Literature review for - Flourish Paediatrics

Effect on risk
This variability is despite the fact that in most studies the
same instrument—EPDS was used
Authors found a high variability of reported PPD. Authors
state that the frequently cited mean prevalence of PPD (10–
15%) is not representative of the actual global prevalence
and magnitude of the problem.
The wide variation of PPD (3.5–63.3%) may reflect the
actual prevalence across countries or perhaps result from
methodological limitations across studies.
Postpartum depression is prevalent in Asian cultures as in
Western cultures
4 4
Clinical
importance
Clinical 1 1
relevance
Generalisability Y Y – Asia
Applicability Y Y – Asia
Studies used to make evidence statement for postnatal depression and breastfeeding outcomes
Reference Dennis & McQueen (2009) Henderson et al. (2003) (reviewed in Dennis & McQueen
adjacent)
Type of study SLR Cohort study
Level of evidence I (aetiology) II (aetiology)
Definition of
breastfeeding
Varied between studies. Authors stated all but 1 study had
an imprecise definition of breastfeeding.
The degree of breastfeeding
was defined according to the categories described by
Labbok and Krasove.
Intervention/
comparator
Aimed to determine the relationship between postpartum
depression and infant feeding outcomes
Postpartum depression (EPDS score> 12 at 8, 24, and 52
wks)
Outcome measure: breastfeeding duration
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