Maternal Attitudes Research Articles

One size doesn't fit all: Attitudes towards work modify the relation between parental leave length and postpartum depression.

The present study aimed to investigate the relationship between parental leave length and maternal depressive symptoms at six- and twelve-months postpartum and whether this relation was influenced by women's attitudes towards leave, whether leave was paid or unpaid, and the reason they returned to work. The sample included 115 working women recruited during pregnancy as part of a larger longitudinal study. Analyses revealed that maternal attitudes toward leave influenced the association between leave length and depressive symptoms. Specifically, longer leaves were associated with increased depressive symptoms for women who missed their previous activities at work. Furthermore, women who missed work and had leave for 16weeks or more, exhibited higher depressive symptoms at six- and twelve-months. Last, results also indicated that women who returned to work solely for monetary reasons exhibited more depressive symptoms at six-months postpartum than those who returned to work for other reasons. This study is among the first to show that women's attitudes towards parental leave and their individual reasons for returning to work are important factors to consider that may have potential implications for parental leave policies.

FACTORS ASSOCIATED WITH BREASTFEEDING INTENTION AMONG GESTATIONAL DIABETES MELLITUS MOTHERS

Breastfeeding knowledge, self-efficacy, attitude and breastfeeding intention affect breastfeeding rates, especially in mothers with Gestational Diabetes Mellitus (GDM) who are associated with having poor breastfeeding outcomes. Therefore, this study is aimed to investigate whether breastfeeding knowledge, attitude, self-efficacy, and sociodemographic factors are associated with breastfeeding intention among GDM pregnant mothers attending health clinics in Selangor. Validated questionnaires including Breastfeeding Self-Efficacy Scale Short Form (BSES-SF), Knowledge and Attitude, Breastfeeding Questionnaire (KA-BFQ), and Infant Feeding Intention (IFI) were self-administered to assess maternal knowledge, attitude, self-efficacy, and intention towards breastfeeding. Pearson’s Chi Square and independent t-test were used to investigate factors associated with breastfeeding intention among GDM mothers. Multiple linear regression was executed to explore determinants of breastfeeding intention among the studied population. A total of 124 pregnant women with GDM visiting chosen public health clinics in Selangor were recruited for this study. Findings revealed the scores (Mean ± SD) for breastfeeding knowledge 25.66 ± 8.736, breastfeeding attitude 81 ± 11.5, and breastfeeding self-efficacy 48.5 ± 12. About 84.7% (n = 105) had the intention to breastfeed with a mean score of 11 ± 5.25. Further analysis depicted significant associations between breastfeeding intention with a family history of diabetes (AOR = 3.551, 95% CI: 1.127 to 11.185, p-value = 0.030) and breastfeeding knowledge (AOR = 1.107, 95% CI: 1.036 to 1.182, p-value = 0.003). This study concluded that mothers with GDM had fair breastfeeding knowledge, good attitude, high self-efficacy, and high intention in breastfeeding. These findings highlight the need to develop culture-specific interventions in improving breastfeeding knowledge particularly to enhance breastfeeding intention among GDM mothers.

Vaccine hesitancy and knowledge regarding maternal immunization among reproductive age women in central Italy: a cross sectional study.

Vaccination in pregnancy offers protection to the mother and the newborn. In Italy, influenza, pertussis, and COVID-19 vaccinations are recommended in pregnancy, but vaccination coverage is still far from the National Immunization Plan goals. We aimed to assess knowledge and attitude on maternal immunization in two groups of Italian women, in pregnancy and in reproductive age (non pregnant). A cross sectional study on Italian childbearing age women gathering information on their knowledge on maternal immunization and attitudes to receiving influenza and pertussis vaccines in pregnancy was carried out at the University of Rome Tor Vergata, between September 2019 and February 2020. Logistic and multinomial regressions were chosen as statistical tests for our analysis. 1,031 women participated in the survey by answering the questionnaire. Out of these, 553 (53.6%) women were pregnant, and 478 (46.4%) were in the reproductive age. 37% (204/553) of pregnant women and 41% (198/476) of non pregnant women are aware of the existence of an immunization plan for pregnant women in Italy. The group with age between 20 and 30, for both pregnant women and women in the reproductive age, has a better knowledge of vaccination in pregnancy. Working status is a variable associated with more awareness about vaccination during pregnancy only for pregnant women (OR = 2.34, p < 0.00001). Educational status, trimester of pregnancy and knowledge on the topic are associated with vaccine hesitancy in our multivariate analysis for pregnant women. In the reproductive age group women who had a previous pregnancy are more likely to be hesitant towards vaccination in pregnancy, on the other hand the one with a higher knowledge and educational status are more likely to get vaccinated. The study highlights the persistent vaccine hesitancy among Italian women of reproductive age and pregnant women. Despite healthcare providers being identified as a reliable source of information, their recommendations alone are insufficient to overcome vaccine hesitancy. Factors such as employment status, educational level, pregnancy trimester, and knowledge about vaccinations during pregnancy influence vaccine hesitancy. Tailored educational interventions and communication campaigns targeting these areas can help reduce vaccine hesitancy and promote maternal immunization.

The Relationship Of Mother's Knowledge of Nutritional Information and Attitude Through Social Media with Family Food Patterns at Posyandu Mawar

Introduction: Knowledge is the result of knowing which is a concept in a person's mind as a result of someone sensing a certain object. Nutritional knowledge is the main problem that occurs in society regarding various nutritional problems that occur in Indonesia. Indirectly, the mother's knowledge will influence the nutritional status of her family. Knowledge influences the mother in providing food for her family, the better the mother's knowledge, the better the family's diet, because the mother is the originator of the family food, from the one who prepares it, chooses the menu for the family. Research Objective: The aim of this research is to determine the relationship between knowledge of nutritional information and maternal attitudes via social media towards family food patterns at Diposyandu Mawar. Method: used in this research is analytical descriptive with a cross sectional approach using interview and questionnaire methods. Conclusion: The conclusion of this research is that there is a relationship between knowledge and attitudes towards family eating patterns. because the mother determines the food supply in the family which can determine the nutritional status of the family.

Factors influencing breastfeeding continuation and formula feeding beyond six months in rural and urban households in Indonesia: a qualitative investigation

BackgroundGlobal and Indonesian guidelines suggest that breastfeeding should continue for at least the first two years of life. While many studies have focused on six-month exclusive breastfeeding practices, little is known about why mothers do not sustain breastfeeding beyond this period. This qualitative study aimed to explore factors influencing breastfeeding continuation and formula feeding beyond six months, regardless of any additional food consumed, focusing on Indonesia’s rural and urban areas.MethodsWe collected the data through 46 in-depth interviews in Pati District and Surakarta City, Central Java, Indonesia. Participants were mothers, grandmothers, health care practitioners, and village kader (frontline female health workers). We used thematic analysis combining deductive and inductive techniques for analysing the data.ResultsRural mothers practised breastfeeding and intended to breastfeed for a longer duration than urban mothers. Maternal attitude towards breastfeeding, breastfeeding knowledge, previous experiences, and other breastfeeding strategies (e.g., enhancing maternal dietary quality) positively influenced breastfeeding sustainability. In the urban setting, mothers encountered several breastfeeding barriers, such as perceived breast milk insufficiency and child hunger and satiety, child biting, and breastfeeding refusal, causing them to provide formula milk as a breast milk substitute or supplement. In addition, families, communities, health practitioners, and employment influenced maternal decisions in breastfeeding continuation and formula-feeding practices.ConclusionsOptimal breastfeeding practices up to two years of age are determined by the individual and setting (i.e., community, healthcare, employment) factors. Providing breastfeeding education covering practical breastfeeding guidance will encourage mothers to breastfeed for longer. Such interventions should involve families, communities, health workers, and the work environment as a breastfeeding support system. Policymakers should develop, enforce, and monitor the implementation of breastfeeding policies to protect, promote, and support breastfeeding in households, communities, health systems, and work settings.

Differences in the Effectiveness of Audiovisual Media and Leaflets on the Knowledgeand Attitudes of Mothers of Toddlers in Bogorejo Village About Stunting

One of the factors causing children to suffer from stunting is inappropriate parenting due to the lack of maternal knowledge about stunting and the fulfillment of toddler nutrition. Knowledge affects attitudes and behavior. The way to increase maternal knowledge and attitudes can be done by providing health education using media such as leaflets and audiovisuals. This study aims to determine which media are effective in increasing the knowledge and attitudes of mothers of toddlers regarding stunting. This type of research is Quasi Experiment One Group Pre-Test Post-Test With Control Group.The sample size was 95 respondents and divided into three groups. Questionnaires were used as a data collection tool. The three groups were compared using One Way Anova statistics followed by Tukey test at the 0,05 level of significance. There was a significant difference in the knowledge and attitude of the leaflet and audiovisual groups (p = 0,001) and there was no significant difference in the control group (p = 0,980) after being given health education. Leaflet and audiovisual media are effective for improving the knowledge and attitudes of mothers of toddlers about stunting.

Risk Factors Affecting the Incidence of Diarrhea in Children Under Five Years Old in the Working Area of Tarus Public Health Center, Kupang District, in 2022

Diarrhea is a disorder of defecation characterized by defecation more than 3 times a day with the consistency of liquid stool, may be accompanied by blood. Until September 2022 Puskesmas Tarus had the highest incidence of diarrhea compared to other health centers with 126 cases of diarrhea in toddlers. The purpose of this study was to determine the risk factors associated with the incidence of diarrheal disease in children under five years of age in the working area of Puskesmas Tarus, Kupang Regency. This study was an analytic observational study using a case control study research design. This study was conducted in the working area of Puskesmas Tarus Kupang Regency in February-March 2023. The results showed a significant relationship between maternal knowledge (p=0.000; OR=3,974), maternal attitude (p=0.000; OR=4,594), hand washing behavior (p=0.000; OR=4,421), exclusive breastfeeding history (p=0.001; OR=3,632) and maternal education (p=0.023; OR=2,400) with the incidence of diarrhea in toddlers. There is no significant relationship between maternal employment status and the incidence of diarrhea in toddlers (p=0,114; OR=0,489). Conclusion, that the variables of maternal knowledge, maternal attitude. hand washing behavior, exclusive breastfeeding history and maternal education have a significant relationship with the incidence of diarrhea in toddlers, and the variable maternal employment status has no significant relationship with the incidence of diarrhea in toddlers in the working area of Puskesmas Tarus, Kupang Regency.

Predictors of Positive and Negative Parenting Practices Among Mothers of Two-to-Three-Year-Old Children: Findings From Tirana, Albania

The purpose of this article is to determine the predictors of positive and negative parenting practices among mothers of two-to-three-year-old children in Tirana, Albania. Cross-sectional data were obtained from a representative sample of 328 mothers of two-to-three-year-old children recruited through eight randomly selected public nurseries in Tirana. Results from bivariate regressions showed significant associations between the key relevant maternal characteristics and maternal parenting practices, in line with previous studies conducted in Western societies. Results from multiple regressions showed that maternal attitudes towards child maltreatment were a dominant significant predictor of negative parenting practices (punitive parenting, inconsistent parenting, and child maltreatment) and that maternal sense of parental competence was a dominant significant predictor of positive parenting practices. The findings suggest a strong, consistent link between maternal belief systems and parenting practices among mothers of toddlers in Tirana and call for the implementation of parent training programmes that address attitudes towards child maltreatment and sense of parental competence in the Albanian society.

Assessment of Maternal Knowledge, Attitudes, and Practices Regarding Breastfeeding at Kampala International Teaching Hospital: A Study Spanning May 2021 to July 2022

This study aimed to evaluate the knowledge, attitudes, and practices regarding exclusive breastfeeding (EBF) among mothers attending vaccination and pediatric inpatient services at Kampala International Teaching Hospital. Additionally, it sought to identify influential variables associated with exclusive breastfeeding practices in this cohort. Employing a descriptive cross-sectional survey, 187 respondents were randomly selected. Data collection involved the utilization of a questionnaire, and analysis comprised descriptive statistics focusing on frequency and percentages. The study revealed significant findings: 71.2% of respondents were knowledgeable about the accurate definition and duration of exclusive breastfeeding. Among them, 59.7% exclusively breastfed their infants for the recommended initial six months. Notably, 100% provided colostrum to their babies, recognizing its nutritional and protective benefits, while 87% practiced on-demand breastfeeding. Furthermore, the study highlighted a positive attitude toward exclusive breastfeeding, with 86.6% acknowledging breast milk's adequacy for infants during the first six months and recognizing the mutual benefits of EBF for both infants and mothers. Regarding weaning, 51% of respondents initiated it between 15 and 18 months, while 41% did so between 19 and 24 months. The findings underscored a commendable level of breastfeeding knowledge among respondents, with a majority adhering to recommended EBF practices. Additionally, the overwhelmingly favorable attitude toward exclusive breastfeeding signifies its perceived advantages for both infants and mothers. This study emphasizes the importance of continued support and education to reinforce positive breastfeeding practices among mothers attending Kampala International Teaching Hospital. Keywords: Exclusive breastfeeding, Babies, Newborn, Mothers, Weaned.

Development and validation of the Teen Moms Child Feeding Questionnaire for Sub-Saharan Africa

BackgroundIn Sub-Saharan Africa, the nutritional status of children born to teenage mothers deserves critical attention. Maternal knowledge and attitudes concerning infant and young child feeding (IYCF) may predict actual practices and child nutritional status. This study created and validated the Teen Moms Child Feeding Questionnaire for Sub-Saharan Africa.MethodsA literature search on IYCF knowledge and attitude gaps in teenage mothers generated scale items. Ten nutrition experts and six teenage mothers assessed content validity and comprehensibility, respectively. Construct validation was conducted by item response theory (IRT) and confirmatory factor analysis (CFA), in 150 teenage mothers in rural communities of Abuja, Nigeria. Model fit parameters were estimated by standardized chi-square tests. Internal consistency reliability was determined by marginal reliability and Cronbach’s alpha. In a sub-sample of 40 women who completed the questionnaire two weeks later, test–retest reliability was assessed via intraclass correlations.ResultsThe IRT analysis retained 23 knowledge items on infant food type, breastfeeding and complementary feeding, with acceptable discrimination and difficulty. CFA produced a six-factor solution (exclusive breastfeeding, breast milk expression, meal frequency, responsive feeding, dietary diversity, and barriers) with 17 attitude items. Confirmatory fit and Tucker Lewis indices > 0.9; Root Mean Square Errors of Approximation and Standardized Root Mean Square Residuals < 0.08, showed good model fit. Overall Cronbach’s alpha of the attitude scale (0.843), subscales (≥ 0.6) and high intraclass correlation coefficients (> 0.75) indicated reliability.ConclusionThe Teen Moms Child Feeding Questionnaire for Sub-Saharan Africa is a valid assessment tool for IYCF knowledge and attitudes of teenage mothers.

Identification of maternal attitudes and knowledge about newborn screenings: a Turkey sample.

This study was planned to determine maternal attitudes and knowledge about newborn screening. The universe of the descriptive study consisted of postpartum mothers living in the centers of three provinces in the north and east of Turkey. The sample included mothers who were older than 18years of age, who could read and write Turkish, whose babies were in the 24th and 72nd hour after birth, and who volunteered to take part in the study. The study was completed with 407 mothers. The data were collected with the face-to-face interview method by the researchers using the "Descriptive Information Form" and the "Maternal Attitudes and Knowledge Survey about Newborn Screening." The results showed that 40.3% of the mothers were between the ages of 25 and 30years, 52.8% received information about newborn screening, 61.1% received this information during pregnancy (27.3% in the first trimester and 33.8% in the last trimester), and most of the information was provided by a healthcare professional (77.8%). Mothers with only one child (p = .001) and those with nuclear families (p = .024) were found to have lower maternal attitudes and knowledge about newborn screening. The study showed that the level of knowledge of Turkish mothers about newborn screening is inadequate in general. In particular, the knowledge and attitudes of mothers with nuclear families, those with one child, and those not having regular check-ups during pregnancy are inadequate. Improving mothers' understanding of screening tests will lead to more successful screening program implementation and earlier detection and care of newborns with a disease.

Earlier weaning of preterm newborns from an incubator to a cot at 1400 g: A randomized controlled clinical trial

IntroductionWeaning preterm newborns from an incubator to an open cot can induce a positive maternal attitude and decrease the burden in terms of healthcare costs. Therefore, this study aimed to evaluate the feasibility and safety of weaning cots at a body weight of 1400 g. MethodsA randomized controlled clinical trial was conducted on 61 preterm newborns admitted to the neonatal intensive care unit, of which twenty-nine newborns were recruited in the study group, and thirty-two newborns in the control group in a 1:1 ratio, using a random block of four. The study group was shifted to a cot at a weight of 1400 g, and the control group was shifted at a weight of 1600 g as per routine practice. Outcomes included weight gain, length of stay (LOS), and temperature control. ResultsThere were no significant differences between the two groups concerning corrected gestational age at transfer and recorded body temperature at any time point (p = 0.494, 0.713, and 0.133, respectively). No cases of weaning failure were observed in any of the newborns in the two groups. ConclusionThe present study indicated that preterm infants could be weaned safely from incubators to open cots at a weight as low as 1400 g. Further studies are warranted to confirm our findings in different settings. This project was funded by the Grant Management Department, King Fahad Medical City. Registration numberClinicalTrials.gov Identifier: NCT04351425.

Factors Associated with Exclusive Breastfeeding among Mothers in Rural Chattogram of Bangladesh

Background: Exclusive Breastfeeding (EBF) is recommended for the first six months of age by the World Health Organization (WHO). Mothers' good knowledge and positive attitude play key roles in the process of EBF practices. The study aimed to assess maternal knowledge, attitudes, and other factors associated with EBF practices in a rural area of Chattogram, Bangladesh.&#x0D; Materials and methods: This descriptive cross-sectional study was conducted in two rural private hospital outpatient departments in Lohagara, Chattogram, Bangladesh, during the COVID-19 pandemic from July 2021 to December 2021. Two hundred and forty mothers with children of age 6 to 24 months selected by purposive sampling were interviewed using a questionnaire to elicit information on infant breastfeeding practices and their associated factors. Data were collected throughthe face-to-face interview from hospital's outdoors, following a convenient sampling method. Chi-squared test and binary logistic regression models were used to explore the association.&#x0D; Results: The prevalence of EBFfor the first six months of an infant's life was 64.6%. Good knowledge (p&lt;0.001) and a positive attitude (p&lt;0.001) toward breastfeeding were significantly associated with EBF practices. A binary multivariable logistic regression model demonstrated that for mothers with SSC or higher-level education (AOR=3.21, 95% CI: 1.20-13.14) family monthly income &gt;50000 BDT (AOR=2.11, 95% CI: 1.04-15.23) normal delivery (AOR=1.99, 95% CI: 1.11-8.23) and hospital delivery (AOR=3.34, 95% CI: 1.67-10.11) mothers were more likely to follow EBF practices compared to their counterparts. Moreover, joint family (AOR=0.32, 95% CI: 0.15- 0.68) and younger mother (AOR=0.42, 95% CI: 0.45-0.99) mothers had less likelihood of EBF practices than their counterparts.&#x0D; Conclusion: One in every three children in the study sitedoes not breastfeed exclusively, which needs special attention from the policymakers.Besides good knowledge and a positive attitude, the most important predictors were modifiable factors for EBF; hence should be addressed to improve EBF practices.&#x0D; Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 3-7

Associations between Socio-Demographic Characteristics and Maternal Attitudes towards Childhood Vaccination in Cyprus—A Cross-Sectional Survey

Background: As vaccination acceptance is dynamic, the current COVID-19 pandemic may have changed maternal perceptions towards childhood vaccination and influenced their decision to vaccinate their children. This study aimed to examine the associations between socio-demographic characteristics and maternal attitudes towards childhood vaccination at the beginning of the COVID-19 pandemic in Cyprus. Methods: A web-based cross-sectional study was conducted between April and June 2020 using a self-administered survey. Adult mothers with at least one child under the age of 18 were included in this study. Results: Overall, 703 mothers were included, with the majority of them strongly agreeing or agreeing that all vaccinations included in the National Vaccination Program should be available to children (89.3%), recognizing the usefulness of vaccines (91.4%) and their ability to provide protection (90%), acknowledging that the benefits of vaccination outweigh potential risks (86.6%), and being aware that some vaccines may cause adverse reactions (84.1%). Socio-demographic factors, particularly marital status, single-parent status, and employment status, have a significant impact on maternal attitudes and perceptions regarding childhood vaccination. Conclusions: Public health policies should be designed to overcome structural and healthcare system barriers specifically related to socio-demographic factors, ensuring effective and comprehensive strategies to improve childhood vaccination uptake.

Utilization of Mobile Maternal Health Services among Women of Reproductive Age in Makueni County, Kenya

Purpose: The research sought to evaluate mobile maternal health service use among women within reproductive age in Makueni County, Kenya.&#x0D; Methodology: An analytical cross-sectional study was carried out in Makueni County. Kibwezi East and Kaiti Sub-Counties were purposively selected. Ukia ward from Kaiti sub-county and Nzambani ward from Kibwezi East sub-county were randomly selected using folded pieces of paper. Both qualitative and quantitative data were collected. Questionnaires were the tools used for quantitative data while guides for key informant were used to collect data qualitatively. The study systematically sampled 367 women of reproductive age as primary respondents from households at a sampling interval of 5. Twelve Key Informant Interviewees were purposively selected to provide additional qualitative data which were community health extension workers and healthcare providers. The research instruments were pretested at Kilome Sub County before actual data collection. Analytical correctional statistical analysis was done using the Statistical Package for Social Sciences software version 20.0. Pie-charts, frequency tables and graphs were used to present data. Triangulation of data collected qualitatively with quantitative data was done and presented as direct quotes. Tests of Chi-Square were done at 95% CI and an error of precision of 0.05 to calculate inferential statistics showing variable associations. Ethical considerations were taken into account and informed consent acquired from participants.&#x0D; Findings: The study concludes that 40.6% of respondents utilized mobile maternal health services in Makueni County. The most common service sought was antenatal care. Distance from health facilities was the main reason for using mobile maternal health services. Majority of individual factors such as average family income (p=0.001), parity (p=0.019), type of pregnancy related complication experienced (p=0.027) and awareness (p=0.006) influenced use of mobile maternal health services. About 59.9% of respondents had a positive attitude towards mobile maternal health services and attitude (p=0.010) significantly affected mobile maternal health service use. Further, the study concludes that most health system factors including facility distance (p=0.001), source of information (p=0.012), waiting time (p=0.004), affordability (p=0.013) and experience with healthcare providers (p=0.023) played a key role in influencing utilization mobile maternal health services.&#x0D; Unique Contribution to Theory, Practice and Policy: These results would inform policy makers to craft interventions seeking to advance mobile maternal health services utilization. This would further avoid preventable complications thus improving maternal and health outcomes of children in the country.

The role of maternal emotional attitude in the development of self-consistency in over-fives children

The results of the study of the influence of the characteristics of the emotional side of parent-child interaction on the development of independence in children of senior preschool age are presented in the article. The theoretical foundations of the research problem are described. The autonomy of senior preschool children is considered as an integrative characteristic of the personality, which has emotional-motivational, volitional and cognitive components in its structure. The results of multiple regression and correlation analyses of the relationship between the indicators of emotional parental attitude and autonomy of senior preschool children are given. 99 mothers and 102 children aged 5 years 7 months to 7 years 5 months. 38 boys and 64 girls took part in the study. We used methods such as the questionnaire of child-parent emotional interaction, the projective method of typology of subjective regulation of the child for diagnostics of the level of "autonomy-dependence" in 5- to 7-year-old preschool children; the adapted subtest "Understanding", the initiative manifestation map. It is revealed that the characteristics of emotional parent-child interaction influence the components of children's autonomy differently; they can simultaneously promote the development of one component and hinder the formation of the other one.

Assessing Maternal Attitudes: Development, Validation, and Psychometric Properties of the Mother-Child Reminiscing Scales.

Mother-child participation in conversations about past events in early childhood has an invaluable influence on child development. While previous studies have focused on the investigation of maternal styles of talking about the past, the role of maternal attitudes towards reminiscing has been overlooked. This paper presents two studies on the development and validation of two separate scales that assess maternal attitudes in mother-child conversations: the Maternal Attitudes Towards Mother-Child Reminiscing Scale (MCRS) and MCRS-Context. In Study 1, we have investigated the factor structure of the MCRS (N = 312) and MCRS-Context (N = 278) with a sample of mothers whose children aged between 3 and 7. In Study 2, we aimed to test the factor structure obtained by exploratory factor analysis (EFA) in Study 1 using confirmatory factor analysis (CFA) and we have investigated the psychometric properties of the scales with a different sample of 223 mothers. EFA and CFA results have suggested four theoretically consistent factors of the MCRS (interest, competency, satisfaction and difficulty) and a one-factor structure for the MCRS-Context (general positive attitudes in comparison to other mothers). To test construct validity, the relationships with related independent scales were investigated, indicating generally significant and theoretically expected correlations. The test/re-test, Cronbach alpha and composite reliability scores indicated acceptable internal consistency for both scales. The findings of both studies provided evidence for the validity and reliability of these scales in evaluating maternal attitudes towards mother-child conversations. It is thought that the studies presented here will provide useful insight for future studies for understanding the link between maternal cognitions and reminiscing practices in mother-child conversations and the effect of that link on child development.

Maternal Knowledge and Attitudes Toward Routine Immunization Among Mothers Patronizing Ugbiyokho Primary Healthcare Centre, Edo State

Maternal Knowledge and Attitudes Toward Routine Immunization Among Mothers Patronizing Ugbiyokho Primary Healthcare Centre, Edo State

The Effect of REKIS Innovation in Increasing The Resilience of Mothers Who Have Stunted Children

The community still perceives stunting as a negative stigma. It potentially risks the mental health of both the child and the mother. Mother resilience is crucial to deal with biopsychosocial stressors because of stunting. This research analyzes the effects of the REKIS (Resiliensi Komunitas Ibu Dengan Anak Stunting) innovation on knowledge, attitudes, behavior, and resilience regarding stunting in mothers with stunted children. This research was a quantitative study with a quasi-experimental design. The population was mothers with children diagnosed with stunting in the Gilingan Surakarta Health Center. There were 60 respondents with the total sampling technique, 30 in the control and 30 in the intervention groups. Pre-test and post-test data were collected using knowledge, attitude, behavior, and maternal resilience questionnaires. Data analysis used the Wilcoxon Rank Sum Test to test the difference in mean scores between the control and intervention groups. In addition, the Wilcoxon Signed Rank Test analyzes the difference in mean scores between the pre-and post-test. The results showed that all respondents had similar demographic characteristics (age, occupation, and education). Both groups had significant differences in pre and post-test mean scores on maternal knowledge, attitudes, behavior, and resilience (p&lt;0.05). Significant differences were in the overall pre- and post-test mean scores on maternal knowledge, attitudes, and resilience (p&lt;0.05). However, there was no significant difference in the pre-and post-test on maternal behavior. In conclusion, The REKIS innovation can increase the resilience of mothers with stunted children. It improves maternal knowledge and attitudes regarding stunting.

A Descriptive Study of Maternal Vaccination Uptake, Attitudes, and Beliefs in Pregnancy Among Persons Delivering at an Urban Safety Net Hospital.

To estimate uptake of influenza, tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap), and COVID-19 vaccines during pregnancy and describe vaccine attitudes and beliefs among predominantly racial and ethnic minority individuals delivering at a publicly funded hospital. We collected survey and electronic medical record data for English-speaking postpartum individuals who delivered a live-born infant from July 7, 2022, through August 21, 2022, and agreed to participate in our study. The 58-item survey included questions about general vaccine attitudes and beliefs as well as vaccine-specific questions. We calculated rates of influenza, Tdap, and COVID-19 vaccinations and compared distributions of survey responses by number (no vaccines, one vaccine, or two or three of the recommended vaccines) and type of vaccines received during pregnancy. Of the 231 eligible individuals, 125 (54.1%) agreed to participate. Rates of influenza, Tdap, and COVID-19 vaccination were 18.4%, 48.0%, and 5.6% respectively. A total of 61 (48.8%) did not receive any recommended vaccines during pregnancy, 40 (32.0%) received one vaccine, and 24 (19.0%) received two or three vaccines. Approximately 66.1% of the no vaccine group, 81.6% of the one vaccine group, and 87.5% of the two or three vaccine group strongly agreed or agreed that they trusted the vaccine information provided by their obstetrician or midwife. While most (>69.2%) agreed that the vaccine-preventable diseases were dangerous for pregnant women, only 24.0%, 29.3%, and 40.3% agreed that they were worried about getting influenza, whooping cough, or COVID-19, respectively, while pregnant. Vaccine uptake in our population was low and may be due, in part, to low perceived susceptibility to vaccine-preventable diseases. Obstetricians and midwives were trusted sources of vaccine information, suggesting that enhanced communication strategies could be critical for addressing maternal vaccine hesitancy, particularly in communities of color justifiably affected by medical mistrust.