Highlights
- •The pooled prevalence of PTSD was 11.2% in Chinese postpartum women, with a highest prevalence within 1 month postpartum.
- •Sample size and measurements were conditional on the prevalence of postpartum posttraumatic stress disorder.
- •No statistical differences were found in variables with study design, setting, region, time-points, and publication year.
- •Screening and intervention programs are needed to reduce exposure to postpartum mental health problems among Chinese women.
Abstract
Background
The prevalence and risk factors of postpartum posttraumatic stress disorder reported
by population-based studies have significantly varied and the data are all collected
from regional populations in Mainland China.
Aims
To utilize published data to estimate the overall prevalence of postpartum posttraumatic
stress disorder and its determinants in Mainland China.
Methods
Comprehensively electronic searches were performed across six English databases and
three Chinese databases. Random effects of the meta-analysis were performed to evaluate
the pooled prevalence of postpartum posttraumatic stress disorder. Meta-regression
was performed with the variable of study design, sample size, setting, measures, region,
time points, and publication year.
Results
Totaling of nineteen studies was included, with a sample size of 13,231 postpartum
women. The pooled prevalence of postpartum posttraumatic stress disorder was 11.2 %
in Mainland China, with a higher prevalence at the timepoint within 1 month postpartum
(18.1 %). Significant publication bias and heterogeneity were found (I2 = 97.1 %). Sample size and measurements were conditional on the prevalence of postpartum
posttraumatic stress disorder. Postpartum depressive symptoms, sleep problems, cesarean
section, and low levels of social support were the major risk factors for postpartum
posttraumatic stress disorder. While being the one child in the family was the protective
factor.
Conclusion
An increasing prevalence of posttraumatic stress disorder within one month postpartum
significantly arises awareness to provide screening and more mental health services
during this period. Screening programs for postpartum posttraumatic stress disorder
are still needed in Mainland China.
Keywords
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Article info
Publication history
Published online: April 22, 2023
Accepted:
April 18,
2023
Received in revised form:
February 18,
2023
Received:
September 7,
2022
Identification
Copyright
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