Social, Medical, and Psychological Support for Urban Women in Lagos to Alleviate Post-Natal Depression: A Critical Analysis and Academic Rewrite

Marriage and being a mother are significant life events for women in Africa because the transition to motherhood, characterized by pregnancy and childbirth, can be both exhilarating and challenging. The period of motherhood often involves emotional turmoil for mothers, especially those in urban cities like Lagos. This study explores the social, medical, and psychological assistance available to women in Lagos to alleviate Postnatal Depression (PND). The research used a descriptive qualitative approach with samples of 100 respondents, employing a semi-structured questionnaire through Google Forms sent online and distributed via different social media platforms. Questionnaires were analyzed using statistical tools of data analysis. The study focuses on mothers who are within the reproductive age of 15 years. Also, a literature review of existing research on PND and its treatment was the secondary source of data collection. This study documents the urban women's postnatal experiences in Lagos, meant to serve as a case study for future researchers in Nigeria and the rest of the world as part of the contribution to knowledge in PND treatment and support, ultimately aiming to improve the health and well-being of urban women and their families, especially in Nigeria. This study calls for concern as the awareness and synergy between health workers and urban women is lacking; based on the stigma received by urban women on postnatal depression, the depressed reproductive women population grows, and people will continue to lose their lives in silence for what have both medical and psychological solutions. The study implies that a synergy between the medical, social, and psychological fields that engage urban women during pregnancy, the rate of postnatal depression will be minimal after childbirth. Therefore, the health sector, the general public, and the government should help in creating awareness about help available for urban women in postnatal care to reduce or eradicate the level of postnatal depression in society.

Postnatal, Depression, Support, Psychological

1. Adeyemo, E. O., Oluwole, E. O., Kanma-Okafor, O. J., Izuka, O. M., and Odeyemi, K. A. (2020). Prevalence and predictors of postpartum depression among postnatal women in Lagos, Nigeria. Afr Health Sci. 2020 Dec; 20(4): 1943–1954. doi 10.4314/ahs.v20i4.53. PMCID: PMC8351853PMID: 34394261. [Google Scholar] [Crossref]

2. Akinbami, A.A, Ajibola, S.O., Rabiu, K. A., Adewunmi, A. A., Dosunmu, A. O., Adewumi Adediran, A., Osunkalu, V. O, Osikomaiya, B. I., and Kamal A Ismail, K. A. (2013). Hematological profile of normal pregnant women in Lagos, Nigeria. Int J Womens Health. 2013; 5: 227–232. Published online 2013 May 3. doi: 10.2147/IJWH.S42110 [Google Scholar] [Crossref]

3. Ayazbekov A, Nurkhasimova R, Kulbayeva S, Bolat K, Kurmanova AM, Yeskarayeva A, Sarbassova M, Kemelbekov KS. Features of Pregnancy, Childbirth and Postpartum Period of Young Mothers. Electron J Gen Med. 2020;17(6):em260. https://doi.org/10.29333/ejgm/8459 [Google Scholar] [Crossref]

4. Azalea, T., Fekadu, A., and Hanlo, C. (2018). Postpartum depressive symptoms in the context of high social adversity and reproductive health threats: a population-based study. International Journal of Mental Health Systems volume 12, Article number: 42 (2018). [Google Scholar] [Crossref]

5. Beck C. T. (2002). Postpartum depression: A meta-synthesis. Qualitative Health Research, 12(4), 453–472. https://doi.org/10.1177/104973202129120016 [Google Scholar] [Crossref]

6. Christine M. Furber, Debbie Garrod, Eileen Maloney, Karina Lovell, Linda McGowan, A qualitative study of mild to moderate psychological distress during pregnancy, International Journal of Nursing Studies, Volume 46, Issue 5,2009, Pages 669-677, ISSN 0020-7489,https://doi.org/10.1016/j.ijnurstu.2008.12.003. [Google Scholar] [Crossref]

7. Cristescu T, Behrman S, Jones SV, Chouliaras L, Ebmeier KP. Be vigilant for perinatal mental health problems. Practitioner. 2015;259:19 23 http://www.ncbi.nlm.nih.gov/pubmed/26062269 2–3. [Google Scholar] [Crossref]

8. Dayan J. Clinical approach and epidemiological aspects of mood and anxiety disorders during pregnancy and postpartum. Review synthesis. J Gynécologie Obs Biol La Reprod. 2007;36:549–61. https://doi.org/10.1016/j.jgyn.2007.06.003. [Google Scholar] [Crossref]

9. Engdaw, G. T., Tesfaye, A. H., Feleke, M., Negash, A., Yeshiwas, A., Addis, W., Angaw, D. A. and Engidaw, M. T. (2023). Effect of antenatal care on low birth weight: a systematic review and meta-analysis in Africa, 2022. SYSTEMATIC REVIEW article. Front. Public Health, 27 June 2023. Sec. Children and Health. Volume 11 - 2023 | https://doi.org/10.3389/fpubh.2023.1158809 [Google Scholar] [Crossref]

10. Girma, S., Fikadu, T., Agdew, E., Haftu, D., Gedamu, G., Dewana, Z. and Getachew, B. (2019). Factors associated with low birthweight among newborns delivered at public health facilities of Nekemte town, West Ethiopia: a case-control study. BMC Pregnancy Childbirth. 2019; 19: 220. Published online 2019 Jul 2. doi: 10.1186/s12884-019-2372-x. PMCID: PMC6604438PMID: 31266469 [Google Scholar] [Crossref]

11. Gureje, O., Oladeji, B. D., Araya, R., Montgomery, A. A., Kola, L., & Ojagbemi, A. (2019). Expanding mental health care in Africa: Perspectives from a primary health care approach. World Psychiatry, 18(3), 321–322. https://doi.org/10.1002/wps.20669 [Google Scholar] [Crossref]

12. Hagen E. H. (1999). The functions of postpartum depression. Evolution and Human Behavior, 20(5), 325–359. https://doi.org/10.1016/S1090-5138(99)00016-1 [Google Scholar] [Crossref]

13. Howard L. M., Khalifeh H. (2020). Perinatal mental health: A review of progress and challenges. World Psychiatry, 19(3), 313–327. https://doi.org/10.1002/wps.20769 https://doi.org/10.1016/j.wombi.2018.07.006. [Google Scholar] [Crossref]

14. January, J.; Chivanhu, H.Chiwara, J;.Denga, T;.Dera, K;.Dube, T.; Chikwasha, V.; Chikwanha, T.M., (2015) Prevalence and the correlates of post-natal depression in an urban high-density suburb of Harare, Central African Journal of Medicine, vol. 61, nos. 1/4, pp. 1-5. Harare: CAJM. [Google Scholar] [Crossref]

15. Javadifar N, Majlesi F, Nikbakht A, Nedjat S, Montazeri A. Journey to motherhood in the first year after childbirth. J Fam Reprod Heal. 2016;10:146–53 http://www.ncbi.nlm.nih.gov/pubmed/28101116 . Accessed 2 Mar 2017.. [Google Scholar] [Crossref]

16. Jo毛lle Darwiche, Anne Milek, Jean-Philippe Antonietti, Yvan Vial, Kısa C, Yıldırım SG (2004) Gebelik postpartum dönem ve ruhsal bozukluklar. Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi 12 (Ek 4):0-0. [Google Scholar] [Crossref]

17. M Pajulo, E Savonlahti, A Sourander, H Helenius, J Piha, “Antenatal depression, substance dependency and social support," Journal of Affective Disorders, Volume 65, Issue 1,2001, Pages 9-17, ISSN 01650327,https://doi.org/10.1016/S0165-0327(00)00265-2. [Google Scholar] [Crossref]

18. Mauthner N. S. (1999). Feeling low and feeling bad about feeling low": Women's experiences of motherhood and postpartum depression. Canadian Psychology/Psychologie Canadienne, 40(2), 143–161. https://doi.org/10.1037/h0086833 [Google Scholar] [Crossref]

19. Mollard E, Kupzyk K, Moore T. Postpartum stress and protective factors in women who gave birth in the United States during the COVID-19 pandemic. Women’s Health. 2021;17. doi:10.1177/17455065211042190 [Google Scholar] [Crossref]

20. Mughal, S., Azhar, Y., and Siddiqui, W. (2021). Postpartum Depression. https://www.ncbi.nlm.nih.gov/books/NBK519070/ [Google Scholar] [Crossref]

21. Muthayya, S. (2009). Maternal nutrition & low birth weight - What is important? The Indian Journal of Medical Research 130(5):600-8. [Google Scholar] [Crossref]

22. Norhayati MN, Nik Hazlina NH, Asrenee AR, Wan Emilin WM. Magnitude and risk factors for postpartum symptoms: A literature review. J Affect Disord. 2014;175c:34–52. [Google Scholar] [Crossref]

23. Nweke, F.E. (2023). Music Listening in Pregnancy: A Cynosure for Urban Women. Submitted to the African Cities Blog. [Google Scholar] [Crossref]

24. Nystrom K, Ohrling K. Parenthood experiences during the child's first year: a literature review. J Adv Nurs. 2004;46:319–30. doi:https://doi.org/10.1111/j.1365-2648.2004.02991.x [Google Scholar] [Crossref]

25. Ogunnubi, O. P., & Ojofeitimi, E. O. (2017). Postpartum depression among women in Lagos, Nigeria: A pilot study. Journal of Public Health in Africa, 8(2), 663. https://doi.org/10.4081/jphia.2017.663 [Google Scholar] [Crossref]

26. Olagunju, A. T., Adeyemi, J. D., & Ogbolu, Y. (2017). Postpartum depression in Nigeria: A public health concern. Journal of Nursing Education and Practice, 7(9), 1–5. https://doi.org/10.5430/jnep.v7n9p1 [Google Scholar] [Crossref]

27. Omigbodun, A. O. and Adewuyi, A. (1997). Duration of human singleton pregnancies in Ibadan, Nigeria. J Natl Med Assoc. 1997 Sep; 89(9): 617–621. PMCID: PMC2608264PMID: 9302859 [Google Scholar] [Crossref]

28. Ou CHK, Hall WA, Rodney P, Stremler R. Seeing Red: A Grounded Theory Study of Women’s Anger after Childbirth. Qualitative Health Research. 2022;32(12):1780-1794. doi:10.1177/ 10497323221120173. Partner support during the prenatal testing period after assisted conception, [Google Scholar] [Crossref]

29. Petch J, Halford WK. Psycho-education to enhance couples’ transition to parenthood. Clin Psychol Rev. 2008;28:1125–37. doi:https://doi.org/10.1016/j.cpr.2008.03.005. [Google Scholar] [Crossref]

30. Rahman, A. IQBAL, Z; & Harrington, R. (2003). “Life Events, Social Support and Depression in Childbirth: Perspectives from a Rural Community in the Developing World. Psychological Medicine, 33(7). 1161-1167. doi: 10.1017/S0033291703008286. [Google Scholar] [Crossref]

31. Shehzad, K. (2011). Neonatal birth-weights and reference intervals in sonographically monitored normal fetuses. Int J Health Sci (Qassim). 2011 Jul; 5(2 Suppl 1): 27. PMCID: PMC3533353PMID: 23284568. [Google Scholar] [Crossref]

32. Slomian, J., Reginster, JY., Emonts, P. et al. Identifying maternal needs following childbirth: comparison between pregnant women and recent mothers. BMC Pregnancy Childbirth 21, 405 (2021). https://doi.org/10.1186/s12884-021-03858-7. [Google Scholar] [Crossref]

33. Solmeyer AR, Feinberg ME. Mother and father adjustment during early parenthood: the roles of infant temperament and co-parenting relationship quality. Infant Behav Dev. 2011; 34:504–14. doi:https://doi.org/10.1016/j.infbeh.2011.07.006. [Google Scholar] [Crossref]

34. Stern DN, Bruschweiler-Stern N. The Birth of a Mother. Odile Jaco. 1998. [Google Scholar] [Crossref]

35. Winnicott DW. De la pédiatrie à la psychanalyse. Payot. Payot; 1989.Women and Birth,Volume 32, Issue 2,2019,Pages e264-e271,ISSN 1871-5192, [Google Scholar] [Crossref]

36. Wubetu, A. D., Amare, Y. E., Haile, A, B., and Degu, M. W. (2021). Newborn Birth Weight and Associated Factors Among Mother-Neonate Pairs in Public Hospitals, North Wollo, Ethiopia. Pediatric Health Med Ther. 2021; 12: 111–118. Published online 2021 Mar 9. doi 10.2147/PHMT.S299202. PMCID: PMC7955756PMID: 33727882. [Google Scholar] [Crossref]

37. Xi, C., Luo, M., Wang, T., Wang, Y., Wang, S., Guo, L. and Lu, C. (2020). Association between maternal lifestyle factors and low birth weight in preterm and term births: a case-control study. Reproductive Health volume 17, Article number: 93 (2020) [Google Scholar] [Crossref]

38. Yıldız M, Ünal S (1996) Gebelik ve psikiyatrik sorunlar. Psycho Med, 2: 141-146. [Google Scholar] [Crossref]

39. Zengin, Hamide; Bafali, Icten Olgu; Caka, Sinem Yalnizoglu; Tiryaki, Oznur; Cinar, Nursan (2020) Childbirth and Postpartum Period Fear and the Related Factors in Pregnancy. Sakarya University, www.doi.org/https://hdl.handle.net/20.500.12619/95344 [Google Scholar] [Crossref]

40. Recognizing and Treating Seasonal Affective Disorder - Hong Kong Integrative Medical Practice. https://www.drsusanjamieson.com/emotional-health/seasonal-affective-disorder/ [Google Scholar] [Crossref]

41. Adegoke, O., Awolola, N. A., & Ajuluchukwu, J. N. (2018). Prevalence and pattern of cardiovascular-related causes of out-of- hospital deaths in Lagos, Nigeria. https://core.ac.uk/download/543377591.pdf. [Google Scholar] [Crossref]

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