Effect of telecounseling on depressive symptoms in primiparous women during the postpartum period: a systematic review and meta-analysis of randomized controlled trials - Summary - MDSpire
To assess how telecounseling interventions affect depressive symptoms among primiparous women during the postpartum period.
Approach:
Study Selection: Randomized trials assessing telecounseling interventions in primiparous postpartum women were included, focusing on depressive symptoms measured with the Edinburgh Postnatal Depression Scale (EPDS).
Data Analysis: Random-effects meta-analyses pooled post-intervention mean differences and mean change scores, with heterogeneity evaluated using the I² statistic.
Key Findings:
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Interpretation:
Telecounseling is associated with lower depressive symptom scores in primiparous postpartum women compared to routine care, but effects vary with follow-up duration.
Limitations:
Considerable heterogeneity among studies.
Risk-of-bias assessment showed eight studies as low risk and seven with some concerns.
Conclusion:
Telecounseling is correlated with lower depressive symptoms in primiparous women, though treatment effects differ based on follow-up duration.
