Conectar
Social support facilitates physical and mental health in the perinatal period for parents and their children. Yet, little is known about what predicts who will have access to support during this uniquely challenging time. From a life course perspective, the foundations of perinatal social support are likely to be evident well before parenthood.
To systematically review published and grey literature reporting studies that examined associations between parental perinatal social support (pregnancy to 18 months postpartum) and preconception antecedents.
We searched PsycINFO, Medline Complete, CINAHL Complete, Embase, PsycEXTRA, Open Dissertations, OPENGREY and the first 10 pages of Google and Google Scholar. Effects were meta-analysed using univariate random effects models.
In 143 included studies published between 1986 and 2023, 46 potential preconception antecedents of parents' perinatal social support were reported. Meta-analyses revealed lower support was associated with a history of adverse childhood experiences (ACEs), mental health disorder/s, migration, having a subsequent child, and unplanned pregnancy. Evidence of differences by structural and functional aspects of social support was limited. Most studies assessed parents' life histories retrospectively. Few studies included fathers or relational antecedents.
Evidence supports a life course perspective to enhance social support in the perinatal periods. Parents who experienced disruption to their developmental environment preconception, as early as childhood, may experience inadequate support in early parenthood, potentially perpetuating intergenerational cycles of psychosocial risk. When making referrals, nursing and other healthcare practitioners should consider, in collaboration with patients, whether supports are appropriate and responsive to parents' broader developmental contexts.
No patient or public involvement.
This study aimed to investigate the associations of adolescents’ self-reported family financial stress, registry-based parental household income and parental education with adolescent anxiety and depression symptoms. Additionally, we adjust these associations for parental anxiety and depression symptoms and examine potential secular changes in these associations.
Family linkage study, using two cross-sectional population-based health studies, the Young-HUNT study and the HUNT study. Registry-based data from Statistics Norway (SSB).
Northern part of Trøndelag County, Norway.
Adolescent (aged 13–19 years) participating in The Young-HUNT3 Survey (2006–2008, n=8199) and The Young-HUNT4 Survey (2017–2019, n=8066) and their parents participating in The HUNT3 Survey (2006–2008, n=50 800) and the HUNT4 Survey (2017–2019, n=56 042).
Adolescent anxiety and depression symptoms were assessed by a short version of the Hopkins Symptom Checklist (HSCL), the five-item HSCL-5. Self-reported family financial stress was measured using a single-item question. Parental anxiety and depression were assessed by the 14-item Hospital Anxiety and Depression Rating Scale (total HADS score). Parental income and parental education were obtained from SSB. We use a multilevel mixed-effects generalised linear model.
Adolescents who perceived their family financial stress as worse than others reported a higher SCL-5 total score compared with those with self-perceived average financial stress. The relative differences ranged from 1.16 (95% CI 1.09 to 1.23) in boys to 1.24 (95% CI 1.17 to 1.31) in girls. In contrast, little or no association was found between parental registry-based income or educational level and adolescents’ mean SCL-5 total scores. Adjusting for parental HADS scores did not alter the estimates. With a few exceptions for girls, there was no evidence for a secular change in these associations.
Self-perceived family financial stress, but not registry-based parental income and education, was associated with elevated anxiety and depression symptom levels in adolescents, and findings were essentially the same in Young-HUNT3 and Young-HUNT4. These findings underscore the importance of incorporating multiple measures of socioeconomic status when investigating socioeconomic inequalities in adolescent mental health.
Adnexal surgery is one of the most common surgeries performed in women. Minimally invasive methods are on the rise globally as they have been shown to decrease surgical morbidity compared with abdominal surgery. Adnexal surgery by vaginal natural orifice transluminal endoscopic surgery (vNOTES) is the latest innovation. It combines the vaginal approach and endoscopy via the vagina. Large pragmatic randomised controlled trials (RCTs) are lacking comparing outcomes after vNOTES and conventional laparoscopy.
A multicentre pragmatic RCT aiming to recruit 200 women aged 18 years and above undergoing adnexal surgery for benign disease or prophylactic reasons. Patients will be randomised to vNOTES or laparoscopy. Recruitment will start Q4 2025, and the study is estimated to end 2028.
The primary outcome is postoperative pain. Secondary outcomes are units of postoperative opioid and non-opioid analgesics used, perioperative complications, operation time, postoperative complications, readmission, conversion rate and the surgeon’s experience.
The national Swedish ethical board at the main centre, Helsingborg Hospital, Sweden, has given ethical agreement (dated 20 March 2025). Before including patients, all centres will require local or national ethical approval. The results of the study will be published in international peer-reviewed journals.
FreshRSS 