Evidence map›Paper›PMID 32683141›Full record

SynthesisPsychoneuroendocrinology2020

Oxytocin and postpartum depression: A systematic review.

Taylor A Thul, Elizabeth J Corwin, Nicole S Carlson, Patricia A Brennan, Larry J Young

Abstract readSystematic Review
In one paragraph

Synthesis in Psychoneuroendocrinology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Taylor A ThulNell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road, Atlanta, GA 30322, USA. Electronic address: taylor.ann.thul@emory.edu.
Elizabeth J CorwinSchool of Nursing, Columbia University, New York, NY 10032, USA.
Nicole S CarlsonNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA 30322, USA.
Patricia A BrennanPsychology Department, Emory University, Atlanta, GA 303022, USA.
Larry J YoungSilvio O. Conte Center for Oxytocin and Social Cognition, Center for Translational Social Neuroscience, Department of Psychiatry and Behavioral Sciences, Yerkes National Primate Research Center, Emory University, Atlanta, GA 30329, USA. Electronic address: lyoun03@emory.edu.

Funding

Yerkes National Primate Research Center Role of type-I IFN in regulating COVID-19 induced inflammation and pathogenesisP51OD011132 · OD · EMORY UNIVERSITY · PI Joon Sup Lee · 2012 to 2026
$167.0M
The Impact of Oxytocin on the Neural Representation Social Stimuli P50MH100023 · NIMH · EMORY UNIVERSITY · PI YOUNG, LARRY J · 2013 to 2022
$21.8M
Maternal Stress and the Gut-Brain Axis in African American InfantsR01MD009746 · NIMHD · EMORY UNIVERSITY · PI BRENNAN, PATRICIA A, CORWIN, ELIZABETH JEANNE · 2015 to 2019
$3.6M
Biobehavioral Determinants of the Microbiome and Preterm Birth in Black WomenR01NR014800 · NINR · EMORY UNIVERSITY · PI CORWIN, ELIZABETH JEANNE, DUNLOP, ANNE LANG · 2013 to 2017
$2.8M
Metabolomics of Labor Dysfunction in African-American WomenK01NR016984 · NINR · EMORY UNIVERSITY · PI CARLSON, NICOLE S. · 2017 to 2019
$265k
Evaluating the Contribution of Synthetic Oxytocin Exposure in the Peripartum Period to Postpartum Depressive Symptoms in African American WomenF31NR018369 · NINR · EMORY UNIVERSITY · PI THUL, TAYLOR ANN · 2019 to 2020
$59k
NIH HHS P51 OD011132NIMHD NIH HHS R01 MD009746NIMH NIH HHS P50 MH100023NINR NIH HHS F31 NR018369NINR NIH HHS K01 NR016984NINR NIH HHS R01 NR014800
6 · The paper itself

Abstract

Postpartum depression (PPD) is a significant mental health concern, especially for women in vulnerable populations. Oxytocin (OT), a hormone essential for a variety of maternal tasks, including labor, lactation, and infant bonding, has also been hypothesized to have a role in postpartum depression. Women are routinely given synthetic oxytocin to induce or augment labor and to prevent postpartum hemorrhage. The aim of this study was to review the quality and reliability of literature that examines potential relationships between OT and PPD to determine if there is sufficient data to reliably assess the strength of these relationships. We conducted a literature search in December of 2018 using five databases (PubMed, Web of Science, Embase, PsycInfo, and CINAHL). Eligible studies were identified, selected, and appraised using the Newcastle-Ottawa quality assessment scale and Cochrane Collaboration's tool for assessing risk of bias, as appropriate. Sixteen studies were included in the analysis and broken into two categories: correlations of endogenous OT with PPD and administration of synthetic OT with PPD. Depressive symptoms were largely measured using the Edinburgh Postnatal Depression Scale. OT levels were predominately measured in plasma, though there were differences in laboratory methodology and control of confounders (primarily breast feeding). Of the twelve studies focused on endogenous oxytocin, eight studies suggested an inverse relationship between plasma OT levels and depressive symptoms. We are not able to draw any conclusions regarding the relationship between intravenous synthetic oxytocin and postpartum depression based on current evidence due to the heterogeneity and small number of studies (n = 4). Considering limitations of the current literature and the current clinical prevalence of synthetic OT administration, we strongly recommend that rigorous studies examining the effects of synthetic OT exposure on PPD should be performed as well as continued work in defining the relationship between endogenous OT and PPD.

Indexed as

AdultAnxietyBreast FeedingDepressionDepression, PostpartumFemaleHumansInfantLactationMothersOxytocinPostpartum PeriodPregnancyReproducibility of ResultsOxytocinOxytocinPitocinPostpartum depressionReview

Identifiers

PMID32683141
PMCPMC7526479

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.