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Child's Birth (child + birth)
Selected AbstractsEffect of multiple birth on infant mortality in BangladeshJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 10 2006Rathavuth Hong Aim: Levels of infant and child mortality in many developing countries remain unacceptably high, and they are disproportionably higher among high-risk groups such as newborn and infant of multiple births, particularly in countries where advanced medical cares are available only at regional referral levels with limited access by the poor rural women and children. This study examined the relationship between high-risk infant of multiple birth and infant mortality in Bangladesh. Methods: The analysis uses information on 7001 childbirths in 5 years preceding the 2004 Bangladesh Demographic and Health Survey to examine the relationship between multiple birth and infant mortality using multivariate analysis, controlling for child's sex, birth order, prenatal care, delivery assistance; mother's age at child birth, nutritional status, education level; household living conditions and several other risk factors. Results: Results indicate that children born multiple birth were more than six-times as likely to die during infancy as those born singletons (hazard ratio = 6.51; 95% confidence interval: 4.10, 10.36). Controlling for all other risk factors does not change the strength and direction of the relationship (hazard ratio = 6.18; 95% confidence interval: 3.65, 10.46). Receiving prenatal care and access to safe drinking water are associated with lower risk. Conclusion: Multiple births are strongly negatively associated with infant survival in Bangladesh independent of other risk factors. This evidence suggests that improving maternal and child health at the community level, screening for high-risk pregnancies and making referral services for these conditions more accessible to the rural women and children will be key to improving child survival in Bangladesh. [source] Patterns of emotional availability among young mothers and their infants: A dydaic, contextual analysisINFANT MENTAL HEALTH JOURNAL, Issue 4 2005M. Ann Easterbrooks The aim of this study was to examine patterns of emotional availability among 80 young mothers (under 21 years at their child's birth) and their infants, and to identify contextual and individual factors associated with different patterns of emotional availability. To operationalize the dyadic aspect of emotional availability, cluster analysis of the Emotional Availability Scales, third edition (EAS; Biringen, Robinson, & Emde, 1998) was conducted on mother and infant scales simultaneously. Four distinct groups of emotional availability patterns emerged, reflecting synchrony and asynchrony between maternal and child behavior: (a) low-functioning dyads, (b) average dyads, (c) average parenting/disengaged infants, and (d) high-functioning dyads. Further analyses revealed that mothers in different clusters differed on outcomes such as depressive symptomatology, social support, and relationships with their own mothers. The clusters and the variables related to them demonstrate the various challenges in integrating the dual tasks of adolescent and parenting development among young mothers. The clinical implications of these patterns of emotional availability and live context are discussed. [source] Marriage following the birth of a child among cohabiting and visiting parentsJOURNAL OF MARRIAGE AND FAMILY, Issue 1 2005Cynthia Osborne Approximately half of nonmarital births are to mothers in cohabiting relationships, and an additional 30% are to mothers in visiting relationships. I use data (N= 1,945) from the Fragile Families Study to investigate whether the determinants of marriage in the year following a child's birth are similar for cohabiting and visiting parents. The results show that mothers' education is predictive of marriage for cohabiting parents, whereas mothers' earnings are predictive of marriage for visiting parents. The findings imply that visiting mothers place a greater emphasis on economic independence and sufficient resources to establish an independent household before transitioning to marriage. No differences in the association of relationship quality or attitudes and marriage are found. [source] Social Contingencies in Mental Health: A Seven-Year Follow-Up Study of Teenage MothersJOURNAL OF MARRIAGE AND FAMILY, Issue 3 2000R. Jay Turner This paper reports analyses from a 7-year follow-up investigation of women pregnant as teenagers who had been studied during their pregnancy and shortly following their child's birth. The objective of these analyses was to identify potentially modifiable factors that might influence or condition psychological adaptation within this high-risk population. Consistent with prior research, differences in social support and in personal resources or attributes effectively predicted depressive symptomatology, suggesting that such differences constitute crucial mental health contingencies and thereby represent promising intervention targets. Contrary to prior research, differences in stress exposure were found to be of substantial explanatory significance, with lifetime accumulation of major, potentially traumatic events representing the most significant element. These findings suggest the need to develop a greater understanding of socially or programatically modifiable determinants of stress exposure and to take seriously the prospect of developing interventions that reduce such exposure. [source] Genital Carriage of Human Papilloma Virus (HPV) DNA in Prepubertal Girls with and without Vulval DiseasePEDIATRIC DERMATOLOGY, Issue 3 2003Jennifer Powell, M.R.C.P. Our objective was to compare HPV in prepubertal girls with and without lichen sclerosus (LS). We compared the frequencies and types of HPV in girls with LS with those in children with non-LS vulval disease (vulval swab and urine) and in children with no known vulval disease (urine only). HPV DNA was detected using a nested polymerase chain reaction (PCR) with general and consensus primers amplifying a region of the L1 gene, and PCR amplicons were typed using reverse hybridization with labeled HPV type-specific probes. Specimens untypeable by this method were typed by DNA sequencing. In the cohort of children with LS, we recorded the presence of maternal anogenital warts or a dysplastic cervical smear within 3 years of the affected child's birth. We found that HPV was present in the urine and vulval swabs of 8 of 32 children with LS and in 2 of 31 children with non-LS vulval disease, but also in the urine of 7 of 29 controls. In those with LS, the frequency was not increased significantly, but the types were predominantly those commonly associated with dysplasia of the cervix, penis, vulva, and anus, as opposed to the broader spectrum of types found in the control group, not all dysplasia associated. Two of the 32 mothers reported warts, and 15 of 32 (46.9%) had an abnormal smear. (The national average of abnormal cervical smears is less than 10%.) We concluded that HPV appears to be common in all prepubertal girls, but children with LS carried types associated with dysplasia and their mothers had had a high incidence of dyskaryotic smears. [source] Mothers' Violence Victimization and Child Behavior Problems: Examining the LinkAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 2 2007Richard Thompson PhD The current study examined the link between parents' experience of violence victimization and child outcomes, in 197 mother-child dyads recruited from low-income urban neighborhoods. At recruitment (when children were between 6 and 18 months old), demographic factors, child behavioral outcomes, mother-child interactions, mothers' psychosocial functioning, and mothers' history of violence victimization were assessed. Child behavioral outcomes, mother-child interactions, and mothers' psychosocial functioning were assessed again at age 4. Mothers' history of victimization as children (but not as adults) uniquely predicted child behavior problems at age 4. Three classes of possible mediators were examined: demographics, maternal psychosocial functioning, and mother-child interactions. Of these, only mother psychological aggression toward child met preliminary criteria for mediation; it partially mediated the link between mother childhood victimization and child behavioral outcomes. Maternal depressive symptoms and young age at child's birth independently predicted child behavior problems, but did not act as mediators. Mothers' early experiences with violence victimization appear to exert an important influence on child behavioral outcomes; this influence appears to be mediated, in part, by mothers' psychological aggression toward their children. [source] Risk for schizophrenia in intercountry adoptees: a Danish population-based cohort studyTHE JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, Issue 11 2007Elizabeth Cantor-Graae Background:, Increasing numbers of intercountry adoptees are reaching adulthood, the age of onset for most serious mental disorders. Little is known about the development of schizophrenia in intercountry adoptees, a group with potentially increased vulnerability. The aim of this study was to investigate the risk of developing schizophrenia in adoptees and in non-adoptees. Methods:, Utilising data from the Danish Civil Registration System, we established a population-based cohort of 1.06 million persons resident in Denmark before the age of 15, whose legal mother lived in Denmark at the child's birth. Intercountry adoptees were identified as children born abroad. Record linkage provided information on psychiatric admissions. Results:, Intercountry adoptees had an increased relative risk (RR) (RR = 2.90, 95% CI 2.41,3.50) of developing schizophrenia compared to native Danes. The increased risk was independent of age at onset and age at, or region of, adoption, and was not attributable to mental illness in a foster parent, the foster parent's age, or to urbanisation. The foster mother's own biological offspring had also an increased risk of developing schizophrenia (1.92, 95% CI 1.23,3.02). Conclusions:, Young adult intercountry adoptees are at increased risk for schizophrenia. Although the underlying cause is unknown, a complex interplay of factors presumably may be involved, including heredity, adversity prior to adoption, and post-adoption adjustment difficulties during upbringing. [source] | |||||||||||||