{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T23:37:56Z","timestamp":1791416276929,"version":"4.3.3"},"reference-count":48,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100014976","name":"Liverpool School of Tropical Medicine","doi-asserted-by":"publisher","award":["Intercalating Medical Student Scholarship"],"award-info":[{"award-number":["Intercalating Medical Student Scholarship"]}],"id":[{"id":"10.13039\/100014976","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Postnatal depression (PND) is associated with adverse infant neurodevelopmental outcomes. Evidence is limited on how PND influences neonatal (&lt;28\u2009days old) outcomes in low- and middle-income countries, such as Kenya, which bear the global burden of neonatal morbidity and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To explore how PND influences neonatal feeding and care practices among women in the early postnatal period in rural Western Kenya.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Semi-structured interviews were conducted at 2-weeks postpartum among mothers of newborn infants identified &lt;72\u2009h old from the postnatal wards and clinics across five health facilities in Kisumu County of Western Kenya. They were all screened for features suggestive of postnatal depression using the Edinburgh Postnatal Depression Scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Twenty-four mothers were interviewed, 13 of whom had features suggestive of PND. All mothers experienced health or socio-economic adversities in the perinatal period, including traumatic deliveries, financial constraints, and challenging relationships with partners\/other family members. Feeding difficulties due to perceived insufficient breastmilk were a particular challenge for mothers with features of PND, who were more likely to introduce complementary feeds. Maternal health-seeking decisions were influenced by high financial cost, long waiting times and poor interactions with health care providers that induced stress and fear among mothers. Maternal caregiving capacity was influenced by her ability to juggle other household duties, which was difficult for mothers with features suggestive of PND. Support from friends and relatives positively impacted maternal mood and caregiving ability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Mothers experienced many stress-inducing events in the perinatal period which potentially exacerbated features of PND in the immediate postnatal period. Women with features of PND were particularly vulnerable to these stressors that influenced infant caregiving practices. Addressing the socio-economic challenges and health system gaps that include scale up of compassionate and respectful care for women during pregnancy and childbirth, as well as early screening and intervention of PND, through enhanced referral pathways between health facilities and community support structures, could mitigate against the impact of PND on neonatal caregiving.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057231189547","type":"journal-article","created":{"date-parts":[[2023,8,8]],"date-time":"2023-08-08T05:45:40Z","timestamp":1691473540000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Exploring the influence of postnatal depression on neonatal care practices among mothers in Western Kenya: A qualitative study"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8303-4609","authenticated-orcid":false,"given":"Catherine","family":"Gribbin","sequence":"first","affiliation":[{"name":"Liverpool School of Tropical Medicine, Liverpool, UK"},{"name":"King\u2019s Mill Hospital, Sutton-in-Ashfield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florence","family":"Achieng","sequence":"additional","affiliation":[{"name":"Centre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alloys","family":"K\u2019Oloo","sequence":"additional","affiliation":[{"name":"Liverpool School of Tropical Medicine, Liverpool, UK"},{"name":"Centre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hellen C","family":"Barsosio","sequence":"additional","affiliation":[{"name":"Liverpool School of Tropical Medicine, Liverpool, UK"},{"name":"Centre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edith","family":"Kwobah","sequence":"additional","affiliation":[{"name":"Department of Mental Health, Moi Teaching and Referral Hospital, Eldoret, Kenya"},{"name":"Department of Psychiatry, Moi University, Eldoret, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Kariuki","sequence":"additional","affiliation":[{"name":"Centre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen M","family":"Nabwera","sequence":"additional","affiliation":[{"name":"Liverpool School of Tropical Medicine, Liverpool, UK"},{"name":"The Aga Khan University, Nairobi, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,8,8]]},"reference":[{"key":"bibr1-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0b013e3181b5a57c"},{"key":"bibr2-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.05.003"},{"key":"bibr3-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-018-1904-7"},{"key":"bibr4-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-018-1261-1"},{"key":"bibr5-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2007.09.013"},{"key":"bibr6-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0226144"},{"key":"bibr7-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2014-205311"},{"key":"bibr8-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-018916"},{"key":"bibr9-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(16)30284-X"},{"key":"bibr10-17455057231189547","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.12.109819"},{"key":"bibr11-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-018-0581-5"},{"key":"bibr12-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadr.2020.100043"},{"key":"bibr13-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-018-1803-4"},{"key":"bibr14-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-016-2307-9"},{"key":"bibr15-17455057231189547","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.11.088187"},{"key":"bibr16-17455057231189547","unstructured":"World Health Organization. Postnatal care for mothers and newborns. Highlights from the World Health Organization 2013 Guidelines, 2015, https:\/\/www.who.int\/docs\/default-source\/mca-documents\/nbh\/brief-postnatal-care-for-mothers-and-newborns-highlights-from-the-who-2013-guidelines.pdf"},{"key":"bibr17-17455057231189547","doi-asserted-by":"publisher","DOI":"10.17226\/21793"},{"key":"bibr18-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.150.6.782"},{"key":"bibr19-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1177\/13634615211043764."},{"key":"bibr20-17455057231189547","first-page":"1000134","volume":"2","author":"Kumar M","year":"2015","journal-title":"J Pregnancy Child Health"},{"key":"bibr21-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dys108"},{"key":"bibr22-17455057231189547","unstructured":"County Government of Kisumu. Appendix I: county fact sheet \u2013 vital statistics, 2018, https:\/\/www.kisumu.go.ke\/wp-content\/uploads\/2018\/11\/KISUMU-COUNTY-FACT-SHEET-1-1.pdf"},{"key":"bibr23-17455057231189547","unstructured":"World Bank. Maternal mortality ratio (modeled estimate, per 100,000 live births) \u2013 Kenya, https:\/\/data.worldbank.org\/indicator\/SH.STA.MMRT?locations=KE (2019, accessed 24 April 2023)."},{"key":"bibr24-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-019-0825-3"},{"key":"bibr25-17455057231189547","doi-asserted-by":"publisher","DOI":"10.4135\/9781412963947"},{"key":"bibr26-17455057231189547","volume-title":"Qualitative evaluation and research methods","author":"Patton M.","year":"1990"},{"key":"bibr27-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1177\/1525822X05279903"},{"key":"bibr28-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-13-117"},{"key":"bibr29-17455057231189547","unstructured":"QSR and International Pty Ltd. NVivo. https:\/\/qsr-nvivo.software.informer.com\/ (accessed 23 July 2023)."},{"key":"bibr30-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1177\/104973230201200611"},{"key":"bibr31-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2012.3768"},{"key":"bibr32-17455057231189547","unstructured":"Nakku JEM, Nakasi G, Mirembe F. Postpartum major depression at six weeks in primary health care: prevalence and associated factors. Kampala, Uganda: Makerere University Medical School, African Health Sciences, 2006, pp. 207\u2013214."},{"key":"bibr33-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2007.00184.x"},{"key":"bibr34-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12170"},{"key":"bibr35-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1080\/03630242.2017.1292340"},{"issue":"3","key":"bibr36-17455057231189547","first-page":"160","volume":"12","author":"Mohammadi MM","year":"2018","journal-title":"J Family Reprod Health"},{"key":"bibr37-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291713001530"},{"key":"bibr38-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1177\/1745506519844044"},{"key":"bibr39-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2016.04.014"},{"key":"bibr40-17455057231189547","unstructured":"World Health Organization. WHO recommendations: intrapartum care for a positive childbirth experience. Geneva: World Health Organization, 2018, p. 200."},{"key":"bibr41-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2022.101289"},{"key":"bibr42-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02493.x"},{"key":"bibr43-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2015.12.042"},{"key":"bibr44-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(03)00062-5"},{"key":"bibr45-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.11.053"},{"key":"bibr46-17455057231189547","volume-title":"10th KEMRI annual scientific and health conference at Safari Park Hotel, Nairobi, Kenya","author":"Were FBH"},{"key":"bibr47-17455057231189547","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2023.1173238"},{"key":"bibr48-17455057231189547","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0177434"}],"container-title":["Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057231189547","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17455057231189547","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057231189547","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:26:17Z","timestamp":1777710377000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17455057231189547"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":48,"alternative-id":["10.1177\/17455057231189547"],"URL":"https:\/\/doi.org\/10.1177\/17455057231189547","relation":{},"ISSN":["1745-5057","1745-5065"],"issn-type":[{"value":"1745-5057","type":"print"},{"value":"1745-5065","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"article-number":"17455057231189547"}}