Logo image
Nutrition-Related Challenges and Needs of Women With Perinatal Depression: Perspectives of Women With Perinatal Depression and Healthcare Providers
Abstract   Open access   Peer reviewed

Nutrition-Related Challenges and Needs of Women With Perinatal Depression: Perspectives of Women With Perinatal Depression and Healthcare Providers

Cynthia Klobodu, Lisa Chiarello, Guy Diamond, Mona Elgohail, Pamela Geller, June Andrews Horowitz, Brandy-Joe Milliron, Bobbie Posmontier and Dahlia Stott
Current developments in nutrition, v 6(Supplement_1), pp 677-677
14 Jun 2022
url
https://doi.org/10.1093/cdn/nzac061.061View
Published, Version of Record (VoR)CC BY-NC-ND V4.0 Open

Abstract

Abstract Objectives Women with perinatal depression (WWPD) are at high risk for unhealthy dietary behaviors and suboptimal child feeding practices. Despite mounting evidence supporting the importance of healthful nutrition-related behaviors during and after pregnancy, few behavioral nutrition interventions for WWPDs have been developed. The objectives of this study were to identify nutrition-related challenges and needs among WWPD, and to elucidate the role that feeding plays in mother-infant interaction. Methods Using a qualitative research design, in-depth interviews were conducted with 18 WWPDs and 10 healthcare professionals (HCPs) who work with WWPD. Interviews were audio recorded and transcribed verbatim. Data was thematically analyzed. Transcripts were coded by two research team members and a third member ensured accuracy and resolved discrepancies. Deductive and inductive coding was performed, and codes were refined and subsequently organized into themes. Results WWPD had a mean age of 31 ± 6 years and between 2–4 children. 89% reported college-level education, 56% were non-Hispanic white, and 33% were Black/African American. HCPs were in various specialties related to maternal mental health; 80% had practiced for > 5years. Seven themes with up to three subthemes were identified from interviews with HCPs and WWPDs: 1) Prioritizing mom - institutional and personal; 2) Scarce resources; 3) Body changes - body image and appetite; 4) Importance of support - source of affirmation and greater reliance; 5) Sense of fulfilment associated with infant and young child feeding - bonding and pride; 6) Challenges with breastfeeding - difficult experiences and need for liberalizing recommendations; and 7) Great expectations of motherhood - guilt and shame, overwhelm, and high anxiety. Conclusions WWPD face several barriers to their own healthful nutrition and that of their children, and findings from this study illustrate key considerations for tailoring dietary guidance to meet the unique needs of WWPD. Further, a person-centered approach for breastfeeding guidance is recommended. Funding Sources Drexel University College of Nursing and Health Professions, Dean's Rapid Response Relevant (R3) Grant.

Metrics

26 Record Views

Details

Logo image