Larkin Community Hospital, South Miami, FL, USA.
J Prim Care Community Health. 2021 Jan-Dec;12:21501327211059348. doi: 10.1177/21501327211059348.
The COVID-19 pandemic has had a devastating worldwide effect on mental health. Recent studies correlate the spreading of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) with symptoms of depression, most prominent in postpartum women. Our systematic literature review scope is to identify the risk factors and predictors for postpartum depression (PPD) and describe the steps that should be taken to help postpartum women. This study will help clinicians, researchers, and policymakers to elucidate the predictors of PPD during this pandemic and prevent these adverse outcomes in future crises.
We conducted a systematic search by employing databases PubMed, Google Scholar, Scopus, and Embase to identify articles published before March 2021. About 463 publications were generated during our search process and from those, 36 were reviewed, summarized, and synthesized. Studies qualified the criteria if they (1) utilized qualitative or quantitative design, (2) explored the risk factors for PPD, and (3) were written in English. Quality evaluation of each study was achieved by using criteria set by Lincoln and Guba.
Prevalence of depression symptoms ranged from 7% to 80.8% in postpartum women during the SARS-COV 2 pandemic. The risk factors for PPD were classified into 6 major categories: socio-demographic, psychological, pre-existing pathology, metabolic factors, previous events of miscarriage, and media misinformation.
It is extremely vital to care for women's mental health during pregnancy and after childbirth during these unprecedented times. This review urges the need to design adequate interventions for this vulnerable population to prevent negative consequences of PPD.
COVID-19 大流行对全球心理健康造成了毁灭性的影响。最近的研究表明，严重急性呼吸系统综合症冠状病毒 2（SARS-CoV-2）的传播与抑郁症症状有关，而产后妇女的症状最为明显。我们的系统文献综述范围是确定产后抑郁症（PPD）的风险因素和预测因素，并描述应采取的步骤来帮助产后妇女。这项研究将帮助临床医生、研究人员和政策制定者阐明大流行期间 PPD 的预测因素，并防止未来危机中出现这些不良后果。
我们通过使用 PubMed、Google Scholar、Scopus 和 Embase 数据库进行了系统搜索，以确定 2021 年 3 月之前发表的文章。在我们的搜索过程中产生了大约 463 篇出版物，其中 36 篇进行了审查、总结和综合。如果研究（1）采用定性或定量设计，（2）探讨了 PPD 的风险因素，以及（3）用英文书写，就符合标准。通过使用 Lincoln 和 Guba 设定的标准对每项研究进行质量评估。
在 SARS-CoV-2 大流行期间，产后妇女出现抑郁症状的比例从 7%到 80.8%不等。PPD 的风险因素分为六大类：社会人口统计学、心理、先前存在的疾病、代谢因素、先前的流产事件和媒体错误信息。
在这些前所未有的时期，极其重要的是要关注妇女在怀孕和分娩后的心理健康。这篇综述敦促需要为这一弱势群体设计适当的干预措施，以防止 PPD 的负面后果。
