Tanya Dutt

Is Coffee Safe For Your Child?

Kid drinking coffee (Credit: Canva)

<span>Coffee culture</span> has seeped into the lives of people of all ages, and it's not just adults who are drawn to the rich, invigorating beverage. Increasingly, teenagers and even middle schoolers are frequenting coffee shops, clutching oversized cups of iced coffee, frappes, and lattes. 

But what does this growing trend mean for their health? Should children be drinking coffee, and if so, how much is safe? This article explores the effects of <span>caffeine</span> on children and provides guidance for parents on managing their kids' coffee consumption.

<h2>Is Coffee Really Bad for Kids?</h2>The debate over whether coffee is suitable for children is complex. While small amounts of coffee are generally not harmful, several factors warrant consideration before allowing kids to consume it regularly. 

The American Academy of Pediatrics (AAP) advises that children under 12 should avoid caffeine altogether, while the American Academy of Child and Adolescent Psychiatry (AACAP) sets a limit of 100 milligrams (mg) per day for those aged 12 to 18 years. Yet, recent studies highlight a concerning trend: approximately 73% of children and adolescents consume caffeine daily, predominantly through coffee, soda, or energy drinks.

A major concern is not just the caffeine content but also the high levels of added sugars and fats in many coffee drinks favored by kids. Beverages from coffee shops often contain sweetened syrups, whipped cream, and other high-calorie ingredients, contributing to unhealthy dietary patterns and potentially displacing healthier options like water.

Children's bodies react differently to caffeine compared to adults. Because they are smaller and still developing, the side effects of caffeine can be more pronounced.

<strong>Frequent Urination and Dehydration</strong> 

Coffee is a diuretic, meaning it can lead to increased urination and a higher risk of dehydration, which can be particularly concerning for children who are already at risk for dehydration.

Caffeine consumption can affect children's mental well-being, contributing to heightened feelings of stress, anxiety, and nervousness. Studies have shown a correlation between caffeine intake and increased anxiety levels in children, which can impact their overall quality of life.

Caffeine can disrupt sleep cycles, which is crucial for a child's growth and development. Interrupted sleep can affect both cognitive and physical growth, making it essential for children to maintain a consistent sleep routine.

Regular consumption of coffee can lead to dependency, with children experiencing withdrawal symptoms such as tiredness, mood swings, difficulty concentrating, and headaches if they miss their regular dose.

The caffeine and acidity in coffee can cause gastrointestinal issues, including stomachaches and nausea. In severe cases, excessive caffeine intake may lead to overdose symptoms such as high blood pressure, racing heart, and even disorientation.

While the AAP recommends avoiding caffeine for children, some parents may consider allowing limited amounts for teens. Following the AACAP's guidelines of no more than 100 mg of caffeine per day for teenagers can be a helpful benchmark. However, consulting with a pediatrician is advised, particularly if the child has underlying health conditions like anxiety, gastrointestinal issues, or heart problems.

<h2>Safer Ways for Kids To Drink Coffee</h2>

For parents concerned about the amount of caffeine their kids are consuming, there are safer alternatives:

- Decaffeinated coffee contains up to 15 mg of caffeine per 8-ounce serving. It's a less risky choice if you decide to introduce coffee into your child's diet.

- Some coffee shop options, such as herbal teas or "babyccinos" (steamed milk without coffee), offer minimal to no caffeine. These can be suitable alternatives for younger children.

- Diluting coffee with milk can reduce its caffeine content and make it a less potent beverage for kids.

- Be mindful of added sugars and fats in coffee drinks. Opt for simple, less sugary options to avoid excess calorie intake.

The growing trend of coffee consumption among kids and teens presents both opportunities and challenges for parents. While coffee in moderation may not be harmful, the potential side effects and high caffeine content make it important to approach coffee consumption with caution. 

Understanding the recommended limits and exploring safer alternatives can help manage your child's caffeine intake and promote better overall health.

It’s essential for parents to stay informed and make thoughtful decisions regarding their child's diet and lifestyle. With careful monitoring and moderation, you can help ensure that your child's coffee habits remain healthy and balanced.

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Coffee culture has seeped into the lives of people of all ages, and it's not just adults who are drawn to the rich, invigorating beverage. Increasingly, teenagers and even middle schoolers are frequenting coffee shops, clutching oversized cups of iced coffee, frappes, and lattes. But what does this growing trend mean for their health? Should children be drinking coffee, and if so, how much is safe? This article explores the effects of caffeine on children and provides guidance for parents on managing their kids' coffee consumption.Is Coffee Really Bad for Kids?The debate over whether coffee is suitable for children is complex. While small amounts of coffee are generally not harmful, several factors warrant consideration before allowing kids to consume it regularly. Caffeine ContentThe American Academy of Pediatrics (AAP) advises that children under 12 should avoid caffeine altogether, while the American Academy of Child and Adolescent Psychiatry (AACAP) sets a limit of 100 milligrams (mg) per day for those aged 12 to 18 years. Yet, recent studies highlight a concerning trend: approximately 73% of children and adolescents consume caffeine daily, predominantly through coffee, soda, or energy drinks.Fat and Added Sugar A major concern is not just the caffeine content but also the high levels of added sugars and fats in many coffee drinks favored by kids. Beverages from coffee shops often contain sweetened syrups, whipped cream, and other high-calorie ingredients, contributing to unhealthy dietary patterns and potentially displacing healthier options like water.Side Effects of Coffee in KidsChildren's bodies react differently to caffeine compared to adults. Because they are smaller and still developing, the side effects of caffeine can be more pronounced.Frequent Urination and Dehydration Coffee is a diuretic, meaning it can lead to increased urination and a higher risk of dehydration, which can be particularly concerning for children who are already at risk for dehydration.Altered Mental State Caffeine consumption can affect children's mental well-being, contributing to heightened feelings of stress, anxiety, and nervousness. Studies have shown a correlation between caffeine intake and increased anxiety levels in children, which can impact their overall quality of life.Poor Sleep Patterns Caffeine can disrupt sleep cycles, which is crucial for a child's growth and development. Interrupted sleep can affect both cognitive and physical growth, making it essential for children to maintain a consistent sleep routine.Caffeine Dependency Regular consumption of coffee can lead to dependency, with children experiencing withdrawal symptoms such as tiredness, mood swings, difficulty concentrating, and headaches if they miss their regular dose.Upset Stomach or NauseaThe caffeine and acidity in coffee can cause gastrointestinal issues, including stomachaches and nausea. In severe cases, excessive caffeine intake may lead to overdose symptoms such as high blood pressure, racing heart, and even disorientation.How Much Coffee Is OK for Kids?While the AAP recommends avoiding caffeine for children, some parents may consider allowing limited amounts for teens. Following the AACAP's guidelines of no more than 100 mg of caffeine per day for teenagers can be a helpful benchmark. However, consulting with a pediatrician is advised, particularly if the child has underlying health conditions like anxiety, gastrointestinal issues, or heart problems.Safer Ways for Kids To Drink CoffeeFor parents concerned about the amount of caffeine their kids are consuming, there are safer alternatives:- Decaffeinated coffee contains up to 15 mg of caffeine per 8-ounce serving. It's a less risky choice if you decide to introduce coffee into your child's diet. - Some coffee shop options, such as herbal teas or "babyccinos" (steamed milk without coffee), offer minimal to no caffeine. These can be suitable alternatives for younger children.- Diluting coffee with milk can reduce its caffeine content and make it a less potent beverage for kids.- Be mindful of added sugars and fats in coffee drinks. Opt for simple, less sugary options to avoid excess calorie intake.The growing trend of coffee consumption among kids and teens presents both opportunities and challenges for parents. While coffee in moderation may not be harmful, the potential side effects and high caffeine content make it important to approach coffee consumption with caution. Understanding the recommended limits and exploring safer alternatives can help manage your child's caffeine intake and promote better overall health.It’s essential for parents to stay informed and make thoughtful decisions regarding their child's diet and lifestyle. With careful monitoring and moderation, you can help ensure that your child's coffee habits remain healthy and balanced.

is coffee safe for your child?

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Baby Born From A Brain-Dead Woman On Life Support In Georgia

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Some call it a miracle, and some call it a lack of choice. A baby is born in Georgia from a woman who was declared brain dead and was put on life support. She is 31-year-old Adriana Smith, who was about six months into her pregnancy. 

Her mother April Newkirk told WXIA-TV that her daughter had intense headaches more then four months ago and went to Atlanta's Northside Hospital. There, she received medication and was released. However, next morning, her partner woke to her gasping, and called the emergency number 911. 

Emory University Hospital determined she had blood clots in her brain and was declared brain dead, at that time she was eight weeks pregnant. She was kept on life support ever since, and the baby was born through an emergency cesarean section on Friday. 

The baby is named Chance, and weighs about 1 pound and 13 ounces, and is born prematurely in six months. The baby is currently in the neonatal intensive care unit. 

While many may see it as a miracle, however, many have questioned the choice and agency of a woman and her right to live with dignity. 

Her mother said that Smith was kept on life support due to Georgia's anti-abortion law. This has sparked questions about ethics and the case had exploded into a national and international news. Her mother also confirmed that the fetus had been growing while she was put on life support. 

"WE did not have a choice or say about it. We want the baby. That's a part of my daughter. But the decision should have been left to us, not the state," told Newkirk, as reported in the Guardian. 

<h4>There Is A Law, But Where Is The Logic?</h4>

Steven Ralston, the director of the maternal fetal medicine division at George Washington University told the Washington Post that "the chances of there being a healthy newborn at the end of this is very, very small." Rightly so, the baby is born in six months of pregnancy, is premature and is currently in NICU. 

Newkirk too confirmed about fluid in baby's brain and that the baby maybe blind, or may no be able to walk. 

Abortion, under Georgia law, is banned after six weeks of pregnancy. Certainly, as this case seems, there is no scope of exception either. The ban also contains provisions that strengthens the concept of "fetal personhood", a doctrine that holds embryos and fetuses should be considered people, and, as such, are entitled to full legal rights and protection. 

Smith's case has ignited a national debate concerning medical consent and the far-reaching implications of anti-abortion laws. For years, abortion rights advocates have warned that establishing fetal personhood could create conflicts between the rights of a pregnant individual and those of the fetus. Since Roe v. Wade was overturned in 2022, numerous pregnant individuals have reported being denied medically necessary abortions during emergencies due to these bans.

The hospital currently treating Smith has not commented on her specific case, citing privacy. However, it released a statement indicating its process: "uses consensus from clinical experts, medical literature, and legal guidance to support our providers as they make individualized treatment recommendations in compliance with Georgia’s abortion laws and all other applicable laws."

<h4>Conflicting Interpretations of Georgia Law</h4>

Georgia Attorney General Chris Carr's office has stated that the state’s six-week abortion law does not mandate medical professionals to keep brain-dead individuals on life support. According to spokesperson Kara Murray, "Removing life support is not an action with the purpose to terminate a pregnancy."

However, not surprisingly, some anti-abortion advocates hold a different view. Georgia State Senator Ed Setzler, who sponsored the state's abortion ban, told the Associated Press, "it is completely appropriate that the hospital do what they can to save the life of the child." He added, "I think this is an unusual circumstance, but I think it highlights the value of innocent human life. I think the hospital is acting appropriately."

Smith, said Newkirk, would be taken off life support on Tuesday. 

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Some call it a miracle, and some call it a lack of choice. A baby is born in Georgia from a woman who was declared brain dead and was put on life support. She is 31-year-old Adriana Smith, who was about six months into her pregnancy. Her mother April Newkirk told WXIA-TV that her daughter had intense headaches more then four months ago and went to Atlanta's Northside Hospital. There, she received medication and was released. However, next morning, her partner woke to her gasping, and called the emergency number 911. Emory University Hospital determined she had blood clots in her brain and was declared brain dead, at that time she was eight weeks pregnant. She was kept on life support ever since, and the baby was born through an emergency cesarean section on Friday. The baby is named Chance, and weighs about 1 pound and 13 ounces, and is born prematurely in six months. The baby is currently in the neonatal intensive care unit. Miracle Or A Lack Of Choice?While many may see it as a miracle, however, many have questioned the choice and agency of a woman and her right to live with dignity. Her mother said that Smith was kept on life support due to Georgia's anti-abortion law. This has sparked questions about ethics and the case had exploded into a national and international news. Her mother also confirmed that the fetus had been growing while she was put on life support. "WE did not have a choice or say about it. We want the baby. That's a part of my daughter. But the decision should have been left to us, not the state," told Newkirk, as reported in the Guardian. There Is A Law, But Where Is The Logic?Steven Ralston, the director of the maternal fetal medicine division at George Washington University told the Washington Post that "the chances of there being a healthy newborn at the end of this is very, very small." Rightly so, the baby is born in six months of pregnancy, is premature and is currently in NICU. Newkirk too confirmed about fluid in baby's brain and that the baby maybe blind, or may no be able to walk. A Controversial CaseAbortion, under Georgia law, is banned after six weeks of pregnancy. Certainly, as this case seems, there is no scope of exception either. The ban also contains provisions that strengthens the concept of "fetal personhood", a doctrine that holds embryos and fetuses should be considered people, and, as such, are entitled to full legal rights and protection. Smith's case has ignited a national debate concerning medical consent and the far-reaching implications of anti-abortion laws. For years, abortion rights advocates have warned that establishing fetal personhood could create conflicts between the rights of a pregnant individual and those of the fetus. Since Roe v. Wade was overturned in 2022, numerous pregnant individuals have reported being denied medically necessary abortions during emergencies due to these bans.The hospital currently treating Smith has not commented on her specific case, citing privacy. However, it released a statement indicating its process: "uses consensus from clinical experts, medical literature, and legal guidance to support our providers as they make individualized treatment recommendations in compliance with Georgia’s abortion laws and all other applicable laws."Conflicting Interpretations of Georgia LawGeorgia Attorney General Chris Carr's office has stated that the state’s six-week abortion law does not mandate medical professionals to keep brain-dead individuals on life support. According to spokesperson Kara Murray, "Removing life support is not an action with the purpose to terminate a pregnancy."However, not surprisingly, some anti-abortion advocates hold a different view. Georgia State Senator Ed Setzler, who sponsored the state's abortion ban, told the Associated Press, "it is completely appropriate that the hospital do what they can to save the life of the child." He added, "I think this is an unusual circumstance, but I think it highlights the value of innocent human life. I think the hospital is acting appropriately."Smith, said Newkirk, would be taken off life support on Tuesday. 

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Women Are Now Waiting More Before Becoming A Mother, Age Trend Shows Motherhood From 2016 to 2023

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Are more and more women delaying their motherhood in the United States? Data seems to show this trend. The average age of mothers at childbirth in the United States have continued to rise. A new report released on June 13 by the National Vital Statistic System (NVSS), provides the shift in age trends between 2016 and 2023. The study, conducted by Andrea D. Brown, Ph.D., M.P.H., and her colleagues at the National Center for Health Statistics.

<h4>A Shift Towards Later Motherhood</h4>

The researchers found a clear increase in the mean age of mothers at the time of their first birth. In 2016, the average age of a first-time mother was 26.6 years. By 2023, this had risen to 27.5 years — nearly a full year’s difference in just seven years.

But the trend isn’t limited to first-time mothers. For women having their second child, the average age rose by one year, while those giving birth to a third child or beyond saw an increase of 0.9 years. These shifts reflect a broader societal trend toward delayed childbearing, often influenced by factors such as education, career planning, financial stability, and access to reproductive health services.

<h4>What The Trends Show Across Demographics</h4>

Notably, the increase in maternal age was observed across all racial and ethnic groups, with rises ranging from 0.4 to 1.4 years between 2016 and 2023. This indicates that the pattern of delayed childbearing is not confined to one particular group but is a nationwide phenomenon affecting diverse communities.

Urbanization also plays a role. The report shows a consistent rise in maternal age at first birth across all types of counties — from densely populated urban areas to rural regions. Women living in large metropolitan counties had the highest mean age at first birth in 2023, averaging 28.5 years. In contrast, women in noncore (rural) counties had the lowest average at 24.8 years. Nonetheless, even these rural areas experienced an increase in age, with the average rising by 0.7 to 0.9 years depending on the county type.

“The mean age of mothers at childbirth in the United States increased from 2016 through 2023, continuing the long-term trend toward delayed childbearing,” the authors noted. This upward shift builds on similar findings from previous years and highlights a steady cultural change in how and when women choose to have children.

Delaying childbirth can have both benefits and challenges. On one hand, it often correlates with improved financial and emotional readiness, access to healthcare, and better outcomes for children. On the other hand, advanced maternal age can also bring higher risks for complications during pregnancy and childbirth, making ongoing medical monitoring and support essential.

Understanding maternal age trends helps public health experts, policymakers, and healthcare providers better plan for the needs of pregnant women and infants. It also reflects broader shifts in societal expectations, gender roles, and reproductive choices in the United States today.

As this trend continues, experts are calling for more inclusive policies and better support systems for parents — no matter when they decide to start their families.

age trend shows delayed motherhood in us

delayed motherhood

why are moms delaying motherhood

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Are more and more women delaying their motherhood in the United States? Data seems to show this trend. The average age of mothers at childbirth in the United States have continued to rise. A new report released on June 13 by the National Vital Statistic System (NVSS), provides the shift in age trends between 2016 and 2023. The study, conducted by Andrea D. Brown, Ph.D., M.P.H., and her colleagues at the National Center for Health Statistics.A Shift Towards Later MotherhoodThe researchers found a clear increase in the mean age of mothers at the time of their first birth. In 2016, the average age of a first-time mother was 26.6 years. By 2023, this had risen to 27.5 years — nearly a full year’s difference in just seven years.But the trend isn’t limited to first-time mothers. For women having their second child, the average age rose by one year, while those giving birth to a third child or beyond saw an increase of 0.9 years. These shifts reflect a broader societal trend toward delayed childbearing, often influenced by factors such as education, career planning, financial stability, and access to reproductive health services.What The Trends Show Across DemographicsNotably, the increase in maternal age was observed across all racial and ethnic groups, with rises ranging from 0.4 to 1.4 years between 2016 and 2023. This indicates that the pattern of delayed childbearing is not confined to one particular group but is a nationwide phenomenon affecting diverse communities.Urbanization also plays a role. The report shows a consistent rise in maternal age at first birth across all types of counties — from densely populated urban areas to rural regions. Women living in large metropolitan counties had the highest mean age at first birth in 2023, averaging 28.5 years. In contrast, women in noncore (rural) counties had the lowest average at 24.8 years. Nonetheless, even these rural areas experienced an increase in age, with the average rising by 0.7 to 0.9 years depending on the county type.“The mean age of mothers at childbirth in the United States increased from 2016 through 2023, continuing the long-term trend toward delayed childbearing,” the authors noted. This upward shift builds on similar findings from previous years and highlights a steady cultural change in how and when women choose to have children.Delaying childbirth can have both benefits and challenges. On one hand, it often correlates with improved financial and emotional readiness, access to healthcare, and better outcomes for children. On the other hand, advanced maternal age can also bring higher risks for complications during pregnancy and childbirth, making ongoing medical monitoring and support essential.Why Does It Matter?Understanding maternal age trends helps public health experts, policymakers, and healthcare providers better plan for the needs of pregnant women and infants. It also reflects broader shifts in societal expectations, gender roles, and reproductive choices in the United States today.As this trend continues, experts are calling for more inclusive policies and better support systems for parents — no matter when they decide to start their families.

women are now waiting more before becoming a mother, age trend shows a trend in delayed motherhood from 2016 to 2023

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Only about one in four mothers in the United States now say they are in “excellent” mental or physical health, according to a new study that reveals a sharp decline in maternal well-being over the past several years. The findings, published in JAMA Internal Medicine on Tuesday, underscore growing concerns around the <span>mental health</span> crisis affecting American families—especially mothers.

The study analyzed health data from 198,417 mothers with children under the age of 18, tracking changes from 2016 to 2023. Researchers found a significant drop in self-reported mental health among mothers during this period, with a smaller but still notable decline in physical health.

Using a four-point scale (excellent, very good, good, and fair/poor), the study revealed that the percentage of mothers reporting “excellent” mental health plummeted from 38.4% in 2016 to just 25.8% in 2023. At the same time, those reporting “good” mental health increased from 18.8% to 26.1%, while “fair/poor” mental health rose from 5.5% to 8.5%.

Physical health scores also declined. The proportion of moms reporting “excellent” physical health dropped from 28.0% to 23.9%. Meanwhile, the percentage describing their physical health as “good” grew from 24.3% to 28.1%, while those in the “fair/poor” category remained relatively stable.

The mental health decline was seen across all socioeconomic groups, but it was most pronounced among single mothers, women with lower levels of education, and those whose children are covered by public insurance. These findings echo long-standing concerns about disparities in health access and outcomes among women and underserved populations.

While the study also looked at male parents and noted similar downward trends in physical and mental health, fathers consistently reported better overall health than mothers. In 2023, the gap was particularly stark, with female parents 4 percentage points more likely than male parents to report “fair/poor” mental health.

<h4><span rel="noindex">Parenting</span> Under Pressure</h4>

This latest research builds on earlier warnings from public health officials. In 2023, former U.S. Surgeon General Dr. Vivek Murthy released an advisory titled "Parents Under Pressure," which called attention to the toll caregiving takes on mental health.

“The work of parenting is essential not only for the health of children but also for the health of society,” Murthy wrote. “The well-being of parents and caregivers is directly linked to the well-being of their children.”

The authors of the JAMA study echoed that sentiment, linking their findings to broader national health trends, including rising rates of depression and anxiety among reproductive-age women.

While the study did not explore specific causes, researchers cited several possible contributors to the ongoing decline in maternal mental health. These include:

<ul><li>Limited access to mental health services</li><li>Social isolation</li><li>Increased substance use disorders</li><li>Broader societal stressors such as inflation, systemic racism, gun violence, and climate change</li></ul>

The authors also referenced a growing body of research suggesting that maternal health may be an early warning sign of declining public health overall, writing: “Our findings are supportive of the claim made by some scholars that maternal mortality may be a canary in the coal mine for women’s health more broadly.”

As concerns around maternal mental health intensify, the study highlights the urgent need for more targeted policies and accessible support systems to improve the well-being of mothers—and by extension, their children and families.

mom mental health

mom health

mental health

mother mental health

Only about one in four mothers in the United States now say they are in “excellent” mental or physical health, according to a new study that reveals a sharp decline in maternal well-being over the past several years. The findings, published in JAMA Internal Medicine on Tuesday, underscore growing concerns around the mental health crisis affecting American families—especially mothers.A Steep Decline Over TimeThe study analyzed health data from 198,417 mothers with children under the age of 18, tracking changes from 2016 to 2023. Researchers found a significant drop in self-reported mental health among mothers during this period, with a smaller but still notable decline in physical health.Using a four-point scale (excellent, very good, good, and fair/poor), the study revealed that the percentage of mothers reporting “excellent” mental health plummeted from 38.4% in 2016 to just 25.8% in 2023. At the same time, those reporting “good” mental health increased from 18.8% to 26.1%, while “fair/poor” mental health rose from 5.5% to 8.5%.Physical health scores also declined. The proportion of moms reporting “excellent” physical health dropped from 28.0% to 23.9%. Meanwhile, the percentage describing their physical health as “good” grew from 24.3% to 28.1%, while those in the “fair/poor” category remained relatively stable.Vulnerable Groups Hit HardestThe mental health decline was seen across all socioeconomic groups, but it was most pronounced among single mothers, women with lower levels of education, and those whose children are covered by public insurance. These findings echo long-standing concerns about disparities in health access and outcomes among women and underserved populations.While the study also looked at male parents and noted similar downward trends in physical and mental health, fathers consistently reported better overall health than mothers. In 2023, the gap was particularly stark, with female parents 4 percentage points more likely than male parents to report “fair/poor” mental health.Parenting Under PressureThis latest research builds on earlier warnings from public health officials. In 2023, former U.S. Surgeon General Dr. Vivek Murthy released an advisory titled "Parents Under Pressure," which called attention to the toll caregiving takes on mental health.“The work of parenting is essential not only for the health of children but also for the health of society,” Murthy wrote. “The well-being of parents and caregivers is directly linked to the well-being of their children.”The authors of the JAMA study echoed that sentiment, linking their findings to broader national health trends, including rising rates of depression and anxiety among reproductive-age women.What’s Behind the Decline?While the study did not explore specific causes, researchers cited several possible contributors to the ongoing decline in maternal mental health. These include:Limited access to mental health servicesSocial isolationIncreased substance use disordersBroader societal stressors such as inflation, systemic racism, gun violence, and climate changeThe authors also referenced a growing body of research suggesting that maternal health may be an early warning sign of declining public health overall, writing: “Our findings are supportive of the claim made by some scholars that maternal mortality may be a canary in the coal mine for women’s health more broadly.”As concerns around maternal mental health intensify, the study highlights the urgent need for more targeted policies and accessible support systems to improve the well-being of mothers—and by extension, their children and families.

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