Health inequality can have a profound impact on a child's life. Maternal mental health challenges can hinder bonding, leading to impaired functioning and poorer child outcomes. To provide extra support for vulnerable pregnant women, the FACAM intervention offers the services of a health nurse or family therapist from pregnancy until the child starts school. This study examined the effects of FACAM intervention on pregnant women in vulnerable positions and their children until the child turned two years old. We randomly assigned 331 pregnant women to either FACAM intervention or care as usual and assessed them at baseline and when the infant was 3-6, 12-13.5, and 24 months old. The primary outcome was maternal sensitivity measured by Coding Interactive Behavior (CIB). Secondary outcomes included the parent-child relationship, child social-emotional development, child developmental progress, parent-child interaction, and child development. Our findings indicate that care-as-usual children were significantly more involved than FACAM children when the child was 4-6 months old (b = -0.25, [-0.42; -0.08] d = -0.42). However, we suspect this result is due to a biased dropout. We did not find any significant differences in any other outcomes. Therefore, the study suggests that the FACAM intervention is not superior to care as usual regarding child development and parent-child interaction outcomes.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11121224PMC
http://dx.doi.org/10.3390/ijerph21050587DOI Listing

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Article Synopsis
  • The study aimed to explore the experiences of care professionals working with childbearing families in a collaborative and cross-sectorial setting, particularly within the FACAM project.
  • Researchers conducted eight focus groups with 32 multidisciplinary professionals and analyzed their discussions using positioning theory to identify key themes.
  • Two main themes emerged: the impact of collaboration on care provided and how interactions with families shape the assessment of their needs, highlighting the importance of trust, understanding vulnerable positions, and adapting care to individual family needs.
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Health inequality can have a profound impact on a child's life. Maternal mental health challenges can hinder bonding, leading to impaired functioning and poorer child outcomes. To provide extra support for vulnerable pregnant women, the FACAM intervention offers the services of a health nurse or family therapist from pregnancy until the child starts school.

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Background: Inequality in health can have profound short- and long-term effects on a child's life. Infants develop in a responsive environment, and the relationship between mother and infant begins to develop during pregnancy. The mother's ability to bond with the fetus and newborn child may be challenged by mental health issues which can cause impaired functioning and poorer health outcomes.

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Chiral Eu -based systems are frequently studied via circularly polarized luminescence spectroscopy. The emission lifetimes of each circular polarization, however, are virtually always ignored, because in a homogeneous sample of emitters, there should be no difference between the two. However, we show that in less robust Eu complex structures, as in the chiral complex Eu (facam) , a difference in the lifetimes of the two circularly polarized emission components arises due to heterogeneity of the complexes.

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