Assessment of Association Between Perinatal Common Mental Disorders and Breast-Feeding Practice Among Postnatal Women in Butajira, SNNP, Ethiopia, 2014 (A Retrospective Cohort Study)

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Addis Abeba Universty


Back-ground: Perinatal Common Mental Disorders (CMD) is a neglected serious public health problem which can have long lasting effects on the mother, her child and her family. Even though breast-feeding is nearly universal in Ethiopia (98%), most mothers do not follow the recommendations in the Global Infant and Young Child Feeding Guideline. To date, the association between CMD and breastfeeding practices has not been examined in a population study in Sub-Saharan Africa. The aim of this study is, therefore, to assess the association between perinatal CMD and optimal breast - feeding pattern of women in a Demographic Surveillance Site at Butajira, Ethiopia in 2014. Methodology: Secondary data analysis was carried out using data from the P-MaMiE project in Butajira DSS. A total of 1065 eligible women were recruited in the P-MaMiE project in the third trimester of pregnancy. Antenatal and postnatal CMD were measured using the pre-validated Amharic version of Self-Reporting Questionnaire (SRQ-20). The data analysis was performed using statistical analysis such as, Survival Analysis and Poisson Regression using SPSS version 21 and STATA version 12 soft wares. Result: All women were breast feeding at two months and only 16 women discontinue breast feeding before one year. The mean duration of breast feeding was 22.3 months. Only 43(4.7%) of children were given pre lacteal feeds. The cox regression revealed that ethinicity; (Mareko, AHR=1.51, 95% CI: (1.05, 2.17), Silte, AHR=1.45, 95% CI: (1.10,1.91)), maternal age; (35-49 years AHR= 0.49, 95% CI : (0.28, 0.86),obstetric complication; (AHR=1.35, 95% CI: (1.061, 1.72)), low birth weight ; (AHR=0.40, 95% CI: 0.19, 0.82), and parity; (1-2 children, AHR= 0.57, 95% CI: (0.35, 0.94), grand parouse, AHR=0.53, 95% CI: (0.39, 0.73)) are factors associated with discontinuation of breast feeding. however , there is no statistically significant association between perinatal CMD and discontinuation of breast feeding after controlling possible confounders; AHR=0.92, 95% CI: (0.65, 1.29). Mothers with antenatal CMD were almost two times more likely to give pre lacteal feeds to their child as compared to mothers with out antenatal CMD after controlling socio demographic factors and other confounders, (adjusted IRR=1.97, 95% CI: (1.01, 3.85). Residence; urban, (adjusted IRR=3.89, 95% CI: 2.02, 7.48), birth attendants; (health professional, IRR= 0.32, 95% CI: (0.10, 0.99)) were other determinant factors for pre lacteal feeding. Conclusion and recommendation: Although CMD is not associated with discontinuation of breast feeding, it this study revealed as it has a significant association with that of pre lacteal feeding. Therefore, it is recommended for health professionals to consider CMD as one major factor that has negative impact on optimal breast feeding and it is needed to routinely screen for CMD and provide proper counseling on optimal breast feeding.



Assessment of Association Between Perinatal Common Mental Disorders