College of Health Sciences, VinUniversity, Vinhomes Ocean Park, Hanoi, Da Ton, Gia Lam, 100000, Vietnam.
Faculty of Health, University of Technology Sydney, 15 Broadway, Ultimo, NSW, 2007, Australia.
BMC Womens Health. 2023 Jul 26;23(1):391. doi: 10.1186/s12905-023-02519-5.
Postpartum depression (PPD) is a major health issue that can affect both mothers and their newborn children. In Vietnam, approximately 20% of mothers suffer from PPD. However, there is a lack of synthesized evidence regarding the case management of PPD in the Vietnamese context. A review of early symptoms, consequences, and management strategies of PPD will help to inform best practices to reduce complications and shorten the recovery time after parturition.
This scoping review aims to analyze and synthesize the findings of studies on PPD examining the symptoms, consequences, and management strategies among Vietnamese women. MEDLINE, CINAHL, PubMed, ScienceDirect, EBSCOHost, Google Scholar, and a networked digital library of projects, theses, and dissertations published between 2010 and 2022 in Vietnam were accessed following search terms including "Vietnam", "depression", "postpartum", "symptom/experience", "consequence", and "management".
The most-reported symptoms were sadness, tiredness, the feeling of being ignored, lack of interest in the baby, reduced appetite, and sleep disturbance. The recognized consequences were child stunting and slow growth, without mentioning its long-term effects on mothers. Our findings indicated that PPD in Vietnam has not been sufficiently managed; mothers tend to seek help from 'fortune-tellers' or 'word-of-mouth' practices rather than from evidence-based modern medicine.
This scoping review provides an initial stage of PPD symptoms, consequences, and management along with facilitating an interventional program to support this vulnerable group of women. A large survey of Vietnamese mothers' symptoms, effects, and management strategies is needed.
产后抑郁症(PPD)是一个严重的健康问题,可能会影响到母亲及其新生儿。在越南,大约有 20%的母亲患有 PPD。然而,针对越南背景下 PPD 的病例管理,缺乏综合证据。对 PPD 的早期症状、后果和管理策略进行综述,有助于为减少并发症和缩短分娩后恢复时间提供最佳实践。
本范围综述旨在分析和综合研究 PPD 的研究结果,研究越南妇女的 PPD 症状、后果和管理策略。检索了 2010 年至 2022 年期间在越南发表的 MEDLINE、CINAHL、PubMed、ScienceDirect、EBSCOHost、Google Scholar 和一个项目、论文和学位论文网络数字图书馆,使用的检索词包括“越南”、“抑郁”、“产后”、“症状/体验”、“后果”和“管理”。
报告最多的症状是悲伤、疲倦、被忽视的感觉、对婴儿缺乏兴趣、食欲减退和睡眠障碍。认识到的后果是儿童发育迟缓,生长缓慢,但没有提到其对母亲的长期影响。我们的研究结果表明,越南的 PPD 管理还不够充分;母亲往往更倾向于寻求“算命先生”或“口口相传”的做法,而不是基于证据的现代医学。
本范围综述提供了 PPD 症状、后果和管理的初步阶段,并为支持这一弱势群体的妇女提供了干预方案。需要对越南母亲的症状、影响和管理策略进行大规模调查。