Evidence map›Paper›PMID 40017460›Full record

SynthesisWomen's health (London, England)

Associations between maternal birth complications and postpartum depressive symptoms: A systematic narrative review and meta-analysis.

Emilia F Cárdenas, Eileen Yu, Maya Jackson, Kathryn L Humphreys, Autumn Kujawa

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
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.

Emilia F CárdenasVanderbilt University, Nashville, TN, USA.ORCID 0000-0002-9515-6045
Eileen YuDuke University, Durham, NC, USA.ORCID 0009-0003-7418-8499
Maya JacksonVanderbilt University, Nashville, TN, USA.ORCID 0000-0002-0548-0133
Kathryn L HumphreysVanderbilt University, Nashville, TN, USA.ORCID 0000-0002-5715-6597
Autumn KujawaVanderbilt University, Nashville, TN, USA.ORCID 0000-0002-0560-4589

Funding

Neurophysiological Social Reward Processing, Birth Trauma, and Depression Symptoms in the Peripartum PeriodF31MH135650 · NIMH · VANDERBILT UNIVERSITY · PI CARDENAS, EMILIA FRANCINA · 2023 to 2023
$44k
NIMH NIH HHS F31 MH135650
6 · The paper itself

Abstract

backgroundNearly half of people report birth-related complications, which is thought to be a risk factor for postpartum depression (PPD).

objectivesThe goal of this systematic narrative review and meta-analysis was to provide an updated examination of the literature linking specific maternal birth complications and PPD.

designA systematic review was conducted focused on studies examining associations between specific maternal birth complications and PPD symptoms/and or diagnoses, along with meta-analyses to quantify the magnitude of associations for specific experiences. The review protocol was not pre-registered.

methodsSearches were completed using PsycINFO and PubMed databases. We used four eligibility criteria: (a) article available in English, (b) study included a measure of dimensional or diagnostic depression, (c) include discrete experience of birth-related complication, and (d) included a statistical test of the bivariate association between depression in the postpartum period and a measure of birth-related complication. We excluded studies of newborn intensive care or infant health conditions, rather than maternal birth complications directly impacting the pregnant person's health. All analyses were conducted using Comprehensive Meta-Analysis Software. We considered patterns in sampling, measurement, and analytic designs. To address publication bias, we examined funnel plots and calculated Egger's test.

resultsThe review (61 studies; 1,853,282 total participants) revealed four categories of maternal birth complications (i.e., cesarean, preterm birth, pain, laceration). Both the narrative review and meta-analysis support positive associations between maternal birth complications overall and PPD symptoms and diagnoses (odds ratio, OR = 1.47,

conclusionsThis study expands upon previous research and provides nuanced perspective on the relationship between different types of maternal birth complications and PPD. This review was supported by a Ford Foundation Predoctoral Fellowship and 1F31MH135650-01.

Indexed as

Depression, PostpartumObstetric Labor ComplicationsFemaleHumansPregnancyRisk Factorsbirth complicationsbirth stressbirth traumadepressionpostpartum depression

Identifiers

PMID40017460
PMCPMC11869314

What OpenQuestion holds

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Registered trials

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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.