scholarly journals Maternal and child-health outcomes in pregnancies following Assisted Reproductive Technology (ART): a prospective cohort study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Shana Ginar da Silva ◽  
Mariângela Freitas da Silveira ◽  
Andréa Dâmaso Bertoldi ◽  
Marlos Rodrigues Domingues ◽  
Iná da Silva dos Santos
Keyword(s):  
Cohort Study ◽  
Child Health ◽  
Health Outcomes ◽  
Assisted Reproductive Technology ◽  
Prospective Cohort Study ◽  
Maternal And Child Health ◽  
Prospective Cohort ◽  
Reproductive Technology ◽  
Child Health Outcomes ◽  
And Child Health

Cesarean Delivery on Maternal Request and Common Child Health Outcomes: A Prospective Cohort Study

2021 ◽  
Author(s):  
Ke-yi Si ◽  
Hong-tian Li ◽  
Yu-bo Zhou ◽  
Zhi-wen Li ◽  
Le Zhang ◽  
...  
Keyword(s):  
Cohort Study ◽  
Childhood Obesity ◽  
Child Health ◽  
Health Outcomes ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Child Health Outcomes ◽  
Neurobehavioral Disorders

Abstract Cesarean delivery (CD) versus vaginal delivery was reported to increase the risks of childhood obesity, pneumonia, anemia, and neurobehavioral disorders, but few studies were able to deal with the confounding biases associated with medical conditions indicating cesareans. This prospective cohort study aims to investigate the associations of non-medically indicated CD on maternal request (CDMR) with multiple child health outcomes. Among live-born infants whose mothers participated in a randomized controlled trial on micronutrient supplementation and pregnancy outcomes during 2006-2009 in 5 rural counties in Hebei Province, China, 6972 singletons born by full-term spontaneous vaginal delivery (SVD) and 3626 by CDMR were selected and followed up at 1.5-5 years in 2011. The primary outcome was obesity, defined as a weight-for-height z-score >3. The secondary outcomes included self-reported pneumonia, anemia defined as hemoglobin <110 g/L, and neurobehavioral disorders identified by Child Behavior Checklist and Bayley Scales of Infant Development. Compared with SVD, CDMR was associated with increased risks of obesity (adjusted odds ratio [aOR] 1.41; 95% confidence interval [CI] 1.14-1.75) and anemia (aOR 1.65; 95% CI 1.28-2.12), but not with the risk of pneumonia (aOR 1.16; 95% CI 0.94-1.45) or neurobehavioral disorders (aORs varied from 0.82 to 1.13) in childhood. Conclusion: CD, independent of cesarean indications, is likely associated with childhood obesity and anemia, indicating a need to keep pregnant women informed, especially those seeking CDMR, a need to explore possible improvement on obstetric service, and even a need for main stakeholders to reach a compromise in making a cesarean decision.

Associations of Gestational Weight Gain With Short- and Longer-Term Maternal and Child Health Outcomes

2009 ◽  
Vol 64 (12) ◽  
pp. 785-787
Author(s):  
Emily Oken ◽  
Ken P. Kleinman ◽  
Mandy B. Belfort ◽  
James K. Hammitt ◽  
Matthew W. Gillman
Keyword(s):  
Weight Gain ◽  
Child Health ◽  
Health Outcomes ◽  
Gestational Weight Gain ◽  
Maternal And Child Health ◽  
Child Health Outcomes ◽  
Gestational Weight ◽  
And Child Health

Disparities in Breastfeeding: Impact on Maternal and Child Health Outcomes and Costs

2017 ◽  
Vol 181 ◽  
pp. 49-55.e6 ◽  
Author(s):  
Melissa C. Bartick ◽  
Briana J. Jegier ◽  
Brittany D. Green ◽  
Eleanor Bimla Schwarz ◽  
Arnold G. Reinhold ◽  
...  
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Maternal And Child Health ◽  
Child Health Outcomes ◽  
And Child Health

scholarly journals Conditional cash transfers, uptake of maternal and child health services, and health outcomes in western rural China

2020 ◽  
Author(s):  
Huan Zhou ◽  
Yuju Wu ◽  
Chengfang Liu ◽  
Chang Sun ◽  
Yaojiang Shi ◽  
...  
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Breast Feeding ◽  
Maternal And Child Health ◽  
Rural Areas ◽  
Cash Transfers ◽  
Conditional Cash Transfers ◽  
Child Health Outcomes ◽  
The Impact ◽  
And Child Health

Abstract Background: Empirical evidence suggests that the uptake of maternal and child health (MCH) services is still low in poor rural areas of China. There is concern that the low uptake of MCH services may detrimentally affect child health outcomes. Previous studies have not yet identified the exact nature of the impact that conditional cash transfers (CCT) have on the uptake of MCH services and ultimately, on child health outcomes. The objective of this study is to examine the relationship between CCT, uptake of MCH services, and health outcomes among children in poor rural areas of western China.Methods: We designated two different sets of comparison villages and households that were used as comparison against which outcomes of the treated households could be assessed. In 2014 we conducted a large-scale survey of 1,522 households at 75 villages (including 25 treatment and 50 comparison) from nine nationally-designated poverty counties in two provinces of China. In each village, 21 households were selected based on their eligibility status for the CCT program. Difference-in-difference analyses were used to assess the impact of CCT on outcomes in terms of both Intention-to-treat (ITT) and average-treatment-effects-on-the-treated (ATT). Results: Overall, the uptake of MCH services in the sample households were low, especially in terms of post-partum care visits, early breast feeding, exclusive breast feeding, and physical examination of the baby. The uptake of the seven types of MCH services in the CCT treatment villages were significantly higher than that in the comparison villages. Results from both the ITT and ATT analyses showed the CCT program had a positive, although small, impact on the uptake of MCH services and the knowledge of mothers about MCH health issues. Nonetheless, the CCT program had no noticeable effect on child health outcomes.Conclusions: The CCT program generated modest improvements in the uptake of MCH services and mothers' knowledge of MCH services in poor rural areas of Western China. These improvements, however, did not translate into substantial improvements in child health outcomes for two possible reasons: poor CCT implementation and the low quality of rural health facilities.

scholarly journals COVID-19 and Health Sector Development Plans in Africa: The Impact on Maternal and Child Health Outcomes in Uganda

2021 ◽  
Vol Volume 14 ◽  
pp. 4353-4360
Author(s):  
Mary Gorret Atim ◽  
Violet Dismas Kajogoo ◽  
Demeke Amare ◽  
Bibie Said ◽  
Melka Geleta ◽  
...  
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Maternal And Child Health ◽  
Health Sector ◽  
Child Health Outcomes ◽  
Development Plans ◽  
The Impact ◽  
And Child Health

scholarly journals Community health workers impact on maternal and child health outcomes in rural South Africa – a non-randomized two-group comparison study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Karl W. le Roux ◽  
Ellen Almirol ◽  
Panteha Hayati Rezvan ◽  
Ingrid M. le Roux ◽  
Nokwanele Mbewu ◽  
...  
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Maternal And Child Health ◽  
Home Visiting ◽  
Health Workers ◽  
Group Comparison ◽  
Comparison Study ◽  
Child Health Outcomes ◽  
The Impact ◽  
And Child Health

Abstract Background Home visits by paraprofessional community health workers (CHWs) has been shown to improve maternal and child health outcomes in research studies in many countries. Yet, when these are scaled or replicated, efficacy disappears. An effective CHW home visiting program in peri-urban Cape Town found maternal and child health benefits over the 5 years point but this study examines if these benefits occur in deeply rural communities. Methods A non-randomized, two-group comparison study evaluated the impact of CHW in the rural Eastern Cape from August 2014 to May 2017, with 1310 mother-infant pairs recruited in pregnancy and 89% were reassessed at 6 months post-birth. Results Home visiting had limited, but important effects on child health, maternal wellbeing and health behaviors. Mothers reported fewer depressive symptoms, attended more antenatal visits and had better baby-feeding practices. Intervention mothers were significantly more likely to exclusively breastfeed for 6 months (OR: 1.8; 95% CI: 1.1, 2.9), had lower odds of mixing formula with baby porridge (regarded as detrimental) (OR: 0.4; 95% CI: 0.2, 0.8) and were less likely to consult traditional healers. Mothers living with HIV were more adherent with co-trimoxazole prophylaxis (p < 0.01). Intervention-group children were significantly less likely to be wasted (OR: 0.5; 95% CI 0.3–0.9) and had significantly fewer symptoms of common childhood illnesses in the preceding two weeks (OR: 0.8; 95% CI: 0.7,0.9). Conclusion The impact of CHWs in a rural area was less pronounced than in peri-urban areas. CHWs are likely to need enhanced support and supervision in the challenging rural context.

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