Infant Well-being Research Articles

Fetal Outcome in Women of Pre-Eclampsia

Background: Pre-eclampsia, a serious condition characterized by high blood pressure in pregnant women, presents significant health risks for both the mother and fetus. This study aimed to assess the impact of pre-eclampsia on fetal outcomes in the Pakistani population, recognizing the condition's high prevalence and its role in maternal and neonatal morbidity and mortality. Objective: To evaluate the fetal outcome in women with pre-eclampsia in the Pakistani population. Methods: This descriptive case series was conducted at the Department of Obstetrics and Gynaecology, University College of Medicine and Dentistry Lahore, from January to June 2023. A total of 93 patients were enrolled to study the effects of pre-eclampsia on mothers and fetuses. Results: Among the 93 patients, the mean age was 37.59±6.37 years. The age distribution predominantly included women aged 31-35 years, followed by those in the 36-40 and 41-45 age groups. Severe pre-eclampsia was observed in 69.9% of patients, while 30.1% had mild pre-eclampsia. The fetal outcomes were as follows: 65.5% good, 12.9% stillbirth, and 21.5% neonatal death, with an insignificant P-value. Conclusion: The study concluded that the high prevalence of pre-eclampsia in the community is alarming, significantly increasing the risk of adverse outcomes for infant health and well-being. There is a critical need to educate women about the signs and symptoms of pre-eclampsia.

Modern baby breastfeeding trends

Breastfeeding is a critical aspect of infant care that provides numerous benefits for both infants and mothers. The socio-cultural changes of the 21st century require optimisation of this practice and research into the physiological stages of milk secretion, including the hormonal regulation of lactation and factors that influence breast secretion, which is crucial for supporting breastfeeding and improving the overall well-being of infants and mothers. The purpose of the work was to investigate current views on breastfeeding support through a comprehensive review of the existing literature, with a particular focus on studies on the physiological stages of milk secretion during pregnancy and breastfeeding. We used bibliographic, analytical and regulatory search methods. The review contributes to the deepening of knowledge and understanding of breastfeeding, emphasising its importance for newborn care and maternal well-being. The material covers a wide range of factors that influence lactation as a physiological process and breastfeeding as a social practice. The findings highlight the physiological basis of the lactation process: the key role of prolactin and oxytocin in initiating and maintaining milk secretion, internal (hormonal imbalances, breast anatomy and surgery), and external factors such as the mother’s somatic condition, including gestational diabetes and polycystic ovary syndrome. The positive aspects of breastfeeding for both the child and the mother are analysed. The various positive effects of this practice on the child are considered, including the most favourable balance of nutrients in the mother’s milk, the formation of passive immunity and the maintenance of a healthy intestinal microbiota. Particular attention is paid to the changing views on infant feeding in light of social and economic changes in the early 21st century, including the growing role of artificial formula and the challenges of natural feeding in the workplace. Practical implications: it provides a basis for developing evidence-based interventions to improve the breastfeeding experience and well-being of both infants and mothers while informing healthcare professionals, policymakers, and support groups.

Does parental mental health mediate the association between parents' perceived stress and parent-infant bonding during the early COVID-19 pandemic?

BackgroundThe spread of the COVID-19 virus was declared a pandemic in March 2020. New restrictions such as ‘lockdowns’ and ‘social distancing’ created challenges for individuals' work-life balance, financial situation, family life, and physical and mental health. The global population's stress levels rose in response to these changes, leading to a widespread deterioration of mental health. One group particularly affected was parents of infants and very young children. Poor parental mental health may disrupt parent-infant bonding, with negative consequences for infant well-being and development. AimsTo consider parent-infant bonding in relation to parents' perceived stress and psychological distress during the first lockdown, and to examine whether associations of stress with parent-infant bonding were mediated by parental mental health. MethodsDREAMCORONA (n = 738: 471 mothers and 267 partners) is a sub-study of the prospective German cohort study ‘DREAM’. The SPSS modelling tool PROCESS was used to assess whether parental mental health mediated the relationship between parents' perceived stress response to the COVID-19 pandemic and parent-infant bonding, while controlling for covariates. ResultsHigher levels of parental stress were strongly associated with higher levels of depression, anxiety, and aggression symptoms for both parents. In addition, there was a significant relationship between parents' self-reported stress levels and parent-infant bonding. This relationship was mediated by symptoms of depression and anxiety for fathers and by symptoms of anger-hostility for both parents. ConclusionIncreased parental stress during the early pandemic was associated with poorer parent-infant bonding. This has important implications for the management of any future public health crises.

Emotional intelligence and stress and their relationship with breastfeeding self-efficacy in mothers of premature infants

BackgroundPremature infants need to be hospitalized in the neonatal intensive care unit (NICU) for long periods of time, which can increase anxiety and stress in their mothers. Additionally, the breastfeeding rate is lower among preterm infants. This study aimed to determine stress levels and emotional intelligence in mothers of preterm infants and their relationship with breastfeeding self-efficacy.MethodsThis descriptive-correlational study was performed with a convenience sampling of 210 mothers of premature infants admitted to the neonatal intensive care unit in Tabriz, Iran in 2021. Data collection tools included socio-demographic checklist, perceived stress scale (PSS14), Dennis’ breastfeeding self-efficacy scale, and the Schering emotional intelligence questionnaire. Data were analyzed using SPSS software version 16 via descriptive and inferential statistics (Pearson correlation and one-way ANOVA and modified general linear model).ResultsStudy findings demonstrated that most of the mothers had low stress (75.2%) and high breastfeeding self-efficacy (61.9%). The mean (SD) of emotional intelligence of the participants was 88.18 (16.60), ranging from 33 to 165. The results of the general linear model by modifying the demographic characteristics showed that the variables of emotional intelligence (B = 0.23, P = 0.03), stress (B=-0.56, P = 0.01), gestational age (B = 2.81, P < 0.001) and number of deliveries (B = 9.41, P < 0.001) were predictors of breastfeeding self-efficacy.ConclusionThe findings showed that mothers of preterm infants had low emotional intelligence, and the majority of them had low perceived stress and high breastfeeding self-efficacy. Findings highlight the importance of addressing maternal stress and enhancing emotional intelligence to promote successful breastfeeding in mothers of preterm infants. Healthcare providers and managers are encouraged to offer support and educational programs to mothers of preterm infants, aiming to enhance their emotional intelligence. Further research and interventions focusing on these factors are warranted to improve the overall well-being of both mothers and infants in the neonatal intensive care unit.

Racial and ethnic variation in the relationship between parental educational similarity and infant health

Evidence suggests benefits of parental educational homogamy for infant and child well-being but ignores potential racial and ethnic variation in these benefits. Increasing disparities in infant health by maternal education and race, along with increasing educational sorting, raise questions about whether educational homogamy could contribute to these disparities. Drawing on a random sample of over 4 million live births in NVSS data from 2011 to 2020 and ordinary least squares regression, this study examines the relationship between infant health, parental educational similarity, and race and ethnicity. Our findings indicate a weak overall relationship between educational sorting and infant health at birth, with significant variation by race and ethnicity. In addition, absolute education levels and marital status more strongly predict infant health than educational assortative mating. Sensitivity analyses confirm the robustness of these findings across different modeling approaches and sample sizes. Our results indicate that parental educational sorting is only weakly related to infant health and cannot explain widening infant health gaps by race.

Characterising glycosaminoglycans in human breastmilk and their potential role in infant health.

Human breastmilk is composed of many well researched bioactive components crucial for infant nutrition and priming of the neonatal microbiome and immune system. Understanding these components gives us crucial insight to the health and wellbeing of infants. Research surrounding glycosaminoglycans (GAGs) previously focused on those produced endogenously; however, recent efforts have shifted to understanding GAGs in human breastmilk. The structural complexity of GAGs makes detection and analysis complicated therefore, research is time consuming and limited to highly specialised teams experienced in carbohydrate analysis. In breastmilk, GAGs are present in varying quantities in four forms; chondroitin sulphate, heparin/heparan sulphate, dermatan sulphate and hyaluronic acid, and are hypothesised to behave similar to other bioactive components with suspected roles in pathogen defense and proliferation of beneficial gut bacteria. Chondroitin sulphate and heparin, being the most abundant, are expected to have the most impact on infant health. Their decreasing concentration over lactation further indicates their role and potential importance during early life.

Birth Preparedness and Complication Readiness among Antenatal Attendees in a Tertiary Hospital in Northern Nigeria.

Every expectant mother is at risk of complications during pregnancy, delivery, or after delivery. Delays in receiving care with accompanying maternal morbidity and mortality can be significantly reduced with adequate birth preparedness and complication readiness (BPCR). This study aims to determine the factors affecting BPCR among antenatal attendees in Gusau, Zamfara State, a security-challenged setting. A cross-sectional study was conducted among pregnant women attending the antenatal clinic at Federal Medical Center, Gusau, Nigeria. Data were collected using a pretested questionnaire and analyzed using the Statistical Package for Social Sciences (SPSS) Version 26. Descriptive data using means, percentages, and frequency were presented in tables. Statistical testing using Chi-square for bivariate analysis and binary logistic regression for multivariate analysis was carried out with a significance level of p < 0.05. One hundred and forty-seven women were recruited; 111 (75.5%) had good knowledge of the danger signs of pregnancy, labor, and the postpartum period. One hundred and fourteen (77.6%) were birth-prepared and complications-ready. One hundred and ten (75%) identified insecurity as the most important hindrance to BPCR. The respondents with higher educational levels were thrice more likely to be birth-prepared and complications-ready (OR: 2.95, 95% CI: [1.65-5.27]). The women were twice more likely to be birth-prepared and complications-ready with an increase of ₦20,000 ($46.3) in monthly income (OR: 2.53, 95% CI: 1.97-5.29). Education and wealth status are the key determinants of BPCR. Low educational status, financial constraints, and security challenges were identified as barriers that must be addressed to improve maternal and infant well-being.

Prevalence and Risk Factors of Postpartum Depression Among Women in Low‐Income Developing Rural Areas: A Cross‐Sectional Study in China

Background: Postpartum depression (PPD) significantly affects the welfare of mothers, infants, families, and communities. Mothers in rural areas often face low incomes, poor social security, low education levels, and inadequate medical services. These specific cultural, social, and economic aspects have led to a worsening of PPD in rural areas. However, the current situation of PPD among women in rural areas of China is still insufficiently explored.Aim: This study aims to explore the prevalence and risk factors of PPD among women in low‐income developing rural areas of China.Methods: A cross‐sectional design was used in this study. Edinburgh Postnatal Depression Scale (EPDS) was applied to evaluate PPD symptoms. General demographic questionnaire, obstetrics‐/pediatrics‐related questionnaire, and psychosocial‐related questionnaire were adopted. Abuse Assessment Screen (AAS) was utilized to assess experienced intimate partner violence during pregnancy and postpartum. Social Support Rating Scale (SSRS) was utilized to measure their levels of social support.Results: Of the 467 participants, the overall prevalence of PPD among women in rural areas of China was 16.5%, and the average EPDS score was 8.35 (SD = 4.50). PPD occurred most frequently at 7–9 months postpartum (33.8%). Six factors associated with PPD were whether the sex of the baby was in line with the family’s expectations, monthly income of partners, social support, IPV during pregnancy and childbirth, and negative life events in the last 1 year, as well as physical and mental exhaustion from caring for a baby.Conclusions: This study sheds light on the prevalence and various risk factors associated with PPD among women residing in low‐income developing rural areas of China. The findings highlighted the need for targeted interventions and support systems designed to address the specific socioeconomic and cultural difficulties encountered by rural mothers.

Improving health indicators of mothers and newborns by empowering communities in urban slums of Mumbai, Maharashtra, India

Abstract Background: Newborns represent the most vulnerable segment of our society, constituting nearly 30% of all under-5 mortality cases. Despite well-established healthcare systems in metropolitan areas, urban slum dwellers, comprising approximately 50%–60% of the population, often lack access to these services. The Society for Nutrition, Education, and Health Action (SNEHA) operates within urban slums, aiming to enhance health outcomes for mothers and children. At SNEHA, we firmly believe that a healthy society starts with the well-being of mothers and infants. Our organization is dedicated to empowering communities to improve the health status of newborns in urban slums. Material and Methods: As part of the intervention, 7819 households with a population of 35,000 were targeted. SNEHA’s field workers conducted regular visits to these households, providing counseling on breastfeeding immunization and identifying potential health risks. Married women of reproductive age were specifically identified and consistently educated about the significance of early pregnancy registration. Pregnant women received support for registering their pregnancies, attending regular antenatal care (ANC) check-ups, adhering to ANC visit schedules, and maintaining adequate iron, calcium, and nutrition intake. Additionally, they were informed about the advantages of institutional delivery and encouraged to prepare for childbirth. Mothers of children under 2 years were urged to bring them to primary health centers for routine immunizations. Furthermore, they were advised on contraception methods to ensure proper spacing between children. Results: Our endeavors have resulted in a 34% rise in early pregnancy registration, a 22% increase in the number of women attending four antenatal check-ups, an 11% uptick in institutional deliveries, a 24% improvement in exclusive breastfeeding rates, and a notable 67% surge in the prevalence of contraception. Conclusion: Our intervention has proven that it is possible to improve the health indicators of women and children through behavior change communication, regular home visits, and community awareness.

Midwifery Care: Elevating Homebirth as a Safe, Cost-Effective Model for Healthy Pregnancies

In recent years, the conversation surrounding childbirth has evolved, with more families exploring options beyond the conventional hospital setting. Midwifery care and homebirths, though often misunderstood, present a compelling, safe, and cost-effective model that aligns with both physiological and psychological well-being of mothers and infants. As a public health professional and a mother who has personally experienced the transformative power of midwifery care, I believe it’s time to elevate homebirth as a mainstream option.

Pregnancy outcome in patients with non-alcoholic fatty liver disease: a prospective cohort study.

The purpose of this investigation was to examine the potential association between non-alcoholic fatty liver disease (NAFLD) and adverse maternal and perinatal outcomes during pregnancy. Gaining insights into the effect of NAFLD on pregnancy outcomes is essential to ensure the health and well-being of mothers and infants. This prospective cohort study was conducted at Imam Khomeini and Razi hospitals of Ahvaz City in 2022. Totally, 180 pregnant women in the NAFLD group to 180 in the control group. In this study, a researcher-made checklist was used to collect the background information, medical history, and lab data during their initial visit using. Follow-up continued until one week after delivery, with pregnancy outcomes assessed. Statistical analysis used student's t-test and the Chi-Square test for group comparisons. Significant differences were observed between the NAFLD, and control groups in terms of age (P=0.003), BMI (P=0.016), ALT and AST measures (P<0.001), and hypertensive complications (P=0.044). The NAFLD group had higher rates of gestational diabetes (P<0.001) and gestational hypertension (P=0.003). However, no significant differences were found in gestational age at delivery, early postpartum hemorrhage rates, birth weight, and neonatal Apgar scores (P>0.05). The pregnant women with NAFLD may be at risk for various complications during pregnancy, including a higher prevalence of gestational diabetes, elevated liver enzymes, and higher blood pressure compared to healthy pregnant women. However, the research failed to identify any statistically significant disparities between infants born to mothers with NAFLD and those delivered to healthy mothers in relation to birth weight, Apgar scores, or neonatal mortality.

Risk Factors of Postpartum Depression Among Korean Women: An Analysis Based on the Korean Pregnancy Outcome Study (KPOS).

Postpartum depression (PPD) can negatively affect infant well-being and child development. Although the frequency and risk factors of PPD symptoms might vary depending on the country and culture, there is limited research on these risk factors among Korean women. This study aimed to elucidate the potential risk factors of PPD throughout pregnancy to help improve PPD screening and prevention in Korean women. The pregnant women at 12 gestational weeks (GW) were enrolled from two obstetric specialized hospitals from March 2013 to November 2017. A questionnaire survey was administered at 12 GW, 24 GW, 36 GW, and 4 weeks postpartum. Depressive symptoms were assessed using the Edinburgh Postnatal Depression Scale, and PPD was defined as a score of ≥ 10. PPD was prevalent in 16.3% (410/2,512) of the participants. Depressive feeling at 12 GW and postpartum factors of stress, relationship with children, depressive feeling, fear, sadness, and neonatal intensive care unit admission of baby were significantly associated with a higher risk of PPD. Meanwhile, high postpartum quality of life and marital satisfaction at postpartum period were significantly associated with a lower risk of PPD. We developed a model for predicting PPD using factors as mentioned above and it had an area under the curve of 0.871. Depressive feeling at 12 GW and postpartum stress, fear, sadness, relationship with children, low quality of life, and low marital satisfaction increased the risk of PPD. A risk model that comprises significant factors can effectively predict PPD and can be helpful for its prevention and appropriate treatment.

Healthy food design and early childhood nutrition: Nutritional and food safety assessment of fermented and malted multi-grains instant weaning porridge fortified with defatted pumpkin (Cucurbita pepo) seed flour

Poor-quality diets are one of the most significant barriers to children's survival, growth, development, and learning today. In the context of this experiment, weaning porridge from complementary flour blends of locally available foodstuffs (millet, sorghum, green beans, and pumpkin seeds) was formulated for nutritional, functional, microbiological, and sensory acceptability. The results outlined that all the developed weaning porridge complied with the energy and nutrient density (zinc, iron, and protein) criteria. Energy (2.06-2.08 Kcal/g), protein (4.09-5.44% g/100 Kcal), iron (3.96-4.59 mg/100 Kcal), and calcium (0.39-1.37 mg/100 Kcal) were the nutrient density values identified. The functional features revealed an excellent reconstitution index (5.25-4.53) with a significant difference (P&amp;lt;0.05), a swelling index ranging from 1.03% to 0.57%, and a viscosity ranging from 195.5 cp to 204.5 cp. This study provides valuable insight that complementary foods made from locally available foods are potential solutions for mitigating childhood malnutrition and providing adequate complementation to breastfeeding in resource-poor and technologically underdeveloped countries by providing the needed energy and nutrient densities for immunity, well-being, growth, and development of young children and infants without fortification.

Exploring Infant Physical Activity Using a Population-Based Network Analysis Approach

Background: Physical activity (PA) is an important aspect of infant development and has been shown to have long-term effects on health and well-being. Accurate analysis of infant PA is crucial for understanding their physical development, monitoring health and wellness, as well as identifying areas for improvement. However, individual analysis of infant PA can be challenging and often leads to biased results due to an infant’s inability to self-report and constantly changing posture and movement. This manuscript explores a population-based network analysis approach to study infants’ PA. The network analysis approach allows us to draw conclusions that are generalizable to the entire population and to identify trends and patterns in PA levels. Methods: This study aims to analyze the PA of infants aged 6–15 months using accelerometer data. A total of 20 infants from different types of childcare settings were recruited, including home-based and center-based care. Each infant wore an accelerometer for four days (2 weekdays, 2 weekend days). Data were analyzed using a network analysis approach, exploring the relationship between PA and various demographic and social factors. Results: The results showed that infants in center-based care have significantly higher levels of PA than those in home-based care. Moreover, the ankle acceleration was much higher than the waist acceleration, and activity patterns differed on weekdays and weekends. Conclusions: This study highlights the need for further research to explore the factors contributing to disparities in PA levels among infants in different childcare settings. Additionally, there is a need to develop effective strategies to promote PA among infants, considering the findings from the network analysis approach. Such efforts can contribute to enhancing infant health and well-being through targeted interventions aimed at increasing PA levels.

Comprehensive care for late preterm infants: fostering integrated follow-up

Late preterm infants, although they are born closer to full term than extremely preterm infants, still face unique challenges due to their premature birth. Understanding these potential outcomes and providing appropriate support is key to ensuring their optimal development. A tailored follow-up program, guided by an interdisciplinary team of healthcare professionals, aims to provide early identification, continuous monitoring, and individualized care for late preterm infants. The core components of this program include developmental assessments, medical surveillance, parent education and support, and a family-centered approach. A well-structured late preterm follow-up program not only promotes the overall health and well-being of late preterm infants but also help these babies to achieve their full potential.

Design, Implementation, and Evaluation of the “Simultaneous Measurement of Infants’ Weight, Height, Head Circumference, Temperature, and Heart Rate Digital Device”

Background: The measurement of various components of infant growth is not only essential for monitoring infant health but is also associated with the well-being of infants and their parents, the use of human resources, frequent repositioning of infants, and a considerable amount of time. Objectives: Therefore, the present study aimed to design and evaluate a device for the “simultaneous measurement of infants’ weight, height, head circumference, temperature, and heart rate”. Methods: This study follows a quantitative and semi-experimental approach. The “simultaneous measurement of weight, height, head circumference, temperature, and heart rate of a child” device was officially registered as an invention with the number 104232 on May 18, 2021. The sample for this study comprised 100 infants selected from hospitals affiliated with Shahid Beheshti University of Medical Sciences, Tehran, Iran. The data related to all 100 infants were collected and recorded using both routine measurement methods and digital devices. Data collection tools included the Wong-Baker Faces scale to assess infant distress and a demographic questionnaire for recording growth components and the time of measurement. Data analysis was conducted using SPSS software (version 20), and statistical significance was determined using the t-test (P &lt; 0.05). Results: The comparison of mean distress scores in both the control and intervention groups revealed a significant reduction in infant distress scores during all measurements except for weight (P &lt; 0.05). It is worth noting that the number of infant repositions required for each measurement was reduced from 6 in the routine method to 2 with the digital device. Additionally, although 2 or 3 staff members were needed for measurements in the control group, only 1 staff member was sufficient for measurements in the intervention group. Discussion: Based on the evaluation results of the digital device, it is anticipated that this device could serve as a suitable alternative to the routine methods of measuring infant growth components. However, further studies are warranted to explore the broader applications of this digital device.

A qualitative descriptive study of Thai fathers' experiences in supporting their partners' breastfeeding.

The crucial role of fathers in the well-being of mothers and infants is widely acknowledged. This study focuses on the specific context of how Thai fathers support their partners in breastfeeding, with the goal of gaining a deeper understanding of the strategies they employ in providing this support. This study aimed to explore the experiences of fathers in supporting their partners in breastfeeding. The study used a qualitative descriptive design from December 2018 to February 2020. Nineteen Thai fathers were purposefully selected, each with partners and infants who did not face any complications that would serve as barriers to breastfeeding. Data collection occurred at vaccination clinics and family planning wards in two major hospitals in Chiang Mai province, Thailand. The data were collected through in-depth interviews, and a thematic analysis approach was employed for data analysis. Four themes emerged: a) Facing barriers to breastfeeding support, b) Believing in the value of breast milk, c) Seeking ways to increase milk supply, and d) Making an effort to support continued breastfeeding. Thai fathers demonstrated a strong eagerness to support their partners in sustaining breastfeeding. Their willingness highlights the importance of nurses, midwives, and other healthcare providers providing additional education and support to empower them as supportive partners to mothers.

Retinopathy of prematurity: prevalence, screening and treatment

Retinopathy of prematurity (ROP) is a serious ocular condition arising from improper blood vessel development in the retina, predominantly affecting infants born prematurely or with a birth weight under 1500 g. A global estimate from 2010 indicated that approximately 184,700 infants developed ROP, with around 50,000 progressing to severe stages, yet only 42% received treatment. This article undertakes a thorough review, commencing on 07th November 2023, leveraging databases like Pubmed and Cochrane to synthesize current knowledge and emerging trends in ROP prevalence, screening methodologies, and treatment options. Screening involves repeated eye exams and innovative tools to identify high-risk infants early on. Treatment approaches, encompassing cryotherapy, laser therapy, and anti-VEGF (vascular endothelial growth factor) medications, are tailored to the severity of ROP. Rigorous follow-up assessments are pivotal for tracking progress and ensuring the welfare of infants undergoing ROP interventions. This comprehensive exploration seeks to enhance awareness and understanding of ROP's global prevalence, screening protocols, and evolving treatments, ultimately contributing to informed decision-making and the advancement of best practices in the early identification and management of ROP among premature infants.

Determinants of Exclusive Breastfeeding Rate in Central Region of Ghana Health

The prevalence of exclusive breastfeeding (EBF) has recently garnered significant attention from public health experts. Recognised as a cost-effective strategy, EBF significantly enhances the well-being of both mothers and infants. This study investigates the factors influencing exclusive breastfeeding (EBF) practices in Ghana's Central Region, with a focus on the role of socio-demographic characteristics. The study used a cross-sectional study design and a structured questionnaire to collect data from 358 breastfeeding mothers across 15 health centres in the Central Region of Ghana. The findings reveal a weak but statistically significant correlation between socio-demographic characteristics and EBF practices (Pearson correlation r = 0.179, P = 0.001), indicating that factors such as maternal age, education, marital status, and number of births modestly influence EBF practices. Similarly, a weak negative correlation was observed between socio-demographic factors and current breastfeeding rates (Pearson correlation = 0.105 r = 0.105, P = 0.048), suggesting some level of impact by these variables. However, the relationship between working status and breastfeeding practices was found to be non-significant (Pearson correlation = 0.011, r = 0.011, P = 0.181). Based on these findings, the study recommends tailored public health interventions that address specific demographic characteristics, enhanced awareness and education on EBF, the development of breastfeeding-friendly workplace policies, and further research utilising qualitative methods to better understand the complexities of breastfeeding behavior.

The Wall of Silence: Perceived Barriers to Gender-Based Violence Disclosure among Women in the Perinatal Period.

Gender-based violence is a global concern. The perinatal period is a crucial time for early identification of the harmful impact of violence on the well-being of both mothers and infants. However, it has been observed that many women choose not to disclose their experiences to their healthcare providers. To gain insight into this issue, a study was conducted to explore the perspectives of both survivors and healthcare providers regarding the barriers to disclosure. Through the utilization of a thematic analysis approach, a total of 28 interviews were conducted, involving 12 survivors and 16 healthcare providers. Data analysis revealed barriers to disclosure at the individual, community, and healthcare system levels. Health-care providers have a pivotal role in creating an atmosphere where women are encouraged to break the silence and a paradigm shift in the health system approach towards GBV is necessary.