Mothers Of Children Research Articles

Maternal dispositional mindfulness and mother-child relationship: The mediating role of emotional control during parenting.

The literature supports the role of parental dispositional mindfulness on parent-child relationship quality. However, little is known about the connection between these two aspects. The aim of this study was to investigate whether emotion regulation during parenting, that is, the ability to control negative emotions, mediated the association between parental dispositional mindfulness and parent-child relationship quality. The study also explored the moderation role of child age on the association between parental dispositional mindfulness and parent's ability to control negative emotions during parenting. Participants were 635 mothers of children aged between 12 months and 5 years. Mothers completed self-report questionnaires to measure maternal dispositional mindfulness, mother-child relationship quality and maternal control of negative emotions during parenting. Results showed that maternal ability to control negative emotions during parenting partially mediated the association between maternal dispositional mindfulness and mother-child relationship quality. Moreover, the moderation role of child age indicated that the association between maternal dispositional mindfulness and maternal ability to control negative emotions during parenting was stronger for older children's mothers. Dispositional mindfulness has a protective role for the quality of parenting and the mother-child relationship. Theoretical and practical implications are discussed.

Parental education and occupation in relation to childhood type 1 diabetes: nationwide cohort study

BackgroundSocioeconomic status in the risk of developing type 1 diabetes seems inconsistent. We investigated whether risk of childhood-onset type 1 diabetes differed by parental education or occupation in a nationwide...

The effect of malnutrition on students' academic performance: Roy’s model application

Purpose This study aims to enhance understanding of malnutrition's effect on academic achievement of primary school students. Design/methodology/approach This is a descriptive, cross-sectional design built on Roy's adaptation model (RAM). This study uses a random cluster sample, consisting of 453 primary school students. Contextual stimuli (mother's educational level, income and child’s breakfast eating) and focal stimuli (wasting, thinness, body mass index and stunting) were examined regarding adaptive responses to student’s academic achievement. Findings The investigation revealed that Model 1, which took into account factors of age, gender, the frequency of breakfast, income, the number of family members and the education of mothers, explained 12% (R2 = 0.12) of the variance in academic achievement. Stuntedness (β = −3.2 and p < 0.01), BMI (β = 0.94 and p < 0.001), family income per month (β = 5.60 and p < 0.001) and mother's education (β = 2.79 and p < 0.001) were the significant predictors in Model 2. Practical implications This study provides evidence that malnutrition is associated with ineffective academic achievement. Moreover, variables such as the mother's level of education, family income and the child’s breakfast consumption have a significant impact on academic achievements. Originality/value RAM is a useful framework for determining factors affecting people's reactions to difficult circumstances.

Association between prenatal vitamin D deficiency with dental caries in infants and children: a systematic review and meta-analysis

Prenatal vitamin D (PVD) is a vital micronutrient for dental caries (DCs). The association between prenatal vitamin D deficiencies (PVDD) and DCs in children has been conflicting in different reports. This meta-analysis aimed to investigate the association between PVDD and DCs in children for the first time. We searched PubMed, Scopus, Web of Sciences, Embase, and Scholar databases to find relevant studies based on mesh terms from 2000 to October 2023. This study was conducted based on the 2020 version of the PRISMA checklist. Cochran’s Q and I2 tests were used to evaluate heterogeneity between studies. Egger’s test was used to evaluate publication bias. The effect size of the association between PVDD and DCs was reported by the odds ratio (OR) at the 95% confidence interval (95% CI).Twelve studies, including 11,021 participants, were reviewed. The pooled prevalence of PVDD was estimated at 4353 (32%). The prevalence of DCs in children of mothers with and without PVDD was 44% and 25%, respectively. PVDD was significantly associated with an increased risk of DCs in children (OR: 1.35, 95% CI (1.22, 1.47), I2 = 86.6%). The association of DCs with PVDD was different based on gestational age groups, children’s age groups, and vitamin D levels. This meta-analysis showed PVDD can be associated with an increased risk of DCs in children, especially in mothers with prenatal vitamin D levels ≤ 35 nmol/L. Adequate vitamin D levels throughout pregnancy can help prevent DCs in children.

Maternal diabetes and risk of attention-deficit/hyperactivity disorder in offspring in a multinational cohort of 3.6 million mother–child pairs

Previous studies report an association between maternal diabetes mellitus (MDM) and attention-deficit/hyperactivity disorder (ADHD), often overlooking unmeasured confounders such as shared genetics and environmental factors. We therefore conducted a multinational cohort study with linked mother–child pairs data in Hong Kong, New Zealand, Taiwan, Finland, Iceland, Norway and Sweden to evaluate associations between different MDM (any MDM, gestational diabetes mellitus (GDM) and pregestational diabetes mellitus (PGDM)) and ADHD using Cox proportional hazards regression. We included over 3.6 million mother–child pairs between 2001 and 2014 with follow-up until 2020. Children who were born to mothers with any type of diabetes during pregnancy had a higher risk of ADHD than unexposed children (pooled hazard ratio (HR) = 1.16, 95% confidence interval (CI) = 1.08-1.24). Higher risks of ADHD were also observed for both GDM (pooled HR = 1.10, 95% CI = 1.04-1.17) and PGDM (pooled HR = 1.39, 95% CI = 1.25-1.55). However, siblings with discordant exposure to GDM in pregnancy had similar risks of ADHD (pooled HR = 1.05, 95% CI = 0.94-1.17), suggesting potential confounding by unmeasured, shared familial factors. Our findings indicate that there is a small-to-moderate association between MDM and ADHD, whereas the association between GDM and ADHD is unlikely to be causal. This finding contrast with previous studies, which reported substantially higher risk estimates, and underscores the need to reevaluate the precise roles of hyperglycemia and genetic factors in the relationship between MDM and ADHD.

A Study to Assess the Knowledge Regarding Selected Behavioural Problems among Under Five Children Mothers in Selected Urban Areas of Amritsar, Punjab with a View to Develop an Informational Booklet

The Present study was focus on the assessment of the knowledge regarding selected behavioural problems among the under five children mothers. A descriptive non experimental study was carried out in selected urban area of Amritsar, Punjab. A total 100 mothers of 20-40 year age group of under five children were selected by adopting the non-probability purposive sampling techniques. Structured knowledge Questionnaire was framed to assess the behavioural problems. The finding of the study revealed that that 63.33% of parents had low knowledge followed by average knowledge (20.43%), high knowledge (19.24%). The study concluded that counselling is needed for the parent and an informational booklet was developing based on learning need of mothers.

Social adjustment among children of underage mothers and their ordinary peers

Social adjustment among children of underage mothers and their ordinary peers

Unveiling the tapestry of mother–child interactions through text mining and sentiment analysis

The interaction between a mother and child stands as one of the most profound and intricate human connections, weaving a rich tapestry of behavioral and emotional bonds during the formative years. Although mother–child interactions have received substantial attention in the developmental science literature, few studies have tapped into the extensive corpus of speech data available to uncover the nuances of these interactions across developmental stages. This study applied text mining and sentiment analysis on narratives extracted from mother–child conversations to identify the developmental trend of mother–child interactions from early to middle childhood. The results, based on three key areas of dyadic interactions, demonstrated a shift toward more balanced turn-taking dynamics and linguistic congruence as children age. Also, there was a significant interdependence of mother and child expressed emotions across time. Further investigation of the dyadic emotionality revealed a nonlinear effect of mother-expressed emotion on child-expressed emotion: mother-expressed negative emotions followed a cubic-like pattern, while positive emotions followed a mild quadratic trend. Taken together, the findings of this study present a picture of progressive augmentation of mother–child synchrony over time.

Intimate Partner Violence among Mothers of Children with Sickle Cell Disease: A Retrospective Cohort Analysis of 2018 Nigeria DHS Data

Background: The 2018 Nigeria Demographic and Health Survey (NDHS) collected data on the experience of intimate partner violence (IPV) among women aged 15-49 years and the genotype of their children aged 6-59 months. We performed a retrospective cohort analysis to ascertain if having a child with sickle cell disease (SCD) predisposes women to IPV.
 Methods: Eighty-five mothers of children living with SCD were compared with 320 mothers of children living without SCD after matching for age, number of living children, religion, place of residence and wealth index. The prevalence rates of IPV and the relative risks (RRs) of experiencing controlling behaviour, emotional, physical, sexual and any form of IPV in the 12 months preceding the survey were calculated.
 Results: Compared to mothers of children without SCD, mothers of children living with SCD were not at greater risk of experiencing controlling behaviour (RR=0.90, 95% CI: 0.54–1.49), emotional violence (RR=1.09; 95% CI=0.78–1.53), physical violence (RR=0.75, 95% CI: 0.38–1.48), sexual violence (RR=0.89, 95% CI: 0.31– 2.56) or any form of IPV (RR=0.98, 95% CI: 0.71–1.37).
 Conclusion: The study did not find sufficient evidence for increased risk of IPV among mothers of children living with SCD, despite the additional health, psychosocial and financial burdens associated with raising a child with the disease. Further research is needed to address the limitations of this study and to carefully investigate the relationship between having a child with SCD and the experience of IPV among women.

The moderating role of gender and acculturative status in the socialization of cultural values in U.S. Mexican families.

Familismo and respeto are traditional Latine values often taught to U.S. Latine children by their caregivers. Deference to authority figures and restraint from defiance to such figures are also taught. Despite the central role of these as markers of Latine ethnic identity and their relevance to children's health and well-being, little is known on how these traditional cultural values are socialized and whether differences exist in these values between English-speaking and Spanish-speaking U.S. Latine mothers and between boys and girls. We examined expressions of familismo, respeto, deference, and defiance in conversations of low-income, U.S. Mexican mothers and their children as a function of mothers' acculturative status and children's gender. One hundred thirty-eight video-recorded U.S. Mexican mother-child conversations (65 girls; age: M = 10.5 years, SD = 0.53) were transcribed and coded to obtain indices of respeto, familismo, deference, and defiance. There were 70 Spanish-speaking mothers and 68 English-speaking mothers (age: M = 34.9 years, SD = 5.8) from the Early Head Start Research and Evaluation project. Spanish-speaking children were more deferent than English-speaking children. English-speaking children were more defiant. There were no group differences, however, in familism and respect. The findings advance a more nuanced conceptual framework of cultural values socialization that is sensitive to acculturative status in U.S. Latine populations and can inform the development of effective intervention efforts (e.g., parenting education programs) aimed at supporting enculturative practices that can enhance U.S. Latine children's health and well-being. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Risk of birth defects in children of mothers with defects

BackgroundThere is evidence that women with congenital anomalies are at risk of having an infant with the same defect. However, the risk of having an infant with a different type of defect is less well described. AimsWe evaluated the extent to which offspring of women with congenital anomalies were at risk of having a birth defect, including defects that were similar to or different from their mother's. MethodsWe analyzed a retrospective cohort of 1,311,532 infants born in Canada between 2006 and 2022. The exposure was a maternal congenital anomaly, and the outcome included birth defects in the newborn. We estimated risk ratios (RR) and confidence intervals (CI) for the association of specific maternal anomalies with the risk of having an infant with a similar or different defect using log-binomial regression models adjusted for patient characteristics. ResultsWhile mothers with anomalies were at risk of having an infant with the same defect, associations with other types of defects were not as strong. For example, compared with no maternal anomaly, maternal urogenital defects were associated with up to 45 times the risk of having an infant with a similar urogenital defect (RR 45.33, 95 % CI 31.92–64.36), but <2 times the risk of having an infant with orofacial clefts (RR 1.89, 95 % CI 1.07–3.34) and clubfoot (RR 1.36, 95 % CI 1.02–1.81). ConclusionThe findings suggest that maternal congenital anomalies are only weakly associated with occurrence of a different type of defect in offspring.

Maternal antenatal mental health and its associations with perinatal outcomes and the use of healthcare services in children from the NINFEA birth cohort study.

To investigate the associations between maternal mental health disorders before and during pregnancy and perinatal outcomes and child healthcare utilization between 6 and 18months of age. Among the 6814 mother-child pairs from the Italian Internet-based NINFEA birth cohort, maternal depression, anxiety, and sleep disorders diagnosed by a physician before and during pregnancy were assessed through self-reported questionnaires completed during pregnancy and 6months after delivery. Perinatal outcomes (preterm birth, birth weight, small for gestational age, congenital anomalies, and neonatal intensive care unit (NICU)) and children's healthcare utilization (emergency department (ED) visits, hospitalizations, and outpatient visits) were reported by mothers at 6 and 18months postpartum. We used regression models adjusted for maternal age, education, parity, country of birth, region of delivery, and household income. Maternal mental health disorders were not associated with perinatal outcomes, except for depression, which increased the risk of offspring admission to NICU, and anxiety disorders during pregnancy, which were associated with preterm birth and lower birth weight. Children born to mothers with depression/anxiety disorders before pregnancy, compared to children of mothers without these disorders, had an increased odds of a visit to ED for any reason (odds ratio (ORadj) = 1.26, 95% confidence interval (CI): 1.02-1.54), of an ED visit resulting in hospitalization (ORadj = 1.75, 95%CI: 1.27-2.42), and of planned hospital admissions (ORadj = 1.55, 95%CI: 1.01-2.40). These associations with healthcare utilization were similar for mental disorders also during pregnancy. The association pattern of maternal sleep disorders with perinatal outcomes and child healthcare utilization resembled that of maternal depression and/or anxiety disorders with these outcomes. Conclusion: Antenatal maternal mental health is a potential risk factor for child-health outcomes and healthcare use. Early maternal mental health interventions may help to promote child health and reduce healthcare costs. What is Known: • Poor maternal mental health affects pregnancy outcomes and child health, and children of mothers with mental health conditions tend to have increased healtcare utilization. • Parents with poor mental health often face challenges in caring for their children and have less parenting self-efficacy, which could potentially lead to frequent medical consultations for minor health issues. What is New: • Maternal pre-pregnancy mental disorders were not associated with preterm birth, low birth weight, SGA, and congenital anomalies, except for depression, which increased the risk of offspring admission to NICU. Anxiety disorders during pregnancywere associated with lower birth weight and an increased odds of preterm birth. • Maternal depression and/or anxiety and sleep disorders, both before and during pregnancy, were associated with an increase in children's healthcare utilization between 6 and 18months of life.

Prevalence and predictors of minimum acceptable diet (MAD) feeding among tribal children aged 6–23 months in India

ABSTRACT Minimum acceptable diet (MAD) that combines minimum dietary diversity (MDD) and minimum meal frequency (MMF) is one of the eight core indicators for assessing infant and young child feeding (IYCF) practices for children aged 6–23 months. With low MAD, young children and infants are more susceptible to undernutrition. The study assesses the prevalence and predictors of MAD among tribal children aged 6–23 months in India. Descriptive, bivariate, and multivariate analyzes were performed on data from 6326 tribal children of the National Family Health Survey (2019–21). Stata was used for the analyzes, with a 5% significance level. Only 12% of tribal children were fed with a MAD, while 24% had MDD and 34% MMF. Children aged 18–23 months had a three times higher chance of MAD than their 6–8 months counterparts. Children receiving Integrated Child Development Services (ICDS), children of mothers with ten or more years of schooling, children whose mothers were exposed to mass media, and whose mothers had 4+ antenatal care visits in their last pregnancy had a higher likelihood of MAD. The study concludes that MAD among tribal children aged 6–23 months is unsatisfactory and varies significantly by socio-demographic characteristics, suggesting targeted intervention.

Aspects of Coronary Angiography in Diabetic Patients at the CHU Mother and Child Luxembourg in Bamako

&amp;lt;i&amp;gt;Introduction&amp;lt;/i&amp;gt;: Type 2 diabetes is on the increase in Africa as a result of the epidemiological transition. Cardiovascular complications, particularly ischemic complications, are common in diabetic patients. They are life-threatening. It is important to identify the angiographic appearance of the coronary arteries in diabetic patients in order to guide treatment. &amp;lt;i&amp;gt;Objective&amp;lt;/i&amp;gt;: to identify the results of coronary angiography in diabetic patients. &amp;lt;i&amp;gt;Patients and method&amp;lt;/i&amp;gt;: Descriptive, cross-sectional study with retrospective recruitment over a three-year period from September 2019 to August 2022. All diabetic patients who underwent coronary angiography at the CHU mother child Luxembourg in Bamako were included. &amp;lt;i&amp;gt;Results&amp;lt;/i&amp;gt;: We enrolled 371 patients out of 985 during the study period, i.e. a hospital frequency rate of 37.66%. The mean age of the patients was 60.76 +/- 10.26 years, with extremes of 32 and 84 years. They were predominantly male, with a sex ratio of 1.45. The predominant functional signs were typical chest pain (39.4%), atypical chest pain (27.8%) and dyspnea (13.2%). The predominant risk factors were hypertension (74.7%), sedentary lifestyle (48.8%) and smoking (17.5%). The indications for coronary angiography were chronic coronary syndrome (55%) and acute coronary syndrome (45%). Coronary angiography was pathological in 78.4% of patients, with tritruncular lesions in 38% and bi-truncal lesions in 21%. Lesions were located on the common trunk in 5.4%, on the anterior interventricular in 59.8%, on the right coronary in 51.8% and on the circumflex in 47.4%. &amp;lt;i&amp;gt;Conclusion&amp;lt;/i&amp;gt;: Ischemic heart disease is common in diabetic patients with tri- and bi-truncular lesions.

IJCM_79A: A cross sectional study to compare the emotional maturity between middle school children of working and non-working mothers.

Background: A child’s overall development is based on physical and emotional well-being. Parenting skills plays a vital role in child’s emotional well-being and can be influenced by many factors and one of the factors is mother’s working status. Objectives: 1. To assess the emotional maturity level of middle school children. 2. To compare the emotional maturity levels between middle school children having working mothers and middle school children having non- working mothers. Methodology: An analytical cross-sectional study among middle school children between the age of 13 and 16 years was conducted in a school. A questionnaire-based interview was conducted using a standard semi structured Emotional maturity scale questionnaire. Results: The total students interviewed were 150 and were equally divided based on working status of mothers. Among them, 54.7% were boys and 45.3% were girls. 1.3% of the children of working mothers exhibited very low emotional maturity, but none of the children of non-working mothers did. Of the children of working mothers, 12% demonstrated low emotional maturity, compared to 8% of the children of non-working mothers. 78.7% of children whose mothers were working had an average level of emotional maturity, compared to 85.3% of children whose non-working mothers. 8% of the children of working mothers exhibited a high level of emotional maturity, compared to 6.7% of the children of non-working mothers. There was no significant difference between emotional maturity of children of working and non-working mothers (P=0.595). Conclusion: The study showed nil significant difference in emotional maturity score between children of working and non-working mothers. However, very low emotional maturity level was seen in Children of working mother which needs further importance. So, similar Future Studies with higher sample size will be needed to address this statistically and the concept of emotional maturity needs to be looked into with more preference to emotional maturity factors.

Moment-to-moment within-person associations between maternal autonomy support and child defeat predicting child behavioral adjustment.

This study examines mother-child mutual regulation processes during a challenging puzzle task as predictors of preschoolers' behavioral adjustment 6 months later in a Chinese sample (N = 101, 46 boys, Mage = 57.41 months, SD = 6.58). Mother-child mutual regulation was measured by the moment-to-moment bidirectional within-person associations between maternal autonomy support and child defeat (i.e., expression of frustration, incapacity to complete the task, or giving up). Children whose mother provided more autonomy support after increases of child defeat showed lower levels of externalizing problems 6 months later, and children who showed less defeat after increases of maternal autonomy support showed higher levels of prosocial behaviors 6 months later. These predictive effects were significant after controlling for child behavioral adjustment at the initial time point, and mean levels of mother's autonomy support and child's defeat throughout the task. The mutual regulation processes did not significantly predict child internalizing problems. The findings suggest that the coordinated mother-child mutual regulation patterns in real time may have positive implications for preschoolers' behavioral adjustment. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Paths from adverse and benevolent childhood experiences to personal growth after childbirth: The role of psychological distress, social support, and self-compassion.

Dealing with the difficulties and demands of the postpartum period may be distressing for the mother, but it is also an opportunity for her to experience personal growth. One factor that may contribute to this growth is the mother's childhood experiences. Using a prospective study design, and based on Belsky's parenting model and personal growth theory, we examined the direct and indirect contribution of mothers' adverse and benevolent childhood experiences and their current psychological distress, self-compassion, and social support to their personal growth following childbirth and motherhood. A convenience sample of 392 women was recruited through social media and participated in the study about 16 weeks after childbirth (Phase 1) and again 6-10 months postpartum (Phase 2). The direct effects of adverse and benevolent childhood experiences on personal growth were not significant. However, multiple significant paths of indirect associations were found through psychological distress, self-compassion, and social support. To understand the roots of the mother's personal growth, researchers and clinicians alike should not only explore her personal resources, but also the primary processes that contribute to the creation of those resources, that is, childhood experiences. Addressing the mother's childhood experiences may help her to better understand the connections between the past and the present, and to identify the implications of her "ghosts and angels" for her mental state, personal resources, and experience of personal growth. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Maternal Migration, Prenatal Stress and Child Autistic Traits: Insights From a Population-Based Cohort Study

There is emerging evidence for an increased prevalence of autism in children of mothers with a migration background. To date, the mechanisms underlying this relationship are poorly understood. We investigated whether prenatal stress exposure mediates the association between maternal migration and child autistic traits, assessing first- and second-generation migrant mothers in the Netherlands and their children. The study was embedded in the prospective population-based Generation R cohort. Of the 4,727 participants, 1,773 mothers (38%) had a migration background. Prenatal stress was assessed using questionnaires related to stressful life events, family functioning, self-esteem, long-lasting difficulties, symptoms of psychopathology, social support, and perceived discrimination. Autistic traits were measured at age 6 years with the parent-reported Social Responsiveness Scale exclusively. Longitudinal multiple mediation analyses were performed. Analyses were stratified by migration origin (Europe and outside Europe) because of differences in migration characteristics. Maternal migration background was associated with more experienced stress and with higher child autistic trait scores (Europe: mean= 0.42, SD= 0.25; outside Europe: mean= 0.50, SD= 0.24) compared to no migration background (Netherlands: mean= 0.38, SD= 0.23; both p< .01). Prenatal stress, especially perceived discrimination and maternal psychopathology, accounted for up to half of the total effect of maternal migration, which remained after adjusting for sociodemographic factors (Bindirect= 0.035, 95% CI= 0.027, 0.043, Btotal= 0.074). Stress during pregnancy mediated the association between maternal migration status and child autistic traits. Future research should focus on early interventions to assess whether reducing prenatal stress exposure among women with a migration background can result in lower offspring autistic traits. We worked to ensure that the study questionnaires were prepared in an inclusive way. We worked to ensure sex and gender balance in the recruitment of human participants. We worked to ensure race, ethnic, and/or other types of diversity in the recruitment of human participants. We actively worked to promote sex and gender balance in our author group. The author list of this paper includes contributors from the location and/or community where the research was conducted who participated in the data collection, design, analysis, and/or interpretation of the work.

Association Between Maternal Diabetes and ChildhoodNeurodevelopmental Disorders

IntroductionThe prevalence of metabolic disorders is rising, diabetes prevalence doubled during 1990-2017. In 2020, 7.8% of US pregnancies were complicated by Gestational Diabetes Mellitus (GDM). Our aim is to assess the impact this increase has on childhood developmental disorders and understand the link between maternal metabolic disorders and neurodevelopmental disorders in children with focus on Autism Spectrum Disorder (ASD) and ADHD.ObjectivesOur aim is to assess the impact this increase has on childhood developmental disorders and understand the link between maternal metabolic disorders and neurodevelopmental disorders in children with focus on Autism Spectrum Disorder (ASD) and ADHD.MethodsA literature search was conducted using medical subject heading (MeSH) terms in PubMed, database from Jan 1 2014 to Feb 15, 2023. Only large-scale (n&gt;20,000) were reviewed. A total of 3 articles were included in our final qualitative synthesis review.ResultsAn increased rate of ASD and ADHD are observed in children of mothers with insulin resistance, demonstrated by Type 2 Diabetes (T2DM) and GDM (Kuan-Ru Chen, et al.). T2DM had the strongest association with ASA and ADHD when looking at other neurodevelopmental disorders (Chen, et al.). GDM severity correlates to increased risk of ADHD (Xiang, et al.). Maternal obesity as a risk factor for ASA and ADHD has confidence intervals in the same ranges as immune dysregulatory disorders including Asthma and Autoimmune disorders (Woolfenden, et al.).ConclusionsPathomechanism of neurodevelopmental disorders involves maternal oxidative stress and inflammation. Maternal T2DM and obesity are pro-inflammatory states that can be targeted as modifiable risk factors of ASD and ADHD in children. Preconception metabolic optimization and tight glycemic control in pregnancy are two ways clinicians can start to address the rates of rising ASD and ADHD.Disclosure of InterestNone Declared

IJCM_23A: Long-Term Maternal and Childhood Outcomes Among Women with Post-Partum Depression in Rural and Urban Areas of Khordha, Odisha.

Background: The prevalence of Postpartum Depression in India varies from 6.8-21.5%. About 5% women reported persistent PPD symptoms even three years after childbirth. PPD increases the suicide risk among mothers. It not only affects the psychological health but also physical health &amp; quality of life of mother. Maternal PPD affects the mother child bonding and also the child growth &amp; development. Objective: To assess the long-term effects of post-partum depression on the mothers and the children at 1 year-5 years. Methodology: We have done a Cohort study with 290 mother-child dyads in both rural and urban area of Khordha, Odisha. Mothers were screened using EPDS for PPD at 6wk to 6 months after delivery. The outcome for mothers and children were assessed at one year to five years after delivery. Chronic depression was assessed with EPDS, confirmed by psychiatric evaluation and suicidality of the mother with SBQ-R; child anthropometric outcomes with WHO growth charts and development with Bayley Scale of Infant and Toddler Neurodevelopment. Results: Among the 62 mothers screened positive for post-partum depression, 18 (29%) were found to have Chronic depression and a significant association was found between post-partum and chronic depression (OR=11.25, CI- 4.60- 27.69, p-value &lt;0.001]. Conclusion: Maternal post-partum depression had significant impact on the maternal and child child-health in the long term.