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Depression Research and Treatment
Volume 2013 (2013), Article ID 291029, 8 pages
http://dx.doi.org/10.1155/2013/291029
Review Article

Trends of Postpartum Depression in Iran: A Systematic Review and Meta-Analysis

1Student Research Committee, Ilam University of Medical Sciences, P.O. Box 69311-57793, Ilam, Iran
2Department of Clinical Epidemiology, Faculty of Medicine, Ilam University of Medical Sciences, P.O. Box 69315-138, Ilam, Iran
3Prevention of Psychosocial Injuries Research Centre, P.O. Box 69311-57793, Ilam, Iran
4Department of Epidemiology, School of Health & Nutrition, Shiraz University of Medical Sciences, P.O. Box 71348-14366, Shiraz, Iran

Received 31 March 2013; Revised 26 May 2013; Accepted 9 June 2013

Academic Editor: Klaus Ebmeier

Copyright © 2013 Yousef Veisani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.