Examine the Frequency of Postnatal Depression in Mothers having Malnourished Infants

2021 ◽  
Vol 15 (12) ◽  
pp. 3170-3171
Author(s):  
Muhammad Ilyas ◽  
Jawed Akbar Dars ◽  
Chooni Lal ◽  
Fazal Ullah

Background: Healthy child development is dependent on a mentally and physically healthy mother. Depressions in mother can adversely affect their offspring healthy growth. Aim: To estimate the frequency of post-natal depression in mothers having malnourished infants. Place and duration of study: Department of Psychiatry, Balochistan Institute of Psychiatry & Behavioral Sciences, Qeutta from 1st January 2020 to 31st December 2020. Methodology: In this case control study 250 mothers (125 were malnourished infants or toddlers mothers and other 125 from healthy weight infants/toddlers mothers) were interviewed to assess their depressional state. Their stress inducing factors, age and other clinical comorbidities were also documented. Results: Mean mother age of malnourished infants/toddlers was 28.1±6.6 years in comparison to 27.8±5.2 years of healthy weight infants/toddlers mother’s respectively. Twenty four percent malnourished infant/toddlers’ mothers were single parent. Un-employed spouse of mothers to malnourished infant/toddlers were found at higher frequency (51.06%) than of healthy infant/toddlers (23.4%).The frequency of post-natal depression among mothers of malnourished infants/toddlers was observed in 57.6% cases Conclusion: Out of total 57.5% mothers of malnourished children suffering from post-natal depression there are 15.2% to 9.6% those having moderate to highly moderate post-natal depression. Keywords: Post-natal depression, Malnourish, Infants, Toddlers

Author(s):  
MM Kavitha ◽  
Shravya Dharambhat ◽  
Narayan Mutalik ◽  
SH Chandrashekaraya ◽  
SV Kashinakunti

Introduction: Pregnancy is an important event in reproductive mother. At the same time it is associated with stress, which exaggerates the depression. Many factors leads to depression, among them nutrient deficiency like zinc, selenium, iron, calcium, folic acid and vitamin B12 plays a major role. Aim: To estimate and compare serum zinc levels in females with postpartum depression subjects and healthy controls. To find the relationship between serum zinc levels and extent of postpartum depression. Materials and Methods: The present study was a hospital- based case-control study, conducted over a period of three months. It included 40 postpartum depression cases and 40 healthy controls. All the participants were subjected to serum zinc levels estimation. Edinburgh Postnatal Depression Scale (EPDS) score was applied. The individuals who scored greater than 10 were taken as cases and those scoring less than 10 were taken as controls. Data was tabulated and results expressed as mean±SD, student’s t-test and Pearson correlation test was applied for correlation. Results: The present study found decreased serum zinc levels in postpartum depression cases compared to controls. It was found serum zinc levels in cases were 21.63±15.73 μg/dL and 54.16±19.72 μg/dL in controls. There was a negative correlation between the severity of postnatal depression and the serum zinc levels. Not only this, but certain risk factors were also identified, such as age of the mother, months of postpartum, mode of delivery, and the education of the mother. Conclusion: Decreased serum zinc levels do indeed correlate to a change in maternal mental health, and then the knowledge would not only help in diagnosis by tests, but also further patient care.


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.


2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Byron A. Foster ◽  
Christian A. Aquino ◽  
Sharol Mejia ◽  
Barbara J. Turner ◽  
Arvind Singhal

Background. Childhood obesity is a complex public health challenge that requires innovative, sustainable solutions. Positive deviance, inspired by the science of complexity, is an approach that examines what allows certain individuals to succeed despite being predicted to fail. This study is aimed at identifying and defining positive deviants for early childhood obesity. Methods. This case-control study used medical record data to identify Latino children aged 2–5 and classify them using their longitudinal weight change. Parents of children with trajectories toward a healthy weight from an obese weight (cases) and parents of children with stable obese weight trajectories over time (controls) were recruited. Mixed-methods analyses were used including a semistructured interview and quantitative surveys evaluating diet, physical activity, sleep, feeding practices, and self-efficacy. Qualitative description was applied to the qualitative data; quantitative data were analyzed using descriptive statistics and logistic regression modeling. Results. Of eligible Latino children identified from the overall data set (n=1,621), 257 (16%) had trajectories toward a healthy weight, and among these, 21 positively deviant cases completed the study with 23 matched controls. Positive deviant families were characterized by lower education, higher self-efficacy, and a more Mexican cultural orientation. Findings suggest that effective engagement of other caregivers and creating healthy food environments were important determinants of healthy weight outcomes. Conclusions. Positive deviants (cases) were distinct from controls in several parenting strategies such as creating healthy food environments and engaging caregivers. They had higher self-efficacy despite lower education. There were fewer differences in diet and physical activity than expected.


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.


2020 ◽  
Vol 13 (1) ◽  
pp. 650-657
Author(s):  
Firaol Mesfin Ayele ◽  
Workua Mekonnen Metekya ◽  
Kenfe Tesfay

Background: The World Health Organization has claimed that morbidity and disability of the global population due to child malnutrition has internationally become the chief cause of disability. However, in our country, its association with a young child’s nutritional outcomes is rarely studied. Objectives: To assess the effect of maternal common mental disorder and substance abuse on young child acute malnutrition. Methods: An institution's based case-control study was conducted among 192 women; 64 cases and 128 control in Mekelle public health facilities. Two hospitals and three health centers were included in this study. Self-Reporting Questionnaire 20-Item (SRQ-20) was used to assess the presence of maternal common mental disorder. Bivariate and multivariable logistic regression analysis was performed. The strength of association was measured through odds ratio at their 95% CI. The statistical significance was set at p<0.05. Results: The result of this study revealed that young children who have a mother with a common mental disorder are 6.1 times [AOR= 6.11, 95%CI (1.18, 31.71)] more likely to develop acute malnutrition than children who have mothers with no common mental disorder. Mothers of acutely malnourished children should be evaluated early for the detection of maternal common mental disorder for appropriate referral and support. Conclusion: Maternal common mental disorder was an independent determinant of young children’s acute malnutrition. Mothers of acutely malnourished children should be evaluated early for the detection of maternal common mental disorder for appropriate referral and support.


2019 ◽  
Vol 50 (3) ◽  
pp. 555-567 ◽  
Author(s):  
Mahsa Mohajeri ◽  
Shiva Hoojeghani ◽  
Farhad Pourfarzi ◽  
Mohammad Ghahremanzadeh ◽  
Ali Barzegar

Purpose Obesity is a multi-factorial problem that develops from an interaction between diet, genetics, physical activity, medication, and other factors. This paper aims to examine the association between dietary diversity score (DDS) and obesity among adults of Ardebil. Design/methodology/approach This case-control study was conducted on 204 cases (obese and overweight participants) and 204 controls (healthy weight individuals) matched by socioeconomic status (SES), age (older than 30 years) and sex. Dietary intake was assessed using a 24 h food recall questionnaire. Data on physical activity and socio-demographic variables were gathered. DDS was computed based on the scoring of the 14 food groups recommended by the Food and Agriculture organization guideline. Findings The DDS of the obese group was higher (5.02 ± 1.02) than that of the healthy weight group (4.23 ± 1.18) (p < 0.001). There was a significant association between DDS and body mass index (BMI) in both groups of study, but this association was more significant in the obese group (β = 0.501, p = 0.021) than that of healthy weight group (β = 0.413, p= 0.042). Vegetable food group score in both groups of the study was associated with obesity inversely (p < 0.05). Originality/value This study was conducted for the first time in Ardabil city and the results showed for the first time that there is a relationship between dietary diversity and obesity. People with a higher dietary diversity score are more likely to be obese. In fact, this study for the first time proved that people who are obese have a more varied diet but less vegetables and fruits.


2007 ◽  
Vol 4 (2) ◽  
pp. 92
Author(s):  
Junaidi Junaidi ◽  
Madarina Julia ◽  
Julita Hendratini

Background: The prevalence of dental caries in children is high. Caries may prevent children from properly digest food, which is then impair nutritional intake and cause malnutrition.Objectives: To assess the relation between the severity of dental caries with nutritional status and nutrient intake of 8-10 years old school children, in the sub district of Lhoknga, Aceh Besar, Nanggroe Aceh Darussalam.Methods: This was a case-control study of 54 undernourished children as cases compared to 54 well-nourished children matched for age as control. The severity of dental caries was assessed by a dentist using a caries severity index used by the WHO.Results: The prevalence of dental caries in undernourished children was 90.7%, while in well-nourished children was 54.7%. The odds ratio (95% CI) for having dental caries in malnourished children was 7.3 (2.2-26.6), p<0,001. Compared to children without caries, the odds (95% CI) for undernourished in children suffering from severe dental caries was 10.3 (3.2-38.5). Dental caries was associated with lower intake of energy. The relative risk (95% CI) for children with severe caries to have inadequate energy intake was 4.9 (1.7–14.7), p<0.001.Conclusions: Nutritional status was associated with the severity of dental caries. Children with severe dental caries had lower energy intake.


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