Prevalence of postpartum depression and interventions utilized for its management

Anokye, Reindolf; Acheampong, Enoch; Budu-Ainooson, Amy; Obeng, Edmund Isaac; Gyimah, Akwasi Adjei

doi:10.1186/s12991-018-0188-0

Cited by 153 publications

(141 citation statements)

References 22 publications

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“…Symptoms associated with depression are extremely common following childbirth (1), with a considerable number of postpartum patients being diagnosed with clinically signi cant depression (2).…”

Section: Introductionmentioning

confidence: 99%

Postpartum mood among universally screened high and low socioeconomic status patients during COVID-19 social restrictions in New York City.

Silverman

Burgos

Rodriguez

et al. 2020

Preprint

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Introduction: The mental health effects of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and the Coronavirus disease 2019 (COVID-19) pandemic on postpartum women is of increasing concern among mental health practitioners. To date only a handful of studies have explored the impact of the pandemic during pregnancy and none have attempted explore the impact of pandemic related social restrictions on postpartum mood.Methods: Postpartum patients appearing to the Mount Sinai Health System for their postpartum appointment between January 2, 2020 and June 30, 2020, corresponding to before and during pandemic imposed social restrictions, were screened for mood symptomatology using the Edinburgh Postnatal Depression Scale (EPDS). Each patient’s socioeconomic status (SES; high/low) was determined by their location of clinical service.Results: 516 postpartum patients were screened. While no differences in EPDS scores were observed by SES prior to social restrictions (t(262)=0.23, p=.82), a significant change in mood symptomatology was observed following COVID-19 restrictions (t(288)=2.32, p<.02), with patients living in lower SES reporting significantly less depression symptomatology (t(321)=4.07, p<.01). There was no change in symptomatology among patients of higher SES (t(191)=0.59, p=0.56).Discussion: Postpartum depression, the most common complication of childbearing, is a prevalent, cross-cultural disorder with significant morbidity. The observed differences in postpartum mood between patients of different SES in the context of temporarily imposed COVID-19 related social restrictions present a unique opportunity to better understand the specific health and social support needs of postpartum patients living in urban poverty. Given that maternal mental illness has negative long-term developmental implications for the offspring, and that poor mental health reinforces the poverty cycle, future policy specifically directed towards supporting urban postpartum women living in low-SES by ameliorating some of the early maternal mental health burdens associated with balancing employment-family-childcare demands may assist in interrupting this cycle while simultaneously improving the long-term outcomes of their offspring.

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Section: Introductionmentioning

confidence: 99%

Postpartum mood among universally screened high and low socioeconomic status patients during COVID-19 social restrictions in New York City.

Silverman

Burgos

Rodriguez

et al. 2020

Preprint

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show abstract

“…PPD after childbirth is one of the complications that may affect mothers' in postpartum period. PPD is a mood disorder which affects approximately 10 to15 percent of adult mothers yearly [2]. PPD can also deteriorate mother-infant relationship and affect all aspects of mother's life including her social activities, personal functioning, and housekeeping ability.…”

Section: Introductionmentioning

confidence: 99%

Early Maladaptive schemas and Premenstrual syndrome in mothers with postpartum depression

Alimoradi

Nejat

2018

PCNM

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Background: Mood disorders constitute a prevalent problem during postnatal period. Nonetheless, three is not adequate information on the underlying mechanism of postpartum depression (PPD). Objectives: Therefore, this study aimed to investigates the role of early maladaptive schemas (EMSs) and premenstrual syndrome (PMS) in mothers with postpartum depression (PPD) referring to health centers in Mashhad. Methods: In order to carry out this cross-sectional study purposeful sampling was used to select 179 mothers who referred to health centers in Mashhad during February, March, and April of 2018 and met the relevant criteria of study as the participants. Participants completed Young"s Early Maladaptive Schema, Premenstrual syndrome (PSST) and the Edinburgh Depression Scale. Descriptive statistics and stepwise regression analysis were used to analyze the data with SPSS version 20. Results: The participants ranged in age from 19 to 41 and their mean age was 29.7±8/7. This group of participants consisted of 106 mothers who had experienced their first delivery, 42(24.4%) mothers who had experienced their second delivery, and 24(14%) mothers who had experienced their third delivery. The results revealed that PMS (P<0/001; r=0.56) and EMSs (P<0/05; r=0.65) had significant correlations with PPD. PMS and EMSs together predicted 42% of the variance of PPD. Conclusion: The findings of this study suggests that PMS and EMSs affect mothers" PPD.

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“…Multiple earlier studies also reported that good interpersonal relationships across the social support networks increase exibility to stress and subsidize enormously women from developing postpartum depression (78)(79)(80)(81) hence decreasing the risk of Postpartum depression. A study in Ghana on interventions for women with postpartum depression revealed that psychosocial support interventions are the most effective treatments implying an underling psychosocial de cit in this target population (82).…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review and Meta-Analysis of Depression in Postnatal Women in the Case of a Low-Income Country; Ethiopia, 2020

Necho¹,

Abadisharew²

2020

Preprint

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BackgroundMaternal mental health in the postpartum period is essential for the optimal development of the newborn and appropriate breastfeeding practices. Despite this, a shortage of concrete evidence exists regarding the magnitude of postpartum depression and associated factors. This meta-analysis study was therefore done to fill such a gap.MethodsPubMed, Scopus, and EMBASE were investigated with no time limitation. A manual search for a reference list of articles was also done. Relevant data were extracted using Meta XL package and analysis was done Stata-11 meta-prop package. Heterogeneity was checked with Cochran's Q-statistics and the Higgs I2 test. Furthermore, sub-group and sensitivity analyses were done. Egger's test and funnel plots tests were engaged to identify publication bias.ResultsA total of 16 studies that assessed 11400 postpartum women in Ethiopia were included. The average estimated prevalence of postpartum depression was 21.9% (95% CI: 18.98, 24.77). The pooled prevalence of postpartum depression was higher in studies that used SRQ-20; 24.6% (95% CI: 18.42, 30.84) than studies that used PHQ-9; 18.9% (95% CI: 11.52, 26.28). Moreover, the pooled estimated prevalence of postpartum depression was slightly higher in the southern part of Ethiopia (22.6%) than Addis Ababa (21.2%). Poor marital relation (pooled aOR = 3.56) (95% CI: 2.50, 4.63), unplanned pregnancy (pooled aOR = 3.48) (95% CI: 2.18, 4.79), previous history of depression (pooled aOR = 4.33) (95% CI: 2.26, 6.59), poor social support (pooled aOR = 4.5) (95% CI: 3.34, 5.56), domestic violence (pooled aOR = 3.77) (95% CI: 2.62, 4.92), family history of mental illness (pooled aOR = 4) (95% CI:1.56, 6.56), use of substance (pooled aOR = 4.67) (95% CI:4.00, 5.34), low income (pooled aOR = 2.87) (95% CI: 1.59, 4.14), stressful life event (pooled aOR = 3.5) (95% CI: 1.39, 5.87) and perinatal complications (pooled aOR = 3.8)( 95% CI: 1.45, 6.15) were among the associated factors for postpartum depression in Ethiopia.ConclusionMore than one in five women was with postpartum depression and factors such as poor marital relations, history of depression, poor social support, domestic violence, unplanned pregnancy, family history of mental illness were related to it. Therefore, maternal postnatal care services should be geared to incorporate this public essential health concern.

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Prevalence of postpartum depression and interventions utilized for its management

Cited by 153 publications

References 22 publications

Postpartum mood among universally screened high and low socioeconomic status patients during COVID-19 social restrictions in New York City.

Postpartum mood among universally screened high and low socioeconomic status patients during COVID-19 social restrictions in New York City.

Early Maladaptive schemas and Premenstrual syndrome in mothers with postpartum depression

A Systematic Review and Meta-Analysis of Depression in Postnatal Women in the Case of a Low-Income Country; Ethiopia, 2020

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