Jane Fisher|Meena Cabral de Mello|Vikram Patel|At?f Rahman|Thach Tran|Sara Holton|Wendy Holmes
Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review
Jean Hailes|Monash University|World Health Organization|London School of Hygiene & Tropical Medicine|University of Liverpool|Institute of Psychology, Chinese Academy of Sciences|Center for Environment and Community Assets Development|Jean Hailes|Monash University|Burnet Institute
objective review evidence prevalence determinants nonpsychotic common perinatal mental disorders cpmds world bank categorized lowand lowermiddleincome countriesmethods major databases searched systematically englishlanguage publications prevalence nonpsychotic cpmds risk factors determinantsall study designs includedfindings thirteen papers covering 17 lowand lowermiddleincome countries provided findings pregnant women 34 women given birthdata disorders antenatal period available 9 8 countries disorders postnatal period 17 15weighted mean prevalence 156 95 confidence interval ci 154159antenatally 198 195200postnatallyrisk factors socioeconomic disadvantage odds ratio range 21132unintended pregnancy 1688being younger 2154being unmarried 3458lacking intimate partner empathy support 2094having hostile inlaws 2144experiencing intimate partner violence 211675having insufficient emotional practical support 2861 settings giving birth female 1826 history mental health problems 5156protective factors education relative risk 05 p 003 permanent job 064 95 ci 0410being ethnic majority 02 95 ci 0108and kind trustworthy intimate partner 052 95 ci 0309conclusion cpmds prevalent lowand lowermiddleincome countries particularly among poorer women genderbased risks psychiatric history