Burden of severe maternal peripartum mental disorders in low- and middle-income countries: a systematic review.

Content Provider	Europe PMC
Author	Kalra, Harish Tran, Thach Romero, Lorena Chandra, Prabha Fisher, Jane
Abstract	Peripartum severe mental disorders (PSMDs) encompass schizophrenia, affective psychosis, and psychotic and non-psychotic forms of bipolar disorders. PSMDs are well documented in high-income countries. However, much less is known about the prevalence of PSMDs in low- and middle-income countries (LMICs). The aim was to review the available literature systematically and estimate the prevalence of PSMDs among women in LMICs. We searched the Ovid MEDLINE, Embase, PsycINFO, CINAHL and Maternity and Infant Care databases systematically from the date of inception to Dec 31, 2020, for English-language publications with data on the prevalence of PSMDs among women in World Bank–defined LMICs. Selection of studies, extraction of data and assessment of study quality were each undertaken independently by at least two of the investigators. A total of five studies (completed in three countries spanning two continents) met the inclusion criteria. Five studies reported cumulative incidence of postpartum psychosis (ranging from 1.1 to 16.7 per 1000 births). We found no studies on the prevalence of severe mental disorder during pregnancy in these settings. Marked heterogeneity in methodology precluded meta-analysis. These findings indicate that PSMDs occur at a similar prevalence in low- and middle-income to high-income countries. However overall, there is a paucity of high-quality evidence from these settings. There is a need for rigorous studies with standardized methods to increase knowledge of the nature, prevalence, and determinants of PSMDs among women in resource-constrained LMICs to inform policies, service development, program planning and health professional training.Supplementary InformationThe online version contains supplementary material available at 10.1007/s00737-021-01201-9.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC8921056&blobtype=pdf
ISSN	14341816
Journal	Archives of Women's Mental Health [Arch Womens Ment Health]
Volume Number	25
DOI	10.1007/s00737-021-01201-9
PubMed Central reference number	PMC8921056
Issue Number	2
PubMed reference number	35061103
e-ISSN	14351102
Language	English
Publisher	Springer Vienna
Publisher Date	2022-01-21
Publisher Place	Vienna
Access Restriction	Open
Rights License	Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. © The Author(s) 2022
Subject Keyword	Psychosis Severe mental disorders Peripartum Low- and middle-income countries
Content Type	Text
Resource Type	Article
Subject	Psychiatry and Mental Health Obstetrics and Gynecology