A Longitudinal Examination of Support,Self‐Esteem,and Mexican‐Origin Adolescent Mothers' Parenting Efficacy

Guided by a risk and resilience framework, this study used a prospective longitudinal, multiple‐reporter design to examine how social support from a mother figure during pregnancy interacted with Mexican‐origin adolescent mothers' self‐esteem to inform their parenting efficacy when their children were 10 months old. Using reports of perceived social support by adolescent mothers (M_age = 16.24, SD = 0.99) and their mother figures (M_age = 40.84, SD = 7.04) in 205 dyads, and controlling for demographic factors (i.e., adolescent age, adolescent nativity, family income, mothers' educational attainment, adolescent – mother coresidence) and adolescents' social support from a significant other, the findings indicated that social support during pregnancy was positively associated with adolescent mothers' future parenting efficacy when adolescent mothers had relatively lower self‐esteem. The findings were consistent for adolescents' and mothers' reports and emphasize the value of social support from a mother figure among adolescent mothers with lower self‐esteem. Implications for interventions are presented.     

The effects of domestic violence during pregnancy on maternal and infant health

The present study examined the impact of domestic violence on maternal and infant health by assessing maternal health during pregnancy and infant health at two months postpartum. Two hundred and two women (68 battered and 134 non-battered) were recruited from the community and completed both pregnancy and 2-month postpartum interviews. Results revealed that domestic violence during pregnancy was associated with numerous health problems for mothers and infants including more health problems during pregnancy, more likelihood of premature labor, later entrance into prenatal care, lower infant birth weight, greater utilization of health care resources, and more prenatal substance use. After income was controlled, the relationship between violence and timing of prenatal care and infant birth weight became nonsignificant. Maternal social support was found to protect against the effects of violence for several health outcomes. The current findings suggest the need for domestic violence screening during pregnancy, as well as clinical interventions for battered, pregnant women in order to prevent serious physical and emotional problems for both mothers and their infants.     

Incongruent Teen Pregnancy Attitudes,Coparenting Conflict,and Support Among Mexican‐Origin Adolescent Mothers

The current longitudinal study examined whether differences between Mexican‐origin adolescent mothers and their mother figures (N = 204 dyads) in attitudes on the status attained through teen pregnancy were associated with conflict in their coparenting relationship and whether coparenting conflict was associated with adolescent mothers' perceptions of social support. Findings revealed that when adolescents held more positive attitudes than their mother figures about the status gained through teen pregnancy, they tended to report greater coparenting conflict with their mother figures. Furthermore, greater coparenting conflict was significantly associated with decreases in adolescents' perceptions of social support (i.e., emotional, instrumental, companion support) 1 year later. Findings underscore the importance of incongruent attitudes and the quality of coparenting relationships between adolescent mothers and their mother figures in relation to support processes. Findings are discussed with respect to understanding Mexican‐origin adolescent mothers' social support in the context of family subsystem attitudes and interactions.     

The Association Between Cigarette Smoking During Pregnancy and Maternal Behavior During the Neonatal Period

This study examined the association between maternal smoking during pregnancy and maternal behavior during mother‐infant interactions during the neonatal period. Participants included 84 mother‐infant dyads (43 cigarette‐exposed and 41 nonexposed) who were recruited after birth and assessed at 2 to 4 weeks of infant age. Results indicated that mothers who smoked during pregnancy had higher levels of maternal insensitivity (MI) and lower levels of maternal warmth (MW) during interactions with their infant even after controlling for demographics and pregnancy alcohol use. Maternal anxiety and hostility mediated the association between smoking and MI and maternal anger mediated the association between smoking and reduced MW. In addition, there was an interaction between infant gender and maternal smoking for MW with smokers displaying less warmth to boys during interactions.     

Maternal Lifetime Trauma Exposure,Prenatal Cortisol,and Infant Negative Affectivity

Little research has examined the impact of maternal lifetime trauma exposure on infant temperament. We examined associations between maternal trauma history and infant negative affectivity and modification by prenatal cortisol exposure in a sociodemographically diverse sample of mother–infant dyads. During pregnancy, mothers completed measures of lifetime trauma exposure and current stressors. Third‐trimester cortisol output was assessed from maternal hair. When infants were 6 months old, mothers completed the Infant Behavior Questionnaire‐Revised. In analyses that controlled for infant sex and maternal age, education, race/ethnicity, and stress during pregnancy, greater maternal trauma exposure was associated with increased infant distress to limitations and sadness. Higher and lower prenatal cortisol exposure modified the magnitude and direction of association between maternal trauma history and infant rate of recovery from arousal. The association between maternal trauma history and infant distress to limitations was somewhat stronger among infants exposed to higher levels of prenatal cortisol. The analyses suggested that maternal lifetime trauma exposure is associated with several domains of infant negative affectivity independently of maternal stress exposures during pregnancy and that some of these associations may be modified by prenatal cortisol exposure. The findings have implications for understanding the intergenerational impact of trauma exposure on child developmental outcomes.     

African American Adolescent Girls in Impoverished Communities: Parenting Style and Adolescent Outcomes

The relationship between parenting style and adolescent functioning was examined in a sample of 302 African American adolescent girls and their mothers who lived in impoverished neighborhoods. Although previous research has found that authoritative parenting, as compared with authoritarian, permissive, and disengaged parenting, is associated with positive adolescent outcomes in both European American, middle‐class and large multiethnic school‐based samples, these parenting categories have not been fully explored in African American families living at or near poverty level. Data were collected from adolescent girls and their self‐identified mothers or mother figures using in‐home interviews and self‐administered questionnaires. Parenting style was found to be significantly related to adolescent outcome in multiple domains including externalizing and internalizing behaviors, academic achievement, work orientation, sexual experience, and pregnancy history. Specifically, teens whose mothers were disengaged (low on both parental warmth and supervision/monitoring) were found to have the most negative outcomes.     

Experiences of adolescent mothers in Costa Rica and the role of parental support

ABSTRACT

Adolescent pregnancy is often thought of as a social problem, one that can cause the adolescent mother hardship, including poverty, low-educational attainment, and housing instability. Although much research has been conducted about adolescent pregnancy in the developed world, less has considered adolescent pregnancy in the developing world. This qualitative study focuses on women who were impoverished in Costa Rica who had been pregnant in adolescence. The goal of the study was to gain a better understanding of the lived experiences of the mothers, as well as the kinds of support they received during and after the pregnancy. The research sample consisted of 22 female participants who were impoverished and had experienced an unintended pregnancy in adolescence. The key finding from this study was that parental support was the most important factor in mitigating adolescent experiences of stress and negative feelings about their choices related to the pregnancy. The study has implications for the understanding of the experiences of women who are vulnerable with respect to adolescent pregnancies in Latin America and for Latina migrants to the United States.     

Infants’ Biological Sensitivity to the Effects of Maternal Social Support: Evidence Among Mexican American Families

The identification of infants who are most susceptible to both negative and positive social environments is critical for understanding early behavioral development. This study longitudinally assessed the interactive effects of infant vagal tone (respiratory sinus arrhythmia; RSA) and maternal social support on behavioral problems and competence among 322 low‐income Mexican American mother–infant dyads (infants: 54.1% female) and explored sex differences. Infant RSA was calculated from resting HR data at 6 weeks of age. Mothers reported on general social support, partner support, and family support at 6 months, and infant behavioral problems and competence at 1 year. Two‐way interactions (RSA × support source) were evaluated to predict behavioral problems and competence, adjusting for covariates. Results indicated higher competence among infants with lower RSA whose mothers reported higher general support or higher partner support. Interactive effects on behavior problems of RSA with maternal partner or family support were only found for female infants: Girls with higher RSA showed more behavior problems when mothers reported low support, but fewer problem levels in the context of high support. Our results suggest that infant RSA is an important moderator of the effects of the early social environment on early development.     

Linkages between mothers’ job stressors and adolescents’ perceptions of the mother–child relationship in the context of weak versus strong support networks

This study tested the hypothesis that mothers’ exposure to psychosocial job stressors would be indirectly associated with less favorable ratings of the mother–adolescent relationship, as perceived by youth, by way of mothers feeling depleted of cognitive and emotional energies after work. We also examined whether mothers’ perceptions of being socially supported with regard to work and family responsibilities moderate associations between greater psychosocial job stressors and lesser quality in the mother–adolescent relationship. The sample consisted of 169 diverse mother–early adolescent dyads. Mothers and adolescents completed surveys independently. Hypotheses were tested through structural equation modeling and multi-group comparisons. Psychosocial job stressors were indirectly related to qualities of the mother–adolescent relationship via their association with mothers’ experiences of psychological energy depletion from work to family. The most consistent evidence for these associations was found among women who felt less social support in regard to their work–family responsibilities.     

Low birthweight: Do unwed fathers help?

Previous studies have revealed that marital status is an important predictor of birth outcomes, with unmarried mothers having a higher probability than married mothers of delivering low birthweight babies. However, research on the impact of different mother-father relationships among unwed parents is virtually non-existent and little is known about whether and how father involvement affects birth outcomes. In this study, we use the sample of unwed parents in the 7-cities baseline Fragile Families and Child Wellbeing data to examine the effects of parents' relationship status and support provided by the baby's father during pregnancy on the likelihood of delivering a low birthweight baby, and to examine whether father involvement explains racial and ethnic disparities in low birthweight. We include several variables that past studies have suggested may be important in explaining birth outcomes but generally have not been able to include, such as mother's social support, her attitudes and values, and her religiosity. We find that having received monetary support from the baby's father has a negative effect on the likelihood of low birthweight and that mothers who are in a non-cohabiting romantic relationship with the father have significantly higher odds of low birthweight compared to mothers who cohabit with the father of their baby. Finally, racial ethnic differences in birth outcomes within this population appear to be invariant to the level of father involvement. A major contribution of the study is that it uses rich new data to examine birth outcomes in a population at high risk—unmarried mothers—and incorporates measures such as parents' relationship status and father's financial support, along with an extensive set of demographic, social, and behavioral risk factors.     

THE RELATIONSHIPS AMONG ADOLESCENT PREGNANCY, PREGNANCY RESOLUTION, AND JUVENILE DELINQUENCY

We apply criminological theories of social control to explore the relationships among adolescent pregnancy, pregnancy resolution, and juvenile delinquency. While most ever-pregnant girls have especially high rates of delinquent behavior, adolescent mothers exhibit delinquency levels no higher than those of their never-pregnant peers. Unlike adolescent females who end their pregnancies through abortion, those who keep their babies experience a dramatic reduction in both smoking and marijuana use. Our results suggest that among adolescent girls, the birth of a child has a strong trajectory-modifying effect. It serves as a mechanisms of social control and substantially reduces the likelihood of delinquent behavior.     

Adolescent Fathers' Parenting Stress,Social Support,and Involvement with Infants

The present study examined the relationship between concurrent measures of adolescent fathers' parenting stress, social support, and fathers' care‐giving involvement with the 3‐month‐old infant, controlling for fathers' prenatal involvement. The study sample consisted of 50 teenage father–mother dyads. Findings from multivariate regression revealed that fathers' parenting stress was significantly and negatively related to fathers' care giving as perceived by both fathers and mothers. The relationship between support for father involvement provided by the young man's parents and father reported care‐giving involvement approached significance. Social support from both teenagers' parents buffered the negative influence of parenting stress on fathers' involvement with the baby. Policy and intervention implications are discussed.     

Relation Between Maternal Contingent Responsiveness and Infant Social Expectations

This study investigated the relation between maternal contingent responsiveness and 4‐ and 5‐month‐old infants' (N = 64) social expectation behavior in a still‐face procedure. Mothers were asked to interact with their infants for 2 min (interactive phase), remain still‐faced for 1 min (still‐face phase), and resume interaction for 2 min. Mother and infant behavior was assessed for the frequency of infant and mother smiles, mother smiles that were contingent to infant smiles and infant smiles were contingent to mother smiles during the interactive phase, and infant social bids to mother during the still‐face phase. Hierarchical regression showed that mother contingent smiles during the interactive phase accounted for unique variance in infant social bids during the still‐face phase beyond that accounted for by the frequency of mother and infant smiles during the interactive phase. These results support the view that young infants' social expectations and sense of self‐efficacy are formed within their interactions with their caregivers.     

Prenatal Stress,Poverty, and Child Outcomes

It is well documented that children living in poverty experience disadvantages in virtually every area of health and mental health, development, academic achievement, and other areas, compared to their more well-off peers. Mechanisms behind these disadvantages certainly include the lack of resources of all kinds inherent in poverty, including access to health care, high-quality education, safe housing, nutritious food, and many other resources. Less well recognized is the contribution of prenatal stress to these gaps, as poor children’s disadvantages often start early in fetal life due to high stress experienced by their mothers. Animal research and emerging human research demonstrate that stress during pregnancy affects fetal brain development through the mother’s hypothalamic–pituitary–adrenocortical axis, influencing the developing stress system and other parts of the brain of the fetus. Understanding these relationships among poverty, prenatal stress, and child outcomes is important for social workers, whose policy and service provider roles provide opportunities for amelioration at both micro- and macro-levels. This paper elucidates the consequences of prenatal stress, demonstrating that the physiological stress response operates prior to birth and directly influences infant and child biological, psychological, and social well-being. First, we briefly review the well-documented disadvantages experienced by poor children. Then, we describe the physiology of stress, clarifying the often-confusing definitions and elaborating to explain unique physiological aspects of stress during pregnancy. Finally, we discuss the important role social work may play in addressing this important problem.     

Newborn Behavior and Risk of Postnatal Depression in the Mother

The aim of this study was to assess which behavioral characteristics of the newborn infant are associated with an increased risk of postnatal depression (PND) in the mother. A total of 497 mothers from a prospective cohort study were recruited during the last trimester of pregnancy. Infants were evaluated at 3 days with the Brazelton Neonatal Behavioral Scale. Maternal PND was assessed at 6 weeks postpartum with the Edinburgh Postnatal Depression Scale. Behavioral characteristics of the infant predicted the occurrence of PND, independent of other risk factors for PND: The lower the infants' orientation performance, the higher the risk that the mother would present with PND 6 weeks after delivery. As orientation capacities play a key role in the interactional skills developed between mothers and their infants, an infant who is difficult to engage in interaction may contribute to the risk of PND.     

Marriage or Carriage? Trends in Union Context and Birth Type by Education

Using data from 8,951 first‐time mothers in the National Survey of Family Growth, the authors analyzed trends in union contexts during the transition to motherhood by social class (proxied by maternal education). Conventional classifications of union contexts as married or cohabiting were extended by classifying births relative to union status at conception. The most conventional married birth type, in which the mother was married at conception and at birth, declined sharply, but only among low‐ and moderately educated women. Women with lower levels of education were instead more likely to have a birth in the context of a cohabiting union formed prior to conception. In 2005–2010, the adjusted probability of a low‐educated mother having a conventional married birth was 11.5%, versus 78.4% for highly educated mothers. The growing disparity in union type at first birth by social class may have implications for social and economic inequality.     

Assessing Capacity to Change in High‐Risk Pregnant Women: A Pilot Study

Pre‐birth risk assessment is a process by which circumstances affecting an unborn child can be identified and support for mother and infant embedded. This mixed methods study describes a community‐based pre‐birth assessment and care pathway that utilised the Parents Under Pressure (PuP) programme to assess parenting capacity and provide support pre‐ and post‐birth for ‘at risk’ women. Sixty‐eight pregnant women referred to children's social care services were allocated to the pre‐birth assessment and care pathway (n = 35) or to routine care (n = 33). Standardised measures of psychological distress, social support and alcohol measured change for the women in the assessment and care pathway. Twenty women who provided pre‐ and post‐data reported significant improvements on all measures except alcohol use. Safeguarding outcomes at 12 months were obtained for both groups using administrative data. Forty‐two per cent of the infants whose mothers received the pre‐birth assessment and care pathway showed an improvement in child protection status compared to 14 per cent of the routine care infants. Safeguarding status deteriorated or stayed the same in 52 per cent of the routine cases compared to 26 per cent of those receiving the pathway. Qualitative data revealed that the pathway was acceptable and helpful to service users and service providers. Copyright © 2017 John Wiley & Sons, Ltd.

‘Describes a community‐based pre‐birth assessment and care pathway that utilised the Parents Under Pressure (PuP) programme’

Key Practitioner Messages

• The current project found that a community‐based pre‐birth assessment and care pathway with high‐risk pregnant women was feasible and acceptable for practitioners and service users.
• The pathway began mid‐pregnancy and support was provided following the birth of the infant for up to 12 months.
• Over 40 per cent of infants whose mothers were allocated to the pre‐birth risk assessment pathway showed improvements in child safeguarding status at 12 months.

     

Persistent symptoms of maternal post-traumatic stress following childbirth across the first months postpartum: Associations with perturbations in maternal behavior and infant avoidance of social gaze toward mother

Recent literature identifies childbirth as a potentially traumatic event, following which mothers may develop symptoms of Post-Traumatic-Stress-Following-Childbirth (PTS-FC). The current study examines whether stable symptoms of PTS-FC during the early postpartum period may impose risk for perturbations in maternal behavior and infant social-engagement with mother, controlling for comorbid postpartum internalizing symptoms. Mother-infant dyads (N = 192) were recruited from the general population, during the third trimester of pregnancy. 49.5% of the mothers were primipara, and 48.4% of the infants were girls. Maternal PTS-FC was assessed at 3-day, 1-month and 4-month postpartum, via self-report and clinician-administered interview. Latent Profile Analysis generated two profiles of symptomology: “Stable-High-PTS-FC” (17.0%), and “Stable-Low-PTS-FC” (83%). Membership in the “Stable-High-PTS-FC” profile associated with perturbed maternal sensitivity, which was in turn significantly associated with infant avoidance of social gaze toward mother (Indirect effect β = −0.15). Results suggest the need for early screening and inform the planning of early preventive interventions.     

Parenting Behaviors Among Mainland Puerto Rican Adolescent Mothers: The Role of Grandmother and Partner Involvement

Relations between grandmother and partner involvement (coresidence, social support, child care) and Puerto Rican adolescent mothers' parenting behaviors were examined. Few associations between grandmother involvement and behavior emerged, and these were moderated by coresidence. In contrast, partner involvement showed a number of significant (positive) direct and moderated relations with behavior. For both providers, the direction of the relations between social support and behavior during teaching was the opposite depending on coresidence: Greater social support was related to the display of more positive behavior among coresiding mothers but to less competent behavior among non‐coresiding mothers. The relations between child care support and behavior differed across providers. For grandmothers, greater child care was related to less positive behavior during teaching among coresiding mothers but to more competent behavior among non‐coresiding mothers. For partners, greater child care was more strongly related to positive behavior during play among non‐coresiding than coresiding mothers. Results are discussed in light of Latino cultural values, developmental issues, and implications for intervention.     

Absent Fathers as Providers: Race/Ethnic Differences in Support for Adolescent Mothers

Race/ethnic differences in the prevalence of and characteristics associated with low support provided by fathers of babies born to pregnant adolescents were examined among 719 adolescent mothers who were interviewed postpartum. Low support was reported by 41.9% of African-American, 26.2% of Mexican-American, and 19.4% of Caucasian adolescent mothers. Across race/ethnic subgroups, fathers who provided limited support were characterized by chronic substance use, gang or police involvement, or partner-directed violence. Policies advocating universal father involvement without concomitant programs designed to address their many needs may ultimately be detrimental to the welfare of mother and child.