Observational studyBMC pregnancy and childbirth2020
Assessing factors associated with poor maternal mental health among mothers of children born small and sick at 24-47 months in rural Rwanda.
Observational study in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Risk and protective factors of depression among caregivers of children with disabilities in rural Rwanda.BMJ global health · 2026Trial
- High levels of parenting stress and trauma despite age-appropriate developmental outcomes following perinatal asphyxia: a cross-sectional observational study.BMJ paediatrics open · 2026Observational
- Resilience in Adverse Contexts: Youth and Clinician Perspectives on Navigating Community Violence.Children (Basel, Switzerland) · 2026Article
- Socioeconomic and maternal mental health factors associated with the parenting and development of children in an early childhood promotion program: analysis via structural equation modeling.BMC public health · 2025Article
- Breastfeeding difficulties and maternal mental health: role of social support in rural northwestern China.BMC pregnancy and childbirth · 2025Article
- Association between poor mental health in mothers and child stunting: a population-based cross-sectional study in Rwanda.BMJ open · 2025Article
- Probiotic Lactobacillus rhamnosus species: considerations for female reproduction and offspring health.Journal of assisted reproduction and genetics · 2024Review
- How do household living conditions and gender-related decision-making influence child stunting in Rwanda? A population-based study.PloS one · 2024Article
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Authors and funding
12 authors.
Funding
Abstract
backgroundGlobal investments in neonatal survival have resulted in a growing number of children with morbidities surviving and requiring ongoing care. Little is known about the caregivers of these children in low- and middle-income countries, including maternal mental health which can further negatively impact child health and development outcomes. We aimed to assess the prevalence and factors associated with poor maternal mental health in mothers of children born preterm, low birthweight (LBW), and with hypoxic ischemic encephalopathy (HIE) at 24-47 months of age in rural Rwanda.
methodsCross-sectional study of children 24-47 months born preterm, LBW, or with HIE, and their mothers discharged from the Neonatal Care Unit (NCU) at Kirehe Hospital between May 2015-April 2016 or discharged and enrolled in a NCU follow-up program from May 2016-November 2017. Households were interviewed between October 2018 and June 2019. Mothers reported on their mental health and their child's development; children's anthropometrics were measured directly. Backwards stepwise procedures were used to assess factors associated with poor maternal mental health using logistic regression.
resultsOf 287 total children, 189 (65.9%) were born preterm/LBW and 34.1% had HIE and 213 (74.2%) screened positive for potential caregiver-reported disability. Half (n = 148, 51.6%) of mothers reported poor mental health. In the final model, poor maternal mental health was significantly associated with use of violent discipline (Odds Ratio [OR] 2.29, 95% Confidence Interval [CI] 1.17,4.45) and having a child with caregiver-reported disability (OR 2.96, 95% CI 1.55, 5.67). Greater household food security (OR 0.80, 95% CI 0.70-0.92) and being married (OR = 0.12, 95% CI 0.04-0.36) or living together as if married (OR = 0.13, 95% CI 0.05, 0.37) reduced the odds of poor mental health.
conclusionsHalf of mothers of children born preterm, LBW and with HIE had poor mental health indicating a need for interventions to identify and address maternal mental health in this population. Mother's poor mental health was also associated with negative parenting practices. Specific interventions targeting mothers of children with disabilities, single mothers, and food insecure households could be additionally beneficial given their strong association with poor maternal mental health.
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