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Erschienen in: Maternal and Child Health Journal 5/2020

01.05.2020

Young First-Time Mothers’ Parenting of Infants: The Role of Depression and Social Support

verfasst von: Helen Y. Lee, Renee C. Edwards, Sydney L. Hans

Erschienen in: Maternal and Child Health Journal | Ausgabe 5/2020

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Abstract

Objectives

This study examines the contributions of social support and depressive symptoms on sensitive parenting behaviors, parenting attitudes and parenting stress among first-time young mothers. Additionally, the study tests the moderating role of depression in associations between various types and sources of social support and parenting outcomes.

Methods

Young (M = 17.4 years), low-income, African American mothers (n = 192) were interviewed and video-recorded interacting with their 4-month-old infants.

Results

Regression analyses showed that depressive symptoms (CES-D) were associated with less sensitivity observed during mother–infant interactions, less sensitive attitudes (AAPI) and greater parenting stress (PSI), but the role of social support was more nuanced. Direct infant care support from the mother’s parent figure (typically her own mother) was related to more sensitive parenting behaviors and attitudes, while general support and direct infant care support from the father of the baby were related to reduced parenting stress. Depressive symptoms moderated the relationship between general support from the parent figure and parenting outcomes. Specifically, higher levels of general support contributed to more sensitive maternal behaviors and attitudes only when depressive symptoms were low.

Conclusions for Practice

For young mothers, their parent figure and the father of the baby can be important sources of support in promoting positive parenting and reducing parenting stress. Young mothers with depression, however, are at risk for problematic parenting and may have difficulty taking advantage of the support offered by their parent figure.
Literatur
Zurück zum Zitat Abidin, R. R. (1983). The Parenting Stress Index manual. Charlottesville, VA: Pediatric Psychology Press. Abidin, R. R. (1983). The Parenting Stress Index manual. Charlottesville, VA: Pediatric Psychology Press.
Zurück zum Zitat Apfel, N. H., & Seitz, V. (1991). Four models of adolescent mother-grandmother relationships in Black inner-city families. Family Relations,40, 421–429. Apfel, N. H., & Seitz, V. (1991). Four models of adolescent mother-grandmother relationships in Black inner-city families. Family Relations,40, 421–429.
Zurück zum Zitat Bavolek, S. J. (1984). Handbook of the AAPI. Eau Claire, Wisconsin: Family Development Resources. Bavolek, S. J. (1984). Handbook of the AAPI. Eau Claire, Wisconsin: Family Development Resources.
Zurück zum Zitat Bellamy, J. L., Thullen, M., & Hans, S. (2015). Effect of low-income unmarried fathers’ presence at birth on involvement. Journal of Marriage and Family,77(3), 647–661. Bellamy, J. L., Thullen, M., & Hans, S. (2015). Effect of low-income unmarried fathers’ presence at birth on involvement. Journal of Marriage and Family,77(3), 647–661.
Zurück zum Zitat Campbell, S. B., Cohn, J. F., Flanagan, C., Popper, S., & Meyers, T. (1992). Course and correlates of postpartum depression during the transition to parenthood. Development and Psychopathology,4, 29–47. Campbell, S. B., Cohn, J. F., Flanagan, C., Popper, S., & Meyers, T. (1992). Course and correlates of postpartum depression during the transition to parenthood. Development and Psychopathology,4, 29–47.
Zurück zum Zitat Chase-Lansdale, P. L., Brooks-Gunn, J., & Zamsky, E. S. (1994). Young African-American multigenerational families in poverty: Quality of mothering and grandmothering. Child Development,65, 373–393.PubMed Chase-Lansdale, P. L., Brooks-Gunn, J., & Zamsky, E. S. (1994). Young African-American multigenerational families in poverty: Quality of mothering and grandmothering. Child Development,65, 373–393.PubMed
Zurück zum Zitat Clemmens, D. (2003). Adolescent motherhood: a meta-synthesis of qualitative studies. MCN: The American Journal of Maternal and Child Nursing,28(2), 93–99. Clemmens, D. (2003). Adolescent motherhood: a meta-synthesis of qualitative studies. MCN: The American Journal of Maternal and Child Nursing,28(2), 93–99.
Zurück zum Zitat Cochran, M., & Niego, S. (2002). Parenting and social networks. In M. H. Bornstein (Ed.), Handbook of parenting. Applied parenting (2nd ed., Vol. 4, pp. 123–148). Mahwah, NJ: Erlbaum. Cochran, M., & Niego, S. (2002). Parenting and social networks. In M. H. Bornstein (Ed.), Handbook of parenting. Applied parenting (2nd ed., Vol. 4, pp. 123–148). Mahwah, NJ: Erlbaum.
Zurück zum Zitat Coley, R. L., & Chase-Lansdale, P. L. (1998). Adolescent pregnancy and parenthood: Recent evidence and future directions. American Psychologist,53(2), 152–166.PubMed Coley, R. L., & Chase-Lansdale, P. L. (1998). Adolescent pregnancy and parenthood: Recent evidence and future directions. American Psychologist,53(2), 152–166.PubMed
Zurück zum Zitat Colletta, N. D. (1981). Social support and the risk of maternal rejection by adolescent mothers. Journal of Psychology,109, 191–197.PubMed Colletta, N. D. (1981). Social support and the risk of maternal rejection by adolescent mothers. Journal of Psychology,109, 191–197.PubMed
Zurück zum Zitat Contreras, J. M. (2004). Parenting behaviors among mainland Puerto Rican adolescent mothers: The role of grandmother and partner involvement. Journal of Research on Adolescence,14(3), 341–368. Contreras, J. M. (2004). Parenting behaviors among mainland Puerto Rican adolescent mothers: The role of grandmother and partner involvement. Journal of Research on Adolescence,14(3), 341–368.
Zurück zum Zitat Cost, K. T., Plomondon, A., Unternaehrer, E., Meaney, M., Steiner, M., & Fleming, A. S. (2016). The more things change, the more things stay the same: Maternal attitudes 3 to 18 months postpartum. Acta Paediatrica,105(7), e320–e327.PubMed Cost, K. T., Plomondon, A., Unternaehrer, E., Meaney, M., Steiner, M., & Fleming, A. S. (2016). The more things change, the more things stay the same: Maternal attitudes 3 to 18 months postpartum. Acta Paediatrica,105(7), e320–e327.PubMed
Zurück zum Zitat Crnic, K. A., Greenberg, M. T., Robinson, N. M., & Ragozin, A. S. (1984). Maternal stress and social support: Effects on the mother–infant relationship from birth to eighteen months. American Journal of Orthopsychiatry,54(2), 224–235.PubMed Crnic, K. A., Greenberg, M. T., Robinson, N. M., & Ragozin, A. S. (1984). Maternal stress and social support: Effects on the mother–infant relationship from birth to eighteen months. American Journal of Orthopsychiatry,54(2), 224–235.PubMed
Zurück zum Zitat Crockenberg, S. (1987). Predictors and correlates of anger toward and punitive control of toddlers by adolescent mothers. Child Development,58, 964–975.PubMed Crockenberg, S. (1987). Predictors and correlates of anger toward and punitive control of toddlers by adolescent mothers. Child Development,58, 964–975.PubMed
Zurück zum Zitat Crockenberg, S. (1988). Social support and parenting. In H. E. Fitzgerald, B. M. Lester, & M. W. Yogman (Eds.), Theory and research in behavioral pediatrics (Vol. 4, pp. 141–174). New York: Plenum Press. Crockenberg, S. (1988). Social support and parenting. In H. E. Fitzgerald, B. M. Lester, & M. W. Yogman (Eds.), Theory and research in behavioral pediatrics (Vol. 4, pp. 141–174). New York: Plenum Press.
Zurück zum Zitat Cutrona, C. E., & Troutman, B. R. (1986). Social support, infant temperament, and parenting self-efficacy: A mediation model of postpartum depression. Child Development,57(6), 1507–1518.PubMed Cutrona, C. E., & Troutman, B. R. (1986). Social support, infant temperament, and parenting self-efficacy: A mediation model of postpartum depression. Child Development,57(6), 1507–1518.PubMed
Zurück zum Zitat DeVito, J. (2007). Self-perceptions of parenting among adolescent mothers. Journal of Perinatal Education,16(1), 16–23.PubMed DeVito, J. (2007). Self-perceptions of parenting among adolescent mothers. Journal of Perinatal Education,16(1), 16–23.PubMed
Zurück zum Zitat Dix, T., & Moed, A. (2019). Parenting and depression. In M. H. Bornstein (Ed.), Handbook of parenting: Social conditions and applied parenting (3rd ed., Vol. 4, pp. 449–482). New York: Routledge. Dix, T., & Moed, A. (2019). Parenting and depression. In M. H. Bornstein (Ed.), Handbook of parenting: Social conditions and applied parenting (3rd ed., Vol. 4, pp. 449–482). New York: Routledge.
Zurück zum Zitat Edwards, R. C., Thullen, M. J., Isarowong, N., Shiu, C.-S., Henson, L., & Hans, S. L. (2012). Supportive relationships and the trajectory of depressive symptoms among young African American mothers. Journal of Family Psychology,26, 585–594.PubMed Edwards, R. C., Thullen, M. J., Isarowong, N., Shiu, C.-S., Henson, L., & Hans, S. L. (2012). Supportive relationships and the trajectory of depressive symptoms among young African American mothers. Journal of Family Psychology,26, 585–594.PubMed
Zurück zum Zitat Erfina, E., Widyawati, W., McKenna, L., Reisenhofer, S., & Ismail, D. (2019). Adolescent mothers’ experiences of the transition to motherhood: An integrative review. International Journal of Nursing Sciences.,6, 221–228.PubMedPubMedCentral Erfina, E., Widyawati, W., McKenna, L., Reisenhofer, S., & Ismail, D. (2019). Adolescent mothers’ experiences of the transition to motherhood: An integrative review. International Journal of Nursing Sciences.,6, 221–228.PubMedPubMedCentral
Zurück zum Zitat Ertel, K. A., Rich-Edwards, J. W., & Koenen, K. C. (2011). Maternal depression in the United States: Nationally representative rates and risk. Journal of Women’s Health,11, 1609–1617. Ertel, K. A., Rich-Edwards, J. W., & Koenen, K. C. (2011). Maternal depression in the United States: Nationally representative rates and risk. Journal of Women’s Health,11, 1609–1617.
Zurück zum Zitat Field, T. (2010). Postpartum depression effects on early interactions, parenting, and safety practices: A review. Infant Behavior and Development,33(1), 1–6.PubMed Field, T. (2010). Postpartum depression effects on early interactions, parenting, and safety practices: A review. Infant Behavior and Development,33(1), 1–6.PubMed
Zurück zum Zitat Field, T., Sandberg, D., Garcia, R., Vega-Lahr, N., Goldstein, S., & Guy, L. (1985). Pregnancy problems, postpartum depression, and early mother–infant interactions. Developmental Psychology,21(6), 1152–1156. Field, T., Sandberg, D., Garcia, R., Vega-Lahr, N., Goldstein, S., & Guy, L. (1985). Pregnancy problems, postpartum depression, and early mother–infant interactions. Developmental Psychology,21(6), 1152–1156.
Zurück zum Zitat Gelfand, D. M., Teti, D. M., & Fox, C. E. (1992). Sources of parenting stress for depressed and nondepressed mothers of infants. Journal of Clinical Child Psychology,21(3), 262–272. Gelfand, D. M., Teti, D. M., & Fox, C. E. (1992). Sources of parenting stress for depressed and nondepressed mothers of infants. Journal of Clinical Child Psychology,21(3), 262–272.
Zurück zum Zitat Goodman, S. H., & Garber, J. (2017). Evidence-based interventions for depressed mothers and their young children. Child Development,88(2), 368–377.PubMedPubMedCentral Goodman, S. H., & Garber, J. (2017). Evidence-based interventions for depressed mothers and their young children. Child Development,88(2), 368–377.PubMedPubMedCentral
Zurück zum Zitat Hans, S. L. (2006). Mothering and depression. In S. E. Romans & M. V. Seeman (Eds.), Women’s mental health (pp. 311–320). Philadelphia, PA: Lippincott, Williams & Wilkins. Hans, S. L. (2006). Mothering and depression. In S. E. Romans & M. V. Seeman (Eds.), Women’s mental health (pp. 311–320). Philadelphia, PA: Lippincott, Williams & Wilkins.
Zurück zum Zitat Hans, S. L., & Thullen, M. J. (2009). The relational context of adolescent motherhood. In C. H. Zeanah Jr. (Ed.), Handbook of infant mental health (3rd ed., pp. 214–229). New York: Guilford Press. Hans, S. L., & Thullen, M. J. (2009). The relational context of adolescent motherhood. In C. H. Zeanah Jr. (Ed.), Handbook of infant mental health (3rd ed., pp. 214–229). New York: Guilford Press.
Zurück zum Zitat Hans, S. L., Thullen, M., Henson, L. G., Lee, H., Edwards, R. C., & Bernstein, V. J. (2013). Promoting positive mother–infant relationships: A randomized trial of community doula support for young mothers. Infant Mental Health Journal, 34(5), 446–457. https://doi.org/10.1002/imhj.21400.CrossRef Hans, S. L., Thullen, M., Henson, L. G., Lee, H., Edwards, R. C., & Bernstein, V. J. (2013). Promoting positive mother–infant relationships: A randomized trial of community doula support for young mothers. Infant Mental Health Journal, 34(5), 446–457. https://​doi.​org/​10.​1002/​imhj.​21400.CrossRef
Zurück zum Zitat Harmon, D. K., & Perry, A. R. (2018). Fathers’ unaccounted contributions: Paternal involvement and maternal stress. Families in Society,92(2), 176–182. Harmon, D. K., & Perry, A. R. (2018). Fathers’ unaccounted contributions: Paternal involvement and maternal stress. Families in Society,92(2), 176–182.
Zurück zum Zitat House, J. S., Umberson, D., & Landis, K. R. (1988). Structures and processes of social support. Annual Review of Sociology,14, 293–318. House, J. S., Umberson, D., & Landis, K. R. (1988). Structures and processes of social support. Annual Review of Sociology,14, 293–318.
Zurück zum Zitat Ko, J. Y., Rockhill, K. M., Tong, V. T., Morrow, B., & Farr, S. L. (2017). Trends in postpartum depressive symptoms—27 states, 2004, 2008, and 2012. MMWR. Morbidity and Mortality Weekly Report,66(6), 153.PubMedPubMedCentral Ko, J. Y., Rockhill, K. M., Tong, V. T., Morrow, B., & Farr, S. L. (2017). Trends in postpartum depressive symptoms—27 states, 2004, 2008, and 2012. MMWR. Morbidity and Mortality Weekly Report,66(6), 153.PubMedPubMedCentral
Zurück zum Zitat Leadbeater, B. J. R. (2014). Growing up fast: Re-visioning adolescent mothers’ transitions to young adulthood (2nd ed.). New York: Psychology Press. Leadbeater, B. J. R. (2014). Growing up fast: Re-visioning adolescent mothers’ transitions to young adulthood (2nd ed.). New York: Psychology Press.
Zurück zum Zitat Lee, H. Y., & Hans, S. L. (2015). Prenatal depression and young low-income mothers’ perception of their children from pregnancy through early childhood. Infant Behavior and Development,40, 183–192.PubMed Lee, H. Y., & Hans, S. L. (2015). Prenatal depression and young low-income mothers’ perception of their children from pregnancy through early childhood. Infant Behavior and Development,40, 183–192.PubMed
Zurück zum Zitat Letourneau, N. L., Stewart, M. J., & Barnfather, A. K. (2004). Adolescent mothers: Support needs, resources, and support education interventions. Journal of Adolescent Health,35(6), 509–525.PubMed Letourneau, N. L., Stewart, M. J., & Barnfather, A. K. (2004). Adolescent mothers: Support needs, resources, and support education interventions. Journal of Adolescent Health,35(6), 509–525.PubMed
Zurück zum Zitat Lovejoy, C. M., Graczyk, P. A., O’Hare, E., & Neuman, G. (2000). Maternal depression and parenting behavior: A meta-analytic review. Clinical Psychology Review,20(5), 561–592.PubMed Lovejoy, C. M., Graczyk, P. A., O’Hare, E., & Neuman, G. (2000). Maternal depression and parenting behavior: A meta-analytic review. Clinical Psychology Review,20(5), 561–592.PubMed
Zurück zum Zitat Mathews, A., & MacLeod, C. (2005). Cognitive vulnerability to emotional disorders. Annual Review of Clinical Psychology,1, 167–195.PubMed Mathews, A., & MacLeod, C. (2005). Cognitive vulnerability to emotional disorders. Annual Review of Clinical Psychology,1, 167–195.PubMed
Zurück zum Zitat NICHD Early Child Care Research Network. (1997). The effects of infant child care on infant-mother attachment security: Results of the NICHD study of early child care NICHD early child care research network. Child Development,68(5), 860–879. NICHD Early Child Care Research Network. (1997). The effects of infant child care on infant-mother attachment security: Results of the NICHD study of early child care NICHD early child care research network. Child Development,68(5), 860–879.
Zurück zum Zitat Nomaguchi, K., Brown, S. L., & Leyman, T. M. (2017). Fathers’ participation in parenting and maternal parent stress: Variation by relationship status. Journal of Family Issues,38(8), 1132–1156.PubMed Nomaguchi, K., Brown, S. L., & Leyman, T. M. (2017). Fathers’ participation in parenting and maternal parent stress: Variation by relationship status. Journal of Family Issues,38(8), 1132–1156.PubMed
Zurück zum Zitat Obeidallah, D. A., & Burton, L. M. (1999). Affective ties between mothers and daughters in adolescent childbearing families. In M. J. Cox & J. Brooks-Gunn (Eds.), Conflict and cohesion in families: Causes and consequences (pp. 37–49). Mahwah, NJ: Erlbaum. Obeidallah, D. A., & Burton, L. M. (1999). Affective ties between mothers and daughters in adolescent childbearing families. In M. J. Cox & J. Brooks-Gunn (Eds.), Conflict and cohesion in families: Causes and consequences (pp. 37–49). Mahwah, NJ: Erlbaum.
Zurück zum Zitat Oberlander, S. E., Black, M. M., & Starr, R. H. (2007). African American adolescent mothers and grandmothers: A multigenerational approach to parenting. American Journal of Community Psychology,39(1–2), 37–46.PubMed Oberlander, S. E., Black, M. M., & Starr, R. H. (2007). African American adolescent mothers and grandmothers: A multigenerational approach to parenting. American Journal of Community Psychology,39(1–2), 37–46.PubMed
Zurück zum Zitat Oberlander, S. E., Shebl, F. M., Magder, L. S., & Black, M. M. (2009). Adolescent mothers leaving multigenerational households. Journal of Clinical Child & Adolescent Psychology,38(1), 62–74. Oberlander, S. E., Shebl, F. M., Magder, L. S., & Black, M. M. (2009). Adolescent mothers leaving multigenerational households. Journal of Clinical Child & Adolescent Psychology,38(1), 62–74.
Zurück zum Zitat Oyserman, D., Radin, N., & Saltz, E. (1994). Predictors of nurturant parenting in teen mothers living in three generational families. Child Psychiatry and Human Development,24, 215–230.PubMed Oyserman, D., Radin, N., & Saltz, E. (1994). Predictors of nurturant parenting in teen mothers living in three generational families. Child Psychiatry and Human Development,24, 215–230.PubMed
Zurück zum Zitat Pinzon, J. L., & Jones, V. F. (2012). Care of adolescent parents and their children. Pediatrics,130(6), e1743–e1756.PubMed Pinzon, J. L., & Jones, V. F. (2012). Care of adolescent parents and their children. Pediatrics,130(6), e1743–e1756.PubMed
Zurück zum Zitat Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement,1(3), 385–401. Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement,1(3), 385–401.
Zurück zum Zitat Reid, V., & Meadows-Oliver, M. (2007). Postpartum depression in adolescent mothers: An integrative review of the literature. Journal of Pediatric Health Care,21(5), 289–298.PubMed Reid, V., & Meadows-Oliver, M. (2007). Postpartum depression in adolescent mothers: An integrative review of the literature. Journal of Pediatric Health Care,21(5), 289–298.PubMed
Zurück zum Zitat Sellers, K., Black, M. M., Boris, N. W., Oberlander, S. E., & Myers, L. (2011). Adolescent mothers’ relationships with their own mothers: Impact on parenting outcomes. Journal of Family Psychology,25(1), 117.PubMed Sellers, K., Black, M. M., Boris, N. W., Oberlander, S. E., & Myers, L. (2011). Adolescent mothers’ relationships with their own mothers: Impact on parenting outcomes. Journal of Family Psychology,25(1), 117.PubMed
Zurück zum Zitat Spencer, M. S., Kalil, A., Larson, N. C., Spieker, S. J., & Gilchrist, L. D. (2002). Multigenerational coresidence and childrearing conflict: Links to parenting stress in teenage mothers across the first two years postpartum. Applied Developmental Science,6(3), 157–170. Spencer, M. S., Kalil, A., Larson, N. C., Spieker, S. J., & Gilchrist, L. D. (2002). Multigenerational coresidence and childrearing conflict: Links to parenting stress in teenage mothers across the first two years postpartum. Applied Developmental Science,6(3), 157–170.
Zurück zum Zitat StataCorp. (2017). Stata statistical software: Release 15. College Station, TX: StataCorp LLC. StataCorp. (2017). Stata statistical software: Release 15. College Station, TX: StataCorp LLC.
Zurück zum Zitat Taraban, L., Shaw, D. S., Leve, L. D., Wilson, M. N., Dishion, T. J., Natsuaki, M. N., et al. (2017). Maternal depression and parenting in early childhood: Contextual influence of marital quality and social support in two samples. Developmental Psychology,53(3), 436–449.PubMedPubMedCentral Taraban, L., Shaw, D. S., Leve, L. D., Wilson, M. N., Dishion, T. J., Natsuaki, M. N., et al. (2017). Maternal depression and parenting in early childhood: Contextual influence of marital quality and social support in two samples. Developmental Psychology,53(3), 436–449.PubMedPubMedCentral
Zurück zum Zitat Tronick, E., & Reck, C. (2009). Infants of depressed mothers. Harvard Review of Psychiatry,17(2), 147–156.PubMed Tronick, E., & Reck, C. (2009). Infants of depressed mothers. Harvard Review of Psychiatry,17(2), 147–156.PubMed
Zurück zum Zitat Unger, D., & Wandersman, L. (1985). Social support and adolescent mothers: Action research contributions to theory and application. Journal of Social Issues,41, 29–45. Unger, D., & Wandersman, L. (1985). Social support and adolescent mothers: Action research contributions to theory and application. Journal of Social Issues,41, 29–45.
Zurück zum Zitat Voight, J. D., Hans, S. L., & Bernstein, V. J. (1996). Support networks of adolescent mothers: Effects on parenting experience and behavior. Infant Mental Health Journal,17, 58–73. Voight, J. D., Hans, S. L., & Bernstein, V. J. (1996). Support networks of adolescent mothers: Effects on parenting experience and behavior. Infant Mental Health Journal,17, 58–73.
Zurück zum Zitat Wakschlag, L. S., Chase-Lansdale, P. L., & Brooks-Gunn, J. (1996). Not Just “Ghosts in the Nursery”: 1 Contemporaneous intergenerational relationships and parenting in young African-American families. Child Development,67(5), 2131–2147.PubMed Wakschlag, L. S., Chase-Lansdale, P. L., & Brooks-Gunn, J. (1996). Not Just “Ghosts in the Nursery”: 1 Contemporaneous intergenerational relationships and parenting in young African-American families. Child Development,67(5), 2131–2147.PubMed
Zurück zum Zitat Wiemann, C. M., Rickert, V. I., Berenson, A. B., & Volk, R. J. (2005). Are pregnant adolescents stigmatized by pregnancy? Journal of Adolescent Health,36(4), 352-e1. Wiemann, C. M., Rickert, V. I., Berenson, A. B., & Volk, R. J. (2005). Are pregnant adolescents stigmatized by pregnancy? Journal of Adolescent Health,36(4), 352-e1.
Zurück zum Zitat Williams, C. W. (1991). Black teenage mothers: Pregnancy and child rearing from their perspective. Lexington, MA: Lexington Books Inc. Williams, C. W. (1991). Black teenage mothers: Pregnancy and child rearing from their perspective. Lexington, MA: Lexington Books Inc.
Metadaten
Titel
Young First-Time Mothers’ Parenting of Infants: The Role of Depression and Social Support
verfasst von
Helen Y. Lee
Renee C. Edwards
Sydney L. Hans
Publikationsdatum
01.05.2020
Verlag
Springer US
Erschienen in
Maternal and Child Health Journal / Ausgabe 5/2020
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-019-02849-7

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