Editing Postpartum depression (section)

=== South America ===
A main issue surrounding PPD is the lack of study and the lack of reported prevalence that is based on studies developed in Western economically developed countries.<ref name="Halbreich_2006">{{cite journal | vauthors = Halbreich U, Karkun S | title = Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms | journal = Journal of Affective Disorders | volume = 91 | issue = 2–3 | pages = 97–111 | date = April 2006 | pmid = 16466664 | doi = 10.1016/j.jad.2005.12.051 }}</ref> In countries such as Brazil, Guyana, Costa Rica, Italy, Chile, and South Africa reports are prevalent, around 60%. An itemized research analysis put a mean prevalence at 10-15% percent but explicitly stated that cultural factors such as perception of mental health and stigma could be preventing accurate reporting.<ref name="Halbreich_2006" /> The analysis for South America shows that PPD occurs at a high rate looking comparatively at Brazil (42%) Chile (4.6-48%) Guyana and Colombia (57%) and Venezuela (22%).<ref name="Evagorou_2016">{{cite journal | vauthors = Evagorou O, Arvaniti A, Samakouri M | title = Cross-Cultural Approach of Postpartum Depression: Manifestation, Practices Applied, Risk Factors and Therapeutic Interventions | journal = The Psychiatric Quarterly | volume = 87 | issue = 1 | pages = 129–154 | date = March 2016 | pmid = 25986531 | doi = 10.1007/s11126-015-9367-1 | s2cid = 1285417 }}</ref> In most of these countries, PPD is not considered a serious condition for women and therefore there is an absence of support programs for prevention and treatment in health systems.<ref name="Evagorou_2016" /> Specifically, in Brazil PPD is identified through the family environment whereas in Chile PPD manifests itself through suicidal ideation and emotional instability.<ref name="Evagorou_2016" /> In both cases, most women feel regret and refuse to take care of the child showing that this illness is serious for both the mother and child.<ref name="Evagorou_2016" />