scholarly journals Social Support, Maternal Agency, Postnatal Depression, and Domestic Violence Influence the Formal Employment-Exclusive Breastfeeding Relationship: Evidence From Kenya

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 652-652
Author(s):  
Scott Ickes ◽  
Vanessa Oddo ◽  
Jonathan Kim ◽  
Joyceline Kinyua ◽  
Donna Denno ◽  
...  

Abstract Objectives We previously demonstrated that formal employment among mothers in Kenya is associated with a lower prevalence and odds of exclusive breastfeeding (EBF). This study evaluated the influence of maternal social support, agency, postnatal depression, and domestic violence on the association between formal employment and EBF in Naivasha, Kenya, where many women work in agricultural labor. Methods Using cross-sectional data (n = 1,186), we examined validated scales of social support, agency, domestic violence, and postnatal depression as effect modifiers in adjusted, stratified models of the association between employment and EBF. We hypothesized that higher social support and agency would attenuate the odds ratios that evaluated employment and EBF, and domestic violence and depression would further decrease the odds of EBF based on employment. Results Comparing formally employed to non-formally employed mothers, women with higher social support were more likely to practice EBF at 14 weeks: OR high (95%CI) = 0.22 (0.09, 0.51) and OR low = 0.12 (0.05, 0.29). The same trend was observed at 24 weeks. Among mothers with higher maternal agency compared to those with lower agency, the negative association between formal and EBF was decreased at both 14 weeks [OR high = 0.21 (0.09, 0.47) versus OR low = 0.16 (0.06, 0.44)] and 24 weeks. Comparing mothers who reported experiencing domestic violence to those who had not, the negative association between formal and EBF was increased at both 14 weeks [OR = 0.06 (0.01, 0.31) versus OR No violence = 0.18 (0.09, 0.36)] and 24 weeks. At 14 weeks, mothers with depression decreased the association between employment and EBF: [OR dep = 0.11 (0.03,0.45) versus OR no depression = 0.16 (0.08, 0.33). At 24 weeks, the employment-EBF relationship was non-significant among mothers with depression: [OR dep = 0.31 (0.08, 1.30) but remained significant among mothers without depression: OR no dep = 0.22 (0.12, 0.40). Conclusions Among formally employed mothers, maternal social support and agency improve the employment-breastfeeding relationship, while women exposed to domestic violence or postnatal depression experienced a further decrease in the likelihood of EBF. Supportive interventions to improve EBF and other maternal health factors are needed in the postpartum period for employed mothers. Funding Sources NIH Fogarty International Center

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251419
Author(s):  
Md Jahirul Islam ◽  
Lisa Broidy ◽  
Kathleen Baird ◽  
Mosiur Rahman ◽  
Khondker Mohammad Zobair

Background Early termination of exclusive breastfeeding (EBF) and postpartum depression (PPD) are both recognized as global health problems. Recent literature reviews demonstrate a notable link between PPD and breastfeeding outcomes, however, the underlying mechanisms linking the two remain unclear. Objectives The aim of the study is to: 1) explore the comparative risk for PPD among new mothers who terminated EBF before the 6-month mark, compared to those who did not; and 2) test whether maternal stress and social support operate to mediate and/or moderate the relationship between EBF and PPD. Methods Between October 2015 and January 2016, a cross-sectional study was carried out among 426 new mothers of Bangladesh who were six months postpartum. Results Based on the multivariate logistic regression model, non-exclusively breastfeeding mothers were 7.58-fold more likely to experience PPD (95% CI [3.94, 14.59]) than exclusively breastfeeding mothers. Additionally, maternal stress and social support not only partially mediate the relationship between EBF and PPD but also substantially moderate this relationship. Specifically, the odds of PPD are significantly higher among mothers who had early EBF interruption in conjunction with increased stress levels and limited social support. Conclusions Current evidence suggests that concurrent screening for EBF difficulties and maternal stress are important red flags that might hint at complications even before mother’s screen positive for PPD. Support and care from family members can provide assistance in overcoming this issue.


Author(s):  
Nurfatimah Nurfatimah ◽  
Cristina Entoh

Postnatal depression is a mental disorder after the birth of her child and can last up to one year. Maternal postnatal mood disorder not an easy matter. The impact can be devastating life of the mother and her child. Currently there are many women who experienced postnatal depression but has not been detected. The purpose of this study was to analyze the relationship between demographic factors and social support in postnatal depression in The Working Area Of Puskesmas Kayamanya.The design of this research is cross sectional. Research subjects were followed for 56 respondents ranging from childbirth to 7 days postnatal. The samples was chosen by using consequtive sampling. The instruments used in this research are the Edinburgh Postnatal Depression Scale (EPDS) and standard social support questionnaire. The results reveal that the age is not significantly associated with depression postnatal (p = 0.514) and education (p = 0.154); but it is significantly parity (p = 0.012); economic status (p = 0.030), social support include the family (p = 0.035); friends (p = 0.017); and midwives (p = 0.005). The multivariate analysis reveals that midwifes support (wald=4,236; p= 0,04) is the dominant factor causing postnatal depression.


2021 ◽  
Vol 5 (1) ◽  
pp. 294-299
Author(s):  
Ernita Sari ◽  
Astika Gita Ningrum ◽  
Risa Etika

Mother's milk (ASI) has an important role in the process of child growth and development. In achieving success of exclusive breastfeeding, of course, there are various factors that influence, including the mother's personality (knowledge and attitude) and social support from the mother's environment around . The purpose of this study was to know related between knowledge, social support and mother's attitude towards exclusive breastfeeding. This quantitative research is observational with a cross sectional approach. The total population of breastfeeding mothers in the Ngadiluwih Community Health Center is 250 people and a sample of 154 mothers was taken use a simple random sampling technique. This research held in January-March 2021. The results showed that majority of mothers gave exclusive breastfeeding by 56.5%. In addition, knowledge possessed by mothers about exclusive breastfeeding was mostly good (79.9%), social support obtained was high (54.6%), but the mother's attitude was still negative (73.4%). Chi square statistical test on the knowledge variable obtained p value = 0.002, social support p value = 0.657 while attitude variable obtained p value = 0.075. There is a significant relationship between knowledge toward exclusive breastfeeding.


F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 36
Author(s):  
Harriet K. Mirieri ◽  
Marshal M. Mweu ◽  
Joyce M. Olenja

Background: Despite prenatal depression being a public health burden and the major predictor of postnatal depression, it has not received as much attention as postnatal depression in research and policy globally. There is limited evidence on the factors associated with prenatal depression and therefore understanding these factors will inform the design of specific interventions and formulation of guidelines for the effective prevention and control of prenatal depression particularly in high-risk regions. Methods: A hospital-based case control study design was used to identify the determinants of prenatal depression among 170 women attending an antenatal clinic. Prenatal depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS). A semi-structured questionnaire was administered to collect data on the socio-demographic, social network and family, lifestyle and obstetric characteristics of the participants. All eligible cases were enrolled into the study while a simple random sample of depression-free women attending the antenatal clinic were enrolled as controls. The relationship between the predictors and prenatal depression was evaluated by logistic regression. Results: In the multivariable analysis, only marital status (adjusted odds ratio (aOR)=17.1; 95% confidence interval (CI):4.0-73.0), occupation (aOR=2.4; 95% CI:1.4-4.2), domestic violence (aOR=18.3; 95% CI: 5.7-58.7) and  social support (aOR=0.2; 95% CI:0.05-0.8) were identified as significant determinants of prenatal depression. Conclusion: Marital status, occupation, domestic violence and lack of social support were the major predictors of prenatal depression in this setting. There is therefore need to implement screening for prenatal depression among pregnant women in health facilities as part of the routine antenatal care package, establish social support networks and spaces to provide an avenue for the prenatally depressed women to meet, share challenges and coping mechanisms and revise the government policy on sexual and gender based violence (SGBV) so as to strengthen efforts towards elimination of all forms of SGBV.


2021 ◽  
Vol 9 (01) ◽  
pp. 56-60
Author(s):  
Rubina Shrestha ◽  
Pradip Chhetri ◽  
Jyoti Priyanka ◽  
Chet Kant Bhusal

INTRODUCTION Exclusive breastfeeding (EBF) practices during first six months of life are the most cost-effective intervention for reducing infant and child morbidity and mortality. However, adherence to EBF practices in developing countries remains unsatisfactory, where maternal employment has been identified as one of the influencing factor. The study aims to identify and compare EBF practices and its factors influencing among employed and unemployed mothers. MATERIALAND METHODS An institutional based comparative cross-sectional study was conducted among 362 mothers of infants visiting the immunization clinic of Universal College of Medical Sciences, Bhairahawa, Nepal, from December 2020 to March 2021 following ethical clearance (UCMS/IRC/114/20) and verbal consent from participants. Descriptive statistics was used to compare EBF practices and multivariate logistic regression to identify independent predictors of EBF. RESULTS Total 362 (181 employed and 181 unemployed) mothers were interviewed. Prevalence of EBF was 13.8% and 81.2% among employed and unemployed mothers respectively. Further EBF practice had significant association with working status of mothers (AOR= 15.44, 95% CI 6.76-35.25) and monthly family income (AOR=3.31, 95% CI 1.24-8.84). Among employed, EBF practice had significant association with carry infant to work place (AOR= 12.36, 95% CI 4.35-49.87) whereas type of delivery (AOR= 3.88, 95% CI 1.69-8.90) was significantly associated among unemployed mothers. CONCLUSION EBF practices among employed mothers were less than that of unemployed mothers. Provisions to provide additional supports, either by revising the period of maternity leave or adopting different alternatives to prolong the period of EBF may be beneficial for employed mothers and their children.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Amare Lisanu Mazengia ◽  
Hibru Demissie

Background. Exclusive breastfeeding is an important strategy for improving child health. However, the practice of exclusive breastfeeding among employees is very low in developing countries including Ethiopia. Objective. The objective of this study was to assess the knowledge and practice of employed mothers towards exclusive breastfeeding and its associated factors in Mecha district, Amhara Region, Northwest Ethiopia, 2019. Methods. A cross-sectional study was conducted from April 05 to June 30, 2019. A stratified random sampling technique was applied. Data were analyzed using statistical package for social sciences (SPSS) version 23 software. Multivariate logistic regression was used to determine predictors of knowledge and practice. Result. A total of 449 participants were enrolled with a response rate of 95.54%. The study revealed that 92.1% (95% CI: (89.5–94.6)) of participants had good knowledge. However, only 38.5% (95% CI: (33.8–42.9)) employed mothers breastfeed their babies exclusively. Certain predictors such as maternity leave (AOR = 0.31, 95% CI:(0.10–0.91), p value = 0.03), mothers’ level of education (AOR = 2.97, 95% CI: (1.66–5.34), p value <0.001), support from husbands(AOR = 0.26, 95% CI (0.14–0.47), p value <0.001), and actual time to return back to their work(AOR = 0.21; 95% CI: (0.08–0.51), p value = 0.01) were statistically associated with exclusive breastfeeding. Conclusions and Recommendations. The knowledge and practice of employed mothers towards exclusive breastfeeding were affected by the number of predictors. Exclusive breastfeeding practice among employed mothers was low. It is advisable to give some flexible working hours for breastfeeding mothers.


Author(s):  
Dona Sartika ◽  
Agus Setiawan

Breastfeeding positively impacts both infants and mothers, but the rate of exclusive breastfeeding throughout the world is still low. One of these needs to be improved by implementing peer counseling for nursing mothers. This study aims to determine the benefits of peer counseling to mothers and exclusive breastfeeding. The method used was systematic literature study with descriptive analysis. Articles obtained from online databases namely Emarald insight, EBSCOhost, PubMed, sciencedirect, Wiley and Google scholar with a publication from 2016 to 2020. This study identified 43 articles and 12 met the inclusion criteria. The article consisted of quantitative research, (n = 8), qualitative research, (n = 3) and 1 article was a report article, 10 articles showed the positive impact of peer counseling on exclusive breastfeeding and maternal social support, 1 article was no impact on exclusive breastfeeding, 1 article needed further evaluation. Most research showed the positive impact of peer support on exclusive breastfeeding and maternal social support. This result was one of the important considerations in an effort to increase exclusive breastfeeding and social support for mothers. Keywords: breastfeeding; exclusive breastfeeding; peer counselling; peer support ABSTRAK Menyusui memberikan dampak positif baik bagi bayi maupun ibu, namun angka pemberian ASI eksklusif di seluruh dunia masih rendah. Hal ini perlu ditingkatkan salah satunya dengan menerapkan konseling sebaya untuk ibu menyusui. Studi ini bertujuan untuk mengetahui manfaat konseling sebaya terhadap ibu dan ASI eksklusif. Metode yang digunakan yaitu studi literatur tersistematis dengan analisis deskriptif. Artikel diperoleh dari online database yaitu Emarald insight, EBSCOhost, PubMed, sciencedirect, Wiley dan Google scholar dengan tahun terbit dari 2016 hingga 2020. Studi ini mengidentifikasi 43 artikel dan 12 memenuhi kriteria inklusi. Artikel terdiri dari penelitian kuantitatif, (n=8), penelitian kualitatif, (n=3) dan 1 artikel merupakan report article, 10 artikel menunjukkan dampak positif konseling sebaya terhadap ASI eksklusif dan dukungan sosial ibu, 1 artikel tidak berdampak terhadap ASI eksklusif, 1 artikel perlu evaluasi lebih lanjut. Sebagian besar penelitian menunjukkan dampak positif dukungan sebaya terhadap ASI eksklusif dan dukungan sosial ibu. Hasil ini menjadi salah satu pertimbangan penting dalam upaya meningkatnya pemberian ASI eksklusif serta dukungan sosial bagi ibu. Kata kunci: ASI eksklusif; dukungan sebaya; konseling sebaya; menyusui


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 654-654
Author(s):  
Joel Komakech ◽  
Hasina Rakotomanana ◽  
Christine Walters ◽  
Deana Hildebrand ◽  
Barbara Stoecker

Abstract Objectives Research on the effectiveness of maternal social support to improve knowledge, attitudes, and practices about the consumption of healthy diets is limited in Uganda. Our study examined the association between maternal social support and knowledge, attitudes, and practices of fruit and vegetable consumption among South Sudanese refugee mothers in post-emergency settlements in the West Nile region, in Uganda. Methods This cross-sectional study included 379 refugee mothers (15–49 years). Principal component analysis was used to determine scores for maternal knowledge, attitudes, and practices of fruit and vegetable consumption. The Medical Outcomes Study (MOS) Social Support Index was used to determine maternal social support scores. A mean score &gt; 4 was considered optimal social support. Associations between maternal social support and knowledge, attitudes, and practices of fruit and vegetable consumption were determined by logistic regression, adjusted for confounders. Statistical significance was set at p &lt; 0.05. Results The mean maternal age was 27.8 ± 5.0. Although 62.3% of mothers had optimal social support scores, 37.7% did not have anyone to rely on for day-to-day support. Even though mothers with optimal social support were more likely to have more knowledge about fruit and vegetable consumption (AOR = 2.05 [1.32 – 3.19], p = 0.003), there was not a significant association between maternal social support and fruit and vegetable consumption (AOR = 0.75 [0.46 – 1.23], p = 0.242). Furthermore, mothers with optimal social support were less likely to be positive towards fruit and vegetable consumption (AOR = 0.13 [0.02 – 0.73], p = 0.023). Conclusions Social support interventions have the potential to improve maternal knowledge on fruit and vegetable consumption among mothers in post-emergency areas. A mixed-methods longitudinal study may further determine why social support is associated with increased knowledge but not with more positive attitudes about fruit and vegetable consumption. Funding Sources Esther Winterfeldt Summer Research Fellowship; The Nestlé Foundation.


2020 ◽  
Vol 48 (2) ◽  
pp. 131-138
Author(s):  
Yustisia Imaninditya Puteri Widarini ◽  
Izzatul Arifah ◽  
Kusuma Estu Werdani

Abstract Women are prone to experiencing postpartum depression. The purpose of this study was to analyze the association of risk factors and depression symptoms in postpartum mothers in Banjarsari District, Surakarta in 2019. The design of the research is cross-sectional with the total sample was.160 postpartum mothers (0-6 weeks) from the total population of 268 mothers The independent variables included the mother’s age, education, occupation, type of delivery exclusive breastfeeding practice, and the first time breastfeeding. Whereas, the dependent variables were the symptoms of postpartum depression. Data collection using the exclusive breastfeeding practice questionnaire and the Edinburgh Postnatal Depression Scale (EPDS). Data analysis was performed using Chi-square and multivariate logistic regression. The results showed that 25.6% of mothers in Banjarsari experienced symptoms of postpartum depression. Type of labor (p=0,049, OR 2,333, 95% CI 1,002-5,428) and exclusive breastfeeding practice (p=0,018, OR 2,460 95% CI 1,1665,187) were significantly associated with symptoms of postpartum depression. The study concluded that the group of mothers who did exclusive breastfeed and who had delivery complications tended to experience symptoms of postpartum depression higher than that of mothers who did not experience the same conditions. Keywords : postpartum, depression, EPDS Abstrak Perempuan rentan mengalami depresi masa nifas. Tujuan penelitian untuk menganalisis hubungan faktor risiko dengan gejala depresi pada ibu di masa nifas di Kecamatan Banjarsari, Surakarta. Desain penelitian adalah crossectional dengan sampel 160 ibu nifas (0-6 minggu) dari total populasi 268 orang, Penelitian mengukur variabel independen yaitu usia ibu, pendidikan, pekerjaan, jenis persalinan, praktik menyusui eksklusif dan waktu pertama kali menyusui dengan variabel dependen yaitu gejala depresi pada ibu di masa nifas. Pengumpulan data menggunakan kuesioner praktik menyusui eksklusif dan Edinburgh Postnatal Depression Scale (EPDS). Analisis data menggunakan Chi-square dan multivariat menggunakan regresi logistik. Hasil penelitian menunjukkan 25,6% ibu di Kecamatan Banjarsari, Surakarta mengalami gejala depresi di masa nifas. Jenis persalinan (p=0,049, OR 2,333, 95% CI 1,002-5,428) dan praktik menyusui eksklusif (p=0,018, OR 2,460, 95% CI 1,166-5,187) berhubungan signifikan dengan gejala depresi masa nifas. Kesimpulan penelitian ini adalah kelompok ibu yang tidak menyusui eksklusif dan kelompok ibu yang jenis persalinan disertai penyulit cenderung mengalami gejala depresi lebih tinggi dibandingkan kelompok ibu yang tidak mengalami kondisi yang sama. Kata kunci: postpartum, depresi, EPDS


F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 36
Author(s):  
Harriet K. Mirieri ◽  
Marshal M. Mweu ◽  
Joyce M. Olenja

Background: Despite prenatal depression being a public health burden and the major predictor of postnatal depression, it has not received as much attention as postnatal depression in research and policy globally. There is limited evidence on the factors associated with prenatal depression and therefore understanding these factors will inform the design of specific interventions and formulation of guidelines for the effective prevention and control of prenatal depression particularly in high-risk regions. Methods: A hospital-based case control study design was used to identify the determinants of prenatal depression among 170 women attending an antenatal clinic. Prenatal depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS). A semi-structured questionnaire was administered to collect data on the socio-demographic, social network and family, lifestyle and obstetric characteristics of the participants. All eligible cases were enrolled into the study while a simple random sample of depression-free women attending the antenatal clinic were enrolled as controls. The relationship between the predictors and prenatal depression was evaluated by logistic regression. Results: In the multivariable analysis, only marital status (adjusted odds ratio (aOR)=17.1; 95% confidence interval (CI):4.0-73.0), occupation (aOR=2.4; 95% CI:1.4-4.2), domestic violence (aOR=18.3; 95% CI: 5.7-58.7) and  social support (aOR=0.2; 95% CI:0.05-0.8) were identified as significant determinants of prenatal depression. Conclusion: Marital status, occupation, domestic violence and lack of social support were  identified as the risk factors for prenatal depression in this setting. To address the burden of prenatal depression in the country, these findings call for inclusion of screening for prenatal depression as an essential component of the routine antenatal care package. We recommend that future studies focus on evaluating specific interventions to address the identified risk factors.


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