Date of Award

2025

Type

Thesis

Major

Health Science

Degree Type

Master of Public Health

Department

Kinesiology and Health Sciences

First Advisor

Dr. Patricia Anafi

Second Advisor

Dr. Rebecca Toland

Abstract

This systematic review synthesized evidence on perinatal policy framework to evaluate their public health significance and impact on family outcomes. Following Preferred Reporting Items for Systematic Reviews Meta-Analyses (PRISMA) methodology, peer-reviewed literature, policy documents, and corporate data from 2015-2025 were reviewed across national, state, and global levels. The analysis revealed seven thematic domains, (1) policy design and duration, (2) wage replacement, (3) insurance continuity, (4) workplace breastfeeding accommodations, (5) parental leave, (6) equity in access, and (7) policy enforcement. Evidence shows that integrated and inclusive policies particularly those in Sweden, Germany, and progressive U.S. states (NY and CA), yield substantial benefits for maternal recovery, infant bonding, and parental mental health. Conversely, fragmented and underfunded systems, such as those in Texas and Georgia, exacerbate health inequities and workplace instability. The findings emphasize that sustainable perinatal policy reform requires structural accountability, federal investment, and cultural normalization of caregiving. The review contributes to the growing field of maternal and child health by identifying gaps in implementation research and offering practical recommendations for future policy design that advances both family wellbeing and health equity across diverse populations.

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