Breastfeeding support as predictors of sustainable breastfeeding practices of nursing mothers with common mental disorders in tertiary hospital nurseries in Nigeria: a cross sectional study
Abstract Background The 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. Th...
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2024-12-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | https://doi.org/10.1186/s12884-024-07031-8 |
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| author | Michael Abel Alao Olayinka Rasheed Ibrahim Sakiru Abiodun Yekinni Sikirat Adetoun Sotimehin Udochukwu Michael Diala Datonye Christopher Briggs Aishatu Zaidu Musa Zainab Oluwatosin Imam Esther Oluwatoyin Famutimi Adedeji Abiodun Idris Adaeze C. Ayuk Kenechukwu Kosisochukwu Iloh Chioma Laura Odimegwu Ayomide Toluwanimi Adeyemi Patricia F. Medupin Yetunde C. Adeniyi Kenechi Ogbodo Nnamani Olukemi Oluwatoyin Tongo |
| author_facet | Michael Abel Alao Olayinka Rasheed Ibrahim Sakiru Abiodun Yekinni Sikirat Adetoun Sotimehin Udochukwu Michael Diala Datonye Christopher Briggs Aishatu Zaidu Musa Zainab Oluwatosin Imam Esther Oluwatoyin Famutimi Adedeji Abiodun Idris Adaeze C. Ayuk Kenechukwu Kosisochukwu Iloh Chioma Laura Odimegwu Ayomide Toluwanimi Adeyemi Patricia F. Medupin Yetunde C. Adeniyi Kenechi Ogbodo Nnamani Olukemi Oluwatoyin Tongo |
| author_sort | Michael Abel Alao |
| collection | DOAJ |
| description | Abstract Background The 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. Methods This 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. Results Of 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. Conclusion Common 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. |
| format | Article |
| id | doaj-art-ff06564d9eec452db4b9dcebc56a68ac |
| institution | Kabale University |
| issn | 1471-2393 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj-art-ff06564d9eec452db4b9dcebc56a68ac2025-01-12T12:43:55ZengBMCBMC Pregnancy and Childbirth1471-23932024-12-0124111510.1186/s12884-024-07031-8Breastfeeding support as predictors of sustainable breastfeeding practices of nursing mothers with common mental disorders in tertiary hospital nurseries in Nigeria: a cross sectional studyMichael Abel Alao0Olayinka Rasheed Ibrahim1Sakiru Abiodun Yekinni2Sikirat Adetoun Sotimehin3Udochukwu Michael Diala4Datonye Christopher Briggs5Aishatu Zaidu Musa6Zainab Oluwatosin Imam7Esther Oluwatoyin Famutimi8Adedeji Abiodun Idris9Adaeze C. Ayuk10Kenechukwu Kosisochukwu Iloh11Chioma Laura Odimegwu12Ayomide Toluwanimi Adeyemi13Patricia F. Medupin14Yetunde C. Adeniyi15Kenechi Ogbodo Nnamani16Olukemi Oluwatoyin Tongo17Department of Pediatrics, College of Medicine University of Ibadan & University College Hospital, IbadanDepartment of Pediatrics, University of Ilorin Teaching HospitalDepartment of Paediatrics, Federal Medical CentrePaediatrics Department, Faculty of Clinical Sciences, College of Health Sciences, Nile University of NigeriaDepartment of Paediatrics, Faculty of Clinical Sciences, College of Health Sciences, University of JosDepartment of Paediatrics, Faculty of Clinical Sciences, College of medical Sciences, Rivers State University & Rivers State University Teaching HospitalDepartment of Paediatrics, Abubakar Tafewa Balewa UniversityDepartment of Pediatrics, Lagos State University Teaching HospitalDepartment of Clinical Nursing, University College HospitalDepartment of Paediatrics, Abubakar Tafewa Balewa UniversityDepartment of Paediatrics, College of Medicine, University of Nigeria & University of Nigeria Teaching HospitalDepartment of Paediatrics, College of Medicine, University of Nigeria & University of Nigeria Teaching HospitalDepartment of Paediatrics, College of Medicine, University of Nigeria & University of Nigeria Teaching HospitalDepartment of Paediatrics, College of Medicine, University College Hospital Ibadan Centre for African Newborn Health and Nutrition, University College HospitalDepartment of Paediatrics Federal Teaching HospitalDepartment of Psychiatry, College of Medicine & Department of Child and Adolescent Psychiatry, University of Ibadan & University College HospitalDepartment of Paediatrics, Nnamdi Azikiwe University Teaching HospitalDepartment of Pediatrics, College of Medicine University of Ibadan & University College Hospital, IbadanAbstract Background The 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. Methods This 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. Results Of 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. Conclusion Common 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.https://doi.org/10.1186/s12884-024-07031-8Common mental disordersMental disordersMental health breastfeedingNurseriesNeonatalNeonates |
| spellingShingle | Michael Abel Alao Olayinka Rasheed Ibrahim Sakiru Abiodun Yekinni Sikirat Adetoun Sotimehin Udochukwu Michael Diala Datonye Christopher Briggs Aishatu Zaidu Musa Zainab Oluwatosin Imam Esther Oluwatoyin Famutimi Adedeji Abiodun Idris Adaeze C. Ayuk Kenechukwu Kosisochukwu Iloh Chioma Laura Odimegwu Ayomide Toluwanimi Adeyemi Patricia F. Medupin Yetunde C. Adeniyi Kenechi Ogbodo Nnamani Olukemi Oluwatoyin Tongo Breastfeeding support as predictors of sustainable breastfeeding practices of nursing mothers with common mental disorders in tertiary hospital nurseries in Nigeria: a cross sectional study BMC Pregnancy and Childbirth Common mental disorders Mental disorders Mental health breastfeeding Nurseries Neonatal Neonates |
| title | Breastfeeding support as predictors of sustainable breastfeeding practices of nursing mothers with common mental disorders in tertiary hospital nurseries in Nigeria: a cross sectional study |
| title_full | Breastfeeding support as predictors of sustainable breastfeeding practices of nursing mothers with common mental disorders in tertiary hospital nurseries in Nigeria: a cross sectional study |
| title_fullStr | Breastfeeding support as predictors of sustainable breastfeeding practices of nursing mothers with common mental disorders in tertiary hospital nurseries in Nigeria: a cross sectional study |
| title_full_unstemmed | Breastfeeding support as predictors of sustainable breastfeeding practices of nursing mothers with common mental disorders in tertiary hospital nurseries in Nigeria: a cross sectional study |
| title_short | Breastfeeding support as predictors of sustainable breastfeeding practices of nursing mothers with common mental disorders in tertiary hospital nurseries in Nigeria: a cross sectional study |
| title_sort | breastfeeding support as predictors of sustainable breastfeeding practices of nursing mothers with common mental disorders in tertiary hospital nurseries in nigeria a cross sectional study |
| topic | Common mental disorders Mental disorders Mental health breastfeeding Nurseries Neonatal Neonates |
| url | https://doi.org/10.1186/s12884-024-07031-8 |
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