Postpartum depression in women with maternal near miss: a systematic review and meta-analysis

Abstract

Background

postpartum depression (PPD) is one of the psychological complications of mothers who have experienced severe maternal morbidity/maternal near miss (SMM/MNM) which can adversely affect the wellbeing of mothers, new born infants and other family members, but the risk level in this group is unclear. Therefore, we did a meta-analysis to ascertain the relationship PPD with MNM/SMM.

Material and methods

The authors searched relevant studies in databases (Web of Science, PubMed, EMBASE, Clinikalkey, Scopus).The summary odds ratio (OR) along with 95% confidence interval (CI) was calculated by use of random or fixed effects models.

Results

Four studies were included in qualitative synthesis. The pooled analysis revealed that PPD was significantly associated with an increased risk of MNM/SMM (OR = 1.83; 95% CI 1.37–2.44, p = 0.027).

Conclusion

The results show that the risk of PPD in the MNM mothers are twice as likely as women without MNM. Therefore, more attention should be paid to psychological symptoms such as depression in MNM in order to reduce the long-term burden of maternal morbidity.

Keywords:

• Postpartum depression
• maternal near miss
• severe maternal morbidity
• systematic review

Ethical approval

Research ethics confirmation was received from the Ethics Committee of Mashhad University of Medical Sciences.

Acknowledgements

The researchers express their appreciation for the financial support of the university. This article was derived from a PhD thesis with project number 971489.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Author contributions

Contribution details (to be ticked marked as applicable)

Table

Summary of work done by the contributors

Additional information

Funding

This study was a part of a doctoral thesis funded by Mashhad University of Medical Sciences, Mashhad, Iran