Objectives: This study aims to compare the early childhood mental health of children from marginalized Roma communities (MRCs) in Slovakia with that of the majority and explore possible mediating pathways of mothers' perceived stress and harsh discipline practices. Methods: We used data from the first wave of the longitudinal RomaREACH study collected in 2021-2022. Two populations were included in the sample: 94 mother-child dyads from MRCs and 79 from the majority population (children aged 14-18 months). Data were analysed using linear regression, and mediation was tested using PROCESS Macro in SPSS. Results: Belonging to MRCs vs. the majority, perceived stress of mothers and harsh discipline were found to be associated with early mental health problems in children. Perceived stress of mothers partially mediates the relationship between belonging to MRCs vs. majority and harsh discipline and harsh discipline partially mediates the relationship between perceived stress of mothers and the mental health of children. Conclusion: Mothers from MRCs perceive more stress, which is associated with more frequent use of harsh discipline practices having a negative impact on the mental health of young children.

• Klíčová slova
• early childhood, harsh discipline, marginalized Roma communities, mental health, perceived stress, poverty,
• MeSH
• duševní zdraví MeSH
• lidé MeSH
• matky psychologie   MeSH
• předškolní dítě MeSH
• průřezové studie MeSH
• psychický stres epidemiologie   MeSH
• rodičovství * psychologie   MeSH
• Romové * MeSH
• Check Tag
• lidé MeSH
• předškolní dítě MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

Breastfeeding brings many benefits to both mother and infant. Although, many women stop breastfeeding their infants too soon. The perceived association between breastfeeding and sleep may influence their decision to terminate breastfeeding. In our systematic review, we focused on mapping the relationship between infant feeding method and total sleep time (TST), number of nocturnal awakenings, awakenings after sleep onset (WASO) of mothers and infants and sleep quality of mothers. We searched four databases according to selected keywords and inclusion criteria - articles published in peer-reviewed journals between 2012 and 2022; English language; a sample consisting of mothers, infants, or both (without psychiatric and health problems); a comparison of the sleep quality of breastfed and formula-fed children or breastfeeding and formula-fed mothers. We read 260 full texts of selected articles. A total of 35 articles were included in this review. Due to significant heterogeneity, meta-analysis was not possible to accomplish. The results are processed according to narrative synthesis. Most studies agree that breastfed infants wake up more often at night. Total sleep time and time spent awake during the night (WASO) did not differ between breastfed and non-breastfed infants. We observed identical results in sleep variables among mothers. Additionally, there was no difference in maternal sleep quality. The synthesis revealed that the results may have differed due to using subjective, objective methods or the infant's age. It is important to remember that night waking is a more complex concept. Infants wake for many reasons, not just due to breastfeeding. The narrative synthesis indicated that the chosen study design, measurement method, the variables, and the infant's age could influence outcomes. In addition, other variables appeared that may affect the entire process. Therefore, we recommend that attention be paid to this in future studies.

• Klíčová slova
• Breastfeeding, Formula feeding, Infant's sleep, Mother's sleep, Night awakening, Sleep quality,
• MeSH
• délka spánku MeSH
• dítě MeSH
• kojenec MeSH
• kojení * psychologie   MeSH
• lidé MeSH
• matky psychologie   MeSH
• metody výživy MeSH
• spánek * MeSH
• Check Tag
• dítě MeSH
• kojenec MeSH
• lidé MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH
• systematický přehled MeSH

The article analyses medical communication in popular media relating to the risks in reproduction in the state-socialist Czechoslovakia between 1948 and 1989 and shows how it used emotions as an instrument to control women's reproductive behaviour. In particular, we use an approach inspired by Donati's (1992) political discourse analysis and by Snow and Bedford's (1988) framing analysis to explore communication on the risk of infertility in the abortion debate, the risk of fetal abnormalities in the prenatal screening debate, and the risk of emotional deprivation and morbidity in infants in the debate on mothering practices. The analysis contributes to the knowledge on how the construction of risk in reproduction, including childcare, serves to create a moral order of motherhood by defining what constitutes 'irresponsible' reproductive behaviours and their associated risks, and in doing so may lead to the further marginalisation of already marginalised people. We explain how expert discourse on reproduction and care aimed at the general public worked by constructing risks, a fear of these risks, and women's responsibility for avoiding them in order to regulate women's behaviour through self-discipline, which worked alongside other disciplinary techniques. These techniques were applied unequally and mainly to marginalised groups of women, such as women of Roma ethnicity and single mothers.

• Klíčová slova
• Child health, Genetics, family planning, health care education, pregnancy,
• MeSH
• dítě MeSH
• komunikace MeSH
• lidé MeSH
• matky * psychologie   MeSH
• rozmnožování * MeSH
• sociální chování MeSH
• těhotenství MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Československo MeSH

Prenatal exposure to maternal stress may increase the risk of developing sleep problems in childhood. This study examined the association between prenatal stressful life events (PSLE) and children's sleep problems, taking into consideration their trajectory over time. Data were obtained from the Czech portion of the European Longitudinal Cohort Study of Pregnancy and Childhood (ELSPAC-CZ; N = 4,371 children). Mothers reported PSLE using an inventory of 42 life events and child sleep problems at five time-points (child age of 1.5, 3, 5, 7, and 11 years). The association was tested by a Poisson latent growth model, controlling for maternal and family demographics, birth characteristics, maternal depression, and alcohol use in pregnancy. The average rate of sleep problems was 2.06 (p < 0.001) at the age of 1.5 years and the rate of sleep problems decreased in a linear fashion over time (estimate = -0.118; p < 0.001). A higher number of PSLE was associated with a higher rate of sleep problems at the age of 1.5 years (incidence rate ratio [IRR] per interquartile range = 1.08, 95% confidence interval [CI] 1.05-1.12, p < 0.001) and with a reduced rate of decrease in sleep problems between the ages of 1.5 and 11 years (p < 0.001). Thus, PSLE were associated with chronicity of sleep problems in addition to their amount during early childhood. Prenatal exposure to stress may predispose individuals to the development of sleep problems in later life.

• Klíčová slova
• childhood sleep problems, latent growth modelling, prenatal stressful life events,
• MeSH
• dítě MeSH
• kojenec MeSH
• lidé MeSH
• longitudinální studie MeSH
• matky psychologie   MeSH
• poruchy spánku a bdění * epidemiologie   etiologie   MeSH
• předškolní dítě MeSH
• psychický stres komplikace   epidemiologie   psychologie   MeSH
• spánek MeSH
• těhotenství MeSH
• zpožděný efekt prenatální expozice * MeSH
• Check Tag
• dítě MeSH
• kojenec MeSH
• lidé MeSH
• předškolní dítě MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH

OBJECTIVE: Cesarean section (CS) rates are rising rapidly around the world but no conclusive evidence has been obtained about the possible short- and long-term effects of CS on child behavior. We evaluated prospectively the association between CS and infant temperament across the first 9 postpartum months, controlling for indications for CS and investigating parity and infant sex as moderators. METHODS: The sample consisted of mothers and their healthy infants. Infant temperament was measured using the Infant Characteristics Questionnaire completed by the mothers at 6 weeks (n = 452) and 9 months (n = 258) postpartum. Mode of birth was classified into spontaneous vaginal birth (n = 347 for 6 weeks sample; 197 for 9 months sample), CS planned for medical reasons (n = 55; 28) and emergency CS (n = 50; 33). RESULTS: Multiple regression analysis revealed no main effects of birth mode, but showed a significant interaction between birth mode and parity indicating that emergency CS in firstborn infants was associated with more difficult temperament at 6 weeks. There were no significant associations between indications for CS and infant temperament, although breech presentation predicted difficult temperament at 9 months. CONCLUSION: We largely failed to support the association between CS and infant temperament. Although our results suggest that emergency CS may be associated with temperament in firstborns, further research is needed to replicate this finding, preferably using observational measures to assess child temperament.

• MeSH
• císařský řez statistika a číselné údaje   MeSH
• kojenec MeSH
• lidé MeSH
• longitudinální studie MeSH
• matky psychologie   MeSH
• parita MeSH
• poloha plodu koncem pánevním epidemiologie   MeSH
• poporodní období MeSH
• prospektivní studie MeSH
• regresní analýza MeSH
• těhotenství MeSH
• temperament * MeSH
• vývoj dítěte MeSH
• Check Tag
• kojenec MeSH
• lidé MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH

Do one's hierarchical preference for attachment support from a particular person over other people (attachment hierarchy) and his/her discomfort with closeness and uneasiness about being dependent on that particular person (attachment avoidance) inversely overlap? These two constructs have been distinctly conceptualized. Attachment hierarchy has been regarded as a normative characteristic of attachment relationships, while attachment avoidance has been considered to reflect an individual difference of relationship quality. Employing bifactor analyses, we demonstrated a unidimensional general factor of these two concepts in four studies exploring Czech young adults' relationships with mother, father, friends, and romantic partner (Study 1); U.S. young adults' relationships with a romantic partner (Study 2); Czech adolescents' relationships with mother, father, and friends (Study 3); and Japanese young adults' relationships with mother, father, and romantic partner (Study 4). These convergent results provide the replicable and generalizable evidence that one's attachment avoidance toward a particular person and her/his placement of that particular person in the attachment hierarchy are inversely overlapping.

• MeSH
• dospělí MeSH
• interpersonální vztahy MeSH
• lidé MeSH
• longitudinální studie MeSH
• matky psychologie   MeSH
• mladiství MeSH
• mladý dospělý MeSH
• námluvy psychologie   MeSH
• otcové psychologie   MeSH
• přátelé psychologie   MeSH
• připoutání k objektu * MeSH
• průzkumy a dotazníky MeSH
• vztahy mezi rodiči a dětmi MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mladiství MeSH
• mladý dospělý MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH

OBJECTIVE: This study examined longitudinal relations between maternal bonding and infant temperament in the first nine months after birth. DESIGN: Our sample consisted of 281 women, enrolled at five maternity hospitals, who completed questionnaires during the first week (T1), at six weeks (T2) and nine months postpartum (T3). Maternal bonding was assessed using the Mother-to-Infant Bonding Scale at T1 and T2 and the Postpartum Bonding Questionnaire at T3. Infant temperament was measured using the Infant Characteristics Questionnaire, completed by the mothers at T2 and T3. RESULTS: The results of a path model showed a long-term effect flowing from the child to the mother, with infant temperament at T2 predicting maternal bonding at T3 over and above stability in bonding. At T3, bonding was linked more strongly to child temperament at T2 than to child temperament assessed concurrently at T3. Maternal bonding did predict infant temperament, but this was true only of bonding reported at T1 and infant temperament at T2, that is, not of bonding assessed at T2 and infant temperament at T3. CONCLUSION: Our results indicate that maternal bonding in the first week postpartum may temporarily affect child temperament, but infant's temperament several weeks after birth - rather than several months postpartum - plays a pervasive role in shaping the long-lasting nature of the mother-child relationship. Our findings thus seem to support the suggestion that the early postpartum weeks represent an important period in the development of maternal bonding.

• Klíčová slova
• Infancy, Infant’s temperament, Maternal bonding, Parenting,
• MeSH
• dospělí MeSH
• kohortové studie MeSH
• kojenec MeSH
• lidé MeSH
• longitudinální studie MeSH
• matky psychologie   MeSH
• mladý dospělý MeSH
• poporodní období fyziologie   psychologie   MeSH
• připoutání k objektu * MeSH
• průzkumy a dotazníky MeSH
• těhotenství MeSH
• temperament fyziologie   MeSH
• vztahy mezi matkou a dítětem psychologie   MeSH
• Check Tag
• dospělí MeSH
• kojenec MeSH
• lidé MeSH
• mladý dospělý MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH

BACKGROUND: Despite numerous efforts to improve maternal and child health in Malawi, maternal and newborn mortality rates remain very high, with the country having one of the highest maternal mortality ratios globally. The aim of this study was to identify which individual factors best predict utilisation of skilled maternal healthcare in a sample of women residing in Lilongwe district of Malawi. Identifying which of these factors play a significant role in determining utilisation of skilled maternal healthcare is required to inform policies and programming in the interest of achieving increased utilisation of skilled maternal healthcare in Malawi. METHODS: This study used secondary data from the Woman's Questionnaire of the 2010 Malawi Demographic and Health Survey (MDHS). Data was analysed from 1126 women aged between 15 and 49 living in Lilongwe. Multivariate logistic regression was conducted to determine significant predictors of maternal healthcare utilisation. RESULTS: Women's residence (P=.006), education (P=.004), and wealth (P=.018) were significant predictors of utilisation of maternal healthcare provided by a skilled attendant. Urban women were less likely (odds ratio [OR] = 0.47, P=.006, 95% CI = 0.28-0.81) to utilise a continuum of maternal healthcare from a skilled health attendant compared to rural women. Similarly, women with less education (OR = 0.32, P=.001, 95% CI = 0.16-0.64), and poor women (OR = 0.50, P=.04, 95% CI = 0.26-0.97) were less likely to use a continuum of maternal healthcare from a skilled health attendant. CONCLUSION: Policies and programmes should aim to increase utilisation of skilled maternal healthcare for women with less education and low-income status. Specifically, emphasis should be placed on promoting education and economic empowerment initiatives, and creating awareness about use of maternal healthcare services among girls, women and their respective communities.

• Klíčová slova
• Health System, Malawi, Maternal Healthcare,
• MeSH
• dítě MeSH
• dospělí MeSH
• dostupnost zdravotnických služeb statistika a číselné údaje   MeSH
• kojenec MeSH
• lidé středního věku MeSH
• lidé MeSH
• logistické modely MeSH
• matky psychologie   statistika a číselné údaje   MeSH
• novorozenec MeSH
• odds ratio MeSH
• pacientův souhlas se zdravotní péčí psychologie   statistika a číselné údaje   MeSH
• předpověď MeSH
• předškolní dítě MeSH
• průzkumy a dotazníky MeSH
• služby zdravotní péče o dítě statistika a číselné údaje   MeSH
• služby zdravotní péče o matku statistika a číselné údaje   trendy   MeSH
• Check Tag
• dítě MeSH
• dospělí MeSH
• kojenec MeSH
• lidé středního věku MeSH
• lidé MeSH
• novorozenec MeSH
• předškolní dítě MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Malawi MeSH

Postpartum depression (PPD) affects up to 19% of all mothers, with detrimental effects on both mother and child. The antidepressant and anxiolytic effects of plasma oxytocin are well-documented, but it is still disputable whether synthetic oxytocin (synOT) may protect women against postpartum mood alterations. The current study examined the association between synOT intrapartum and maternal mood postpartum using a prospective design. Two hundred sixty women were screened for depressive symptoms in the last trimester of pregnancy and then again 6 weeks and 9 months postpartum using the Edinburgh Postnatal Depression Scale. They also completed Maternity Blues Questionnaire in the first postpartum week. The data concerning the intrapartum interventions and health status of the newborn were extracted from the medical records. Cox proportional hazards regression adjusted for a history of depression, mode of delivery, and childbirth experience showed that synOT predicted a significantly lower risk of PPD (HR = 0.65, 95% CI 0.45-0.95, p = 0.025). The risk factors for PPD included a history of depression (HR = 3.20, 95% CI 2.33-4.40, p < 0.001) and negative childbirth experience (HR = 1.39, 95% CI 1.01-1.90, p = 0.040). Logistic regression adjusted for the same covariates found no significant effect of synOT on maternity blues (OR = 0.64, 95% CI 0.31-1.32, p = 0.23). While synOT administered intrapartum does not affect maternal mood immediately, it may come to effect some weeks after childbirth to protect mothers from developing PPD symptoms.

• Klíčová slova
• Depression, Maternity blues, Pregnancy and postpartum, Synthetic oxytocin,
• MeSH
• dospělí MeSH
• lidé MeSH
• longitudinální studie MeSH
• matky psychologie   MeSH
• oxytocin aplikace a dávkování   krev   MeSH
• poporodní deprese krev   diagnóza   epidemiologie   psychologie   MeSH
• poporodní období MeSH
• proporcionální rizikové modely MeSH
• prospektivní studie MeSH
• psychiatrické posuzovací škály MeSH
• rizikové faktory MeSH
• těhotenství MeSH
• uterotonika aplikace a dávkování   krev   MeSH
• vedení porodu psychologie   MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• pozorovací studie MeSH
• práce podpořená grantem MeSH
• Názvy látek
• oxytocin MeSH
• uterotonika MeSH

OBJECTIVE: To synthesise qualitative studies on women's psychological experiences of physiological childbirth. DESIGN: Meta-synthesis. METHODS: Studies exploring women's psychological experiences of physiological birth using qualitative methods were eligible. The research group searched the following databases: MEDLINE, CINAHL, PsycINFO, PsycARTICLES, SocINDEX and Psychology and Behavioural Sciences Collection. We contacted the key authors searched reference lists of the collected articles. Quality assessment was done independently using the Critical Appraisal Skills Programme (CASP) checklist. Studies were synthesised using techniques of meta-ethnography. RESULTS: Eight studies involving 94 women were included. Three third order interpretations were identified: 'maintaining self-confidence in early labour', 'withdrawing within as labour intensifies' and 'the uniqueness of the birth experience'. Using the first, second and third order interpretations, a line of argument developed that demonstrated 'the empowering journey of giving birth' encompassing the various emotions, thoughts and behaviours that women experience during birth. CONCLUSION: Giving birth physiologically is an intense and transformative psychological experience that generates a sense of empowerment. The benefits of this process can be maximised through physical, emotional and social support for women, enhancing their belief in their ability to birth and not disturbing physiology unless it is necessary. Healthcare professionals need to take cognisance of the empowering effects of the psychological experience of physiological childbirth. Further research to validate the results from this study is necessary. PROSPERO REGISTRATION NUMBER: CRD42016037072.

• Klíčová slova
• childbirth, empowerment, lived experiences, obstetrics, physiological childbirth, pyschological,
• MeSH
• dospělí MeSH
• lidé MeSH
• matky psychologie   MeSH
• pacientův souhlas se zdravotní péčí psychologie   MeSH
• poporodní období psychologie   MeSH
• porod psychologie   MeSH
• porodní bolesti psychologie   MeSH
• porodní děj psychologie   MeSH
• služby zdravotní péče o matku organizace a řízení   MeSH
• sociální opora MeSH
• těhotenství MeSH
• vedení porodu psychologie   MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• metaanalýza MeSH
• práce podpořená grantem MeSH
• přehledy MeSH