BACKGROUND: Young infants and pregnant women are at increased risk for serious consequences of influenza infection. Inactivated influenza vaccine is recommended for pregnant women but is not licensed for infants younger than 6 months of age. We assessed the clinical effectiveness of inactivated influenza vaccine administered during pregnancy in Bangladesh. METHODS: In this randomized study, we assigned 340 mothers to receive either inactivated influenza vaccine (influenza-vaccine group) or the 23-valent pneumococcal polysaccharide vaccine (control group). Mothers were interviewed weekly to assess illnesses until 24 weeks after birth. Subjects with febrile respiratory illness were assessed clinically, and ill infants were tested for influenza antigens. We estimated the incidence of illness, incidence rate ratios, and vaccine effectiveness. RESULTS: Mothers and infants were observed from August 2004 through December 2005. Among infants of mothers who received influenza vaccine, there were fewer cases of laboratory-confirmed influenza than among infants in the control group (6 cases and 16 cases, respectively), with a vaccine effectiveness of 63% (95% confidence interval [CI], 5 to 85). Respiratory illness with fever occurred in 110 infants in the influenza-vaccine group and 153 infants in the control group, with a vaccine effectiveness of 29% (95% CI, 7 to 46). Among the mothers, there was a reduction in the rate of respiratory illness with fever of 36% (95% CI, 4 to 57). CONCLUSIONS: Inactivated influenza vaccine reduced proven influenza illness by 63% in infants up to 6 months of age and averted approximately a third of all febrile respiratory illnesses in mothers and young infants. Maternal influenza immunization is a strategy with substantial benefits for both mothers and infants. (ClinicalTrials.gov number, NCT00142389.)
Parental depression was assessed using the Beck Depression Inventory (BDI) in 216 families with children with autism and/or intellectual disability (ID), and in 214 control families. Mothers with children with autism had higher depression scores (mean = 11.8) than mothers of children with ID without autism (mean = 9.2), who in turn, had higher depression scores than fathers of children with autism (mean = 6.2), fathers of children with ID without autism (mean = 5.0), and control mothers (mean = 5.0) and fathers (mean = 4.1). Forty-five per cent of mothers with children with ID without autism and 50% of mothers with children with autism had elevated depression scores (BDI > 9), compared to 15-21% in the other groups. Single mothers of children with disabilities were found to be more vulnerable to severe depression than mothers living with a partner.
ABSTRACT The speech of two mothers to their infants at several points between three and eighteen months of age was analysed. Simplicity of the speech, as measured by MLU, was about the same at all ages, and none of the other features of the mothers' speech style showed any abrupt change at the time the children started to talk. The changes that did occur started much earlier, at about seven months. These findings are incompatible with the explanation that mothers speak simply and redundantly in response to cues of attention and comprehension from the child listener. It is suggested that the mothers interacted with their infants using a conversational model, and that the changes in the mothers' speech reflect their children's growing ability to function as conversational partners.
In this study, time diary data are used to assess trends in mothers’ and fathers’ child care time from the mid‐1960s to the late 1990s. Contrary to conventional wisdom, the results indicate that both mothers and fathers report spending greater amounts of time in child care activities in the late 1990s than in the “family‐oriented” 1960s. For mothers, there was a 1965–75 decline in routine child care time and then a 1975–98 rebound along with a steady increase in time doing more developmental activities. For 1998 fathers report increased participation in routine child care as well as in more “fun” activities. The ratio of married mothers’ to married fathers’ time in child care declined in all primary child care activities. These results suggest that parents have undergone a behavioral change that has more than countered family change that might otherwise have reduced time with children.
BACKGROUND: There is extensive evidence of the benefits of breastfeeding for infants and mothers. In 2003, the World Health Organization (WHO) recommended infants be fed exclusively on breast milk until six months of age. However, breastfeeding rates in many developed countries continue to be resistant to change. OBJECTIVES: To assess the effectiveness of support for breastfeeding mothers. SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (January 2006), MEDLINE (1966 to November 2005), EMBASE (1974 to November 2005) and MIDIRS (1991 to September 2005). SELECTION CRITERIA: Randomised or quasi-randomised controlled trials comparing extra support for breastfeeding mothers with usual maternity care. DATA COLLECTION AND ANALYSIS: Two authors independently assessed trial quality and extracted data. MAIN RESULTS: We have included 34 trials (29,385 mother-infant pairs) from 14 countries. All forms of extra support analysed together showed an increase in duration of 'any breastfeeding' (includes partial and exclusive breastfeeding) (relative risk (RR) for stopping any breastfeeding before six months 0.91, 95% confidence interval (CI) 0.86 to 0.96). All forms of extra support together had a larger effect on duration of exclusive breastfeeding than on any breastfeeding (RR 0.81, 95% CI 0.74 to 0.89). Lay and professional support together extended duration of any breastfeeding significantly (RR before 4-6 weeks 0.65, 95% 0.51 to 0.82; RR before 2 months 0.74, 95% CI 0.66 to 0.83). Exclusive breastfeeding was significantly prolonged with use of WHO/UNICEF training (RR 0.69, 95% CI 0.52 to 0.91). Maternal satisfaction was poorly reported. AUTHORS' CONCLUSIONS: Additional professional support was effective in prolonging any breastfeeding, but its effects on exclusive breastfeeding were less clear. WHO/UNICEF training courses appeared to be effective for professional training. Additional lay support was effective in prolonging exclusive breastfeeding, while its effects on duration of any breastfeeding were uncertain. Effective support offered by professionals and lay people together was specific to breastfeeding and was offered to women who had decided to breastfeed. Further trials are required to assess the effectiveness (including cost-effectiveness) of both lay and professional support in different settings, particularly those with low rates of breastfeeding initiation, and for women who wish to breastfeed for longer than three months. Trials should consider timing and delivery of support interventions and relative effectiveness of intervention components, and should report women's views. Research into appropriate training for supporters (whether lay or professional) of breastfeeding mothers is also needed.
Somewhere in Africa, more than a million years ago, a line of ape began to rear their young differently than their Great Ape ancestors. From this new form of care came new ways of engaging and understanding each other. How such singular human capacities evolved, and how they have kept us alive for thousands of generations, is the mystery revealed in this bold and wide-ranging new vision of human emotional evolution. and Others finds the key in the primatologically unique length of human childhood. If the young were to survive in a world of scarce food, they needed to be cared for, not only by their mothers but also by siblings, aunts, fathers, friends - and, with any luck, grandmothers. Out of this complicated and contingent form of childrearing, Sarah Hrdy argues, came the human capacity for understanding others. Mothers and Others teaches us who will care, and who will not. From its opening vision of 'apes on a plane'; to descriptions of baby care among marmosets, chimpanzees, wolves, and lions; to explanations about why men in hunter-gatherer societies hunt together (hint: it's called the Showing-Off Hypothesis), and Others is compellingly readable. But it is also an intricately knit argument that ever since the Pleistocene, it has taken a village to raise children - and how that gave our ancient ancestors the first push on the path toward becoming emotionally modern human beings.
BACKGROUND: The newly identified 2019-nCoV, which appears to have originated in Wuhan, the capital city of Hubei province in central China, is spreading rapidly nationwide. A number of cases of neonates born to mothers with 2019-nCoV pneumonia have been recorded. However, the clinical features of these cases have not been reported, and there is no sufficient evidence for the proper prevention and control of 2019-nCoV infections in neonates. METHODS: The clinical features and outcomes of 10 neonates (including 2 twins) born to 9 mothers with confirmed 2019-nCoV infection in 5 hospitals from January 20 to February 5, 2020 were retrospectively analyzed. RESULTS: Among these 9 pregnant women with confirmed 2019-nCoV infection, onset of clinical symptoms occurred before delivery in 4 cases, on the day of delivery in 2 cases, and after delivery in 3 cases. In most cases, fever and a cough were the first symptoms experienced, and 1 patient also had diarrhea. Of the newborns born to these mothers, 8 were male and 2 were female; 4 were full-term infants and 6 were born premature; 2 were small-for-gestational-age (SGA) infants and 1 was a large-for-gestational-age (LGA) infant; there were 8 singletons and 2 twins. Of the neonates, 6 had a Pediatric Critical Illness Score (PCIS) score of less than 90. Clinically, the first symptom in the neonates was shortness of breath (n=6), but other initial symptoms such as fever (n=2), thrombocytopenia accompanied by abnormal liver function (n=2), rapid heart rate (n=1), vomiting (n=1), and pneumothorax (n=1) were observed. Up to now, 5 neonates have been cured and discharged, 1 has died, and 4 neonates remain in hospital in a stable condition. Pharyngeal swab specimens were collected from 9 of the 10 neonates 1 to 9 days after birth for nucleic acid amplification tests for 2019-nCoV, all of which showed negative results. CONCLUSIONS: Perinatal 2019-nCoV infection may have adverse effects on newborns, causing problems such as fetal distress, premature labor, respiratory distress, thrombocytopenia accompanied by abnormal liver function, and even death. However, vertical transmission of 2019-nCoV is yet to be confirmed.
Whether one takes a biological, psychological, or psychosocial perspective, depression in mothers raises concerns about risks for the development of psychopathology in the children. This review addresses the complexity of that risk and the essential role of development in a model that explains processes of transmission. This article addresses the following aims: (a) to provide convincing evidence that depression in mothers is an important topic for clinical psychologists; (b) to summarize current theoretical models of mechanisms of risk for the development of psychopathology in children of depressed mothers and the status of empirical support for those models; (c) to examine the theoretical bases and current status of evidence for moderators of this risk; (d) to argue for the advantages to be gained from a developmental psychopathology perspective on this topic; and (e) to point to future directions for theory, research, and practice.
Section two, Law and Single Parents considers the legal framework that hinders single parents, notably mothers, from overcoming obstacles that negatively impact on their lives and opportunities for their children. Here, Dowd presents a balanced view of the strengths of the single parent family and the unique resources that single parents can offer to all parents. The laws ofthe United States (and through inference, other industrialized Western countries) foster the negative stigmatization of all single parent families. Dowd, however, recognizes that single parents can be positive role models for children and society. Utilizing the historical, cultural, and situational realities of black single mothers, she describes alternative family structures, not as deviant but as valuable. In the section on Law Reform, Dowd offers alternative policies for single-parent families and legal strategies to challenge the limitations imposed on single-parent families. Here she writes, Although we have shified away from this [traditional] model, we have not yet articulated an alternative model. Our notions of equality no longer allow for presumed gender-based assignment of family roles, nor for the limitation of workplace opportunities. As a family therapist and researcher who examines parental roles, I was hopeful but wary when reading this book. Dowd writes, however, with remarkable precision as she details the realities of the single parent experience. This she does without glamorizing, demonizing, martyring, or vilifying single parents or traditional families. She recognizes that the traditional two-parent family, like society, has changed it is time we looked at our structures, laws, and attitudes that, through omission or commission, have ignored these changes. In Defense of Single-Parent Families is a thoroughly researched work that defends single-parent families. I strongly recommend it.
List of tables and figures Preface 1. Reassessing adolescent parenthood 2. Experience in adulthood 3. Pathways to success in adulthood 4. The children's experience 5. The intersecting life courses of adolescent mothers and their children 6. The life course of adolescent mothers: implications for public policy Appendices Bibliography Index.
Depression is the most frequent psychiatric disorder and has long-term, compromising effects on the mother-infant relationship and the child's development. The infant continuously faces a climate of negative affect that disrupts the interactive experience of the infant and the mother. This article presents findings on the impact of maternal depression on the infant affective state and the specific interactive patterns associated with infant affect regulation. Mother-infant interactions were studied using microanalytic, second-by-second methods in the laboratory and also by using naturalistic home observations. The empirical findings highlight the impact of maternal depression on the infant affective state and on the capacity for repairing states of miscoordination. The impact is seen not only in severely and acutely depressed mothers, but in mothers who have only high levels of depressive symptoms. These infants develop negative affective states that bias their interactions with others and exacerbate their affective problems. Further findings with regard to gender-specific effects show that male infants are more vulnerable than female infants to maternal depression. The findings point out the need for therapeutic interventions that focus on the mother-infant dyad and infant affective state in the treatment of maternal depression.
A large body of literature documents the adverse effects of maternal depression on the functioning and development of offspring. Although investigators have identified factors associated with risk for abnormal development and psychopathology in the children, little attention has been paid to the mechanisms explaining the transmission of risk from the mothers to the children. Moreover, no existing model both guides understanding of the various processes' interrelatedness and considers the role of development in explicating the manifestation of risk in the children. This article proposes a developmentally sensitive, integrative model for understanding children's risk in relation to maternal depression. Four mechanisms through which risk might be transmitted are evaluated: (a) heritability of depression; (b) innate dysfunctional neuroregulatory mechanisms; (c) exposure to negative maternal cognitions, behaviors, and affect; and (d) the stressful context of the children's lives. Three factors that might moderate this risk are considered: (a) the father's health and involvement with the child, (b) the course and timing of the mother's depression, and (c) characteristics of the child. Relevant issues are discussed, and promising directions for future research are suggested.
Journal Article Protecting Soldiers and Mothers: The Political Origins of Social Policy in the United States. By Theda Skocpol. (Cambridge: Belknap, 1992. xxii, 714 pp. $34.95, ISBN 0-674-71765-1.) Get access Alice Kessler-Harris Alice Kessler-Harris Rutgers University, New Brunswick, New Jersey Search for other works by this author on: Oxford Academic Google Scholar Journal of American History, Volume 80, Issue 3, December 1993, Pages 1035–1037, https://doi.org/10.2307/2080420 Published: 01 December 1993
This paper argues that the growing presence of a new type of man—one brought up in a family in which the mother worked—has been a significant factor in the increase in female labor force participation over time. We present cross-sectional evidence showing that the wives of men whose mothers worked are themselves significantly more likely to work. We use variation in the importance of World War II as a shock to women's labor force participation—as proxied by variation in the male draft rate across U. S. states—to provide evidence in support of the intergenerational consequences of our propagation mechanism.
When it was originally released in 1980, Jeanne Altmann's book transformed the study of maternal primate relationships by focusing on motherhood and infancy within a complex ecological and sociological context. Available again with a new foreword by the author, Baboon Mothers and Infants is a classic book that has been, in its own right, a mother to a generation of influential research and will no doubt provide further inspiration.
This study describes results of IgM and IgG antibody testing from throat swabs of newborns born to mothers with COVID-19 pneumonia.
With three-fourths of all poor families headed by women and about 54 percent of single-mother families living below the poverty line, a rethinking of the fundamental assumptions of our much-reviled welfare program is clearly necessary. Here, Linda Gordon unearths the tangled roots of AFDC (Aid to Families with Dependent Children). Competing visions of how and to whom public aid should be distributed were advanced by male bureaucrats, black women's organizations, and white progressive feminists. From their policy debates emerged a two-track system of public aid, in which single mothers got highly stigmatized welfare while other groups, such as the aged and the unemployed, received entitlements. Gordon strips today's welfare debates of decades of irrelevant and irrational accretion, revealing that what appeared progressive in the 1930s is antiquated in the 1990s. She shows that only by shedding false assumptions, and rethinking the nature of poverty, can we advance a truly effective welfare reform.
In the triennium 2006-2008, 261 women in the UK died directly or indirectly related to pregnancy. The overall maternal mortality rate was 11.39 per 100,000 maternities. Direct deaths decreased from 6.24 per 100,000 maternities in 2003-2005 to 4.67 per 100,000 maternities in 2006–2008 (p = 0.02). This decline is predominantly due to the reduction in deaths from thromboembolism and, to a lesser extent, haemorrhage. For the first time there has been a reduction in the inequalities gap, with a significant decrease in maternal mortality rates among those living in the most deprived areas and those in the lowest socio-economic group. Despite a decline in the overall UK maternal mortality rate, there has been an increase in deaths related to genital tract sepsis, particularly from community acquired Group A streptococcal disease. The mortality rate related to sepsis increased from 0.85 deaths per 100,000 maternities in 2003-2005 to 1.13 deaths in 2006-2008, and sepsis is now the most common cause of Direct maternal death. Cardiac disease is the most common cause of Indirect death; the Indirect maternal mortality rate has not changed significantly since 2003-2005. This Confidential Enquiry identified substandard care in 70% of Direct deaths and 55% of Indirect deaths. Many of the identified avoidable factors remain the same as those identified in previous Enquiries. Recommendations for improving care have been developed and are highlighted in this report. Implementing the Top ten recommendations should be prioritised in order to ensure the overall UK maternal mortality rate continues to decline.
Summary The Avon Longitudinal Study of Children and Parents (ALSPAC) was established to understand how genetic and environmental characteristics influence health and development in parents and children. All pregnant women resident in a defined area in the South West of England, with an expected date of delivery between 1st April 1991 and 31st December 1992, were eligible and 13761 women (contributing 13867 pregnancies) were recruited. These women have been followed over the last 19-22 years and have completed up to 20 questionnaires, have had detailed data abstracted from their medical records and have information on any cancer diagnoses and deaths through record linkage. A follow-up assessment was completed 17-18 years postnatal at which anthropometry, blood pressure, fat, lean and bone mass and carotid intima media thickness were assessed, and a fasting blood sample taken. The second follow-up clinic, which additionally measures cognitive function, physical capability, physical activity (with accelerometer) and wrist bone architecture, is underway and two further assessments with similar measurements will take place over the next 5 years. There is a detailed biobank that includes DNA, with genome-wide data available on >10000, stored serum and plasma taken repeatedly since pregnancy and other samples; a wide range of data on completed biospecimen assays are available. Details of how to access these data are provided in this cohort profile.
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