Psychological Morbidity among Post-Partum Adolescent Mothers Attending Pumwani Maternity Hospital Nairobi County, Kenya
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Date
2024
Authors
Ireri, Grace
Journal Title
Journal ISSN
Volume Title
Publisher
IJRESM
Abstract
In the recent past, adolescent pregnancy has been on
the rise. Estimations indicate that, globally, teenage girls who give
birth annually are roughly sixteen million. In countries with few
resources, it becomes challenging. Mental health has found a
greater concern related to reproductive and sexual health;
however, depression-related information in Kenya is limited. This
means that more studies on psychological morbidity among
teenage mothers are an important area of inquiry. A number of
studies from developed countries show a rise in teenage pregnancy
and the health consequences to both the teenage mother and the
baby, such as anemia, preterm labour, obstructed labour,
retardation in intrauterine growth, increased post-partum
hemorrhage risk, eclampsia, cephalic pelvic disproportion, sepsis,
neonatal death, genital fistula, and the risk of death which
contribute to psychological morbidity. The study aimed at
assessing predictors of psychological morbidity among postpartum teenage mothers at Pumwani maternity hospital.
Descriptive correlation design was the study design whereby 74
postnatal mothers aged between 10 and 19 years who had been
admitted in the postnatal wards at Pumwani maternity hospital
were recruited through a convenient sampling method. The study
used interviewer-administered and self-administered
questionnaires in collecting data from those who could read and
understand and those who could not read and understand,
respectively. SPSS Version 25 was used in verification, coding, and
analysis of data. Findings showed that, 51.3% (n =38) were aged
between 16 and 18 years, 56.8% (n=42) were single, 60.8% (n=45)
had secondary level education with only 12.2% (n=9) had
accomplished their education in their respective levels. Out of 74
post-partum adolescent mothers in maternity at Pumwani
Hospital, 86.5% (n=64) had psychological morbidity 95% CI:
76.6% - 93.3%. The multivariable analysis established that aged
less than 18 years (AOR=11.41, 95% CI:3.08 – 26.23, p=0.004),
those who were single (AOR=3.33, 95% CI:1.51 – 21.87, p=0.031)
were more likely to have postpartum depression while those who
had received care as they wanted were 94% less likely to have
depression compared to those who did not receive the care they
wanted, (AOR =0.06, 95% CI: 0.01 – 0.67, p=0.022. The prevalence
of psychological morbidity is high with age (<18years) and
completing highest level of education being significant
determinants. Thus, healthcare providers should regularly screen
new mothers for depression to help control the burden of
psychological morbidity.
Description
Article
Keywords
psychological, morbidity, post-partum, adolescent, Pumwani
Citation
Ireri, G. (2024). Psychological Morbidity Among Post-Partum Adolescent Mothers Attending Pumwani Maternity Hospital Nairobi County, Kenya. International Journal of Research in Engineering, Science and Management, 7(1), 89–102. https://doi.org/10.5281/zenodo.10619990