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Postnatal depression (pnd) and poverty: mapping the evidence

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Coast, E., T. Leone, D. McDaid & A. Hirose (2010) "Postnatal depression (PND) and poverty in low income countries: Mapping the evidence" Presented at Reproductive morbidity and poverty, London School …

Coast, E., T. Leone, D. McDaid & A. Hirose (2010) "Postnatal depression (PND) and poverty in low income countries: Mapping the evidence" Presented at Reproductive morbidity and poverty, London School of Economics, November 6th 2010

Published in Health & Medicine
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  • 1. Postnatal depression (PND) andpoverty in low income countries (LICs): Mapping the evidence Dr Ernestina Coast Dr Tiziana Leone David McDaid Dr Atsumi Hirose Eleri Jones Funded by the LSE Research Committee
  • 2. Suicide MaternalPsychosis mental Depression health Anxiety
  • 3. Suicide MaternalPsychosis mental Depression health Anxiety
  • 4. Research questions• How does PND affect poverty?• How does poverty affect PND?
  • 5. Rationale• Mental health problems during pregnancy and after childbirth are common• Distribution of research – 90% of HICs – 10% of LICs and MICs
  • 6. Rationale• Prevalence – 10-15% in HICs – 10-41% in LMICs CAUTION• Mental health not explicit in MDGs, but – MDG4: Reducing child mortality – MDG5: Improving maternal health – MDG3: Promoting gender equality
  • 7. Terminology• Perinatal mental health – Pregnancy and up to one year after childbirth – Increased physical and emotional demands on women• Postpartum depression / postnatal depression
  • 8. Why not a systematic review [SR]?• Pragmatism• Is there sufficient evidence for a SR?
  • 9. Search strategyPostpartum, postnatal, pregnan*, poverty, deprivation,perinatal, childbirth, puerperal, socio-economic,parturition, parity, mother, socioeconomic, income,maternal, post-partum, “post distress, “financialnatal”, puerperium, or post-natal) stress”, debt, consumption,in combination with expenditure, wealth, poor*, hardship, penury, destitution,depress*, “mental health”, “economic burden”,“mental illness”, “mental social or pay*disorder”, “mood disorder”,“affective disorder”, “baby blues”,“psychiatric morbidity”,“psychiatric disorder”, “psychiatricillness”, “mental distress” or“psychological distress”
  • 10. Search strategy• Countries defined by the World Bank as low or low middle income countries plus – “developing countries”, – “developing world” – “low income countries” – “third world ”• Studies published in or after 1990
  • 11. Excluded studies• Conducted in HICs including those on refugee populations from LMICs• On psychosis and paternal postpartum depression.• Editorials, letters, book reviews and articles without English abstracts.• Mental health assessed among women during pregnancy only• Among women outside 12 months postpartum period.
  • 12. Systematic mapping: method