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Father involvement, maternal depression and child nutritional outcomes in Soweto, South Africa
Father involvement in South Africa is low, despite evidence that it can improve maternal and child health and wellbeing. Within a larger randomised controlled trial, we assessed whether father involvement during and after pregnancy increased birth weight and exclusive breastfeeding through improved...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8269140/ https://www.ncbi.nlm.nih.gov/pubmed/34241955 http://dx.doi.org/10.1111/mcn.13177 |
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author | Drysdale, Roisin E. Slemming, Wiedaad Makusha, Tawanda Richter, Linda M. |
author_facet | Drysdale, Roisin E. Slemming, Wiedaad Makusha, Tawanda Richter, Linda M. |
author_sort | Drysdale, Roisin E. |
collection | PubMed |
description | Father involvement in South Africa is low, despite evidence that it can improve maternal and child health and wellbeing. Within a larger randomised controlled trial, we assessed whether father involvement during and after pregnancy increased birth weight and exclusive breastfeeding through improved maternal mental health. At 6‐week postnatal, mothers completed questionnaires on birth, feeding practices, social support, father involvement and postnatal depression. Father involvement during pregnancy was measured by their attendance at antenatal care and the study intervention, whereas postnatal involvement was measured by attendance at antenatal care and type of paternal support provided. Structural equation modelling was used to identify associations between father involvement, maternal depression, low birth weight and exclusive breastfeeding. Among the 212 mother–baby pairs, father involvement was very low with only 43%, 33% and 1% of partners attending early ultrasound, antenatal care and the birth of the child, respectively. Twenty‐nine percent of the mothers showed signs of depression during pregnancy, compared with 7% after birth. Eighteen percent of the infants were born low birth weight, and 57% of mothers reported exclusively breastfeeding at 6 weeks. Father involvement was directly associated with postnatal depression, but it did not directly or indirectly impact exclusive breastfeeding or low birth weight. We conclude that postnatal father involvement can improve postnatal maternal depression and that men would benefit from specific guidance on how they can support mothers during and after pregnancy. |
format | Online Article Text |
id | pubmed-8269140 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-82691402021-07-13 Father involvement, maternal depression and child nutritional outcomes in Soweto, South Africa Drysdale, Roisin E. Slemming, Wiedaad Makusha, Tawanda Richter, Linda M. Matern Child Nutr Special Issue on a Family Systems Approach to Promote Maternal and Child Nutrition Father involvement in South Africa is low, despite evidence that it can improve maternal and child health and wellbeing. Within a larger randomised controlled trial, we assessed whether father involvement during and after pregnancy increased birth weight and exclusive breastfeeding through improved maternal mental health. At 6‐week postnatal, mothers completed questionnaires on birth, feeding practices, social support, father involvement and postnatal depression. Father involvement during pregnancy was measured by their attendance at antenatal care and the study intervention, whereas postnatal involvement was measured by attendance at antenatal care and type of paternal support provided. Structural equation modelling was used to identify associations between father involvement, maternal depression, low birth weight and exclusive breastfeeding. Among the 212 mother–baby pairs, father involvement was very low with only 43%, 33% and 1% of partners attending early ultrasound, antenatal care and the birth of the child, respectively. Twenty‐nine percent of the mothers showed signs of depression during pregnancy, compared with 7% after birth. Eighteen percent of the infants were born low birth weight, and 57% of mothers reported exclusively breastfeeding at 6 weeks. Father involvement was directly associated with postnatal depression, but it did not directly or indirectly impact exclusive breastfeeding or low birth weight. We conclude that postnatal father involvement can improve postnatal maternal depression and that men would benefit from specific guidance on how they can support mothers during and after pregnancy. John Wiley and Sons Inc. 2021-07-09 /pmc/articles/PMC8269140/ /pubmed/34241955 http://dx.doi.org/10.1111/mcn.13177 Text en © 2021 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Special Issue on a Family Systems Approach to Promote Maternal and Child Nutrition Drysdale, Roisin E. Slemming, Wiedaad Makusha, Tawanda Richter, Linda M. Father involvement, maternal depression and child nutritional outcomes in Soweto, South Africa |
title | Father involvement, maternal depression and child nutritional outcomes in Soweto, South Africa |
title_full | Father involvement, maternal depression and child nutritional outcomes in Soweto, South Africa |
title_fullStr | Father involvement, maternal depression and child nutritional outcomes in Soweto, South Africa |
title_full_unstemmed | Father involvement, maternal depression and child nutritional outcomes in Soweto, South Africa |
title_short | Father involvement, maternal depression and child nutritional outcomes in Soweto, South Africa |
title_sort | father involvement, maternal depression and child nutritional outcomes in soweto, south africa |
topic | Special Issue on a Family Systems Approach to Promote Maternal and Child Nutrition |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8269140/ https://www.ncbi.nlm.nih.gov/pubmed/34241955 http://dx.doi.org/10.1111/mcn.13177 |
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