Evidence map›Paper›PMID 34671011›Full record

SynthesisTranslational psychiatry2021

Mapping global prevalence of depression among postpartum women.

Ziyi Wang, Jiaye Liu, Huan Shuai, Zhongxiang Cai, Xia Fu, Yang Liu, Xiong Xiao, Wenhao Zhang, Elise Krabbendam, Shuo Liu and 3 more

Erratum issued Registry-linked trialOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Translational psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT07501728 (Intranasal Dexmedetomidine for Prevention of Postpartum Depression in Women Receiving Combined Spinal-Epidural Labor Analgesia), which is not on this map. Cited by 408 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
408citing papers in PubMed, 10 pooled it
77.3field-weighted citation impact, top 1% of its field
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.

NCT07501728 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Intranasal Dexmedetomidine for Prevention of Postpartum Depression in Women Receiving Combined Spinal-Epidural Labor Analgesia: A Randomized Controlled Trial

TypeinterventionalSponsorChengdu Jinjiang Maternity and Child Health HospitalRan2026 to 2027Enrolled270ConditionsPostpartum Depression (PPD)ArmsDexmedetomidine, Placebo
3 · Its place in the literature

Who cites it

408 citing papers in PubMed, 10 syntheses or guidelines pooled it, 627 citations in OpenAlex.

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  10. Postnatal Depression Beyond 12 Months: A Systematic Review and Meta-Analysis.International journal of mental health nursing · 2025
    Pooled it
  11. Trial
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  14. [Effect of Vimala infant massage on mothers with postpartum depression].Revista medica del Instituto Mexicano del Seguro Social · 2026
    Trial
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348 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 2 countries.

Ziyi Wang *School of Nursing, Wuhan University, Wuhan, Hubei, China.
Jiaye Liu *Department of Thyroid and Parathyroid Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Huan Shuai *Department of Orthopedics, Chengkou People's Hospital, Chongqing, China.
Zhongxiang Cai *Department of Nursing, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Xia FuDepartment of outpatients, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Yang LiuDepartment of Obstetrics and Gynecology, Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.
Xiong XiaoChengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Wenhao ZhangDepartment of Obstetrics and Gynecology, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, China.
Elise KrabbendamDepartment of Medical Library, Erasmus MC-University Medical Center, Rotterdam, The Netherlands.
Shuo LiuSchool of Nursing, Wuhan University, Wuhan, Hubei, China.
Zhongchun LiuDepartment of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, Hubei, China. zcliu6@whu.edu.cn.ORCID http://orcid.org/0000-0001-5410-0312
Zhihui LiDepartment of Thyroid and Parathyroid Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China. rockoliver@vip.sina.com.
Bing Xiang YangSchool of Nursing, Wuhan University, Wuhan, Hubei, China. 00009312@whu.edu.cn.ORCID http://orcid.org/0000-0002-0227-4342
Wuhan University · CNSichuan University · CNDalian Medical University · CNErasmus MC · NLUniversity of Electronic Science and Technology of China · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Postpartum depression (PPD) is the most common psychological condition following childbirth, and may have a detrimental effect on the social and cognitive health of spouses, infants, and children. The aim of this study was to complete a comprehensive overview of the current literature on the global epidemiology of PPD. A total of 565 studies from 80 different countries or regions were included in the final analysis. Postpartum depression was found in 17.22% (95% CI 16.00-18.51) of the world's population. Meta-regression analysis showed that study size, country or region development, and country or region income were the causes of heterogeneity. Multivariable meta-regression analysis found that study size and country or area development were the most important predictors. Varied prevalence rates were noted in geographic regions with the highest rate found in Southern Africa (39.96%). Of interested was a significantly lower rate of PPD in developed countries or high-income countries or areas. Furthermore, the findings showed that there was a substantial difference in rates of PPD when marital status, educational level, social support, spouse care, violence, gestational age, breast feeding, child mortality, pregnancy plan, financial difficulties, partnership, life stress, smoking, alcohol intake, and living conditions were considered in the pooled estimates. Our results indicated that one out of every five women experiences PPD which is linked to income and geographic development. It is triggered by a variety of causes that necessitate the attention and committed intervention of primary care providers, clinicians, health authorities, and the general population.

Indexed as

DepressionDepression, PostpartumChildFemaleHumansInfantPostpartum PeriodPregnancyPrevalenceSocial Support

Identifiers

PMID34671011
PMCPMC8528847
OpenAlexW3207262064

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.