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Systematic review and meta-analysis of postpartum depression and its associated factors among women before and after the COVID-19 pandemic in Uganda.
Kabunga, Amir; Tumwesigye, Raymond; Kigongo, Eustes; Musinguzi, Marvin; Acup, Walter; Auma, Anna Grace.
Afiliación
  • Kabunga A; Department of Psychiatry, Lira University, Lira, Uganda amirkabs2017@gmail.com.
  • Tumwesigye R; Lira University, Lira, Uganda.
  • Kigongo E; Lira University, Lira, Uganda.
  • Musinguzi M; Public Health, Lira University, Lira, Uganda.
  • Acup W; Lira University, Lira, Uganda.
  • Auma AG; Public Health, Lira University, Lira, Uganda.
BMJ Open ; 14(7): e076847, 2024 Jul 31.
Article en En | MEDLINE | ID: mdl-39089714
ABSTRACT

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%, I2=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, I2=96.8%), maternal illness (OR 1.22, 95% CI 1.19 to 1.26, I2=96.9%), poor socioeconomic status (OR 1.43, 95% CI 1.40 to 1.46, I2=99.5%) and undergoing caesarean section (OR 1.15, 95% CI 1.12 to 1.17, I2=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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Depresión Posparto / COVID-19 Límite: Female / Humans / Pregnancy País/Región como asunto: Africa Idioma: En Revista: BMJ Open Año: 2024 Tipo del documento: Article País de afiliación: Uganda Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Depresión Posparto / COVID-19 Límite: Female / Humans / Pregnancy País/Región como asunto: Africa Idioma: En Revista: BMJ Open Año: 2024 Tipo del documento: Article País de afiliación: Uganda Pais de publicación: Reino Unido