Maternal Beliefs Research Articles

What she believes or what she says? The relation between maternal SDO, RWA, mental state talk, and children’s theory of mind

The present study provided a novel examination of how children’s theory of mind (ToM) might be related to two maternal beliefs: (1) social dominance orientation (SDO: the belief that inequalities in society are justified) and (2) right-wing authoritarianism (RWA: a belief in following established authorities). We reasoned that these beliefs could affect maternal talk in that mothers with high SDO and RWA would be less likely to use mental state (MS) talk to explore peoples’ desires and feelings, particularly when talking about individuals of an outgroup (e.g., of a different ethnicity). As a consequence, there might be links between maternal beliefs and children’s ToM. We measured SDO and RWA in mothers, gave children theory-of-mind tasks, and measured the MS talk of 79 New Zealand mothers when asked to describe pictures to their 2- to 5-year-olds. Mothers with high SDO and RWA provided less MS talk when describing individuals of a different ethnicity, and mothers with high SDO and RWA had children with a worse ToM. The present findings provide unique information regarding the role of parent beliefs in children’s ToM.

Maternal Beliefs about Screen Device Use Predict Preschool Children’s Screen Time

Maternal Beliefs about Screen Device Use Predict Preschool Children’s Screen Time

The pathway to maternal protective parenting behavior: Maternal physiology, child temperament, and maternal beliefs.

Protective parenting, when enacted in contexts that do not require it, predicts child anxiety. Both child (e.g., temperament) and maternal (e.g., physiology and cognition) factors relate to parenting behavior, supporting family systems theory. In order to better understand the development of environmental risk for child anxiety, the present study applied the integrated social information and emotion processing theory to protective parenting, assessing concurrent relations among child temperament, maternal physiology, maternal cognitions, and protective parenting in toddlerhood. The present study also investigated whether the theory could be applied to longitudinal relations, testing cognition as a mechanism by which maternal physiology and child temperament predict maternal protective parenting over time. Study participants included 189 mothers (89.9% White, 2.1% Hispanic, 32.3% with annual household income ≤ $40,000) and children (55.6% male, 81.0% White, 3.7% Hispanic). Results indicated that the theory was partially applicable to both concurrent and prospective mother-child relations implicated in child anxiety development. Namely, child inhibited temperament (IT) related concurrently to maternal beliefs about the harm of child anxiety at child age 1 year, and to maternal protective parenting at child ages 2 and 3 years. Maternal baseline respiratory sinus arrythmia related to protective parenting at child age 3 years. Longitudinally, maternal beliefs at child age 1 year predicted maternal perceptions of child IT at child age 2 years. Maternal beliefs at child age 2 years predicted maternal protective parenting at child age 3 years. Although the mechanistic role of cognition was not supported, child emotion processes and maternal cognitions may uniquely contribute to maternal protective parenting. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Supplemental Material for The Pathway to Maternal Protective Parenting Behavior: Maternal Physiology, Child Temperament, and Maternal Beliefs

Supplemental Material for The Pathway to Maternal Protective Parenting Behavior: Maternal Physiology, Child Temperament, and Maternal Beliefs

0838 Sleep Hygiene in Mexican American Toddlers: Bedtime Screen Use and the Role of Maternal Beliefs and Self-efficacy

0838 Sleep Hygiene in Mexican American Toddlers: Bedtime Screen Use and the Role of Maternal Beliefs and Self-efficacy

Breaking the maternity mold: navigating the return to work and challenging rigid maternal beliefs through an online psychological intervention.

Working mothers must often balance work and family responsibilities which can be affected by rigid and irrational beliefs about motherhood. The present study had two aims: (a) to provide psychometric evidence for a shortened Italian version of the Rigid Maternal Beliefs Scale (RMBS) and (b) to facilitate mothers' return to work after maternity leave by reducing perceptions of anxiety and stress related to rigid maternal beliefs (i.e., perceptions and societal expectations of mothers, maternal confidence, maternal dichotomy) and by teaching specific recovery strategies (e.g., relaxation, mastery experiences) to manage anxiety and stress through an online psychological intervention. Results replicated the three-factor structure of the original RMBS and showed good psychometric properties. The online psychological intervention resulted in decrease in the rigidity of maternal beliefs, perceived anxiety and stress, and increase in recovery strategies. These initial results are promising and encourage further investigation into online psychological interventions for improving the well-being of working mothers.

Antenatal Care Practices: A Population-Based Multicenter Study from Saudi Arabia.

Antenatal care (ANC) is the care women receive during pregnancy before birth and represents a cornerstone of maternal and child health. Previously, Saudi women faced various barriers to practicing ANC, including challenges related to transportation, low maternal education, poor communication with healthcare centers, and incorrect maternal beliefs. In line with Saudi Vision 2030, this multicenter cross-sectional study aimed to investigate the timing of ANC contact, coverage of service utilization in public hospitals among Saudi mothers, sociodemographic factors and antenatal health care utilization, and beliefs about prenatal vitamins, and supplement use among pregnant Saudi women. Data was collected from 1230 pregnant women across 11 Ministry of Health (MOH) facilities. The study assessed the timing of ANC initiation, beliefs about prenatal vitamins, and the use of folic acid, calcium, and iron during pregnancy. Chi-square tests were employed to analyze associations between variables. The findings revealed that 14.55% of participants initiated ANC within the first 8 weeks of pregnancy, with 85.44% starting later. However, the majority 88.78% received prenatal care during pregnancy, regardless of the timing of ANC initiation. Beliefs about prenatal vitamins varied, with 20.08% agreeing that prenatal vitamins were only indicated for malnourished mothers, 72.35% disagreeing, and 7.56% uncertain. Moreover, 51.30% believed ANC should begin before pregnancy, 29.83% after pregnancy confirmation, and 13.57% during the first trimester, with no significant correlation between beliefs and ANC timing. Regarding prenatal care, 95.20% would recommend starting prenatal care with every pregnancy, regardless of the timing of their own ANC initiation. This study offers a comprehensive analysis of factors impacting late ANC contact and inadequate ANC contacts among pregnant Saudi women. These findings contribute to the broader understanding of ANC practices among Saudi women and underscore the importance of considering various determinants for tailored interventions and health education programs.

Association of Belief and Experience of Insufficient Breast Milk Supply with Mothers’ Knowledge Regarding Breast Feeding

Background and objectives: Belief and experience of insufficient milk supply (IBMS) are important and modifiable factors for optimal breastfeeding. However, very few people know about maternal belief, experience about breast milk supply, and how it impacts breastfeeding practice. The aim of the study is to identify the prevalence and association between mothers’ belief and experience of insufficient breast milk supply with mother’s knowledge regarding breast feeding. Methods: This descriptive cross-sectional study was conducted on (1,000) participants who took six months postpartum in the primary health care centers (PHCC) and Raparin Teaching Hospital for children (RTHC) in Erbil city /Iraq. Data were collected via direct interview. The question used in the interview were developed after a review of the relevant literature. Frequency, percentage, and Chi-square were used for the purpose of data analysis. Results: In general, the study showed the prevalence of mothers' belief regarding insufficient breast milk supply was 59.8%. Also, the prevalence of a mother’s experience was 78.6%. Mothers who had a poor level of knowledge regarding breastfeeding got the highest percentage, 62.2%. However, it showed the highly significant association between mothers’ knowledge and mode of the last delivery with mothers’ belief of insufficient breast milk supply. Moreover, there was a highly significant association between mother’s experience with socio economic status. Conclusion: The majority of the mothers had belief and experience of insufficient breast milk supply (IBMS). The current study showed a significant association between mothers’ belief with mother’s knowledge regarding the benefits of breastfeeding.

Maternal beliefs about the benefits and costs of child and adolescent friendship.

The goals of this study were to examine maternal beliefs about the primary benefits and costs of their children's time spent with friends, and to explore child age and gender differences in these beliefs. Participants were N = 512 mothers (Mchildage = 10.18 years; 11% ethnic minority). Open-ended responses to questions about the benefits and costs were coded and analysed, with results indicating that mothers consider opportunities for social skills and social-cognitive development a primary benefit of spending time with friends. Negative friend influence was the most commonly cited cost of friendship. Child age was associated with a number of maternal beliefs (e.g., mothers of adolescents were more likely than mothers of young children to report intimacy as a benefit), but child gender was not. Findings highlight the importance of considering child age in studies of maternal beliefs about friendship and set the stage for future research in this area.

Maternal Beliefs about the Costs and Benefits of Solitude in Childhood and Adolescence

Maternal Beliefs about the Costs and Benefits of Solitude in Childhood and Adolescence

Maternal beliefs and cognitions about naps in infants and toddlers.

Infant and toddler sleep affects family functioning and maternal mental health and well-being. However, little is known about parental perceptions regarding child daytime sleep. The current study aimed to determine maternal beliefs and cognitions of child naps, assessing how naps impact perceived child and maternal functioning. Mothers of 465 infants and toddlers (4-36mos; M = 18.5mos) in the United States completed an online questionnaire addressing those aims, including maternal perception of naps after napping cessation. Most mothers agreed that naps were important (98%). Over two-thirds wanted to change something about their child's naps and one-quarter reported that naps were problematic. About half wished their child fell asleep faster/easier for naps, and one-third wished they napped longer. Few reported that child naps were more trouble than they were worth (4%). Most mothers believed that when their child naps well their child is in a better mood (97%), more easy-going (96%), has fewer tantrums (89%), and listens better (84%, toddlers). Finally, most mothers believed that their child's naps were important for their own day (94%), improved their own mood (87%) made them feel calmer (90%), and enabled them to nap (51%), do more in the house (92%), complete work (87%), spend time with others (78%), and spend time doing things for themselves (80%). Conclusion: Considering most mothers believed their child's naps were important for their child and themselves, yet many wanted to change something about those naps and/or thought naps were problematic, intervention development is warranted focusing on daytime sleep issues to improve both child and family functioning. What is Known: • Although maternal perceptions of overnight sleep in young children has been well studied, little is known about beliefs and cognitions regarding daytime sleep. What is New: • Mothers of infants and toddlers believe naps are beneficial for their child and are important for child mood, behavior, and sleep. • Mothers find child naps valuablefor themselves, allowing time for other activities.

Maternal beliefs about infant-directed speech misalign with interactions with their infants

IntroductionInfant-directed speech (IDS) refers to how people in many societies talk with young children. Compared to speech directed to an adult (ADS), IDS includes a slower rate, fewer words per utterance, higher-than-average pitch, and elongated vowels. Although many benefits are associated with using IDS, there is little information on what parents think about IDS. The current study asked: (1) How do mothers conceptualize IDS; (2) Is there an alignment between mothers' IDS beliefs and their speech register when teaching a new word to their child; and (3) How do mothers' IDS beliefs associate with children's expressive language and performance on a word learning task?MethodsFifty-three mothers and their 15- to 21-month-old monolingual English-reared infants (Mage = 17.92, SD = 1.99, 23 males) participated. Mothers were asked to teach their child a novel word and to complete the Parent Language Belief Questionnaire (PLBQ). Mothers' IDS was recorded as they taught their child a novel word and was compared to their ADS from interacting with the experimenter.ResultsFindings revealed that mothers had mixed beliefs about their use of IDS. Yet, most mothers used IDS as they taught their child a novel word. Lastly, mothers' IDS beliefs did not predict children's language skills or word learning at test.DiscussionThe current study is the first to explore whether mothers' beliefs about their use of infant-directed speech align with their actual use of IDS. As the positive benefits between IDS and children's language development have been documented, identifying the barriers surrounding why parents may not use IDS with their children is essential.

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.

An antenatal intervention pilot service development project in a community perinatal team

Objective The Adjustment to motherhood group was designed for women under the Hertfordshire Community perinatal team (CPT) in late 2021, as an antenatal intervention to ease the transition to motherhood, to strengthen the mother-infant relationship, and to keep baby safe despite challenges. Our hypothesis was that the group would support women who did not feel mentally or emotionally prepared for the baby’s arrival. The group consisted of four weekly hour-long virtual antenatal sessions. One session was delivered each by occupational therapist, nursery nurse, clinical psychologist and parent-infant psychotherapist, with a mix of didactic and psychoeducation. The 4 sessions enable the therapists to prepare the women for common situations they may encounter once their baby arrived, and encouraged the participants to be open to contacting the perinatal team if they recognised they were struggling. They were followed by a postnatal reunion session, approximately a month later. Psychology resources and a booklet on Adjusting to motherhood were circulated. Methods Mixed methods design. Referrals were sought from all clinicians in the community perinatal team who also obtained verbal consent. The referred women were grouped according to their gestations and estimated due date. Ethical approval was not sought as this was a service evaluation. Sample: 10 women in the pilot, 24 women in two subsequent groups, mostly first-time mums. Data collection: Quantitative: A questionnaire was circulated antenatally and postnatally, based on the Rigidity of maternal beliefs scale (RMBS) and the Pre- and Post-natal Bonding Scale (PPBS). Qualitative data was collected during feedback session in reunion groups. Results More than half of the referred women attended most sessions; there was a low response rate in the postnatal questionnaire however there was improvement in relationship with baby among those who answered. Conclusion This is an acceptable low-cost antenatal intervention that can benefit first time mums and improve the relationship with their baby. Similar groups can be created in other regions. It can be improved by co-designing future iterations, by distributing the validated questionnaires to a bigger number of mothers and to include a session addressed at fathers.

Do Maternal Beliefs, Knowledge and Practices for Own and Young Child Oral Care Reflect on Actual Child Oral Health?

The aim of the present study was to evaluate whether mother's oral health habits and knowledge for child oral care actually reflect on her young child's oral health and hence sought for direct evidence for this association. One hundred mothers accompanied their children, aged 2-5 years to a University Pediatric Dentistry Clinic and completed a three-arm questionnaire. Child dental caries (decayed, missing, filled surfaces-dmfs) and gingival bleeding index (GBI) were recorded. Correlations were sought by the analysis of variance (ANOVA). A negative correlation was observed between maternal education and family income with child dmfs (p < 0.01). Additionally, other maternal factors such as age and correct knowledge of the appropriate age for a child's first dental visit, the initiation of toothbrushing, and fluoride exposure were positively associated with lower dmfs and GBI. Additionally, some maternal practices also contributed to these results. Maternal practices and knowledge are predictors of child oral health. Mothers-to-be, especially those with low socioeconomic characteristics, should be involved in dental education and motivation interventions in order to practice proper oral hygiene for their children.

Qualitative assessment of infant sleep practices and other risk factors of sudden infant death syndrome (SIDS) among mothers in Lusaka, Zambia

BackgroundThere is very little information on the beliefs and perceptions of mothers about SIDS and its related risk factors in Africa. To better understand parental decisions about infant sleep practices and other risk factors for SIDS, we conducted focus group discussions (FGDs) with mothers of infants in Lusaka, Zambia.MethodsFGDs involved 35 purposively sampled mothers aged 18–49 years. FGDs were conducted using a semi-structured interview guide in the local language, Nyanja. These were translated, transcribed verbatim into English, and then coded and analyzed using thematic analysis in NVivo 12.ResultsSix FGDs were conducted with 35 mothers in April-May 2021 across two study sites. FGD Participants were generally aware of sudden unexplained infant deaths, with several describing stories of apparent SIDS in the community. The side sleeping position was preferred and perceived to be safer for the infant with most believing the supine position posed an aspiration or choking risk to the infant. Bedsharing was also preferred and perceived to be convenient for breastfeeding and monitoring of the infant. Experienced family members such as grandmothers and mothers-in-law, and health care workers were frequently cited as sources of information on infant sleep position. A heightened awareness of the infant’s sleeping environment was suggested as a mechanism to prevent SIDS and smothering.ConclusionsDecisions about bedsharing and infant sleep position were guided by maternal beliefs and perceptions about what is convenient for breastfeeding and safer for the infant. These concerns are vital to designing tailored interventions to address sleep-related sudden infant losses in Zambia. Public health campaigns with tailored messages that address these concerns are likely to be effective at ensuring optimal uptake of safe sleep recommendations.

0754 Sleep Ecology in Low-Income Mexican American Toddlers

Abstract Introduction Healthy sleep is critical for child development, yet disparities exist, with Latino children disproportionately affected by deficient sleep. Most of what is known about sleep ecology and interventions to improve sleep in young children is based on studies of primarily White, non-Latino, and economically-advantaged families. To ensure the effectiveness of interventions, it is important to understand the contribution of socioecological factors on sleep among toddlers in low-income Mexican American families. Methods This study employed in-depth interviews with a purposeful sample of low-income Mexican American Spanish-speaking (n=10) and English-speaking mothers (n=10) of toddlers (18-34 months old). Interviews focused on daily sleep routines, perceptions of toddler sleep behaviors, and environmental contributors. Transcripts were coded by two investigators and analyzed using a content analytic approach. Results For sleep-related parenting practices, 70% of mothers reported late child bedtimes (≥9:00 pm), 75% reported room/bed sharing, and almost a third of children fell asleep at bedtime with a bottle or cup. Maternal beliefs about child sleep included concerns that child crying during the night might disturb neighbors or wake siblings, and child sleep quality improved when the child is not hungry. Contextual factors impacting sleep included schedules, neighbors, and siblings. Specifically, later weekday bedtimes were attributed to maternal (but not paternal) work schedules, while wake times were often a result of a sibling’s school schedule. Weekend bedtimes were commonly reported to be delayed for toddlers due to families watching movies. Noisy neighbors, in particular upstairs neighbors, were identified as disrupting children’s sleep. Siblings were identified as both facilitating sleep (e.g., helping with routines) and disrupting sleep (e.g., distracting child at nap time). Conclusion Findings provide insights on socioecological factors and parental beliefs about sleep ecology in low-income Mexican American toddlers that have implications for the design of interventions to improve child sleep. For example, commonly used behavioral sleep interventions have children sleeping in their own room, or require some crying during the night. However, these approaches may not be a good fit or feasible for this population. To address sleep health disparities, further work is needed to understand socioecological factors that require inclusive adaptations to pediatric sleep interventions. Support (if any) R01HL163859

Parental food selection questionnaire - Infant version

PurposeComplementary feeding practices (CFPs) are associated with health outcomes (e.g., obesity and food allergies). Understanding how parents select foods for their infant is limited. This study's purpose was to develop a psychometrically sound measure of parents' food selection motives for their infant during the complementary feeding period. MethodsDevelopment and testing of the Parental Food Slection Questionnaire-Infant Version (PFSQ-I) occurred in three phases. English-speaking, U.S. mothers of healthy infants, aged 6–19 months old participated in a semi-structured, face-to-face interview (Phase 1) or a web-based survey (Phases 2 & 3). Phase 1 was a qualitative study of maternal beliefs and motives surrounding complementary feeding. Phase 2 involved adaptation and exploratory factor analysis of the original Food Choice Questionnaire (Steptoe et al., 1995). Phase 3 involved validity testing of the relationships among PFSQ-I factors and CFPs (timing/type of complementary food introduction, frequency of feeding method, usual texture intake, and allergenic food introduction) using bivariate analyses, and multiple linear and logistic regression analyses. ResultsMean maternal age was 30.4 years and infant age was 14.1 months (n = 381). The final structure of the PFSQ-I included 30 items and 7 factors: Behavioral Influence, Health Promotion, Ingredients, Affordability, Sensory Appeal, Convenience, and Perceived Threats (Cronbach's α = 0.68–0.83). Associations of factors with CFPs supported construct validity. DiscussionThe PFSQ-I demonstrated strong initial psychometric properties in a sample of mothers from the U.S. Mothers who rated Behavioral Influence as more important were more likely to report suboptimal CFPs (e.g., earlier than recommended complementary food introduction, delayed allergenic food introduction, and prolonged use of spoon-feeding). Additional psychometric testing in a larger, more heterogenous sample is needed, along with examination of relationships between PFSQ-I factors and health outcomes.

Exploring Human Milk, Nutrition, Growth, and Breastfeeding Rates at Discharge(HUMMINGBIRD Study): a protocol for a pilot randomised controlled trial

IntroductionMother’s own breast milk (MOM) is the optimal nutrition for preterm infants as it reduces the incidence of key neonatal morbidities and improves long-term outcomes. However, MOM shortfall is common...

Exploratory study on factors influencing the introduction of complementary feeding amongst caregivers of children between 6 and 24 months of age in Polokwane, Limpopo province.

Complementary feeding should be introduced at six months to meet infants' growing nutritional needs. Inappropriate complementary feeding poses threats to the health, development and survival of infants. The Convention on the Rights of the Child states that every child has the right to good nutrition. Caregivers should ensure that infants are fed properly. Factors such as knowledge, affordability and availability impact complementary feeding. Hence, this study explores factors influencing complementary feeding amongst caregivers of children between the age of six and 24 months in Polokwane, Limpopo province, South Africa. A qualitative phenomenological exploratory study design was used to collect data from 25 caregivers, using purposive sampling; the sampling size was dependent on data saturation. Data were collected through one-on-one interviews using voice recorders and field notes for non-verbal cues. Data were analysed using the eight steps of Tesch's inductive, descriptive and open coding technique. Participants had knowledge about when and what to introduce during complementary feeding. Participants alluded that availability and affordability, maternal beliefs about infant hunger cues, social media, attitudes, returning to work because of the end of maternity leave and painful breasts affect complementary feeding. Caregivers introduce early complementary feeding because of returning to work at the end of maternity leave and painful breasts. Additionally, factors such as knowledge about complementary feeding, availability and affordability, mother's beliefs about child hunger cues, social media and attitudes influence complementary feeding.Contribution:There is a need to establish credible social media platforms to disseminate appropriate complementary feeding messages. The established credible social media platforms must be promoted, and caregivers must be referred from time to time.