Identifying the women at risk of antenatal anxiety and depression: A systematic review

Journal of Affective Disorders, Journal Year: 2015, Volume and Issue: 191, P. 62 - 77

Published: Nov. 18, 2015

Pregnancy is a time of increased vulnerability for the development anxiety and depression. This systematic review aims to identify main risk factors involved in onset antenatal A literature analysis was conducted, using PubMed, PsychINFO, Cochrane Library. Original papers were included if they written English published between 1st January 2003 31st August 2015, while reviews meta-analyses consulted regardless publication date. final number 97 selected. The most relevant associated with depression or were: lack partner social support; history abuse domestic violence; personal mental illness; unplanned unwanted pregnancy; adverse events life high perceived stress; present/past pregnancy complications; loss. does not include meta-analysis, which may have added additional information about differential impact each factor. Moreover, it specifically examine that influence different types disorders, recurrence persistence from postpartum period. results show complex aetiology anxiety. administration screening tool women at during should be universal practice order promote long-term wellbeing mothers babies, knowledge specific help creating such targeting higher risk.

Language: Английский

---

Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes

Women s Health, Journal Year: 2019, Volume and Issue: 15

Published: Jan. 1, 2019

Introduction: The postpartum period represents the time of risk for emergence maternal depression. There are no systematic reviews overall outcomes aim this study was to evaluate both infant and consequences untreated Methods: We searched studies published between 1 January 2005 17 August 2016, using following databases: MEDLINE via Ovid, PsycINFO, Cochrane Pregnancy Childbirth Group trials registry. Results: A total 122 (out 3712 references retrieved from bibliographic databases) were included in review. results synthetized into three categories: (a) depression, including physical health, psychological relationship, risky behaviors; (b) anthropometry, sleep, motor, cognitive, language, emotional, social, behavioral development; (c) mother–child interactions, bonding, breastfeeding, role. Discussion: suggest that depression creates an environment is not conducive personal development mothers or optimal a child. It therefore seems important detect treat during postnatal as early possible avoid harmful consequences.

Language: Английский

---

Economic and Health Predictors of National Postpartum Depression Prevalence: A Systematic Review, Meta-analysis, and Meta-Regression of 291 Studies from 56 Countries

Frontiers in Psychiatry, Journal Year: 2018, Volume and Issue: 8

Published: Jan. 31, 2018

Postpartum depression (PPD) poses a major global public health challenge. PPD is the most common complication associated with childbirth and exerts harmful effects on children. Although hundreds of studies have been published, we lack accurate or national prevalence estimates no clear account why appears to vary so dramatically between nations. Accordingly, conducted meta-analysis estimate meta-regression identify economic, health, social, policy factors prevalence.We systematic review all papers reporting using Edinburgh Postnatal Depression Scale. methods were extracted from each study. Random was used prevalence. To test for country level predictors, drew data UNICEF, WHO, World Bank. predictors prevalence.291 296284 women 56 countries identified. The pooled 17.7% (95% confidence interval: 16.6-18.8%), significant heterogeneity across nations (Q = 16,823, p 0.000, I2 98%), ranging 3% (2-5%) in Singapore 38% (35-41%) Chile. Nations significantly higher rates income inequality (R2 41%), maternal mortality 19%), infant 16%), childbearing age working ≥40 h week 31%) PPD. Together, these explain 73% variation prevalence.The greater than previously thought varies by nation. Disparities wealth maternal-child-health much

Language: Английский

---

Mapping global prevalence of depression among postpartum women

Translational Psychiatry, Journal Year: 2021, Volume and Issue: 11(1)

Published: Oct. 20, 2021

Abstract Postpartum depression (PPD) is the most common psychological condition following childbirth, and may have a detrimental effect on social cognitive health of spouses, infants, children. The aim this study was to complete comprehensive overview current literature global epidemiology PPD. A total 565 studies from 80 different countries or regions were included in final analysis. found 17.22% (95% CI 16.00–18.51) world’s population. Meta-regression analysis showed that size, country region development, income causes heterogeneity. Multivariable meta-regression size area development important predictors. Varied prevalence rates noted geographic with highest rate Southern Africa (39.96%). Of interested significantly lower PPD developed high-income areas. Furthermore, findings there substantial difference when marital status, educational level, support, spouse care, violence, gestational age, breast feeding, child mortality, pregnancy plan, financial difficulties, partnership, life stress, smoking, alcohol intake, living conditions considered pooled estimates. Our results indicated one out every five women experiences which linked development. It triggered by variety necessitate attention committed intervention primary care providers, clinicians, authorities, general

Language: Английский

---

Interventions to Prevent Perinatal Depression

JAMA, Journal Year: 2019, Volume and Issue: 321(6), P. 580 - 580

Published: Feb. 12, 2019

Importance

Perinatal depression, which is the occurrence of a depressive disorder during pregnancy or following childbirth, affects as many 1 in 7 women and one most common complications postpartum period. It well established that perinatal depression can result adverse short- long-term effects on both woman child.

Objective

To issue new US Preventive Services Task Force (USPSTF) recommendation interventions to prevent depression.

Evidence Review

The USPSTF reviewed evidence benefits harms preventive for pregnant their children. contextual information accuracy tools used identify at increased risk effective timing interventions. Interventions included counseling, health system interventions, physical activity, education, supportive other behavioral such infant sleep training expressive writing. Pharmacological approaches use nortriptyline, sertraline, omega-3 fatty acids.

Findings

found convincing counseling cognitive therapy interpersonal therapy, are preventing Women with history current symptoms, certain socioeconomic factors (eg, low income young single parenthood) would benefit from could be considered risk. adequate bound potential no greater than small, based nature intervention likelihood serious harms. inadequate assess noncounseling concludes moderate certainty providing referring has net

Conclusions Recommendation

recommends clinicians provide refer persons who (B recommendation)

Language: Английский

---

Postpartum Depression

New England Journal of Medicine, Journal Year: 2016, Volume and Issue: 375(22), P. 2177 - 2186

Published: Nov. 30, 2016

Postpartum depression is common and affects the woman, infant, family. Treatment depends on severity of symptoms level functional impairment can include social support, psychological therapy, pharmacotherapy (generally an SSRI as first-line treatment).

Language: Английский

---

The prevalence of antenatal and postnatal co-morbid anxiety and depression: a meta-analysis

Psychological Medicine, Journal Year: 2017, Volume and Issue: 47(12), P. 2041 - 2053

Published: April 17, 2017

To date, the precise prevalence of co-morbidity anxiety and depression in perinatal period is not well known. We aimed to estimate co-morbid antenatal postnatal periods. Systematic searches multiple electronic databases were conducted for studies published between January 1950 2016. included 66 (24 42 unpublished) incorporating 162 120 women from 30 countries. Prevalence self-reported symptoms mild severe depressive was 9.5% [95% confidence interval (CI) 7.8–11.2, 17 studies, n = 25 592] moderate/severe 6.3% (95% CI 4.8–7.7, 27 270). a clinical diagnosis any disorder 9.3% 4.0–14.7, 10 3918) generalized 1.7% 0.2–3.1, three 3085). Postnatally 1 24 weeks postpartum, 8.2% 6.5–9.9, 15 14 731), while 5.7% 4.3–7.1, 13 20 849). The 4.2% 1.9–6.6, eight 3251). rates did differ with regard year publication, country income, selection bias attrition bias. results suggest that are prevalent warrant attention given potential negative child developmental consequences if left untreated. Further research warranted develop evidence-based interventions prevention, identification treatment this co-morbidity.

Language: Английский

---

Global burden of antenatal depression and its association with adverse birth outcomes: an umbrella review

BMC Public Health, Journal Year: 2020, Volume and Issue: 20(1)

Published: Feb. 4, 2020

Women of childbearing age are at high risk developing depression and antenatal is one the most common mood disorders. Antenatal also associated with a number poor maternal infant outcomes, however, there remains lack focus on mental issues in care, particularly lower income countries. This systematic review reviews provides useful evidence regarding burden which may provide guidance for health policy development planning.We searched CINAHL(EBSCO), MEDLINE (via Ovid), PsycINFO, Emcare, PubMed, Psychiatry Online, Scopus databases that based observational studies were published between January 1st, 2007 August 31st, 2018. We used Assessment Multiple Systematic Reviews (AMSTAR) checklist scores to assess quality included reviews. applied vote counting narrative summarize prevalence its factors, while statistical pooling was conducted estimating association low birth weight preterm birth. registered PROSPERO protocol CRD42018116267.We have ten (306 877,246 participants) six (39 75,451 identify effect weight. Globally, we found ranged from 15 65%. identified following prominent factors their degree influence: Current or previous exposure different forms abuse violence (six 73 studies); social and/or partner support (four 47 personal family history any disorder (three 34 studies). The 1.49 (95%CI: 1.32, 1.68; I2 = 0.0%) 1.40 1.16, 1.69; 35.2%) times higher among infants born depressed mothers.Globally, could be considered during pregnancy. Though adverse outcomes appeared modest, absolute impact would significant lower-income countries access services.

Language: Английский

---

Diversity and divergence: the dynamic burden of poor maternal health

The Lancet, Journal Year: 2016, Volume and Issue: 388(10056), P. 2164 - 2175

Published: Sept. 16, 2016

Language: Английский

---

Risk Factors for Postpartum Depression: An Umbrella Review

Journal of Midwifery & Women s Health, Journal Year: 2020, Volume and Issue: 65(1), P. 96 - 108

Published: Jan. 1, 2020

Introduction A deeper understanding of risk factors for postpartum depression (PPD) is essential to better target prevention and screening. An umbrella review was conducted summarize synthesize previously published systematic reviews meta‐analyses. Methods Eight databases were searched in October 2016, including PubMed, CINAHL, MEDLINE, PsycINFO, Embase, SCOPUS, PsycEXTRA, Cochrane. Studies included if they examining one or more PPD between 1996 2016. The final sample 21 articles, which varied numerous ways, the scope explored statistical methods. Results Because methodological variations reviews, standardized aggregation not possible. From this body literature, 25 statistically significant emerged with 2 additional presenting inconclusive findings. most common identified high life stress, lack social support, current past abuse, prenatal depression, marital partner dissatisfaction. strongest abuse. Discussion untreated leaves women their children vulnerable negative short‐term long‐term outcomes, a serves improve maternal child outcomes by allowing health care providers anticipate needs affected women.

Language: Английский

---