Influence of doula delivery on postpartum depression in puerperae: a meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

GONG Shangqun ¹ , FAN Yinping ¹ , LI Luqi ¹ ,  MENG Fanjie ²

1. Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, 300193, P.R.China;
2. Department of Teacher Development and Evaluation, Tianjin University of Traditional Chinese Medicine, Tianjin, 300193, P.R.China;

Corresponding?author：

MENG Fanjie, Email: mfj127@tjutcm.edu.cn

Keywords：

Doula delivery; Depression; Meta-analysis; Randomized controlled trial; SDS score; Systematic review

DOI：

10.7507/1672-2531.201703053

Video：

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ObjectiveTo systematically review the effect of doula delivery on postpartum depression.MethodsWe searched The Cochrane Library, Web of Science, PubMed, EMbase, CBM, CNKI and WanFang Data databases to collect relevant randomized controlled trials (RCTs) about the effect of doula delivery on postpartum depression from inception to March 24^th, 2017. Two reviewers independently screened literatures, extracted data and assessed the risk of bias of included studies. Then, meta-analysis was performed by using RevMan 5.3 software.ResultsA total of 19 RCTs involving 10 921 participants were included. The results of meta-analysis showed that the doula delivery could reduce the incidence of postpartum depression (RR=0.36, 95%CI 0.29 to 0.46, P<0.001), and SDS score in doula delivery group was superior to that in the control group (MD=–7.37, 95%CI –11.01 to –3.72, P<0.001).ConclusionThe current evidence shows that doula delivery can reduce the incidence of postpartum depression. Due to the limited quantity and quality of included studies, the above conclusion is still needed to be verified by more high quality studies.

Citation： GONG Shangqun, FAN Yinping, LI Luqi, MENG Fanjie. Influence of doula delivery on postpartum depression in puerperae: a meta-analysis. Chinese Journal of Evidence-Based Medicine, 2017, 17(9): 1037-1042. doi: 10.7507/1672-2531.201703053 Copy

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14.	李轉珍, 王朝娟, 史素玲. 導樂陪伴分娩對孕產婦的干預效果. 護理學雜志, 2003, 18(5): 380-381.
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22.	陳玲. 導樂陪伴分娩對產后抑郁的影響. 醫藥前沿, 2016, 6(32): 81-82.
23.	黃向清. 導樂分娩在初產婦產后抑郁預防中的應用效果. 家庭心理醫生, 2014, 10(8): 309.
24.	王春梅. 導樂陪伴分娩的相關研究進展. 當代護士(下旬刊), 2016, (4): 8-10.
25.	袁華. 全程導樂陪伴分娩對初產婦產后抑郁、焦慮情緒的影響. 中國醫科大學學報, 2013, 42(10): 937-939.

1. 袁華. 全程導樂陪伴分娩對初產婦產后抑郁、焦慮情緒的影響. 中國醫科大學學報, 2013, 42(10): 937-939.
2. 陸麗, 代莉, 劉嵐, 等. 導樂分娩對預防初產婦產后抑郁發生的影響. 護理實踐與研究, 2013, 10(6): 23-25.
3. Kennell J, Klaus M, McGrath S, et al. Continuous emotional support during labor in a US hospital. A randomized controlled trial. JAMA, 1991, 265(17): 2197-2201.
4. Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0. The Cochrane Collaboration, 2011. Available at: http://www.cochrane-handbook.org.
5. Hodnett ED, Lowe NK, Hannah ME, et al. Effectiveness of nurses as providers of birth labor support in North American hospitals: a randomized controlled trial. JAMA, 2002, 288(11): 1373.
6. 劉麗, 段穎欣, 王蕊. 臨床應用導樂分娩對初產婦心理的影響. 中國健康心理學雜志, 2014, 22(9): 1331-1332.
7. 劉玲. 導樂分娩對預防初產婦產后抑郁發生的影響分析. 2015臨床急重癥經驗交流第二次高峰論壇. 武漢: 2015.
8. 吳霞, 徐潤華, 薛花. 全程陪伴導樂分娩對產婦分娩方式、出血量、新生兒評分及分娩結局的影響. 國際護理學雜志, 2015, 34(9): 1175-1177.
9. 尹江琴, 邵彩華, 閆華. 導樂分娩對初產婦分娩及產后心理狀態的影響. 新疆醫科大學學報, 2011, 34(9): 1033-1036.
10. 張莉. 導樂分娩與產后抑郁癥的直接或間接關系. 醫學信息, 2015, 28(5): 288.
11. 彭婉儀, 湯艷請, 黎彩銀, 等. 導樂陪伴分娩可改善初產婦產后抑郁情緒. 實用醫技雜志, 2006, 13(10): 1743-1744.
12. 朱紅霞. 導樂陪伴分娩對產后抑郁的影響. 醫藥前沿, 2014, (1): 159-160.
13. 李娟, 楊慎啟. 導樂陪伴分娩對產婦的影響. 濟寧醫學院學報, 2007, 30 (1): 52-53.
14. 李轉珍, 王朝娟, 史素玲. 導樂陪伴分娩對孕產婦的干預效果. 護理學雜志, 2003, 18(5): 380-381.
15. 楊志華, 鄭麗玲. 導樂分娩對初產婦分娩及產后心理狀態的影響. 齊齊哈爾醫學院學報, 2015, 36(15): 2336-2337.
16. 林海麗, 于亞晶, 趙靜, 等. 對初產婦進行導樂分娩護理的效果研究. 中國衛生標準管理, 2015, 6(10): 121-122, 123.
17. 段紅云. 導樂陪伴分娩對初產婦產后抑郁癥的影響. 中國實用神經疾病雜志, 2012, 15(16): 52-53.
18. 羅新娥. 全程導樂陪伴分娩對產后抑郁癥發病的影響. 現代養生B, 2015, (1): 206-207.
19. 趙麗娟. 全程陪伴導樂分娩對孕產婦及新生兒的影響. 中國城鄉企業衛生, 2015, (5): 150-151.
20. 鄔君芳, 穆萬丹. 導樂分娩對產婦抑郁癥的影響及臨床護理觀察. 世界臨床醫學, 2015, 9(6): 248, 238.
21. 金艷紅. 導樂陪伴分娩50例臨床效果分析. 中國現代實用醫學雜志, 2006, 5(1): 77-78.
22. 陳玲. 導樂陪伴分娩對產后抑郁的影響. 醫藥前沿, 2016, 6(32): 81-82.
23. 黃向清. 導樂分娩在初產婦產后抑郁預防中的應用效果. 家庭心理醫生, 2014, 10(8): 309.
24. 王春梅. 導樂陪伴分娩的相關研究進展. 當代護士(下旬刊), 2016, (4): 8-10.
25. 袁華. 全程導樂陪伴分娩對初產婦產后抑郁、焦慮情緒的影響. 中國醫科大學學報, 2013, 42(10): 937-939.

Chinese Journal of Evidence-Based Medicine

Influence of doula delivery on postpartum depression in puerperae: a meta-analysis

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