Maternal advanced age, single parenthood, and ART increase the risk of child morbidity up to five years of age

Background Advanced maternal age, single status and use of assisted reproductive technology (ART) are increasing in mothers in high-income countries, and all are known risk factors for negative obstetric outcomes. Less is known about their long-term consequences for childhood morbidity. Thus, the aim of this study was to investigate morbidity up to five years of age, in the children of older, single, and/or ART-treated mothers. Methods A cross-sectional using Swedish registers was performed comprising 23 772 children. The prevalence of diagnosis and the number of hospital visits for specialist care, were compared and analyzed in relation to maternal age at childbirth, maternal civil status, and mode of conception. The odds ratio for specialized care within each ICD-chapter were estimated using single and multiple logistic regression. Results Children born to single mothers and children conceived using ART had significantly more outpatient visits for specialist care and significantly more diagnoses compared to children with married/cohabiting mothers, and spontaneously conceived children. Children born to mothers of advanced maternal age (≥40) had fewer in- and outpatient visits. However, they were significantly more often diagnosed within ICD-chapters XVI, XVII i.e., they experienced more morbidity in the neonatal period. Conclusion The results indicate that children born to single mothers and children of ART-treated mothers have a higher morbidity and consume more specialist care than children of married/cohabiting and spontaneously pregnant mothers. We conclude that the use of ART, maternal single status and advanced maternal age are risk factors of importance to consider in pediatric care and when counseling women who are considering ART treatment.

Pedagogical lines and critical consciousness for quality education at the time of the Covid-19 pandemic

In a global context of children’s material and cultural deprivation, the Covid-19 pandemic contributed to redefine the human condition’s vulnerability, favoring the emergence of new forms of poverty and invisibility. Starting from the analysis of the consequences caused by the spread of the pandemic on children’s environment and fundamental development factors, the contribution focuses on the emerging educational challenges, to offer a pedagogical reflection on the possibilities of quality education at the time of emergency. The interviews – carried out as part of the Research Project Povertà educativa e Covid-19: linee di riflessione pedagogica e di advocacy per i minori – make possible to restore visibility and voice to the discomfort of mothers and children between zero and six years old, acting as a starting point for the development of some work’s lines for a reappropriation of relationality, awareness and corporeality, with a look at the children’s rights and at the society’s ethical and civil responsibility in their global protection. Linee pedagogiche e sentieri di coscientizzazione per un’educazione di qualità al tempo della pandemia Covid-19. In un contesto globale di forte deprivazione materiale e culturale dell’infanzia e dell’adolescenza, la pandemia da Covid-19 ha contribuito a ridefinire i volti della vulnerabilità della condizione umana, favorendo l’emergere di nuove forme di povertà e di invisibilità. A partire dall’analisi delle conseguenze provocate dalla pandemia sugli ambienti e sui fattori di sviluppo fondamentali della minore età, il contributo si concentra sulle sfide educative emergenti, per offrire una riflessione pedagogica sulle possibilità di una relazione e di una educazione di qualità dentro il tempo dell’emergenza. Le interviste svolte nell’ambito del Progetto di Ricerca Povertà educativa e Covid-19: linee di riflessione pedagogica e di advocacy per i minori hanno consentito di restituire visibilità e parola al disagio delle mamme dei bambini tra gli zero e i sei anni, ponendosi come punto di partenza per lo sviluppo di alcune linee di lavoro per una riappropriazione della relazionalità, della consapevolezza e della corporeità, con uno sguardo ai diritti dei minori e alla responsabilità etica e civile della società tutta nella loro tutela globale. In un contesto globale di forte deprivazione materiale e culturale dell’infanzia e dell’adolescenza, la pandemia da Covid-19 ha contribuito a ridefinire i volti della vulnerabilità della condizione umana, favorendo l’emergere di nuove forme di povertà e di invisibilità. A partire dall’analisi delle conseguenze provocate dalla diffusione della pandemia sugli ambienti e sui fattori di sviluppo fondamentali della minore età, il contributo si concentra sulle sfide educative emergenti, per offrire una riflessione pedagogica sulle possibilità di una relazione e di una educazione di qualità dentro il tempo dell’emergenza. Le interviste svolte nell’ambito del Progetto di Ricerca “Povertà educativa e Covid-19: linee di riflessione pedagogica e di advocacy per i minori” hanno consentito di restituire visibilità e parola al disagio delle mamme dei bambini tra gli zero e i sei anni, ponendosi come punto di partenza per lo sviluppo di alcune linee di lavoro per una riappropriazione della relazionalità, della consapevolezza e della corporeità, con uno sguardo ai diritti dei minori e alla responsabilità etica e civile della società tutta nella loro tutela globale.

Medical assistance, maternal and child welfare service of the Udmurt ASSR during the post-war period (1945–1950)

Introduction. The article examines the state of protection of mothers and children in the Udmurt Autonomous Soviet Socialist Republic in the post-war period of 1945–1950. The article analyzes the quality of medical care and services for the protection of mothers and children, the equipment of medical institutions with medical personnel and the staffing of departments with beds and the necessary equipment for providing medical care to children and mothers. Materials and Methods. The work used the data from the central Republican archive of the Udmurt ASSR. It carried out a market analysis on the state and development of the network of obstetric and gynecological care. The materials contained in research that give an idea of the problem under consideration, as well as legal documents have been investigated and summarized. Results and Discussion. In this period under review, a network of antenatal clinics, maternity hospitals, obstetric and gynecological departments is being created. The number of beds for pregnant women and women in labor increased. A specialized department of pregnancy pathology was organized. The rates of maternal mortality, stillbirth and neonatal mortality have dropped significantly. An exchange card has been introduced in hospitals. With the creation of a methodological office, work began on the development of programs for preschool education, cluster and regional conferences began to be held. The conferences dealt with deaths, with special attention paid to issues of late hospitalization. Since 1949, the method of serving children according to the “single pediatrician” system were practiced. Conclusion. Protecting the interests of mother and child, the Udmurt Autonomous Soviet Socialist Republic in the postwar years provided great assistance to pregnant women and mothers, fulfilling the Decree of the Presidium of the Supreme Council of July 8, 1944. Employees of the Childhood Department, doctors of Izhevsk and employees of the department childhood diseases of the Izhevsk Medical Institute traveled to the regions of the Republic to provide practical assistance and control the work on childhood in the field.

PSYCHOLOGICAL BASIS OF CONVICTED WOMEN IN DETENTION PLACES WITH CHILDREN: INTERNATIONAL EXPERIENCE

Статья посвящена рассмотрению психологических основ совместного пребывания осужденных женщин с детьми в отделениях матери и ребенка пенитенциарных учреждений различных стран. Раскрывается значение регулярных контактов осужденной женщины со своим ребенком на протяжении всего срока ее пребывания в исправительном учреждении. Характеризуется влияние ограничения контактов с матерями, находящимися в местах лишения свободы, на развитие психики их детей. Авторами статьи обосновывается роль поддержания отношений между матерями и детьми как одного из факторов, способствующих увеличению вероятности успешного воссоединения семей после освобождения женщин из мест лишения свободы. Рассматриваются существующие в настоящее время в международной пенитенциарной практике решения по созданию условий для содержания осужденных женщин с детьми в исправительных учреждениях. Характеризуются задачи отделений матери и ребенка, а также приводятся примеры из практики их организации в пенитенциарных системах США, Канады, Великобритании, Новой Зеландии, Германии и других стран. Приводятся данные исследований, свидетельствующие об эффективности работы отделений матери и ребенка. Анализируются аргументы сторонников и противников содержания осужденных женщин с детьми в исправительных учреждениях. Обосновывается тезис о необходимости достижения баланса в удовлетворении потребностей ребенка, с одной стороны, и организации условий для совместного содержания осужденных женщин с детьми в исправительных учреждениях, принимая во внимание вопросы безопасности и серьезность правонарушений со стороны матери. The article is devoted to the examination of the psychological foundations of the joint stay of convicted women with children in the mother and child wards of penitentiary institutions in different countries. The significance of regular contacts between a convicted woman and her child throughout the entire period of her stay in a correctional institution is revealed. The influence of limiting contacts with mothers in prison on the development of the psyche of their children is characterized. The authors of the article substantiate the role of maintaining relations between mothers and children as one of the factors contributing to an increase in the likelihood of successful family reunification after the release of women from prison. The author considers the solutions currently existing in international penitentiary practice to create conditions for the detention of convicted women with children in correctional institutions. The tasks of mother and child departments are characterized, and examples from the practice of their organization in the penitentiary systems of the USA, Canada, Great Britain, New Zealand, Germany and other countries are given. Research data showing the effectiveness of the work of the mother and child departments are presented. The arguments of supporters and opponents of keeping convicted women with children in correctional institutions are analyzed. The thesis is substantiated that it is necessary to achieve a balance in meeting the needs of the child, on the one hand, and to organize conditions for the joint detention of convicted women with children in correctional institutions, taking into account the issues of safety and the seriousness of offenses on the part of the mother.

Empowering health cadres in managing maternal and child health in the Covid-19 pandemic era

The covid-19 pandemic has hampered the access of mothers and children to optimal health services. The decreasing number of visits to maternal and child health services has created new nutrition and health problems. However, the Posyandu as one of the health services for mothers and children in several locations were forced to close during the covid-19 pandemic, such as Posyandu RW 07, Cipayung Village. The purpose of this community service is to increase the capacity of the integrated services post (Posyandu) cadres to cadres for maternal and child health responses during the covid-19 pandemic. Service activities are carried out through 3 stages of activity which was starting with discussions with partners about the importance of re-activating the Posyandu for infants and toddlers during the covid-19 pandemic, then increasing the capacity of health cadres for babies and toddlers health services, then handbook creation and evaluation. The method used combines several approaches, such as discussions, socialization, workshop, and evaluation. The result is an increase in the capacity of health cadres and the guidebooks for services and the Posyandu visits during the covid-19 pandemic.

A Longitudinal Study of Language Use During Early Mother–Child Interactions in Spanish-Speaking Families Experiencing Low Income

Purpose: This longitudinal study assessed continuity and stability of productive language (vocabulary and grammar) and discourse features (turn-taking; asking and responding to questions) during mother–child play. Method: Parent–child language use in 119 Spanish-speaking, Mexican immigrant mothers and their children at two ages ( M = 2.5 and 3.6 years) was evaluated from transcriptions of interactions. Results: Child productive language significantly increased over the year, whereas mothers showed commensurate increases in vocabulary diversity but very little change in grammatical complexity. Mother–child discourse was characterized by discontinuity: Mothers decreased their turn length and asked fewer questions while children increased on both measures. Rates of responding to questions remained high for both mothers and children even as children increased and mothers decreased over time. Mothers and children showed significant rank-order stability in productive language and measures of discourse. Mothers' rate of asking questions and children's responses to questions during the first interaction predicted children's receptive vocabulary a year later. Conclusions: As children become more sophisticated communicators, language input remains important, with discourse features growing in relevance. Children's early opportunities to respond to parents' questions in the context of play benefit their language skills. This work extends the evidence base from monolingual English-speaking families and is interpreted in the context of prior research on parenting practices in U.S. families of Mexican origin.

Parent Satisfaction with Sustained Home Visiting Care for Mothers and Children: An Integrative Review

Aim To synthesise and analyse the existing literature regarding parent satisfaction with sustained home visiting care for mothers and children Background Sustained home visiting programs have been found to support improved health, wellbeing, and developmental outcomes for children and families. However, there is limited knowledge with regards to the level of parent satisfaction with care provided at home, and the factors and elements of care parents perceive to be critical to their satisfaction. It is important for healthcare practitioners to understand what practices and process parents consider to be a priority in securing their ongoing engagement. Design: Integrative review Data sources: PubMed/Medline, CINAHL, Embase, and PsycINFO Methods A multi-step approach was used to search and retrieve peer-reviewed studies from the databases. Study selection, data extraction, data synthesis and critical appraisal were undertaken by two independent researchers. Results A total of 13 studies met the inclusion criteria, including nine quantitative and four qualitative studies. The review found that parents provided with home visiting interventions had higher levels of satisfaction with care than those who received routine or facility-based care. Service dose was a factor associated with parent satisfaction. Other elements of care parents perceived as important to service satisfaction included the strength of the nurse-client relationship, being treated with respect, empowerment, and emotional support. Conclusion While it is critically important that home visiting practitioners provide evidence-based care and interventions, it is equally important that services are delivered in the context of positive and empowering relationships. Further research is recommended to understand the care process and mechanisms that enhance parent satisfaction and positive experiences, providing optimal quality of care.

Cutaneous allodynia in pediatric and adolescent patients and their mothers: A comparative study

Background Allodynia in adults with migraine is related to disease duration. In pediatric patients with migraine, the same proportion reported allodynia in the first six months of migraine presentation as in prolonged disease. This study examined a possible association between migraine pediatric allodynia and maternal allodynia. Methods We interviewed children with migraine first, and then their mothers, regarding allodynia and headache symptoms. We reviewed hospital charts on pediatric medical background and headache symptoms. Mothers and children older than 11 years filled the Strengths and Difficulties Questionnaire. Results Ninety-eight children with migraine, mean age 13.49 ± 3.1 years, and their mothers, mean age 43.5 ± 6.2 years were recruited to the study. Pediatric allodynia was associated with maternal allodynia; the latter was reported in 82.8% of children with allodynia versus 35.3% of children without allodynia (p < 0.001). Maternal migraine was reported in 44 (68.7%) of children with allodynia versus 16.3% without allodynia, p < 0.001. No difference was found in Strengths and Difficulties Questionnaire scores, between children with and without allodynia. Conclusions Pediatric allodynia is associated with maternal migraine. Genetic and environmental factors such as maternal behavior may contribute to reduced pain threshold.