Mothers, Children & Families
Our school has had a deep commitment to the health and well being of mothers, children, and families for nearly 75 years. Our Maternal and Child Health program is one of the largest, most longstanding in the country and, in 1954, we established the Center for Leadership Education in Maternal and Child Public Health.
Mothers and children in the U.S. and around the world are often resilient and strong, yet they remain our most vulnerable population. According to the United Nations, across the globe there are 289,000 maternal deaths, 2.6 million stillbirths, nearly 6 million deaths in children under the age of five, and 1.3 million adolescent deaths each year. Most of these deaths are preventable.
As we near 2030, specific concerns for this population will grow, including access to clean air and water and availability of nutritious food.
We cannot predict what will happen to rates of discrimination against women or the impacts on families of violence, war, and displacement, but we are devoted to increasing every opportunity for mothers, children, and families to survive and thrive.
With our school-wide, collaborative, and unified research, we are finding solutions to existing challenges and preparing to meet those of the future.
Learn more about our research
To create healthier lives for women, children, and families now and in the future, we leave no stone unturned.
We pay special attention to at-risk pregnant women and our studies have policy implications and a wide reach. For example, we’re finding increasing rates of maternal opioid use in rural America and thus the number of infants with neonatal abstinence syndrome. And research into a common plastic’s ability to alter hormone-related levels in expectant mothers and affect their child’s development may curb its use in consumer products.
Our seminal studies on the use of doulas during pregnancy and birth led to a bill allowing Medicaid payments in Minnesota for certified doula services that may help disrupt our country’s persistent racial and ethnic disparities in birth outcomes.
Helping mothers postpartum is crucial — approximately 600,000 U.S. women suffer from postpartum depression each year and we aim our research at understanding the extent of this critical issue among select populations. One study found significant racial and ethnic disparities in the initiation and continuation of postpartum depression care, a situation that may only increase with changing U.S. demographics and that warrants clinical and policy attention.
As we move into the future, our research into the health of women, children, and families will use every tool and technology possible to help them forge better lives and overcome historic vulnerabilities. A recent graduate student project provided expectant mothers in Uganda with personalized pregnancy and postpartum information via text messages. If they respond to the text with symptoms indicating a potential health complication, the network alerts their midwives.
Our research leads change by investigating health insurance policies, because a family’s well being can hinge on access to affordable care — an issue that will remain in flux in the coming years. One study, for example, determined that children with same-sex parents are less likely to have private health insurance, but that the disparities diminished in states that allowed same-sex marriage, civil unions, and second-parent adoptions.
A unique, and on-going study of children, families, and food, Project EAT, shows, among other things, the power of family meals to forge current and future health, especially in children. Families in all shapes, sizes, and constructs will continue to have challenges and our work to support them is laying a path toward healthier practices and policies.
Explore our work in mothers, children & families
(* asterisk marks SPH student, post-doc, or researcher at time of study)
- Evidence-based policies on school nutrition and physical education: Associations with state-level collaboration, obesity, and socio-economic indicators. (Preventative Medicine). Jennifer E. Pelletier*, Melissa N. Laska, Richard MacLehose, Toben F. Nelson, Marilyn S. Nanney. This study found that having evidence-based state policies for competitive food and beverages and physical education were not associated with cross-sector collaboration between state agency staff and other organization types.
- Parent’s Physical Activity Associated With Preschooler Activity in Underserved Populations. (American Journal of Preventative Medicine). Shari L. Barkin, Archana P. Lamichhane, Jorge A. Banda, Meghan M. JaKa*, Maciej S. Buchowski, Kelly R. Evenson, Shrikant I. Bangdiwala, Charlotte Pratt, Simone French, June Stevens. This study found that increasing parental physical activity and reducing sedentary behavior correlate with increased physical activity-related behaviors in children.
- First Trimester Phthalate Exposure and Infant Birth Weight in the Infant Development and Environment Study. (International Journal of Environmental Research and Public Health). Sheela Sathyanarayana, Emily Barrett, Ruby Nguyen, Bruce Redmon, Wren Haaland, Shanna H. Swan. This study observed few associations between prenatal phthalate exposure and birth weight.
- Measuring the impact of manganese exposure on children’s neurodevelopment: advances and research gaps in biomarker-based approaches. (Environmental Health). Donna J. Coetzee, Patricia M. McGovern, Raghavendra Rao, Lisa J. Harnack, Michael K. Georgieff, Irina Stepanov. This study shows that hair was the more consistent and valid biomarker of manganese (Mn) exposure in school-aged children. However, research on biomarkers feasible for fetuses and infants is urgently needed given their unique vulnerability to excessive Mn.
- Relationship between Hospital Policies for Labor Induction and Cesarean Delivery and Perinatal Care Quality among Rural U.S. Hospitals. (Journal of Health Care for the Poor and Underserved). Katy B. Kozhimannil, Peiyin Hung*, Michelle M. Casey*, Carrie Henning-Smith*, Shailendra Prasad*, Ira S. Moscovice. This study found rural US hospitals with policies for cesarean delivery had up to 24 percent lower odds of low-risk cesarean and non-indicated cesarean, with variability across birth volume. Clinical management and staffing policies are common, but not universal, among rural U.S. hospitals providing obstetric services and are generally positively associated with quality.
- Katy Kozhimannil: 2016–2017, Medicaid and CHIP Payment and Access Commission (MACPAC), “Medicaid Payment Reform and Cesarean Birth and Maternal Morbidity,” Principal Investigator
- Ruby Nguyen: NIH, “The Infant Development and Environment Study (TIDES),” Investigator
- Ellen Demerath: 2014–2019, NIH National Institute of Child Health and Human Development, “Maternal Obesity, Breast Milk Consumption, and Infant Growth,” Principal Investigator; David Jacobs, Lisa Harnack, Patricia McGovern, Co-Investigators
- Simone French: 2016–2017, NIH, “Linking Primary Care, Communities, and Families to Prevent Obesity Among Preschool,” Principal Investigator
- Wendy Hellerstedt, Jamie Stang, Zobeida Bonilla, HRSA Maternal and Child Health Bureau, “Leadership Education in Maternal and Child Public Health.”
School program in Ecuador successfully teaches kids about sexual abuse prevention
PhD student Gabriela Bustamante evaluated the program that uses games and play to teach children about self-esteem, […]
Body dissatisfaction begins before adolescence, remains constant into adulthood
The Project EAT study co-authored by Professor Dianne Neumark-Sztainer found that 95% of those surveyed experienced […]
Racist experiences and skin tone discrimination linked to delays in prenatal care
The new study by Assistant Professor Jaime Slaughter-Acey found light and dark brown black women reported experiencing […]
Study ties harmful body comments in adolescence to substance use in adulthood
Postdoctoral researcher Melissa Simone found that girls who used unhealthy weight-control behaviors and experienced the […]
Weight-based teasing harms youth from immigrant communities in same ways as those from non-immigrant communities
A Project EAT study by adjunct faculty Marla Eisenberg found that up to 43 percent of adolescents surveyed reported […]
Women Who Declined Medical Care During Hospital Births Report Poor Treatment Overall
The study co-authored by Assistant Professor Rachel Hardeman suggests that women who decline care may be labeled as […]
Risk Factors for Adolescent Binge Eating Vary By Family Socioeconomic Status
A Project EAT study co-authored by Professor Dianne Neumark-Sztainer shows food insecurity and other risk factors are […]
Number of Children Without Health Insurance Increasing Across U.S.
A report authored by SHADAC researcher Elizabeth Lukanen shows the number of uninsured children in the U.S. increased […]
- Breaking down barriers in the workplace and improving breastfeeding outcomes in Minnesota women (Maternal and Child Health)
- Characteristics of treatment failures in the children’s pediatric concussion program (Public Health Policy & Administration)
- Ubuntu Minneapolis: A Business Plan to Increase African American Breastfeeding Rates (Public Health & Administration Policy)
- Evaluating the Minnesota Statewide Health Improvement Program (SHIP) Child Care Strategy (Maternal and Child Health)
- Formative Evaluation of an Abortion Doula Program (Maternal and Child Health)
Faculty in Mothers, Children & Families
SPH2030 New Faculty Hires
Assistant Professor Rachel Hardeman is a health equity researcher who focuses on the role of the clinician, health care delivery systems, and the policy environment in reducing disparities in outcomes and quality of health care.
Associate Professor Marizen Ramirez conducts epidemiologic research on injury, violence, and disaster preparedness particularly in underserved, high-risk populations including children, persons with disabilities, agricultural workers, and rural populations.