Cargando…

Effect of antenatal depression on the initiation of breastfeeding in South Gondar zone, Northwest Ethiopia: A population-based prospective cohort study

BACKGROUND: Delayed initiation of breastfeeding has been found to increase early neonatal morbidity, mortality, and impaired mother-infant bonding. However, there is no study that revealed the effect of antenatal depression on breastfeeding initiation in Ethiopia. This study aimed to see the effect...

Descripción completa

Detalles Bibliográficos
Autores principales: Beyene, Getnet Mihretie, Azale, Telake, Gelaye, Kassahun Alemu, Ayele, Tadesse Awoke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8777141/
https://www.ncbi.nlm.nih.gov/pubmed/35079650
http://dx.doi.org/10.1016/j.heliyon.2022.e08759
_version_ 1784636998986760192
author Beyene, Getnet Mihretie
Azale, Telake
Gelaye, Kassahun Alemu
Ayele, Tadesse Awoke
author_facet Beyene, Getnet Mihretie
Azale, Telake
Gelaye, Kassahun Alemu
Ayele, Tadesse Awoke
author_sort Beyene, Getnet Mihretie
collection PubMed
description BACKGROUND: Delayed initiation of breastfeeding has been found to increase early neonatal morbidity, mortality, and impaired mother-infant bonding. However, there is no study that revealed the effect of antenatal depression on breastfeeding initiation in Ethiopia. This study aimed to see the effect of antenatal depression on the practice of initiation of breastfeeding among women in urban Ethiopia. METHODS: The Edinburgh Postnatal Depression Scale (EPDS) was administered to 970 women in the second and third trimesters of pregnancy to screen for antenatal depression. Information was collected on initiation of breastfeeding of newborns and mother's socio-demographic, obstetric, clinical, psychosocial, and behavioral factors. A logistic regression model was used to adjust for the confounders and determine association between antenatal depression and initiation of breastfeeding. RESULTS: The cumulative incidence of late initiation of breastfeeding (LIBF) was found to be 166 (18.34%). The cumulative incidence of LIBF in those born from depressed pregnant women was 37% as compared to 8.4% in nondepressed. Antenatal depression at the second and third trimester of pregnancy remained a potential predictor of late initiation of breastfeeding after adjusting for potential confounders (AOR = 6.42: (95% CI 3.72, 11.05)). A significant association was also seen between infants who were born by cesarean section, a complication of current pregnancy, inadequate ANC follow-up, lack of advice about the importance of early initiation of breastfeeding (EIBF), home delivery, and low quartile of wealth index and late initiation of breastfeeding. CONCLUSIONS: These findings suggest that screening for antenatal depression can help to identify women at risk for late initiation of breastfeeding. Health care providers shall have to give emphasis on the treatment of antenatal depression to benefit both the mother and the physical health, growth, and development of the fetus.
format Online
Article
Text
id pubmed-8777141
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-87771412022-01-24 Effect of antenatal depression on the initiation of breastfeeding in South Gondar zone, Northwest Ethiopia: A population-based prospective cohort study Beyene, Getnet Mihretie Azale, Telake Gelaye, Kassahun Alemu Ayele, Tadesse Awoke Heliyon Research Article BACKGROUND: Delayed initiation of breastfeeding has been found to increase early neonatal morbidity, mortality, and impaired mother-infant bonding. However, there is no study that revealed the effect of antenatal depression on breastfeeding initiation in Ethiopia. This study aimed to see the effect of antenatal depression on the practice of initiation of breastfeeding among women in urban Ethiopia. METHODS: The Edinburgh Postnatal Depression Scale (EPDS) was administered to 970 women in the second and third trimesters of pregnancy to screen for antenatal depression. Information was collected on initiation of breastfeeding of newborns and mother's socio-demographic, obstetric, clinical, psychosocial, and behavioral factors. A logistic regression model was used to adjust for the confounders and determine association between antenatal depression and initiation of breastfeeding. RESULTS: The cumulative incidence of late initiation of breastfeeding (LIBF) was found to be 166 (18.34%). The cumulative incidence of LIBF in those born from depressed pregnant women was 37% as compared to 8.4% in nondepressed. Antenatal depression at the second and third trimester of pregnancy remained a potential predictor of late initiation of breastfeeding after adjusting for potential confounders (AOR = 6.42: (95% CI 3.72, 11.05)). A significant association was also seen between infants who were born by cesarean section, a complication of current pregnancy, inadequate ANC follow-up, lack of advice about the importance of early initiation of breastfeeding (EIBF), home delivery, and low quartile of wealth index and late initiation of breastfeeding. CONCLUSIONS: These findings suggest that screening for antenatal depression can help to identify women at risk for late initiation of breastfeeding. Health care providers shall have to give emphasis on the treatment of antenatal depression to benefit both the mother and the physical health, growth, and development of the fetus. Elsevier 2022-01-13 /pmc/articles/PMC8777141/ /pubmed/35079650 http://dx.doi.org/10.1016/j.heliyon.2022.e08759 Text en © 2022 The Authors. Published by Elsevier Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Research Article
Beyene, Getnet Mihretie
Azale, Telake
Gelaye, Kassahun Alemu
Ayele, Tadesse Awoke
Effect of antenatal depression on the initiation of breastfeeding in South Gondar zone, Northwest Ethiopia: A population-based prospective cohort study
title Effect of antenatal depression on the initiation of breastfeeding in South Gondar zone, Northwest Ethiopia: A population-based prospective cohort study
title_full Effect of antenatal depression on the initiation of breastfeeding in South Gondar zone, Northwest Ethiopia: A population-based prospective cohort study
title_fullStr Effect of antenatal depression on the initiation of breastfeeding in South Gondar zone, Northwest Ethiopia: A population-based prospective cohort study
title_full_unstemmed Effect of antenatal depression on the initiation of breastfeeding in South Gondar zone, Northwest Ethiopia: A population-based prospective cohort study
title_short Effect of antenatal depression on the initiation of breastfeeding in South Gondar zone, Northwest Ethiopia: A population-based prospective cohort study
title_sort effect of antenatal depression on the initiation of breastfeeding in south gondar zone, northwest ethiopia: a population-based prospective cohort study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8777141/
https://www.ncbi.nlm.nih.gov/pubmed/35079650
http://dx.doi.org/10.1016/j.heliyon.2022.e08759
work_keys_str_mv AT beyenegetnetmihretie effectofantenataldepressionontheinitiationofbreastfeedinginsouthgondarzonenorthwestethiopiaapopulationbasedprospectivecohortstudy
AT azaletelake effectofantenataldepressionontheinitiationofbreastfeedinginsouthgondarzonenorthwestethiopiaapopulationbasedprospectivecohortstudy
AT gelayekassahunalemu effectofantenataldepressionontheinitiationofbreastfeedinginsouthgondarzonenorthwestethiopiaapopulationbasedprospectivecohortstudy
AT ayeletadesseawoke effectofantenataldepressionontheinitiationofbreastfeedinginsouthgondarzonenorthwestethiopiaapopulationbasedprospectivecohortstudy