-
Family Medicine Jul 2019Canadian residents' breastfeeding experiences have only been reported in studies that broadly explored pregnancy and parenthood. We sought to fully explore Canadian...
BACKGROUND AND OBJECTIVES
Canadian residents' breastfeeding experiences have only been reported in studies that broadly explored pregnancy and parenthood. We sought to fully explore Canadian family medicine resident mothers' breastfeeding experiences, and identify strategies to support workplace breastfeeding for future trainees.
METHODS
Using an online survey, University of Toronto family medicine residents who gave birth from 2010 through 2016 were queried about their exclusive and overall breastfeeding duration, barriers, and facilitators to workplace breastfeeding, and strategies to improve the breastfeeding experience for future resident mothers. Data were downloaded from Qualtrics software and descriptive statistical analyses were conducted using IBM SPSS Statistics v.24.0. Subjective comments were examined and linked to quantitative findings.
RESULTS
Fifty-six of 179 eligible residents completed the survey (31% response rate). More than three-quarters of residents were on maternity leave for 7 to 12 months. All initiated breastfeeding, and 54% breastfed exclusively for 6 months. The median breastfeeding duration was 10 to 12 months. Almost two-thirds of residents were breastfeeding upon return to work, and all experienced barriers to workplace breastfeeding including lack of time, private space, and refrigeration for expressed milk. Lack of a workplace breastfeeding policy and inadequate support from supervisors or program directors were additional barriers. Peer mentorship and more breastfeeding education were identified as strategies to support future residents' breastfeeding goals.
CONCLUSIONS
Addressing long-standing barriers to workplace breastfeeding, and providing peer and educational supports were identified as strategies that could inform program policies to support future trainees' breastfeeding goals and experiences.
Topics: Adult; Breast Feeding; Canada; Cross-Sectional Studies; Family Practice; Female; Humans; Internet; Internship and Residency; Mothers; Pregnancy; Surveys and Questionnaires; Time Factors; Workplace
PubMed: 31287903
DOI: 10.22454/FamMed.2019.759632 -
Research on Child and Adolescent... Jan 2022Exposure to child maltreatment and maternal depression are significant risk factors for the development of psychopathology. Difficulties in caregiving, including poor...
Exposure to child maltreatment and maternal depression are significant risk factors for the development of psychopathology. Difficulties in caregiving, including poor emotion socialization behavior, may mediate these associations. Thus, enhancing supportive parent emotion socialization may be a key transdiagnostic target for preventive interventions designed for these families. Reminiscing and Emotion Training (RET) is a brief relational intervention designed to improve maternal emotion socialization behavior by enhancing maltreating mothers' sensitive guidance during reminiscing with their young children. This study evaluated associations between maltreatment, maternal depressive symptoms, and the RET intervention with changes in children's maladjustment across one year following the intervention, and examined the extent to which intervention-related improvement in maternal emotion socialization mediated change in children's maladjustment. Participants were 242 children (aged 36 to 86 months) and their mothers from maltreating (66%) and nonmaltreating (34%) families. Results indicated that RET intervention-related improvement in maternal sensitive guidance mediated the effects of RET on reduced child maladjustment among maltreated children one year later. By comparison, poor sensitive guidance mediated the effects of maltreatment on higher child maladjustment among families that did not receive the RET intervention. Direct effects of maternal depressive symptoms on child maladjustment were also observed. This suggests RET is effective in facilitating emotional and behavioral adjustment in maltreated children by improving maltreating mothers' emotional socialization behaviors.
Topics: Child; Child, Preschool; Depression; Emotions; Female; Humans; Mood Disorders; Mother-Child Relations; Mothers
PubMed: 33666794
DOI: 10.1007/s10802-021-00794-0 -
International Breastfeeding Journal Nov 2022The health workers in Jiaxing of China have established maternal health WeChat groups for maternal health education and management since 2019. Pregnant women in Jiaxing...
BACKGROUND
The health workers in Jiaxing of China have established maternal health WeChat groups for maternal health education and management since 2019. Pregnant women in Jiaxing are invited to join the WeChat groups and a health worker as the group manager provides health education and individual counselling for women within the group. This study aimed to investigate the exclusive breastfeeding (EBF) status up to six months and its associated factors among the mothers of infants aged 7-12 months within the WeChat groups.
METHODS
This was a cross-sectional survey on healthy mothers with infants aged 7-12 months from seven maternal health WeChat groups in October 2021 in Jiaxing, China. EBF was defined as breastfeeding infants exclusively up to six months. Data including breastfeeding practice from birth to six months, maternal sociodemographic and obstetric characteristics, hospitalization information, work related factors and reasons for non-EBF up to six months were collected using an online self-administered questionnaire. A multivariable logistic regression analysis was performed to identify the factors independently associated with EBF up to 6 months.
RESULTS
A total of 822 mothers were included in this study. Among them, 586 mothers (71.3%) exclusively breastfed infants up to six months. Multivariable logistic regression analysis showed that older maternal age (adjusted odds ratio [AOR] 0.956; 95% confidence interval [CI] 0.917, 0.997) and perceived insufficient breast milk (AOR 0.104; 95% CI 0.072, 0.149) were associated with lower odds of EBF up to six months. The five of common reasons for non-EBF up to six months were no or insufficient breast milk (59.8%), return to work (23.9%), no flexible nursing breaks at work (18.2 %), infant crying or feeling tired or troubled with breastfeeding (9.7%), and nipple and breast problems (9.3%).
CONCLUSION
About 71.3% of infants were exclusively breastfed until six months of age in our WeChat groups. Perceived insufficient breast milk and work related factors are the main barriers to EBF up to six months in this setting. However, further comparative study is needed to confirm the effect of WeChat groups on breastfeeding.
Topics: Infant; Female; Humans; Pregnancy; Breast Feeding; Cross-Sectional Studies; Maternal Health; Mothers; China
PubMed: 36434642
DOI: 10.1186/s13006-022-00521-5 -
International Journal of Circumpolar... Dec 2019This symposium report provides a brief overview of the six programmes and studies on parental education and maternal health services within the circumpolar region... (Review)
Review
This symposium report provides a brief overview of the six programmes and studies on parental education and maternal health services within the circumpolar region presented in the symposium "parental education" at the 17th International Congress of Circumpolar Health in Copenhagen, Denmark, August 2018.
Topics: Arctic Regions; Breast Feeding; Child Development; Cultural Competency; Humans; Infant; Infant, Newborn; Maternal Health Services; Mothers; Parenting; Parents; Quality Indicators, Health Care
PubMed: 31008692
DOI: 10.1080/22423982.2019.1604062 -
American Journal of Perinatology May 2024Low mood is common during the perinatal period, which may negatively impact breastfeeding practices. Exploring predictors of successful breastfeeding is a health... (Randomized Controlled Trial)
Randomized Controlled Trial
OBJECTIVE
Low mood is common during the perinatal period, which may negatively impact breastfeeding practices. Exploring predictors of successful breastfeeding is a health priority area. This study investigated if maternal well-being during pregnancy is associated with breastfeeding practices.
STUDY DESIGN
This is a secondary analysis of a randomized control trial of a low glycemic index diet in pregnancy. A total of 610 secundigravida women were recruited in the National Maternity Hospital, Dublin, Ireland. Data on maternal education attainment, early pregnancy body mass index (BMI), and age were collected from hospital records. Well-being was self-reported by mothers between 10 and 28 weeks' gestation using the World Health Organization 5-Item well-being index. Scores were transformed to give percentage well-being. Mothers recorded breastfeeding practices at hospital discharge and at the study follow-up appointments. Chi-squares and independent -tests determined initial differences in breastfeeding practices. Multiple and logistic regression analyses were used to adjust for confounders.
RESULTS
Average maternal age was 32.7 years; average BMI was 26.6 kg/m, and 56% had achieved third-level education. The average well-being score was 58.2%. In unadjusted analysis, high well-being scores were associated with exclusive breastfeeding (56.2% breastfed vs. 46%, breastfed < 0.03). After adjusted analysis, these associations were no longer significant (odds ratio: 1.00, 95% confidence interval: 0.99-1.01). No other associations were found.
CONCLUSION
Our findings indicated 25% of pregnant women in the first trimester reported low well-being scores. Associations between maternal well-being and breastfeeding patterns were explained by maternal age and education level, suggesting low mood may not be a barrier to breastfeeding initiation or duration. This trial is registered at: https://www.isrctn.com/ .
KEY POINTS
· Well-being during pregnancy is often diminished and the WHO 5-Item well-being index is a useful measure in clinical settings to assess maternal well-being.. · Breastfeeding is a high-priority research area, particularly in an Irish setting.. · Well-being was not related to breastfeeding, however age, BMI and education were the main predictors of low well-being during pregnancy..
Topics: Humans; Female; Breast Feeding; Pregnancy; Adult; Ireland; Body Mass Index; Logistic Models; Educational Status; Mothers; Young Adult
PubMed: 37579764
DOI: 10.1055/s-0043-1772230 -
The Journal of International Medical... May 2024The Postpartum Care Services (PCS) programme in Japan is intended to promote physical recovery and psychological rest for mothers and their children after discharge from... (Review)
Review
The Postpartum Care Services (PCS) programme in Japan is intended to promote physical recovery and psychological rest for mothers and their children after discharge from the delivery facility, as well as nurture the mothers' own self-care skills and support healthy childrearing for mothers, children and their families. The subsidies for PCS are based on cooperation between psychiatry and obstetrics and between multiple professions, including the local government. The services should also be implemented based on the instruction to medical institutions and the local governments that they should actively screen and approach pregnant women in need of support. This narrative review describes the challenges of expanding the PCS programme nationwide in Japan.
Topics: Humans; Japan; Female; Postnatal Care; Pregnancy; Postpartum Period; Obstetrics; Mothers
PubMed: 38785226
DOI: 10.1177/03000605241254326 -
Scientific Reports Apr 2022Interoceptive sensibility, which denotes the self-perceived sensitivity to inner-body sensations, has been associated with the emotional experiences and inferences of...
Interoceptive sensibility, which denotes the self-perceived sensitivity to inner-body sensations, has been associated with the emotional experiences and inferences of others' emotional states. Focusing on the role of interoceptive sensibility in the emotional states and psychological well-being of mothers during caregiving, this study explores how physiological arousal and interoceptive sensibility mediate the association between mother-infant interaction and maternal well-being using an experience sampling method. Infant-directed-singing (IDS) with social touch was used to facilitate mother-infant interaction. Pairs of 2-8-month-old infants and their mothers participated. Mothers in an IDS group (N = 25) and a no-IDS group (N = 26) recorded their and the infant's daily feelings and physiological states using a smartphone application for one month. All participants, including the control group (N = 78) who neither performed IDS nor used the application, answered the Multidimensional Assessment of Interoceptive Awareness questionnaire before and after the recording period. Results indicated that IDS improved mother-infant interactions and positive feelings, enhancing maternal physiological arousal. Increased interoceptive sensibility enhanced infants' positive feelings in the IDS group, whereas in the no-IDS group, it weakened mother's positive feelings, suggesting that maternal interoceptive sensibility mediated the effects of IDS on mother and infant well-being.
Topics: Female; Humans; Infant; Mother-Child Relations; Mothers; Singing; Surveys and Questionnaires; Touch
PubMed: 35428844
DOI: 10.1038/s41598-022-09988-y -
Child Psychiatry and Human Development Jun 2020A strong relationship exists between maternal depression and externalizing and internalizing problems in children, and caregiving burden might mediate this relationship....
The Relationship Between Maternal Depression, Externalizing and Internalizing Problems in Children, and Caregiving Burden in Urban Low-Income Ethnic and Racial Minority Families.
A strong relationship exists between maternal depression and externalizing and internalizing problems in children, and caregiving burden might mediate this relationship. Yet, caregiving burden has rarely been tested as a mechanism underlying the relationship between maternal depression and child emotional and behavioral outcomes. Caregiving burden might be especially high in ethnic and racial minority mother-child dyads in low-income settings where there are more stressors in the environment and rates of maternal depression are elevated. A path analysis with 132 low-income urban mothers who mostly identified as racial and ethnic minorities confirmed our hypothesis that maternal depression has a direct effect on child externalizing and internalizing problems, and also an indirect effect through caregiving burden. We discuss implications of the findings with respect to research, practice, and policy with low-income, ethnic and racial minority families whose mothers have depression and care for children who exhibit externalizing and internalizing problems.
Topics: Adult; Behavioral Symptoms; Child; Child Rearing; Child of Impaired Parents; Child, Preschool; Depressive Disorder; Female; Humans; Male; Minority Groups; Mothers; Poverty; Urban Population
PubMed: 31873822
DOI: 10.1007/s10578-019-00950-0 -
Journal of Family Psychology : JFP :... Apr 2023Co-occurring maternal depression and antisocial personality disorder (ASPD) are associated with the development of psychopathology in children, yet little is known about...
Co-occurring maternal depression and antisocial personality disorder (ASPD) are associated with the development of psychopathology in children, yet little is known about risk mechanisms. In a sample of 122 racially diverse and economically disadvantaged families, we prospectively investigated (a) to what extent child socioemotional problems were related to maternal depression-only, ASPD-only, or the co-occurrence of both and (b) specificity in parenting-related mechanisms linking single-type or comorbid maternal psychopathology to child outcomes at age 3. Compared to mothers without either ASPD or depression, exposure to maternal depression-only and comorbid depression/ASPD predicted child problems as a function of greater parenting stress and lower maternal sensitivity. Mothers with comorbid depression/ASPD uniquely exhibited more negative parenting and had children with more socioemotional problems than mothers with depression-only. Compared to mothers with neither ASPD nor depression, mothers with depression-only uniquely impacted child difficulties via lower maternal efficacy. Study findings suggest areas of parenting intervention. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
Topics: Child; Female; Humans; Child, Preschool; Antisocial Personality Disorder; Parenting; Depression; Mothers
PubMed: 35925718
DOI: 10.1037/fam0001021 -
Journal of Perinatology : Official... Jul 2023To examine associations between maternal mental health and involvement in developmental care in the NICU.
OBJECTIVE
To examine associations between maternal mental health and involvement in developmental care in the NICU.
STUDY DESIGN
Mothers of infants born <32 weeks gestation (n = 135) were approached to complete mental health screening questionnaires at two weeks after admission. Mothers who completed screening (n = 55) were further classified as with (n = 19) and without (n = 36) elevated scores. Mothers' frequency, rate, and duration of developmental care activities were documented in the electronic health record.
RESULTS
35% of screened mothers scored above the cutoff for clinical concern on ≥1 measure. No significant differences between the 3 groups were identified for rates, frequency, or amount of all developmental care, kangaroo care, and swaddled holding.
CONCLUSION
Elevated scores on maternal mental health questionnaires did not relate to developmental care. Maternal developmental care engagement may not indicate mental health status. Universal screening for psychological distress is required to accurately detect symptoms in mothers of hospitalized preterm infants.
Topics: Infant, Newborn; Female; Humans; Infant, Premature; Intensive Care Units, Neonatal; Mental Health; Mothers; Gestational Age
PubMed: 37046070
DOI: 10.1038/s41372-023-01661-0