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. 2013:2013:291029.
doi: 10.1155/2013/291029. Epub 2013 Jul 9.

Trends of postpartum depression in iran: a systematic review and meta-analysis

Yousef Veisani  1 , Ali Delpisheh, Kourosh Sayehmiri, Shahab Rezaeian
Affiliations

Trends of postpartum depression in iran: a systematic review and meta-analysis

Yousef Veisani et al. Depress Res Treat. 2013.

Abstract

Background. Postpartum depression (PPD) is a serious mental health disorder affecting 13% of women in developed communities. The present study reviews available epidemiological publications on PPD-related aspects in Iranian women to help policy makers and health workers to design preventative strategies and further researches. Materials and Methods. A systematic review was constructed based on the computerized literature valid database. The 95% confidence intervals were calculated by random effects models. Metaregression was introduced to explore and explain heterogeneity between studies. Data manipulation and statistical analyses were performed using Stata 11. Results. Overall, 41 studies met the inclusion criteria. The pooled prevalence of PPD in Iran was 25.3% (95% CI: 22.7%-27.9%). Amongst subgroups of unwanted delivery, illiterate, housewives, and having history of depression the prevalence was 43.4% (35.6-51.1), 31.6% (18.1-45.0), 30.7% (25.2-36.3), and 45.2% (35.4-53.1), respectively. Conclusions. Interventions that would specifically target women with a prior history of depression, illiterates, housewives, or women with unwanted pregnancies could be helpful to decrease the prevalence of postpartum depression in Iran.

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Figures

Figure 1
Figure 1
Results of the systematic literature search.
Figure 2
Figure 2
Forest plots for random effects meta-analyses. CI indicates confidence interval.
Figure 3
Figure 3
Regional distribution of pooled prevalence of postpartum depression in Iran.
Figure 4
Figure 4
Metaregression plots of change in PPD according to changes in continuous study moderator's year and sample size.
Figure 5
Figure 5
Prevalence of postpartum depression among Iranian women at different study periods.
See this image and copyright information in PMC

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