Maternal social health – a prerequisite to improving child health

PURPOSE OF REVIEW: Mothers in the United States are unwell, with high rates of maternal stress and death. Maternal health matters in its own right, and it is more difficult for children to be well if their parents are not. Improving mothers' economic status and social connectedness to improve maternal and child health has received increased attention. RECENT FINDINGS: New data build on previous findings that economic (e.g., financial strain, lost health insurance) and social [e.g., adverse childhood experiences (ACEs), structural racism] stressors are associated with poorer maternal and child health. Conversely, economic and social supports (e.g., cash transfers, paid family and medical leave, social connectedness) improve aspects of maternal and child health. Evidence on whether pandemic-era cash transfers impact maternal and child health is mixed. SUMMARY: Addressing social and economic stressors can improve maternal and child health, but the details matter. Incremental economic interventions are insufficient. Social factors such as isolation and structural racism must also be addressed. Policy implementation is equally important; families cannot benefit if they cannot access resources. Policy changes such as universal paid family and medical leave are needed. The field of pediatrics should update practice guidelines and advocate for policy changes.