Postnatal depression is a mental health disorder afflicting between 15-18 percent of new mothers in Nigeria. Depressive symptoms and actual depression affects the psychological and social wellbeing of the affected mothers, their new infants, husbands and family members. Consequently, this study examined the effect of marital stress, antenatal anxiety, and social support on postnatal depression among nursing mothers in Ibadan. The study used an ex-post factor survey research design. A total of 128 nursing mothers (N=128; % = 98.4) were administered questionnaire in Ibadan. The participants' average age was 29.68 years. Results revealed that antenatal anxiety has a significant correlation with postnatal depression (P<.05). Also, separate social support was found to have an inverse correlation with postnatal depression (r = .047); marital stress has a positive correlation with postnatal depression (r = .108). Also, finding showed that antenatal anxiety has a significant independent influence on postnatal depression (β=230; t = 2.633; P=<.05) and there was a joint influence of marital stress, antenatal anxiety and social support on postnatal depression (R 2 = .070, F = 3.128, P<.05) with a 7% variability. Social support mediates the influence of antenatal anxiety on postnatal depression (r=.239) while family structure has a significant independent influence on postnatal depression (β=.266;t=2.880; P=<.05). Psychological interventions and assessment of the independent and joint risk factors that are related to postnatal depression in nursing mothers be undertaken in hospitals with the aim of reducing the overall impact of these risk factors on postnatal mothers.
Knowledge about safe motherhood practices could help reduce pregnancy related health risks. This study examined knowledge of safe motherhood among women of childbearing age in Ekiti state of Nigeria. The study employed, a cross sectional descriptive research to investigate the knowledge, and practice of women of child bearing age towards safe mother-hood in Ekiti State. The target populations were women of child bearing age in the Public Health Institutions in Ekiti state. The results revealed that the knowledge of safe motherhood practices among Child Bearing Mothers (CBMs) were considered adequate (77.9%). Also, the result further indicated that immunization practices of CBMs was excellently adequate (97.6%) since it met the above acceptable standard by WHO. Additionally, the nutritional practices among CBMs were considered adequate (77.2%). Further, the competency of the health personnel according to CBMs was very adequate (80.8%) since it met the above acceptable standard by WHO. Moreover, availability and accessibility of facilities for safe motherhood according to CBMs was a little above average (55.4%). The result further showed that maternal educational level had significant effect on all the safe motherhood practices, Knowledge of SM [F(5,157)=6.026, p<.001]; Nutritional practices of SM [F(5,157)=8.848, p<.001]; Immunization practices of SM [F(5,157)=12.366, p<.001]; Personal hygiene practice [F(5,157)=2.934, p<.05]; Competency of the health personnel [F(5,157)=6.913, p<.001]; Factors that determine underutilization of SM [F(5,157)=2.436, p<.05]; Availability and accessibility for SM [F(5,157)=4.331, p<.001] & Family planning practice of SM [F(5,157)=11.039, p<.001]. Based on the findings of the study, it was concluded that there were adequate knowledge of safe motherhood practices among CBMs in Ekiti State. Secondly, there were adequate nutritional practices among CBMs in Ekiti State. Thirdly, the immunization practices among CBMs in Ekiti State were excellently adequate. Finally, the personal hygiene practices among CBMs in Ekiti State were more than adequate. It was therefore recommended that health educators, institutions and other health professional should design better educational strategies to improve health education practices among CBMs in the area of study. Secondly, seminars and workshop should be organized for CBMs to improve their utilization of MCH services.
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