Perinatal Depression: Challenges and Opportunities

Journal of Women s Health, Год журнала: 2020, Номер 30(2), С. 154 - 159

Опубликована: Ноя. 6, 2020

Perinatal depression (PND) is a major depressive episode during pregnancy or within 4 weeks after childbirth up to year. Risk factors for PND include stressful life events, history of depression, poor social support, unplanned and unwanted pregnancies, relationship quality, current previous abuse, low socioeconomic status. This mental disorder has been shown have negative effects on mothers' quality their intimate relationships, birth outcomes, breastfeeding likelihood, as well long-term children's cognitive emotional development. To date, no nationally representative study examined whether there are and/or racial/ethnic differences in PND. discusses the prevalence risk PND, its health consequences mothers children, reasons underreporting undertreatment, evidence different screening instruments treatment options, existing supportive policies address this United States. We conclude with outlining next steps addressing gaps literature

Язык: Английский

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Postpartum depression and anxiety: a community-based study on risk factors before, during and after pregnancy

Journal of Affective Disorders, Год журнала: 2021, Номер 286, С. 158 - 165

Опубликована: Март 5, 2021

Depression and anxiety occur frequently postpartum, calling for early detection treatment. Evidence on risk factors may support detection, but is inconclusive. Our aim was to identify postpartum depression anxiety, before, during after pregnancy.We used data from 1406 mothers of the intervention arm Post-Up study. Risk were collected at 3 weeks 12 months postpartum. symptoms measured in first month by Edinburgh Postnatal Scale (EPDS) 6-item State-Trait Anxiety Inventory (STAI-6), respectively. We stepwise logistic regression relevant factors.Of mothers, 8.0% had EPDS-scores ≥9 14.7% STAI-6-scores ≥42. Factors associated with higher were: foreign language spoken home, history depression, low maternal self-efficacy poor current health mother. No initiation breastfeeding lower no increased risk. educational level, preterm birth, negative experience delivery week excessive infant crying, self-efficacy, partner health.Use a self-report instrument, potential bias mood status, inclusion emerging cases one postpartum.The shared separate help professionals identifying provide opportunities preventive interventions

Язык: Английский

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Risk factors of postpartum depression and depressive symptoms: umbrella review of current evidence from systematic reviews and meta-analyses of observational studies

The British Journal of Psychiatry, Год журнала: 2022, Номер 221(4), С. 591 - 602

Опубликована: Янв. 27, 2022

Background Evidence on risk factors for postpartum depression (PPD) are fragmented and inconsistent. Aims To assess the strength credibility of evidence PPD, ranking them based umbrella review methodology. Method Databases were searched until 1 December 2020, systematic reviews meta-analyses observational studies. Two reviewers assessed quality, associations according to criteria (URC) certainty Grading Recommendations-Assessment-Development-Evaluations criteria. Results Including 185 studies ( n = 3 272 093) from 11 reviews, association between premenstrual syndrome PPD was strongest (highly suggestive: odds ratio 2.20, 95%CI 1.81–2.68), followed by violent experiences (OR) 2.07, 1.70–2.50) unintended pregnancy OR=1.53, 1.35–1.75). Following URC, suggestive Caesarean section (OR 1.29, 1.17–1.43), gestational diabetes 1.60, 1.25–2.06) 5-HTTPRL polymorphism 0.70, 0.57–0.86); weak preterm delivery 2.12, 1.43–3.14), anaemia during 1.47, 1.17–1.84), vitamin D deficiency 3.67, 1.72–7.85) 1.75, 1.18–2.60). No significant found medically assisted conception intra-labour epidural analgesia. rated as ‘convincing evidence’. According GRADE, low section, delivery, 5-HTTLPR pregnancy, ‘very low’ remaining factors. Conclusions The most robust PDD syndrome, pregnancy. These results should be integrated in clinical algorithms PPD.

Язык: Английский

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Postpartum Depression and Maternal Care: Exploring the Complex Effects on Mothers and Infants

Cureus, Год журнала: 2023, Номер unknown

Опубликована: Июль 4, 2023

Postpartum depression (PPD) is a common and debilitating mental health condition affecting many mothers worldwide. This review article aims to explore the complex effects of PPD on infants, focusing maternal care. The transition motherhood critical period characterized by numerous physical, psychological, social changes, making women vulnerable onset PPD. Consequently, can significantly impact mother's ability provide optimal care for her infant, leading potential adverse consequences both parties. synthesizes existing research literature topic, encompassing studies from various disciplines, including psychology, psychiatry, obstetrics, pediatrics. It begins providing an overview prevalence risk factors associated with PPD, emphasizing importance early detection intervention. caregiving behaviors, such as bonding, sensitivity, responsiveness, then examined, highlighting disruptions in mother-infant relationship. Furthermore, delves into impaired infant development, emotional, cognitive, domains. Several contributing interplay between are discussed, hormonal psychosocial stressors, influence support networks. also addresses bidirectional nature relationship, whereby characteristics behaviors exacerbate or mitigate Moreover, explores role healthcare providers implementing effective screening, assessment, treatment strategies promote maternal-infant outcomes. By consolidating current knowledge this provides valuable insights multifaceted infants. Recognizing significance understanding mechanisms through which disrupts it inform development targeted interventions detection, treatment, supportive experiencing Ultimately, improving enhancing relationships yield long-term positive mothers' infants' well-being development.

Язык: Английский

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Prediction of Postpartum Depression With Dataset Using Hybrid Data Mining Classification Technique

International Journal of Computational and Experimental Science and Engineering, Год журнала: 2025, Номер 11(1)

Опубликована: Янв. 12, 2025

Postpartum Depression is a condition or state which usually affects the woman immediately after child birth. The birth of baby not only brings delighted emotions such as excitement, but also fear and anxiety may sometimes lead to depression. It period physical, emotional behavioral changes that happen in some delivery. Apart from chemical changes, there are many factors affect during pregnancy period. If PPD identified treated at earlier stages, it serious issues for mother child. therefore vital importance sift through any early stage prevent consequences. objective this study find out presence without getting worse. Data mining plays an important role health care industry with successful outcome. helps hidden patterns, trends anomalies large dataset make predictions. proposed system combined classification technique prediction postpartum depression uses Support vector machine, Artificial Neural Network Hybrid classifier algorithm produce best result.

Язык: Английский

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Prevalence of mental disorders in South Asia: An umbrella review of systematic reviews and meta-analyses

Asian Journal of Psychiatry, Год журнала: 2020, Номер 51, С. 102041 - 102041

Опубликована: Апрель 8, 2020

Язык: Английский

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Effects of COVID-19 Epidemic Lockdown on Postpartum Depressive Symptoms in a Sample of Italian Mothers

Frontiers in Psychiatry, Год журнала: 2020, Номер 11

Опубликована: Ноя. 17, 2020

The extraordinary health emergency of the COVID-19 pandemic represents a new challenge for mental researchers and clinical practitioners. related containment measures may be risk factor psychological distress mood disorders, especially in at-risk populations. This study aims to explore impact on postpartum depressive symptoms mothers with children below 1 year age. An online questionnaire survey was therefore conducted Italy between May June 2020. consisted several self-administered questionnaires: besides some

Язык: Английский

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A nine‐step pathway to conduct an umbrella review of literature

Nurse author & editor, Год журнала: 2022, Номер 32(2), С. 31 - 34

Опубликована: Май 5, 2022

With the increase in research publications over recent decades, evidence synthesis has become more important order to collate and succinctly summarize knowledge about specific topics. This offers clinicians, policy-makers, researchers, educators, interested readers across a wide range of issues. There are than 14 different types reviews literature, each with their own methods.1 Of these, systematic reviews, scoping integrative, narrative qualitative methodologies most common. As secondary data source, have an increasingly popular method for summarizing vast volumes published some fields. Disciplinary topics can be focus multiple example, higher education2 or medicine.3 many primary sources available, faced spending amounts time sourcing, collating making sense evidence. The umbrella review methodology overcomes this problem by synthesizing findings from number report on one field research. methods article introduces reader list available literature resources assist conducting type review. Publications using escalated, marked since year 2015.4 brings together under single “canopy” umbrella. is also classified as “review reviews,” “synthesis “overview reviews” according Aromataris et al.‘s manual.5 approach considered useful producing high levels robust reliable well-researched topics.6 We see wide-ranging nursing addressed handovers patient safety7; use simulation-based learning undergraduate nurse education8; risk factors postpartum depression.9 early examples focused meta-analyses. became popular, shifted include studies varying designs, dependent mostly question topic investigation.10, 11 purposes application vary. One key purpose provide succinct given topic.10 Data analyses reporting collated rather repeatedly analyzed; then synthesized interpreted. Thus, produces timely shorter timeframe traditional studies.5 In addition, alleviate feeling overwhelmed when large particularly if there recommendations conflicting conclusions.6 Furthermore, examine quality evidence, level publication bias experimental enhancing confidence rigor robustness information.1 said serve clear providing succinct, transparent ‘truth source’ inform evidence-based decision health care.10 However, reported advantages will discounted not well performed, properly interpreted accurately reported. reviewed research-reporting guidance up 2022. section intends offer concise summary recommended steps plan conduct we thought present several eminent highly cited that extracted formatted steps, following table (Table 1). Further, detailed sought, illustrated Table 2. Consider justify need For suitable Controversial Topics impacted been Provide rationale linked how study advance At least two authors required appraisal extraction Use PICO (Population, Intervention, Comparator, Outcome) design title state question/s Include (umbrella similar) title. Follow protocol requirements chosen registration site guide (see 2, https://www.crd.york.ac.uk/prospero/). Design broad objectives inclusion criteria address questions variation define variables Participant Interventions phenomena interest Context setting Outcomes Present flowchart search process PRISMA guidelines: http://www.prisma-statement.org/ A minimum screen identify inclusions Two reviewers independently assessments relevant checklists—see here https://synthesismanual.jbi.global. Describe included tables https://synthesismanual.jbi.global) Narratively Highlight points individual Describe/name interventions Report results/outcomes (graphics, charts understand processes). Summarize results, could as: thematic map, word cloud traffic light system limitations benefits implications/further validity, reliability paramount achieve publication, often guided checklists ensure description all components. Various presented EQUATOR Network (www.equator-network.org). Collaboration at working articles desirable because may mitigate errors. Authors consider managing selection through software such COVIDENCE (https://www.covidence.org/) JBI facilitation SUMARI (https://sumari.jbi.global/). Microsoft TEAMs Google Docs (online editor) suffice; however, thoughtful preparation planning help streamline screening, extraction, critical processes. Research students expected complete rigorous, transparent, biased examination topic-specific Fusar-Poli Radua6 argue differently. them methodology, forcing into second place. therefore encourage degree students, supervisors, completing truthful source helps gaps current especially those studying scholarships dictate completion. 2 provides features An (or reviews) advantage convergent divergent describing what unknown. made possible informed overall, representing participant numbers. Although new, emerging information queries. Depending investigation, whether established appropriateness questions, well-conducted contributes much ever-growing body scholarly knowledge. novice researchers volume topic, policy-makers wanting make decisions recommended. Umbrella rigorous scientific tertiary enjoy popularity reports continue surge. no conflict declare. Robyn Cant, PhD, Fellow School Health, Federation University Australia, Victoria. She track record education around teaching nursing. Colleen Ryan, RN lecturer Head Professional Practice Nursing Midwifery Social Sciences CQ University, Queensland. developing educator professional development clinical Michelle A. Kelly, MN, BSc, Associate Professor – Simulation Practice, Nursing, Curtin Australia. extensive experience academia specifically pedagogy healthcare simulation. supervised completion strong publications.

Язык: Английский

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Nature-based solutions for climate change adaptation: A systematic review of systematic reviews

Nature-Based Solutions, Год журнала: 2022, Номер 2, С. 100042 - 100042

Опубликована: Ноя. 14, 2022

More than 90 systematic reviews have been conducted on the topic of nature-based solutions for climate change adaptation (NBS-CCA). These prior reviews, however, are scattered across more 45 different peer-reviewed journals and gray literature sources, making it difficult to follow all knowledge generated remaining research gaps. In this study, we a review NBS-CCA, with objective mapping analyzing these reviews. We found that most had relatively narrow focuses, typically focusing particular geographic context NBS-CCA (mainly in urban coastal areas) or aspect planning/implementation outcomes assessment policy/governance issues). Fewer focused mountainous areas social financial aspects planning/implementation. The majority relied solely analysis, only 26% including literature, despite large amount variety exists. Notably, no yet attempted comprehensively analyze contexts e.g. through meta-analysis available topic. This would likely require massive multidisciplinary effort, but could be worthy endeavor considering realized need integrate into national/subnational policies various international environmental agreements pertaining (e.g., Paris Agreement) biodiversity conservation Post-2020 Global Biodiversity Framework).

Язык: Английский

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Neglected medium-term and long-term consequences of labour and childbirth: a systematic analysis of the burden, recommended practices, and a way forward

The Lancet Global Health, Год журнала: 2023, Номер 12(2), С. e317 - e330

Опубликована: Дек. 6, 2023

Over the past three decades, substantial progress has been made in reducing maternal mortality worldwide. However, historical focus on reduction accompanied by comparative neglect of labour and birth complications that can emerge or persist months years postnatally. This paper addresses these overlooked conditions, arguing their absence from global health agenda national action plans led to misconception they are uncommon unimportant. The limitation postnatal care services 6 weeks after is also a contributing factor. We reviewed epidemiological data medium-term long-term arising childbirth beyond weeks, along with high-quality clinical guidelines for prevention, identification, treatment. explore complex interplay human evolution, physiology, inherent predispositions contribute complications. offer actionable recommendations change current trajectories neglected conditions help achieve targets Sustainable Development Goal 3. third Series four papers about perinatal period beyond.

Язык: Английский

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