Perinatal depression and associated factors in Ethiopia: a systematic review and meta-analysis.

Journal: BMC psychiatry

Volume: 24

Issue: 1

Year of Publication: 2024

Affiliated Institutions:  Department of Psychiatry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. gidur@gmail.com. Department of Psychiatry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. School of Nursing, College of Health Science and Medicine , Wolaita Sodo University, Sodo, Ethiopia.

Abstract summary 

Perinatal depression is a significant public health issue affecting one in four women globally. It occurs at a critical time of a woman's life; affecting her relationships with family, and child's emotional, behavioral, and cognitive development. Considering the burden of the problem to the whole family, this systematic review and meta-analysis was conducted to estimate the pooled prevalence of perinatal depression and its determinants in Ethiopia to provide up-to-date evidence at a national level.All observational studies conducted on perinatal depression in Ethiopia were included based on the selection criteria. Data was extracted using Microsoft Excel and then exported to STATA version-11 for analysis. The random-effects model was employed to estimate the pooled effect size of perinatal depression and its determinants with 95% confidence intervals. Funnel plots analysis and Egger regression tests were conducted to check the publication bias. Sub-group and sensitivity analyses were also performed.This systematic review and meta-analysis included thirty studies and the pooled prevalence of perinatal depression in Ethiopia was 24.29% (95% CI (21.98, 26.59)). According to the subgroup analysis, the pooled prevalence of antenatal depression and others (postnatal and perinatal depression) was 24.24% and 24.52% respectively. Regarding determinants of perinatal depression, having unplanned pregnancy [OR = 3.04 (2.2, 4.2)], intimate partner violence [OR = 3.09(2.14, 4.46)], poor social support [OR = 3.3(2.38, 4.57)], and a history of depression [OR = 3.68(2.45, 5.52)] were significantly associated with depression.This study showed that the pooled prevalence of perinatal depression in Ethiopia was found to be high. To ensure the mental health of both the mother and child, health professionals should routinely screen perinatal women for depression giving special focus for those with a history of depression and managing them accordingly.

Authors & Co-authors:  Rtbey Gidey G Andualem Fantahun F Nakie Girum G Takelle Girmaw Medfu GM Mihertabe Milen M Fentahun Setegn S Melkam Mamaru M Tadesse Gebresilassie G Birhan Belete B Tinsae Techilo T

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Patel V, Rodrigues M, DeSouza N. Gender, poverty, and postnatal depression: a study of mothers in Goa, India. Am J Psychiatry. 2002;159(1):43–7.
Authors :  10
Identifiers
Doi : 822
SSN : 1471-244X
Study Population
Female,Women
Mesh Terms
Humans
Other Terms
Antenatal depression;Ethiopia;Meta-analysis;Perinatal depression;Postnatal depression
Study Design
Study Approach
Systemic Review
Country of Study
Ethiopia
Publication Country
England