Singh Taranand, Kumar Dinesh
Department of Statistics/Biostatistics, Social Sciences and Ethnomedicine, Indian Council of Medical Research (ICMR)-National Institute of Research in Tribal Health (NIRTH), Jabalpur, Madhya Pradesh, India.
Indian J Psychiatry. 2025 Mar;67(3):350-353. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_1136_24. Epub 2025 Mar 14.
Maternal illness (depression and anxiety) might be associated with adverse maternal and child health outcomes, including preterm births, low birth weight, and infections, with long-term health implications. Tribal women suffer from an elevated risk of depression and anxiety during maternity, and yet these conditions are often neglected in public health interventions. Predominantly maternal mental health disorders during pregnancy and postpartum impair key caregiving behaviors, such as breastfeeding, healthcare-seeking, and responsiveness to a child's needs, which are critical for child survival. This article advocates for the integration of maternal mental health support into public health policies and programs, emphasizing the need for comprehensive, sustainable solutions, by embedding mental health services within maternal and child health frameworks, particularly in rural-tribal settings for not only the benefit of tribal populations but also achieving the objectives of Sustainable Development Goal Target 3.4, which focuses on reducing premature mortality from noncommunicable diseases and promoting mental health and wellbeing, thereby improving maternal wellbeing, reducing child mortality, and fostering equitable healthcare systems.
孕产妇疾病(抑郁症和焦虑症)可能与不良的孕产妇和儿童健康结局相关,包括早产、低出生体重和感染,并对长期健康产生影响。部落妇女在孕期患抑郁症和焦虑症的风险较高,但在公共卫生干预措施中,这些情况往往被忽视。孕期和产后主要的孕产妇心理健康障碍会损害关键的照料行为,如母乳喂养、寻求医疗保健以及对儿童需求的响应能力,而这些行为对儿童生存至关重要。本文主张将孕产妇心理健康支持纳入公共卫生政策和项目中,强调需要通过将心理健康服务纳入孕产妇和儿童健康框架来提供全面、可持续的解决方案,特别是在农村部落地区,这不仅有利于部落人口,还能实现可持续发展目标3.4的目标,该目标侧重于降低非传染性疾病导致的过早死亡率,促进心理健康和福祉,从而改善孕产妇健康状况,降低儿童死亡率,并建立公平的医疗保健系统。