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Factors associated with common mental disorders among breastfeeding mothers in tertiary hospital nurseries in Nigeria.
Alao, Michael Abel; Ibrahim, Olayinka Rasheed; Iloh, Kenechukwu Kosisochukwu; Ayuk, Adaeze C; Diala, Udochukwu Michael; Briggs, Datonye Christopher; Imam, Zainab Oluwatosin; Yekini, Sakiru Abiodun; Sotimehin, Sikirat Adetoun; Musa, Aishatu Zaidu; Famutimi, Esther Oluwatoyin; Idris, Adedeji Abiodun; Odimegwu, Chioma Laura; Imam, Zainab Kikelomo; Medupin, Patricia F; Adeyemi, Ayomide Toluwanimi; Nnamani, Kenechi Ogbodo; Tongo, Olukemi Oluwatoyin.
Afiliação
  • Alao MA; Department of Pediatrics, College of Medicine University of Ibadan & University College Hospital, Ibadan, Oyo State, Nigeria.
  • Ibrahim OR; Department of Paediatrics, Federal Medical Centre, Kastina, Kastina State, Nigeria.
  • Iloh KK; Department of Pediatrics, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria.
  • Ayuk AC; Department of Paediatrics, University of Nigeria &University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu, Nigeria.
  • Diala UM; Department of Paediatrics, University of Nigeria &University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu, Nigeria.
  • Briggs DC; Department of Pediatrics, College of Health Sciences, University of Jos, Jos, Plateau State, Nigeria.
  • Imam ZO; Rivers State University, Faculty of Clinical Sciences, College of Medical Sciences / Department of Paediatrics, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
  • Yekini SA; Department of Pediatrics, Lagos State University Teaching Hospital, Lagos, Nigeria.
  • Sotimehin SA; Department of Paediatrics, Federal Medical Centre, Kastina, Kastina State, Nigeria.
  • Musa AZ; Paediatrics Department, Asokoro District Hospital / Faculty of Clinical Sciences, College of Health Sciences, Nile University of Nigeria, Abuja, Federal Capital Territory, Abuja, Nigeria.
  • Famutimi EO; Department of Paediatrics Abubakar Tafewa Balewa University, Bauchi, Bauchi State, Nigeria.
  • Idris AA; Department of Clinical Nursing, University College Hospital, Ibadan, Oyo State, Nigeria.
  • Odimegwu CL; Department of Paediatrics Abubakar Tafewa Balewa University, Bauchi, Bauchi State, Nigeria.
  • Imam ZK; Department of Paediatrics, University of Nigeria &University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu, Nigeria.
  • Medupin PF; Women's Mental Health Division Sidra Medicine Al Gharafa, Doha, Qatar.
  • Adeyemi AT; Department of Paediatrics, Federal Medical Centre, Lokoja, Nigeria.
  • Nnamani KO; Department of Paediatrics, College of Medicine/University College Hospital Ibadan Centre for African Newborn Health and Nutrition, University College Hospital, Ibadan, Oyo State, Nigeria.
  • Tongo OO; Department of Paediatrics, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.
PLoS One ; 18(3): e0281704, 2023.
Article em En | MEDLINE | ID: mdl-36893141
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.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Aleitamento Materno / Transtornos Mentais Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adult / Female / Humans / Infant / Newborn / Pregnancy País como assunto: Africa Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Aleitamento Materno / Transtornos Mentais Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adult / Female / Humans / Infant / Newborn / Pregnancy País como assunto: Africa Idioma: En Ano de publicação: 2023 Tipo de documento: Article