Correlation of Infant Gender with Postpartum Maternal and Paternal Depression and Exclusive Breastfeeding Rates / Kanika Goyal in Breastfeeding Medicine, Vol. 12, n°5 (Juin 2017)

[article]  inBreastfeeding Medicine > Vol. 12, n°5 (Juin 2017) . - pp. 279-282 Titre : Correlation of Infant Gender with Postpartum Maternal and Paternal Depression and Exclusive Breastfeeding Rates Type de document : texte imprimé Auteurs : Kanika Goyal, Auteur ; Pragati Purbiya, Auteur ; Sandeep N. Lal, Auteur Année de publication : 2017 Article en page(s) : pp. 279-282 Langues : Anglais (eng) Catégories : Dépression Durée de l'allaitement Fille Mère Père Psychologie Sexe Soutien des familles Résumé : "Introduction: Male bias in India has resulted in an altered sex ratio. It also results in maternal postpartum depression (PPD) and lower breastfeeding rates. We studied depression among fathers in this context. Methods: Edinburgh postnatal depression scale (EPDS) questionnaire was administered to 479 parents separately. Breastfeeding on day 7 was determined. Results: Depression was significantly higher in fathers of girls. Mean EPDS score was 5.86 ± 4.98 versus 2.5 ± 2.64 (p < 0.001). Concordance between parents was significant (r = 0.95, p < 0.001). Boys were more likely to be exclusively breastfed (64.46% versus 35.54%, p < 0.001). In second-order births, if the first born was a girl and second baby was again a girl, 23% were exclusively breastfed compared with 86% if it was boy after a girl (p < 0.001). Among parents who had EPDS scores ≥11, no babies were exclusively breastfed. Among the 25 babies who received no breast milk, 21 were girls and 4 were boys (p < 0.042). The multiple logistic regression analysis indicated that birth of girls (OR 0.269, 95% CI 0.076–0.953), high EPDS score in mothers (OR = 0.080, 95% CI 0.026–0.249), and high EPDS score in fathers (OR = 0.096, 95% CI 0.031–0.299) were associated with lower breastfeeding rates. Conclusion: Paternal depression correlates closely with maternal PPD and low exclusive breastfeeding of girls. Breastfeeding has implications for survival of girls. Efforts are needed to support the parents of girl children with PPD and such support must extend to fathers to improve survival." [Résumé de l'auteur] Permalink : ./index.php?lvl=notice_display&id=736 [article]

Infant and Young Child Feeding Decision Making and Practices: Malawian Mothers’ and Fathers’ Roles in the Context of HIV / Nainisha Chintalapudi in Journal of Human Lactation, Vol. 34, n°1 (Février 2018)

[article]  inJournal of Human Lactation > Vol. 34, n°1 (Février 2018) . - pp. 68-76 Titre : Infant and Young Child Feeding Decision Making and Practices: Malawian Mothers’ and Fathers’ Roles in the Context of HIV Type de document : texte imprimé Auteurs : Nainisha Chintalapudi, Auteur ; Gloria Hamela, Auteur Année de publication : 2018 Article en page(s) : pp. 68-76 Langues : Anglais (eng) Catégories : Attitude vis à vis de l'allaitement Décision Frein à l'allaitement Malawi Père Sexe VIH Résumé : "Background: Few studies in low- and middle-income countries have examined the roles of couples in infant and young child feeding decision making and practices, and there is no corresponding data in the context of human immunodeficiency virus (HIV). Research aim: This study aimed to explore mothers’ and fathers’ perceptions of their roles in feeding decision making and practices. Methods: The authors conducted in-depth interviews with 15 mothers and their male partners, recruited from the catchment areas of two urban and two rural government clinics in Lilongwe District, Malawi. The mothers were ≥ 18 years of age, were HIV positive, and had a child < 24 months of age. Twelve of the 15 fathers were also HIV positive. The interviews were analyzed using content analysis. Results: Mothers were responsible for child care, including breastfeeding and complementary feeding. Fathers provided monetary support for purchasing food and offered verbal support to encourage mothers to implement recommended feeding practices. Many fathers found it difficult to support adequate complementary feeding because of household food insecurity. Mothers were advised on child feeding during prevention of mother-to-child transmission clinic visits. No fathers in this study accompanied women to clinic appointments, so they were less well-informed about feeding than mothers. Fathers usually deferred to mothers in feeding decision making. One-third of mothers wanted fathers to be more involved in child feeding. Conclusion: Malawian mothers’ and fathers’ roles in feeding decision making in the context of HIV align with local gender norms. Strategies are needed to improve fathers’ knowledge of and involvement in child feeding, as desired by mothers."[resume de l'auteur] Permalink : ./index.php?lvl=notice_display&id=970 [article]

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