Chinese Sci-Tech Journal Databases

Musser, Linda; Atwill, Yurong Y.

doi:10.29173/istl2622

Cited by 1 publication

(1 citation statement)

References 6 publications

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“…Keywords Pregnancy complication(s), Postpartum mental health, Postpartum depression, Postpartum anxiety, Randomised controlled trial, Gestational diabetes mellitus, Preeclampsia, Hypertensive disorders of pregnancy two most relevant Chinese databases, China National Knowledge Infrastructure (CNKI) and Wan Fang, were also searched. (These two Chinese databases are ranked top 2 regarding number of journals, core journals and full-text coverage, as well as other resources including theses and dissertations) [21]. Combinations of related terms and equivalent subject were applied for "pregnancy complications", and "postpartum mental disorders" (See Supplementary File 1. for details of search strategies and results).…”

Section: Search Strategiesmentioning

confidence: 99%

The effectiveness of postpartum interventions aimed at improving women’s mental health after medical complications of pregnancy: a systematic review and meta-analysis

Jie

Dolikun

Tao

et al. 2022

BMC Pregnancy Childbirth

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Background Postpartum mental disorders including depression and anxiety are common. Medical complications of pregnancy, such as preeclampsia and gestational diabetes, are thought to increase the risk of mental disorders postpartum. However, it is unclear which interventions may be effective for preventing and/or treating postpartum mental disorders following a medically complicated pregnancy. We aimed to systematically review published literature on the effectiveness of postpartum interventions to improve women’s mental health after medical complications of pregnancy. Methods Systematic review (PROSPERO: CRD42021220030) was performed. Eligibility criteria: (1) randomized controlled trials (RCTs), published 1st Jan 2001-12th August 2021 (2) outcome measures reported on postpartum mental disorders (3) participants had ≥ 1 medical complication during pregnancy (4) intervention entirely postpartum or contained a postpartum component (5) full-text available in English or Chinese. Risk of bias was assessed using the Revised Cochrane Criteria Risk of Bias. Random effects inverse-variance weighted meta-analysis was used to pool the individual standardized mean differences (SMD) in depression or anxiety scores between intervention and control groups. Results Of 5928 studies screened, 9 met inclusion criteria, and were based on non-pharmaceutical, combined lifestyle interventions that began shortly after childbirth, or as part of extended care packages beginning during pregnancy. Of these, 2 were rated as low risk of bias, 1 with some concerns, and 6 were at high risk. Meta-analysis was performed for 8 studies using standardized measures of depression and 7 for anxiety. There were statistically significant reductions in depression (SMD − 1.48; 95%CI: -2.41 to -0.55), and anxiety scores (SMD − 1.98; 95%CI: -3.03 to -0.94) in intervention versus control groups. Considerable heterogeneity was noted for pooled depression (I2 = 97.9%, p < 0.05), and anxiety (I2 = 96.8%, p < 0.05) results. Conclusion Limited intervention studies aimed at improving postpartum mental disorders after medically complicated pregnancy were found, most with a high risk of bias. There was some evidence to suggest that postpartum depression and anxiety scores improved after early intervention. However, in general the current quality of evidence is low. Further, high-quality, interventional research is required in this understudied field.

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Section: Search Strategiesmentioning

confidence: 99%