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Objective: Young children living in socioeconomically deprived areas of Scotland have an increased risk of becoming overweight or obese. To enhance understanding of the wider contexts within which family food practices are developed, this study examined the experiences of low-income mothers with young children. Design: Qualitative longitudinal design. Setting: The Lothians, Scotland. Method: Two waves of individual interviews were conducted with 13 mothers at two time points within an 18-month period. All the mothers lived in socioeconomically disadvantaged areas in Eastern Scotland, and had at least one child aged 6 years and under. An inductive thematic analysis was conducted, through which the data were analysed both cross-sectionally and longitudinally. Findings: Women experienced socioeconomic challenges which limited the financial and emotional resources, and the time they were able to commit to healthy eating practices. For some, change and instability were part of their lives, over which they had little control. Despite insecure socioeconomic contexts, women positioned themselves as expert mothers, evidenced through their strategies in dealing with the problem of "fussy eaters" and their challenges of "expert" advice. Conclusion: This research demonstrates the significance of the broader difficulties that living in poverty presents to mothers, beyond the issue of cost, and which preventive health interventions should address.

This article presents an analysis of the family context and everyday negotiations around risk, safety and danger between children and parents in four families drawn from a larger qualitative study. The challenges of analysing accounts from several family members are highlighted. Case study families are described; and fragments of their interwoven individual and shared biographies, on which respondents regularly drew to legitimate risk-related beliefs and practices, are outlined. The dynamic, fluid and contingent nature of risk construction and reconstruction in everyday family life is discussed and three main themes explored: establishing 'the bottom line'; assumptions, collusions and contradictions around age, siblinghood and time; and contextualizing 'risk' in the conduct of others. The authors conclude that, just as with childhood itself, it is important also to contextualize risk within socioeconomic, cultural and institutional frameworks; and that, for most children, their families both constitute one such context and mediate wider social structures.

Explores 9- to 15-year-old children's own constructions of risk and safety in their everyday lives in relation to the public/private dichotomy. Argues that children reflexively construct their landscapes of risk and safety around concepts of private, local, and public, leading from most to least safe. (JPB)

Introduction: Expanding access to postpartum intrauterine contraception (PPIUC) can reduce unintended pregnancies and short inter-pregnancy intervals; however, provision across Europe is limited. Our aim was to determine the feasibility, clinical outcomes and patient satisfaction of providing immediate PPIUC after vaginal birth using a health services research model.Material and Methods: Phased introduction of PPIUC across two Lothian maternity hospitals; all women intending vaginal birth during the study period without a contraindication to use of the method were eligible to receive PPIUC. Midwives and obstetric doctors were trained in vaginal PPIUC insertion using Kelly forceps. Women received information antenatally and had PPIUC insertion of either a levonorgestrel intrauterine system or a copper intrauterine device within 48 hours of vaginal birth. Follow-up was conducted in-person at 6 weeks postpartum and by telephone at 3, 6 and 12 months. Primary outcomes were: uptake, complications (infection, uterine perforation), expulsion and patient satisfaction at 6 weeks; and method of continuation up to 12 months. Secondary outcomes included hazard ratio for expulsion adjusted for demographic and insertion-related variables.Results: Uptake of PPIUC was 4.6% of all vaginal births; 465/447 (96.1%) of those requesting PPIUC successfully received it and most chose a levonorgestrel intrauterine system (73%). At 6 weeks postpartum, the infection rate was 0.8%, there were no perforations and 98.3% of women said they would recommend the service. The complete expulsion rate was 29.8% (n = 113) and most had symptoms (n = 79). Of the additional 121 devices removed, 118 were because of partial expulsion. The rate of complete/partial expulsion was higher for insertions by midwives compared with those by doctors. The re-insertion rate after expulsion/removal was 87.6% and method continuation at 12 months was 79.6%.Conclusions: Routine PPIUC at vaginal birth is feasible. Complications were extremely rare. High expulsion rates may be observed in early stages of service introduction and with inexperienced providers. Re-insertion and therefore longer-term continuation rates of intrauterine contraception were very high. In settings with low rates of attendance for interval postpartum intrauterine contraception insertion, PPIUC could be a useful intervention to prevent unintended and closely spaced pregnancies. [ABSTRACT FROM AUTHOR]