The impact of postpartum depression in women on mother-infant relationship in Asia: A systematic review

Abstract

Background: Postpartum depression (PPD) is a significant public health concern affecting 15-20% of women globally, with higher rates in Asia. PPD negatively impacts the critical mother-infant bond, affecting child development and well-being. Cultural factors in Asia, such as traditional gender roles and stigma surrounding mental health, can further complicate PPD's impact on the mother-infant relationship. 

Methods: A systematic review was conducted using the PEO framework, searching PsycINFO, Embase, and PubMed databases for English studies published between 2019 and 2024. Included studies examined the relationship between PPD and mother- infant outcomes in Asian populations. Using a narrative synthesis approach, data extraction focused on research characteristics, methodological details, and outcome measures, with an eye towards the complex connection between PPD, mother-infant interactions, and cultural variables. 

Results: Included were 19 quantitative studies with a notable PPD incidence in Asia connected with different risk variables. PPD severely interfered with mother-infant relationship, thereby causing long-term problems with child development. Among the protective elements lowering this influence were mother coping strategies, baby conduct, and social support. Emphasised were early intervention and culturally relevant approaches for PPD screening, treatment and prevention. 

Conclusion: This review stresses the necessity for comprehensive, culturally specific treatments addressing mother's mental health and child development and exposes the negative consequences of PPD on mother-infant bonding in Asia.