Non-pharmacological interventions for postpartum depression

Wang, Yan; Li, Hui; Peng, Wei; Chen, Yalin; Qiu, Mimi; Wang, Jun; Hao, Qinghong; Tu, Yang; Liu, Yunlu; Zhu, Tianmin

doi:10.1097/md.0000000000021496

Cited by 6 publications

(6 citation statements)

References 25 publications

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“…However, due to concerns about the side effects of pharmacological therapy on the mother and the child, the majority of women with PPD select non-pharmacological treatment as their first line of mitigation. [ 43 ] Given the catastrophic effects of PPD on the mother as well as the child along with the high prevalence of disease, appropriate care for PPD is important. Psychological/psychosocial intervention, physical therapy, kinesitherapy, music therapy, and acupuncture all serve as non-drug treatments for PPD.…”

Section: Resultsmentioning

confidence: 99%

Prevalence and associated risk factors of postpartum depression in India: A comprehensive review

Panolan,

Thomas M

2024

JNRP

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Postpartum depression (PPD) is a psychological illness that affects women following delivery. According to the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), PPD is a serious form of depression that begins four weeks following birth and continues for one year. Pregnancy and the period after delivery can be hazardous for women. Mothers undergo significant biological, emotional, financial, and societal changes during this time. Some women are predisposed to mental health disorders such as melancholy and worry. Many postpartum women do not acknowledge the seriousness of their condition, and many depressed mothers go untreated. Untreated PPD is harmful to both the mother and the newborn. The exact cause of PPD is unclear; however, hormonal fluctuations during pregnancy and childbirth, genetic susceptibility, birth trauma as well as psychosocial and demographic factors may serve as potential risk factors. The objective of this study is to determine the prevalence and risk factors of PPD in India. The review evaluates English language literature on PPD using Scopus, PubMed, and Google Scholar databases searched electronically between 2000 and 2022. The keywords “postpartum depression,” or “postnatal depression,” and “prevalence,” and “causes,” and “risk factors,” or “predisposing factors,” or “predictive factors” were used to search the database. The prevalence of PPD varies in different geographical regions and study settings. In India, the overall prevalence of PPD is 22%. However, the greatest prevalence was in the southern regions (26%; 95% confidence interval [CI]: 19–32) and the lowest in the northern regions (15%; 95% CI: 10–21). This study outlines the burden of PPD in India. Comprehensive intervention programs should be implemented to address the disease at a national level. The national authorities should incorporate PPD screening in the National Mental Health Program and emphasize health promotion activities.

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Section: Resultsmentioning

confidence: 99%

Prevalence and associated risk factors of postpartum depression in India: A comprehensive review

Panolan,

Thomas M

2024

JNRP

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“…Non-pharmacological as well as pharmacological applications are frequently used to reduce postpartum symptoms and support breastfeeding (Domínguez-Solís et al, 2021; Manjuri & Latheef, 2016; Mi Son & Lee, 2015; Wang et al, 2020a). Reflexology is one of the non-pharmacological applications that can be used to reduce postpartum symptoms and support breastfeeding (Aksu & Palas Karaca, 2021; Basyouni et al, 2018; Çankaya & Ratwisch, 2020; Li et al, 2011; Mi Son & Lee, 2015).…”

Section: Introductionmentioning

confidence: 99%

Effect of Reflexology on Pain, Fatigue, Sleep Quality, and Lactation in Postpartum Primiparous Women After Cesarean Delivery: A Randomized Controlled Trial

Kiliçli ID,

Zeyneloglu ID

2024

J Hum Lact

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Background: Mothers commonly experience pain, fatigue, sleep disruption, and breastfeeding problems after cesarean delivery. To date, no follow-up study has examined all of these variables to evaluate the utility of reflexology in reducing these problems and supporting breastfeeding. Research Aim: This study aimed to determine the effect of foot reflexology performed in the postpartum period on pain, fatigue, sleep quality, and lactation in primiparous women who underwent cesarean delivery. Methods: This is a two-arm, parallel-group randomized controlled trial. Data were collected between January 1, 2020, and January 31, 2021, with a sample of 80 women who were randomly assigned to the reflexology ( n = 40) and control ( n = 40) groups. The reflexology group received 40 minutes of foot reflexology once a week for 8 weeks. The primary outcomes of the study were pain, fatigue, sleep quality, and breastfeeding efficacy. Results: Pain scores in the reflexology group decreased by 90.9% in week 1, 90.2% in week 2, and 59.8% in week 3 compared to the control group. Pain resolved at week 4 in the reflexology group and week 7 in the control group. The reflexology group showed a 36.9% decrease in fatigue level, a 48.0% increase in energy level, a 70.7% increase in sleep quality, and a 20.2% increase in breastfeeding efficacy compared to the control group (p < 0.05). Conclusions: Foot reflexology reduces postpartum symptoms and positively affects breastfeeding and can be used safely in postnatal care practices.

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“…Untreated depression may result in preterm labor, perinatal complications, increased cortisol levels in the newborn, and developmental disorders in children [28,29]. Depression is treated with psychotherapy and/or pharmacotherapy; however, women tend to opt for non-pharmacological options [30], such as music therapy [31], massages [32], behavioral therapy [33], and family support [34]. When properly utilized, physical activity, such as walking, yoga, resistance training, and water exercises, can significantly reduce the risk of developing perinatal and postpartum depression and promote a healthy lifestyle [35][36][37].…”

Section: Introductionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on the Level of Physical Activity, Emotional State, and Health Habits of Women in Late Pregnancy and Early Puerperium

Kołomańska-Bogucka

Pławiak

Mazur-Biały

2023

IJERPH

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The aim of the study was to determine the impact of the Covid-19 pandemic on the level of physical activity in the last trimester, the risk of developing postnatal depression, and general health habits in late pregnancy and the early postpartum period. Methods: The study population was women 1–8 days postpartum. Participants were divided into three groups depending on when they were recruited: (1) prepandemic (Ppan: n = 252, December 2019–March 2020), (2) COVID1 group (Cov1: n = 262, May 2020–September 2020), and (3) COVID2 group (Cov2: n = 226, June 2021–September 2021). The Ppan group included women from before the pandemic. The Cov1 group included patients after some restrictions were lifted. The Cov2 group included women after vaccinations became available. Research tools included a demographical questionnaire (age, education, childbirth details), the Pregnancy Physical Activity Questionnaire (PPAQ), the Edinburgh Postnatal Depression Scale (EPDS), and the Health Behavior Inventory (IZZ). Results: Regression analysis showed that regardless of other variables, women who gave birth during the pandemic spent less energy on total physical activity compared to the prepandemic group (Cov1: β = −18.930, 95%CI: −36.499 to −1.361; Cov2: β = −26.527, 95%CI: −44.322 to −8.733). We also found that as the risk of depression increased, engagement in general health habits decreased during the pandemic. Conclusions: The Covid-19 pandemic decreased the level of some subdomains of physical activity in pregnant women, with a general negative correlation between emotional state and healthy habits.

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Non-pharmacological interventions for postpartum depression

Cited by 6 publications

References 25 publications

Prevalence and associated risk factors of postpartum depression in India: A comprehensive review

Prevalence and associated risk factors of postpartum depression in India: A comprehensive review

Effect of Reflexology on Pain, Fatigue, Sleep Quality, and Lactation in Postpartum Primiparous Women After Cesarean Delivery: A Randomized Controlled Trial

The Impact of the COVID-19 Pandemic on the Level of Physical Activity, Emotional State, and Health Habits of Women in Late Pregnancy and Early Puerperium

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