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Evid Based Nurs 8:76 doi:10.1136/ebn.8.3.76
  • Treatment

Review: some specific preventive psychosocial and psychological interventions reduce risk of postpartum depression

Preventive psychosocial and psychological interventions v usual antenatal, intranatal, or postnatal care for postpartum depression (PPD)*

Weighted event rates
Outcomes Number of trials (n) Intervention Usual care RRR (95% CI) NNT (CI)
*EPDS  =  Edinburgh Postnatal Depression scale; other abbreviations defined in glossary. Weighted event rates, RRR, NNT, and CI calculated from data in article. Duration of follow up ranged from 3–24 weeks postpartum; all outcomes reported for final study assessment.
†Calculated using a random effects model. Results for other outcomes based on a fixed effects model.
‡Outcome is PPD (variously defined).
PPD (variously defined)† 15 (7697) 10% 15% 19% (−2 to 35)
PPD (EPDS score >12)† 10 (6126) 13% 14% 9% (−15 to 27)
Subgroup analyses (intervention characteristics)‡
Individually based 11 (6642) 10% 15% 24% (0 to 41) 20 (10 to 100)
Home visits by professionals 2 (1663) 14% 21% 32% (16 to 45) 15 (9 to 34)
Postnatal period only† 10 (6379) 9.4% 15% 24% (2 to 42) 17 (10 to 100)
At risk women only 7 (1162) 12% 18% 33% (11 to 49) 17 (10 to 50)

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