Abstract
Background: Postpartum depression (PPD) is a mood disorder that affects approximately 10–15% of adult mothers yearly. Postpartum depression often occurs within a few months to a year after birth. There is good evidence that parental psychiatric disorder has a deleterious effect on child development. This study aimed to estimate the effect of husband support, unplanned pregnancies, and domestic violence on postpartum depression.
Subjects and Method: This meta-analysis was conducted using the PRISMA diagram flow and the PICO research question. Population: Postpartum women. Intervention: Weak husband support, unplanned pregnancy, and domestic violence. Comparison: Strong husband support, planned pregnancy, and no domestic violence. Outcome: Postpartum depression. The articles were searched from databases Google Scholar, PubMed, and Science Direct. Keywords used “Postpartum Depression” AND “Family Support” AND “Husband Support” AND “Unplanned Pregnancy” AND “Partner Violence” AND “Domestic Violence” AND “Cross-Sectional”. The articles were analyzed using RevMan 5.4.
Results: The meta-analysis included 15 primary studies from Indonesia, Thailand, Japan, China, India, and Ethiopia. The total sample size was 31,666 postpartum women. Weak husband support (aOR= 2.43; 95% CI= 1.48 to 3.98; p= 0.001), unplanned pregnancy (aOR= 2.76; 95% CI= 2.21 to 3.43; p= 0.001), and domestic violence (aOR= 2.65; 95% CI= 2.02 to 3.47; p= 0.001) increased the occurrence of postpartum depression, and it was statistically significant.
Conclusion: Weak husband support, unplanned pregnancy, and domestic violence increase the occurrence of postpartum depression.
Keywords: postpartum depression, husband support, unplanned pregnancy, domestic violence.