Maternal mental health during the neonatal period: Relationships to the occupation of parenting

Harris, Rachel; Gibbs, Deanna; Mangin-Heimos, Kathryn; Pineda, Roberta

doi:10.1016/j.earlhumdev.2018.03.009

Cited by 56 publications

(57 citation statements)

References 70 publications

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“…This phenomenon can be explained by the urban effect where half of the urban impact was described by wealth and education alone [33,34]. In a study conducted in Mumbai, India also found out the customs as per ethnicity or religion to influence the uptake of maternal health care services, which were similar to our study [35][36][37].…”

Section: Discussionsupporting

confidence: 85%

Andersen’s model on determining the factors associated with antenatal care services in Nepal: an evidence-based analysis of Nepal demographic and health survey 2016

Neupane

Rijal

G.C.

et al. 2020

BMC Pregnancy Childbirth

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Background: With the formulation of the National Safe Motherhood Policy in 1998, safe motherhood has forever been a priority program in Nepal. Under the safe motherhood program, every woman is provided with essential maternal health care services until now through the four-tire district health care system. There is a considerable increase in the utilization of antenatal care (ANC) by a skilled health provider from 2011 to 2016, 58 to 84%, respectively. However, inequality, exclusion, and under-utilization in health care services continue in many regions of Nepal. The present study aimed to explore the different types of socio-demographic factors associated with current ANC service utilization in Nepal. Methods: A cross-sectional study was conducted using the Nepal Demographic and Health Surveys data (DHS-7, 2016-2017). We estimated the latest pregnancy and live births in recent 5 years with the utilization of ANC services, and socioeconomic differentials in these indicators under the framework of the Andersen behavioral model. Results: Two in three (69.8%) with last birth accessed at least four ANC visits. The rate of live birth was about 98.6% in the ANC4+ group, higher than that of 96.8% in the ANC4-group (χ2: 14.742, P < 0.001). In the multilevel logistic regression analysis, we found that women from province 2 (OR: 0.48; 95%CI: 0.32-0.74) and province 6 (OR: 0.46; 95%CI: 0.30-0.71) were significantly less likely to visit ANC 4 or more times. Age (OR: 0.95; 95%CI: 0.93-0.96) was also significantly associated with the frequency of ANC visits. Level of Women's education and education of her partner were both significantly associated with the ANC visits: women (OR: 4.64; 95%CI: 3.05-7.05) and her partner (OR: 1.45; 95%CI: 1.01-2.06) having higher education were most likely to go for the recommended number of ANC visits. Moreover, women having exposure to multimedia were more likely to go for four or more ANC checkups. Conclusions: The results highlight the need for governments and health care providers to develop special health promotion program with a focus on the vulnerable and disadvantaged and to use multi-media for maternal health literacy improvement flexibly, and maternal health system strengthening.

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Section: Discussionsupporting

confidence: 85%

Andersen’s model on determining the factors associated with antenatal care services in Nepal: an evidence-based analysis of Nepal demographic and health survey 2016

Neupane

Rijal

G.C.

et al. 2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

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Section: Review Of Evidencementioning

confidence: 99%

“…The transition of care from NICU to home can be challenging (Aagaard et al, 2015; Blackburn & Harvey, 2019; Harris et al, 2018; Majoli et al, 2019; Pineda, Bender, et al, 2018; Purdy et al, 2015). While certain sociodemographic factors may affect parenting behaviors and choices in relation to therapy services after NICU discharge (Clements et al, 2008), the timing of interventions and the dynamics surrounding a young infant after discharge from the NICU may further impede access.…”

Section: Introductionmentioning

confidence: 99%

Implementation of the Baby Bridge Program Reduces Timing Between NICU Discharge and Therapy Activation

Pineda

Heiny

Roussin

et al. 2020

Journal of Early Intervention

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The Baby Bridge program was developed to ensure timely and continuous therapy services following neonatal intensive care unit (NICU) discharge. A systematic process for development of the Baby Bridge program included a review of the evidence, integration of theory, and input from NICU health care professionals, early intervention leadership, and parents of preterm infants. Using the Consolidated Framework for Implementation Research, we aimed to (a) assess organizational readiness for the new programming; (b) determine adoptability, acceptability, and fidelity following implementation; and (c) evaluate the program. Following the development of Baby Bridge programming, readiness for implementation was observed at the study site. Baby Bridge programming was adopted by the team, acceptable to health care staff and parents, achieved the key features defined, and resulted in more infants born ≤30 weeks receiving early therapy services ( n = 58/60, 97% compared with n = 44/57, 77%; p < .0001) an average of 85 days earlier, p < .0001, β = −84.7 (–70.2 to −99.2), than historical controls.

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“…12,17,29,32 In several studies, socioeconomic advantage was found to facilitate higher rates of parental presence. 12,18,25,30 However, evidence for other barriers to presence was often mixed; for example, increased gestational age, increased birth weight, higher morbidity burden, concerns for maternal health, and older parental age all were found to be correlated with increased presence in some studies but with decreased presence in others (►Table 2). These findings highlight how our secondary aim of examining these correlates of presence would be an appropriate area for the more in-depth analysis of a systematic review.…”

Section: American Journal Of Perinatologymentioning

confidence: 99%

Measuring Parental Presence in the Neonatal Intensive Care Unit

et al. 2020

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Parental presence is believed to improve outcomes for infants hospitalized in the neonatal intensive care unit (NICU). As a result, NICU policies and procedures have evolved to support parental presence, and a growing number of studies examine the role of parental presence in the NICU. However, the measurement of parental presence is not standardized, complicating assessment of its impact on child and parent outcomes across studies. We reviewed 29 studies that presented 27 distinct methods of quantifying parental presence in the NICU and reported associations of presence with patient demographics, parental engagement in the NICU, and outcomes for both infants and parents. This overview provides a foundation for standardizing and improving routine measurement of parental presence in the NICU. Key Points

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Maternal mental health during the neonatal period: Relationships to the occupation of parenting

Abstract: Although parents of very preterm infants have higher rates of maternal mental health challenges, mothers of full-term infants at high social risk are also impacted.

Cited by 56 publications

References 70 publications

Andersen’s model on determining the factors associated with antenatal care services in Nepal: an evidence-based analysis of Nepal demographic and health survey 2016

Andersen’s model on determining the factors associated with antenatal care services in Nepal: an evidence-based analysis of Nepal demographic and health survey 2016

Implementation of the Baby Bridge Program Reduces Timing Between NICU Discharge and Therapy Activation

Measuring Parental Presence in the Neonatal Intensive Care Unit

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