Antenatal psychosocial assessment for reducing perinatal mental health morbidity

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Ir a:

Analysis 1.1

Comparison 1 IDEA versus standard care, Outcome 1 EPDS > 12 (at 16 weeks postpartum).

Analysis 2.1

Comparison 2 ALPHA versus standard care, Outcome 1 High level of provider concern (adj for cluster).

Analysis 2.2

Comparison 2 ALPHA versus standard care, Outcome 2 At least one psychosocial concern identified (adj for cluster).

Analysis 2.3

Comparison 2 ALPHA versus standard care, Outcome 3 At least one concern identified in at least one woman (by provider).

Analysis 2.4

Comparison 2 ALPHA versus standard care, Outcome 4 Women identified with a risk factor (adj for cluster).

Analysis 2.5

Comparison 2 ALPHA versus standard care, Outcome 5 Failure to identify EPDS > 9 antenatally.

Comparison 1. IDEA versus standard care

Outcome or subgroup title	No. of studies	No. of participants	Statistical method	Effect size
1 EPDS > 12 (at 16 weeks postpartum) Show forest plot	1	371	Risk Ratio (M‐H, Fixed, 95% CI)	0.86 [0.61, 1.21]

Comparison 1. IDEA versus standard care

Comparison 2. ALPHA versus standard care

Outcome or subgroup title	No. of studies	No. of participants	Statistical method	Effect size
1 High level of provider concern (adj for cluster) Show forest plot	1	139	Risk Ratio (M‐H, Fixed, 95% CI)	4.61 [0.99, 21.39]

2 At least one psychosocial concern identified (adj for cluster) Show forest plot	1	139	Risk Ratio (M‐H, Fixed, 95% CI)	1.32 [0.82, 2.11]

3 At least one concern identified in at least one woman (by provider) Show forest plot	1	48	Risk Ratio (M‐H, Fixed, 95% CI)	1.05 [0.82, 1.35]

4 Women identified with a risk factor (adj for cluster) Show forest plot	1	124	Risk Ratio (M‐H, Fixed, 95% CI)	1.36 [0.79, 2.32]

5 Failure to identify EPDS > 9 antenatally Show forest plot	1	139	Risk Ratio (M‐H, Fixed, 95% CI)	0.69 [0.35, 1.38]

Comparison 2. ALPHA versus standard care