Relationship Between Postpartumdepression And Infant Feeding Practice In Kilte Awlaelo Health And Demographic Surveillance Siteeastern Zone Of Tigray Ethiopia2019.

Background: Optimal infant and young child feeding practices is a cornerstone of care forrnchildhood physical and mental development and the most effective intervention to reduce infantrnmorbidity and mortality. Infant feeding practice can be compromised by postpartum maternalrnmental health condition. Postpartum depression is a non-psychotic maternal mental disorder thatrnoccurs within one year of child birth. The aim of this study is to assess whether there is anyrndifference in infant feeding practice among postpartum depressed and non-depressed mothers,rnthe finding of which may help to design appropriate evidence based public health intervention. rnObjectives: To assess the association between postpartum depression and infant feeding practicernin eastern zone of Tigray, Ethiopia, 2018/19. rnMethods: comparative cross-sectional study was conducted to examine the influence ofrnpostpartum depression on infant feeding practices among randomly selected 525 postpartumrnwomen and infants who resides in Kilite Awlaelo Health and Demographic Surveillance Site,rnnortheast Tigray. Postpartum depression was assessed using self-reporting questionnaire-20rnwhich was developed by World Health Organization and infant feeding practices was measuredrnusing modified questionnaire from United State Agency for International Development toolkitrnfor monitoring and evaluation of breastfeeding practice based on 24hr recall and recall sincernbirth method. A binary logistic regression analysis was carried out to determine the associationsrnbetween postpartum depression and infant feeding practice by controlling potential confounders.rnFinally, variables with p-value ≤ 0.25 at bivariate analysis were included in the final model ofrnmultivariable logistic regression analysis. rnResults: Complete data from a total of 513 mothers was retrieved giving a response rate ofrn97.7%. The overall exclusive breast feeding rate was 160/293 54.6% (95% CI; 48.9%–rn60.3%).The overall of prevalence of appropriate complementary feeding practices was 14.1%rn(9.4%-18.6%).The overall odd of appropriate infant feeding was 1.7 times higher among mothersrnwithout postpartum depression (AOR= 1.71; 95% CI: 1.08-2.69). The odds of appropriate infantrnfeeding among infants with birth order above three was 48% (AOR= 0.52; 95% CI: 0.28-0.97)rnless than those infants with birth order of three and below. rnConclusion: low appropriate infant feeding practice was observed. Postpartum depression is anrnimportant contributor to appropriate infant feeding practice. Households with high monthlyrnincomes and birth order above three were significantly associated with appropriate infant feedingrnpractice. rnRecommendation: Based on the results of this study, routine screening of postnatal mothers andrnformulation of policies for integrating of postpartum depression into maternal and child healthrncould mitigate the consequences of child undernutrition that could results from poor maternalrnmental health conditions.

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