A 15th Century “Bambino” is the Symbol of Global Maternal and Child Health

Buekens, Pierre; Humblet, Perrine

doi:10.1007/s10995-010-0675-7

Cited by 8 publications

(12 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Unmarried status has been associated with other adverse pregnancy outcomes in Texas, 29 and similar associations between unmarried status and heart defects overall in offspring have been reported 30, 31 but the relationship between marital status and heart defects has not been thoroughly evaluated.…”

Section: Discussionmentioning

confidence: 94%

Descriptive Epidemiology of Non‐syndromic Complete Atrioventricular Canal Defects

Agopian

Moulik

Gupta-Malhotra

et al. 2012

Paediatric Perinatal Epid

View full text Add to dashboard Cite

Background Complete atrioventricular canal defects (CAVC) are a common heart defect, but few epidemiologic studies have evaluated nonsyndromic CAVC. Risk factors for nonsyndromic CAVC have not been well established. Methods To assess the relationship between risk for nonsyndromic CAVC in offspring and several sociodemographic and reproductive parental factors, including maternal diabetes and obesity, we conducted Poisson regression analyses, using data ascertained through the Texas Birth Defects Registry, a large, population-based birth defects registry. Data were evaluated for 563 nonsyndromic cases with CAVC. Results Significant associations were observed between nonsyndromic CAVC in offspring and maternal pregestational diabetes (adjusted prevalence ratio (aPR): 6.74, 95% confidence interval (CI): 3.67–12.37), gestational diabetes [aPR: 1.69, 95% CI: 1.03, 2.79], and obesity [aPR: 1.69, 95% CI: 1.24, 2.30]. Comments Our findings add nonsyndromic CAVC to the growing list of birth defects that appear to be associated with maternal diabetes and obesity.

show abstract

Section: Discussionmentioning

confidence: 94%

Descriptive Epidemiology of Non‐syndromic Complete Atrioventricular Canal Defects

Agopian

Moulik

Gupta-Malhotra

et al. 2012

Paediatric Perinatal Epid

View full text Add to dashboard Cite

show abstract

“…Exposure of the mothers of the current dams to CSS resulted in decreased maternal care and suppressed growth in female offspring, which are often features of postpartum depression (Goodman 2007; Adewuya et al 2008; Black et al 2009; Nephew and Bridges 2011) Several recent reviews have highlighted the strong associations between maternal depression, oxytocin, nursing, and infant growth in humans (Gress-Smith et al 2011; Parsons et al 2011; Surkan et al 2011) and suggest that there are similar neuroendocrine mechanisms mediating early cessation of nursing and maternal depression (Stuebe et al 2011) Although the adult offspring of CSS dams (which exhibited decreases in maternal care) did not display decreased maternal care, another negative effect of postpartum depression that has long term consequences is impaired nursing Women with depressive symptoms in the early postpartum period are at an increased risk for impaired nursing, including a decreased likelihood of initiating breastfeeding, increased difficulties with breast feeding, and reduced breastfeeding duration (Dennis and McQueen 2009). It is suggested that postpartum depression symptoms are negatively associated with exclusive breastfeeding, and the effect of depression on nursing may exacerbate symptoms of depression, as the act of breastfeeding is associated with a decrease in negative mood (Mezzacappa 2004; Groër 2005).…”

Section: Discussionmentioning

confidence: 99%

Effects of early life social stress on maternal behavior and neuroendocrinology

Murgatroyd

Nephew

2013

Psychoneuroendocrinology

105

View full text Add to dashboard Cite

Maternal mood disorders such as depression and chronic anxiety can negatively affect the lives of both mothers and their adult offspring. An active focus of maternal depression and anxiety research has been the role of chronic social stress in the development of these disorders. Chronic exposure to social stress is common in humans, especially in lactating mothers, and postpartum mood disorders have been correlated with high levels of social conflict and low levels of social support. Recent studies have described an effective and ethologically relevant chronic social stress (CSS) based rodent model for postpartum depression and anxiety. Since CSS attenuates maternal behavior and impairs both dam and offspring growth, it was hypothesized that CSS is an ethologically relevant form of early life stress for the developing female offspring and may have effects on subsequent adult maternal behavior and neuroendocrinology Dams exposed to early life CSS as infants display substantial increases in pup retrieval and nursing behavior that are specifically associated with attenuated oxytocin, prolactin, and vasopressin gene expression in brain nuclei involved in the control of maternal behavior. Since the growth patterns of both groups were similar despite substantial increases in nursing duration, the early life CSS dams exhibited an attenuated nursing efficiency. It is concluded that early life CSS has long term effects on the neuroendocrinology of maternal care (oxytocin and prolactin) which results in decreased nursing efficiency in the adult dams. The data support the use of early life CSS as an effective model for stress-induced impairments in nursing, such as those associated with postpartum depression and anxiety.

show abstract

“…A lack of psychiatrists skilled in ASD and ID impedes training of future psychiatrists, as noted by several program directors, and has been cited as a major barrier to psychiatric care (Chiri and Warfield, 2011). Well-trained psychiatrists could relieve a significant need by consulting with primary care providers on developmental screening, early interventions, and behavioral management, thereby improving healthcare delivery and longitudinal outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…While obtaining child psychiatric services is challenging for the population at large, access is especially limited for children with developmental disabilities such as autism spectrum disorders (ASDs) and intellectual disability (ID) (Chiri and Warfield, 2011). This is particularly concerning given the elevated burden of psychiatric illness in these populations.…”

mentioning

confidence: 99%

Training of child and adolescent psychiatry fellows in autism and intellectual disability

Marrus¹,

Veenstra‐VanderWeele

Hellings

et al. 2013

Autism

View full text Add to dashboard Cite

Patients with autism spectrum disorders (ASDs) and intellectual disability (ID) can be clinically complex and often have limited access to psychiatric care. Because little is known about post-graduate clinical education in ASD and ID, we surveyed training directors of child and adolescent psychiatry (CAP) fellowship programs. On average, CAP directors reported 3 and 4 hours per year, respectively, of lectures in ASD and ID. Training directors commonly reported that trainees see 1–5 patients with ASD or ID per year for outpatient pharmacological management and inpatient treatment. Forty five percent of directors endorsed needing additional resources for training in ASD and ID, which, coupled with low didactic and clinical exposure, suggests that current training is inadequate.

show abstract

A 15th Century “Bambino” is the Symbol of Global Maternal and Child Health

Cited by 8 publications

References 6 publications

Descriptive Epidemiology of Non‐syndromic Complete Atrioventricular Canal Defects

Descriptive Epidemiology of Non‐syndromic Complete Atrioventricular Canal Defects

Effects of early life social stress on maternal behavior and neuroendocrinology

Training of child and adolescent psychiatry fellows in autism and intellectual disability

Contact Info

Product

Resources

About