Mothers In Terms Research Articles

Efficacy and safety of domperidone and metoclopramide on human milk production in postpartum mothers: a bayesian network meta-analysis of randomized controlled trials

BackgroundBreastfeeding is the most advantageous nutrition for infants because of its many health benefits. However, lactation insufficiency is a prevalent issue among women, particularly those who give birth prematurely. Galactagogues, such as domperidone and metoclopramide, have been reported and may be beneficial for lactation insufficiency. However, the optimal pharmacological galactagogue remains unclear.MethodsThe PubMed, MEDLINE, Embase, ClinicalTrials.gov, and Cochrane Library databases were searched from their inception to April 23, 2023. The primary aim of this research was to assess the efficacy and safety of domperidone and metoclopramide using Bayesian network meta-analysis. The efficacy outcome was the increased breast milk volume (in mL/day). The safety outcome was the frequency of maternal drug-related adverse events during the study period.ResultsSeventeen randomized controlled trials were included in the final analyses. Preterm mothers who took domperidone had a greater increase in breast milk volume than those who took metoclopramide or placebo (domperidone vs. metoclopramide: MD = 82.84, 95% CI: 37.04–118.95; domperidone vs. placebo: MD = 88.30, 95% CI: 59.48–118.62). However, in the term mothers, domperidone did not show the above benefit compared with metoclopramide or placebo (domperidone vs. metoclopramide: MD = 93.67, 95% CI: -186.11–375.59; domperidone vs. placebo: MD = 126.25, 95% CI: -49.91–304.55). Both in preterm and term mothers, metoclopramide was no better than the placebo. There was no difference in the frequency of maternal drug-related adverse outcomes among domperidone, metoclopramide, and placebo.ConclusionDomperidone increased the daily breast milk volume in mothers of preterm infants, without serious adverse events. However, this conclusion is limited due to the small sample sizes in the studies analyzed.

Течение беременности и родов у женщин с сахарным диабетом 2-го типа и ожирением

Maternal diabetes is associated with pregnancy complications and increased rates of adverse maternal and neonatal outcomes. Short-term complications include macrosomia, large for gestational age, respiratory distress syndrome, neonatal hypoglycemia, neonatal intensive care unit admission, fetal growth restriction, congenital anomalies, preterm birth, preeclampsia, operative delivery, while in the long term both mothers and their infants have an increased risk of metabolic diseases. The results of the conducted scientific study confirm that type 2 diabetes and obesity are closely associated with pregnancy complications: early and late threatened miscarriage, cervical insufficiency, hyperemesis gravidarum, anemia, chronic and gestational hypertension, moderate and severe preeclampsia, premature detachment of a normally located placenta, placental insufficiency, fetal growth retardation syndrome, pathological and insufficient weight gain, diabetic fetopathy of the fetus in the form of macrosomia, double contour of the fetal head/trunk, hepatomegaly, splenomegaly, pyelectasis of the fetal kidneys, congenital malformations of the fetus, intrauterine fetal death, prenatal rupture of membranes, clinically narrow pelvis, operative delivery, premature birth and, as a result, a low assessment of the newborn on the Apgar scale at 1 and 5 minutes.

Abstract 9: No Evidence of Mycoplasma or Ureaplasma Contamination of Cord Blood Units Collected from at Term Mothers

Abstract 9: No Evidence of Mycoplasma or Ureaplasma Contamination of Cord Blood Units Collected from at Term Mothers

Relationship between maternal postpartum depression, fatigue, sleep quality and infant growth: A cross-sectional study.

Current research separately analyzed the connection between postpartum depression, fatigue, sleep and infant development. However, depression, fatigue and sleep quality often coexisted as adverse symptoms in postpartum women and influenced infant development together. This study explored the maternal postpartum symptoms on infant growth. Our study included 224 pairs of singleton full-term mothers and their infants who underwent routine pediatric outpatient clinics. Latent profile analysis was applied to identify the latent classes based on mothers' postpartum depression, fatigue and sleep profile characteristics. We evaluated the maternal adverse symptoms and infant development using multivariable logistic regressions. Totally, 224 pairs of eligible mothers (28.85 ± 4.43 years) and infants (30.93 ± 3.26 days) participated in this study. Latent profile analysis identified 3 latent groups: mild (58.04%), moderate (34.37%), and severe (7.59%) postpartum adverse symptoms. Postpartum adverse symptoms were associated with delayed development in the baby's motor level (χ2 = 6.572, p = .037) and weight-for-length (χ2 = 9.652, p = .008). After controlling for mother and infant related factors, postpartum adverse symptoms remained a risk factor for infant motor level (odds ratio [OR]: 4.35; 95% confidence interval [CI]: 1.25-15.08) and weight-for-length (OR: 5.53; 95% CI: 1.55-19.74). Maternal postpartum depression, fatigue and sleep quality are associated with infant development. Clinically, mothers with these symptoms should be intervened timely to avoid the aggravation of maternal symptoms, which affect baby's development.

Selenium concentrations in expressed human milk: a systematic review and meta-analysis

BackgroundWe aimed to systematically review articles that reported selenium (Se) concentrations in human milk (HM).Methodsusing PRISMA guidelines we searched MEDLINE and Embase using the terms “human milk and Selenium”. All clinical trials and systematic reviews were retrieved.ResultsOut of 1141 articles, we reviewed 76 full-text articles, excluding 26. Thus, 50 articles were included in meta-analyses. Most studies (N = 31) did not specify whether milk was from mothers of preterm (PT) or fullterm (T) infants. In the other 19 studies, 1 examined PT-EHM, 15 T-EHM, and 3 both PT-EHM and T-EHM. In most studies, Se concentrations were highest in colostrum or until 3 months of lactation, then declined. Metaanalyzed means of PT-EHM or T-EHM provide estimates of Se intake a little higher than those reported to date, but still lower than current recommendations of intake.ConclusionThis study provides clinicians with useful estimates of Se intake in breast-fed infants.

The Feminine Force in Early Daoist Thought

Abstract According to the Laozi one of the ways to cultivate and grasp Dao is through “remaining female” and “nourishing the mother.” The term mother is used in reference to the beginning of all existence—“the mother of all under heaven,” “the mother of all existences.” The mother is both an active force of generation and the concreteness of the generated beings. In this sense, the feminine attribute of motherhood is a living embodiment of Dao. In the world of myriad phenomena, the mother provides a location of interaction between “absence” and “presence,” between wu and you. In this paper, I suggest an analysis of the metaphor of mother and other “feminine roles” in early Daoist thought through a textual examination of the Laozi. Considering the intellectual background in Warring States period China in which the common understanding of the universe and all phenomena is revealed through the interactions of correlative and complementary forces, the esteem of one over the other—the feminine over the male, the mother over father—is outstanding and deserves serious investigation. The question is what can we learn from the feminine, what can femininity teach us about the world, its generation, and even political practice?

Human Breast Milk Exosomal miRNAs are Influenced by Premature Delivery and Affect Neurodevelopment.

This study investigates the exosomal microRNA (miRNA) profiles of term and preterm breast milk, including the most abundant and differentially expressed (DE) miRNAs, and their impact on neurodevelopment in infants. Mature milk is collected from the mothers of term and preterm infants. Using high-throughput sequencing and subsequent data analysis, exosomal miRNA profiles of term and preterm human breast milk (HBM) are acquired and it is found that the let-7 and miR-148 families are the most abundant miRNAs. Additionally, 23 upregulated and 15 downregulated miRNAs are identified. MiR-3168 is the most upregulated miRNA in preterm HBM exosome, exhibiting targeting activity toward multiple genes involved in the SMAD and MAPK signaling pathways and playing a crucial role in early neurodevelopment. Additionally, the effects of miR-3168 on neurodevelopment is confirmed and it is determined that it is an essential factor in the differentiation of neural stem cells (NSCs). This study demonstrates that miRNA expression in breast milk exosomes can be influenced by preterm delivery, thereby potentially impacting neurodevelopment in preterm infants.

A Cohort Study on Comparison of Volumes of Breast-Pump-Expressed Human Milk Donor Among Term and Preterm Gestational Mothers in South India––Time to Redefine “Coming to Volume” in the Milk Bank?

Introduction Human milk banking is an essential perinatal service. The present study evaluates the impact of gestational age on the volumes of milk. Further, it also re-evaluates the definition of “Coming to Volume” in pump-based expression of milk. Methodology This cohort study was conducted at a tertiary care centre in south India over 10 months from September 2022 to June 2023. The primary objective of the study was to compare the volume of donor milk secreted in relation to postnatal day among mothers delivered at term and preterm gestation. The secondary objective of the study was to compare the definition of “Coming to Volume” (secretion of 500 mL per day by postnatal day 14) with the volumes of milk in the present study. A surrogate marker for “Coming to Volume”, that is, an expression of at least 80 mL in one sitting of the donation was considered. Results Of the total 458 mothers, there were 349 (Term) and 109 (preterm) mothers. The average volumes of donor human milk were 142 mL and 122 mL among term and preterm mothers, respectively ( p-value .0068). Further, 80% of the term mothers and 75% of the preterm mothers were able to secrete>80 mL per sitting. This volume was attained by postnatal day 7 in 80% (223/280) of term mothers and 65% (53/82) of preterm mothers.

RISKS IN THE SAFETY CIRCLE: NEWBORN CARE PRACTICES OF MOTHERS

Aim: This study was conducted to evaluate the newborn care practices of mothers in terms of newborn safety risk.
 Method: This research is descriptive. The study included 248 mothers with newborn babies. The study was carried out in Nevşehir State Hospital between May 2018 and August 2019. The data were collected using the Questionnaire Form and the Neonatal Safety Information Form developed by the researchers. 
 Results:Of the mothers, 44.8% experience the risk of falling their infant, they fall asleep while breastfeeding at night, 10.5% rock their infant hard to put them to sleep, 35.5% swaddled their infant tightly, 52.0% put hot water with a thermophore on their infant's feet when in the presence of gas discomfort. Of the mothers, 25.4% used detergent and bleach while washing the infant's clothes, 48.0% used pacifier clip/holders, and 54.0% used powder for diaper rash.
 Conclusions and Suggestions: In the study, it was determined that infants might be exposed to risks such as aspiration, infection, falling, swing fast, burns and trauma due to swaddling, unsafe travel, exposure to chemicals, and suffocation of infants. For newborn safety, mothers should be trained in newborn care beginningfrom their pregnancy and ensure the continuity of these pieces of training.

Comparison of Quality of Infant Care and Transition Difficulty to Motherhood Between Adolescent and Young Mothers

Background: Despite a lower teenage pregnancy rate in Iran compared to the global average, there is an anticipation of increased teenage pregnancy rates by 2025 due to changes in population policy programs. Objectives: This study aimed to compare the challenges faced during the transition to motherhood and the quality of infant care between adolescent mothers and young mothers in Karaj, Iran. Methods: This descriptive-analytical study was conducted in 2020, involving 160 adolescent and young mothers selected through multistage sampling in Karaj, Iran. The data were collected using demographic characteristics, a modified questionnaire assessing the challenges of the transition to parenthood, and an infant care checklist. Descriptive statistics, including frequency, percentage, mean, and standard deviation (SD), were reported. Data analysis was carried out using the chi-square test and Mann-Whitney U test. Results: The study showed no significant differences between adolescent and young mothers in terms of mean scores related to the challenges of the transition to parenthood, such as responsibility and commitment, pleasure and satisfaction, fondness and stability, and self-commitment (P ≥ 0.05). However, significant differences were observed between the 2 groups in the total score of infant care (33.07 ± 2.77 and 34.57 ± 2.65, P = 0.002), child disease care (10.63 ± 0.73 and 11.03 ± 1.20, P = 0.034), routine child care (5.38 ± 1.23 and 5.83 ± 1.28, P = 0.039), and maternal health (13.37 ± 1.60 and 14.29 ± 1.29, P < 0.0001) for adolescents and young mothers, respectively. Conclusions: Based on the study’s results, teenage mothers might benefit from support programs provided by healthcare providers, particularly midwives and doctors, to enhance their abilities to care for their children.

Improving access and quality of maternal and newborn care through the newly established Ayaan Specialist Hospital in Bosaso City, Puntland State of Somalia

Somalia has one of the highest maternal mortality ratios globally, constituting an important public health issue for the country. The availability of free and quality obstetric and newborn care services is critical for reducing maternal and newborn deaths. The Ayaan Foundation for humanitarian assistance has established a specialized hospital in Bosaso, Puntland, Somalia and created a cost-free service for normal deliveries and caesarean sections with assistance from the UN Population Fund. The Ayaan Specialist Hospital aims to provide better health and free basic and emergency obstetric and neonatal services to reduce maternal and neonatal morbidity and mortality. The hospital has high standard facilities, equipment, and supplies and is run by a highly specialized medical team implementing advanced quality services and supported by well-trained midwives and nurses that are available around the clock. The hospital has a clinical diagnostic laboratory, medical imaging facilities and provides quality drugs. Services were initially paid out-of-pocket, which was a problem for low-income clients. Pregnant women now have access to a comprehensive package of services at the hospital regardless of their socioeconomic status. During the initial period of January 2020 to June 2021, only 223 pregnant women attended the hospital; however upon easing the requirement for payment between July 2021 and June 2022, a total of 1,213 women of childbearing age attended the hospital. Among the full-term mothers, 218 had a normal vaginal delivery (36%), while 386 (63%) underwent caesarean section. The majority (84%) of these were treated as situations of emergencies. This approach has successfully increased facility-based births among poor women in the city and its surrounding rural districts. The initiative to establish the hospital was taken in view of the need to promote a free maternal health care policy to effectively realize universal access to and the full utilization of facility-based delivery across the country.

Cultural expectations and perceptions of risk communication among Afro-Caribbean mothers and daughters in the United States.

Mothers are key influencers in daughters' decision making about risk behaviors. Much research on parent-child relationships and communication has been conducted among predominantly White, nonimmigrant families. However, parent-child relationships and communications about risk behaviors may significantly differ for Black immigrant families. In particular, transnational behaviors that serve to maintain multiple social identities with attributes from both the receiving and sending nations may shape communication about risky behaviors. The current study evaluated the association between transnational behavior and risk communication mediated by the mother-daughter relationship. A total of 285 first- and second-generation Afro-Caribbean women, most of whom (80%) identified as Black, were recruited via purposeful sampling from Caribbean organizations, Caribbean-focused social media, and Caribbean festivals. Participants (daughters) completed a survey assessing their transnational behavior, perceptions of their relationship with their mother (in terms of interdependence, connectedness, and trust in hierarchy), and perceptions of their mother's communication about sex, alcohol use, and other drug use. Only the relationship between transnational behavior and communication about drugs was fully mediated by connectedness. The relationship between transnational behavior and communication about both alcohol use and other drug use was partially mediated by other facets of the mother-daughter relationship. Findings confirm previous research on parent-child closeness and communication about difficult topics and suggest that such relationships can promote healthy communication in multiple cultures. Children who stay connected to their country of origin stay connected to parents and, therefore, may have greater opportunity to engage in integrated communication about possible risk behaviors. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Incidence and Perinatal Outcomes of Twin Pregnancy in Tertiary Healthcare Facility, Odisha, India

Background: Assisted reproductive technology has resulted in a progressive rise in the incidence of twin pregnancies, which affect both mother and child in terms of antepartum complications. Objective: To assess the perinatal outcomes of twin pregnancies and the influence of chorionicity on them in a tertiary healthcare facility. Methods: It is a hospital-based cross-sectional study that was carried out in the Obstetrics and Gynecology Department of S.C.B. Medical College Hospital, Cuttack, during the period from 2013 to 2015. All mothers having twin pregnancies (with 28 weeks of completed gestation) admitted to the antenatal (ANC) ward and labor room during this period were taken as a study group, and written informed consent was taken after explaining the details of the study. Results: A total of 150 cases are identified; among them, 98 cases (65.33%) are dichorionic diamniotic, 50 cases (33.33%) are monochorionic diamniotic, and 2 cases (1.33%) are monochorionic and monoamniotic pregnancies. The majority (66%) of the twin pregnancies were between 35-38 wks of gestational age at the onset of labor. It is also observed that macerated births, stillbirths, and neonatal deaths are higher in mono-chorionic twins as compared to dichorionic twins. Conclusions: Twin pregnancies carry a greater risk of adverse outcomes, especially perinatal mortality and neonatal morbidity, in monochorionic twins than dichorionic twins. Good antenatal care, early diagnosis of chorionicity, and antepartum assessment of placentation will prevent mortality and morbidity.

Pola Asuh Ibu Karier dan Ibu Rumah Tangga terhadap Pembentukkan Akhlak Anak dalam Keluarga

This research is motivated by a phenomenon occurring in the Ciluar sub-district related to the parenting styles of working mothers and stay-at-home mothers in shaping the morals of their children. This is due to the lack of proper moral guidance and upbringing for children, resulting in children in this environment exhibiting less-than-desirable moral behavior such as drug addiction, using inappropriate language, defying their parents, neglecting religious practices, engaging in premarital sex, and enjoying unrestricted freedom without parental boundaries. These issues stem from parents not paying enough attention to their children's well-being and failing to provide them with affection and care. The role of mothers is crucial in instilling and developing their children's moral values, as children easily observe and mimic their mothers' actions. This research employs a qualitative methodology, specifically using a phenomenological approach. The aim of this study is to explore the parenting styles of working mothers and stay-at-home mothers in the Ciluar sub-district, along with the challenges they face. Relevant data sources, such as textbooks, journals, scientific magazines, and previous research findings, are utilized for this purpose. The research involves interviews, observations, and documentation. The findings of the research regarding the parenting styles of working mothers and stay-at-home mothers in terms of rule-setting, rewards and punishments, decision-making, teaching discipline, and handling disagreements indicate that they implement both democratic and authoritarian parenting styles. This choice is based on the level of child participation in determining family activities and fostering a stable family life. The authoritarian style involves the mother acting as a dictator towards the child, while the democratic style allows children to participate to some extent in family decisions. The obstacles faced by both groups of mothers in shaping their children's morals include stress management and time management.

Comparison of the feeding habits of breastfeeding and non-breastfeeding mothers and the sociodemographic factors influencing breastfeeding

Breastfeeding is the most ideal form of infant feeding, the biological norm that affects the mother's nutrition as well as certain sociodemographic factors. The aim of this research is to compare the nutritional habits of breastfeeding and non-breastfeeding mothers during the postpartum period, and to further examine the correlations of sociodemographic factors with breast milk feeding. Our quantitative, cross-sectional study was conducted between 26. 03. 2021 and 18. 07. 2021. During the non-random, targeted, expert sample selection, the target group included those biological mothers who raised at least one child born alive after the 37th gestational week in their own care. Exclusion criteria included adoption, pregnancy with the first child, inadequate completion of the mandatory questions, and reports of a congenital and/or acquired physical or mental illness that makes breastfeeding impossible. 2008 people met the inclusion and exclusion criteria. The survey was carried out anonymously via a self-filled questionnaire online. The statistical analysis was performed using the IBM SPSS 25 program, the significance level was determined at p<0.05. There was a significant difference between the group of breastfeeding mothers and non-breastfeeding mothers in terms of age (p<0.001), place of residence (p<0.001), marital status (p<0.001), education (p<0.001), income status (p<0.001), the number of children (p = 0.005), the method of delivery (p = 0.018), how many children completed the questionnaire (p = 0.021). Varied nutrition was characteristic in a significantly higher proportion during the postpartum period among breastfeeding mothers (p = 0.006). There was a relationship between the two groups in terms of energy intake (p = 0.002) and daily vitamin/mineral/trace element intake (p = 0.044). During the period of childbirth, breastfeeding mothers pay more attention to their nutrition than non-breastfeeding mothers. Breastfeeding can be significantly influenced by certain sociodemographic factors. Orv Hetil. 2023; 164(43): 1693-1700.

Effect of universal child care subsidy on child-rearing costs by mothers’ working status in South Korea

This study aims to investigate the effects of universal child care and early education subsidy on child-rearing cost burdens, and examine the extent to which this association differs depending on mothers’ working status in South Korea. Using the Korea Welfare Panel Study (KOWEPS) and a fixed effects panel model, we found that child care and early education subsidy usage is associated with a reduction of total child-rearing costs, but not much out-of-pocket child care expenses. Furthermore, the introduction of universal child care and early education subsidy is likely to benefit households with part-time working mothers in terms of reducing total child-rearing cost burden, but it increased out-of-pocket child care cost in households where mothers were not working. The child care and early education subsidy achieved the aim of reducing household financial burden associated with parenthood, and enabling parents to combine their paid work with parenthood—in particular for mothers with part-time jobs. However, full-time working mothers are limited in enjoying the benefits of the subsidy. Our findings regarding South Korea’s child care and early education system provide important insights for emerging and developing economies that are increasingly showing an interest in instituting new child care and early education systems.

FRI589 MicroRNAs In Maternal Plasma At 15 Weeks Gestation As Biomarkers For Later Preterm Birth: Evidence For Dysregulated Mirna Biogenesis And Implications For Pregnancy-related Endocrine Signaling Pathways

Abstract Disclosure: F. Ramzan: None. J. Rong: None. C. Roberts: None. J. O'Sullivan: None. J.K. Perry: None. R. Taylor: None. L. McCowan: None. M.H. Vickers: None. Introduction: Preterm birth (PTB) is a leading cause of morbidity and mortality in infants, with rates of PTB increasing globally over the last 20 years. MicroRNAs (miRNAs) have been reported to have widespread involvement in the development of and protection from many diseases, there is increasing interest in their potential role in the aetiology of a range of pregnancy-related disorders, including PTB. Objectives: To investigate differential miRNA abundances in mid-pregnancy plasma samples between mothers with term infants compared with moderate to late preterm infants (spontaneous PTB) and replication across independent cohorts. Method: The Auckland and Adelaide arms of the Screening for Pregnancy Endpoints (SCOPE) study were utilised. miRNAs in plasma at 15 weeks gestation from mothers of term and moderate to late preterm infants (n=54 per group) were quantified using the NanoString nCounter human v2 miRNA expression panel. Gene expression of key mediators of miRNA biogenesis, including Drosha, Dicer and Argonaut were quantified via RT-qPCR. In-silico analysis was performed to investigate the biological pathways associated with the dysregulated miRNAs. Results: Of the 800 miRNAs examined, the top four miRNAs identified were conserved across both cohorts and were significantly downregulated in the plasma of mothers who later experienced a PTB. The gene pathways associated with the top candidate miRNAs were linked to inflammatory processes, mitochondrial biogenesis, apoptosis and regulation of key pregnancy-related hormonal signaling pathways. Moreover, miRNAs were consistently downregulated in the PTB group concomitant with reduced gene expression of key miRNA biogenesis markers. Conclusions: We identified miRNAs in maternal plasma in mid-pregnancy that were highly predictive of later spontaneous PTB and, importantly, were conserved across two independent cohorts. Moreover, in addition to identifying potential early biomarkers for subsequent PTB, we provide evidence for persistent downregulation of miRNAs in those mothers who later delivered preterm, which is likely to have widespread effects on endocrine signaling pathways during pregnancy. Presentation: Friday, June 16, 2023

Concise review: Breastfeeding, lactation, and NAFLD. An updated view of cross-generational disease transmission and prevention

Evidence suggests that breastfeeding protects the mother-infant dyad against the development and progression of nonalcoholic fatty liver disease (NAFLD). In this context, we aim to provide insight into the most notable and representative epidemiological studies published in the literature. Furthermore, we will delve into the potential underlying pathomechanisms that might be involved in this relationship. The current definitions of breastfeeding, lactation, mother-infant dyad, and nonalcoholic fatty liver disease (NAFLD) are provided. Next, the epidemiological evidence supporting potential benefits for the (long-term) lactating mother in terms of protection from the development and progression of NAFLD is reviewed. The putative mechanisms underlying this protection are also analyzed. Similarly, clinical and epidemiological studies evaluating the benefits of breastfeeding for the offspring are examined, together with a discussion of the putative underlying mechanisms. In conclusion, our understanding of breastfeeding (for the offspring) and lactation (for the mother) as protective factors from NAFLD development and fibrotic progression will provide further insight into unprecedented disease mechanisms shared by the mother-infant dyad promising to interrupt the vicious cycle of NAFLD transmission across generations.

The Benefits and Challenges of Paper Handheld Maternal Record in Southeast Asia: A Systematic Review

Background: Home-based maternal records were first designed for better monitoring during pregnancy, delivery, and the postpartum period. There are various studies that reported on the benefits of paper handheld record for mothers in across regions. However, majority of the studies on paper handheld record or home-based record were mainly addressing the benefit and very scare on the challenges faced by the users. This study aims to evaluate the benefits and challenges of the maternal paper handheld to users particularly to mothers and healthcare providers in Southeast Asia (SEA) region. Methods: Articles were searched from Scopus, Web of Science, and PubMed using relevant keywords based on the review topic. Based on PRISMA guidelines, the search results were then screened based on inclusion criteria: published between 2012 and 2021in English language, available in full text, open access, and conducted in Southeast Asia. Six articles were included in the final analysis, which were also appraised for their quality. Results: There are six articles included in this review. Majority of the studies highlighted the benefits of paper handheld records to mothers. Upon further analysis, there are three major themes emerged from the outcome namely mother’s knowledge, maternal health service utilization and breastfeeding practice. Only one study reported on the challenges faced by mothers and care provider while utilising the paper handheld record. Conclusions: The paper handheld maternal record implementation in SEA exhibited great positive impact to the mothers in terms of knowledge, maternal health service utilization and breastfeeding practice. Nonetheless, it is quite difficult to find studies that addressed the challenges faced by the users in SEA region. It would be best to understand the challenges faced regionally or even locally to make improvement of the maternal health service as it needs to be comprehensive and suited with the local context.

Trends in Intergenerational Education Mobility in Bangladesh

When children are able to progress beyond their parents’ education level, that is, when there is upward intergenerational education mobility—they are more likely to have better opportunities and access than their parents in terms of jobs and income. For any nation, it is important to understand the trajectory of intergenerational education mobility and ask: Has it been increasing? In the case of Bangladesh, our study is the first to use nationally representative household survey data to explore the trend of intergenerational education mobility. We compute intergenerational education mobility separately for three different years—2005, 2010 and 2016, and find that intergenerational education mobility has, from 2005 to 2016, significantly decreased in terms of fathers’ education. This is surprising given that the expansion of education has been a target both policy-wise and action-wise—for Bangladesh over the last few decades. The finding in terms of mothers’ education—that intergenerational education mobility has significantly increased from 2005 to 2016—makes more sense given the focus on female education expansion in Bangladesh over the years. Moreover, our results indicate that daughters, in general, have been progressing better compared to sons in terms of intergenerational (father–child) education mobility and that children of fathers with higher education levels progressed better than children of fathers with lower education levels. We suggest policies accordingly and emphasize the need to investigate the reasons behind the father–child education immobility over time in Bangladesh.