Attitudes of Pediatricians Toward Maternal Employment

PEDIATRICS ◽  
1983 ◽  
Vol 72 (3) ◽  
pp. 283-290
Author(s):  
Marilyn Heins ◽  
Paula Stillman ◽  
Darrell Sabers ◽  
John Mazzeo

The largest number of women in history is employed outside the home including 55% of mothers with children less than 18 years of age. The attitudes of pediatricians toward employed mothers were assessed by a mail survey to the entire membership of the American Academy of Pediatrics. Usable responses were received from 5,758 pediatricians (31%). Adequacy of child care and economic necessity were ranked as the most important factors considered by responding pediatricians when advising a mother inquiring whether she should work outside the home. One third of the respondents stated the child can be any age when the mother becomes employed. The majority of respondents did not feel there was a difference between children of employed mothers and homemaker mothers. Special considerations for employed mothers were provided by half of the respondents, more frequently by female than male pediatricians. Most respondents are supportive of mothers working outside the home, but bias against employed mothers does exist. Pediatricians whose spouses do not work outside the home, those in older age groups, and male pediatricians tended to hold more traditional attitudes toward maternal employment.

PEDIATRICS ◽  
1995 ◽  
Vol 96 (2) ◽  
pp. 375-375 ◽  
Author(s):  
Albert F. DiNicola

The American Academy of Pediatrics' (AAP) recommendation1 to administer Varivax to patients lacking reliable histories of varicella infection is important. However, what constitutes a reliable history of previous vanicella infection? Because parents, at times, misinterpret the significance of their children's rashes; because studies2 suggest that 3% of children may be misdiagnosed as having chickenpox; and, because adolescents are at higher risk for severe complications to chickenpox, I would suggest that, in the 13 years and older age groups, one should err on the side of giving the Varivax immunization.


PEDIATRICS ◽  
1961 ◽  
Vol 27 (1) ◽  
pp. 161-164
Author(s):  
William W. Belford

AFTER SOME 30 years a member of the Academy and 6 years on the Executive Board, I come to this occasion very much aware of the great honor given me. Those before me have given us their concepts and philosophy of pediatrics and of the American Academy of Pediatrics, and what it has done. I am very humble in my comments about things as they appear to me. In the lives of all of us there is always something to be done—unfinished business. There is unfinished business for the American Academy of Pediatrics too. The last 10 years seem to have increased the number of factors and items of this unfinished business. There is so much to be done for the welfare of children! It is encouraging, though sometimes confusing, that so many groups are interested in the welfare of children besides pediatricians. It is good that the Fellows of the Academy takes part in the activities of these other organizations, for many of these lack pediatric guidance. The Academy's official liaison representatives to these groups are appreciated and we give them our thanks for their unselfish and outstanding efforts. It is evident that this phase of the work in child care will increase, and pediatricians must have an increasing role in the work of these organizations which are interested in various aspects of child health and welfare. The National Council of Organizations for Children and Youth now numbers 596 organizations as members. The recent White House Conference on Children and Youth was a huge affair! It was quite evident that there was a vast amount of knowledge unusued though known to one group but not realized or suspected to be available by others.


PEDIATRICS ◽  
1974 ◽  
Vol 53 (1) ◽  
pp. 123-123
Author(s):  
Robert M. Sweeney

The policy statement on day care released in Pediatrics has been discussed at length by the Executive Committee of the Indiana Chapter of the American Academy of Pediatrics. It is understood that it is necessary on the part of the American Academy of Pediatrics to make such a policy statement regarding daycare centers. One does, however, become somewhat concerned regarding the general tone and philosophy of the statement. It is felt that it mainly glosses over the fact that, for most children, child care and guidance are best given in the homes by the families.


PEDIATRICS ◽  
1996 ◽  
Vol 98 (1) ◽  
pp. 164-165 ◽  
Author(s):  
Christian F. Poets

The data presented by Johnson et al suggest that the recommendation to place infants on their back or side, issued by the American Academy of Pediatrics in 1992, has so far had very little effect on the way parents put their infants to sleep. This is particularly disappointing as recent data from Europe and New Zealand demonstrate that child care practices can indeed be influenced very effectively. For example, in Avon, United Kingdom, the proportion of infants usually sleeping in the prone position fell from 59% in 1988 to 2% in 1992.


PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 1101-1104
Author(s):  
Susan S. Aronson

THE DEVELOPMENT OF THE APHA/AAP STANDARDS In 1992, the American Public Health Association (APHA) and the American Academy of Pediatrics (AAP) published the long-awaited Caring for Our Children—National Health and Safety Performance Standards: Guidelines for Out-of-Home Child Care Programs.1 This publication was the product of a 4-year effort involving many experts in child health and safety and day-care providers. The standards document provides a national consensus on approaches to reducing diseases and injury and promoting prevention among children and providers in group-care settings. Consumer protection initiatives are needed because market-place forces are inadequate to ensure a health environment for children in child care. Over the past two decades, a growing number of investigators have documented the increased occurrence of infectious diseases2-4 and injuries,5-7 and missed opportunities for health protection and promotion in child care.8 Despite the tendency to focus on reports of negative health outcomes, children and families thrive in early childhood programs that provide safe, nurturing care and developmentally appropriate education. Day-to-day excellence in child care depends on committed, well-educated care givers who work in a child-friendly and staff-friendly environment. In the US, good child care is limited. Few parents can afford the full cost of care. Most lack the knowledge, skills, or objectivity to critically evaluate the care they choose for their children. Convenience, availability, and affordability motivate parents when they choose child care. Parents are pressured to meet occupational expectations, and tend to overlook significant risks in their children's child-care arrangements. Even parents who are pediatricians (who are expected to be well-versed in child development, health, and safety) ignore hazards and poor quality when rating convenient and available child-care arrangements (Aronson S, unpublished data).


PEDIATRICS ◽  
1948 ◽  
Vol 1 (4) ◽  
pp. 560-564
Author(s):  
WM. C. BLACK

I can draw no other conclusion from this report than that the results of our survey, with which nearly every one of us cooperated wholeheartely and honestly, are immediately being perverted, distorted, twisted, and prostituted to the frank, bold, shameless, support of an idealogy as foreign to everything which has gone to make American medicine what it is today—to make America what she is today—as were the tactics and philosophy of Hitler and Mussolini. This report, which would picture the medical care of American children as grossly inadequate, can only be drawn by comparing our present real status with an ideal, unreal, Utopian, starry-eyed-dreamer's view of a never-yet-attained state of perfection. The real fact of the excellence of life for America's children and the enormous expansion of America's child care compared with that of any other country is completely ignored! The authors of this report must be either stupid, or visionary, and our Executive Board, which approved the report, must suffer from one or both of the same disastrous defects. It is up to us, the common members of the American Academy of Pediatrics, to make ourselves heard in the high places of our organization immediately and with such vigor and unanimity that this report in its entirety will be disapproved and heartily condemned, and another committee appointed which will approach this problem realistically. The approval of this damnable report by the Executive Board of the American Academy of Pediatrics places us squarely in the disgraceful, unenviable, and intolerable position of being the first organized group of reputable and honorable American physicians to endorse officially a report and recommendations which are as unAmerican as the machinations of the Kremlin. This insult to ourselves, to our fellow American Physicians, to this great free nation of ours—this desecration of LIBERTY must be promptly, decisively, and completely wiped from our record or I, for one, shall resign from the Organization. Fellow member of the once American Academy of Pediatrics, we have been most disgracefully betrayed! For all of you who see the full and hideously dangerous implications of this report I suggest the following procedures: (1) Write your opinion immediately to your District Chairman, to our President, or both, demanding an immediate emergency meeting of our Executive Board to rescind its approval of the report and then pass a strong resolution of total condemnation. (2) Send a copy of your letter to me and the Association of American Physicians and Surgeons will give nation wide publicity to the tabulated results. (3) Inform your colleagues (members and non-members of the Academy) of the nature of this report, discuss it, and publicize as widely as you can its total condemnation. For those of you who may not sense the full importance of the report I append a bibliography for your further study and enlightenment. Obtain and read this material promptly, then send in your letters as soon as possible. You may receive promptly the entire bibliography (except books 7 and 8) from the Association of American Physicians and Surgeons, 360 N. Michigan Avenue, Chicago, Illinois, at a cost of $1.35. For those of you who will not think or act I can do nothing except to hope your numbers are few and that your awakening will not be long delayed.


2021 ◽  
Author(s):  
Mohammed Osman Ahmed ◽  
Behailu Hawulte ◽  
Temam Beshir Raru ◽  
Tahir Ahmed Hassen ◽  
KEDIR TEJI ROBA

Abstract Background: Appropriate complementary feeding practice during the first two years of age prevents life cycle health problems that cannot be averted later in life. Appropriate complementary feeding practices are associated with various factors and the practice may vary between populations. This study aimed to investigate the complementary feeding practice among mothers with children aged 6-23 months by maternal employment status in eastern Ethiopia. Methods: A community-based comparative cross-sectional study was conducted in Gemachis district from 10 July to August 2020, eastern Ethiopia. A multi-stage sampling technique was used to sample a total of 674 mothers. Data were collected by face-to-face interview and analyzed using STATA version 14.2. Multivariable logistic regression analysis was conducted to identify factors associated with appropriate complementary feeding practice with 95 % CI or a P-value of less than 0.05.Results: Over all only 9.9% of all mothers were practicing appropriate complementary feeding, with 5.9% among employed and 11.9% unemployed mothers. After controlling for confounders, traveling to the workplace less than two hours (AOR= 5.9; 95% CI: 1.30, 16.14), giving birth at home (AOR= 0.08; 95% CI:0.01, 0.72, and having at least one ANC visit (AOR=6.5; 95% CI: 1.40, 25.7) were significantly associated with appropriate Complementary feeding practice among employed mothers while having children aged 9−23 months (AOR = 3.2; 95% CI: 1.3, 8.5), spending 17−24 hours on child care (AOR = 4.8; 95% CI: 1.6, 14.12], working 1-8 hours per day (AOR =0.17; 95% CI: 0.44, 0.63], and having at least one ANC visit (AOR = 7.6; 95% CI: 3.6, 14.01] were significantly associated with appropriate complementary feeding practice among unemployed mothers. Conclusion: The overall prevalence of appropriate complementary feeding practice was very low in this study area. There is a need to strengthen maternal health service utilization such as ANC and institutional delivery to improve complementary feeding practices. Further, considering adequate maternity leave and designing a subsidized alternative child care center is essential to improve the complementary feeding practice for employed mothers.


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