Abstract:
:The Maternal Mortality Ratio is an important public health indicator that reflects both the quality of a health care system and the role of women within that society. In September 2000 the United Nations Millennium Declaration outlined the eight Millennium Development Goals (MDGs) that set targets to be achieved by 2015. MDG 5 focused on improving maternal health. It had two clear subgoals: to reduce maternal mortality globally by three quarters between 1990 and 2015 and to obtain universal access to reproductive health for women. Despite a global trend of declining maternal mortality only a handful of nations are currently 'on track' to achieve their MDG targets by 2015. The Islamic Republic of Iran is one of these nations. In just over three decades, Iran has undergone demographic transition with significant reductions in total fertility and population growth rates. In concert with this transition, Iran has achieved a dramatic decline in the maternal mortality ratio that has fallen to a rate comparable with developed nations. Significantly Iran has also experienced a paradigm shift in its major causes of maternal mortality from those characteristic of developing nations (postpartum haemorrhage, infection) to causes more commonly seen in developed nations (pulmonary embolus, stroke). There is no single explanation that may account for this transition, rather it is the product of a number of different initiatives that have incorporated family planning, grass roots focus and wider improvements within the health care system of Iran over the past three decades. However the experience of this nation may provide a useful example to other developing countries looking to reduce maternal mortality.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Moazzeni MSdoi
10.1007/s10995-012-1043-6subject
Has Abstractpub_date
2013-05-01 00:00:00pages
577-80issue
4eissn
1092-7875issn
1573-6628journal_volume
17pub_type
杂志文章abstract:OBJECTIVES:To examine characteristics related to drinking during pregnancy among a population-based sample of women. METHOD:We analyzed data related to third-trimester drinking collected from the Alaska Pregnancy Risk Assessment Monitoring System (PRAMS). PRAMS used a population-based, stratified sampling design to su...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1026221412765
更新日期:1997-09-01 00:00:00
abstract::The objective of this study is to inform medical home implementation in practices serving limited English proficiency Latino families by exploring limited English proficiency Latina mothers' experiences with, and expectations for, pediatric primary care. In partnership with a federally-qualified community health cente...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-0951-9
更新日期:2013-01-01 00:00:00
abstract::Purpose The number of fetal deaths in the United States each year exceeds that of infant deaths. High quality fetal death certificate data are necessary for states to effectively address preventable fetal deaths. We evaluated completeness of detection of fetal deaths among Wyoming residents that occur out-of-state, qu...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-017-2323-y
更新日期:2017-09-01 00:00:00
abstract::Objectives This study aimed to identify predictors of cranial asymmetry. We hypothesize that among infants diagnosed with cranial asymmetry in the sampled region, there is an association between exposure to more time in baby gear and less awake time in prone and side-lying than in infants who do not present with this ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-017-2344-6
更新日期:2017-12-01 00:00:00
abstract::This study explores how weight status is related to mental health status among Massachusetts children, aged 10-17 years. We used data from the 2007 National Survey of Children's Health to examine the association between weight status (body mass index-for-age) and parent-reported mental health status among Massachusett...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1145-1
更新日期:2012-12-01 00:00:00
abstract:OBJECTIVE:Children with special health care needs (CSHCN) benefit from a medical home, however, a subset, those children with high intensity needs, have medical and social service issues beyond the capacity of most primary care practices. We describe a novel medical home center that is designed to meet the needs of chi...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0271-7
更新日期:2008-09-01 00:00:00
abstract::Objectives High infant mortality rates among American Indians in North Dakota contribute to a 20-year gap in average age at death compared to whites. Geographic- and race-specific health disparities data to drive policy making and interventions are not well disseminated. The current study examines prenatal risk factor...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2551-9
更新日期:2018-10-01 00:00:00
abstract::Introduction Immigrants from Western industrialized countries are rarely found in immigrant studies. Our primary objective was to calculate the rate of cesarean delivery, 5-min Apgar score <7, and preterm birth among Chinese and Western women. Our secondary objective was to examine whether there are significant differ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-017-2347-3
更新日期:2017-10-01 00:00:00
abstract::This study analyzed the relationship between maternal mortality and variables related to the use of health services (especially residence-hospital traveled distances estimated through transit networks). Deaths were identified for Rio de Janeiro and adjacent cities, from 2000 to 2002, and were matched by age and socio-...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1391-x
更新日期:2014-08-01 00:00:00
abstract::Maternal exposure to environmental tobacco smoke (ETS) is a major health hazard as it contains lower doses of the toxins that smokers' inhale. Prenatal exposure to wood fuel smoke has been linked to delivering low birth weight (LBW) infants. The study aims to assess the association between prenatal exposure to ETS and...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-011-0851-4
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVE:Lack of local data on pregnancy intendedness poses a serious problem for those responsible for regional program development and evaluation. This article demonstrates how the Boulder County Health Department addressed this problem by conducting its own assessment. The information gathered served as the basis f...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1009583716022
更新日期:2000-09-01 00:00:00
abstract::Objectives To prospectively evaluate the association between gestational weight gain (GWG), prepregnancy body mass index (BMI), and hypertensive disorders of pregnancy using the revised Institute of Medicine (IOM) Guidelines. Methods We examined these associations among 1359 participants in Proyecto Buena Salud, a pro...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-1983-3
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:Postpartum depression (PPD) is a significant concern for new mothers and their infants, as well as the health professionals who care for them. Obesity may be a risk factor for depression, and therefore, for PPD specifically. We examined the occurrence and risk factors for PPD in a sample of overweight and obe...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0418-1
更新日期:2009-11-01 00:00:00
abstract::American Indians living in Michigan experience disproportionately high rates of infant mortality. This 11-year (1998-2008) cohort study evaluated impacts of a Healthy Start (HS) program administered by the Inter-Tribal Council of Michigan (ITCM) on perinatal outcomes. Women who enrolled in ITCM's HS program ("exposed"...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1075-y
更新日期:2013-08-01 00:00:00
abstract::Background and objectives Despite the risks of bed-sharing, little is known about what pediatricians tell parents about bed-sharing with infants and whether pediatricians provide specific recommendations outlined by the American Academy of Pediatrics (AAP). This study aimed to understand pediatricians' opinions about ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-017-2353-5
更新日期:2018-01-01 00:00:00
abstract::Objectives To investigate the impact of the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) on a variety of infant health outcomes using recent South Carolina Vital Statistics data (2004-2012). Methods To account for non-random WIC participation, the study relies on a maternal fixed effect...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-1951-y
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVE:To determine predictors of bacterial vaginosis (BV) and the level of three common BV-related microorganisms by racial group. METHODS:Prospective cohort study of 1,886 pregnant women. BV was measured with Nugent's Gram Stain criteria, smoking status with urinalysis of cotinine levels, and stress with Cohen's ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0372-y
更新日期:2009-07-01 00:00:00
abstract::Social marketing approaches can help to shape the formation of and to create demand for preconception care services. This article describes four components of social marketing, often referred to as the 4 P's, that should be carefully researched and set in place before a national effort to launch and sustain preconcept...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-006-0105-z
更新日期:2006-09-01 00:00:00
abstract::Objectives Despite an increase in the female work force and recent increase in childhood obesity, the association between working hours of mothers and childhood obesity as well as how such association differs according to mothers' weight and intake frequency of energy-dense, nutrition-poor (EDNP) foods remain unclear....
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-017-2413-x
更新日期:2018-04-01 00:00:00
abstract::The objectives of this study were to ascertain the prevalence and potential sources of lead exposure among pregnant women residing in a socially-disadvantaged immigrant community in Albuquerque, New Mexico. Pregnant women (n = 140) receiving prenatal care through a community clinic participated in a structured intervi...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-0963-5
更新日期:2013-01-01 00:00:00
abstract::Objectives Sleep problems and deprivation are common during pregnancy, particularly in the third trimester. Previous studies are mostly descriptive or focused on specific clinical groups and late pregnancy. We aimed to identify sleep duration trajectories during the pregnancy period, their associated factors, and impa...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2212-9
更新日期:2017-05-01 00:00:00
abstract::To investigate the relationship between gestational weight gain (GWG) and birthweight outcomes among a low-income population in Hawaii using GWG recommendations from the 2009 Institute of Medicine (IOM) guidelines. Data were analyzed for 19,130 mother-infant pairs who participated in Hawaii's Special Supplemental Nutr...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1342-6
更新日期:2014-07-01 00:00:00
abstract::This paper discusses characteristics that are associated with enhanced maternal and child health (MCH) epidemiology functioning in state health agencies. The concept of the "MCH Epidemiology Effort" is introduced as "the epidemiologic work carried out by multiple units and agencies aimed at informing program planning ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0680-x
更新日期:2011-11-01 00:00:00
abstract::The objective of this study was to estimate the aggregate burden of maternal binge drinking on preterm birth (PTB) and low birth weight (LBW) across American sociodemographic groups in 2008. To estimate the aggregate burden of maternal binge drinking on preterm birth (PTB) and low birth weight (LBW) across American so...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1048-1
更新日期:2013-05-01 00:00:00
abstract::This study investigated the mediating roles of sleep and depression on the relationships between stress, fat intake, and fruit and vegetable intake among low-income overweight and obese pregnant women by trimesters. Participants (N = 213) completed a self-administered survey including stress (exogenous variable), depr...
journal_title:Maternal and child health journal
pub_type: 杂志文章,多中心研究
doi:10.1007/s10995-014-1604-y
更新日期:2015-05-01 00:00:00
abstract::Objective To characterize cumulative physiologic dysfunction (CPD) in pregnancy as a measure of the biological effects of chronic stress and to examine its associations with gestational age and birth weight. Methods Women ≤28 weeks gestation were enrolled from obstetric clinics in Rochester, NY and followed through th...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2103-0
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVES:To determine if the Pregnancy Risk Assessment Monitoring System (PRAMS) is a unique and valuable MCH data source and an effective mechanism for states to collect MCH data, and to assess if recent changes in it have improved efficiency and flexibility. METHODS:Each component of the PRAMS methodology is descr...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1022325421844
更新日期:1999-12-01 00:00:00
abstract:PURPOSE:Few studies of children's access to care account for the independent effects of parental immigration characteristics. To address this gap in knowledge, we examine the association between parental nativity and where children usually obtain health care. DATA SOURCE:The 2002 National Survey of America's Families ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0278-0
更新日期:2008-07-01 00:00:00
abstract::Poor birth outcomes are associated with illicit drug use during pregnancy. While prenatal cigarette exposure has similar effects, cessation of illicit drug use during pregnancy is often prioritized over cessation of smoking. The study goal was to examine the impact of pregnancy tobacco use, relative to use of illicit ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-011-0776-y
更新日期:2012-02-01 00:00:00
abstract::Background Vaccine preventable diseases are making a comeback in the US. However, research is lacking on illness representations of vaccine preventable diseases and their application in improving childhood immunization. Objective We utilized the common sense model of self-regulation to examine illness representations ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-017-2363-3
更新日期:2018-01-01 00:00:00