The Effects of State Alcohol and Pregnancy Policies on Women’s Health and Healthy Pregnancies

US states have enacted a wide range of laws to address health challenges associated with alcohol use during pregnancy. Some have taken punitive approaches that restrain women’s behavior, and some have taken supportive approaches aimed at improving women’s health and supporting healthy pregnancies. In this article we report on a study of implementation of supportive and punitive policies when both types of policies operate simultaneously in the same jurisdiction. Effects of mixed use laws on multiple stakeholder groups, especially pregnant and postpartum women, are studied. We conclude by identifying how our findings can be extended for future comparative state research.     

The Relationship Context: Its Effects on Low-Income Women's Desire for a Baby

Little is known about the influence of relationship characteristics on a woman's desire for a baby with her partner. This study addresses that gap, using data from a study of 1,114 low-income women in the southeast who were in a relationship. Controlling for sociodemographic factors, women who were in more established relationships, who had not had a previous child with their partner, or who had higher expectations of their partner were generally more likely to want a baby with him. In investigating women's childbearing desires, it is important to consider not only individual characteristics but also women's relationship characteristics.     

Risk Factors and Life Processes Associated with Teenage Pregnancy: Results of a Prospective Study From Birth to 20 Years

Data gathered over the course of a 20‐year longitudinal study of 533 New Zealand women were used to (a) describe the extent and timing of pregnancies within the cohort up to age 20, and (b) examine the extent to which the risk of an early pregnancy was related to a range of social background, family, individual, and peer relationship factors measured over the course of childhood and adolescence. Results showed that by age 20, nearly a quarter of the sample had been pregnant at least once, with the majority of first pregnancies occurring between the ages of 17 and 20 years. The profile of those at greatest risk of a teenage pregnancy (<20 years) was that of an early‐maturing girl with conduct problems who had been reared in a family environment characterized by parental instability and maternal role models of young single motherhood. As young adolescents, these girls were characterized by high rates of sexual risk‐taking and deviant peer involvement. Exposure to social and individual adversity during both childhood and adolescence made independent contributions to an individual's risk of an early pregnancy. These findings were most consistent with a life course developmental model of the etiology of teenage pregnancy. Implications for teenage pregnancy prevention are discussed.     

Modeling Exposure to Air Pollution from the WTC Disaster Based on Reports of Perceived Air Pollution

We examined the utility of a newly developed perceived air pollution (PAP) scale and of a modeled air pollution (MAP) scale derived from it for predicting previously observed birth outcomes of pregnant women enrolled following September 11, 2001. Women reported their home and work locations in the four weeks after September 11, 2001 and the PAP at each site on a four-point scale designed for this purpose. Locations were geocoded and their distance from the World Trade Center (WTC) site determined. PAP values were used to develop a model of air pollution for a 20-mile radius from the WTC site. MAP values were assigned to each geocoded location. We examined the relationship of PAP and MAP values to maternal characteristics and to distance of home and work sites from the WTC site. Both PAP and MAP values were highly correlated with distance from the WTC. Maternal characteristics that were associated with PAP values reported for home or work sites (race, demoralization, material hardship, first trimester on September 11) were not associated with modeled MAP values. Relationships of several birth outcomes to proximity to the WTC, which we previously reported using this data set, were also seen when MAP values were used as the measure of exposure, instead of proximity. MAP developed from reports of PAP may be useful to identify high-risk areas and predict health outcomes when there are multiple sources of pollution and a "distance from source" analysis is impossible.     

Gynecologic age is an important risk factor for obstetric and perinatal outcomes in adolescent pregnancies

BackgroundAdolescent pregnancy is an important public health problem. Physiological maturity affects obstetric and perinatal outcomes. Almost all assessments of adolescent pregnancies are based on chronological age. Gynecologic age (GA) is defined as age in years at conception minus age at menarche and it is an indicator of physiological maturity.AimTo compare obstetric and perinatal outcomes between adult and adolescent pregnancies as categorized according to GA.MethodsIn this retrospective study, 233 adolescent pregnant women were divided into two groups based on GA ≤ 3 years (101 women) and GA > 3 years (132 women). Their obstetric and perinatal results were compared with 202 adult pregnancies who gave birth in the same period.FindingsGestational age at delivery, APGAR scores, birth weight, and incidence of preterm birth, admission to neonatal intensive care unit (NICU), intrauterine growth restriction, low birth weight, and premature rupture of membranes were significantly different between the study groups. Compared to adolescent pregnancies with GA > 3 years, adolescent pregnancies with GA ≤ 3 years had significantly lower birth weight, gestational age, APGAR scores, and significantly higher incidence of intrauterine growth restriction, low birth weight and admission to NICU.ConclusionLow GA is associated with an increased rate of obstetric and perinatal complications in adolescent pregnancies. Although the main aim is the prevention of adolescent pregnancies, a detailed evaluation of such pregnancies including determination of the gynecological age together with a multidisciplinary approach may decrease potential complications.     

Becoming Pregnant

This article considers the implications of the presence of Juno's pregnant girl body in the film Juno (2007). The narrative follows the high school student Juno's pregnancy, her decision to have the baby adopted, and its birth as she attempts to determine her feelings for her friend Bleeker. As a pregnant girl, Juno persists in a state of liminality and disrupts linear ideas of becoming: becoming woman, becoming mother, becoming feminist. Having considered contemporary discourses of pregnancy, I explore Juno's representation of the pregnant body as both abject and humorous, recognising the restrictions upon girls' sexuality and moments in which they are contested. I then move to consider Juno in relation to discourses of risk and responsibility, acknowledging the ways in which the film simultaneously perpetuates and critiques the presumption that teenagers make bad parents. I argue that analysing the juncture of girl and pregnancy represented in Juno enables a move beyond simplistic expectations of “normal” feminine girlhood to recognise it as complex and messy.     

Policy and the Pregnant Body at Work: Strategies of Secrecy,Silence and Supra‐performance

This article considers how women manage their pregnant bodies at work. Through netnographic research and drawing upon feminist discussions of the leaky pregnant body, I examine the experiences of US and UK women who correspond on interactive websites or chat rooms. Drawing upon ‘expert advice’ and the experiences of employed pregnant women in this study, I suggest that the bodily manifestations of pregnancy are taboo in some workplaces. I note how these women did not appear to draw upon policy as a resource for dealing with negative reactions to pregnancy from colleagues and employers. Instead, they tended to adopt strategies of secrecy, silence and supra‐performance in order to try and blend in. In the context of these strategies, I demonstrate how women's attempts to manage and control their bodies are severely compromised during pregnancy, when the body may be leaky and unpredictable.     

Consequences of Pain in Early Life and its Remedy: Maternal Responsibility

ABSTRACT

Neonatal and childhood pain experience is an unavoidable consequence of modern-day medical practice. Repeated exposure to noxious stimuli is not free from adverse consequences in adult life. Therefore it is important to minimize pain if unavoidable in early life. Parents need to be aware of the various measures available to minimize pain in infants and children. They need to be educated about the analgesic efficacy of nonpharmacological agents such as sucrose. Judicious use of these substances is advised to prevent the immediate and late consequences of early pain experience.     

Pregnancy in a Brotherhood bin: Housing and drug-treatment options for pregnant young women

The research on which this paper is based is part of an Australian Housing Urban Research Institute (AHURI) project using ethnographic research with people using heroin in the cities of Yarra and Geelong (Victoria), Sydney and Cabramatta (New South Wales). More specifically the article reports on the lives of young drug dependent pregnant women and the importance of housing for those wanting to enter drug treatment programs. This involves asking how critical the provision of appropriate housing are for women who choose to ‘get clean’ or who attempt to limit their drug use. An answer is provided by drawing on interview material from the pregnant women themselves as well as a range of health and welfare service providers.