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Young Mothers (young + mother)
Selected AbstractsInvestigating the nature of formal social support provision for young mothers in a city in the North West of EnglandHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 6 2006Angela McLeod BA (Hons) MPH Abstract Young mothers often require support to remain socially ,included' after becoming pregnant and this, in its turn, could protect their health. In this context, new policy initiatives aimed at tackling social exclusion, such as those implemented under the National Teenage Pregnancy Strategy, could be working to build social support mechanisms. The present paper addresses the issue of whether statutory services do in fact deliver ,social inclusion', through the provision of appropriate social support for young mothers. Data are drawn from semistructured interviews with service providers from a variety of different settings. The questionnaire was structured around an established model of social support, developed by M. Barrera, called the Inventory of Socially Supportive Behaviours. The study took place in a deprived inner city in North West England. Eleven participants were interviewed from seven separate organisations. The findings indicate that there were well-developed referral systems between services, with services adopting a social model of health. Much informational and emotional support was provided. What was less clear is how services are enabling social support to be developed amongst peer groups accessing the services particularly at community level. It is questionable to what extent services are able to foster the development of social support through social activities and support groups, and even whether it is appropriate to expect them to do so. In some sense, services go some way to delivering social inclusion, in that they are providing advice about income, housing and other opportunities. However, services appear to be missing an opportunity to foster social inclusion through the lack of development of supportive networks amongst groups of peers, which may have implications for the health of young mothers. [source] Interaction between maternal smoking and malnutrition in infant risk of gastroschisis,BIRTH DEFECTS RESEARCH, Issue 3 2006Phung K. Lam Abstract BACKGROUND Gastroschisis is a severe birth defect characterized by a tear in the infant's abdominal wall. Young mothers have the highest risk of having an infant with gastroschisis. In an animal model, the defect resulted from exposure of pregnant mice to carbon monoxide (CO) in combination with a low protein and low zinc diet. METHODS We evaluated this model in a study of 55 infants with gastroschisis and 94 age-matched controls that included maternal interview with a food frequency questionnaire. Smoking cigarettes (,1 pack/day) or marijuana (more than once) 3 months prior to pregnancy indicated CO exposure. Low protein or zinc intake and a low body mass index (BMI) indicated maternal malnutrition. RESULTS When assessed separately, high CO, low protein, low zinc, and low BMI were each significantly associated with an increased risk of gastroschisis. Although we observed significant CO-BMI and CO-zinc interactions after adjusting for income, only a combination of high CO exposure and low BMI yielded a synergistic adverse effect. Compared to the low risk of having an infant with gastroschisis for mothers who did not have low BMI and did not smoke, the risk of having an infant with gastroschisis was 16.3 times (95% CI, 2.49,113.4) higher for mothers who did not have low BMI but smoked, and 19.7 times (95% CI, 4.33,89.6) higher for mothers who did not smoke but had low BMI. However, the risk was 26.5 times (95% CI, 7.85,89.4) higher for mothers who had low BMI and smoked. CONCLUSIONS Our results suggest that young mothers are at increased risk of having an infant with gastroschisis if they smoke and are also malnourished. Birth Defects Research (Part A), 2006. © 2006 Wiley-Liss, Inc. [source] Early motherhood and disruptive behaviour in the school-age childACTA PAEDIATRICA, Issue 1 2004P Trautmann-Villalba Aim: To determine the significance of young maternal age, family adversity and maternal behaviour during mother-toddler interaction in the prediction of child disruptive behaviour at age eight. Methods: From an ongoing longitudinal study of infants at risk for later psychopathology (n= 362), 72 young mothers aged between 15 and 24 y (median 22 y) at first birth were compared with 197 primiparous older mothers ranging in age from 25 to 41 y (median 29 y). Family adversity at childbirth was assessed using a modified version of Rutter's Family Adversity Index (FAI) and measures of child disruptive behaviour at age eight were obtained using Achenbach's Teacher Report Form (TRF). An observational procedure was used to assess maternal behaviour during mother-child interaction at the age of 2 y. Results: Young mothers encountered more adverse family characteristics and were more inadequate, restrictive and more negative during interaction with their toddlers. Their school-aged children showed higher scores on all disruptive behaviour scales of the TRF. Hierarchical regression analyses revealed that family adversity and maternal behaviour during toddler interaction could account for most of the association between early motherhood and child disruptive behaviour. Conclusion: The impact of young motherhood on child mental health is not confined to teenage mothers and is mainly attributed to psychosocial and interactional factors. [source] Spaces of Encounter: Public Bureaucracy and the Making of Client IdentitiesETHOS, Issue 3 2010Lauren J. Silver I emphasize the material deficits, spatial barriers, and bureaucratic procedures that restrict the storylines clients and officials use to make sense of one another. This article is drawn from a two-year ethnographic study with African American young mothers (ages 16,20) under the custody of the child welfare system. I focus here on the experiences of one young mother and explore several scenarios in her struggle to obtain public housing. I argue that service deficits can be explained not by the commonly articulated narratives of client "shortcomings" but, rather, by the nature of the organizational and material conditions guiding exchanges between public service gatekeepers and young mothers. I suggest that this work advances narrative approaches to psychological anthropology by attending to the roles of social and material boundaries in framing the stories people can tell each other. [identity, adolescent mothers, public bureaucracy, service negotiation, narrative] [source] Oxytocin infusion: acute hyponatraemia, seizures and comaACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 6 2009D. BERGUM Hyponatremia is not uncommon, serious cases can cause dangerous complications as seizures, brain damage and even death. We present a case of a young mother with post partum hemorrhage and some of the serious complications. [source] Spaces of Encounter: Public Bureaucracy and the Making of Client IdentitiesETHOS, Issue 3 2010Lauren J. Silver I emphasize the material deficits, spatial barriers, and bureaucratic procedures that restrict the storylines clients and officials use to make sense of one another. This article is drawn from a two-year ethnographic study with African American young mothers (ages 16,20) under the custody of the child welfare system. I focus here on the experiences of one young mother and explore several scenarios in her struggle to obtain public housing. I argue that service deficits can be explained not by the commonly articulated narratives of client "shortcomings" but, rather, by the nature of the organizational and material conditions guiding exchanges between public service gatekeepers and young mothers. I suggest that this work advances narrative approaches to psychological anthropology by attending to the roles of social and material boundaries in framing the stories people can tell each other. [identity, adolescent mothers, public bureaucracy, service negotiation, narrative] [source] Investigating the nature of formal social support provision for young mothers in a city in the North West of EnglandHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 6 2006Angela McLeod BA (Hons) MPH Abstract Young mothers often require support to remain socially ,included' after becoming pregnant and this, in its turn, could protect their health. In this context, new policy initiatives aimed at tackling social exclusion, such as those implemented under the National Teenage Pregnancy Strategy, could be working to build social support mechanisms. The present paper addresses the issue of whether statutory services do in fact deliver ,social inclusion', through the provision of appropriate social support for young mothers. Data are drawn from semistructured interviews with service providers from a variety of different settings. The questionnaire was structured around an established model of social support, developed by M. Barrera, called the Inventory of Socially Supportive Behaviours. The study took place in a deprived inner city in North West England. Eleven participants were interviewed from seven separate organisations. The findings indicate that there were well-developed referral systems between services, with services adopting a social model of health. Much informational and emotional support was provided. What was less clear is how services are enabling social support to be developed amongst peer groups accessing the services particularly at community level. It is questionable to what extent services are able to foster the development of social support through social activities and support groups, and even whether it is appropriate to expect them to do so. In some sense, services go some way to delivering social inclusion, in that they are providing advice about income, housing and other opportunities. However, services appear to be missing an opportunity to foster social inclusion through the lack of development of supportive networks amongst groups of peers, which may have implications for the health of young mothers. [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] Oral hygiene practices, periodontal conditions, dentition status and self-reported bad mouth breath among young mothers, TanzaniaINTERNATIONAL JOURNAL OF DENTAL HYGIENE, Issue 4 2006EGS Mumghamba Abstract:,Objectives:,To determine the oral hygiene practices, periodontal conditions, dentition status and self-reported bad mouth breath (S-BMB) among young mothers. Study participants and methods:,This was a cross-sectional descriptive study conducted at Muhimbili National Hospital, Dar es Salaam, Tanzania. A total of 302 postpartum mothers, aged 14,44 years, were interviewed on oral hygiene practices and S-BMB using structured questionnaire. Oral hygiene, dentition and periodontal status were assessed using the Community Periodontal Index probe and gingival recessions (GR) using Williams Periodontal probe. Results:,Tooth brushing practice was 99%; tongue brushing (95%), plastic toothbrush users (96%), chewing stick (1%), wooden toothpicks (76%), dental floss (<1%); and toothpaste (93%). The prevalence of plaque and gingival bleeding on probing was 100%, gum bleeding during tooth brushing (33%), calculus (99%), probing periodontal pocket depth (PPD) 4,5 mm (27%), PPD 6+ mm (3%), GR 1+ mm (27%) and tooth decay (55%). The prevalence of S-BMB was 14%; the S-BMB had higher mean number of sites with plaque compared to the no S-BMB group (P = 0.04). Factors associated with S-BMB were gum bleeding on tooth brushing (OR = 2.4) and PPD 6+ mm (OR = 5.4). Conclusion:,Self-reported bad mouth breath is a cause of concern among young mothers, and associated significant factors were gum bleeding on tooth brushing and deep periodontal pockets of 6+ mm. Further research involving clinical diagnosis of bad mouth breath and intervention through oral health promotion and periodontal therapy are recommended. Clinical relevance:,This study provides baseline information on oral health status and the complaint on bad mouth breath which necessitates in the future need for objective assessment, diagnosis and management of bad mouth breath for enhanced social and professional interaction without embarrassments. [source] Social inclusion in research: reflecting on a research project involving young mothers in careINTERNATIONAL JOURNAL OF SOCIAL WELFARE, Issue 1 2005Lena Dominelli This article considers social inclusion in research by reflecting upon a project involving young mothers in care, which used grounded theory methodology (GTM) to theorise their situations and emphasise their voice, a key issue in inclusion, and yielded mixed outcomes. GTM dealt poorly with inclusivity and was supplemented by a feminist orientation. This also failed young mothers. They were included by sitting on an Advisory Com-mittee, being paid an honorarium and assisting in disseminating results. These efforts were unable to overturn power dynamics that privileged researchers' ownership of the findings, and enabled them to benefit from doing research and their rela-tionship with funders. The attempt to change policies and practices that served clients badly was thwarted by an election that brought in a régime with different goals. The young women authored their own stories and spoke authoritatively of their experiences. However, inclusion was not fully secured in and by the research process. Their positioning as research subjects curtailed their potential in this regard. [source] Young mothers' involvement in a prenatal and postpartum support program,JOURNAL OF COMMUNITY PSYCHOLOGY, Issue 2 2010Xiaoli Wen The involvement of 124 young mothers in a doula support program was measured in two dimensions,quantity of program contact and quality of mother,doula helping relationship. The study examined each dimension's differential associations with maternal outcomes, as well as the moderating effects of mother characteristics on these associations. Quantity of program contact was related to the quality of helping relationship, especially when rated by doulas. Both quantity and quality of involvement predicted the maternal outcomes, although not always in the expected direction. For mothers with limited vocabulary skills and better connections with the baby's father, program contact was more likely to promote positive birth experiences. A negative association between program contact and parenting behaviors was observed among mothers who were less mature or had less positive social relationships. The study suggests the multidimensionality of program involvement and the complexity of interactions between program and participant factors in producing program outcomes. © 2010 Wiley Periodicals, Inc. [source] Exploring the barriers to exclusive breastfeeding in black and minority ethnic groups and young mothers in the UKMATERNAL & CHILD NUTRITION, Issue 3 2008Jenny Ingram Abstract UK health policy for many years has been to increase rates of breastfeeding because of the health benefits conferred on mothers and babies. World Health Organization recommends that babies should be breastfed exclusively for 6 months (without water or other fluids) and the National Institute for Health and Clinical Excellence promotes the provision of peer supporters or breastfeeding support groups to increase breastfeeding rates. This study aimed to explore the barriers to exclusive breastfeeding to 6 months with black and minority ethnic groups and with young mothers, and the strategies for overcoming these barriers, including peer support. Twenty-two mothers from Somali, Afro-Caribbean and South Asian communities or young mothers groups attended five focus groups. Transcripts were analysed using thematic and framework methods. There was enthusiasm for breastfeeding support groups, but with a wider remit to discuss other baby-related issues and provide general social support as well as support for breastfeeding. The Somali and South Asian women preferred the groups to be for their ethnic group, Afro-Caribbean women were keen that they should be open to all cultures and young mothers would like groups for their peers only. Encouraging mothers to breastfeed exclusively to 6 months should be promoted more and emphasized by health professionals when supporting women post-natally, and good support with breastfeeding management should be given to enable mothers to achieve this goal. Breastfeeding support groups may play a part in increasing breastfeeding continuation of breastfeeding, but for the groups studied this was not the greatest influence, with families and older women in the community having more influence in changing practice. [source] Pregnant with possibilities: drawing on hermeneutic thought to reframe home-visiting programs for young mothersNURSING INQUIRY, Issue 3 2009Lee SmithBattleArticle first published online: 11 AUG 200 Although the positive outcomes achieved in home-visiting interventions targeting young, disadvantaged mothers are partly credited to therapeutic relationships, researchers rarely offer philosophical or theoretical explanations for these relationships. This omission is a conspicuous oversight as nurse,family relationships have figured prominently in public health nursing practice since its inception. In this study, I suggest that the contribution of therapeutic relationships to positive outcomes will remain theoretically undeveloped as long as clinical trials and nursing practice models follow the logic of techne. After describing how a scientific,clinical gaze misrepresents teen mothers and contributes to a rational,technical model of clinical practice, I draw on contemporary hermeneutics to describe how dialog and understanding are indispensable for clinical judgment and the judicious use of scientific knowledge. This hermeneutic corrective calls attention to the dialogical nature of truth and the relational skills that disclose meaning, preserve personhood, and support possibilities available in the life-world. Dialogical understanding also disrupts the scientific,clinical gaze by disclosing the social disparities that are implicated in early childbearing and teen mothers' long-term prospects. The implications of this thought for legitimating and supporting the flexibility and clinical know-how that ,strays' from protocol-driven care is addressed. [source] Richer milk for sons but more milk for daughters: Sex-biased investment during lactation varies with maternal life history in rhesus macaquesAMERICAN JOURNAL OF HUMAN BIOLOGY, Issue 4 2009Katherine Hinde Lactation represents the greatest postnatal energetic expenditure for human and non-human primate females, and the ability to sustain the costs of lactation is influenced by a mother's physical condition. This is especially true for young mothers that initiate reproduction shortly after adolescence. These mothers have fewer bodily reserves available for lactation and face tradeoffs between reproduction and their own growth. Milk synthesis among captive rhesus macaques (Macaca mulatta) was investigated at the California National Primate Research Center from 2005 to 2007 (N = 114). Rhesus macaques produced low energy density milk typical of the primate order, but there was substantial individual variation among mothers in both milk energy density and yield. As a consequence, the available milk energy (AME), the product of milk energy density and milk yield, to support infant growth, development, and activity, varied tenfold among mothers. Primiparous mothers (N = 40) had fewer bodily resources, as measured by mass and body mass index, available for lactation than did multiparous mothers (N = 74) and showed poorer lactational performance. Mothers of sons produced milk of higher energy density, especially primiparous mothers, but lower milk yield, such that AME was the same for sons and daughters. Although AME from the mother was the same for sons and daughters, there was significant sexual dimorphism in infant mass. These data indicate that selection has likely favored sex-specific regulation of growth and development that is not necessarily contingent on greater maternal investment. Am. J. Hum. Biol. 2009. © 2009 Wiley-Liss, Inc. [source] Developing a Caregiving Tradition in Opposition to One's Past: Lessons from a Longitudinal Study of Teenage MothersPUBLIC HEALTH NURSING, Issue 2 2000D.N.Sc., Lee SmithBattle R.N. Although teenage mothering has been exhaustively studied, the cross-sectional designs and the deficit-finding focus of empirical-rational studies have exaggerated the negative consequences of an early pregnancy and have obscured how teenage mothering is often a rite of passage to adulthood, particularly in the absence of middle-class resources and aspirations. In examining the experiences of young mothers, an 8-year longitudinal study sought to understand how teenage mothers extend and develop family caregiving traditions. The original sample included 16 families and 39 subjects. Multiple individual and family interviews were conducted once the teen's first-born infant reached 8 to 10 months of age, and then 4 and 8 years later. Data from all three study periods were analyzed using the interpretive method. The following analysis provides an in-depth account of how young mothers with an oppressive past strive to become the parents they want to be. In addition, the teen mother's difficulties and struggles of creating a more positive maternal legacy and the role that positive and negative examples of parenting play in fostering or hindering the development of a new caregiving tradition are described. Study findings have implications for how clinical practice and social policy can better assist mothers to become the mothers they want to be. [source] Values of Children, Parent,Child Relationship, and Social Change in Korea: Indigenous, Cultural, and Psychological AnalysisAPPLIED PSYCHOLOGY, Issue 3 2005Uichol Kim Les recherches sur les valeurs que les parents attribuent aux enfants se demandent pourquoi les gens décident ou non d'avoir des enfants et s'intéressent au nombre d'enfants qu'ils choisissent d'avoir. On décrit dans la première partie de cet article la relation parents-enfants traditionnelle, la structure familiale et les changements sociaux qui se sont produits ces cinquante dernières années en Corée du sud. On présente dans la deuxième partie les résultats de l'étude de 1972 sur les valeurs attribuées aux enfants réalisée en Corée du sud (Lee & Kim, 1975). Dans la dernière partie, on expose une recherche empirique sud-coréenne portant sur un échantillon de 314 jeunes mères et 395 mères plus âgées. Il apparaît que les bénéfices psychologiques sont les raisons majeures qui justifient le choix d'avoir un enfant et que les contraintes personnelles et financières sont les motifs dominants de ne pas en avoir. Ces résultats mettent en défaut les modèles économiques et utilitaires et soulignent l'importance des facteurs psychologiques, relationnels et culturels. Research on parents' attribution of value to children examines why people decide to have children or not and the number of children they choose to have. In the first part of this paper, the traditional parent,child relationship, family structure, and social changes that have occurred in South Korea during the past 50 years are reviewed. In the second section, the results of the 1972 Values of Children Study conducted in South Korea (Lee & Kim, 1975) are reviewed. In the final section, an empirical study conducted in South Korea with a sample of 314 young mothers and 395 older mothers is reported. The results indicate that psychological benefits are the most important reasons for having a child and personal and financial constraints are the most important reasons for not having a child. These results challenge the economic and utilitarian models and suggest the importance of understanding the psychological, relational, and cultural factors. [source] Interaction between maternal smoking and malnutrition in infant risk of gastroschisis,BIRTH DEFECTS RESEARCH, Issue 3 2006Phung K. Lam Abstract BACKGROUND Gastroschisis is a severe birth defect characterized by a tear in the infant's abdominal wall. Young mothers have the highest risk of having an infant with gastroschisis. In an animal model, the defect resulted from exposure of pregnant mice to carbon monoxide (CO) in combination with a low protein and low zinc diet. METHODS We evaluated this model in a study of 55 infants with gastroschisis and 94 age-matched controls that included maternal interview with a food frequency questionnaire. Smoking cigarettes (,1 pack/day) or marijuana (more than once) 3 months prior to pregnancy indicated CO exposure. Low protein or zinc intake and a low body mass index (BMI) indicated maternal malnutrition. RESULTS When assessed separately, high CO, low protein, low zinc, and low BMI were each significantly associated with an increased risk of gastroschisis. Although we observed significant CO-BMI and CO-zinc interactions after adjusting for income, only a combination of high CO exposure and low BMI yielded a synergistic adverse effect. Compared to the low risk of having an infant with gastroschisis for mothers who did not have low BMI and did not smoke, the risk of having an infant with gastroschisis was 16.3 times (95% CI, 2.49,113.4) higher for mothers who did not have low BMI but smoked, and 19.7 times (95% CI, 4.33,89.6) higher for mothers who did not smoke but had low BMI. However, the risk was 26.5 times (95% CI, 7.85,89.4) higher for mothers who had low BMI and smoked. CONCLUSIONS Our results suggest that young mothers are at increased risk of having an infant with gastroschisis if they smoke and are also malnourished. Birth Defects Research (Part A), 2006. © 2006 Wiley-Liss, Inc. [source] Linked Lives: Stability and Change in Maternal Circumstances and Trajectories of Antisocial Behavior in ChildrenCHILD DEVELOPMENT, Issue 1 2004Ross Macmillan Drawing on the notion of linked lives, this study examined the effects of stability and change in maternal circumstance on developmental trajectories of antisocial behavior in children 4 to 7 years of age. Using data from a national sample of young mothers and growth curve analysis, the study demonstrated that early maternal circumstances influences early antisocial behavior, whereas stability and change in these circumstances both exacerbate and ameliorate behavior problems. Of particular note, meaningful escape from poverty attenuates antisocial behavior whereas persistence in poverty or long-term movement into poverty intensifies such problems. These findings highlight the importance of structural context for parenting practices and the need to consider child development in light of dynamic and changing life-course fortunes of parents. [source] Changes in parental risk behaviour after an information campaign against sudden infant death syndrome (SIDS) in NorwayACTA PAEDIATRICA, Issue 2 2004SAR Hill Aim: To assess parental risk behaviour before and after a sudden infant death syndrome (SIDS) information campaign with special emphasis on associations with maternal age, education, marital status and birth order. Methods: Data from questionnaires sent to all mothers who gave birth in Norway during a period before the campaign were compared with corresponding data obtained after the campaign. Results: Prevalence of non-supine sleeping position decreased from 33.7% to 13.6% while changes in smoking, non-breastfeeding and co-sleeping were disappointing. Risk factors were particularly prevalent in young mothers, but also in mothers with a minimum period of education, non-cohabitation and at birth order 2+. Conclusions: Non-supine sleeping decreased to a level that has never been reported before. In future campaigns, subgroup-specific measures may be needed. [source] Early motherhood and disruptive behaviour in the school-age childACTA PAEDIATRICA, Issue 1 2004P Trautmann-Villalba Aim: To determine the significance of young maternal age, family adversity and maternal behaviour during mother-toddler interaction in the prediction of child disruptive behaviour at age eight. Methods: From an ongoing longitudinal study of infants at risk for later psychopathology (n= 362), 72 young mothers aged between 15 and 24 y (median 22 y) at first birth were compared with 197 primiparous older mothers ranging in age from 25 to 41 y (median 29 y). Family adversity at childbirth was assessed using a modified version of Rutter's Family Adversity Index (FAI) and measures of child disruptive behaviour at age eight were obtained using Achenbach's Teacher Report Form (TRF). An observational procedure was used to assess maternal behaviour during mother-child interaction at the age of 2 y. Results: Young mothers encountered more adverse family characteristics and were more inadequate, restrictive and more negative during interaction with their toddlers. Their school-aged children showed higher scores on all disruptive behaviour scales of the TRF. Hierarchical regression analyses revealed that family adversity and maternal behaviour during toddler interaction could account for most of the association between early motherhood and child disruptive behaviour. Conclusion: The impact of young motherhood on child mental health is not confined to teenage mothers and is mainly attributed to psychosocial and interactional factors. [source] |