Impact of postnatal depression on infants' growth in Nigeria
Abstract
Background The contribution of maternal postnatal depression to infant growth and under-nutrition in Africa has not been well studied. This study aims to examine the impact of postnatal depression (PND) on infants' physical growth in the first 9 months of life in Nigeria.Methods A longitudinal case controlled study in which 242 women (consisting of 120 depressed and 122 matched non-depressed postpartum women) had their infants' weight and length measured at the 6th week, 3rd month, 6th month and 9th month after delivery. Discontinuation with breastfeeding and illnesses like diarrhoea, persistent vomiting, fever and cough were also recorded at these periods.Results Infants of depressed mothers had statistically significant poorer growth than infants of non-depressed mothers at the 3rd month (weight OR 3.41, 95% CI 1.30-8.52; length OR 3.28, 95% CI 1.03-10.47) and the 6th month postpartum (weight OR 4.21, 95% CI 1.36-13.20; length OR 3.34, 95% CI 1.18-9.52). Depressed mothers were more likely to stop breastfeeding earlier and their infants more likely to have episodes of diarrhoea and other infectious illnesses.Limitations Psychiatric interview was conducted only once (at 6 weeks postpartum), our sample size was moderate and we did not account for mothers who had been depressed in pregnancy.Conclusion Prevention of postnatal depression and close monitoring of the growth of infants of depressed mothers should be integrated into maternal and child health policies in this region.
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Differences in infant weight between depressed and nondepressed mothers in the first months of life did not persist.
“Two other studies (one in the United Kingdom125 and one in Nigeria119) showed that while there were differences in infant weight in the first months of life, they did not persist.”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [119]
Differences in infant length between depressed and nondepressed mothers in the first months of life did not persist over time.
“One other study119 showed differences in length in the first months of life; however, it was determined that these differences did not persist over time (Nigeria).”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [119]
Maternal depressive symptoms at 5 months predicted a greater proportion of childhood illnesses.
“Maternal depressive symptoms at 5 months seemed to predict more overall physical health concerns for infants at 9 months104 and a greater proportion of childhood illnesses.119”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [119]
Infants of depressed mothers had significantly more diarrheal episodes per year than infants of nondepressed mothers.
“Three studies showed that infants of depressed mothers had significantly more diarrheal episodes per year than those of nondepressed mothers,119,122,138 and one study reported that infants of depressed mothers had more days of illness with diarrhea.138”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [119]
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Self-citation
- Authors
- Adewuya, A. O., Ola, B. O., Aloba, O. O., Mapayi, B. M., & Okeniyi, J. A. O.
- Affiliations
- Lagos State University (NG)
- Obafemi Awolowo University Teaching Hospitals Complex (NG)
- Corresponding author
- Adewuya, Abiodun O.
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2008-05
- Volume
- 108
- Issue
- 1-2
- Pages
- 191-193
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W2120844786
- Cited by
- 178
- References
- 11
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 9 · 2023: 8 · 2022: 10 · 2021: 12 · 2020: 12 · 2019: 7 · 2018: 15 · 2017: 11 · 2016: 10 · 2015: 8 · 2014: 12 · 2013: 11 · 2012: 9
- FWCI
- 7.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
- Keywords
- postpartum depression, infant growth, infant malnutrition, breastfeeding cessation, infant diarrhea, infant morbidity, postpartum women, maternal mental health, Nigeria
- MeSH terms
- Adult, Body Height, Body Weight, Breast Feeding, Cross-Cultural Comparison, Developing Countries, Diarrhea, Infantile, Failure to Thrive, Female, Health Surveys, Humans, Infant, Infant, Newborn, Longitudinal Studies, Male, Nigeria, Risk Factors, Case-Control Studies, Depression, Postpartum, History, Ancient
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