Evaluating the size and nature of the evidence base for non- pharmacological interventions to prevent post-partum depression (PPD) among women in India

Abstract

Background: Postpartum depression (PPD) is a significant public health concern in India, affecting both maternal and child well-being. While pharmacological interventions exist, non- pharmacological approaches are gaining recognition for their potential in PPD prevention, particularly in the Indian context. 

Methods: This scoping review comprehensively maps the landscape of non-pharmacological interventions for PPD prevention in India. Employing a systematic search strategy, we identified relevant studies from three databases (PubMed, CINAHL, and PsycINFO) and grey literature sources. Data extraction and synthesis were guided by the PCC (Population, Concept, Context) framework and thematic analysis. 

Results: A range of non-pharmacological interventions were identified, including cognitive- behavioural interventions (CBT), interpersonal interventions (IPT), yoga, physical exercise, and community-based interventions. These interventions demonstrated effectiveness in reducing PPD risk, improving maternal mental health outcomes, and promoting participant empowerment. However, challenges in accessibility, cultural relevance, and long-term impact assessment were also noted.  

Conclusion: This scoping review underscores the potential of non-pharmacological interventions for PPD prevention in India. Addressing implementation challenges, enhancing cultural sensitivity, and conducting further research on long-term outcomes are crucial to maximize the benefits of these interventions and improve maternal mental health in the Indian context.