Postpartum depression and associated factors among postpartum women in Ethiopia: a systematic review and meta-analysis, 2020
Abstract Introduction The postpartum period is recognized as a high-risk period for the development of various mood disorders like postpartum depression. Globally, postnatal depression is a serious public health problem that has a negative impact on the mother’s health and child development, especia...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2020-09-01
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| Series: | Public Health Reviews |
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| Online Access: | http://link.springer.com/article/10.1186/s40985-020-00136-3 |
| _version_ | 1818407417560432640 |
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| author | Tadesse Tolossa Getahun Fetensa Mekdes Tigistu Yilma Muktar Abadiga Bizuneh Wakuma Merga Besho Ginenus Fekadu Werku Etafa |
| author_facet | Tadesse Tolossa Getahun Fetensa Mekdes Tigistu Yilma Muktar Abadiga Bizuneh Wakuma Merga Besho Ginenus Fekadu Werku Etafa |
| author_sort | Tadesse Tolossa |
| collection | DOAJ |
| description | Abstract Introduction The postpartum period is recognized as a high-risk period for the development of various mood disorders like postpartum depression. Globally, postnatal depression is a serious public health problem that has a negative impact on the mother’s health and child development, especially in developing countries. In Ethiopia, even though there are different primary studies conducted on postpartum depression, there is no nationally representative evidence. Therefore, the aim of this systematic review and meta-analysis was to estimate the pooled prevalence and associated factors of postpartum depression in Ethiopia. Methods Published and unpublished articles from various electronic databases and digital libraries were accessed. This systematic review included studies that were conducted on the magnitude and factors associated with postpartum depression among postnatal women in Ethiopia. A random-effect model was used to estimate the pooled magnitude of postpartum depression with a 95% confidence interval (CI). Inverse variance (I2) was used to visualize the presence of heterogeneity, and forest plot was used to estimate the pooled magnitude of postpartum depression. Publication bias was assessed by funnel plots and Egger’s statistical tests. A meta-regression and subgroup analysis were computed to minimize underlying heterogeneity. Result Initially, a total of 764 studies were accessed. Twenty-eight full articles were assessed for eligibility criteria, of which twelve studies fulfilled inclusion criteria were included in the final meta-analysis. The overall pooled magnitude of postpartum depression was 22.89% (95% CI 17.75%, 28.03%) with the lowest (12.20%) and highest (33.82%) in the Southern nations region. Unplanned pregnancy, domestic violence, lack of social support, previous history of depression, infant loss, and dissatisfaction in marriage showed a statistically significant association with postpartum depression. Conclusions In the current analysis, the prevalence of postpartum depression was high as compared with other developing countries. Routine screening of mothers in the postpartum period and integrating mental health with maternal health care is highly recommended. |
| first_indexed | 2024-12-14T09:27:30Z |
| format | Article |
| id | doaj.art-4c531ff2c143413c8f948bf4e9059732 |
| institution | Directory Open Access Journal |
| issn | 2107-6952 |
| language | English |
| last_indexed | 2024-12-14T09:27:30Z |
| publishDate | 2020-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Public Health Reviews |
| spelling | doaj.art-4c531ff2c143413c8f948bf4e90597322022-12-21T23:08:10ZengFrontiers Media S.A.Public Health Reviews2107-69522020-09-0141112010.1186/s40985-020-00136-3Postpartum depression and associated factors among postpartum women in Ethiopia: a systematic review and meta-analysis, 2020Tadesse Tolossa0Getahun Fetensa1Mekdes Tigistu Yilma2Muktar Abadiga3Bizuneh Wakuma4Merga Besho5Ginenus Fekadu6Werku Etafa7Department of Public Health, Institutes of Health Sciences, Wollega UniversityDepartment of Nursing, School of Nursing and Midwifery, Wollega UniversityDepartment of Public Health, Institutes of Health Sciences, Wollega UniversityDepartment of Nursing, School of Nursing and Midwifery, Wollega UniversityDepartment of Nursing, School of Nursing and Midwifery, Wollega UniversityDepartment of Midwifery, School of Nursing and Midwifery, Wollega UniversityDepartment of Pharmacy, Institutes of Health Sciences, Wollega UniversityDepartment of Nursing, School of Nursing and Midwifery, Wollega UniversityAbstract Introduction The postpartum period is recognized as a high-risk period for the development of various mood disorders like postpartum depression. Globally, postnatal depression is a serious public health problem that has a negative impact on the mother’s health and child development, especially in developing countries. In Ethiopia, even though there are different primary studies conducted on postpartum depression, there is no nationally representative evidence. Therefore, the aim of this systematic review and meta-analysis was to estimate the pooled prevalence and associated factors of postpartum depression in Ethiopia. Methods Published and unpublished articles from various electronic databases and digital libraries were accessed. This systematic review included studies that were conducted on the magnitude and factors associated with postpartum depression among postnatal women in Ethiopia. A random-effect model was used to estimate the pooled magnitude of postpartum depression with a 95% confidence interval (CI). Inverse variance (I2) was used to visualize the presence of heterogeneity, and forest plot was used to estimate the pooled magnitude of postpartum depression. Publication bias was assessed by funnel plots and Egger’s statistical tests. A meta-regression and subgroup analysis were computed to minimize underlying heterogeneity. Result Initially, a total of 764 studies were accessed. Twenty-eight full articles were assessed for eligibility criteria, of which twelve studies fulfilled inclusion criteria were included in the final meta-analysis. The overall pooled magnitude of postpartum depression was 22.89% (95% CI 17.75%, 28.03%) with the lowest (12.20%) and highest (33.82%) in the Southern nations region. Unplanned pregnancy, domestic violence, lack of social support, previous history of depression, infant loss, and dissatisfaction in marriage showed a statistically significant association with postpartum depression. Conclusions In the current analysis, the prevalence of postpartum depression was high as compared with other developing countries. Routine screening of mothers in the postpartum period and integrating mental health with maternal health care is highly recommended.http://link.springer.com/article/10.1186/s40985-020-00136-3Postpartum depressionSystematic reviewEthiopia |
| spellingShingle | Tadesse Tolossa Getahun Fetensa Mekdes Tigistu Yilma Muktar Abadiga Bizuneh Wakuma Merga Besho Ginenus Fekadu Werku Etafa Postpartum depression and associated factors among postpartum women in Ethiopia: a systematic review and meta-analysis, 2020 Public Health Reviews Postpartum depression Systematic review Ethiopia |
| title | Postpartum depression and associated factors among postpartum women in Ethiopia: a systematic review and meta-analysis, 2020 |
| title_full | Postpartum depression and associated factors among postpartum women in Ethiopia: a systematic review and meta-analysis, 2020 |
| title_fullStr | Postpartum depression and associated factors among postpartum women in Ethiopia: a systematic review and meta-analysis, 2020 |
| title_full_unstemmed | Postpartum depression and associated factors among postpartum women in Ethiopia: a systematic review and meta-analysis, 2020 |
| title_short | Postpartum depression and associated factors among postpartum women in Ethiopia: a systematic review and meta-analysis, 2020 |
| title_sort | postpartum depression and associated factors among postpartum women in ethiopia a systematic review and meta analysis 2020 |
| topic | Postpartum depression Systematic review Ethiopia |
| url | http://link.springer.com/article/10.1186/s40985-020-00136-3 |
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