Healthcare in Pakistan
Depression often starts at young age and affects women more commonly than men. One or two mothers out of 10 have depression after childbirth. Depression also limits a mother’s capacity to care for her child, and can seriously affect the child’s growth and development. A study showed that exposure to maternal mental distress is associated with undernutrition in 9‐month infants in urban Pakistan.
Maternal deprivation
Sigmund Freud may have been among the first to stress the potential effect of loss of the mother on the developing child, but his concern was less with the actual experience of maternal care than with the anxiety the child might feel about the loss of the nourishing breast. As little of Freud's theory was based on actual observations of infants, little effort was made to consider the effects of real experiences of loss.
Following Freud's early speculations about infant experience with the mother, Otto Rank suggested a powerful role in personality development for birth trauma. Rank stressed the traumatic experience of birth as a separation from the mother, rather than birth as an uncomfortable physical event. Not long after Rank's introduction of this idea, Ian Suttie, a British physician whose early death limited his influence, suggested that the child's basic need is for mother-love, and his greatest anxiety is that such love will be lost.