{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T11:32:57Z","timestamp":1783078377103,"version":"3.54.6"},"reference-count":41,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T00:00:00Z","timestamp":1744070400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T00:00:00Z","timestamp":1744070400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To estimate the prevalence of cognitive dysfunction and associated behavioral changes and their prevalence among postpartum women, and also the prevalence of lactational failure and its determinants among postpartum women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional study was conducted involving 200 postpartum women (65% rural, 35% urban). Data were collected through structured interviews and assessments using the Indian version of the Montreal Cognitive Assessment and Depression, Anxiety, and Stress Scale\u201021. Statistical analyses included chi\u2010square tests and regression models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Cognitive dysfunction was observed in 25% of participants (21.5% mild, 3.5% moderate). Stress, anxiety, and depression were prevalent in 80.5%, 27%, and 30% of women, respectively. Lactational failure was reported by 21%, strongly correlated with cognitive dysfunction (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.01) and mental health issues (stress, anxiety, and depression;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Key determinants of lactational failure included poor mother\u2013partner relationships, lack of social support, low education levels, delayed breastfeeding initiation, childcare stress, comorbidities, mode of delivery, and low birth weight. Cognitive dysfunction was significantly associated with male offspring, insufficient milk production, lack of social support, and poor education levels (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study highlights a strong association between maternal mental health, cognitive dysfunction, and lactational failure. Addressing psychosocial and demographic determinants through targeted interventions is critical for improving maternal and child health outcomes in postpartum populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70062","type":"journal-article","created":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T13:00:48Z","timestamp":1744117248000},"page":"703-716","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Prevalence of cognitive dysfunction and associated behavioral changes, lactational failure, and their determinants among postpartum women in South India: A community\u2010based study"],"prefix":"10.1002","volume":"170","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3952-4293","authenticated-orcid":false,"given":"Sakshi","family":"Kumari","sequence":"first","affiliation":[{"name":"Shimoga Institute of Medical Sciences  Shimoga India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5524-6185","authenticated-orcid":false,"given":"Raghavendraswamy","family":"Koppad","sequence":"additional","affiliation":[{"name":"Community Medicine Shimoga Institute of Medical Sciences  Shimoga India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7737-2617","authenticated-orcid":false,"given":"Arashdeep","family":"Singh","sequence":"additional","affiliation":[{"name":"Government Medical College  Amritsar India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8059-1872","authenticated-orcid":false,"given":"Boentika","family":"Singh","sequence":"additional","affiliation":[{"name":"Sarojini Naidu Medical College  Agra India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8509-3738","authenticated-orcid":false,"given":"Muhammad Saeed","family":"Qazi","sequence":"additional","affiliation":[{"name":"Bilawal Medical College  Jamshoro Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1366-2375","authenticated-orcid":false,"given":"Mohammed Hammad","family":"Jaber Amin","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Alzaiem Alzhari University  Khartoum Sudan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,8]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"104","article-title":"Cognitive dysfunction and associated behaviour problems in postpartum women: a study from North India","volume":"26","author":"Meena PS","year":"2016","journal-title":"East Asian Arch Psychiatr"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0306-4530(01)00003-8"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.2147\/RMHP.S309553"},{"key":"e_1_2_10_5_1","unstructured":"Rural Population (% of total population)\u2014India. 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