{"id":"https://openalex.org/W7214577239","doi":"https://doi.org/10.2196/97348","title":"Association Between Early Postpartum Maternal Fatigue and Infant Emotional Development: Protocol for a Prospective Cohort Study","display_name":"Association Between Early Postpartum Maternal Fatigue and Infant Emotional Development: Protocol for a Prospective Cohort Study","publication_year":2026,"publication_date":"2026-09-28","ids":{"openalex":"https://openalex.org/W7214577239","doi":"https://doi.org/10.2196/97348","pmid":"https://pubmed.ncbi.nlm.nih.gov/42986222","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13738004"},"language":"en","primary_location":{"id":"doi:10.2196/97348","doi":"https://doi.org/10.2196/97348","is_oa":true,"landing_page_url":"https://doi.org/10.2196/97348","pdf_url":null,"source":{"id":"https://openalex.org/S2739058702","display_name":"JMIR Research Protocols","issn_l":"1929-0748","issn":["1929-0748"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320608","host_organization_name":"JMIR Publications","host_organization_lineage":["https://openalex.org/P4310320608"],"host_organization_lineage_names":["JMIR Publications"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JMIR Research Protocols","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.2196/97348","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5133225889","display_name":"Zimeng Xu","orcid":"https://orcid.org/0009-0004-2770-6406","observed_orcids":["https://orcid.org/0009-0004-2770-6406"]},"institutions":[{"id":"https://openalex.org/I199305430","display_name":"Nantong University","ror":"https://ror.org/02afcvw97","country_code":"CN","type":"education","lineage":["https://openalex.org/I199305430"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Zimeng Xu","raw_affiliation_strings":["School of Nursing and Rehabilitation, Nantong University, No. 18, Nursing Home Road, Chongchuan District, Nantong, Jiangsu, 226001, China, 86 13814715979"],"raw_orcid":"https://orcid.org/0009-0004-2770-6406","affiliations":[{"raw_affiliation_string":"School of Nursing and Rehabilitation, Nantong University, No. 18, Nursing Home Road, Chongchuan District, Nantong, Jiangsu, 226001, China, 86 13814715979","institution_ids":["https://openalex.org/I199305430"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5133162403","display_name":"Jiahui Ni","orcid":"https://orcid.org/0009-0002-0378-7630","observed_orcids":["https://orcid.org/0009-0002-0378-7630"]},"institutions":[{"id":"https://openalex.org/I199305430","display_name":"Nantong University","ror":"https://ror.org/02afcvw97","country_code":"CN","type":"education","lineage":["https://openalex.org/I199305430"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jiahui Ni","raw_affiliation_strings":["School of Nursing and Rehabilitation, Nantong University, No. 18, Nursing Home Road, Chongchuan District, Nantong, Jiangsu, 226001, China, 86 13814715979"],"raw_orcid":"https://orcid.org/0009-0002-0378-7630","affiliations":[{"raw_affiliation_string":"School of Nursing and Rehabilitation, Nantong University, No. 18, Nursing Home Road, Chongchuan District, Nantong, Jiangsu, 226001, China, 86 13814715979","institution_ids":["https://openalex.org/I199305430"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5127921063","display_name":"Ruotong Wei","orcid":"https://orcid.org/0009-0006-8471-5565","observed_orcids":["https://orcid.org/0009-0006-8471-5565"]},"institutions":[{"id":"https://openalex.org/I199305430","display_name":"Nantong University","ror":"https://ror.org/02afcvw97","country_code":"CN","type":"education","lineage":["https://openalex.org/I199305430"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Ruotong Wei","raw_affiliation_strings":["School of Nursing and Rehabilitation, Nantong University, No. 18, Nursing Home Road, Chongchuan District, Nantong, Jiangsu, 226001, China, 86 13814715979"],"raw_orcid":"https://orcid.org/0009-0006-8471-5565","affiliations":[{"raw_affiliation_string":"School of Nursing and Rehabilitation, Nantong University, No. 18, Nursing Home Road, Chongchuan District, Nantong, Jiangsu, 226001, China, 86 13814715979","institution_ids":["https://openalex.org/I199305430"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5047490231","display_name":"Feng Zhang","orcid":"https://orcid.org/0000-0003-4798-5145","observed_orcids":["https://orcid.org/0000-0003-4798-5145"]},"institutions":[{"id":"https://openalex.org/I199305430","display_name":"Nantong University","ror":"https://ror.org/02afcvw97","country_code":"CN","type":"education","lineage":["https://openalex.org/I199305430"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Feng Zhang","raw_affiliation_strings":["School of Nursing and Rehabilitation, Nantong University, No. 18, Nursing Home Road, Chongchuan District, Nantong, Jiangsu, 226001, China, 86 13814715979"],"raw_orcid":"https://orcid.org/0000-0003-4798-5145","affiliations":[{"raw_affiliation_string":"School of Nursing and Rehabilitation, Nantong University, No. 18, Nursing Home Road, Chongchuan District, Nantong, Jiangsu, 226001, China, 86 13814715979","institution_ids":["https://openalex.org/I199305430"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5047490231"],"corresponding_institution_ids":["https://openalex.org/I199305430"],"apc_list":{"value":1900,"currency":"USD","value_usd":1900},"apc_paid":{"value":1900,"currency":"USD","value_usd":1900},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.68418695,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"15","issue":null,"first_page":"e97348","last_page":"e97348"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10786","display_name":"Maternal Mental Health During Pregnancy and Postpartum","score":0.9663000106811523,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10786","display_name":"Maternal Mental Health During Pregnancy and Postpartum","score":0.9663000106811523,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13289","display_name":"Infant Health and Development","score":0.024000000208616257,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10182","display_name":"Child and Adolescent Psychosocial and Emotional Development","score":0.0020000000949949026,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/postpartum-fatigue","display_name":"postpartum fatigue","score":0.9860000014305115},{"id":"https://openalex.org/keywords/infant-emotional-development","display_name":"infant emotional development","score":0.9200000166893005},{"id":"https://openalex.org/keywords/salivary-oxytocin","display_name":"salivary oxytocin","score":0.9760000109672546},{"id":"https://openalex.org/keywords/mother-infant-dyads","display_name":"mother-infant dyads","score":0.859000027179718},{"id":"https://openalex.org/keywords/infant-emotional-regulation","display_name":"infant emotional regulation","score":0.8169999718666077},{"id":"https://openalex.org/keywords/infant-emotional-expression","display_name":"infant emotional expression","score":0.8159999847412109},{"id":"https://openalex.org/keywords/mediation-analysis","display_name":"mediation analysis","score":0.5690000057220459},{"id":"https://openalex.org/keywords/eye-tracking","display_name":"eye tracking","score":0.6330000162124634},{"id":"https://openalex.org/keywords/skin-conductance","display_name":"skin conductance","score":0.9980000257492065},{"id":"https://openalex.org/keywords/postpartum-mental-health","display_name":"postpartum mental health","score":0.5600000023841858},{"id":"https://openalex.org/keywords/chinese-women","display_name":"Chinese women","score":0.4860000014305115},{"id":"https://openalex.org/keywords/early-postpartum-period","display_name":"early postpartum period","score":0.6679999828338623}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7597000002861023},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.6439999938011169},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.5914999842643738},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.520799994468689},{"id":"https://openalex.org/C2780385302","wikidata":"https://www.wikidata.org/wiki/Q367158","display_name":"Protocol (science)","level":3,"score":0.4950000047683716},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.39489999413490295},{"id":"https://openalex.org/C3018745865","wikidata":"https://www.wikidata.org/wiki/Q749115","display_name":"Postpartum period","level":3,"score":0.374099999666214},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.3538999855518341},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.3086000084877014},{"id":"https://openalex.org/C2776283161","wikidata":"https://www.wikidata.org/wiki/Q174876","display_name":"Breastfeeding","level":2,"score":0.30149999260902405},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.29649999737739563},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.28110000491142273},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.2752000093460083},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.2721000015735626},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.26989999413490295},{"id":"https://openalex.org/C2780262536","wikidata":"https://www.wikidata.org/wiki/Q2712836","display_name":"Postpartum depression","level":3,"score":0.2556999921798706}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002657","descriptor_name":"Child Development","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D002681","descriptor_name":"China","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004644","descriptor_name":"Emotions","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D005221","descriptor_name":"Fatigue","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009034","descriptor_name":"Mother-Child Relations","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D009035","descriptor_name":"Mothers","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D010121","descriptor_name":"Oxytocin","qualifier_ui":"Q000032","qualifier_name":"analysis","is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012463","descriptor_name":"Saliva","qualifier_ui":"Q000737","qualifier_name":"chemistry","is_major_topic":false},{"descriptor_ui":"D049590","descriptor_name":"Postpartum Period","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.2196/97348","doi":"https://doi.org/10.2196/97348","is_oa":true,"landing_page_url":"https://doi.org/10.2196/97348","pdf_url":null,"source":{"id":"https://openalex.org/S2739058702","display_name":"JMIR Research Protocols","issn_l":"1929-0748","issn":["1929-0748"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320608","host_organization_name":"JMIR Publications","host_organization_lineage":["https://openalex.org/P4310320608"],"host_organization_lineage_names":["JMIR Publications"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JMIR Research Protocols","raw_type":"journal-article"},{"id":"doi:10.2196/preprints.97348","doi":"https://doi.org/10.2196/preprints.97348","is_oa":true,"landing_page_url":"https://doi.org/10.2196/preprints.97348","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},{"id":"pmh:oai:pubmedcentral.nih.gov:13738004","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13738004/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13738004/pdf/resprot-v15-e97348.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JMIR Res Protoc","raw_type":"Text"},{"id":"pmid:42986222","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42986222","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JMIR research protocols","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.2196/97348","doi":"https://doi.org/10.2196/97348","is_oa":true,"landing_page_url":"https://doi.org/10.2196/97348","pdf_url":null,"source":{"id":"https://openalex.org/S2739058702","display_name":"JMIR Research Protocols","issn_l":"1929-0748","issn":["1929-0748"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320608","host_organization_name":"JMIR Publications","host_organization_lineage":["https://openalex.org/P4310320608"],"host_organization_lineage_names":["JMIR Publications"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JMIR Research Protocols","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/study-protocol","display_name":"Study Protocol"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320321001","display_name":"National Natural Science Foundation of China","ror":"https://ror.org/01h0zpd94"},{"id":"https://openalex.org/F4320321605","display_name":"Government of Jiangsu Province","ror":"https://ror.org/004svx814"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7214577239.pdf","grobid_xml":"https://content.openalex.org/works/W7214577239.grobid-xml"},"referenced_works_count":67,"referenced_works":["https://openalex.org/W1728298943","https://openalex.org/W1979587142","https://openalex.org/W2004120576","https://openalex.org/W2017323063","https://openalex.org/W2020998241","https://openalex.org/W2033442056","https://openalex.org/W2036793306","https://openalex.org/W2042058440","https://openalex.org/W2044680806","https://openalex.org/W2075072883","https://openalex.org/W2110353111","https://openalex.org/W2111685433","https://openalex.org/W2117071828","https://openalex.org/W2168599783","https://openalex.org/W2171137184","https://openalex.org/W2312839433","https://openalex.org/W2412905319","https://openalex.org/W2499890720","https://openalex.org/W2554602921","https://openalex.org/W2603933605","https://openalex.org/W2943993867","https://openalex.org/W2948038804","https://openalex.org/W2965344569","https://openalex.org/W2971385659","https://openalex.org/W2972684328","https://openalex.org/W2999359220","https://openalex.org/W3011289576","https://openalex.org/W3089587137","https://openalex.org/W3111347376","https://openalex.org/W3118516394","https://openalex.org/W3120787944","https://openalex.org/W3166588727","https://openalex.org/W3183735484","https://openalex.org/W3196858906","https://openalex.org/W3201057061","https://openalex.org/W3205187219","https://openalex.org/W3209100561","https://openalex.org/W3209708629","https://openalex.org/W4200078404","https://openalex.org/W4212845497","https://openalex.org/W4213283844","https://openalex.org/W4220957294","https://openalex.org/W4221087802","https://openalex.org/W4292543873","https://openalex.org/W4297216201","https://openalex.org/W4297546263","https://openalex.org/W4313325190","https://openalex.org/W4361286581","https://openalex.org/W4362657550","https://openalex.org/W4382202782","https://openalex.org/W4385343453","https://openalex.org/W4386256544","https://openalex.org/W4387969482","https://openalex.org/W4390973266","https://openalex.org/W4396876678","https://openalex.org/W4399690156","https://openalex.org/W4399857329","https://openalex.org/W4400768653","https://openalex.org/W4401474939","https://openalex.org/W4405729281","https://openalex.org/W4405841489","https://openalex.org/W4406622936","https://openalex.org/W4407752938","https://openalex.org/W4408846006","https://openalex.org/W4411185321","https://openalex.org/W4411731171","https://openalex.org/W7117969376"],"related_works":["https://openalex.org/W2066823131","https://openalex.org/W2052145368","https://openalex.org/W7054160491","https://openalex.org/W4212845497","https://openalex.org/W7172057413","https://openalex.org/W3192109549","https://openalex.org/W2337531412","https://openalex.org/W4414841318","https://openalex.org/W4401676380","https://openalex.org/W3088376377"],"abstract_inverted_index":{"Background:":[0],"Postpartum":[1,213],"fatigue":[2],"(PPF)":[3],"is":[4,24,165,181,347,357,375],"clinically":[5],"defined":[6],"as":[7,80],"persistent":[8],"physical":[9],"and":[10,29,58,73,82,114,118,141,148,158,185,222,229,234,259,299,321,365,386,409,426,435,442],"mental":[11,102],"exhaustion":[12],"emerging":[13],"after":[14],"childbirth":[15],"that":[16,46,166,182],"cannot":[17],"be":[18,209,225,249,360],"fully":[19],"relieved":[20],"by":[21,211,362],"rest.":[22],"It":[23],"distinct":[25],"from":[26,339],"postpartum":[27,41,319,416,440],"depression":[28],"has":[30],"a":[31,286],"prevalence":[32],"of":[33,64,145,155,242,272,280,289,337,388],"76.13%":[34],"among":[35],"Chinese":[36,415],"women":[37],"within":[38,202],"the":[39,135,142,151,212,295,307,316,322,344,351,389],"first":[40],"week.":[42],"Existing":[43],"evidence":[44,106,403,429],"suggests":[45],"maternal":[47,55,101,139,186,200,407],"PPF":[48,140,168,201,206,408],"may":[49,420],"alter":[50],"salivary":[51,156],"oxytocin":[52,157,183],"concentrations,":[53],"disturb":[54],"caregiving":[56,160,187],"behaviors,":[57],"subsequently":[59],"interfere":[60],"with":[61,172,199,380],"multiple":[62],"dimensions":[63],"infant":[65,91,174,240,411],"emotional":[66,69,71,74,92,143,175,217,412],"development,":[67,218],"including":[68,232],"expression,":[70,220],"regulation,":[72,221],"recognition.":[75],"Objective":[76],"psychophysiological":[77],"measurements,":[78],"such":[79],"eye-tracking":[81,233],"galvanic":[83,235],"skin":[84,236],"response,":[85,237],"have":[86,314,333,342],"been":[87],"validated":[88],"for":[89,121,251,439],"assessing":[90],"responses.":[93],"Nevertheless,":[94],"most":[95],"existing":[96],"studies":[97],"focus":[98],"merely":[99],"on":[100],"well-being.":[103],"Local":[104],"longitudinal":[105,402],"clarifying":[107],"this":[108,190],"sequential":[109,152],"mechanistic":[110],"chain":[111],"remains":[112],"limited,":[113],"targeted":[115,432],"early":[116,395,410,433],"screening":[117,434],"intervention":[119],"strategies":[120,438],"PPF-affected":[122],"mother-infant":[123,159,197,424],"dyads":[124,198,275,282,292,301,313],"are":[125,325,392],"insufficient.":[126],"Objective:":[127],"This":[128,255,398],"prospective":[129],"cohort":[130,399],"protocol":[131,331],"aims":[132],"to":[133,149,304,350,359,430],"examine":[134],"independent":[136],"association":[137],"between":[138,406],"development":[144,176,413],"3-month-old":[146],"infants":[147],"explore":[150],"mediating":[153],"roles":[154],"quality.":[161],"The":[162,178,373,418],"primary":[163],"hypothesis":[164,180,252],"higher":[167],"severity":[169,207],"will":[170,194,208,224,248,369,400],"correlate":[171],"poorer":[173],"outcomes.":[177],"secondary":[179],"levels":[184],"sequentially":[188],"mediate":[189],"association.":[191],"Methods:":[192],"We":[193],"recruit":[195],"412":[196],"1":[203],"week":[204],"postpartum.":[205],"measured":[210],"Fatigue":[214],"Scale.":[215],"Infant":[216],"covering":[219],"recognition,":[223],"evaluated":[226],"via":[227],"questionnaires":[228],"physiological":[230],"assessments,":[231],"at":[238,306],"an":[239],"age":[241],"3":[243],"months.":[244],"General":[245],"analytical":[246],"frameworks":[247],"applied":[250],"testing.":[253],"Results:":[254],"study":[256,374],"was":[257],"funded":[258],"initiated":[260],"in":[261,267,378,394,414],"September":[262],"2025.":[263,269],"Participant":[264],"recruitment":[265],"commenced":[266],"October":[268],"A":[270],"total":[271],"180":[273],"mothers-infants":[274],"underwent":[276],"eligibility":[277],"screening;":[278],"146":[279],"these":[281],"completed":[283,315,343,361],"enrollment,":[284],"yielding":[285],"participation":[287],"rate":[288],"81.1%.":[290],"Twelve":[291],"withdrew":[293],"before":[294],"3-month":[296,308,318,345],"follow-up":[297,305],"window,":[298],"4":[300],"were":[302],"lost":[303],"assessment.":[309],"To":[310],"date,":[311],"112":[312],"full":[317,354],"assessment,":[320],"remaining":[323],"participants":[324,340],"still":[326],"under":[327],"follow-up.":[328],"No":[329],"major":[330],"deviations":[332],"occurred.":[334],"Data":[335],"analysis":[336,368,385],"samples":[338],"who":[341],"assessments":[346],"ongoing.":[348],"According":[349],"prespecified":[352],"timeline,":[353],"sample":[355],"collection":[356],"projected":[358],"December":[363],"2027,":[364],"formal":[366],"data":[367],"begin":[370],"shortly":[371],"thereafter.":[372],"progressing":[376],"steadily":[377],"accordance":[379],"preset":[381],"schedules.":[382],"Full":[383],"dataset":[384],"submission":[387],"final":[390],"manuscript":[391],"anticipated":[393],"2028.":[396],"Conclusions:":[397],"generate":[401],"describing":[404],"links":[405],"populations.":[417],"findings":[419],"help":[421],"identify":[422],"high-risk":[423],"subgroups":[425],"provide":[427],"real-world":[428],"develop":[431],"dyadic":[436],"support":[437],"mothers":[441],"their":[443],"infants.":[444]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-09-29T00:00:00"}
