A Lancet Commission on 70 years of women's reproductive, maternal, newborn, child, and adolescent health in China

Qiao, Jie; Wang, Yuanyuan; Li, Xiaohong; Jiang, Fan; Zhang, Yunting; Ma, Jun; Song, Yi; Ma, Jing; Fu, Wei; Pang, Ruoming; Zhu, Zhen; Zhang, Jun; Qian, Xu; Wang, Lınhong; Wu, Jingui; Chang, Hsun; Leung, Peter C.K.; Mao, Meng; Ma, Duan; Guo, Yan; Qiu, Jie; Liu, Li; Wang, Haidong; Norman, Robert J.; Lawn, Joy E; Black, Robert E.; Ronsmans, Carine; Patton, George C; Zhu, Jun; Song, Li; Hesketh, Thérèse

doi:10.1016/s0140-6736(20)32708-2

Cited by 260 publications

(215 citation statements)

References 222 publications

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“…However, publications analyzing maternal health in new media environment based on an international perspective are still lacking. Similar to the results of this study, a lancet commission reported that challenges in improving maternal and neonatal health in China are focused on delivery safety, maternal and neonatal nutrition, mental health, and stillbirth [48]. Studies about the United States shows that maternal research gradually shifted from physical health and weight to mental health and satisfaction, and conforming to the predictions that depression is one of the critical factors of the global burden of disease [45,46].…”

Section: Past Studies and Future Directionssupporting

confidence: 82%

Mapping Maternal Health in the New Media Environment: A Scientometric Analysis

Xie¹,

Lang²,

Long³

et al. 2021

Preprint

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Background: The new media provides a convenient digital platform to access, use and exchange health information. As a special group of health care, maternal is still of international concern due to their high mortality rate. Improving maternal health as a Millennium Development Goal of the United Nations is an important quest for the health care system. Scientific research provides advice on how to improve maternal health through stringent reasoning and accurate data. However, the dramatic increase of publications, the diversity of themes, and the dispersion of researchers may reduce efficiency. Objective: This study aims to analyze the research progress on maternal health under the global new media environment, exploring the current research hotspots and research frontiers. Methods: A scientometric analysis was carried out by CiteSpace5.7.R1, searching in the core database of Web of Science for articles published in English from 1998 to 2021, and combined topic words such as new media, maternal, and health. In total, 3312 articles have been retrieved, of which 2270 studies have been included for further analysis. Top countries and institutions, potentially high-impact literature, research frontiers, and hotspots were analyzed in this study. Results: The number of publications grew rapidly after 2008, from 29 publications sharply increasing to 472 publications by 2020. Research centers concentrated in Latin America, such as the University of Toronto, the University of California. The work of Larsson M, Lagan BM, Tiedje L, and Helle C had a high potential impact. Most of the research subjects were maternal and newborn babies, and the research frontiers focused on health education and maternal psychological problems. Maternal mental health, maternal and infant nutrition, weight, production technology, and equipment were hotspots. Conclusion: The development of new media has brought a new era for maternal health, characterized by psychological qualities, healthy and reasonable physical conditions, and advanced technology.

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Section: Past Studies and Future Directionssupporting

confidence: 82%

Mapping Maternal Health in the New Media Environment: A Scientometric Analysis

Xie¹,

Lang²,

Long³

et al. 2021

Preprint

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“…The implementation of China's new birth policies has profound implications for the role and practice of midwives. 23 Beyond that, as China moves towards a thriving goal-namely, towards ensuring health and well-being, 51 the contribution of midwives has been increasingly recognised by the Chinese government. At the present stage, the government has realised that a more midwife-led model of maternal care is urgently needed, and placed great emphasis on further clarifying the definition and scope of practice of midwives to improve the capacity of midwifery services.…”

Section: Discussionmentioning

confidence: 99%

Developing a midwifery service task list for Chinese midwives in the task-shifting context: a Delphi study

Lindgren

Wang

et al. 2021

BMJ Open

Self Cite

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ObjectiveTo develop and validate a midwifery-led task list in the task-shifting context.DesignAn extensive literature review followed by a two-iterative Delphi survey.SettingTwenty university hospitals, three non-university hospitals and four university colleges from nine provincial regions of China.ParticipantsPurposive non-probability sampling of a national panel of experts in maternal healthcare, obstetrics, nursing and midwifery. Experts in the panel were asked to rate each midwifery service item regarding importance, feasibility and advancement on a 5-point scale, in order to determine those best suited for midwifery-led practice in China.ResultsTwo rounds of Delphi surveys were completed before consensus was achieved, with effective response rate ranging from 96.4% (27/28) to 100% (27/27), indicating a high positive coefficient of the experts. The authority coefficient of experts was 0.882, indicating the high reliability of this study. The Kendall harmony coefficient (W) in the two rounds of consultations was 0.196 (p<0.001) and 0.324 (p<0.001), respectively. A detailed, three-level midwifery-led task list was developed, including 3 domains of midwifery practice (first-level indicators), 13 types of task (second-level indicators) and 58 midwifery service items (third-level indicators). The 3 domains of midwifery practice involved the appropriate scope of practice for Chinese midwives, including antenatal care, intrapartum care and postnatal care. The 58 service items embraced core components of caring task in the Chinese midwifery profession.ConclusionThis study outlines the first midwifery-led task list that defines clearly the Chinese midwives’ scope of practice. It will provide a foundational framework for future midwifery practice in China and abroad, and can be used to inform the design of midwifery-led task shifting interventions in various maternity settings.

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“…Nonetheless, the management of emotional problems during pregnancy remains a significant obstacle in China. First, under the traditional cultural background, pregnant women may not seek assistance because of stigma, which makes emotional problems not fully understood ( 54 ). A survey showed that due to restricted resources in Hunan province, access to high-quality and sufficient services for mental health management, treatment, and medical counseling was limited ( 55 ).…”

Section: Discussionmentioning

confidence: 99%

Does the Presence of Anxiety and Depression Symptoms Mediate the Association Between Family Functions and Self-Efficacy in Pregnant Women in the Third Trimester?: A Community-Based Cross-Sectional Survey

Zhou

Zhu

et al. 2021

Front. Psychiatry

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Objectives: Pregnant women in the third trimester can be more vulnerable to adverse mental health outcomes, but there is limited research on the association between family function and self-efficacy and potential mediation by symptoms of anxiety and depression.Methods: The cross-sectional study enrolled 813 pregnant women in the third trimester from 14 communities of Hengyang city, Hunan province of China. All of the participants completed a battery of self-report measures of family function (Family Adaptation Partnership Growth and Resolve Index, APGAR-family), self-efficacy (General Self-Efficacy Scale, GSES), anxiety (measured by Generalized Anxiety Disorder scale with seven items, GAD-7), and depression symptoms (Patient Health Questionnaire with nine items, PHQ-9). The correlation analysis was performed using Spearman's correlation coefficient. Baron and Kenny's method and multiple mediation models with bootstrapping were used to determine whether the symptoms of anxiety and depression mediated the association between family functions and self-efficacy.Results: There were 22.6% pregnant women in the low level of self-efficacy, with 60.9% in the moderate level and 16.5% of respondents in the high level. Self-efficacy had significant correlations with both anxiety symptoms (r = −0.19, p < 0.05), depression symptoms (r = −0.22, p < 0.05), and family function (r = 0.31, p < 0.05). Anxiety symptoms were significantly associated with self-efficacy (β = −0.016, p < 0.05). Depression symptoms were significantly associated with self-efficacy (β = −0.024, p < 0.05). Anxiety and depression symptoms partly mediated the association between family function and self-efficacy, accounting for 11.4 and 16.4% of total effect, respectively. It was indicated that pregnant women with a high degree of family function are less likely to have emotional symptoms and predicted to have higher levels of self-efficacy.Conclusions: Anxiety and depression show mediating effects in the association between family function and self-efficacy. Improved family function can have a positive impact on pregnant women in the third trimester.

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A Lancet Commission on 70 years of women's reproductive, maternal, newborn, child, and adolescent health in China

Cited by 260 publications

References 222 publications

Mapping Maternal Health in the New Media Environment: A Scientometric Analysis

Mapping Maternal Health in the New Media Environment: A Scientometric Analysis

Developing a midwifery service task list for Chinese midwives in the task-shifting context: a Delphi study

Does the Presence of Anxiety and Depression Symptoms Mediate the Association Between Family Functions and Self-Efficacy in Pregnant Women in the Third Trimester?: A Community-Based Cross-Sectional Survey

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