Alao Michael Abel, Ibrahim Olayinka Rasheed, Yekinni Sakiru Abiodun, Sotimehin Sikirat Adetoun, Diala Udochukwu Michael, Briggs Datonye Christopher, Musa Aishatu Zaidu, Imam Zainab Oluwatosin, Famutimi Esther Oluwatoyin, Idris Adedeji Abiodun, Ayuk Adaeze C, Iloh Kenechukwu Kosisochukwu, Odimegwu Chioma Laura, Adeyemi Ayomide Toluwanimi, Medupin Patricia F, Adeniyi Yetunde C, Nnamani Kenechi Ogbodo, Tongo Olukemi Oluwatoyin
Department of Pediatrics, College of Medicine University of Ibadan & University College Hospital, Ibadan, Ibadan, Oyo State, Nigeria.
Department of Pediatrics, University of Ilorin Teaching Hospital, Kwara State, Ilorin, Nigeria.
BMC Pregnancy Childbirth. 2024 Dec 20;24(1):834. doi: 10.1186/s12884-024-07031-8.
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.
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.
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.
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.
产后时期产妇患精神障碍的风险会增加。在资源匮乏地区，母亲的婴儿被收入三级医院，加上需要纯母乳喂养婴儿，这两种情况的综合影响可能会加剧这种风险。本研究旨在确定在尼日利亚三级医院新生儿重症监护室中，为婴儿住院的母亲提供的母乳喂养支持情况，以及该人群中常见心理健康障碍的患病率。
这是一项全国性横断面研究，涉及2022年5月至8月期间来自尼日利亚11家三级医院的婴儿住院母亲。为评估母亲的心理健康和母乳喂养支持情况，我们使用了世界卫生组织自我报告问卷20以及一份经过改编的世界卫生组织/联合国儿童基金会十步骤母乳喂养支持方案。
在从尼日利亚六个地缘政治区的新生儿重症监护室招募的1120名母亲中，只有895名拥有完整数据集用于分析。母亲的平均年龄为29.9±6.2岁；54.7%属于低社会经济阶层。大多数母亲（835名，93.3%）接受了产前护理，591名（66.0%）足月分娩。总体而言，不到一半（427名，47.7%）的母亲获得了最佳母乳喂养支持。每四名哺乳母亲中就有一名，即216名（24.0%）（95%置信区间：21.235%至26.937%）患有常见精神障碍（CMD）。41名（4.6%）哺乳母亲报告有孕前心理健康障碍。总体而言，母乳喂养支持表现最差的领域是家庭中心护理（198名，22.1%）、病房内的实践技能示范（n = 279名，31.2%）以及产前诊所（n = 294名，32.8%）。常见精神障碍与医护人员的母乳喂养实践技能示范、提供母乳储存设施以及家庭中心护理显著相关。在尼日利亚的六个地缘政治区，最佳母乳喂养支持与患有常见精神障碍的母亲比例之间存在负相关关系。该国北部地区提供了更好的母乳喂养支持，且患有常见精神障碍的母亲比南部地区少。
在尼日利亚三级医院新生儿重症监护室的哺乳母亲中，常见精神障碍很普遍，且与母乳喂养支持呈负相关。三级医院迫切需要改善和维持母乳喂养实践，重点是家庭中心护理，并提高医护人员的母乳喂养实践支持技能。
