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2024 ; 14
(7
): e076847
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Systematic review and meta-analysis of postpartum depression and its associated
factors among women before and after the COVID-19 pandemic in Uganda
#MMPMID39089714
Kabunga A
; Tumwesigye R
; Kigongo E
; Musinguzi M
; Acup W
; Auma AG
BMJ Open
2024[Jul]; 14
(7
): e076847
PMID39089714
show ga
OBJECTIVE: This meta-analysis aimed to estimate the national prevalence of
postpartum depression (PPD) in Uganda and identify predictors in both
pre-COVID-19 and post-COVID-19 eras. DESIGN: Used a systematic review and
meta-analysis methodology. DATA SOURCES: Reviewed papers were sourced from
Medline/PubMed, PsycINFO, CINAHL/EBSCOhost, Google Scholar, ScienceDirect and
African Journals Online. ELIGIBILITY CRITERIA FOR SELECTED STUDIES: The review
encompassed observational studies published on PPD in Uganda from 1 January 2000
to 30 November 2023. RESULTS: 11 studies (involving 7564 participants) published
from 1 January 2000 to 30 November 2023 were reviewed. The pooled prevalence of
PPD in Uganda was 29% (95% CI 21% to 37%, I(2)=98.32%). Subgroup analysis
indicated a similar prevalence before (29%, 95% CI 20% to 39%) and during (28%,
95% CI 22% to 32%) the COVID-19 period. Special groups exhibited a higher
prevalence (32%, 95% CI 16% to 47%) than general postpartum women (28%, 95% CI
19% to 37%). Factors associated with PPD included poor social support (OR 1.19,
95% CI 1.17 to 1.22, I(2)=96.8%), maternal illness (OR 1.22, 95% CI 1.19 to 1.26,
I(2)=96.9%), poor socioeconomic status (OR 1.43, 95% CI 1.40 to 1.46, I(2)=99.5%)
and undergoing caesarean section (OR 1.15, 95% CI 1.12 to 1.17, I(2)=80.6%).
Surprisingly, there was a marginal decrease in PPD during the COVID-19 period.
Subgroup analysis highlighted a higher prevalence among mothers with HIV.
CONCLUSION: This study underscores the significant prevalence of PPD in Uganda,
with sociodemographic factors increasing risk. Despite a slight decrease during
the COVID-19 period, the importance of prioritising maternal mental health is
emphasised, considering sociodemographic factors and pandemic challenges, to
improve maternal and child health outcomes and overall well-being.