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Prevalence of antenatal depression in South Asia: a systematic review and meta-analysis

Research Output: Contribution to journal Article Peer-review

Open access

Sustainable Development Goals

  • SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well

Abstract

OBJECTIVE To estimate the prevalence of antenatal depression in South Asia and to examine variations by country and study characteristics to inform policy, practice and future research. METHODS We conducted a comprehensive search of 13 data bases including international data bases and databases covering scientific literature from South Asian countries in addition to Google Scholar and grey sources from 1·1·2007 to 31·5·2018. Studies reporting prevalence estimates of antenatal depression using a validated diagnostic/ screening tool were identified, screened, selected, and appraised. Primary outcome was proportion (%) of pregnant women identified as having antenatal depression. RESULTS Thirty-three studies involving 13,087 pregnant women were included in the meta-analysis. Twelve studies were rated as of high quality and 21 studies were of moderate quality. Overall pooled prevalence of antenatal depression was 24·57% (95% CI: 19·34, 30·69). Studies showed a high degree of heterogeneity (I2=97·55%) and evidence of publication bias (p=0·722). Prevalence rates for India (17·74%, 95% CI: 11·19, 26·96) and Sri Lanka (15·87%, 95% CI: 14·04, 17·88) were lower compared to the overall prevalence whereas prevalence rates for Pakistan (32·2%, 95% CI: 23·11, 42·87) and Nepal (50%, 95% CI: 35·64,64·36) were higher. CONCLUSIONS While robust prevalence studies are sparse in most South Asian countries, available data suggests one in four pregnant women is likely to experience antenatal depression in the region. Findings highlight the need for recognition of the issue in health policy and practice and for resource allocation for capacity building at regional and national levels for prevention, diagnosis and treatment.

Publication Information

Output type

Research Output: Contribution to journal Article Peer-review

Original language

English

Pages from-to (Number of pages)

Pages 768-777

Journal (Volume, Issue Number)

Journal of Epidemiology and Community Health (Volume 73, Issue 8)

Publication milestones

  • Accepted/In press - 29/03/2019
  • Published - 22/04/2019

Publication status

Published - 22/04/2019

ISSN

0143-005X

External Publication IDs

  • handle.net: 10547/623278
  • Scopus: 85064834696

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