responsive than comparison group mothers (mean difference 0.5; 95% CI 0.1 to 0.9). Duration of breastfeeding was longer for intervention mothers than comparison mothers (mean difference 7.9 weeks; 95% CI 2.9 to 12.9). Child mental, psychomotor and behavioural development at 18 months: no significant overall group differences in child mental, psychomotor or behavioural development. Birth weight: No significant difference between groups. Mothers assessed antenatally as having psychosocial distress benefitted from the intervention across a number of areas. 9. NR Lay personnel Dennis and Dowswell. 1. NR. 4. 28 trials, N= 16912/ 8. Less prevalence of PND: 10. NR. 13. Psychosocial and (2013). almost 17,000 pregnant outcome assessments varied psychological 2. Postpartum home visits women and new mothers considerably between studies, 11. Midwifery-based interventions significantly Cochrane Systematic provided by public health including adolescents and ranging from three to 28 weeks. flexible postpartum reduce the number of Review nurses or midwives/ lay younger mothers. care and lay telephone women who develop (peer)-based telephone 9. Psychosocial interventions: support interventions postpartum depression. To assess the effect of support/ interpersonal 5. Primary care. antenatal/postnatal incorporated screening No evidence that a specific psychosocial and psychotherapy classes/groups, home visits/ with the Edinburgh health professional psychological interventions 6. Postnatal depression- telephone support/, early Postnatal Depression providing an intervention to reduce the risk of 3. Psychosocial and EPDS used most frequently postpartum support/ continuity Scale (EPDS) for the increased the likelihood of developing postpartum psychological interventions to assess but other tools of care models. early identification of a preventative effect. depression. vs usual AN/,PN care to also used.
responsive than comparison group mothers (mean difference 0.5; 95% CI 0.1 to 0.9). Duration of breastfeeding was longer for intervention mothers than comparison mothers (mean difference 7.9 weeks; 95% CI 2.9 to 12.9). Child mental, psychomotor and behavioural development at 18 months: no significant overall group differences in child mental, psychomotor or behavioural development. Birth weight: No significant difference between groups. Mothers assessed antenatally as having psychosocial distress benefitted from the intervention across a number of areas. 9. NR Lay personnel Dennis and Dowswell. (2013). Cochrane Systematic Review To assess the effect of psychosocial and psychological interventions to reduce the risk of developing postpartum depression. 1. NR. 2. Postpartum home visits provided by public health nurses or midwives/ lay (peer)-based telephone support/ interpersonal psychotherapy 3. Psychosocial and psychological interventions vs usual AN/,PN care to 4. 28 trials, N= 16912/ almost 17,000 pregnant women and new mothers including adolescents and younger mothers. 5. Primary care. 6. Postnatal depression- EPDS used most frequently to assess but other tools also used. 8. Less prevalence of PND: outcome assessments varied considerably between studies, ranging from three to 28 weeks. 9. Psychosocial interventions: antenatal/postnatal classes/groups, home visits/ telephone support/, early postpartum support/ continuity of care models. 10. NR. 11. Midwifery-based flexible postpartum care and lay telephone support interventions incorporated screening with the Edinburgh Postnatal Depression Scale (EPDS) for the early identification of 13. Psychosocial and psychological interventions significantly reduce the number of women who develop postpartum depression. No evidence that a specific health professional providing an intervention increased the likelihood of a preventative effect.
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