial, and territorial governments, and international organizations such as WHO will be recruited to participate in virtual semi-structured interviews. In total, 15 to 20 participants will be included in this research. Thematic analysis and line-by-line coding will then be utilized to identify themes and patterns. Results It is anticipated the results from this study will highlight current gaps in care surrounding the BFI and its availability and use among Indigenous women within Canada and Australia. Conclusions This research has national and international policy implications as it will help uncover whether the BFHI can be used as a tool to promote and support Indigenous maternal-child health through culturally safe infant feeding practice. Funding Sources Canadian Institutes of Health Research.
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June, Kyung Ja, Ji Yun Lee, and Sung-Hyun Cho. "Infant Mother’s Experiences with the Sustained Nurse Home-Visiting Program." Journal of The Korean Society of Maternal and Child Health 25, no. 1 (January 31, 2021): 31–41. http://dx.doi.org/10.21896/jksmch.2021.25.1.31.
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Purpose: The purpose of this study was to understand the experiences of mothers of infants who received sustained nurse home visiting services. The program of sustained home visit by nurses (Seoul Maternal Early Childhood Sustained Home-Visiting Program) is an intervention program. Its effectiveness has been verified in Australia, where services are provided to families in a vulnerable families during the period from prenatal period until the newborn is 2 years old.Methods: The study protocol used qualitative approaches. Eleven mothers of infants who received nursing services in December 2015 were invited for an in-depth interview. The data collected were subjected to directed content analysis.Results: The following 4 themes were identified from the analysis: (1) reduction in suspicion and increased feeling of benefit from the visiting service, (2) emotional support to the parents and use of community resources, (3) reliance on friendly nurses, and (4) gaining confidence about parenting and motherhood.Conclusion: Sustained nursing home visiting services can be applied effectively in South Korea. The concrete narrations and descriptions of the experiences of mothers in this study can be used as a base for education, practice, and research.
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Best, Karen P., Tim J. Green, Dian C. Sulistyoningrum, Thomas R. Sullivan, Susanne Aufreiter, Susan L. Prescott, Maria Makrides, Monika Skubisz, Deborah L. O'Connor, and Debra J. Palmer. "Maternal Late-Pregnancy Serum Unmetabolized Folic Acid Concentrations Are Not Associated with Infant Allergic Disease: A Prospective Cohort Study." Journal of Nutrition 151, no. 6 (April 13, 2021): 1553–60. http://dx.doi.org/10.1093/jn/nxab040.
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ABSTRACT Background The increase in childhood allergic disease in recent decades has coincided with increased folic acid intakes during pregnancy. Circulating unmetabolized folic acid (UMFA) has been proposed as a biomarker of excessive folic acid intake. Objective We aimed to determine if late-pregnancy serum UMFA and total folate concentrations were associated with allergic disease risk in the offspring at 1 y of age in a population at high risk of allergy. Methods The cohort consisted of 561 mother–infant pairs from Western Australia. To be eligible the infant had to have a first-degree relative (mother, father, or sibling) with a history of medically diagnosed allergic disease. Maternal venous blood was collected between 36 and 40 wk of gestation. Serum UMFA was measured by LC–tandem MS. Serum total folate was determined using a microbiological method with chloramphenicol-resistant Lactobacillus rhamnosus as the test organism, and was collected between 36 and 40 wk of gestation. UMFA concentrations were measured by tandem MS using stable isotope dilution; folate concentrations were determined using the microbiological method with standardized kits. Infant allergic disease outcomes of medically diagnosed eczema, steroid-treated eczema, atopic eczema, IgE-mediated food allergy, allergen sensitization, and medically diagnosed wheeze were assessed at 1 y of age. Results Median (IQR) concentrations for UMFA and serum folate were 1.6 (0.6–4.7) and 53.2 (32.6–74.5) nmol/L, respectively. Of the infants, 34.6% had medically diagnosed eczema, 26.4% allergen sensitization, and 14.9% had an IgE-mediated food allergy. In both adjusted and unadjusted models there was little evidence of association between UMFA or serum folate and any of the infant allergy outcomes. Conclusions In this cohort of children at high risk of allergic disease there was no association between maternal UMFA or serum folate concentrations measured in late pregnancy and allergic disease outcomes at 1 y of age.
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Lehtonen, Eveliina, Anne Ormisson, Anita Nucci, David Cuthbertson, Susa Sorkio, Mila Hyytinen, Kirsi Alahuhta, et al. "Use of vitamin D supplements during infancy in an international feeding trial." Public Health Nutrition 17, no. 4 (June 24, 2013): 810–22. http://dx.doi.org/10.1017/s1368980013001122.
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AbstractObjectiveTo examine the use of vitamin D supplements during infancy among the participants in an international infant feeding trial.DesignLongitudinal study.SettingInformation about vitamin D supplementation was collected through a validated FFQ at the age of 2 weeks and monthly between the ages of 1 month and 6 months.SubjectsInfants (n 2159) with a biological family member affected by type 1 diabetes and with increased human leucocyte antigen-conferred susceptibility to type 1 diabetes from twelve European countries, the USA, Canada and Australia.ResultsDaily use of vitamin D supplements was common during the first 6 months of life in Northern and Central Europe (>80 % of the infants), with somewhat lower rates observed in Southern Europe (>60 %). In Canada, vitamin D supplementation was more common among exclusively breast-fed than other infants (e.g. 71 % v. 44 % at 6 months of age). Less than 2 % of infants in the USA and Australia received any vitamin D supplementation. Higher gestational age, older maternal age and longer maternal education were study-wide associated with greater use of vitamin D supplements.ConclusionsMost of the infants received vitamin D supplements during the first 6 months of life in the European countries, whereas in Canada only half and in the USA and Australia very few were given supplementation.
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Walsh, Adam D., Adrian J. Cameron, Kylie D. Hesketh, David Crawford, and Karen J. Campbell. "Associations between dietary intakes of first-time fathers and their 20-month-old children are moderated by fathers’ BMI, education and age." British Journal of Nutrition 114, no. 6 (August 18, 2015): 988–94. http://dx.doi.org/10.1017/s0007114515002755.
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AbstractChildren’s learning about food is considerable during their formative years, with parental influence being pivotal. Research has focused predominantly on maternal influences, with little known about the relationships between fathers’ and children’s diets. Greater understanding of this relationship is necessary for the design of appropriate interventions. The aim of this study was to investigate the associations between the diets of fathers and their children and the moderating effects of fathers’ BMI, education and age on these associations. The diets of fathers and their first-born children (n 317) in the Melbourne Infant Feeding Activity and Nutrition Trial (InFANT) Program were assessed using an FFQ and 3×24-h recalls, respectively. The InFANT Program is a cluster-randomised controlled trial in the setting of first-time parents groups in Victoria, Australia. Associations between father and child fruit, vegetable, non-core food and non-core drink intakes were assessed using linear regression. The extent to which these associations were mediated by maternal intake was tested. Moderation of associations by paternal BMI, education and age was assessed. Positive associations were found between fathers’ and children’s intake of fruit, sweet snacks and take-away foods. Paternal BMI, education and age moderated the relationships found for the intakes of fruit (BMI), vegetables (age), savoury snacks (BMI and education) and take-away foods (BMI and education). Our findings suggest that associations exist at a young age and are moderated by paternal BMI, education and age. This study highlights the importance of fathers in modelling healthy diets for their children.
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Rydhstroem, Hakan, and Fayez Heraib. "Gestational Duration, and Fetal and Infant Mortality for Twins vs Singletons." Twin Research 4, no. 4 (August 1, 2001): 227–31. http://dx.doi.org/10.1375/twin.4.4.227.
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AbstractThe aim of this research was to study fetal and infant mortality in Sweden between 1973 and 1996 in twins vs singletons in relation to gestational duration. Analysis was of fetal and infant mortality based on the number of pregnancies at risk as the denominator rather than the number of deliveries each week. The analysis was based on information stored at the Medical Birth Registry (MBR), the National Board of Health and Welfare, Stockholm. The MBR keeps records on virtually all pregnancies (> 99%) regarding delivery and neonatal information, and for infant mortality up to 1 year of age. During the study period, 2,206,738 singleton and 52,658 twin births were registered. Risk evaluation was made as odds ratio (OR) with a 95% confidence interval. The material was stratified according to parity, maternal age, year of delivery, and delivery unit. Results showed the OR for twin births before 34 weeks gestation was 6 to 8-fold increased compared with singletons. The OR for fetal mortality was increased in all gestational weeks, and like-sexed twins had a consistently poorer prognosis compared to unlike-sexed. Between 1989–96, unlike-sexed twins had a fetal mortality approaching that of singletons. In conclusion, real progress in reduction of infant mortality in twins may be impossible until the high incidence of preterm births can be decreased. Hypothetically, about 100 twin labors would have to be induced to avoid one fetal death in like-sexed twin pregnancies.