Effectiveness of interventions to prevent perinatal depression: An umbrella review of systematic reviews and meta-analysis

Motrico, Emma; Bina, Rena; Kassianos, Angelos P.; Le, Huynh-Nhu; Mateus, Vera; Öztekin, Deniz; Rodriguez, María Fe; Moreno-Peral, Patricia; Conejo-Cerón, Sonia

doi:10.1016/j.genhosppsych.2023.03.007

Cited by 5 publications

(2 citation statements)

References 64 publications

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“…68 Therefore, mental health during crises must be considered a vital public health concern and appropriate care is needed to prevent any negative impact. 69 , 70 …”

Section: Discussionmentioning

confidence: 99%

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Global prevalence of perinatal depression and anxiety during the COVID‐19 pandemic: An umbrella review and meta‐analytic synthesis

Caffieri,

Gómez‐Gómez,

Barquero‐Jimenez

et al. 2023

Acta Obstet Gynecol Scand

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IntroductionThe prevalence of depression and anxiety symptoms in pregnant and postpartum women during the COVID‐19 pandemic was assessed by several systematic reviews (SRs) and meta‐analyses which provided contrasting and different results. We aimed to summarize the evidence relating to the global prevalence of anxiety and depression among pregnant and postpartum women during the COVID‐19 pandemic.Material and methodsAn umbrella review of SRs and meta‐analyses was performed. Searches were conducted in electronic databases up to April 2023. SRs and meta‐analyses reporting the prevalence of perinatal anxiety and depression during the COVID‐19 pandemic were selected for eligibility. Primary studies extracted from eligible meta‐analyses were included in the quantitative synthesis. The research protocol was registered on PROSPERO (CRD42020173125).ResultsA total of 25 SRs (198 primary studies) and 12 meta‐analyses (129 primary studies) were included in the qualitative and quantitative synthesis, respectively. Studies involved data from five continents and 45 countries. The pooled prevalence of antenatal and postpartum depression was 29% (n = 55; 95% CI: 25%–33%) and 26% (n = 54; 95% CI: 23%–30%), respectively. In the case of anxiety, the pooled antenatal and postnatal prevalence was 31% (n = 44; 95% CI: 26%–37%; n = 16; 95% CI: 24%–39%). Differences emerged between continents, with Africa having the highest prevalence of perinatal depression and Oceania and Europe having the highest prevalence of antenatal and postnatal anxiety. The prevalence also varied depending on the assessment tools, especially for antenatal anxiety. A medium‐high quality of the studies was observed. One SR assessed strength‐of‐evidence, reporting very low strength.ConclusionsDuring the COVID‐19 pandemic, depression and anxiety were common, affecting almost one in three perinatal women globally. A high heterogeneity and a risk of publication bias were found, partially due to the variety of assessment tools and cut‐offs. The results may not be generalized to minorities. Studies on the prevalence of clinical diagnoses are needed. Based on our results it is not possible to firmly affirm that the COVID‐19 pandemic was the main factor that directly increased perinatal depression and anxiety during the past few years. Future studies should study other factors' impact.

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“…68 Therefore, mental health during crises must be considered a vital public health concern and appropriate care is needed to prevent any negative impact. 69 , 70 …”

Section: Discussionmentioning

confidence: 99%

“…In fact, 64% of global maternal deaths, 50% of newborn deaths, and 51% of stillbirths worldwide occur in 29 countries enduring humanitarian crises 68 . Therefore, mental health during crises must be considered a vital public health concern and appropriate care is needed to prevent any negative impact 69,70 …”

Section: Discussionmentioning

confidence: 99%

Global prevalence of perinatal depression and anxiety during the COVID‐19 pandemic: An umbrella review and meta‐analytic synthesis

Caffieri,

Gómez‐Gómez,

Barquero‐Jimenez

et al. 2023

Acta Obstet Gynecol Scand

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Lived Experiences of Migrant Fathers in the Perinatal Period: A Systematic Review and Analysis

Vo,

McKenzie-McHarg,

Bennett

et al. 2024

J Immigrant Minority Health

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The worldwide population of migrant families is on the rise, and there is growing acknowledgement of the significance of supporting parental mental health within these families. However, understanding of the experiences of migrant fathers during the perinatal period remains incomplete. The objective of this review is to provide an overview of existing research on perinatal migrant fathers’ experiences in different cultures. Multiple searches were conducted in April 2023 for quantitative, qualitative, and mixed-methods studies across six electronic databases: Medline, CINAHL, Embase, PsycINFO, Web of Science, and Scopus. Fourteen eligible articles were identified, including nine qualitative studies, five quantitative studies, and no mixed-methods studies. The Mixed-methods Appraisal Tool was used to assess the quality of these studies. The quantitative findings were transformed into narrative summaries to be analysed thematically along with the qualitative data. Three themes were identified: (1) Cultural competence (dealing with cultural differences, needs related to original country); (2) Parenthood in a new country (challenges and adaptation to fatherhood, challenging traditional gender norms, lack of extended family and building new support networks, being the main supporter for the family); (3) Needs of the fathers and their personal difficulties. The findings of this review suggest a direction for future research in perinatal psychology. The review also provides insights into the need for social and community support for migrant fathers and how healthcare services can support this group during the perinatal period.

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Depression outcome in women with recurrent spontaneous abortion: A systematic review and meta-analysis

Zhang,

Feng,

Gao

et al. 2024

European Journal of Obstetrics & Gynecology and Reproductiv

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Effectiveness of interventions to prevent perinatal depression: An umbrella review of systematic reviews and meta-analysis

Cited by 5 publications

References 64 publications

Global prevalence of perinatal depression and anxiety during the COVID‐19 pandemic: An umbrella review and meta‐analytic synthesis

Global prevalence of perinatal depression and anxiety during the COVID‐19 pandemic: An umbrella review and meta‐analytic synthesis

Lived Experiences of Migrant Fathers in the Perinatal Period: A Systematic Review and Analysis

Depression outcome in women with recurrent spontaneous abortion: A systematic review and meta-analysis

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