Dataset Information

Factors associated with common mental disorders among breastfeeding mothers in tertiary hospital nurseries in Nigeria.

ABSTRACT:

Background

Several studies have shown that the impact of maternal mental health disorders on newborns' well-being in low and middle-income countries (LMIC) are underreported, multi-dimensional and varies over time and differs from what is reported in high-income countries. We present the prevalence and risk factors associated with common mental disorders (CMDs) among breastfeeding mothers whose infants were admitted to Nigerian tertiary care facilities.

Methods

This was a national cross-sectional study involving mothers of hospitalised babies from eleven Nigerian tertiary hospitals. We used the WHO self-reporting Questionnaire 20 and an adapted WHO/UNICEF ten-step breastfeeding support package to assess mothers' mental health and breastfeeding support.

Results

Only 895 of the 1,120 mothers recruited from eleven tertiary healthcare nurseries in six geopolitical zones of Nigeria had complete datasets for analysis. The participants' mean age was 29.9 ± 6.2 years. One in four had CMDs; 24.0% (95% CI: 21.235, 26.937%). The ages of mothers, parity, gestational age at delivery, and length of hospital stay were comparable between mothers with and those without CMDs. Antenatal care at primary healthcare facilities (adjusted odds ratio [aOR:13], primary education [aOR:3.255] living in the south-southern region of the country [aOR 2.207], poor breastfeeding support [aOR:1.467], polygamous family settings [aOR:2.182], and a previous history of mental health disorders [aOR:4.684] were significantly associated with CMDs. In contrast, those from the middle and lower socioeconomic classes were less likely to develop CMDs, with [aOR:0.532] and [aOR:0.493], respectively.

Conclusion

In Nigeria, the prevalence of CMDs is relatively high among breastfeeding mothers with infants admitted to a tertiary care facility. Prior history of mental illness, polygamous households, mothers living in the southern region and low or no educational attainment have a greater risk of developing CMDs. This study provides evidence for assessing and tailoring interventions to CMDs among breastfeeding mothers in neonatal nurseries in LMIC.

SUBMITTER: Alao MA

PROVIDER: S-EPMC9997879 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Factors associated with common mental disorders among breastfeeding mothers in tertiary hospital nurseries in Nigeria.

Alao Michael Abel MA Ibrahim Olayinka Rasheed OR Iloh Kenechukwu Kosisochukwu KK Ayuk Adaeze C AC Diala Udochukwu Michael UM Briggs Datonye Christopher DC Imam Zainab Oluwatosin ZO Yekini Sakiru Abiodun SA Sotimehin Sikirat Adetoun SA Musa Aishatu Zaidu AZ Famutimi Esther Oluwatoyin EO Idris Adedeji Abiodun AA Odimegwu Chioma Laura CL Imam Zainab Kikelomo ZK Medupin Patricia F PF Adeyemi Ayomide Toluwanimi AT Nnamani Kenechi Ogbodo KO Tongo Olukemi Oluwatoyin OO

PloS one 20230309 3

<h4>Background</h4>Several studies have shown that the impact of maternal mental health disorders on newborns' well-being in low and middle-income countries (LMIC) are underreported, multi-dimensional and varies over time and differs from what is reported in high-income countries. We present the prevalence and risk factors associated with common mental disorders (CMDs) among breastfeeding mothers whose infants were admitted to Nigerian tertiary care facilities.<h4>Methods</h4>This was a national ...[more]

PMID: 36893141

Similar Datasets

Project description:BackgroundThe postpartum period is associated with an increased risk of maternal mental disorders. The combined effect of having the mother's infant admitted to a tertiary hospital in a low-resource setting and the need to exclusively breastfeed the infant may exaggerate this risk. This study aimed to determine the breastfeeding support provided to mothers whose infants were hospitalised in Nigerian tertiary hospital nurseries and the prevalence of common mental health disorders among this population.MethodsThis was a national cross-sectional study involving mothers of hospitalised infants from eleven Nigerian tertiary hospitals between May and August 2022. To assess mothers' mental health and breastfeeding support, we utilised the WHO self-reporting Questionnaire 20 and an adapted WHO/UNICEF ten-step breastfeeding support package.ResultsOf the 1,120 mothers recruited from neonatal nurseries in the six geopolitical zones in Nigeria, only 895 had a complete dataset for analysis. The mean age of the mothers was 29.9 ± 6.2; with 54.7% belonging to the low-socioeconomic class. Most of the mothers (835, 93.3%) received antenatal care, and 591: 66.0% were delivered at term. Overall, less than half (427; 47.7%) of the mother received optimal breastfeeding support. One in every four, 216; 24.0% of nursing mothers (95% CI: 21.235 to 26.937%) had common mental disorders (CMD). Pre-pregnant mental health disorders were reported in 41; 4.6% of the nursing mothers. Overall, the lowest performing areas of breastfeeding support were family-centred care (198, 22.1%), practical skill demonstration in the ward (n = 279, 31.2%), and antenatal clinics (n = 294, 32.8%). CMDs were significantly associated with the healthcare provider's practical breastfeeding skill demonstration and the provision of storage facilities for breastmilk and family-centered-care. Across Nigeria's six geopolitical zones, there was an inverse relationship between optimal breastfeeding support and the proportion of mothers with CMDs. The northern zone provided better breastfeeding support and had fewer CMDs than the southern region of the country.ConclusionCommon mental disorders are prevalent among nursing mothers in Nigerian tertiary hospital nurseries, and they are inversely related to breastfeeding support. Urgently required in tertiary hospitals for improved and sustainable breastfeeding practices are a focus on family-centred care and enhanced health workers' practical breastfeeding support skills.

Project description:BackgroundThis study assessed the caries experience and gingival health of outpatients with mental disorders, comparing those with psychotic disorders to those with non-psychotic disorders at a specialist psychiatry clinic. Oral health is vital for overall health, making it essential to examine the oral health status of these individuals with a focus on specific variables.MethodsA quantitative descriptive cross-sectional study was conducted at the Federal Neuropsychiatric Hospital psychiatry clinic in Enugu State, Nigeria, between May and June 2023. Data on demographic variables were collected from 260 respondents using an interviewer-administered questionnaire. Oral health status was clinically assessed using the Decayed, Missing, and Filled Teeth (DMFT) index, the Oral Hygiene Index-Simplified (OHI-S), and the Gingival Index (GI). Data were analyzed using SPSS version 25, with significance at p < 0.05.ResultsOut of 260 respondents, 155 (60%) had psychotic disorders, while 105 (40%) had non-psychotic disorders. Both groups had low mean DMFT scores of 1.0± (1.07) for psychotic and 1.0± (0.9) for non-psychotic disorders. The OHI-S indicated that 68 (69.4%) of patients with psychotic disorders and 30 (30.6%) of those with non-psychotic disorders had poor oral hygiene. Additionally, 137 (58.5%) participants in the psychotic group and 97 (41.5%) in the non-psychotic group brushed their teeth once daily. A total of 145 (58.9%) participants in the psychotic group and 101 (41.1%) in the non-psychotic group did not receive assistance while brushing. Furthermore, 98 (59.8%) participants in the psychotic group and 66 (40.2%) in the non-psychotic group did not consume alcohol, while 149 (59.1%) in the psychotic group and 103 (40.9%) in the non-psychotic group were non-smokers.ConclusionParticipants exhibited low caries experience due to their motivation to practice self-care, as evidenced by a majority brushing at least once daily without assistance, utilizing a toothbrush and toothpaste, and low alcohol consumption and tobacco use. However, poor oral hygiene persisted, particularly among those with psychotic disorders compared to non-psychotic disorders. This highlights the importance of integrating oral health education, counselling, and routine intraoral examinations in the care of psychiatric patients to prevent the onset or progression of oral diseases in this population.

Project description:IntroductionIncreasing breastfeeding rates is a national health objective, however substantial barriers and disparities continue to exist in breastfeeding initiation and continuation. Our study aim is to identify factors associated with birthing persons' breastfeeding "success" (patients admitted to Labor & Delivery desiring to breastfeed and discharged breastfeeding) and breastfeeding "failure" (patients admitted to Labor & Delivery desiring to breastfeed and discharged exclusively formula feeding).Materials and methodsWe conducted a retrospective cohort study between July 2015 and June 2016. Patients were asked infant feeding plan intentions (breast, formula, combination) upon admission for delivery. Feeding plan was reassessed at discharge from delivery stay and validated to serve as proxy for feeding status at discharge. Logistic regression was used to identify the population(s) most likely to voice intent to breastfeed and to identify predictors of altered breastfeeding intent at discharge.ResultsBetween July 2015 and June 2016, 6690 patients met criteria for analysis. Patients reporting intent to breastfeed before delivery were more likely Caucasian (p < 0.0001), married (p < 0.001), nulliparous (p < 0.01), privately insured (p < 0.0001), educated (p < 0.0001), and older (p < 0.01) compared with patients not intending to breastfeed. These characteristics were similar in those who were "successful breastfeeders," that is, breastfeeding at discharge. The strongest predictor of breastfeeding at discharge was intent to breastfeed before delivery (p < 0.0001). African American race was the strongest predictor of nonbreastfeeding intent at admission (p < 0.0001) and conversion to formula feeding by hospital discharge (p < 0.001).ConclusionIntent to breastfeed before delivery was the strongest predictor of breastfeeding at discharge; thus, prenatal breastfeeding education within the at-risk population is crucial to increasing breastfeeding rates.

Project description:BackgroundMothers' satisfaction with breastfeeding is important for breastfeeding duration but rarely investigated in mothers of preterm infants. The aim of this study was to describe breastfeeding satisfaction and associated factors during the first year in mothers of preterm infants (gestational age < 37 weeks).MethodsThis longitudinal cohort study, based on secondary analysis data from a randomized controlled trial, included 493 mothers of 547 preterm infants. Data on breastfeeding duration and satisfaction, parental stress and attachment were collected at 8 weeks post discharge, and at 6 and 12 months after birth. Breastfeeding satisfaction was measured by the Maternal Breastfeeding Evaluation Scale. Descriptive statistics and linear mixed effect models were used when analyzing the data.ResultsDuring the first 12 months breastfeeding satisfaction increased in the mean summary scores and points in the dimensions "role attainment" and "lifestyle and maternal body image". In the dimension "infant growth and satisfaction", there was an increase in mean points from 6 to 12 months after birth, but not between 8 weeks after discharge and 12 months after birth. The findings also showed that partial and no breastfeeding, higher parental stress, and infant gestational age < 32 weeks were associated with decreased breastfeeding satisfaction. Older maternal age and greater maternal attachment were associated with increased maternal breastfeeding satisfaction. There were no associations between maternal breastfeeding satisfaction and maternal educational level, parity, multiple birth, or maternal birth country other than Sweden, during the first 12 months after birth.ConclusionsBreastfeeding satisfaction was clearly associated with breastfeeding duration during the first year after birth. Breastfeeding satisfaction may be important to take into account when supporting breastfeeding and when designing interventions to support breastfeeding. Furthermore, these findings highlight the complexity of breastfeeding and emphasize the need for early and good support during neonatal care, so that mothers feel trust in themselves and their infant and in exclusive breastfeeding at discharge and in the first months thereafter.Trial registrationThe randomized controlled trial was registered NCT01806480 with www.clinicaltrials.gov on 2013-03-07.

Dataset Information

Factors associated with common mental disorders among breastfeeding mothers in tertiary hospital nurseries in Nigeria.

Background

Methods

Results

Conclusion

Publications

Factors associated with common mental disorders among breastfeeding mothers in tertiary hospital nurseries in Nigeria.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets