Birth Of Child Research Articles

A longitudinal examination of contributors to new parents' perception of their infant.

Previous studies have examined contributors to personal growth (PG) following the birth of the first child. This study examines for the first time the role of PG as a potential mediator in the relationship between individual characteristics (bond with parents and experiences of parental loss) and parental perception of their infant (warmth, invasiveness). By focusing on PG, this study offers a novel perspective on how parental experiences and relationships influence early parent-child dynamics over time. We used data from a longitudinal study among new Israeli parents. Participants completed self-report questionnaires in three phases: Up to one year following the birth of their first child (n = 2,182); Six months later (n = 1,045); and after another six months (n = 811). The study revealed associations between background variables and perceived infant's warmth and invasiveness over time. A cross-lag panel model revealed that parental care as reported in Phase 1 was linked to perceived warmth in Phase 1, whereas parental overprotection and parental loss, both reported in Phase 1 were linked to perceived invasiveness in Phase 1. PG mediated the association between parental care and perceived warmth over time. This study sheds light on the significance of parental bond, experiences of parental loss, and personal growth in shaping parents' perception of their infants. The findings highlight the importance of targeted support programmes to promote positive parent-infant relationships, emphasising the need for further longitudinal research to understand the dynamics of these relationships over time.

Main path analysis: a methodological framework for knowledge diffusion trajectories in scientometrics studies

Purpose The purpose of this study is to propose an analytical framework for generating main path analysis (MPA) and demonstrate the process involved in identifying, analyzing the MPA on a citation network and empirically testing in the research field chromosome anomalies (CA). Design/methodology/approach The proposed methodological structure involves five phases of the process. Search path method is used to measure the weights of each citation link from a source vertex to a sink vertex. The key route local main path and global main path are generated to identify the knowledge diffusion trajectories and validated by cross-referencing with existing literature, co-citation analysis and centrality measures of social network analysis. Findings The empirical validation of this framework within CA research demonstrates its potential for tracing knowledge diffusion and technological development trajectories over three decades. This approach elucidates two major intellectual knowledge flows. The first key-route main path identified the primary diagnostic protocols. The second key-route main path revealed that cancer or carcinogenesis is identified as one of the mainstream of CA. Research limitations/implications The limitations of the data and coverage period restrict the scope of this study. MPA was applied exclusively to the most influential sub network and disregarded other sub networks. MPA identified the seminal papers that provided a historical development in diagnostic protocol and their interconnectedness of disorders and diseases. This helps the researchers to develop targeted therapies and interventions, especially in cancer treatment. Social implications Exploiting MPA on CA research provides valuable insights to stakeholders in developing evidence-based public health policies. This is crucial for preventing the birth of children with birth defects or genetic diseases, promoting public health and reducing the socioeconomic burden on a country through enhanced surveillance and prevention efforts. Originality/value The study suggests that in addition to traditional scientometrics measures, MPA can be used to trace the evolution of knowledge and technological advancements. It also highlights the role of social network analysis measures in extracting main paths.

The Constitutional Foundations of the Russian State Policy in the Field of Family Protection and Traditional Family Values

The paper presents an analysis of constitutional provisions aimed at protecting the family in various periods of Russian statehood, shows the multi-vector nature of state policy in the field of family relations in the Soviet period, characterizes the family and demographic policy of the post-Soviet period, analyzes the constitutional novelties of 2020 aimed at strengthening the family and the spiritual and moral values of Russian society. An analysis of the constitutional category of «traditional family values» is carried out from the perspective of the needs of the individual, family as a social group and the importance of family for society and the state. The institution of family is considered as an intrinsic value and a basic determinant of the formation of the spiritual and moral heritage of Russian society, the preservation of the cultural identity of the Russian nation. The author provides the data from an official survey involving Russians that testifies to the attitude towards the family. The article also outlines the results of a research conducted by domestic scientists stating the unfavorable transformational processes taking place with the institution of family in the past 30 years. These include voluntary childlessness and celibacy; postponing the birth of children to later age periods; reducing the value of a family with several children; preference among young people for actual marital relations (common-law marriage) to a registered marriage. The author considers the protection of the family and family values as a task for ensuring the national security of Russia, the solution of which is aimed at preserving the all-Russian identity, sustainable development of the state, preservation of socially significant spiritual and moral values. The author substantiates the proposal on the need to form in society the idea of the importance of the family as a value in itself, which implies a responsible attitude to marriage, birth and upbringing of children, encouragement and support of a multigenerational and large family, respect for the elderly, disapproval of the rejection of the birth and upbringing of children.

Parenthood and occupational mobility

AbstractI show that parenthood contributes to the downward‐sloping age‐occupational‐mobility profile. After the birth of the first child, men experience a 20% decline in occupational switching which is uniform across upward and downward mobility. For women, the decline is 14%, which is larger for upward than for downward occupational mobility. Therefore, parenthood can explain 22% and 12% of the declines in occupational mobility for working men and women between 25 and 45 years of age, respectively. Workers in disadvantaged groups experience larger decreases, highlighting the potential impacts of parenthood on their occupational choices.

Sociological research in the field of family and demography: responding to the challenges of our time

The article analyzes the data of sociological research conducted by the Department of Sociology of Family and Demography of the Faculty of Sociology of Moscow State University named after M.V. Lomonosov, whose employees adhere to the familistic paradigm. The data from these studies are used for social design and forecasting of family and demographic behavior of the bulk of the population, as well as to develop recommendations for improving family and demographic policy aimed at increasing the birth rate and overcoming the crisis of the family as a social institution. Analysis of these data showed that effective policies in the field of family and demography should be aimed not only at changing the attitude towards family life and the birth of children on the part of those people who are now in active reproductive age, but also at creating a positive attitude of adolescents and young people towards based on a strong legal marriage and a close connection between three generations of a family with three or more children. A social atmosphere that encourages the formation and maintenance of families of this type should be considered as a necessary condition for the prosperity of the country.

Complex chromosomal rearrangements in female carriers experiencing recurrent pregnancy loss or poor obstetric history and literature review.

Complex chromosomal rearrangements (CCRs) often remain unidentified as they are rarely observed in the general population. Females with CCRs are generally recognized on the identification of an affected child with multiple congenital anomalies (MCA) or having a history of repeated pregnancy loss/bad obstetric history (RPL/BOH). In contrast, males with CCRs are diagnosed primarily due to infertility. This study aimed to carry out a systematic epidemiological analysis of CCRs in one of the largest series from the Indian population. In addition, a review of the literature on female CCR carriers experiencing RPL/BOH has been compiled in an attempt to identify the genomic landscape of breakpoints, commonly involved chromosomes, and the breakpoint regions. A total of 8560 healthy individuals with normal physical and mental well-being and had no history of any obvious genetic disorder at the time of presentation were referred for chromosome analysis in view of RPL/BOH between 1994 and 2024. Of them, 8158 had a normal chromosome complement whereas, 402 (4.7%) showed chromosomal aberrations. CCRs were detected in seven individuals, i.e., one partner in each of seven couples with structural rearrangements, all of whom were females. Comprehensive characterization of CCR was carried out using various molecular cytogenetic techniques. Seven CCR carriers had a total of 25 pregnancies: 20 leading to miscarriages (80%), one leading to the birth of an abnormal child (4%), two medically terminated pregnancies (8%) due to abnormal antenatal findings, and the remaining two were healthy (8%). A total of 13 different chromosomes with 24 non-recurring breakpoints were identified in these cases. Chromosome (#) 2 showed four breaks (16.7%), followed by #1, #4, #6, and #13 with three breaks each (12.5% each), while one break each (4.2% each) was seen on the remaining eight chromosomes (#3, #5, #8, #11, #14, #15, #17, and #21). Type I and type IV CCRs were observed in five (71.4%) and one case (14.3%), respectively, along with a "not a true" CCR (14.3%) in the present study group. Overall, the prevalence of CCRs in couples with RPL/BOH was 0.16%. To the best of our knowledge, this is the first study on the epidemiology of CCRs in couples with RPL/BOH of Indian origin. The incidence of CCRs in couples experiencing RPL/BOH in the present cohort was found to be 0.16% with type I CCR being the most predominant of all types, which is congruent with observations from non-Hispanic white and South East Asian populations. The uniqueness and rarity of each CCR pose a challenge in genetic and reproductive counseling.

Sexual experiences and behaviours of the parents in the Avon Longitudinal Study of Parents and Childhood (ALSPAC)

The aim of this data note is to describe the sexual experiences, functioning and behaviour data collected from the parent cohorts of the Avon Longitudinal Study of Parents and Children (ALSPAC) occurring during their childhoods and up to 19 years after the birth of the index child. ALSPAC is an ongoing birth cohort which enrolled 14,541 pregnant women living in Avon, an area of southwest England, with expected dates of delivery between April 1991 and December 1992 inclusive. It continues collecting data on these mothers (age range at delivery <16–41 years), their partners (age range at delivery <16–65), and their offspring, so far resulting in 100,000+ phenotype variables. During the index pregnancy the mothers were asked (and at 8 months post-delivery for partners) about their early sexual experiences to identify sexual abuse, the age at which an event first occurred, along with the type of perpetrator (e.g. stranger, relatives, boy/girlfriend). There are also data on these parents’ experiences of sexual assault as adults. Both parents were asked also about sexual abuse within a battery of questions identifying Adverse Childhood Events (ACEs). Further longitudinal data described here includes satisfaction with sexual and non-sexual sides of their relationship; sexual functioning; and at seven years post-delivery, both parents were asked to describe their sexual orientation as well as the sex of their partners. These data provide the ability to compare generational differences between parental sexual experiences and behaviours with those of their offspring, as well as allowing comparisons with other longitudinal surveys where similar (or identical) information has been collected such as the National Survey of Sexual Attitudes and Lifestyles (NATSAL-3). This paper forms a companion to a further data note describing similar data collected on the offspring cohort.

The analysis of gene screening results for common hereditary hearing loss in 2 102 pregnant women in Dali area

Objective:By conducting genetic testing of hereditary hearing loss in pregnant women within 17 weeks of gestation in Dali areas, the importance of genetic testing and genetic counseling during pregnancy was emphasized. Methods:Twenty-one mutation sites of 4 hearing loss genes, including GJB2, GJB3, SLC26A4 and mtDNA, were detected by PCR amplification technology. The positive ratio, mutation ratio and ethnic distribution of positive samples were statistically described. Results:The positive ratios of GJB2 and SLC26A4 genes were 1.24% and 1.43%, respectively, with mutation rates of 40.62% and 46.88% in the positive samples, respectively. The positive ratio of GJB3gene was 0.19%, and mtDNA mutation genes accounted for 0.14%, and all of them were mtDNA（Heterozygous）. There was only one case of GJB2/SLC26A4 double positive multi-gene mutation, with a positive ratio of 0.05%. The frequency of GJB2 c. 235delC site was the highest, accounting for 65.38% of GJB2 mutation genes and 26.56% of mutation gene samples. Conclusion:GJB2 and SLC26A4 are the most common genes of hearing loss, and GJB2 c. 235delC site is the most common mutation site. Identifying the hearing loss mutation site is of great importance to prevent the birth of hereditary hearing loss children, and genetic diagnosis, genetic counseling, and appropriate intervention are crucial to alleviate congenital problems.

Monitoring the frequency and risk factors of birth of children with congenital cleft lip and palate in the Volgograd region

The results of a study of the frequency, prevalence, structure, and probable risk factors of congenital cleft lip and palate (CCLP) in the Volgograd region for 2010–2021 are presented. There were no dynamics of increase or decrease in the birth rate of children with congenital cleft lip and palate. Over the past decade, the birth rate of children with CCHD varied from (1.25 ± 0.35) to (1.72 ± 0.41) per 1000 live births. Risk factors for the formation of CCLP in the form of an infectious disease suffered by the mother in the first trimester of pregnancy and taking drugs have been confirmed.

Cardiograms and Electrography Are Crucial Diagnostic Procedures In Pregnant Women

Certain examinations place significant emphasis on the gestation period. Strictly passing every examination is of utmost importance for every woman, as failure to do so may result in the birth of children with various deformed and incapacitating disorders. The diagnostic procedures of cardiotomy, electrocardiography, ultrasonography, doppler ultrasonography, and phenocardiography are highly significant for pregnant women. Every expectant mother should undertake these tests comprehensively. The duration of pregnancy and developmental abnormalities like as hypotrophy, hydrocephaly, and microcephaly can be determined using these techniques. Furthermore, these techniques facilitate the surveillance of the foetal placenta and the estimation of the water content, particularly in cases of multiple pregnancies. Sonography examination is safe for both the pregnant woman and the developing foetus. Today, X-ray diagnostics is seldom employed. However, this approach strictly relies on the use of the vagina as the sole means of assessing the state and abnormalities of the foetus, in the absence of ultrasound equipment.

Motherhood and the allocation of talent

ABSTRACT In this paper we show that motherhood triggers changes in the allocation of talent in the labour market beyond the well-known effects on gender gaps in employment and earnings. Based on an event study approach around the birth of the first child and retrospective panel data for 28 European countries and Israel, we assess the labour market responses to motherhood across ‘talent’ groups–i.e. groups with different educational attainment, Math performance at age 10, and personality traits associated to entrepreneurial ability. We show that even the most talented women–both in absolute terms and relative to their husbands–leave the labour market or uptake part-time jobs after the birth of the first child. We also find that motherhood induces a negative selection of female talents into self-employment. Overall, our results suggest relevant changes in the allocation of talent associated to gender differences in non-market responsibilities that can have sizable impacts on aggregate market productivity.

Clinical significance of Spinal Muscular Atrophy carrier detection in Guangdong Province, China: Insights from quantitative polymerase chain reaction and multiplex ligation-dependent probe amplification analysis

ObjectiveThis study aimed to identify carriers of Spinal Muscular Atrophy (SMA) among 10,630 pregnant women in Guangdong Province and provide prenatal diagnoses for high-risk fetuses from carrier couples. The goal was to prevent the birth of children affected by SMA. We evaluated the effectiveness of quantitative PCR (qPCR) and multiplex ligation-dependent probe amplification (MLPA) in detecting deletions in the SMN1 gene, with MLPA as the reference standard. MethodsFluorescent qPCR was used for initial SMA carrier screening, followed by confirmatory testing with MLPA for all detected carriers. ResultsOf the 10,630 women screened, 219 were identified as carriers (2.06 % detection rate). This included 17 cases of heterozygous deletion of exon 7 (E7), 145 cases with deletions of both E7 and exon 8 (E8), and 57 cases of E8 deletion alone. The carrier rate for E7 heterozygous deletion was established at 1.5 %. Prenatal diagnosis for seven carrier couples revealed five fetuses as carriers and one affected by SMA. The diagnostic concordance between qPCR and MLPA was 100 %. ConclusionThe combined use of qPCR and MLPA is vital in identifying SMA carriers, allowing for early diagnosis and informed reproductive decisions. The high sensitivity and specificity of qPCR, matching MLPA, demonstrate its value in clinical settings for SMA screening and prenatal diagnosis. Our findings emphasize the critical importance of selecting precise diagnostic methods to enhance clinical outcomes in genetic screening programs.

Equality and justice as the basis for unification of the right of citizens for an insurance labor pension

The differentiation of the right of citizens of the Russian Federation for an insurance labor pension by gender provided for by the current legislation raises questions in civil society due to the discrepancy between the norms fixing different retirement ages for men and women, the principle of equality guaranteed by the Constitution of the Russian Federation, and ensuring social justice in society. One of the reasons is that a significant proportion of men do not live to the 65-year retirement age fixed by law. Analyzing the current legal norms and comparing them with statistical data and the results of law enforcement indicating a clearly unfair standardization of these relations, the authors offer their own vision of solving the existing problems. The authors substantiate the conclusion on the necessity to unify the right of citizens for an insurance pension by establishing a common retirement age of 60 years for men and women for the period of solving the main demographic problems in the state and creating conditions for increasing life expectancy. At the same time, emphasizing the special role of women, the authors propose to include legislatively the time associated with the birth and upbringing of children in a woman’s insurance experience, regardless of whether a woman had previous employment relationships and insurance experience. It should be done to create a favorable regime for the formation of women’s insurance experience and ensure formal equality with men.

Медико-социальные аспекты развития технологий регулирования репродуктивного поведения населения.

Technologies for correcting reproductive behavior of the population are based on an integrated approach, taking into account medical, economic, psychological and social aspects. Today, of particular interest are the ethnocultural features of reproductive behavior in interaction with issues of reproductive health, legal support for the health care system, taking into account migration processes, the implementation of treatment and prevention of reproductive health disorders of women and men, the formation of reproductive well-being among the younger generation, which will be successfully implemented in the future. For the successful implementation of technologies for the protection of reproductive health, regular state and institutional collection and monitoring of data on pregnancy, fertility, perinatal health trends, risk factors, including screening, early diagnosis, treatment and prevention of disorders is necessary, expanding the scope of prevention to childhood and adolescence. Today, such medical and social technologies as patronage of pregnant women in difficult life situations are defined as socially in demand; identification of risk factors for successful conception and pregnancy outcome; medical and psychological assistance to women and families based on a personalized approach; consultations on legal and social protection of women wishing to terminate an unwanted pregnancy, support during pregnancy or after an abortion; socio-psychological assistance to vulnerable groups of the population, disabled women, adolescents and young people, especially from low social strata; prevention of domestic violence and assistance to women victims of violence, including sexual violence. In order to correct the reproductive attitudes of the population, technologies are effective that reflect the significant role of society’s value priorities, including strengthening civic responsibility, understanding the national importance of the successful birth of children, and the formation of the social prestige of a large family.

Rising Cases of Hb H Disease in Iraq Highlight the Urgent Need for Pre-Pregnancy Screening

General background: Hemoglobin H (Hb H) disease results from mutations in three of the four α-globin genes, leading to α-thalassemia. Specific background: In Iraq, this condition is rare among alpha-thalassemia cases. The disease presents significant hematological abnormalities, impacting quality of life. Knowledge gap: Despite its rarity, few studies have characterized the hematopathological features and prevalence of Hb H disease in specific Iraqi regions. Aims: This study aimed to assess the hematological parameters and prevalence of Hb H disease among patients in Diyala province, Iraq. Results: A total of 81 patients with Hb H disease (53.18% male, 46.91% female) were registered at the Baqubah Teaching Hospital in 2023. Median patient age was 21.8 years (range 4-48). Hematological analysis revealed consistently low levels of hemoglobin (Hb) and hematocrit (HCT) compared to standard values. Mean corpuscular volume (MCV) was also significantly reduced, with 58.02% of patients presenting Hb levels below 10 g/dL. The 21-40 age group had the highest incidence (46.91%). Novelty: This study is among the few to investigate Hb H disease prevalence and hematopathological characteristics in Diyala province, revealing an unexpectedly high incidence in the 21-40 age group. Implications: These findings suggest that hematological parameters, including MCV and Hb levels, should be considered in thalassemia screening programs, particularly in pre-pregnancy assessments, to prevent the birth of children with severe forms of alpha-thalassemia and reduce Hb H disease prevalence. Highlights: Hb H disease shows low hemoglobin and MCV abnormalities. Highest incidence occurs in patients aged 21-40 years. Pre-pregnancy screening reduces severe alpha-thalassemia risk. Keywords: Hb H disease, alpha-thalassemia, hematological parameters, Diyala province, prevalence

A clinical case of multilocus imprinting disturbances: the first description in the Russian Federation

Multilocus imprinting disturbances (MLID) is a molecular subtype of imprinting disorders (IDs), in which multiple methylation abnormalities of imprinted regions and genes are observed in combination with polymorphic clinical manifestations, including overlapping phenotypic features of individual imprinting disorders. The causes of MLID are mutations in genes encoding oocyte and zygotic factors of embryo development, which increases the risk of recurrent birth of children with imprinting disorders in mothers carrying such mutations. Due to the need to understand the exact risk for repeated childbirth, it is advisable to diagnose MLID in patients with an ambiguous phenotype and a negative result of studies on individual imprinting disorders, followed by a search for mutations in MLID-associated genes. The purpose of the work is to describe the clinical and epigenetic characteristics of a patient with MLID. A clinical case of a comorbid patient aged 12 years with an established molecular genetic diagnosis of MLID by the method of methylation-specific multiplex ligation-dependent probe amplification (MS-MLPA) is presented. The features of the patient’s phenotype allow us to demonstrate the effect of hypomethylation of several differentially methylated regions of imprinted genes on the formation of a polymorphic phenotype, including overlapping signs of individual imprinting disorders, and to assess the difficulty of making an unambiguous clinical diagnosis for this patient. Pronounced clinical polymorphism, negative results of previously conducted molecular genetic studies on certain forms of imprinting disorders allow us to consider the MLID study as a first-line test for the diagnosis of methylation abnormalities in MLID and imprinting disorders.

Induced abortion after advent of fetal sex detection technology and child sex at birth

BackgroundNational level Sex Ratio at Birth (SRB) is normal in Bangladesh despite its patriarchal social structures, strong son preference, and low fertility level, widely recognized as preconditions for Gender-Biased Sex Selection (GBSS). To better understand this anomaly, we examine the trend in SRB in a sub-district in Bangladesh and assess the impact of the introduction of fetal sex-detection technology and the history of induced abortion on child sex using longitudinal data.MethodsWe have used secondary data collected routinely by icddr, b’s Matlab Health and Demographic Surveillance System (HDSS) between 1982 and 2018. All births occurring during this period (N = 206,390) were included in the analyses. We calculated the SRB and used multivariate logistic regression analyses to assess the likelihood of birth of a male child before and after the introduction of ultrasonogram in Matlab.ResultsOverall, SRB was within the natural limit (106) during 1982–2018 in Matlab. SRB among women with a history of induced abortion was 109.3 before the introduction of ultrasonography in 2001 and 113.5 – after 2001. Women’s history of induced abortion prior to introduction of ultrasonogram (1982–2000) increased the likelihood of birth of a male child 1.06 times (AOR 1.06; 95% CI- 1.01–1.11). In the period after, however, this likelihood was 1.08 (AOR 1.08; 95% CI- 1.02–1.15).ConclusionsIn a context with normal SRB, it was found to be skewed among women who had induced abortion. SRB was relatively more skewed among such women after the advent of ultrasonogram compared to a period without ultrasonogram. Moreover, induced abortion after introduction of fetal sex determination technology increased the likelihood of birth of a male child. These findings suggest the plausibility of GBSS in a sub-group. Further research is needed, particularly in regions with skewed SRB to examine whether GBSS is indeed a threat to Bangladesh.

Development of an Android-Based Application to Prevent Baby-Born Stunted

INTRODUCTION: Stunting is still a problem for infants under five years old in Indonesia. One solution to improve the health status of pregnant women to prevent the child born stunting in the digital era is to design an application called ACALS, the “Aplikasi Cegah Anak Lahir Stunting” (ACALS)/ Application for preventing the birth of children with stunting. The application was created as an innovation and strategy for preventing and handling stunting. This study aims to evaluate the design and structure of ACALS as an application used to support the optimization of antenatal care for pregnant women. METHODOLOGY: The research design is Research and Development to evaluate the quality of innovative products in applications with user authority for pregnant women. This research was conducted in 2019 at the Jonggol Community Health Center, Bogor Regency, West Java, Indonesia. Through this research, a smartphone-based application called the ACALS/ Application was designed to prevent the birth of children with stunting, which was developed based on the Ministry of Health's MCH Handbook. RESULT: The application is considered high quality based on its evaluation of all dimensions, which include completeness, correctness, security, timeliness, benefits, efficiency, reliability, and usability. Therefore, the design and structure of ACALS have been significantly developed. CONCLUSION: It was concluded that ACALS is very beneficial for pregnant women during pregnancy as a means of monitoring and supporting the optimization of antenatal care to prevent the birth of stunted babies.

Midwives' support for parents following stillbirth: How they practise and resources they need from a phenomenological perspective.

To explore the perceptions and experiences of midwives caring for couples who experience a stillbirth. Qualitative study based on Gadamer's hermeneutic phenomenology. This study was conducted with midwives (n = 18) at the birth unit of a third-level public hospital in Jaén (Spain) in 2023. Personal semi-structured interviews were recorded in audio for later transcription by two researchers following steps described by Fleming. Two themes were identified as important aspects of the practise of midwives in a situation of the birth of a stillborn child: (1) the importance of each action of the midwife, and (2) the availability of resources determines the care provided. Having a stillbirth is a very complex experience, in which the psychological support and human and material resources involved are the basic tool for the care of these families. Acknowledging limitations of the available resources, the assistance and care provided by midwives are in line with the clinical practice guidelines, which can have an emotional impact on them. The care to be provided in stillbirth requires appropriate human and material resources for these families. Midwifery and nursing professionals are in a unique position for acting in cases of families with a stillbirth, updated protocols and, in general, the coordination of the different agents involved within the healthcare system. WHAT PROBLEM DID THE STUDY ADDRESS?: The midwives´ experiences in cases which end with the delivery of a stillborn. WHAT WERE THE MAIN FINDINGS?: Each action of the midwife is as important as the availability of resources to offer the most appropriate care. WHERE AND ON WHOM WILL THE RESEARCH HAVE AN IMPACT?: In each woman who receives the care of a midwife who attends the birth of a stillborn. COREQ checklist. No patient or public contribution occurred for this study as this research focused on exploring staffs' perspectives from the specific viewpoint of their personal experience.

Relationship Between Women's Employment and the Pregnancy Rate in Married Women Receiving Services from Health Centers

Background: Women's employment is a significant factor influencing women's decisions regarding pregnancy, both socially and economically. Objectives: The purpose of this study is to determine the frequency of the decision to get pregnant and the effect of women's employment on this decision. Methods: This descriptive-analytical cross-sectional study was conducted in 2023 in Fereydunkenar, Mazandaran province, Iran. A total of 334 participants were selected using a convenience sampling method. Data were collected using a researcher-made questionnaire, validated and tested for reliability. The validity was confirmed by 4 gynecologists, 3 family medicine specialists, 2 midwives, 1 psychologist, 1 epidemiologist, 1 biostatistics expert, and 1 occupational health expert. Reliability was established through a pilot study with 30 participants, determining Cronbach's alpha. Statistical analysis was performed using SPSS version 26, employing chi-square and multivariate logistic regression tests. Results: The study included 261 working women and 73 housewives. The frequency of deciding to get pregnant was lower among working women compared to housewives (36% vs. 56.2%). The results indicated that having one child increased the odds of not wanting to get pregnant by 2.59 times (OR = 2.59, CI 95%: 1.36 - 4.93, P = 0.004). Having two children increased the odds by six times compared to having no children (OR = 6.00, CI 95%: 2.47-12.70, P = 0.001). Additionally, the desire to migrate increased the odds of not wanting to get pregnant by 3.23 times (OR = 3.23, CI 95%: 1.64 - 6.36, P = 0.001). A distance of more than 5 km from residence to workplace increased the odds by 1.82 times (OR = 1.82, CI 95%: 1.03 - 3.35, P = 0.04), and working more than 7 hours a day increased the odds by 1.95 times (OR = 1.95, CI 95%: 1.10 - 3.43, P = 0.02). Conclusions: The results showed that employment reduces the likelihood of deciding to get pregnant by about half. Therefore, in designing policies to encourage childbirth and address population aging, these barriers should be minimized. Strategies should include reducing the distance between home and workplace, decreasing working hours for women, creating favorable economic and social conditions to reduce migration, and conducting educational programs to shorten the gap between marriage and the birth of the first child.