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Purpose: To investigate sleep duration and sleep loss during antenatal period and assess associative factors, including maternal characteristic and mood symptoms. Methods: A cohort of 3038 women was enrolled. Self-reported sleep duration and sleep loss, the latter being calculated from preferred sleep need and actual sleep duration, were measured in early, mid- and late pregnancy, and at delivery. The associations with age, BMI, parity, education, smoking, napping, and depressive and anxiety symptoms were evaluated. Results: Sleep duration was longest in early pregnancy and shortest at delivery (7.93 h–7.76 h, p < 0.001). The proportion of short sleepers (< 6 h) increased from 1.4% to 5.9% throughout the studied period (p < 0.001). Mean sleep loss remained stable in early- and mid-pregnancy, lowering in late pregnancy (p < 0.001) and increasing again until delivery (p = 0.003). The number of women with notable sleep loss (> 2 h) was similar during the first three measurement points (9.4%, 8.9% and 9.5%), but increased until delivery (14.1%, p < 0.001). Older, multiparous, and more-depressive women slept less (p < 0.001, p < 0.001, p = 0.017). Women with higher BMI were more likely to sleep < 6 h in late pregnancy (p = 0.012). Multiparous, more-depressive, and higher-BMI women reported more sleep loss (p < 0.001, p < 0.001, p = 0.049). Conclusion: We confirmed earlier reported decrease in sleep duration at the end of pregnancy. As a novel finding, we showed a notable increase in sleep loss during the last month of pregnancy. Various factors were associated with both short sleep and sleep loss, especially multiparity, napping and depressive symptoms. [ABSTRACT FROM AUTHOR]

Background: Child cancer impacts the entire family. However, those who identify as mothers may be most negatively affected due to the societal expectations placed upon them in primary caregiving. This study was conducted with the aim of exploring the lived experiences of mothers of children with cancer and their adaptation to their child's illness. Methods: This study employed a qualitative and hermeneutic approach using Heideggerian phenomenology as a philosophical framework. Our sampling strategy was purposive. Mothers (n = 14) of children diagnosed with cancer participated in face-to-face semi-structured interviews. The seven-steps of critical hermeneutic analysis were used to summarize and interpret findings. Results: Analysis revealed that participants' adaptation to their child's illness occurs through comprehensive support and the utilization of empowering beliefs. The theme of comprehensive support included sub-themes of seeking informational support, seeking psychological support, and seeking social support. The theme of utilizing empowering beliefs encompassed sub-themes of resilience against cultural misconceptions and reliance on spiritual beliefs. Furthermore, one constitutive pattern 'mothers' efforts to overcome difficult twists and turns in living with children with cancer' was identified.This related to participants' striving to navigate the twists and turns of life's hardships. Conclusions: Relationships and social context are vital and important features of this phenomena. Employing a team approach to provide comprehensive support to mothers of children with cancer involving physicians, nurses, and psychologists can be supportive in their adaptation to their child's cancer. Additionally, reductions in cultural taboos surrounding cancer could facilitate improved adaptation to childhood cancer for these mothers. [ABSTRACT FROM AUTHOR]

AimsMethodsResultsConclusionTo investigate what it is about community-based perinatal mental health peer support from trained volunteers that works, for whom, in what circumstances, in what respects, and why; and build a change model that includes positive and negative mechanisms and outcomes.Realist evaluation methods based on semi-structured interviews were used to create a change model for a third sector programme in England.Mothers who received peer support (n = 20), peer support volunteers (n = 27), and programme staff (n = 9) were interviewed. Positive impact on mothers was primarily based on feeling understood and accepted, social comparison (including normalisation, hope, and gaining perspective) and sharing non-directive information from experiential knowledge. Negative impact on mothers was based on negative social comparison, or absence of key peer support mechanisms. Mothers were affected in different ways, depending on individual contexts: their backgrounds, personalities, social situations, resources, experiences, beliefs, and needs. Some different mechanisms were present in one-to-one and group situations. All participants considered the benefits of peer support to greatly outweigh the risks.Individual contextual factors affect the multiple mechanisms through which mental health peer support can improve mothers’ emotional wellbeing and social participation. Peer support has potential risks as well as benefits, which can be mitigated. Programmes could use this understanding of how contexts and mechanisms interact to produce peer support outcomes to improve training for peer support volunteers and to design future evaluations that take into account diversity of peer support experience. [ABSTRACT FROM AUTHOR]

ABSTRACT There are no established diagnostic criteria for neonatal vitamin A deficiency (VAD), and applying adult VAD criteria to neonates may overestimate the neonatal VAD rate. This study aimed to evaluate neonatal vitamin A (VA) status and redefine thresholds for neonatal VA adequacy and deficiency based on maternal VA nutrition. A cross‐sectional study involving 1901 mother–neonate pairs was conducted in Chongqing, China. VA nutritional status was assessed by measuring serum VA levels and dietary VA intake from the third trimester to birth. The VAD rates of maternal dietary intake and serum were 27.091% and 23.356%, respectively, while 88.8% of neonates had serum VA levels < 0.70 μmol/L, the threshold for adult VAD. Neonatal VA levels were significantly lower than maternal levels. All neonates were healthy, with no clinical signs of VAD. Neonatal VA levels correlated positively with maternal VA levels. The threshold for neonatal VA adequacy was estimated to be ≥ 0.489 (95%CI: 0.464–0.512) μmol/L when maternal VA nutrition was adequate, and the 2.5th percentile of VA levels among all neonates was 0.192 μmol/L, predicting neonatal VAD. The study concluded that neonatal VAD rates might be overestimated, as most neonates received adequate VA from their mothers. Maternal VA status is a reliable predictor of neonatal VA status due to their close relationship. This study offers a new perspective on prenatal nutrition for determining neonatal VA adequacy and deficiency thresholds and developing neonatal VA supplementation programs. Further research is needed. [ABSTRACT FROM AUTHOR]

Copyright of Hungarian Medical Journal / Orvosi Hetilap is the property of Akademiai Kiado and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Adverse pregnancy outcomes have reached epidemic proportions in recent years with serious health ramifications, especially for diverse cancers risk. Therefore, we carried out an umbrella review to systematically evaluate the validity and strength of the data and the extent of potential biases of the established association between adverse pregnancy outcomes and cancers risk in both mother and offspring. Methods: PubMed, Embase, and Web of Science databases were searched from inception until 18 January 2024. Meta-analyses of observational studies investigating the relationship between adverse pregnancy outcomes and multiple cancers risk in both mother and offspring were included. Evidence certainty was assessed using Grading of Recommendations, Assessment, Development, and Evaluation. The protocol for this umbrella review was prospectively registered in PROSPERO (CRD42023470544). Results: The search identified 129 meta-analyses of observational studies and 42 types of cancer. Moderate certainty of evidence, exhibiting statistical significance, has been observed linking per kilogram increase in birth weight to a heightened risk of breast cancer (OR = 1.07, 95% CI = 1.02–1.12), prostate cancer (OR = 1.02, 95% CI = 1.00–1.05), leukemia (OR = 1.18, 95% CI = 1.13–1.23), and acute lymphoblastic leukemia in offspring (OR = 1.18, 95% CI = 1.12–1.23); rubella infection during pregnancy to an increased risk of leukemia in offspring (OR = 2.79, 95% CI = 1.16–6.71); and a linear dose–response association between an increase in the proportion of optimal birth weight and an elevated risk of acute lymphoblastic leukemia in offspring (OR = 1.16, 95% CI = 1.09–1.24), respectively. Conclusions: Although some adverse pregnancy outcomes have clinically promising associations with risk of several cancers in both mother and offspring, it is essential to conduct additional research to solidify the evidence, evaluate causality, and ascertain clinical utility. [ABSTRACT FROM AUTHOR]

The purpose of this study was to develop a workplace breastfeeding support scale for working mothers and examine their psychometric properties. This methodological research was conducted between February and April 2022. This study included 325 mothers who continued breastfeeding while working. The tool development stages included item generation, expert review for content validity testing, and psychometric testing. The data were collected through face-to-face interviews between February and April 2022. In data analysis, for explanatory factor analysis, the direct oblimin technique and scree plot test were performed. Structural equation modeling was performed for confirmatory factor analysis. Two sub-dimensions (manager support, environmental support) and a nine-item workplace breastfeeding support scale showed good validity and reliability. The Cronbach's alpha value of the total scale and sub-dimensions of the scale were greater than 0.70. Confirmatory factor analysis showed that the model fit indices were acceptable (χ2 = 68.658, χ2/df = 2.64, CFI = 0.94, GFI = 0.96, AGFI = 0.92, and RMSEA = 0.07). The total variance explained by the scale was 54.32 percent. This newly developed 9-item and 2-dimensional version is a valid and reliable tool for measuring the working mothers' perception of workplace breastfeeding support. This tool is recommended to be verified in other low, middle, and high-income countries. [ABSTRACT FROM AUTHOR]

In this article we analyse the motherhood and care experiences of women researchers in Spain to understand the ways in which they manage the work-care conflict in the scientific-academic field and how it impacts their employment and psycho-social wellbeing. To do this, we conducted 30 semi-structured interviews with researchers at all levels of the academic career affiliated with 23 Spanish universities and research centres. The results show that academic mothers experience overload, stress and guilt in facing the double mandate of being "good mothers" and "good professionals". The results also indicate that they feel forced to sacrifice selfcare to more comfortably meet their professional and domestic responsibilities, and to choose between two lesser evils: postponing or giving up motherhood or lowering their professional ambitions. [ABSTRACT FROM AUTHOR]

This is a critical autoethnography informed by Critical Race Theory (CRT) and Dis/ability Critical Race Studies (DisCrit) that explores the notion of DisCrit mothering in the context of the COVID-19 pandemic. I use my experiences as a disabled Latina motherscholar and mindfulness practitioner to reflect on how I mother my two young children and foster radical love in educational spaces. I present the pandemic context and how it relates to compassion fatigue and a litany for survival but also offer the pandemic as an opportunity for personal and collective transformation. I use the narrative of sacrificio, a teacher's note from school, and a "giftedness" program to discuss how I try to resist internal and external pressures to conform to ableist mindsets and practices by cultivating radical love, solidarity, and critical questioning in myself and in my children. I end this work with hope and love for the next generation of DisCrit, social justice warriors. [ABSTRACT FROM AUTHOR]

Purpose: Sleep disturbances, which are common during pregnancy, may compromise labor. Nevertheless, little is known about associations between sleep disturbances and the likelihood of ending up induction of labor (IOL). Accordingly, we aimed to evaluate the connections between sleep disturbances during pregnancy and IOL. Methods: Altogether 1778 women from the FinnBrain Birth Cohort Study with gestation weeks over 37 + 6 were enrolled in the study. The women were divided into IOL (n = 331) and spontaneous onset of labor (SOL, n = 1447) groups. Sleep disturbances in late pregnancy were evaluated using the Basic Nordic Sleep Questionnaire. Logistic regression analyses were conducted with adjustments for age, body mass index, parity, smoking, and depressive symptoms. Results: Sleep disturbances were frequent in both IOL and SOL groups. In the IOL group 43.0% and in the SOL group 39.0% had poor general sleep quality (P = 0.186). Nocturnal awakenings occurred most commonly, in 94.0% and 93.9%, respectively (P = 0.653). In the IOL group, more women (22.7%) were habitual snorers than in the SOL group (17.0%, P = 0.017), however, the difference lost the statistical significance in adjusted analysis (P = 0.848). Women in the IOL group were more likely to be short sleepers (< 7 h) compared to those in the SOL group (20.2% and 15.4%, respectively, P = 0.034) with no difference after adjustment (P = 0.133). The two groups showed no differences in sleep loss (P = 0.252). Conclusions: Deterioration in sleep quality was noticeable in pregnant women, but it was unconnected with IOL. As the frequency of IOL is increasing, more research for related risk factors is needed. [ABSTRACT FROM AUTHOR]

This study examined the influence of parental cognition, including attitudes, beliefs, and understanding of anxiety, on emotion dysregulation in children with anxiety disorder. A total of 47 clinically anxious children (6–17 years old) and their parents were involved in the current study. The mothers and fathers separately completed a self-reported questionnaire assessing their attitudes, beliefs, and understanding of their children's anxiety, while the children completed a self-report questionnaire assessing emotion dysregulation. Pearson correlation and hierarchical regression analyses were used for data analysis. The results indicated that only fathers' higher levels of unhelpful attitudes, beliefs, and understanding of anxiety were positively and significantly associated with greater emotion regulation (ER) difficulties in anxious children. Furthermore, fathers' unhelpful cognitions regarding anxiety uniquely predicted their children's emotion regulation difficulties. These findings highlight the importance of including fathers in preventive and therapeutic interventions in promoting ER abilities in children with anxiety disorder. [ABSTRACT FROM AUTHOR]

Copyright of Remedia is the property of Medical Tribune CZ, s.r.o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Peter Fitzpatrick's life and work encourages reflection on the enduring myth of the father, including as it appears in contemporary debates about the place of canonical figures on university syllabi. I suggest that a simple call for the destruction of father figures misses one of the key insights offered by Fitzpatrick: the story of the father is the ur-myth of modernity. As we criticise the legacies of fathers, whether in the canon or otherwise, we miss this revelation and, inadvertently re-circulate monumental stories of patriarchal and colonial origins. [ABSTRACT FROM AUTHOR]

Derrida's reading of Heidegger's 1962 lecture On Time and Being concludes the last session of the 1978–79 seminar published in Donner le temp II. There, Heidegger suggests that the task of thinking consists of thinking Being without regard to metaphysics, while ceasing all overcoming of metaphysics as such. What is given as the task for thought is that which onto-theology makes impossible to think, that is, the constitutive aporetic remainder of metaphysical thinking. This essay contends that for both Heidegger and Derrida the task of thought consists in this same matter of thinking, with which the question of the gift primarily deals. It maintains that in order to think the giving of the gift without regard to metaphysics, the gift could be thought in terms of anxiety. In this perspective, anxiety emerges as a thoughtful affect that gives an access to thinking the impossible, cutting through the onto-theological order of metaphysics. Finally, bringing together Heidegger and Lacan's accounts of anxiety allows us to creep deeper into this liminal dimension of what is to be thought. [ABSTRACT FROM AUTHOR]

This article uses a database of fifty petitions submitted to the Lancashire Quarter Session Courts between 1660 and 1720 to locate mothers who cared for non-kin children in early modern England. While boarding children with non-kin was a practice not unknown to historians, the identities and experiences of the women who provided the childcare have hitherto been largely absent from previous scholarships. These petitions were brought by women who were not receiving the appropriate or arranged financial compensation for their caring responsibilities. Through their descriptions of disorder in their arrangements, we can uncover not only the attributes of the carers and their lived experiences but also more broadly what early modern English society expected from them. In addition, these petitions allow for a deeper understanding of how the practice of boarding children operated within and without the confines of the poor laws. Given the importance of child-rearing and the belief that it was a female task, this mothering gave common women authority that would otherwise be less accessible to them. This article thus argues that women understood the wider significance of this labour and used the influence it offered them to their advantage in their petitions. More broadly, then, this article provides a re-examination of the relationship between women, the poor law and authority in early modern England. [ABSTRACT FROM AUTHOR]

Mother-baby pairs referred to the Anni Bergman Parent-Infant Outreach Program, in New York, are offered clinical services in urgent circumstances. Mothers are typically contending with crises stemming from poverty, loss, mental illness, and the various forms of social neglect, abuse, and racism built into New York City’s legal, educational, and foster-care systems. While dyadic interventions aim to develop parents’ attunement and reflective functioning towards their babies, the nature of the trauma these mothers have endured often shuts down the critical functions necessary for growth and change. In fact, aspects of their psychic life, in a unique survival mode, actively foreclose on new ways of relating; rather they remain tethered to early trauma with varied levels of representation. For example, the mother whom I write about in this paper, Janine, was transfixed by her own birth history in a way that preserved the force of her earliest pain and occluded the reality of her baby. A central therapeutic question is how to find a way into a mother’s closed system and build upon her healthy, loving wishes to care for her child. The therapist's capacity to enter these psychic voids and revive herself through reverie creates a path for intervention. [ABSTRACT FROM AUTHOR]

AbstractThis research was designed to determine the effect of the attachment styles of mothers on separation anxiety in children with autism. One hundred forty mothers of children with autism contacted using the convenience sampling method were included in this descriptive and correlational research. The data were collected using a questionnaire containing a sociodemographic form, the Experiences in Close Relationships Inventory (ECRI) and the Separation Anxiety Assessment Scale-Parents’ Version (SAASP). An anxious attachment style among mothers of children with autism was found to exacerbate separation anxiety in those children. [ABSTRACT FROM AUTHOR]

In 4 Maccabees' skillfully woven tale of seven brother martyrs and their mother, a rather puzzling phrase appears in the emotionally-charged scene of the mother looking upon the mutilated corpses of her seven sons. The graphic description—burned flesh, severed hands, scalped heads, corpses upon corpses—includes, in most editions of the text, a side reference to the place filled with many spectators because of the children's torments (4 Macc 15:20; NRSVue). These editions and translations reflect an ancient scribal emendation to the Greek text of Codex Sinaiticus that reads χόριον (afterbirth) as χορίδιον/χωρίδιον/χωρίον (place). What is surprising about this emendation is that it disrupts the focus of the encomium—the mother's exemplary courage despite seeing the extreme mutilation of her children—whereas the earlier reading, afterbirth, is an apt description of the corpses within the context of the scene and complements the portrayal of the mother's role throughout the book. This article considers how the erasure of afterbirth in 4 Macc 15:20 obscures the significance of the birthing metaphor in 4 Maccabees' portrayal of the mother's role, particularly as it relates to the image of her rebirthing (ἀνατίκτω) her sons into immortality (4 Macc 16:13). Far from a scribal error in need of emendation, afterbirth in 4 Macc 15:20 is a key feature of the birth imagery, which functions in concert with the masculinization of the mother to paint a portrait of her as the embodiment of both masculine and feminine ideals, the ultimate example of Torah piety, and a generative force of immortality. [ABSTRACT FROM AUTHOR]

Objective: Self-efficacy is important in supporting breastfeeding behaviors and enhancing breastfeeding practices. This study aimed to explore research trends, identify knowledge gaps, and provide a comprehensive overview of breastfeeding self-efficacy. Materials and Methods: Data were retrieved from the Scopus online database on March 20, 2024, encompassing articles published in English between 2000 and 2023. The search strategy focused on articles containing the keywords “self-efficacy,” “breastfeeding,” and “mother.” VOSviewer version 1.6.19 was then used to map the data and visually identify research clusters. Results: The analysis yielded a significant increase in breastfeeding self-efficacy research over the past 2 decades. The United States led in publication numbers (117 documents), while Canada dominated citations (2792 citations). Furthermore, the analysis identified 8 critical themes in 8 different clusters, encompassing various aspects of breastfeeding, including determinants, behaviors, interventions, and mental health considerations during lactation, and employed research methodologies. One crucial gap identified in this study pertains to low breastfeeding social support. This includes a lack of support from peer groups, social networks, and social media platforms. Addressing this gap can be a valuable reference point for developing future interventions to bolster breastfeeding self-efficacy. Conclusion: Bibliometric analysis contributes to exploring research trends, identifying knowledge gaps, and providing a comprehensive overview of breastfeeding self-efficacy. [ABSTRACT FROM AUTHOR]

Childbirth is a stressful event for mothers, and labor epidural analgesia (LEA) may reduce mental stress. Mental stressors include labor pain, fear, and anxiety, which induce oxidative stress. In this study, we focused on oxidative stress during delivery and conducted a cross-sectional analysis of maternal and fetal oxidative stress. The participants included 15 women who received LEA (LEA group) and 15 who did not (No LEA group). Participants with a gestational age of < 37 weeks, BMI of ≥ 35 kg/m2, cerebrovascular or cardiovascular complications, multiple pregnancies, gestational hypertension, gestational diabetes, chronic hypertension, thyroid disease, birth weight of < 2,500 g, emergency cesarean section, or cases in which epidural anesthesia was re-administered during delivery were excluded from the study. Maternal blood was collected on admission, and immediately after delivery, and umbilical artery blood was collected from the fetus. The oxidative stress status was assessed by measuring diacron-reactive oxygen metabolite (an index of the degree of lipid peroxide oxidation), biological antioxidant potential (an index of antioxidant capacity) and calculating the ratio of BAP/d-ROMs (an index of the oxidative stress). The results showed that maternal oxidative stress immediately after delivery was lower in the LEA group than in the No LEA group. Moreover, the fetuses experienced less oxidative stress in the LEA group than in the No LEA group. Taken together, these results suggest that LEA may reduce maternal and fetal oxidative stress associated with childbirth. [ABSTRACT FROM AUTHOR]

Parenting resilience is essential for the well-being and development of children with chronic illnesses. Given the importance of parenting resilience in this context, this study explored the nature of parenting resilience among mothers caring for adolescents with congenital heart disease (CHD). We adopted Husserl's phenomenological approach and conducted semistructured in-depth interviews. In addition, we conducted purposive sampling at the pediatric cardiology outpatient departments of 2 medical centers in Taiwan to recruit 11 mothers of adolescents with CHD; all of these adolescents had received open-heart surgery. Furthermore, we analyzed data by using Colaizzi's approach, and we adhered to the COnsolidated criteria for REporting Qualitative research checklist. Mothers caring for adolescents with CHD was a dynamic process involving problem solving. The 11 mothers in this study employed resilience to remain strong, provided a sense of normalcy for their children, and approached challenges calmly and bravely. We uncovered three major themes among these mothers: "providing support for the child, "facing challenges with equanimity," and "overcoming adversity through positivity and gratitude." The present results provide a deeper understanding of how mothers caring for adolescents with CHD can cultivate resilience. The study's findings can inform transitional programs for adolescents with CHD and their families, with nursing professionals supporting mothers' resilience. • Managing a child with congenital heart disease (CHD) involves parenting challenges. • Mothers' resilience is vital to overcome challenges in caring for children with CHD. • Family members of children with CHD must be provided support to cultivate resilience. [ABSTRACT FROM AUTHOR]

This cross-sectional study aimed to create and evaluate a care needs scale for mothers of children with congenital heart disease (CHD) to determine its psychometric properties. This methodological research was conducted with 155 mothers whose children were diagnosed with CHD and were treated at a university hospital. The study's methodology included scale development, specialist opinions, and a pilot test. Data analysis involved descriptive statistics, exploratory and confirmatory factor analyses, and reliability assessments. The 11-item scale was created using component analysis, expert comments, and pilot testing. It was divided into two categories: Information Needs Regarding Disease and Treatment and Needs Regarding Care. The Exploratory Factor Analysis revealed a 2-factor structure, explaining 41.5% of the variance. Reliability analysis showed reliable dimensions, and Tukey's scalability test indicated the scale requires separate dimension evaluation. The model fit indices were obtained as CMIN/DF (72.751/41) = 1.774, GFI = 0.925, IFI = 0.923, TLI = 0.893, CFI = 0.920, RMSEA = 0.071, SRMR = 0.063. The Cronbach's alpha coefficient for subdimension 1 was 0.758, and for subdimension 2 was 0.678, indicating reliable dimensions. The developed scale provides a valuable tool for assessing the care needs of mothers of children with CHD, contributing to enhancing maternal support programs in pediatric cardiology clinics. Assessment of the care needs of mothers who have children with CHD is promising for the development of educational programs on this subject and to ensure the competence of mothers for care. • The scale has 11 items covering two domains: 'Information Needs Regarding Disease and Treatment' and 'Needs Regarding Care'. • Each domain represents a cluster of care needs perceived by mothers of children with CHD. • The scale showed adequate evidence of validity and reliability to assess the care needs of mothers of children with CHD. • The scale could be used by pediatric nurses to assess the care needs of these mothers. [ABSTRACT FROM AUTHOR]

Little is known about the association of parental cardiovascular risk factors with the risk of obesity in offspring. We aimed to investigate whether parental ideal cardiovascular health (ICVH) status was associated with the risk of general and central obesity in their young/adult offspring. Of individuals who participated in the 2012-15 phase of the Tehran Lipid and Glucose Study, 2395 pairs of parent-unmarried offspring aged ≥6 years were selected in this cross-sectional study. General and central obesity were defined based on Iranian BMI percentile reference data for offspring aged ≤18 years. For subjects aged ≥19 years, central obesity was defined based on the introduced cut-off points for Iranian adults. We employed the American Heart Association's 2020 impact goal criteria of ICVH. The mean ± SD age of fathers and mothers were respectively 55.4 ± 9.79 and 48.4 ± 9.88. About 55% of offspring were older than 19 years. Higher adherence to ICVH score in mothers was associated with lower risk of overweight/obesity in female offspring (OR for Q1-Q4: 1, 0.56, 0.57, 0.37, P < 0.05 for all quartiles). Among ICVH components, only ideal BMI status in fathers was observed to be associated with a lower risk of overweight/obesity in their male offspring. The risk of abdominal obesity decreased in female offspring with increasing total ICVH score in mothers. Higher adherence of parents to ICVH and its components was positively associated with a lower risk of general and abdominal obesity in their offspring. Our findings demonstrate that maternal-offspring relationship was stronger than paternal-offspring association. • Maternal ideal BMI was related to lower overweight and obesity in female offspring. • Absence of diabetes in mothers was related to lower obesity in female offspring. • Paternal ideal BMI status was related to lower risk of obesity in male offspring. [ABSTRACT FROM AUTHOR]

Copyright of Buca Faculty of Education Journal / Buca Egitim Fakültesi Dergisi is the property of Buca Faculty of Education Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Recherches en Langue et Littérature Françaises is the property of University of Tabriz and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In post-377 neoliberal India, with the emergence and proliferation of subscription-based video streaming platforms, the cultural field has undergone a sea change. In this complex, shifting, and evolving cultural terrain, representation of queer/lesbian women is becoming less uncommon. Maja Ma contributes to this growing cultural landscape by offering the representation of a "lesbian" who is also a Hindu mother, aunty, and wife. In this paper, I explore what the politics of naming—which has largely been avoided by films committed to the representation of queer women in Hindi cinema—offers the film's "lesbian" protagonist, what it reveals about her complex figuration as aunty-mother-wife, and what naming offers relationalities that are forged, informed, and altered by the private disclosure as well as public revelation of her queerness. Drawing on queer cultural studies scholarship focused on India, as well as scholarship on the complexities of "lesbian" activism in India, I interrogate the shift that Maja Ma engenders in Indian queer cultural landscape, and the queer possibilities it offers this field, while paying attention to dominant norms of representation it aligns itself with. [ABSTRACT FROM AUTHOR]

Abstract Background Adverse pregnancy outcomes have reached epidemic proportions in recent years with serious health ramifications, especially for diverse cancers risk. Therefore, we carried out an umbrella review to systematically evaluate the validity and strength of the data and the extent of potential biases of the established association between adverse pregnancy outcomes and cancers risk in both mother and offspring. Methods PubMed, Embase, and Web of Science databases were searched from inception until 18 January 2024. Meta-analyses of observational studies investigating the relationship between adverse pregnancy outcomes and multiple cancers risk in both mother and offspring were included. Evidence certainty was assessed using Grading of Recommendations, Assessment, Development, and Evaluation. The protocol for this umbrella review was prospectively registered in PROSPERO (CRD42023470544). Results The search identified 129 meta-analyses of observational studies and 42 types of cancer. Moderate certainty of evidence, exhibiting statistical significance, has been observed linking per kilogram increase in birth weight to a heightened risk of breast cancer (OR = 1.07, 95% CI = 1.02–1.12), prostate cancer (OR = 1.02, 95% CI = 1.00–1.05), leukemia (OR = 1.18, 95% CI = 1.13–1.23), and acute lymphoblastic leukemia in offspring (OR = 1.18, 95% CI = 1.12–1.23); rubella infection during pregnancy to an increased risk of leukemia in offspring (OR = 2.79, 95% CI = 1.16–6.71); and a linear dose–response association between an increase in the proportion of optimal birth weight and an elevated risk of acute lymphoblastic leukemia in offspring (OR = 1.16, 95% CI = 1.09–1.24), respectively. Conclusions Although some adverse pregnancy outcomes have clinically promising associations with risk of several cancers in both mother and offspring, it is essential to conduct additional research to solidify the evidence, evaluate causality, and ascertain clinical utility.

Background: Dysfunctional stress-coping styles may accelerate negative emotional self-efficacy in the mothers of preterm neonates. This study was conducted to determine the effect of applying problem-solving skills on stress-coping styles and emotional self-efficacy in mothers of preterm neonates.Methods: This randomized clinical trial was conducted from January 2020 to February 2021 in 4 neonatal intensive care units (NICU) of Mashhad, Iran. 60 mothers were selected using convenience sampling method and randomly assigned to control and intervention groups. The intervention group was divided into groups of 3-5 people to attend 6 sessions of at least 60 minutes held 3 times a week for two weeks and received training on problem-solving skills. The control group received routine care. Data were collected using demographic characteristic forms, problem-solving inventory, ways of Coping Questionnaire, and the emotional self-efficacy scale. The tools were initially filled out by both groups and re-completed at the end of the second week after the intervention and four weeks later. Data were analyzed using SPSS version 21 and the significance level of less than 0.05. Independent and paired t-test, Mann-Whitney, Chi-square, Fisher’s exact test, repeated measures, and Bonferroni post hoc test were used.Results: Analysis of variance with repeated measures showed that in the intervention group, there was an increase in the scores of problem-focused style (before: 37.9±6.3; immediately: 46.2±5.3; one month later: 47.5±5.6) (P

Abstract Background Antenatal attachment is a fundamental concept relative to human transition to parenthood and may be influenced by several factors. The aim of this study is to find the best model to explain maternal antenatal attachment based on the interaction among sociodemographic, clinical, and psychological variables. Methods Pregnant women (N = 407) were interviewed during the second trimester of pregnancy while waiting for medical consultations. A sociodemographic, obstetric, and psychometric protocol was used. Statistical analyses: path analysis. Independent variables: psychopathological symptomatology, depression, anxiety, stress, occupational stress, attitudes about pregnancy and motherhood, coping styles, marital satisfaction, sociodemographic, and clinical variables. Dependent variables: maternal antenatal attachment in its several dimensions; quality of attachment (QA), intensity of preoccupation (IP), and global attachment (GA). Results Depression, anxiety, attitudes, and marital satisfaction explained 37% of maternal antenatal QA. Age, depression, anxiety, attitudes, and marital satisfaction explained 26% of maternal antenatal IP. Age, depression, anxiety, attitudes, and marital satisfaction explained 34% of the statistical variance of maternal antenatal GA. Conclusions Factors like emotional states (depression and anxiety), attitudes towards pregnancy and motherhood, marital satisfaction, and a sociodemographic variable (age) contribute significantly for the explanation of maternal antenatal attachment.

It has been suggested that a 30–50 % lithium dose reduction or lithium discontinuation 24-48 h before delivery could minimize neonatal complications. We investigated the maternal lithemia changes around delivery after a brief discontinuation, the placental transfer of lithium at delivery, and the association between neonatal lithemia at delivery and acute neonatal outcomes. A retrospective observational cohort study was conducted in a teaching hospital (November/2006-December/2018). Data was extracted from the medical records. We included psychopathologically stable women, with a singleton pregnancy, treated with lithium in late pregnancy, with at least one maternal and neonatal lithemia at delivery. Lithium was discontinued 12 h before a scheduled caesarean section or induction, or at admission day to hospital birth; and restarted 6-12 h post. Sixty-six mother-infant pairs were included, and 226 maternal and 66 neonatal lithemias were obtained. We found slight maternal lithemia fluctuations close to 0.20 mEq/L, and early postpartum relapse of 6 %. The mean (SD) umbilical cord/mother intrapartum lithemia ratio was 1.10 (0.17). Fifty-six percent of neonates presented transient acute complications. Neonatal hypotonia was the most frequent outcome (N = 15). Mean lithemia were 0.178 mEq/L higher in those with hypotonia than in those without (p = 0.028). It is a retrospective cohort of a moderate sample size of healthy uncomplicated pregnancies and results cannot be generalized to all pregnant treated with lithium. Lithium transfers completely across the placenta. A brief predelivery lithium discontinuation was associated with slight maternal lithemia fluctuations. Neonates exposed intrautero to lithium present frequent but transient acute effects. • Lithium completely equilibrates across the placenta, both in mono and polytherapy • A brief peripartum discontinuation is associated with slight lithemia fluctuations. • Neonatal lithemia at delivery is associated with transient neonatal complications. [ABSTRACT FROM AUTHOR]

Abstract Background Deaths occurring during the neonatal period contribute close to half of under-five mortality rate (U5MR); over 80% of these deaths occur in low- and middle-income countries (LMICs). Poor maternal antepartum and perinatal health predisposes newborns to low birth weight (LBW), birth asphyxia, and infections which increase the newborn’s risk of death. Methods The objective of the study was to assess the association between abnormal postpartum maternal temperature and early infant outcomes, specifically illness requiring hospitalisation or leading to death between birth and six weeks’ age. We prospectively studied a cohort of neonates born at Mbarara Regional Referral Hospital in Uganda to mothers with abnormal postpartum temperature and followed them longitudinally through early infancy. We performed a logistic regression of the relationship between maternal abnormal temperature and six-week infant hospitalization, adjusting for gestational age and 10-minute APGAR score at birth. Results Of the 648 postpartum participants from the parent study who agreed to enrol their neonates in the sub-study, 100 (15%) mothers had abnormal temperature. The mean maternal age was 24.6 (SD 5.3) years, and the mean parity was 2.3 (SD 1.5). There were more preterm babies born to mothers with abnormal maternal temperature (10%) compared to 1.1% to mothers with normal temperature (p=˂0.001). While the majority of newborns (92%) had a 10-minute APGAR score > 7, 14% of newborns whose mothers had abnormal temperatures had APGAR score ˂7 compared to 7% of those born to mothers with normal postpartum temperatures (P = 0.02). Six-week outcome data was available for 545 women and their infants. In the logistic regression model adjusted for gestational age at birth and 10-minute APGAR score, maternal abnormal temperature was not significantly associated with the composite adverse infant health outcome (being unwell or dead) between birth and six weeks’ age (aOR = 0.35, 95% CI 0.07–1.79, P = 0.21). The 10-minute APGAR score was significantly associated with adverse six-week outcome (P

Abstract Afghanistan has one of the highest maternal mortality rates in the world. Inadequate postnatal care (PNC) increases the risk of maternal mortality. This study aimed to analyze the socioeconomic and demographic factors that affect postnatal care utilization. A secondary analysis was conducted in 2019 based on the data from the 2015 Afghanistan Demographic and Health Survey. The sample included 29,461 married women aged 15–49 interviewed during the survey. This was a cross-sectional study in which a frequency distribution of independent variables for the study sample was carried out, Pearson’s chi-square test was conducted for association, and the strength of association was measured using binary logistic regression. The study found that 39.9% of married women used postnatal care services. The findings of this study suggest that place of delivery and women who gave birth at health facilities were more likely to use PNC than women who delivered at home. Women age 30–39 and 20–29 positively associated with PNC use compared with mothers aged

Abstract Background Child cancer impacts the entire family. However, those who identify as mothers may be most negatively affected due to the societal expectations placed upon them in primary caregiving. This study was conducted with the aim of exploring the lived experiences of mothers of children with cancer and their adaptation to their child’s illness. Methods This study employed a qualitative and hermeneutic approach using Heideggerian phenomenology as a philosophical framework. Our sampling strategy was purposive. Mothers (n = 14) of children diagnosed with cancer participated in face-to-face semi-structured interviews. The seven-steps of critical hermeneutic analysis were used to summarize and interpret findings. Results Analysis revealed that participants’ adaptation to their child’s illness occurs through comprehensive support and the utilization of empowering beliefs. The theme of comprehensive support included sub-themes of seeking informational support, seeking psychological support, and seeking social support. The theme of utilizing empowering beliefs encompassed sub-themes of resilience against cultural misconceptions and reliance on spiritual beliefs. Furthermore, one constitutive pattern ‘mothers’ efforts to overcome difficult twists and turns in living with children with cancer’ was identified.This related to participants’ striving to navigate the twists and turns of life’s hardships. Conclusions Relationships and social context are vital and important features of this phenomena. Employing a team approach to provide comprehensive support to mothers of children with cancer involving physicians, nurses, and psychologists can be supportive in their adaptation to their child’s cancer. Additionally, reductions in cultural taboos surrounding cancer could facilitate improved adaptation to childhood cancer for these mothers.

Abstract Intrapartum antibiotic prophylaxis (IAP) is commonly used during C-section delivery and in Group B Streptococcus-positive women before vaginal delivery. Here, we primarily aimed to investigate the effect of IAP on the neonatal oral and fecal bacteriomes in the first week of life. In this preliminary study, maternal and neonatal oral swabs and neonatal fecal (meconium and transitional stool) swabs were selected from a pool of samples from healthy mother-neonate pairs participating in the pilot phase of CELSPAC: TNG during their hospital stay. The DNA was extracted and bacteriome profiles were determined by 16S rRNA amplicon sequencing (Illumina). In the final dataset, 33 mother-neonate pairs were exposed to antibiotics during C-section or vaginal delivery (cases; +IAP) and the vaginal delivery without IAP (controls, -IAP) took place in 33 mother-neonate pairs. Differences in alpha diversity (Shannon index, p=0.01) and bacterial composition (PERMANOVA, p0.05). However, the IAP was associated with decreased alpha diversity (number of amplicon sequence variants, p

Objective: In this study, it was aimed to investigate the effect of video calls held between preterm babies hospitalized in NICU and their mothers on the amount of breast milk.Methods: This study is a randomized controlled trial. This study was conducted in the NICU of Balıkesir Atatürk City Hospital between 15 April-01 October 2022. One hundred preterm infants and their mothers, 50 in video call and 50 in control groups, were included. Online video calls between the preterm infants and their mothers were held by using Zoom application as 10 minutes on every day of the week. The breast milk follow-up form was sent to the mothers over WhatsApp application and the mothers sent the form back to the researcher at the 7th day. As per the standard hospital protocol, mother who control group can visit their infants in NICU face-to-face two days a week and get information about their infants.Results: No statistically significant difference was determined between the video call group and the control group in terms of 7-day breastmilk amount; however, the breast milk of the mothers in the video call group increased more on the 7th day compared to the control group (p

Background: Exclusive breast feeding (EBF) is an effective tool of child survival. While many mothers understand the importance of breast feeding, some circumstances may hinder the practice. Objective: To determine the pattern and factors influencing EBF among women attending a private health facility in Lagos, Nigeria. Methodology: One hundred and twelve mothers with children aged twelve months or less were interviewed through a questionnaire on their breastfeeding practices. Results: At the end of second month, two-fifths of the babies were still exclusively breastfed. This dropped to one-fifth by the end of the fourth month. At the end of six months, less than onetenth of subjects were still exclusively breastfed (3.6%).No association was found between breastfeeding pattern and variables such as gender of infants, place of delivery, maternal age, type of delivery and number of antenatal visits. On the contrary there was an association with following variables: birth order among mother siblings, prenatal and postnatal feeding advice. Conclusion: The rate of exclusive breast feeding among mothers for the recommended six months was very low (3.6%). Antenatal and postnatal programmes that will encourage mothers to practice exclusive breastfeeding should be strengthened.

As a specific breastfeeding practice, the proportion of exclusive breastfeeding in Indonesia remains below the intended indicator. Education about breastfeeding techniques aims to increase success in providing exclusive breastfeeding by increasing mothers' knowledge and skills in breastfeeding their babies. The goal of this study is to find out how the Jambi City Health Center's breastfeeding education program affects moms' confidence and nursing behavior. Mothers who had just given birth or were nursing their babies participated in this study. Using a control group and a quasi-experimental design with pre- and post-test measures, the study used a quantitative methodology. Using accidental sampling, 25 respondents from the treatment and control groups made up the sample. The variables measured are maternal behavior and self-efficacy. The measuring instruments used were the breastfeeding action instrument and the BSES-FS. The treatment group's behavioral results produced a p-value of 0.001 (0.05). In a similar vein, the treatment group's p-value for self-efficacy outcomes was 0.001 (0.05). These findings imply that nursing moms' behavior and self-efficacy are significantly impacted by teaching packages on breastfeeding procedures delivered by video and booklet medium. In particular, compared to the control group that did not get the intervention, the treatment group, who did receive the intervention, exhibited improved behavior and greater levels of self-efficacy.

Abstract Background The motivation of caregivers plays a crucial role in the treatment, follow-up, and care of children with intellectual and developmental disabilities. Previous studies have focused on the older people and end-stage diseases, while giving less attention to the motivation of mothers caring for children with special needs. This study aimed to explore the motivations of mothers caring for children with intellectual and developmental disabilities in Iran. Methods This study employed a qualitative approach, guided by the Self-Determination Theory. Purposeful sampling was initially used, followed by theoretical sampling until data saturation was achieved. Data were collected through semi-structured interviews with 26 mothers of children with intellectual and developmental disabilities. Mayring’s seven-step directed content analysis approach was utilized for coding and categorization. The research adhered to ethical standards and ensured data trustworthiness through credibility, dependability, confirmability, and transferability measures. Results The findings revealed that mothers’ caregiving motivations could be classified into four main categories: (I) intrinsic, (II) identified-extrinsic, (III) introjected-extrinsic, and (IV) external-extrinsic. Additionally, twelve sub-categories were identified within these four main categories. Conclusion The findings revealed that mothers demonstrated varying levels of intrinsic and extrinsic motivations in caring for children with intellectual and developmental disabilities. By recognizing and enhancing the diverse sources of motivation, healthcare providers and policymakers can better support mothers in their caregiving roles, ultimately contributing to improved outcomes for both the mothers and their children.

From its origins, the Christian religious imaginary has been inhabited by the sacrificial fantasy, which finds its most radical symbol in the crucified body. According to the principle of imitatio Jesu, believers have always been called to consider pain as an experience to be lived and shared with Christ, to be offered to him as a gift of self to the Other. Already the masters of suspicion condemned this ascetic-religious cult of sacrifice and showed its dehumanizing and superegoic side, characterized by the violence of abuse, authoritarianism, submission, and above all the denial of life. However, this beneficial and liberating critique has removed the donative and not merely alienating aspect not of the sacrificial body, but of the symbolic sacrifice. Starting from a close dialogue between systematic theology and (Lacanian) psychoanalysis, this contribution aims to question both the sacrificial (religious) fantasy in its alienating character and the equally superegoic drive of the imperative of unlimited enjoyment as a reaction to any kind of symbolic limitation. Against this background, an attempt will be made to think of a form of sacrifice that follows the logic of the gift (of the body), without being subjected to a logic of alienating exchange.

Maria Conceição Pinto Moreira Freitas,1 Bruno Magalhães,2 Juan Miguel Martínez-Galiano,3,4 Juan Gómez-Salgado5,6 1Instituto Politécnico de Viana do Castelo, Escola Superior de Saúde, Viana do Castelo, Portugal; 2Department of Nursing, School of Health, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal; 3Department of Nursing, University of Jaen, Jaen, Spain; 4Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain; 5Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, Huelva, Spain; 6Safety and Health Postgraduate Programme, Universidad Espíritu Santo, Guayaquil, EcuadorCorrespondence: Juan Miguel Martínez-Galiano, Department of Nursing, University of Jaen, Campus de Las Lagunillas s/n, Jaén, 23071, Spain, Tel +34 953212121, Email jgaliano@ujaen.es Juan Gómez-Salgado, Department of Sociology, Social Work, and Public Health, Faculty of Labour Sciences, University of Huelva, Av. 3 de Marzo. Campus El Carmen, Huelva, 21071, Spain, Tel +34 959219703, Email salgado@uhu.esIntroduction: The number of women who present this perineal loss is high. Identifying the existing knowledge about the women’s experiences and perceptions of pregnancy loss is essential to understand the impact of the phenomenon on women. This identification is also crucial to adapt and improve the healthcare provided.Subjects and Methods: A systematic literature review, meta-synthesis, of qualitative studies will be developed with the goal of obtaining a comprehensive understanding of mothers’ perception of pregnancy loss and identifying their specific support needs.Inclusion Criteria: This review will consider qualitative investigations that study the perceptions or experiences of adult women who have suffered prenatal loss. All studies published in English, Spanish or Portuguese between January 1, 2012, and December 31, 2022 will be considered. This systematic review will follow the Joanna Briggs Institute statement for systematic reviews of qualitative design. The Psychology and Behavioral Sciences Collection, Scopus, CINAHL®, MEDLINE® and Cochrane Database of Systematic Reviews (CDRS) databases will be utilized for research. Data extraction will be performed in-peers by the researchers, using the Joanna Briggs Institute model. Finally, the available data will be analysed using a meta-aggregation approach.Conclusion: A better understanding of this phenomenon will be useful, identifying, on the one hand, the support needs of women who have suffered fetal loss and, on the other hand, also identifying the support and interventions that can be implemented by health professionals.Systematic Review Registration Number: PROSPERO® (CRD42023407314).Keywords: mother, gestational loss, perinatal loss, systematic review, thematic synthesis

Objective: The aim of this study was to explore the experiences of mothers of newly diagnosed Type 1 Diabetes Mellitus (T1DM) children, to identify the difficulties mothers face in diabetes care, and to identify appropriate solutions.Methods: Mothers of children aged 6-12, who have been newly diagnosed with T1DM, have been included in the workforce due to the adaptation period for school. Online interviews were conducted with the mothers using a phenomenological research design and hermeneutic phenomenological approach.Results: It was determined that the mothers had concerns about their children diagnosed with T1DM, that the children diagnosed with T1DM had concerns about their siblings, and additionally, they had psychosocial problems. The reasons for these concerns and problems are restrictions or rules, the approaches of the child's friends, and the attitudes of individuals in society. The resources that mothers receive support from in the process are family, friends, health professionals, school administration, school teachers, and a school nurse.Conclusion: As a result, it was concluded that the school management and teachers, health team, social awareness, psychosocial support groups, and technological developments are or will benefit from them, and that these resources are important in supporting mothers and children to cope with T1DM and increasing positive experiences in follow-up.

Background: Malnutrition in childhood has been linked with inappropriate and ineffective complementary feeding practices especially during the first two year of life. Complementary feeding involves the introduction of other forms of foods and or liquids from six months of age when breast milk only can no longer meet the dietary requirements of infants. The study aimed to assess the prevalence of optimal complementary feeding practices and associated factors among mothers of children 6-23 months in Jijiga town of Somali Region of Ethiopia. Methods: A community based cross-sectional design conducted among 227 mothers of children aged 6–23 months using multi-stage sampling technique. Data was collected using a structured questionnaire analysed using SPSS version 23. Logistic regression analysis was done to determine factors associated between optimal complementary feeding practices. Results: The prevalence of optimal complementary feeding practice was 49.4%, however 57% of the respondents introduced complementary feeding between 6-8 months. Minimal meal frequency and minimal dietary diversity among the respondents was 52% and 45% respectively. Optimal complementary feeding practice was significantly associated with mother’s level of education [AOR=3.4; 95% CI: 2.26-6.14], being employed [AOR=3.94; 95% CI: 1.08-6.57],parity [AOR=5.60; 95% CI: 2.17-8.67], Antenatal Care (ANC) attendance [AOR=7.23; 95% CI: 2.76-11.91), health facility delivery [AOR=4.20;95% CI: 1.06-7.55] and family size [AOR=3.65; 95% CI: 1.80-7.17) Conclusion: Nutrition education and counselling being provided by health workers to mothers should focus on promoting not only timely initiation of complementary feeding but adequate in quantity, appropriate frequency and consistency using variety of foods combination to accommodate the nutritional needs of the growing child while continuing breastfeeding.

Abstract Background Early initiation of breastfeeding is the initiation of breastfeeding within one hour of birth, which plays a significant role in a born baby’s growth and survival, however its prevalence and predictors among urban full-time readymade garments (RMG) working mothers are not investigated. The purpose of this study is to determine the prevalence and factors affecting early initiation of breastfeeding among urban RMG working mothers. Methods A sequential explanatory mixed-methods study was conducted between March 2023 and December 2023 in Dhaka, Bangladesh. A total of 452 full-time female RMG workers were included for the quantitative study. Qualitative study was carried out among 30 full-time female RMG workers, four female physicians who were employed in the RMGs, four RMG factory managers, and four local pediatricians. Results The prevalence of early initiation of breastfeeding was 40% among the women. It was significantly associated with various factors, including socio-cultural barriers, the advanced age of the mother (AOR 3.93, 95%CI 1.18, 13.04), lack of education (AOR 6.86, 95%CI 1.11, 42.49), lack of awareness, and cultural practices such as initiating goat milk and honey instead of breast milk. The absence of colostrum feeding (AOR 8.96, 95%CI 4.30, 18.70) and pre-lacteal feeding (AOR 0.06, 95%CI 0.03, 0.11) were significant baby feeding practice-related barriers to early initiation of breastfeeding. Maternal health factors, notably post-delivery sickness, cesarean delivery, and lack of breastmilk production, were revealed as a significant hindrance to the early initiation of breastfeeding explored from qualitative analysis. In addition, RMG factory-related factors that significantly affect early initiation of breastfeeding include a strong focus on production, a busy schedule, and a lack of initiative regarding the early initiation of breastfeeding. Conclusions The prevalence of early initiation of breastfeeding among RMG working women is poor. This study emphasizes the need for interventions that address specific challenges of early initiation of breastfeeding faced by working mothers in RMG sectors, including improved lactation education, increased awareness to mitigate cultural barriers, RMG factory-based initiatives to empower female workers early initiation of breastfeeding, and preparing early initiation of breastfeeding -friendly post-cesarean unit at the health care facility.

Abstract Background Lifestyle and habits, cardiovascular risk factors (CRF), bone and mental health, dietary habits, physical activity, among others are developed in childhood and adolescence. Family environment has shown to play an important role in these outcomes. However, whether the parent-child relationship lifestyle habits and health parameters can be influenced by physical activity patterns still unclear. The objective of this study will be to monitor and investigate the associations between lifestyle habits between parents and their children longitudinally, as well as verify whether in more active parents, the possible associations with lifestyle habits are different from those of parents considered less active. Methods The sample will consist of parents (father, mother, or both) and their children /adolescents. The participants will be recruited through public call by flyers spread across all the regions of the city and also through social media. The health parameters will include cardiovascular (cardiac autonomic modulation, blood pressure and resting heart rate), bone mineral density, anthropometric indices, handgrip strength, mental health (quality of life, anxiety and depression symptoms and stress), self-reported morbidities and musculoskeletal pain. Lifestyle habits will include physical activity levels, sedentary behavior, sleep parameters, eating patterns, smoking and alcohol consumption. Sociodemographic variables of age, sex, ethnicity and socioeconomic status will be considered as covariates. The follow-up visits of data collection will be scheduled after a period of 12 months from the baseline assessment during every twelve months. Discussion The family environment has great potential to determine lifestyle habits in children and adolescents. Based on the results presented in the present study, we hope that health promotion actions can be better designed in the family environment.

Background: Inadequate food intake is the most common cause of malnutrition worldwide. There is paucity of knowledge on the influence of farming systems, a proxy for contextualizing community-based food networks, and sociocultural perspectives necessary for creating impactful nutritional programs and policies for young children from infancy to early childhood in Kenya and their mothers, especially in Kenya. This study sought to evaluate nutrient intakes of young children and their mothers from Pastoral, Agro-pastoral and Mixed farming system in Kenya. Methods: Mothers and their children were recruited from households in Narok south as part of the Animal Health Innovation Study. One day multiple pass 24-h dietary recall was completed for a sample of infants 6-11 months, and toddlers aged 12-48 months (n = 161), and women of reproductive age (15-49 years) (n = 161) via face-to-face interviews with the primary caregiver. Nutrient intakes were estimated using CS Dietary Software and compared with the Adequate Intakes, Recommended Dietary Allowance and/or Estimated Average Requirement. Results: The mean intake of key nutrients varied across farming systems. Children aged 6-11 months, met the Adequate Intake and Recommended Dietary Allowance levels for protein and Vitamin A. However, deficiencies were noted in thiamine, vitamin C, vitamin B6, selenium, and niacin across different farming systems, with insufficient Iron intake, particularly in pastoral and agro-pastoral systems (3 mg/d vs. 7 mg/d and 5 mg/d vs. 7 mg/d respectively. Folate intake was significantly lower in pastoral and mixed farming systems, with levels below the recommended 100 Îg dfe/d. Calcium intake was sufficient across all farming systems, while phosphorus intake was consistently below the AI of 180 mg/d in children aged 12-48 months. In the mixed farming group, intake exceeded the Recommended Nutrient Intake for calcium, while phosphorus intake remained low across all age groups in agro-pastoral and mixed farming systems. Magnesium intake fell below AI levels in all groups (<65AI). Among women of reproductive age (15-49 years), the agro-pastoral group exhibited the highest carbohydrate intake, while the mixed farming group had the highest protein intake (51.07 ± 6.5). Women met vitamin A recommendations, with zinc, iron, and selenium intake felling below the Adequate Intake in all groups. Conclusion: While certain nutrients such as protein and vitamin A intake were met in children and mothers, deficiencies were noted in crucial nutrients like iron and folate across various farming systems. These findings underscore the importance of considering local contextual factors when designing nutrition interventions. To address nutritional disparities and improve overall health outcomes and wellbeing for children and mothers in diverse agricultural settings in Kenya, it is important to prioritize an understanding sociocultural contexts and/or regional variations in designing and implementation of targeted interventions. [ABSTRACT FROM AUTHOR]

Background: Deaths occurring during the neonatal period contribute close to half of under-five mortality rate (U5MR); over 80% of these deaths occur in low- and middle-income countries (LMICs). Poor maternal antepartum and perinatal health predisposes newborns to low birth weight (LBW), birth asphyxia, and infections which increase the newborn's risk of death. Methods: The objective of the study was to assess the association between abnormal postpartum maternal temperature and early infant outcomes, specifically illness requiring hospitalisation or leading to death between birth and six weeks' age. We prospectively studied a cohort of neonates born at Mbarara Regional Referral Hospital in Uganda to mothers with abnormal postpartum temperature and followed them longitudinally through early infancy. We performed a logistic regression of the relationship between maternal abnormal temperature and six-week infant hospitalization, adjusting for gestational age and 10-minute APGAR score at birth. Results: Of the 648 postpartum participants from the parent study who agreed to enrol their neonates in the sub-study, 100 (15%) mothers had abnormal temperature. The mean maternal age was 24.6 (SD 5.3) years, and the mean parity was 2.3 (SD 1.5). There were more preterm babies born to mothers with abnormal maternal temperature (10%) compared to 1.1% to mothers with normal temperature (p=˂0.001). While the majority of newborns (92%) had a 10-minute APGAR score > 7, 14% of newborns whose mothers had abnormal temperatures had APGAR score ˂7 compared to 7% of those born to mothers with normal postpartum temperatures (P = 0.02). Six-week outcome data was available for 545 women and their infants. In the logistic regression model adjusted for gestational age at birth and 10-minute APGAR score, maternal abnormal temperature was not significantly associated with the composite adverse infant health outcome (being unwell or dead) between birth and six weeks' age (aOR = 0.35, 95% CI 0.07–1.79, P = 0.21). The 10-minute APGAR score was significantly associated with adverse six-week outcome (P < 0.01). Conclusions: While our results do not demonstrate an association between abnormal maternal temperature and newborn and early infant outcomes, good routine neonate care should be emphasized, and the infants should be observed for any abnormal findings that may warrant further assessment. Target journal: BMC Pregnancy and Childbirth (https://bmcpregnancychildbirth.biomedcentral.com/). [ABSTRACT FROM AUTHOR]

Afghanistan has one of the highest maternal mortality rates in the world. Inadequate postnatal care (PNC) increases the risk of maternal mortality. This study aimed to analyze the socioeconomic and demographic factors that affect postnatal care utilization. A secondary analysis was conducted in 2019 based on the data from the 2015 Afghanistan Demographic and Health Survey. The sample included 29,461 married women aged 15–49 interviewed during the survey. This was a cross-sectional study in which a frequency distribution of independent variables for the study sample was carried out, Pearson's chi-square test was conducted for association, and the strength of association was measured using binary logistic regression. The study found that 39.9% of married women used postnatal care services. The findings of this study suggest that place of delivery and women who gave birth at health facilities were more likely to use PNC than women who delivered at home. Women age 30–39 and 20–29 positively associated with PNC use compared with mothers aged < 20 years. Each level of women's educational attainment increased their use of PNC, and women with higher education were more likely to use PNC than those without education. Furthermore, women who visited 1–3 and more than four ANC visits were more likely to use PNC than women who did not visited ANC. Moreover, women exposed to mass media were more likely to use PNC than those who were not exposed to mass media. Finally, women who lived in the northern and western regions were more likely to use PNC than those who lived in the central region, while women who lived in the southern and southeastern regions were less likely to use PNC than those who lived in the central region. Therefore, strengthening the provision of information, education, and communication could be a communication channel to further improve PNC utilization. Meanwhile further studies are needed to focus on the quality of maternal health care and PNC services in Afghanistan in order to obtain more precise information. [ABSTRACT FROM AUTHOR]

Background Methods Results Conclusion Preterm newborns face many health problems due to their incomplete intrauterine development and the immaturity of their systems. One of these problems concerns nutrition. This study aimed to determine the effect of online kangaroo care (KC) training provided post‐discharge on breastfeeding self‐efficacy in mothers with preterm infants.This research was conducted as an experimental study with a randomised control group. Two groups were formed: kangaroo care and control. The sample of the study consisted of 68 mothers of preterm infants. The mothers in the KC group were given online KC training after discharge from the hospital. The mothers were asked to perform KC regularly, at least once a day, for 20 min, 7 days a week. The Breastfeeding Self‐Efficacy Scale was administered to the mothers before and after training.The results of the study revealed that the difference between the pre‐test and post‐test breastfeeding self‐efficacy scores was statistically significantly higher among the mothers who received online KC training compared with the controls (p < 0.001).According to the results of our research carried out in this context, the mothers who received online KC training had increased breastfeeding self‐efficacy compared to those in the control group. [ABSTRACT FROM AUTHOR]