China's antenatal care promoting early childhood development: evidence from a cross‐sectional survey

Autor:	Xiaoli Wang, Chunxia Zhao, Tianchen Wu, Xiaohan Yin, Jieqiong Niu, Xiaona Huang
Rok vydání:	2021
Předmět:	Adult Male China Offspring Cross-sectional study Psychological intervention Mothers Health Promotion 030204 cardiovascular system & hematology Lower risk General Biochemistry Genetics and Molecular Biology 03 medical and health sciences Child Development 0302 clinical medicine History and Philosophy of Science Pregnancy Surveys and Questionnaires hemic and lymphatic diseases Humans Medicine Maternal Health Services 030212 general & internal medicine Early childhood reproductive and urinary physiology Government business.industry General Neuroscience Infant Prenatal Care Maternal depression Mother-Child Relations female genital diseases and pregnancy complications Cross-Sectional Studies Child Preschool Female business Demography
Zdroj:	Annals of the New York Academy of Sciences. 1493:90-101
ISSN:	1749-6632 0077-8923
Popis:	The Chinese government has established a three-tier maternal care system covering the entire country and providing integrated antenatal care (ANC) for pregnancies. This study aimed to analyze the direct and indirect effects of ANC services on early childhood development. A community-based cross-sectional survey was conducted for mothers' ANC visits and assessments of early childhood development in Shanxi and Guizhou provinces, China. A total of 1660 mother-child dyads were included in current analyses: 29.2% of mothers did not receive any ANC (ANC1), 23.3% of mothers received ANC three or fewer times (ANC2), and 47.5% of mothers received ANC four or more times (ANC3). Children whose mothers received ANC services had a significantly lower risk of overall developmental delay (OR = 0.60, 95% CI: 0.44-0.81 for ANC2; and OR = 0.44, 95% CI: 0.34-0.59 for ANC3) and social-emotional developmental delay (OR = 0.68, 95% CI: 0.49-0.94 for ANC3). Furthermore, a significant pathway relationship mediated by maternal depression and nurturing care was found between ANC and developmental delay. This study showed ANC services significantly reduced the risk of developmental delay in offspring. We also suggest that a nationwide ANC system can be a good delivery platform for scaled-up early childhood development interventions.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ae7c09344a2ffd82df78e93d1d20e0b3 https://doi.org/10.1111/nyas.14559 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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