scholarly journals Association between Breastfeeding Attitudes and Postpartum Depression among Mothers with Premature Infants during COVID-19 Pandemic

Author(s):  
Noor Fairuzi Suhana Yahya ◽  
Nur Islami Mohd Fahmi Teng ◽  
Najwa Shafiee ◽  
Norsham Juliana

Breastfeeding is the best form of feeding for premature infants. However, mothers with premature delivery are frequently reported to be depressed, and this has been especially the case during the Coronavirus Disease-2019 (COVID-19) pandemic. We aimed to measure the level of breastfeeding attitude and its association with postpartum depression among mothers with premature infants in the Neonatal Intensive Care Unit (NICU) during the COVID-19 pandemic. A total of 248 mothers with a premature infant were observed in this cross-sectional study from the chosen NICUs of government hospitals in Selangor, Malaysia. The Iowa Infant Feeding Attitude Score (IIFAS) and the Edinburgh Postnatal Depression Scale, along with sociodemographic questionnaires, were used to obtain information on the mothers’ attitudes towards breastfeeding and the risk of postpartum depression. A higher percentage of mothers had a positive attitude towards breastfeeding (64.9%), with a mean IIFAS score of 66.30 ± 6.92. Meanwhile, about 27% of mothers with premature infants were reported to have high risk of depressive symptoms. Mothers with a high risk of depression were less likely to have a positive attitude towards breastfeeding (OR 0.37, 95% CI 0.199, 0.675) as compared to mothers with a low risk of depression (p < 0.01). We found that there is an association between the risk of depression and the attitude towards breastfeeding. Early identification of maternal mental health problems should be addressed to ensure the willingness of mothers to continue breastfeeding.

2020 ◽  
Vol 58 (223) ◽  
pp. 137-140
Author(s):  
Priza Pradhananga ◽  
Prajita Mali ◽  
Lisasha Poudel ◽  
Minani Gurung

Introduction: Postpartum Depression is an important public health problem in developing country like Nepal. Although prevalence of postpartum depression is high in our setting, it is most neglected area of mental health. These have negative consequences not only to mother but also to infant. Data related to postpartum depression in Nepal are limited, research in this particular field will contribute in knowing the gravity of the situation and helps to formulate the factor association to upcoming researchers. This research is done in order to find out the prevalence of postpartum depression. Methods: A descriptive cross-sectional study was carried out in Paropakar Maternity and Women’s Hospital, among total 348 postnatal mothers who were selected through convenient sampling technique. Validated Nepalese version of Edinburg Postnatal Depression Scale was used to screen depressive symptoms. Data was collected after receiving ethical approval letter. Data entry was done using SPSS version 20. Results: Out of total mothers, the prevalence of Postpartum Depression (PPD) was seen among 51 mothers (14.7%). Conclusions: Postpartum Depression being a common yet neglected area of maternal health in Nepal, should be detected in early stage. As, the study showed that about one sixth of mothers had postpartum depression, more focus should be given to maternal mental health.  


2021 ◽  
Vol 5 (1) ◽  
pp. 49-57
Author(s):  
Estiningtyas ◽  
Anindhita Yudha Cahyaningtyas

Postpartum Depression (PPD) is a severe complication of labour result in an adverse effect on maternal and neonatal health. Nevertheless, the factors associated with postpartum depression are very rarely examined during postpartum care. This study aimed to discover the determinants of postpartum depression among mothers in a rural area, Central Java, Indonesia. The design of the study was observational analytic with a cross-sectional approach. The setting of the study was in Sukoharjo Regency. Participants of the study were 160 mothers, ages 20-35 years old, during 0-8 weeks of postpartum that were taken using a purposive sampling technique. The participants were given two questionnaires: (1) questionnaire on the socio-demographic; and (2) the Edinburgh Postpartum Depression Scale (EPDS) questionnaire. The questionnaires were distributed to mothers’ at their houses by the interviewers. The result findings shows that the determinants of postpartum depression are occupations (p=0.012), husband support (p=0.010), family support (p=0.027), social support (p=0.025), pregnancy planning (p=0.025), monthly income (p=0.021). PPD is not associated with age (p=0.417), parity (p=0.977), and level of education (p=0.892). Key conclusion: maternal mental health services need to be addressed in the management of the risk factors to prevent the occurrence of postpartum depression.     Keywords: husband support, family support, social support, postpartum depression symptoms


2020 ◽  
Vol 16 ◽  
Author(s):  
Salman Khazaei ◽  
Erfan Ayubi ◽  
Saeid Bashirian ◽  
Ronak Hamzehei ◽  
Ensiyeh Jenabi

Background: The relationship between gestational diabetes and postpartum depression (PPD) is poorly understood and seldom studied. Objective: In an effort to explore this issue, the present study investigated the relationship between gestational diabetes and PPD. Methods: The present cross-sectional study was performed with 342 women who were referred to four urban health centers of Hamadan city, west of Iran. We used convenience sampling as a method to recruit women in each health center. We used a researcher-made checklist for gathering data on socio-demographic characteristics and potential risk factors of PPD. The Persian validated version of the Edinburgh Postnatal Depression Scale (EPDS) was used to assess PPD. Univariate and multivariable binary logistic regression was applied to estimate the odds ratio (OR) (95% confidence interval [CI]). Results: Gestational diabetes was identified as the most important risk factor for PPD with OR (95% CI) of 2.19 (1.11, 4.31); P-value=0.02 after adjusting for other variables. Moreover, the adjusted odds ratio showed that PPD among lesseducated women (primary school) was 3.5 times higher compared to women with a university education (OR=3.54, 95% CI: 1.27, 9.84; P-value=0.01). Conclusion: Our findings suggested that PPD is more likely among women with gestational diabetes and those who were less educated. Interventional and educational activities for reducing the risk of PPD can be targeted for use with this population.


2021 ◽  
pp. 002076402110001
Author(s):  
Esra’ O Taybeh

Background: The magnitude of postpartum depression in Jordan is under documented, and little is known about its potential sociodemographic and clinical correlates. Purpose: The aim of this study was to explore the prevalence and risk factors associated with postpartum depression among Jordanian mothers in the first 18 months after delivery. Method: This descriptive cross-sectional study was carried out from April to June 2020 in Jordan. A web-based survey was used for recruiting eligible participants. An Arabic version of the validated self-administered Edinburgh Postnatal Depression Scale questionnaire was used to measure postpartum depression with a cut-off score of ⩾12 which indicates probable depression. Results: A total of 1,071 Jordanian women participated in the study. Of those, 567 women had postpartum depression (52.9%). Multivariate logistic regression analysis revealed that postpartum depression was significantly associated with marital conflict (OR: 4.91; 95% CI: 2.36–10.20), negative attitude from the pregnancy (OR: 0.67; 95% CI: 0.45–0.99), unplanned pregnancies (OR: 1.73; 95% CI: 1.16–2.60), lack of social support (OR: 1.93; 95% CI: 1.12–3.32), time from last delivery (OR: 0.99; 95% CI: 0.98–1.00), insomnia (OR: 0.53; 95% CI: 0.35–0.82), and depression during the pregnancy (OR: 0.51; 95% CI: 0.33–0.78). Most of the participants (65.7%) sought social support to avoid, reduce, or treat postpartum depression. Conclusions: Postpartum depression among Jordanian women was the highest in comparison to that of women in other countries in the region. Therefore, screening for the presence of depressive symptoms should be implemented during regular pregnancy care visits. Social support should be encouraged in order to avoid, reduce, or treat postpartum depression.


2021 ◽  
Vol 8 ◽  
Author(s):  
Chenlu Yang ◽  
Ai Zhao ◽  
Hanglian Lan ◽  
Zhongxia Ren ◽  
Jian Zhang ◽  
...  

Background: Evidence on the effects of dietary quality on the risk of postpartum depression in the Chinese population is limited. This study aimed to examine the association between dietary quality and postpartum depression in Chinses lactating women.Methods: A total of 939 participants from 10 cities were included in this analysis. A one-time 24-h dietary recall was used to obtain the data on food consumption and dietary quality was assessed based on Diet Balance Index. The Edinburgh postnatal depression scale was considered at a cutoff point of 10 to detect postpartum depression. Poisson regression models were used to explore the association of dietary quality with postpartum depression.Results: Depressed women tended to have a more inadequate intake of vegetables and have more insufficient food variety. The median (25th, 75th) of the overall high bound score (HBS), low bound score (LBS), and diet quality distance (DQD) was 9 (5, 14), 30 (25, 37), and 40 (34, 47), respectively. Compared with subjects with the lowest quartile of LBS, those with the highest quartile of LBS had a higher risk of postpartum depression [adjusted prevalence ratio (aPR), 1.08; 95% confidence interval (95% CI), 1.01, 1.15; P for trend, 0.043]. We also observed a significant association between DQD and postpartum depression (Q4 vs. Q1: aPR, 1.07; 95% CI: 1.00, 1.14; P for trend, 0.036).Conclusion: Poor dietary quality was associated with postpartum depression in Chinese lactating women.


2020 ◽  
Vol 1 (1) ◽  
pp. 61-70
Author(s):  
Agnes Mahayanti ◽  
Intansari Nurjannah ◽  
Widyawati

Background: The postpartum period was a physical and psychological adaptation process. Psychological disturbances could present in form of postpartum blues, postpartum depression, and postpartum psychosis. Objective: The objective of this research was to determine the incidence of postpartum depression, identify predictors of postpartum depression and identify the dominant predictors of postpartum depression. Methods: this research used a cross sectional design. Sample were pregnant women which were chosen by random sampling technique. Data was collected with questionnaire to measure the predictors of postpartum depression was carried out with the Revision Postpartum Depression Predictors Inventory (PDPI) questionnaire and to measure depression scores used with the Edinburgh Postnatal Depression Scale (EPDS). Data analysis was done by univariate and bivariate analysis with with chi-square statistical tests and multivariate with logistic regression tests. Results: The results showed that the significant predictors were economic status, self-esteem, marital satisfaction, postpartum blues, and prenatal depression. The dominant predictor factor is satisfaction in marriage with a t value of 2.778 times. Conclusion: The results of the study show that marital satisfaction is a dominant predictor of postpartum depression, indicating that marital satisfaction or relationship quality is one of the important support systems because of the need for partner involvement in care actions during the pregnancy period until with the puerperium as efforts to prevent postpartum depression.     Keywords: postpartum depression, postpartum period, postpartum bues


F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 1845 ◽  
Author(s):  
Shunji Suzuki

Background:  Some studies have demonstrated that breastfeeding can protect mothers from postpartum depression; therefore, we examined the association between postpartum depression and lactation status at one month after delivery at a Japanese perinatal center. Methods: We reviewed the obstetric records of all (total 809) nulliparous healthy women with vaginal singleton delivery at 37-41 weeks’ gestation at our institute between July 2018 and June 2019. A face-to-face interview with the women was conducted on admission for delivery to ask whether or not they hoped to perform exclusive breastfeeding for their babies, and an additional interview was conducted one month after delivery to ask about their feeding methods currently. Maternal mental status was examined based on the scores using the Edinburgh Postnatal Depression Scale (EPDS), and women with EPDS scores of ≥9 points were regarded as ‘positive screening’. Results: 592 women (73.1%) hoped to perform exclusive breastfeeding for their babies on admission. Of these, at one month, 442 (74.7%) performed exclusive breastfeeding, while 150 (25.3%) performed mixed or artificial feeding. The average EPDS scores and the incidence of EPDS scores ≥9 points in the women performing exclusive breastfeeding were 4.3 ± 3.6 and 14.3% (63/442), respectively. They did not differ from those in the women performing mixed or artificial breast feeding [4.2 ± 3.7, p = 0.60 and 13.3% (20/150), p = 0.78]. Conclusion: Development of postpartum depression does not seem to be associated with incomplete breastfeeding at our hospital, and therefore there are other risk factors indicated in the development of postpartum depression.


Author(s):  
Sakineh Abdi ◽  
Fatemeh Jafarzadeh- Kenarsari ◽  
Zahra Bostani- Khalesi ◽  
Ehsan Kazemnejad- Leili

Aims: In order to reduce the rate of cesarean section (CS), it is necessary to be aware of attitudes of women to predict their preferred method of delivery and its related factors. This study aimed to compare attitudes of medical and non-medical female students regarding the preferred method of delivery and its related factors in 2019. Study Design:  cross sectional-analytical study. Place and Duration of Study: Medical and non-medical undergraduate female students of Guilan, Rasht, Iran, were randomly selected between October 2019 and November 2019. Methodology: We included 1040 students (873 non-medical, 167 medical students; mean age 20.90 ± 1.54 years). The data were collected by a researcher-made questionnaire and analyzed using descriptive and inferential (Chi Square, Fisher's exact test, Kruskal–Wallis, Mann-Whitney and multiple regression) statistics (P =.05). Results: In general, 71.50% of subjects in both groups had a neutral attitude. For group comparison, the medical and non-medical groups (24% and 12.40%) had a positive attitude towards CS and (11.40% and 14.80%) had a positive attitude towards normal vaginal delivery (NVD), respectively. Attitude score according to the university (P =.002), the school (P =.002), the academic year (P =.001), age (P =.031), ethnicity (P =.001), child rank (P =.042), father education (P =.007), mother education (P =.006), childbirth method of the mothers in other children (P =.007), and delivery method of the relatives (P =.05) was significant. Conclusion: Although non-medical students had more possitive attitude towards NVD, in general, in both groups, the majority of them had a neutral attitude towards the mode of delivery. It seems necessary to develop the educational-counseling interventions to form a positive attitude towards NVD in all students and youngs.


2021 ◽  
Vol 30 (3) ◽  
pp. 163-171
Author(s):  
Mohamed A. Sakr ◽  
Asmaa Y. Sharfeldin, ◽  
Ayman A. Sakr ◽  
Zeinab A. Kasemy

Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was characterized as the etiology for a cluster of pneumonia cases that spread rapidly, causing considerable morbidity and mortality worldwide. By April 2021, more than 2,996,791 deaths were reported globally. Proper updated infection control protocol for Coronavirus disease 2019 (COVID-19) must be provided to every health care facility. Objectives: To evaluate the knowledge, attitude, perception of barriers, and practices among Egyptian health care workers (HCWs) regarding COVID-19 disease. Methodology: A cross-sectional study using an online questionnaire through a link shared on social networking sites was conducted on 480 HCWs from different regions in Egypt. Results: This assessment included a sample of 480 HCWs. The total knowledge score was (19.95±2.4). Satisfactory knowledge was reported among 60%. Total attitude score was (18.1±3.7) with positive attitude being reported among 23.3%. Total practice score was (10.6±1.1) and good practice was reported among 89.2%. Conclusion: There were satisfactory knowledge and practice with a low positive attitude regarding COVID19 which requires more efforts to improve precautionary measures and training programs in hospitals.


Author(s):  
Lakshmi K

Objectives: This study was aimed to assess the knowledge and attitude of primipara mothers regarding breast feeding. Methodology: quantitative non experimental - descriptive research design was adopted. The study was conducted in MES medical college hospital with the sample size of 50 primipara mothers by using non probability- purposive sampling technique. Results: The knowledge score of primipara mothers regarding breast feeding were 4 (8.0%) had inadequate knowledge, 35 (70%) had average knowledge, 11 (22%) had adequate knowledge. The attitude score of the primipara mothers regarding breast feeding reveals that 2 (4.0%) had neutral attitude, 48 (96%) had positive attitude towards breast feeding. Correlation of knowledge and attitude of primipara mothers regarding breast feeding represents that mean knowledge and attitude score of primipara mothers regarding breast feeding was 14.3 and 48.74 respectively. Correlation coefficient(r) value is 0.041, which indicates statistically non significant. find the association between the knowledge and attitude with selected demographic data illutrates that there is a significant association of knowledge score with their type of family (p <0.05) and there is no significant association of knowledge score with the age, education, occupation, religion, residence, age at marriage, sex of the baby, previous knowledge on breast feeding ( p > 0.05). there is no significant association of attitude score with the with demographic data ( p >0.10). conclusion: This study was identified that 70% of the primipara mothers had average knowledge and 96% had positive attitude towards breast feeding. It implies that majority of the primipara mothers was received previous information regarding breast feeding in this study had a major role to enhance the knowledge and attitude of primipara mothers regarding breast feeeding.


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