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Journal article
Postpartum depression in India: a systematic review and meta-analysis
Bulletin of the World Health Organization, v 95(10), pp 706-717
01 Oct 2017
PMID: 29147043
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective : To provide an estimate of the burden of postpartum depression in Indian mothers and investigate some risk factors for the condition.
Methods : We searched PubMed (R), Google Scholar and Embase (R) databases for articles published from year 2000 up to 31 March 2016 on the prevalence of postpartum depression in Indian mothers. The search used subject headings and keywords with no language restrictions. Quality was assessed via the Newcastle-Ottawa quality assessment scale. We performed the meta-analysis using a random effects model. Subgroup analysis and meta-regression was done for heterogeneity and the Egger test was used to assess publication bias.
Findings : Thirty-eight studies involving 20 043 women were analysed. Studies had a high degree of heterogeneity (f = 96.8%) and there was evidence of publication bias (Egger bias = 2.58; 95% confidence interval, CI: 0.83-4.33). The overall pooled estimate of the prevalence of postpartum depression was 22% ( 95% CI: 19-25). The pooled prevalence was 19% (95% CI: 17-22) when excluding 8 studies reporting postpartum depression within 2 weeks of delivery. Small, but non-significant differences in pooled prevalence were found by mother's age, geographical location and study setting. Reported risk factors for postpartum depression included financial difficulties, presence of domestic violence, past history of psychiatric illness in mother, marital conflict, lack of support from husband and birth of a female baby.
Conclusion : The review shows a high prevalence of postpartum depression in Indian mothers. More resources need to be allocated for capacity-building in maternal mental health care in India.
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Details
- Title
- Postpartum depression in India: a systematic review and meta-analysis
- Creators
- Ravi Prakash Upadhyay - Vardhman Mahavir Medical College & Safdarjung HospitalRanadip ChowdhuryAslyeh Salehi - Southern Cross UniversityKaushik Sarkar - National Center for Disease ControlSunil Kumar Singh - Vardhman Mahavir Medical College & Safdarjung HospitalBireshwar Sinha - Lady Hardinge Medical CollegeAditya Pawar - Drexel UniversityAarya Krishnan Rajalakshmi - Drexel Univ, Coll Med, Dept Psychiat, Philadelphia, PA 19104 USAAmardeep Kumar - Patna Medical College and Hospital
- Publication Details
- Bulletin of the World Health Organization, v 95(10), pp 706-717
- Publisher
- World Health Organization
- Number of pages
- 14
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychiatry
- Web of Science ID
- WOS:000412401900014
- Scopus ID
- 2-s2.0-85030711147
- Other Identifier
- 991021866808404721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health