IMPACT OF MIDWIVES IN PREVENTING POST PARTUM DEPRESSION AMONGST MOTHER IN IGA-ATE COMMUNITY KOGI STATE NIGERIA
- Project Research
- 1-5 Chapters
- Abstract : Available
- Table of Content: Available
- Reference Style: Available
- Recommended for : Student Researchers
- NGN 3000
Background of the study
Postpartum depression (PPD) is a significant public health concern affecting mothers worldwide, characterized by symptoms such as severe mood swings, exhaustion, and feelings of hopelessness. It has profound impacts on maternal health and the well-being of the newborn and the broader family (Slomian et al., 2019). Despite the high global prevalence of PPD, which ranges from 10% to 20% among new mothers, the condition is often underdiagnosed and undertreated, particularly in low-resource settings like Nigeria (Fisher et al., 2019).
The role of midwives in maternal health is crucial, especially in preventing and managing PPD. Midwives provide continuous care and support throughout pregnancy, childbirth, and the postpartum period, making them ideally positioned to identify early signs of PPD and implement preventive strategies (Homer et al., 2018). Their interventions often include routine screening for PPD symptoms, providing emotional support, offering health education, and facilitating access to mental health services when necessary.
In Nigeria, maternal health care services are challenged by limited resources, cultural barriers, and inadequate health infrastructure, which exacerbate the risks and impacts of PPD (Adewuya et al., 2018). The Iga-Ate community in Kogi State is no exception, where traditional practices and socio-economic factors further complicate the provision of effective maternal health care.
Recent studies have highlighted the importance of culturally sensitive approaches in maternal health care to address these challenges effectively (Elder et al., 2017). Midwives, being integral to community health systems, are uniquely positioned to provide such culturally tailored interventions. They can leverage their deep understanding of local customs and beliefs to enhance the acceptance and efficacy of their care practices, including those aimed at preventing PPD.
Evidence suggests that interventions by midwives, such as continuous emotional support and education about PPD, significantly reduce the incidence and severity of PPD among new mothers (Sanders et al., 2016). In addition, midwives' ability to engage family members and the broader community in supporting new mothers has been shown to create a more supportive environment, which is critical for the mental health of postpartum women (Bohren et al., 2017).
This research aims to explore the specific interventions employed by midwives in the Iga-Ate community and their impact on preventing PPD. By examining the practices and outcomes of midwifery care in this context, the study seeks to contribute to the broader understanding of how midwives can effectively support maternal mental health in similar low-resource settings.
1.2 Statement of the problem
Postpartum depression (PPD) is a significant public health concern that affects mothers worldwide, impacting their well-being and the development of their infants (WHO, 2017). In Nigeria, the prevalence of PPD is alarmingly high, with various studies indicating that socio-cultural, economic, and healthcare factors contribute to this issue (Abiodun et al., 2016; Adewuya et al., 2018). The Iga-Ate community in Kogi State, Nigeria, is no exception, with many mothers experiencing PPD due to inadequate support and healthcare services (Afolabi et al., 2017).
Midwives play a crucial role in maternal health by providing prenatal, intrapartum, and postpartum care. They are well-positioned to offer emotional support, identify early signs of PPD, and provide appropriate interventions (Bohren et al., 2019). However, the impact of midwives on preventing PPD in specific communities, such as Iga-Ate, has not been thoroughly investigated. Understanding this impact is essential for developing targeted interventions that can improve maternal mental health outcomes in this region (Gureje et al., 2018).
This research aims to explore the role of midwives in preventing postpartum depression among mothers in the Iga-Ate community. It seeks to determine how midwifery care can influence the incidence and severity of PPD, identify barriers to effective midwifery support, and propose strategies to enhance the effectiveness of midwifery interventions in this context. By addressing these questions, the study will contribute to the broader body of knowledge on maternal mental health and inform policy and practice improvements in maternal healthcare services in Kogi State and beyond.
1.3 Objective of the study
- Assess the prevalence of postpartum depression (PPD) among mothers in Iga-Ate community, Kogi State, Nigeria.
- Identify specific interventions employed by midwives that contribute to the prevention of PPD in Iga-Ate community, Kogi State, Nigeria.
- Examine the extent midwives contribute to the prevention of PPD in Iga-Ate community, Kogi State, Nigeria.
1.4 Research Questions
- What is the prevalence of postpartum depression (PPD) among mothers in Iga-Ate community, Kogi State, Nigeria?
- What specific interventions are employed by midwives that contribute to the prevention of PPD in Iga-Ate community, Kogi State, Nigeria?
- To what extent does midwives contribute to the prevention of PPD in Iga-Ate community, Kogi State, Nigeria?
1.5 Research hypotheses
Null Hypothesis (H0): There is no significant positive correlation between the frequency and quality of midwifery care and the prevention of postpartum depression among mothers in iga-ate community Kogi state Nigeria.
Alternative Hypothesis (H1): There is a significant positive correlation between the frequency and quality of midwifery care and the prevention of postpartum depression among mothers in iga-ate community Kogi state Nigeria.
1.6 Significance of the study
Understanding the role of midwives in preventing PPD can lead to better mental health outcomes for new mothers. Maternal mental health is critical for the well-being of both the mother and the child. By highlighting effective interventions and support systems provided by midwives, the research can contribute to improved strategies and policies aimed at reducing the incidence of PPD. The research can provide valuable insights into the specific interventions and practices employed by midwives that are effective in preventing PPD. This information can be used to enhance training programs, develop best practice guidelines, and inform policy-making, thereby strengthening the midwifery profession and improving maternal healthcare services. The research can shed light on the socio-cultural factors affecting the efficacy of midwifery interventions in the Iga-Ate community. Understanding these factors is essential for developing culturally sensitive and community-specific strategies that are more likely to be accepted and effective in preventing PPD.
1.7 Scope of the study
This study focuses to assess the prevalence of postpartum depression (PPD) among mothers in Iga-Ate community, Kogi State, Nigeria, identify specific interventions employed by midwives that contribute to the prevention of PPD in Iga-Ate community, Kogi State, Nigeria, and examine the extent midwives contribute to the prevention of PPD in Iga-Ate community, Kogi State, Nigeria. Hence midwives and mothers in Iga-Ate community, Kogi State, Nigeria shall serve as enrolled participants for this study.
1.8 Limitation of the study
Like in every human endeavour, the researchers encountered slight constraints while carrying out the study. The significant constraint are:
Time: The researcher encountered time constraint as the researcher had to carry out this research along side other academic activities such as attending lectures and other educational activities required of her.
Finance: The researcher incurred more financial expenses in carrying out this study such as typesetting, printing, sourcing for relevant materials, literature, or information and in the data collection process.
Availability of Materials: The researcher encountered challenges in sourcing for literature in this study. The scarcity of literature on the subject due to the nature of the discourse was a limitation to this study.
1.9 Definition of terms
1. Impact
The significant and measurable effect or influence that midwives' interventions have on the prevention of postpartum depression (PPD) among new mothers. This includes the changes in prevalence, severity, and incidence of PPD as a result of midwifery care.
2. Midwives
Healthcare professionals who are trained to provide care and support to women during pregnancy, childbirth, and the postpartum period. In this context, midwives in the Iga-Ate community offer a range of services including prenatal care, delivery assistance, postpartum care, counseling, and health education aimed at preventing PPD.
3. Preventing
The actions and interventions taken to stop postpartum depression from occurring or to reduce its severity among new mothers. Prevention strategies may include early screening, emotional support, counseling, health education, and the creation of support networks.
4. Postpartum Depression (PPD)
A type of depression that can occur in mothers after childbirth, characterized by feelings of extreme sadness, anxiety, and fatigue that may interfere with a mother's ability to care for herself or her newborn. Symptoms can range from mild to severe and can develop within the first few weeks after delivery or even up to a year later.
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