May 5, 2003
Contact: CDC Media Relations 404-639-3286
Mother's Day Pediatrics Examines the Crucial Role of
Mothers in Children's Health
What a woman does before, during and after pregnancy can significantly affect
the health of her children. That is the focus of a special Mothers Day
supplement of Pediatrics sponsored by the Centers for Disease Control and
Prevention, "Maternal Influences on Child Health: Pre-conception, Prenatal and
Early Childhood. The original scientific research reported in this issue
provides data to support and clarify many of the current recommendations such as
the use of folic acid to reduce birth defects and maintaining a healthy weight
during pregnancy. It also reveals progress and challenges in reaching national
goals for promotion of healthy mother-child relationships, including
breastfeeding and child vaccinations.
Mother's Day is the kick-off to National Women's Health Week, when the U.S.
Department of Health and Human Services is asking women to focus on their own
health and schedule a preventive check-up. In recognition, CDC encourages women
to take simple steps to improve their health and the health of their babies,
including:
Take care of yourself before you become pregnant. Healthy behaviors
that you develop now are likely to carry over into any future pregnancy, whether
its planned or not. These behaviors include eating right, being physically
active, getting recommended health screenings, drinking alcohol in moderation or
not at all, being smoke free, and taking folic acid.
Take care of yourself and your baby during pregnancy. During
pregnancy, everything you do foods you eat, medications you take, substances
you use or are exposed to can directly or indirectly affect your unborn child,
as well as a womans general health. In addition, your body devotes energy and
nutrients to the growing fetus, which means that you will need extra rest and
nutrients. Prenatal care and a healthy lifestyle can help you stay healthy and
have a healthy baby.
Take care of yourself and your new baby and young child. As a new
parent, you are responsible for the health, safety, and development of another
person and this can be overwhelming at times, but there are a variety of
resources for you, and things that you can do to improve your health and the
health of your child now and into the future. For example, you can get your
child vaccinated, you can provide a safe environment, and you can breastfeed
your baby, which is the ideal nutrition for newborns.
Key scientific findings presented in the Pediatrics special edition
include:
Adolescent mothers are more likely to have unintended pregnancies, and
less likely to take pre-conceptional folic acid than older moms. Folic
acid can prevent neural tube defects such as spina bifida.
The risk of birth defects associated with maternal diabetes may be
reduced by use of multivitamin supplements during the pre-conceptional
period.
The first study of medication sharing among adolescents found that
older teens, and especially girls, are likely to borrow each others
prescription medications. This has implications because some medications
(such as Accutane®, an acne treatment) may cause birth defects; and
teen-age girls may have an unplanned and/or unrecognized pregnancy.
Mothers who smoke are twice as likely to have a low birth weight
infant. Even those who smoke just a few cigarettes a day increase their
risk substantially. Just over 12 percent of women who gave birth in 2000
smoked during pregnancy; a decade earlier, about 20 percent of mothers
were smokers.
Women at high risk for alcohol-exposed pregnancy may benefit from
motivational counseling focused on reducing high-risk drinking and
postponing pregnancy.
Researchers found a link between fertility treatments and certain
birth defects of the skull. This association is independent of maternal
age, but needs further study.
More than half of mothers of HIV-infected infants had a least one
missed opportunity for perinatal HIV prevention. Missed opportunities
included lack of prenatal care, lack of a prenatal HIV testing despite
prenatal care, and lack of prenatal antiretroviral treatment after
testing.
The percent of women gaining more than 40 pounds during pregnancy is
increasing. Excess weight gain in pregnancy can increase the risk of
cesarean section, therefore the growing number of women gaining excess
weight accounts for a larger proportion of cesarean deliveries each year.
Women who are overweight or obese before becoming pregnant may have a
higher risk of having a child with certain birth defects, such as heart
defects.
Sleeping with an infant on the sofa greatly increases the risk of
SIDS.
Mothers who have multiple children or certain underserved mothers are
at highest risk of having undervaccinated children.
Infant deaths from injury have declined, but suffocation rates have
increased, and large regional and racial disparities continue.
Children whose mothers have a serious mental health condition have a
4-fold increase in attention deficit and hyperactivity disorder (ADHD).
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CDC protects people's health and safety by preventing and controlling
diseases and injuries; enhances health decisions by providing credible
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ALL INFORMATION, DATA, AND
MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR GENERAL INFORMATION
PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE KNOWLEDGE OR OPINIONS
OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED AS PROVIDING MEDICAL OR
LEGAL ADVICE. THE DECISION WHETHER OR NOT TO VACCINATE IS AN IMPORTANT AND
COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU ALONE, IN CONSULTATION WITH
YOUR HEALTH CARE PROVIDER.
"A foolish faith in authority is the worst enemy of truth."
-- Albert Einstein, letter to a friend, 1901
"I know of no safe depository of the ultimate powers of the society but the people themselves, and if we think them not enlightened enough to exercise control with a wholesome discretion, the remedy is not to take it from them, but to inform their discretion by education."
-- Thomas Jefferson, letter to William C. Jarvis, September 28, 1820
"What's the point of vaccination if it doesn't protect you from the unvaccinated?"
-- Sandy Gottstein
"Who gets to decide what the greater good is and how many will be sacrificed to it?"