Journal
BRITISH MEDICAL BULLETIN
Volume 101, Issue 1, Pages 57-79Publisher
OXFORD UNIV PRESS
DOI: 10.1093/bmb/ldr047
Keywords
postnatal depression; child development; low- and middle-income countries
Categories
Funding
- Wellcome Trust, UK [090139/Z/09/Z]
- Medical Research Council
- TrygFonden Charitable Foundation
- Wellcome Trust [090139/Z/09/Z] Funding Source: Wellcome Trust
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It is well established that postnatal depression (PND) is prevalent in high-income countries and is associated with negative personal, family and child developmental outcomes. Here, studies on the prevalence of maternal PND in low- and middle-income countries are reviewed and a geographical prevalence map is presented. The impact of PND upon child outcomes is also reviewed. The available evidence suggests that rates of PND are substantial, and in many regions, are higher than those reported for high-income countries. An association between PND and adverse child developmental outcomes was identified in many of the countries examined. Significant heterogeneity in prevalence rates and impact on child outcomes across studies means that the true extent of the disease burden is still unclear. Nonetheless, there is a compelling case for the implementation of interventions to reduce the impact of PND on the quality of the motherinfant relationship and improve child outcomes.
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