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Supporting optimal dietary behaviors in women with perinatal depression: A qualitative exploration of experiences, practices, and challenges
Journal article   Peer reviewed

Supporting optimal dietary behaviors in women with perinatal depression: A qualitative exploration of experiences, practices, and challenges

Cynthia Klobodu, Dahlia Stott, Lisa A Chiarello, Bobbie Posmontier, Mona Elgohail, Pamela A Geller, June A Horowitz and Brandy-Joe Milliron
Nutrition and health (Berkhamsted), pp 2601060231187986-2601060231187986
19 Jul 2023
DOI: https://doi.org/10.1177/02601060231187986

Abstract

BACKGROUNDWomen with perinatal depression (PD) are at high risk for unhealthy dietary behaviors and suboptimal child feeding practices. Despite evidence supporting the importance of healthful nutrition-related behaviors during and after pregnancy, few behavioral nutrition interventions for women with PD have been developed. The objectives of this study were to identify nutrition-related challenges and needs among women with PD and to elucidate the role that feeding plays in mother-infant interaction, to inform the development of nutrition interventions. METHODSUsing a qualitative study design, in-depth interviews were conducted with 18 mothers with a history of PD and 10 interdisciplinary healthcare providers with expertise in PD. Data were thematically analyzed using a hybrid inductive and deductive coding approach. RESULTSMean age of mothers was 31 ± 6 years, 56% identified as non-Hispanic White, and 33% identified as Black/African American. Eighty percent of healthcare providers practiced for more than five years. Six themes were identified: (a) Time scarcity mindset; (b) Importance of social support; (c) Unrealistic expectations of motherhood; (d) Mom as the last priority; (e) Postpartum body changes and shape ideals; and (f) Contentment associated with infant and young child feeding. CONCLUSIONWomen with PD have several needs pertaining to their nutrition and that of their children. The findings from this study illustrate key considerations and recommendations for addressing these needs.

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