Prevalence and associated factors of post-partum depression in Ethiopia. A systematic review and meta-analysis.

Journal: PloS one

Volume: 16

Issue: 2

Year of Publication: 2021

Affiliated Institutions:  Department of Psychiatry College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia. Department of Epidemiology and Biostatics, Institute of Public Health College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Department of Medical Nursing, School of Nursing, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

Abstract summary 

Globally, post-partum depression is a major public health problem and is associated with a harmful effect on the infant, child, and mothers' mental, physical, and social health. Although a few post-partum depression studies have been published, we still lack an accurate estimated pooled prevalence of national PPD and associated factors.This study aims to show the estimated pooled prevalence of PPD and associated factors in Ethiopia.We conduct the extensive search of articles as indicated in the guideline (PRISMA), reporting systematic review and meta-analysis. Databases like MEDLINE, PubMed, psych INFO, Web of Science, EMBASE, CINAHL, Scopus, and The Cochrane Library. All publications and grey literature were addressed by using MeSH terms and keywords. The pooled estimated effect of post-partum depression and associated factors was analyzed using the random effect model meta-analysis, and 95% CI was also considered.PROSPERO 2020 CRD42020176769 Available from https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020176769.A total of 11 studies with 7,582 participants were included in this meta-analysis. The estimated pooled prevalence of post-partum depression (PPD) was 22.08%, with a 95% CI (17.66%, 26.49). For factors associated with post-partum depression, a random effect size model was used during meta-analysis; unplanned pregnancy [(OR = 2.84; 95% CI (2.04, 3.97)], domestic violence [OR = 3.14; 95% CI (2.59, 3.80)], and poor social support [OR = 3.57;95% CI (2.29,5.54) were positively associated factors with post-partum depression.The estimated pooled prevalence of post-partum depression was high in Ethiopia. Unplanned pregnancy, poor social support, and domestic violence were factors affecting PPD. Therefore, the Ethiopian policymakers and health personnel better give more emphasis to mothers who had a history of unplanned pregnancy, domestic violence, and poor social support.

Authors & Co-authors:  Zeleke Tadele Amare TA Getinet Wondale W Tadesse Tessema Zemenu Z Gebeyehu Kassahun K

Study Outcome 

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Statistics
Citations :  Kessler RC, McGonagle KA, Swartz M, Blazer DG, Nelson CB. Sex and depression in the National Comorbidity Survey I: Lifetime prevalence, chronicity and recurrence. Journal of affective disorders. 1993;29(2–3):85–96. 10.1016/0165-0327(93)90026-g
Authors :  4
Identifiers
Doi : e0247005
SSN : 1932-6203
Study Population
Mothers
Mesh Terms
Depression, Postpartum
Other Terms
Study Design
Cross Sectional Study
Study Approach
Systemic Review
Country of Study
Ethiopia
Publication Country
United States