Health
Why one in 10 new mothers suffers postpartum depression – Gynaecologists
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By Francesca Hangeior
Maternal experts have said that between 10 and 15 per cent of new mothers, especially those living in developing countries, suffer postpartum depression after childbirth.
They stated that while the exact cause was still unknown, the condition was caused by a combination of hormonal, psychological and social factors.
The gynaecologists explained that the condition which began within the first week after childbirth and could continue for a year, presented with symptoms such as persistent sadness, anxiety, loss of interest in daily activities, sleep disturbances and thoughts of self-harm or harming the baby.
Speaking in separate interviews, the maternal health experts identified women with a history of depression, unplanned pregnancies, limited social or family support, experiences of intimate partner violence, or complicated pregnancies and deliveries as being at higher risk of postpartum depression.
They further noted that the condition was preventable and treatable, urging pregnant women and new mothers to accept help, prioritise self-care and maintain social connections to ensure a smooth child-care journey.
The specialists also stated that the condition often went undiagnosed in many new mothers because a significant number do not deliver in health facilities or return for postnatal care.
Findings from several studies on PPD in Lagos, Kano and Enugu States showed a prevalence of this condition in new mothers.
The research further revealed that poor social support, perceived stress, inability to bond or breastfeed a baby, unsupportive partner and financial problems were predictors of PPD.
Commenting on the matter, an Honorary Consultant Obstetric and Gynaecologist at the University of Uyo Teaching Hospital, Akwa-Ibom, Prof Aniekan Abasiattai, stated that PPD was a mood disorder that affected women after childbirth and could continue for a year if left untreated.
He noted that though PPD was a common complication of childbirth, it was usually recognised until after the first two weeks of delivery.
The don further stated, “There are a few theories here and there, but the actual cause of postpartum depression is unknown. However some documented reports tend to attribute its prevalence or occurrence to be higher in the developing world when compared to the developed world. Although these figures vary, recent evidence tends to document higher prevalence or higher rates of postpartum depression in the developing world when compared to the developed world.
“Now, about 10 to 15 per cent of women, of all women worldwide, are said to develop postnatal depression. Figures in Nigeria are varying. The figures from Nigerian studies range from about 11 per cent to as high as 45.6 per cent, depending on the centres or the geographical area where these studies were conducted.”
Abasiattai further stated that the lack of awareness of the symptoms by the new mothers and some physicians made the situation unrecognised and undiagnosed.
The professor of obstetrics and gynaecology at the University of Uyo, Akwa-Ibom, also mentioned that the relationship between mental health disorders and stigmatisation often made the women with the condition avoid speaking up and in some cases, visit the health centres.
The gynaecologist further explained that women who experience depression during pregnancy, face unemployment or financial difficulties, have unplanned or adolescent pregnancies, and have a history of sexual abuse, stillbirths, or maternal loss after delivery is at greater risk of developing postpartum depression.
He noted, “Those that lack support from family and friends, those that have complicated pregnancies or complicated births, those that have experienced a lot of stressful situations during pregnancy. And then, those that encounter intimate partner violence, and marital and partner conflicts. There are many more, but these are just a few of them. So, these are those that have an increased risk of coming down with postpartum depression after childbirth.”
He further noted that the prevalence of PPD in the country varied within geographical locations, noting regions, where new mothers had social, family, physical and emotional support, had reduced risk of developing the disorder.
The maternal expert further noted that while the condition was treatable, early identification and proper diagnosis were key.
He noted that the management was multidisciplinary, involving mental health physicians and nurses, obstetricians and social workers.
Speaking on the preventive measures, “Although their level of effectiveness may not have been scientifically proven, I believe that these preventive measures would assist in bringing them down. These include obtaining antenatal care because it’s been documented that women who don’t obtain formal antenatal care, the unbooked women, tend to have a higher risk of developing postpartum depression.
“So, formal antenatal care, where you come for classes and are taught about breast preparedness and complication readiness, childcare, immunisation, exclusive breastfeeding that helps promote mother and baby bonding and help reduce postpartum depression. These would help reduce anxiety about childcare after delivery.”
The researcher on Community Obstetrics and Fetomaternal Medicine also emphasised the need to promote good parenting practices and have family and social support to reduce the risk.
He urged new mothers to maintain healthy lifestyles after delivery, ensure adequate sleep and exercise and avoid alcohol and recreational drugs that could worsen mood swings and symptoms of PPD.
Also, a professor of Obstetrics and Gynaecology at the University of Ibadan, Oyo State, Christopher Aimakhu, stated that PPD was a mental health condition that often went undiagnosed and affected between 10 and 20 per cent of new mothers.
He also noted that new mothers in low-middle-income countries were at higher risk of the condition due to lack of access to healthcare, limited financial resources and social support systems.
The don stated that it was caused by a complex interplay of psychological, biological, social, genetic, and psychosocial factors.
Aimakhu also explained that the lack of family support and good antenatal and postnatal care could predispose new mothers to the condition.
Providing solutions, the gynaecologist said, “Counselling, in terms of telling them what to do, is the most important thing. It can also help prevent it before it starts. Therapy also helps. When the condition is bad, depending on the severity, they might need to use medications.
“So in terms of diagnosis, health providers must know that treatment usually takes a while. Psychotherapists may help to address her concerns, what it is that she should cope with and how she can solve the problems. You must have realistic goals and that’s why I’ll talk about prevention, because a lot of people expect too much after the delivery, especially when your husband doesn’t do what he says he’s going to do.”
He further emphasised that with proper treatment, the condition should be resolved within a short time.
To prevent the condition, he urged new mothers to accept help from family and friends, connect with other new mothers, create time to care for themselves, avoid alcohol and drugs that could cause mood swings and seek medical attention if sadness and depression persist.
Health
Ebola: WHO releases additional $3.4m as death toll rises to 139
The World Health Organisation (WHO) has approved an additional $3.4 million to support emergency response efforts following the worsening Ebola outbreak in the Democratic Republic of the Congo (DRC) and Uganda, where suspected deaths have risen to 139.
WHO Director-General, Tedros Adhanom Ghebreyesus, announced on Wednesday during a media briefing in Geneva that the agency had declared the outbreak a Public Health Emergency of International Concern (PHEIC) amid growing fears of wider regional transmission.
Tedros said the declaration was made on Sunday under Article 12 of the International Health Regulations after consultations with health authorities in the DRC and Uganda, citing the need for urgent international action.
According to WHO, 51 Ebola cases have so far been confirmed in the DRC, particularly in the provinces of Ituri and North Kivu, including the cities of Bunia and Goma, while Uganda has recorded two confirmed cases in Kampala, including one death linked to travellers from the DRC.
The agency also confirmed that an American national who contracted the virus in the DRC had been transferred to Germany for treatment.
Tedros, however, warned that the outbreak was far more severe than confirmed figures indicate, with nearly 600 suspected cases and 139 suspected deaths already reported.
He said the outbreak had spread to several urban centres, while infections among health workers pointed to transmission within healthcare facilities.
The WHO chief identified insecurity, mass displacement and intense population movement in mining communities within eastern DRC as major factors heightening the risk of regional spread.
He noted that over 100,000 people had been displaced in Ituri Province following escalating violence since late 2025.
Tedros also expressed concern that the outbreak involves the Bundibugyo strain of Ebola, for which no approved vaccines or therapeutics currently exist.
“In light of all these risks, I decided it was urgent to act immediately to prevent more deaths and mobilise an effective international response,” he said.
He commended the governments of the DRC and Uganda for their cooperation, particularly Uganda’s decision to postpone the annual Martyrs’ Day celebrations, which typically attract millions of participants.
WHO said the additional $3.4 million approved from its Contingency Fund for Emergencies brings the organisation’s total emergency support funding for the outbreak to $3.9 million.
The agency added that response teams, medical supplies and emergency support personnel had already been deployed to affected areas as efforts intensify to contain the virus.
Health
WHO declares Ebola outbreak in DR Congo, Uganda global health emergency
The World Health Organization has declared the Ebola outbreak caused by the Bundibugyo virus strain in the Democratic Republic of the Congo and Uganda a Public Health Emergency of International Concern (PHEIC).
The global health body in a statement said the decision was based on the growing risk of international spread of the disease and the absence of approved vaccines or treatments specifically targeting the Bundibugyo virus strain.
WHO Director-General said the outbreak met the criteria for a global health emergency under the International Health Regulations, although it does not yet qualify as a pandemic emergency.
As of May 16, health authorities had recorded eight laboratory-confirmed cases, 246 suspected cases and 80 suspected deaths in Ituri Province of DR Congo, affecting Bunia, Rwampara and Mongbwalu health zones. Uganda also confirmed two cases in Kampala, including one death, involving travellers from DR Congo.
WHO said unusual clusters of deaths linked to symptoms consistent with Bundibugyo virus disease had also been reported across parts of Ituri and North Kivu provinces, while at least four healthcare workers had died from suspected viral haemorrhagic fever, raising fears of hospital-based transmission.
The agency warned that the true scale of the outbreak remained unclear due to limited epidemiological data, insecurity, population displacement and weak health systems in affected communities.
According to WHO, the high positivity rate from initial laboratory samples, increasing reports of suspected cases and deaths, and the detection of cases in Kampala indicate the outbreak could be significantly larger than currently reported.
WHO noted that unlike the Ebola Zaire strain, there are currently no approved vaccines or therapeutics specifically targeting the Bundibugyo virus strain.
The organisation said neighbouring countries sharing borders with DR Congo face a high risk of further spread because of population movement, trade activities and ongoing humanitarian challenges in the region.
WHO announced plans to convene an Emergency Committee under the International Health Regulations to advise on temporary recommendations for responding countries.
The global health agency urged DR Congo and Uganda to activate emergency response mechanisms, strengthen surveillance and laboratory testing, improve infection prevention measures in hospitals and intensify contact tracing and community engagement.
WHO also advised affected countries to implement screening at airports, seaports and land borders, isolate confirmed and suspected cases, and consider postponing mass gatherings until transmission is interrupted.
The organisation, however, warned countries against closing borders or imposing travel and trade restrictions, saying such measures lack scientific basis and could worsen the spread of the disease through unmonitored routes.
WHO further urged neighbouring countries to strengthen preparedness, establish rapid response teams and improve monitoring for unexplained deaths and suspected cases.
Health
World Hypertension Day: Nigerians living with deadly BP – May&Baker warns
The Managing Director and Chief Executive Officer of May & Baker Nigeria Plc, Pharm. Patrick Ajah, on Friday raised alarm over the growing burden of hypertension in Nigeria, warning that millions of Nigerians are living with dangerously high blood pressure without knowing it.
Ajah, who spoke in Lagos during the Walk for Life 2026 organised by the company to commemorate World Hypertension Day, also lamented that rising energy costs are hurting drug prices, as the company spends N170m monthly on factory power.
The event, themed “Controlling Hypertension Together,” featured a health walk, free blood pressure and blood sugar screening, medical consultations, fitness activities, and health talks in collaboration with the Ikeja 1 NYSC Medical CDS Group and other stakeholders.
Speaking during the exercise, Ajah described hypertension as a “silent killer,” disclosing that many Nigerians discovered during previous screenings had dangerously high blood pressure levels, including readings as high as 200 over 120.
“Many Nigerians are walking the streets every day without knowing that they have hypertension,” he said.
“Some of the results we see are frightening. We have seen cases where people’s blood pressure ranges from 200 over 120, which is almost a killer.”
He said the situation was particularly alarming among low-income earners and market women who rarely go for medical checks because of rising healthcare costs.
“Most market women are very hypertensive, but they don’t check. It is getting worse because many people cannot afford hospital bills anymore,” he stated.
According to him, worsening economic hardship and stress are contributing significantly to the rising cases of hypertension across the country.
“With the condition of the country, stress levels are high, and stress increases the tendency for hypertension. The burden is a lot more than it used to be,” Ajah added.
The May & Baker boss warned that hypertension becomes more dangerous when combined with diabetes, describing both conditions as a dangerous alliance responsible for increasing cases of stroke, kidney failure, and sudden deaths.
“In medical school, we were taught that hypertension and diabetes form a dangerous alliance. When somebody is hypertensive and diabetic, it kills faster,” he said.
“That is why we don’t just check blood pressure here, we also check blood sugar.”
Ajah stressed that hypertension treatment is lifelong and warned patients against abandoning medications once their blood pressure appears stable.
“People need to understand that hypertension is not like malaria that you treat and it disappears. Once diagnosed, especially above 40, you are likely going to be on medication for life,” he explained.
“Many people stop taking their drugs once their blood pressure becomes controlled. That is dangerous.”
He urged Nigerians, especially those aged 35 and above, to regularly monitor their blood pressure and blood sugar levels, reduce salt intake, exercise regularly, and maintain a healthy lifestyle.
Ajah also lamented the rising cost of drug production in Nigeria, revealing that soaring energy costs and infrastructure challenges are affecting pharmaceutical manufacturers and ultimately increasing medicine prices.
“Before 2023, we spent about N65 million monthly on power in our factory. Right now, it is costing about N170 million every month,” he disclosed.
“So whether we like it or not, those costs will affect medicine prices.”
He, however, commended the Federal Government for approving duty-free importation of pharmaceutical raw materials, saying the policy helped manufacturers avoid additional drug price increases.
“When the executive order came, we suspended a planned price increase. It probably saved about 10 to 15 per cent on medicine costs,” he said.
Ajah further called on government to improve healthcare infrastructure, make medicines more affordable and address the worsening brain drain in the health sector.
“These days, people get to hospitals and wait for hours before seeing doctors because many doctors have left the country. Government needs to do more to encourage them to stay.”
Speaking, the Chairman of Ikeja Local Government, Comrade Akeem Olalekan Dauda, commended May & Baker for the initiative and urged stronger collaboration between private organisations and government in promoting public health.
“This is public good governance. What you are doing is part of corporate social responsibility and I encourage you to continue partnering with government so our people can enjoy more healthcare support,” Dauda said.
One of the beneficiaries, Mrs. Bose Ayo, praised the organisers after receiving free medical screening and treatment during the outreach.
“I checked my blood pressure and sugar levels and everything is fine. The doctors also attended to my cough and gave me medication,” she said.
“I pray they continue doing this for people like us who cannot afford hospital bills.”
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