Postpartum depression and traditional postpartum care in China: Role of Zuoyuezi

Abstract

These data highlight the importance of the peripartum experience in assessing PPD risk. Zuoyuezi is still commonly practiced in urban China, and further research is needed to explore its role in the potential prevention of PPD.

Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review

“…Such difficulties included having a partner who rejected paternity, who was unsupportive and uninvolved, or critical and quarrelsome, and who used alcohol to excess. 8,27,28,31,38,39,45,48 Higher average symptom scores among women in polygamous rather than monogamous marriages were found in Nigeria 53 and Nepal, 31 but not in Ethiopia. 30 Only seven 24,25,28,[30][31][32]40 studies investigated an association with intimate partner violence.…”

“…Rates of CPMD were also higher among women who were young 9,37,49 ; of a religious minority, 34 or unmarried. 13,39,55 However, other studies found no association between CPMD and maternal age 10,13,16,20,22,32,36,45,48 ; marital status 9,34,37,47 ; economic difficulties or a low income 13,22,26,32,36,45,48 ; unemployment 9,16,26,34,36,47 or adverse life events. 10,31…”

“…Thus, the findings from these studies cannot be generalized to the entire population of women who have recently given birth. The most representative samples are those recruited through rural health services in countries where more than 80% of women give birth with a skilled birth attendant, 23,25,26,48,49 or through household visits in settings where women commonly give birth at home,. 32,36,45 Samples obtained differently may have yielded inaccurate prevalence estimates ( Fig.…”

“…Relative rather than absolute disadvantage also appears to be relevant: Wan et al 48 found that not owning a car in Beijing was associated with a higher risk of suffering a CPMD (odds ratio, OR: 1.9; 95% CI: 1.0-3.6). Rates of CPMD were also higher among women who were young 9,37,49 ; of a religious minority, 34 or unmarried.…”

“…24 Patel et al 40 found that the risk of chronic depression associated with intimate partner violence was higher if the baby was a girl (relative risk, RR: 1.9; 95% CI: 1.2-2.8) rather than a boy (RR: 1.7; 95% CI: 0.8-3.5). A few studies found no association between CPMD and "marital conflict", 10,18,48 an "unhappy relationship with husband" 32,37 or the "husband's alcoholism". 18 …”