Sentences with phrase «maternal health care use»

It will be the largest study to examine the effectiveness of home visiting services on improving birth outcomes and infant and maternal health care use.

Not exact matches

Use of the Model Maternal, Infant, and Nurse Transfer Forms by not - for - profit / academic organizations, health care providers, and health care institutions is free of charge.

Department of Medicine, Cambridge Health Alliance and Harvard Medical School, Cambridge, Massachusetts; the Department of Obstetrics and Gynecology, Division of Maternal - Fetal Medicine, University of North Carolina School of Medicine, and the Department of Statistics and Operations Research, University of North Carolina, Chapel Hill, North Carolina; the Departments of Medicine, Obstetrics, Gynecology and Reproductive Sciences, and Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania; the Alliance for the Prudent Use of Antibiotics, Boston, Massachusetts; and the Department of Health Care Organization and Policy, School of Public Health, University of Alabama, Birmingham, Alabama.

Community - level promotion of Community Integrated Management of Childhood Illness (CIMCI) and Maternal, Neonatal, and Child Health and Nutrition (MNCH / N); conducted home visits using Care Group Modela

Some barriers include the negative attitudes of women and their partners and family members, as well as health care professionals, toward breastfeeding, whereas the main reasons that women do not start or give up breastfeeding are reported to be poor family and social support, perceived milk insufficiency, breast problems, maternal or infant illness, and return to outside employment.2 Several strategies have been used to promote breastfeeding, such as setting standards for maternity services3, 4 (eg, the joint World Health Organization — United Nations Children's Fund [WHO - UNICEF] Baby Friendly Initiative), public education through media campaigns, and health professionals and peer - led initiatives to support individual mothers.5 — 9 Support from the infant's father through active participation in the breastfeeding decision, together with a positive attitude and knowledge about the benefits of breastfeeding, has been shown to have a strong influence on the initiation and duration of breastfeeding in observational studies, 2,10 but scientific evidence is not available as to whether training fathers to manage the most common lactation difficulties can enhance breastfeeding health care professionals, toward breastfeeding, whereas the main reasons that women do not start or give up breastfeeding are reported to be poor family and social support, perceived milk insufficiency, breast problems, maternal or infant illness, and return to outside employment.2 Several strategies have been used to promote breastfeeding, such as setting standards for maternity services3, 4 (eg, the joint World Health Organization — United Nations Children's Fund [WHO - UNICEF] Baby Friendly Initiative), public education through media campaigns, and health professionals and peer - led initiatives to support individual mothers.5 — 9 Support from the infant's father through active participation in the breastfeeding decision, together with a positive attitude and knowledge about the benefits of breastfeeding, has been shown to have a strong influence on the initiation and duration of breastfeeding in observational studies, 2,10 but scientific evidence is not available as to whether training fathers to manage the most common lactation difficulties can enhance breastfeeding Health Organization — United Nations Children's Fund [WHO - UNICEF] Baby Friendly Initiative), public education through media campaigns, and health professionals and peer - led initiatives to support individual mothers.5 — 9 Support from the infant's father through active participation in the breastfeeding decision, together with a positive attitude and knowledge about the benefits of breastfeeding, has been shown to have a strong influence on the initiation and duration of breastfeeding in observational studies, 2,10 but scientific evidence is not available as to whether training fathers to manage the most common lactation difficulties can enhance breastfeeding health professionals and peer - led initiatives to support individual mothers.5 — 9 Support from the infant's father through active participation in the breastfeeding decision, together with a positive attitude and knowledge about the benefits of breastfeeding, has been shown to have a strong influence on the initiation and duration of breastfeeding in observational studies, 2,10 but scientific evidence is not available as to whether training fathers to manage the most common lactation difficulties can enhance breastfeeding rates.

Intervention: a community - based worker carrying out 2 activities: 1) 1 home visit to all pregnant women in the third trimester, followed by subsequent monthly home visits to all infants aged 0 — 24 months to support appropriate feeding, infection control, and care - giving; 2) a monthly women's group meeting using participatory learning and action to catalyse individual and community action for maternal and child health and nutrition.

According to him, the resources used in developing the country under President John Agyekum Kufour, which he said totalled GHS20 billion, helped the party to facilitate the Capitation Grant, National Youth Employment Programme (NYEP), School Feeding Programme, free Metro Mass bus rides for school children, National Health Insurance, free maternal care, and the Livelihood Empowerment Against Poverty (LEAP) programme, amongst others.

Image courtesy of iStockphoto / BakiBG SAN ANTONIO, Texas — So much of our information from — and interaction with — the world is now mediated by computers, cell phones and tablets that health experts have been practically running themselves ragged trying to find ways to use these conduits to help people make healthier choices.Great success stories have come out of parts of the developing world, where cell phones have been used to improve maternal and infant care and help people adhere to medication guidelines.

Data from the UK Caffeine and Reproductive Health (CARE) study were used to explore the relationship between maternal caffeine intake and nausea, vomiting and fetal growth restriction in pregnancy.

MIHOPE - Strong Start is evaluating the effectiveness of evidence - based home visiting for improving birth outcomes, maternal and infant health, health care use, and prenatal care use among women enrolled in Medicaid or CHIP.

Mothers were eligible to participate if they did not require the use of an interpreter, and reported one or more of the following risk factors for poor maternal or child outcomes in their responses to routine standardised psychosocial and domestic violence screening conducted by midwives for every mother booking in to the local hospital for confinement: maternal age under 19 years; current probable distress (assessed as an Edinburgh Depression Scale (EDS) 17 score of 10 or more)(as a lower cut - off score was used than the antenatal validated cut - off score for depression, the term «distress» is used rather than «depression»; use of this cut - off to indicate those distressed approximated the subgroups labelled in other trials as «psychologically vulnerable» or as having «low psychological resources» 14); lack of emotional and practical support; late antenatal care (after 20 weeks gestation); major stressors in the past 12 months; current substance misuse; current or history of mental health problem or disorder; history of abuse in mother's own childhood; and history of domestic violence.

The early identification of maternal depressive symptoms by primary care physicians and the ongoing development of effective preventive strategies and treatments can have highly substantial public health implications for the prevention of major child health and development problems, service use, and health care costs.49

The study was powered to detect a change of 0.5 standard deviations (SDs) on one measure of mother — child interaction (the CARE Index) and one measure of maternal mental health (the General Health Questionnaire), allowing for a 25 % loss to follow - up and using 80 % health (the General Health Questionnaire), allowing for a 25 % loss to follow - up and using 80 % Health Questionnaire), allowing for a 25 % loss to follow - up and using 80 % power.

These included characteristics on multiple levels of the child's biopsychosocial context: (1) child factors: race / ethnicity (white, black, Hispanic, and Asian / Pacific Islander / Alaska Native), age, gender, 9 - month Bayley Mental and Motor scores, birth weight (normal, moderately low, or very low), parent - rated child health (fair / poor vs good / very good / excellent), and hours per week in child care; (2) parent factors: maternal age, paternal age, SES (an ECLS - B — derived variable that includes maternal and paternal education, employment status, and income), maternal marital status (married, never married, separated / divorced / widowed), maternal general health (fair / poor versus good / very good / excellent), maternal depression (assessed by the Center for Epidemiologic Studies Depression Scale at 9 months and the World Mental Health Composite International Diagnostic Interview at 2 years), prenatal use of tobacco and alcohol (any vs none), and violence against the mother; (3) household factors: single - parent household, number of siblings (0, 1, 2, or 3 +), language spoken at home (English vs non-English), neighborhood good for raising kids (excellent / very good, good, or fair / poor), household urbanicity (urban city, urban county, or rural), and modified Home Observation for Measurement of the Environment — Short Form (HOME - SF) health (fair / poor vs good / very good / excellent), and hours per week in child care; (2) parent factors: maternal age, paternal age, SES (an ECLS - B — derived variable that includes maternal and paternal education, employment status, and income), maternal marital status (married, never married, separated / divorced / widowed), maternal general health (fair / poor versus good / very good / excellent), maternal depression (assessed by the Center for Epidemiologic Studies Depression Scale at 9 months and the World Mental Health Composite International Diagnostic Interview at 2 years), prenatal use of tobacco and alcohol (any vs none), and violence against the mother; (3) household factors: single - parent household, number of siblings (0, 1, 2, or 3 +), language spoken at home (English vs non-English), neighborhood good for raising kids (excellent / very good, good, or fair / poor), household urbanicity (urban city, urban county, or rural), and modified Home Observation for Measurement of the Environment — Short Form (HOME - SF) health (fair / poor versus good / very good / excellent), maternal depression (assessed by the Center for Epidemiologic Studies Depression Scale at 9 months and the World Mental Health Composite International Diagnostic Interview at 2 years), prenatal use of tobacco and alcohol (any vs none), and violence against the mother; (3) household factors: single - parent household, number of siblings (0, 1, 2, or 3 +), language spoken at home (English vs non-English), neighborhood good for raising kids (excellent / very good, good, or fair / poor), household urbanicity (urban city, urban county, or rural), and modified Home Observation for Measurement of the Environment — Short Form (HOME - SF) Health Composite International Diagnostic Interview at 2 years), prenatal use of tobacco and alcohol (any vs none), and violence against the mother; (3) household factors: single - parent household, number of siblings (0, 1, 2, or 3 +), language spoken at home (English vs non-English), neighborhood good for raising kids (excellent / very good, good, or fair / poor), household urbanicity (urban city, urban county, or rural), and modified Home Observation for Measurement of the Environment — Short Form (HOME - SF) score.

Use this survey to learn about hospital best practices in maternal mental health and gauge your hospital's or your community's hospital's in relation to maternal mental health care best practices.

Whole Mom Survey Use this survey to learn about hospital best practices in maternal mental health and gauge your hospital's or your community's hospital's in relation to maternal mental health care best practices.

This policy statement from the AAP advocates a public health response to the opioid epidemic and substance use during pregnancy, and recommends: a focus on preventing unintended pregnancies and improving access to contraception; universal screening for alcohol and other drug use in women of childbearing age; knowledge and informed consent of maternal drug testing and reporting practices; improved access to prenatal care, including opioid replacement therapy; gender - specific substance use treatment programs; and improved funding for social services and child welfare systems.

First, unintended pregnancy is associated with negative health consequences, including reduced use of prenatal care, lower breast - feeding rates, and poor maternal and neonatal outcomes.1, 2 Second, governments realize substantial cost savings by investing in family planning, which reduces the rate of unintended pregnancies and the costs of prenatal, delivery, postpartum, and infant care.3 Third, all Americans have the right to choose the timing and number of their children.

Addressing critical health risk factors such as maternal depression, domestic violence, and tobacco use during pregnancy and infancy reduces health care costs in the long term and can improve families» economic security.

She is also co-project director of two evaluations of home visiting programs — the Mother and Infant Home Visiting Program Evaluation (MIHOPE), which is assessing the federal Maternal, Infant, and Early Childhood Home Visiting Program, and MIHOPE - Strong Start, which is examining the effects of home visiting on birth outcomes and maternal and infant health cMaternal, Infant, and Early Childhood Home Visiting Program, and MIHOPE - Strong Start, which is examining the effects of home visiting on birth outcomes and maternal and infant health cmaternal and infant health care use.

For more than 35 years, Dr. Jones Harden has focused on the developmental and mental health needs of young children at environmental risk, specifically children who have been maltreated, are in the foster care system, or have been exposed to multiple family risks such as maternal depression, parent substance use, and poverty.

The study relies on administrative data to measure infant and maternal health, health care use, and cost outcomes.

Nurses regularly address maternal and infant health concerns, home safety issues, breastfeeding, depression and mental health needs, substance use, domestic violence and relationship issues, child care access, parenting education, family planning, financial concerns, social support and more.

An impact analysis to measure what difference home visiting programs make in maternal prenatal health, health care use, preterm births and other birth outcomes, and infant health and health care use.

Data for the implementation and impact studies will be collected from a variety of sources, including interviews with parents; observations of the home environment; observed interactions of parents and children; direct assessments of children's development; observations of home visitors in their work with families during home visits; logs, observations, and interviews with home visitors, supervisors, and program administrators; program model documentation from program developers, grantees, and local sites; and administrative data on child abuse, health care use, maternal health, birth outcomes, and employment and earnings.

One community - wide intervention in Durham, North Carolina reduced children's emergency medical care use by half, improved maternal health, and improved parenting behaviors.

Children who are exposed to drugs prenatally are also at higher risk for involvement with child protection agencies, with North American studies finding that 1 in 3 children ended up in out - of - home care.11 Maternal drug use is associated with poor maternal mental health and the mother's being a victim of domestic violence, both of which can exacerbate the child protection risk.12, 13 To date, no studies have investigated the risk for child protection involvement for children who are born with NWS at a population level and its interrelationship with maternal mental health and exposure to vMaternal drug use is associated with poor maternal mental health and the mother's being a victim of domestic violence, both of which can exacerbate the child protection risk.12, 13 To date, no studies have investigated the risk for child protection involvement for children who are born with NWS at a population level and its interrelationship with maternal mental health and exposure to vmaternal mental health and the mother's being a victim of domestic violence, both of which can exacerbate the child protection risk.12, 13 To date, no studies have investigated the risk for child protection involvement for children who are born with NWS at a population level and its interrelationship with maternal mental health and exposure to vmaternal mental health and exposure to violence.

Children of mothers who are depressed or who have depressive symptoms are at increased risk for developmental delay, 1 behavioral problems, 2 depression, 3 asthma morbidity, 4 and injuries.5 Depressed mothers are less likely to engage in preventive parenting practices6 and are more likely to use child health care services.7 Though research initially focused on postpartum depression, it is clear that maternal depressive symptoms often persist after the postpartum period, 8 and this persistence further increases the effect on children's health.9 As a result, the pediatric role in identifying and addressing maternal depressive symptoms has received increasing attention.10 - 13

Other variables (maternal parity, housing stability, hospitalization, perceived health status, employment, use of the Women, Infants, and Children Supplemental Nutrition Program, and cigarette smoking; whether the mother was living with a partner; and infant gestational age, birth weight, need for transfer to an intensive care nursery, health insurance, special needs, health status as perceived by the mother, and age at the time of the survey) were included if the adjusted odds ratio differed from the crude odds ratio by at least 10 %, which is a well - accepted method of confounder selection when the decision of whether to adjust is unclear.42, 43 Any variable associated with both the predictor (depression) and the outcome (infant health services use, parenting practices, or injury - prevention measures) at P <.25, as suggested by Mickey and Greenland, 42 was also included.