Impact of health literacy and subjective happiness in pregnancy on neonatal anthropometry: a cohort study

Abstract Background Maternal health literacy (MHL) and happiness can significantly impact pregnancy outcomes (POs) and neonatal health. This study primarily aimed to assess the level of maternal health literacy. Additionally, we sought to determine how maternal health literacy, happiness, socio-demo...

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Main Authors: Samira Silakhori, Safa Mousavi, Sadra Sarandili, Mojgan Rahmanian
Format: Article
Language:English
Published: Springer 2025-04-01
Series:Discover Mental Health
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Online Access:https://doi.org/10.1007/s44192-025-00192-8
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author Samira Silakhori
Safa Mousavi
Sadra Sarandili
Mojgan Rahmanian
author_facet Samira Silakhori
Safa Mousavi
Sadra Sarandili
Mojgan Rahmanian
author_sort Samira Silakhori
collection DOAJ
description Abstract Background Maternal health literacy (MHL) and happiness can significantly impact pregnancy outcomes (POs) and neonatal health. This study primarily aimed to assess the level of maternal health literacy. Additionally, we sought to determine how maternal health literacy, happiness, socio-demographics, and pregnancy outcomes influence neonatal anthropometrics, thereby providing a more comprehensive understanding of the determinants of maternal and neonatal health. Methods In a 2-year cohort study on 591 pregnant women with normal pregnancies, we recorded the maternal socio-demographic and obstetric factors. Moreover, the Maternal Health Literacy and Pregnancy Outcomes Questionnaire (MHLAPQ) and Happiness Questionnaire were used to gather health-related information. After delivery, the neonatal anthropometric measurements, including body weight (BW), supine length (SL), and head circumference (HC), were recorded at birth. Results Among the 591 participants, 338 (57.2%) were in the 20–29-year age group. The mean maternal health literacy (MHL) score was 57.34 ± 8.67. MHL scores were associated with maternal and paternal education and occupation, as well as a history of miscarriage. Pregnancy outcomes were linked to maternal and paternal education and employment status, while higher happiness scores were found among housewives. BW showed significant differences based on maternal occupation and a history of stillbirth, while SL varied significantly with maternal occupation. Positive correlations were identified between BW and MHL, as well as between PO, MHL, and maternal happiness scores. Conclusion In summary, our results revealed that MHL and happiness are important factors in improving the POs and neonatal health. In addition, maternal and paternal education and occupation were found to affect the MHL scores.
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spelling doaj-art-b7b380f02e4041b3830d2866093ee1be2025-08-20T02:19:57ZengSpringerDiscover Mental Health2731-43832025-04-015111510.1007/s44192-025-00192-8Impact of health literacy and subjective happiness in pregnancy on neonatal anthropometry: a cohort studySamira Silakhori0Safa Mousavi1Sadra Sarandili2Mojgan Rahmanian3Abnormal Uterine Bleeding Research Center, Semnan University of Medical SciencesCalifornia State UniversityDepartment of Health Sciences, Curtin Medical School, Curtin UniversityAbnormal Uterine Bleeding Research Center, Semnan University of Medical SciencesAbstract Background Maternal health literacy (MHL) and happiness can significantly impact pregnancy outcomes (POs) and neonatal health. This study primarily aimed to assess the level of maternal health literacy. Additionally, we sought to determine how maternal health literacy, happiness, socio-demographics, and pregnancy outcomes influence neonatal anthropometrics, thereby providing a more comprehensive understanding of the determinants of maternal and neonatal health. Methods In a 2-year cohort study on 591 pregnant women with normal pregnancies, we recorded the maternal socio-demographic and obstetric factors. Moreover, the Maternal Health Literacy and Pregnancy Outcomes Questionnaire (MHLAPQ) and Happiness Questionnaire were used to gather health-related information. After delivery, the neonatal anthropometric measurements, including body weight (BW), supine length (SL), and head circumference (HC), were recorded at birth. Results Among the 591 participants, 338 (57.2%) were in the 20–29-year age group. The mean maternal health literacy (MHL) score was 57.34 ± 8.67. MHL scores were associated with maternal and paternal education and occupation, as well as a history of miscarriage. Pregnancy outcomes were linked to maternal and paternal education and employment status, while higher happiness scores were found among housewives. BW showed significant differences based on maternal occupation and a history of stillbirth, while SL varied significantly with maternal occupation. Positive correlations were identified between BW and MHL, as well as between PO, MHL, and maternal happiness scores. Conclusion In summary, our results revealed that MHL and happiness are important factors in improving the POs and neonatal health. In addition, maternal and paternal education and occupation were found to affect the MHL scores.https://doi.org/10.1007/s44192-025-00192-8PregnancyMaternal health literacyAnthropometryNeonates
spellingShingle Samira Silakhori
Safa Mousavi
Sadra Sarandili
Mojgan Rahmanian
Impact of health literacy and subjective happiness in pregnancy on neonatal anthropometry: a cohort study
Discover Mental Health
Pregnancy
Maternal health literacy
Anthropometry
Neonates
title Impact of health literacy and subjective happiness in pregnancy on neonatal anthropometry: a cohort study
title_full Impact of health literacy and subjective happiness in pregnancy on neonatal anthropometry: a cohort study
title_fullStr Impact of health literacy and subjective happiness in pregnancy on neonatal anthropometry: a cohort study
title_full_unstemmed Impact of health literacy and subjective happiness in pregnancy on neonatal anthropometry: a cohort study
title_short Impact of health literacy and subjective happiness in pregnancy on neonatal anthropometry: a cohort study
title_sort impact of health literacy and subjective happiness in pregnancy on neonatal anthropometry a cohort study
topic Pregnancy
Maternal health literacy
Anthropometry
Neonates
url https://doi.org/10.1007/s44192-025-00192-8
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AT sadrasarandili impactofhealthliteracyandsubjectivehappinessinpregnancyonneonatalanthropometryacohortstudy
AT mojganrahmanian impactofhealthliteracyandsubjectivehappinessinpregnancyonneonatalanthropometryacohortstudy