Employment Of Mothers Research Articles

Stress and Anxiety among College Students and Mother’s Working Status: Is There a Link?

Background: Mother Child relationship is significant in the development of human beings. She is a vital factor in the physical, social, and cognitive growth and independence of a child. This study is aimed to assess the stress and anxiety levels among adolescent students and their relationship with their mother's employment status. Objective: To assess an association between stress and anxiety of adolescents and the working status of mothers. Methods: It was a cross-sectional survey. The data were collected from three private sectors and three government sector intermediate colleges, including male and female students. Analysis was conducted on the software SPSS, version 22. Results: Overall 59% of participants were male and 41% were female students. Females had a higher frequency of stress and anxiety as compared to male students using the Perceived Stress Scale and Hamilton Anxiety Rating Scale (HAM-A) respectively. Around 83% of the students had staying-at-home mothers. There was no statistically significant difference identified between the stress and anxiety levels among the children of working mothers and non-working mothers. Conclusion: Mothers' working status is not associated with stress and anxiety among college students. It is required to conduct further studies to gain more detailed insight into the associations between the mental health of students and their mothers' working statuses. Keywords: Working mothers, adolescents, College Students, Stress, Anxiety.

Acute Suppurative Otitis Media in Children with Risk Factors of Recurrent Upper Respiratory Tract Infection, Non-Exclusive Breastfeeding, and Working Mothers

Background: Many factors influence Children's health, including the mother's employment status and exclusive breastfeeding. Purpose: To present cases of children with ASOM (Acute Suppurative Otitis Media) with risk factors for recurrent Acute Respiratory Tract Infection, not getting exclusive breastfeeding and working mothers. Case: A boy aged one year and four months came with his mother to the family doctor's clinic with complaints of discharge from his right ear. This fluid has been coming out of the right ear since seven days ago and does not smell. Previously the patient had a cold that often recurred. The patient only gets exclusive breastfeeding for two months, and the mother is busy working. On examination, there was a central perforation of the tympanic membrane of the right ear. The patient was treated with antibiotics and decongestants, then turned to an ENT specialist. After a home visit at two weeks of therapy, the tympanic membrane was closed. Conclusion: The importance of controlling risk factors to prevent recurring ASOM.

Association between Community Social Capital and Access to Dental Check-Ups among Elementary School Children in Japan.

The association between parental social capital and a child's access to dental check-ups has been reported, but few studies have focused on dental check-ups. The present study investigated the association between parental social capital and access to dental check-ups among first-grade elementary school children (6-7 years old) in Japan. We analyzed cross-sectional data of first-grade elementary school children (6-7 years old) in Adachi City, Tokyo, Japan. Community social capital (the total score of social trust, cohesion, mutual aid) and child's dental check-ups (dental check-ups for purposes other than treatment at least once a year) were assessed by questionnaire surveys for parents of the first graders from all 69 elementary schools in 2017 (n = 5260; response rate: 81.6%) and 2019 (n = 5130; response rate: 78.8%). Multilevel Poisson regression analysis, adjusted for children's age in months, gender, mother's educational attainment, mother's employment status, having siblings, living with grandparents, and the density of dental clinics in the school district, was applied. Of the 7936 respondents included in the analysis, 82.7% of children received dental check-ups at least once a year. Individual-level social capital was positively associated with children's dental check-up utilization (prevalence ratio, PR = 0.935 per one interquartile range, IQR; 95% confidence interval, CI: 0.877, 0.996). Community-level social capital was not significantly associated with children's dental check-up utilization (PR = 0.934 per one IQR; 95% CI: 0.865, 1.008). Promoting individual-level social capital, but not community-level social capital, may improve dental check-ups among elementary school children in Japan.

Measuring the Entrepreneurial Traits of Graduate Students: A Step towards a Third Generation University

Background: Today, entrepreneurship development, as an important engine of economic growth, requires a high spirit of entrepreneurship. In universities, students are the mainstay of entrepreneurship. In this way, the present study has measured the entrepreneurial traits of graduate students in Shahid Sadoughi University of Medical Sciences in Yazd.
 Methods: This was a cross-sectional study conducted in 2020. Authors selected 235 graduate students based on quota sampling and used Cochran's formula. The research tool was a standardized questionnaire to measure entrepreneurial spirit. Data were entered into SPSS 21 statistical software and analyzed using descriptive and inferential statistical tests. This included independent t-test, ANOVA, and regression.
 Results: The total score of entrepreneurial spirit was evaluated as good with an average of 62.50 %. Among all the dimensions, the achievement seeking dimension got the highest score with an average of 75.50 %, and the independence sought dimension received the lowest score with an average of 50.50 %. There was a significant relationship between the total score of entrepreneurial spirit and marital status (p = 0.046), gender (p = 0.033), father's job (p = 0.020), and mother's job (p = 0.001). The regression model also showed that gender, age, and mother's employment are effective factors regarding the entrepreneurial spirit of students (p < 0.05).
 Conclusion: Planning with a focus on male and older students can strengthen the entrepreneurial spirit in the university. Of course, considering the increase in the number of female students in universities, it is vital to improve their entrepreneurial characteristics and motivate them for self-employment.

A FAKTOR-FAKTOR YANG MEMPENGARUHI LAMANYA PEMBERIAN ASI PADA BADUTA DI DI YOGYAKARTA

Background : The duration of breastfeeding is an illustration of the amount of nutrition and the high immunity of children against various diseases.
 Methods : In this study, quantitative research methods were using data from the March 2020 National Socio-Economic Survey (Susenas) in the Province of the Special Region of Yogyakarta.
 Results : Most of the baduta who became the object of the study were still breastfeeding by 82.75 percent and male by 55.85 percent, while for the mother most of them had high school education and above by 80.76 percent, 51.84 percent did not work, lived in urban areas by 76.95 percent, aged 22 - 37 years by 84.30 percent, and most of the nuclear family households by 56.06 percent and including non-poor households by 85.21 percent. Conclusion : The results showed that the variables that influenced the duration of breastfeeding for children under two were mother's education, mother's employment status, area of residence, mother's age, child's gender, family type, expenditure per capita per month.

Epidemiological Study of Pediculosis among Primary School Children in Sulaimani Governorate, Kurdistan Region of Iraq.

Pediculosis is a common parasitic public health issue. Many socio-demographic and economic factors affect the pattern and prevalence of pediculosis. It is widely spread among pupils, particularly those in elementary schools. This study aimed to determine the prevalence of Pediculus capitis infestation and its related risk factors in primary school children in Sulaimani Governorate, Kurdistan Region of Iraq. This is a cross-sectional study, overall, 2064 primary school children (aged 5-14 years) during the period from October 2019 to February 2020 were randomly examined for the presence of any stage of Pediculosis capitis in both urban and suburban areas. The schools were selected by multistage sampling methods. A questionnaire was sent to the parents to get consent and fill in for every single pupil. The results were computed using the chi-square test and logistic regression analysis. The overall prevalence of head lice infestation was (9.16%). The study found a significant association of Pediculosis capitis infestation with gender, parents' education level, mother's employment, number of siblings, and previous infestation. The older age of children (≥12 years old) and the higher-grade pupils (4th to 6th class) were more infested. Head lice remain a health problem for school children. It needs collaboration of many sectors for decreasing and early detection and treatment in both urban and suburban areas since they have a close rate of infestation.

Maternal factors and risk of early childhood caries: A prospective cohort study.

To evaluate the associations between time-varying factors (mother's oral health, oral hygiene, smoking habits, diet, food insecurity and stress) socioeconomic factors (mother's employment, marital status, household income, insurance status, household size) and medical history on children's risk of developing a carious lesion in the first 3 years of life. Longitudinal data from the Center for Oral Health Research in Appalachia Cohort Two (COHRA2) were analysed. Pregnant women ≥18 years in the USA were recruited during pregnancy; all consenting women delivering at term and their babies had regular dental assessments and complete in-person surveys and telephone interviews regarding sociodemographic factors, medical and dental history, and oral health behaviours. In a logistic regression model adjusting for covariates, children whose mother had two or more prior pregnancies, smoked cigarettes post-partum, or had a recent unfilled carious lesion were at least twice as likely to experience a dental lesion by the three-year visit. The magnitude of these associations varied by maternal education and state of residence. Untreated maternal decay but not maternal oral hygiene or diet were associated with cumulative risk of childhood caries by age three but were modified by maternal education and state of residence. Addressing structural and behavioural issues that reduce use of restorative dental care are needed to prevent the adverse impacts associated with early childhood caries.

Determinants of Stunting in Children Under Five in Rural Areas

Stunting is a major nutritional problem that will have an impact on social and economic life in society. Stunting is prone to occur in toddlers. Stunting toddlers tend to find it difficult to achieve optimal growth and development potential, both physically and psychomotor. This study is a systematic review using online databases, namely Sciencedirect, ProQuest, Scopus, and Google Scholar. The keywords used are stunting, toddlers, rural areas and their impact. The purpose of the systematic review is to analyze the factors that influence the incidence of stunting in children under five in rural areas. The results of the review show that the factors that influence the occurrence of stunting in children under five in rural areas are mother's education, family income, mother's knowledge of nutrition, exclusive breastfeeding, age of giving complementary feeding, levels of zinc and iron adequacy, history of infectious diseases. and genetic factors. However, for the mother's employment status, the number of family members, immunization status, energy adequacy level, and LBW status did not affect the occurrence of stunting. The factor that most influences the occurrence of stunting in children under five in rural areas is the level of zinc adequacy. It is recommended for the community to be active in outreach activities and other health activities carried out in order to improve health status and for mothers should routinely carry out weighing at the nearest posyandu so that the growth and development of children can be monitored and can be handled immediately if problems are found in the child's growth and development.

Effects of maternal employment on child malnutrition in South Asia: An instrumental variable approach

ObjectiveAlthough the association between child malnutrition and maternal employment status has been widely studied in several developing countries, the causal effect of mothers’ employment on their children's health remains largely unknown. The aim of this study was to examine the causal effect of maternal employment on child malnutrition in five South Asian countries. MethodThis study used a data set of >55 200 children ages 0 to 5 y by pooling the most recent Demographic Health Surveys (DHS) from Bangladesh, India, the Maldives, Nepal, and Pakistan. An instrumental variable (IV) method was applied to measure the causal effect of the mother's employment status (working mother) on stunting and underweight among children. ResultsResults showed that of the children in South Asia, 37.9% and 33.6% were stunted and underweight, respectively. The IV estimates suggested that maternal employment significantly increased stunting and underweight in children. For example, the likelihood of stunting and underweight increased by about 9.5% and 6.3% points, respectively, in South Asia when mothers worked. The likelihoods in Bangladesh (39.9 and 26.6%) and Pakistan (28 and 33.4%) were high but were at moderate levels in India (5.3 and 4.2%) and Nepal (8 and 9%). ConclusionsIn the present study, an adverse effect of maternal labor market participation on the nutritional status of under-five children in South Asian countries was found. These findings could be helpful for policymakers in South Asian countries to adopt suitable policies to reduce malnutrition among children, especially for the children of employed mothers.

Faktor-Faktor yang Mempengaruhi Ibu dalam Melaksanakan Imunisasi Dasar Lengkap pada Anak di Puskesmas Miroto Kota Semarang

ABSTRACTBackground: Complete basic immunization coverage in Indonesia in the last five years has not reached the target set in the Ministry of Health's Strategic Plan. Public health center as the operator of immunization operations must be supported by the implementation of a good health management function. The purpose of this study was to analyze the influence of facilitating factors, enabling factors, reinforcing factors and factorsthat influence mothers in carrying out complete basic immunization for children in relation to UCI achievement at Miroto Public Health Center, Central Semarang District, Semarang City.Methods: This study is analitic observational research with cross-sectional study design. The population of this research is mothers who have a minimum age of 1 under five who reside at Miroto Health Center. The research sample was 50 mothers with simple random sampling technique. Processing and data analysis with quantitative methods with univariate and bivariate analysis using the Chi Square test. Results: The results showed that there was an effect of mother's education level, mother's level of knowledge about completeness of basic immunization for infants, mother's employment status, number of children, family support, and effect on completeness of immunization.Meanwhile, family income does not affect the completeness of immunization.Conclusion: The achievement of UCI in the Public health center area of the Miroto Health Center is only 62% so that the follow-up reaches the target set at 95%.Variables that affect mothers in carrying out complete immunization are mother's education level, mother's level of knowledge, mother's employment status, number of children, family support, and what does not affect is family income.

Maternal employment and child weight-related health

Several studies have documented a link between maternal employment and childhood obesity, but the mechanisms are not clear. This study investigated the association of maternal employment with children's weight status and detailed weight-related behaviors using data from Phase I of Family Matters, a cross-sectional, observational study of 150 children aged 5–8 from six racial/ethnic groups (White, Black, Latinx, Native American, Hmong, and Somali) and their families from the Minneapolis/St. Paul, MN metropolitan area recruited in 2015–2016. Weight status (objectively measured), child dietary intake (three 24-h dietary recalls), physical activity (eight days of hip-mounted accelerometer data on children), and sleep (eight daily parent reports on children's sleep hours) were examined across four categories of maternal employment status: stay-at-home caregivers, working part-time, working full-time, and unemployed/unable to work. This study found that children's weight status and physical activity levels were similar across all categories of maternal employment. However, there were significant differences in aspects of children's diets by maternal employment status and, compared to children with stay-at-home mothers, children's sleep was significantly lower if their mother worked full-time. These findings highlight that dietary and sleep interventions tailored to the mother's employment status may be fruitful.

Prevalence and determinants of Internet Addiction among medical students and its association with depression

BackgroundInternet addiction has been a topic of discussion in the academic literature for many years. As of April 2020, about 60 % of the world's population (nearly 4.6 billion people) were active internet user in their early adulthood. The prevalence among adolescent and college students ranged from 0.9 % to 33 %. The current study aimed to explore internet addiction's prevalence and correlates among undergraduate medical students at an Egyptian university. Also, to assess the relationship between internet addiction, depression symptoms, and socioeconomic status. MethodsA cross-sectional study of 321 undergraduate medical students at Assiut University using the Internet Addiction Scale, Patient Health Questionnaire, and Family Affluence Scale. ResultsAbout 9 % of the study participants screened positive for internet addiction. The most important determinants among medical students were sex, mother's employment status, family affluence, depressive symptoms, and unmonitored internet access. LimitationsWe did not investigate another psychiatric disease, daily time of internet usage, most frequent time of usage, type of internet usage, and cost of use. ConclusionsInternet Addiction is an important psychological problem affecting about 9 % of Assiut university medical students during their undergraduate stage, which may interfere with their lives and studies. Students with lower Internet addiction rates were female students whose mothers were employed, lived in a low affluence family, had fewer depressive symptoms, and had unmonitored internet privacy.

Achievement of Height and Weight Based on Family Characteristics as Early Detection of Nutritional Disorders in Toddlers

Achievement of optimal height and weight of toddlers in their growth is very necessary to improve and determine the quality of human resources in the future. Many factors affect this achievement, one of which is external factors, namely family characteristics (mother's age, family income, mother's employment status, mother's education and number of children). This study aims to determine the achievement of children's height and weight based on family characteristics (mother's age, family income, mother's employment status, mother's education and number of children).This type of research is an analytic survey, with a cross sectional observation design. The sampling technique used was Total Sampling. The sample size in this study was 45 respondents. This research was conducted in January-March 2022. Statistical analysis used in this study was the Pearson Chi-square test.Based on the results of statistical tests, the correlation coefficient table shows that the mother's age, p value = 0.242, mother's education level, p = 0.018, number of children, p = 0.552, mother's work status, p = 0.183, and family income, p = 0.022. The conclusion in this study is that there is a relationship between mother's education level and family income with the achievement of toddler height and weight, there is no relationship between maternal age, number of children and mother's work status with achievement of toddler height and weight. It is recommended to mothers who have toddlers to pay more attention and monitor the growth process of their children.

Exclusive Breastfeeding: Barrier analysis amongst Omani mothers.

This study aimed to examine individual barriers and supports to exclusive breastfeeding (EBF) and identify potential policy and programmatic interventions in Oman, where less than a quarter of Omani infants under six months are exclusively breastfed. A cross-sectional barrier analysis (BA) was carried out among a purposive sample of Omani women who were selected and interviewed by trained enumerators in health clinics in various parts of the country. A BA tool, adapted for the Omani context, covered 12 common determinants of behaviour adoption using open-ended questions regarding participants' perceptions about EBF including positive and negative consequences, self-efficacy and social norms. Qualitative analysis involved coding and tabulating as well as thematic analysis. This study included a total of 45 'doers' (who exclusively breastfed their infants) and 52 'non-doers' (who did not). Mothers reported that motivations for EBF include the perception that it leads to healthier children and is easy to do, readily available and therefore convenient, as well as that there is an high level of family support for breastfeeding. Barriers included perceived milk insufficiency and mother's employment. To achieve the EBF target of 50% for 2025, public health action should focus on emphasising the benefits and convenience of EBF and building women's confidence in their ability to produce sufficient milk. These efforts will require increasing the knowledge and skills of community and healthcare workers and establishing monitoring mechanisms. Extended paid maternity leave and supportive workplace policies are necessary to encourage working women to exclusively breastfeed.

HUBUNGAN PENGALAMAN MENYUSUI PADA IBU BERSALIN CAESAR DENGAN PENGETAHUAN PEMBERIAN ASI EKSKLUSIF DI RSUD Dr. H.ABDUL MOELOEK KOTA BANDAR LAMPUNG

WHO stated that the average number of exclusive breastfeeding in the world in 2018 was 38%, which means that it still has not reached the target in the coverage of breastfeeding up to 80%. The coverage of breastfeeding is influenced by several factors. In Northwest Ethiopia, breastfeeding is influenced by the age of the baby, the mother's employment status, breastfeeding counseling during pregnancy visits, place of delivery, type of delivery and counseling on breastfeeding techniques. Cesarean deliveries are increasing worldwide, it exceeds the WHO range limit which exceeds up to 10% -15%. This type of research uses an analytical design with a cross sectional approach. This research was conducted in RSUD Dr. H. Abdul Moeloek Bandar Lampung City. This study was conducted in March 2021. The population used in this study were all mothers with caesarean delivery. Of the total population of 30 people. The sampling technique in this study is non-probability sampling, purposive sampling type. The criteria for sampling must meet several conditions that meet the inclusion and exclusion criteria. The inclusion criteria in this study are to provide respondents, mothers with caesarean deliveries, have a minimum education of elementary school. While the exclusion criteria in this study were mothers with normal delivery and mothers with caesarean deliveries who were not respondents. The tests carried out were univariate analysis and bivariate analysis. The bivariate analysis test used was the Chi-square test with a value of = 0.05. The results of the study obtained a value of = 0.042, which means that there is a relationship between the experience of caesarean delivery mothers and exclusive breastfeeding.

Feeding practices and nutrition in children of working and stay-At-Home mothers: A comparative study

Introduction: Exclusive breastfeeding (EBF) for the first 6 months of life and timely introduction of complementary feeds (CFs) with continuation of breastfeeding up to 2 years or beyond are optimum infant and toddler nutrition practices. Mother's employment status influences the feeding practice which in turn can have a negative impact on the growth and development of the infant. The objectives of the study were to determine and compare breastfeeding and CF practices in working and stay-at-home mothers attending our health facility and its effect on the growth of their children. Methods: This observational comparative study was done on 200 mothers, 100 working mothers and 100 stay-at-home mothers of children aged 1–24 months after obtaining written consent. Data were recorded in a pretested semi-structured questionnaire using interview method. Details were elicited regarding feeding practices and illnesses in the child. Each infant's growth and development were assessed using the World Health Organization growth chart and Trivandrum development chart. Statistical tests used were descriptive statistics for frequencies, means and standard deviation, Chi-square for proportions, and Student's t-test for means. A P < 0.05 was considered statistically significant. Results: EBF for 6 months was given by 37% (37/100) of stay-at-home and 45% (45/100) of working mothers (P = 0.251). Breastfeeding beyond 6 months was given by 94.7% (n = 71/75) of stay-at-home and 93.8% of working mothers (n = 90/96, P = 0.800), and beyond 12 months by 61.1% n = 33/54) and 54.8%, respectively, (n = 40/73, P = 0.477). CF was initiated by 180 days by 44% of stay-at-home (44/100) and 55% of working mothers (55/100, P = 0.120). Underweight, wasting, and stunting were seen in 12%, 10%, and 13% (12/100, 10/100, 13/100), respectively, of stay-at-home and 14%, 15%, and 13% (14/100, 15/100, 13/100), respectively, of working mothers and there was no statistical difference between the two groups. A higher frequency of diarrheal episodes was observed in babies of working mothers (6/100, 6% vs. 18/100, 18%, P = 0.009). Conclusion: There was no statistical difference between stay-at-home and working mothers in time of initiation of first feed, giving colostrum, EBF rate, continued breastfeeding beyond 12 months, and age of initiation of CF. Thus, the nutrition and health status of children in both groups were comparable except acute diarrheal illness which was more in babies of working mothers.

Gender Norms and the Motherhood Employment Gap

Gender Norms and the Motherhood Employment Gap

Women's employment and Children's education: Longitudinal evidence from Nepal

This study examines how maternal employment is related to children's school enrollment in rural Nepal. Using the Chitwan Valley Family Study we combine over 30 years (1974–2008) of yearly data on mother's employment and their children's education. Results reveal heterogeneity by gender, social status, and type of work. Children from historically disadvantaged social groups were more likely to be in school when their mothers started working. This was largely driven by mothers with jobs that allowed them to more easily combine work and family tasks (i.e., those self-employed in the home). In fact, maternal self-employment outside the home was associated with boys dropping out of school. Additionally, we find evidence that some of the observed relationship between maternal wage labor and children's school enrollment is due to household-level selection effects on mother's work.

Mother's Employment Status With Fine Motor Development

According to WHO, 5-25% of pre-school age children suffer from minor brain dysfunction including impaired fine motor development of children. The age of 5 years is a good period for motoric development of children, especially gross motor development, meanwhile, the age of 4-6 years is a golden period for the development of fine motor skills of children. Children aged 4-6 years can understand and grasp what is directed by the mother so That the child can easily interect and build social relationship.This study aims to determine the relationship between maternal employment status and fine motoric development of children aged 4-6 years in Mentari PAUD. The research method used was an analytic survey with a cross sectional study design. The research instruments were questionnaires, developmental pre-screening sheets and the development pre-screening sheet (KPSP).The results of statistical tests using Chi-Square obtained that the value of X2 was calculated as the value of p = 0.028 (p less than 0.05). In conclusion, there is a significant relationship between maternal employment status and fine motoric development of children. The suggestions for families are expected to be able to help parents in stimulating children when the mother or child's parents are working. Abstrak: Menurut WHO, 5-25% anak usia pra sekolah menderita disfungsi otak ringan termasuk gangguan perkembangan motorik halus anak. Usia 5 tahun merupakan masa yang baik untuk perkembangan motorik anak khususnya perkembangan motorik kasar, sedangkan usia 4-6 tahun merupakan masa emas bagi perkembangan motorik halus anak. Anak usia 4-6 tahun dapat memahami dan memahami apa yang diarahkan oleh ibu sehingga anak dapat dengan mudah berinteraksi dan membangun hubungan sosial. Penelitian ini bertujuan untuk mengetahui hubungan status pekerjaan ibu dengan perkembangan motorik halus anak usia 4-6 tahun di PAUD Mentari. Metode penelitian yang digunakan adalah survei analitik dengan desain studi cross sectional. Instrumen penelitian berupa angket, lembar pra-screening perkembangan dan lembar pra-screening pengembangan (KPSP). Hasil uji statistik dengan menggunakan Chi-Square diperoleh nilai X2 yang dihitung dengan nilai p = 0,028 (p kurang dari 0,05). Kesimpulannya, ada hubungan yang signifikan antara status pekerjaan ibu dengan perkembangan motorik halus anak. Saran bagi keluarga diharapkan dapat membantu orang tua dalam merangsang anak ketika ibu atau orang tua anak bekerja.

Cohort study of use of the hands-and knees-position as the first approach to resolving shoulder dystocia and preventing neonatal birth trauma

BackgroundMcRoberts' maneuver, turning the woman's thighs up in the supine position, has become the dominant method for resolving shoulder dystocia (defined as failure to deliver the fetal shoulder(s) with gentle downward traction on the fetal head, requiring additional obstetric maneuvers to effect delivery). Another method that is less commonly used is the Gaskin maneuver, which was first described by the midwife Ina May Gaskin, who learned of it from traditional midwives in Central America, and involves turning women to the hands-and-knees position. One retrospective observational study reported an 84% higher resolution of shoulder dystocia and less injury to the baby with the use of the hands-and-knees position as the first approach to resolving shoulder dystocia. The hands-and-knees position was reported to result in a wider pelvic diameter than the supine position and hence facilitate rotation of the baby and delivery, so it is possibly to resolving shoulder dystocia. The purpose of this study is to explore whether applying the Gaskin maneuver as the first approach for resolving cases of shoulder dystocia is a safer and better method than applying the McRoberts' maneuver first. MethodsA time series cohort study was conducted in Laiwu Maternal and Child Health Hospital in Shandong, China over a seven -year period. Between January 2011 and July 2013 all women receiving traditional support at delivery were enrolled as a control group. During this time period, when shoulder dystocia was suspected, McRoberts’ maneuver (MR) was the most commonly employed first maneuver as described in the HELPERR mnemonics. Between October 2013 and December 2017, a change of practice was implemented for all vaginal births at the site, whereby midwives were instructed to use the Gaskin maneuver (i.e., moving the mother onto hands-and-knees position) as the first protocol if shoulder dystocia was suspected. Patients in this group were assigned to the experimental group. The neonatal outcomes including birth asphyxia and baby injury in both groups were recorded and analyzed. ResultsThe injuries in the control group included 14 clavicular fractures, and one permanent brachial plexus injury, three temporary arm movement disorders that resolved within 7 days and those cases were not calculated as baby injury cases (the same in experimental group). In the experimental group, 58 cases of shoulder dystocia were reported, with one case of clavicular fracture, three temporary arm movement disorders that resolved within 3 days, and no permanent brachial plexus injuries. The rate of baby injury in the control group [14.6% (15/103)] was higher than that in the experimental group [1.7% (1/58)], and this difference was statistically significant [ χ2 ​= ​6.834, P ​= ​0.009; OR ​= ​1.150 (1.055–1.254)]. Multiple logistic regression analysis showed that using the McRoberts' maneuver as the first approach in cases of shoulder dystocia [OR ​= ​19.609 (1.620–273.430)], the mother's employment status [OR ​= ​1.909 (1.118–3.262)], and intravenous dripping of oxytocin [OR ​= ​5.969 (1.391–25.605)] are risk factors for baby injury. There was no difference in neonate Apgar score between the two groups, and no baby died in either group. ConclusionsResolving shoulder dystocia by turning to the Gaskin maneuver as the first approach reduces the incidence of baby injury. This method should be recommended in clinical practice for better neonate outcomes.