Postpartum Mental Health and its Relationship with Social-Structural Determinants of Health in Iran with the Approach of the World Health Organization Model: A Systematic Review

Authors

1 Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IR,Iran.

2 2. Associated Professor, Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IR, Iran.

3 Associated Professor ,Social Determinants of health research center. alborz University of Medical Sciences. Karaj. IR, Iran.

4 4. Assistant professor of psychiatry, Social Determinants of health research center. alborz University of Medical Sciences. Karaj. IR, Iran.

5 Department of Biostatistics,School of Allid Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, IR, Iran.

Abstract

Background and Aim: Postpartum psychiatric disorders are a key concept in maternal-infant mental health, and determining the related factors is necessary. The present study set to determine the relationship between postpartum mental health and social-structural determinants of health in Iran.
Method: In this systematic review all Persian and English observational studies in Iran was carried out through advanced search in online databases such as PubMed, Scopus, web of science, EMBASE, and Persian databases of SID and Magiran, as well as the Google Scholar search engine between 2005 – 2020, using keywords of social determinants, structural factors, socio-economic status, risk factors, mental health, postpartum, Iran, and their English equivalents obtained from MESH. Articles were selected based on inclusion and exclusion criteria, and article quality was assessed using the standard Newcastle-Ottawa Scale (NOS) Suitable for each type of observational study (cross-sectional, cohort, case-control).
Results: Out of 56 eligible articles(sample size: 36,515),49 articles reported the prevalence of postpartum depression and one article reported the prevalence of postpartum psychosis. The lowest and highest prevalence of postpartum depression was between 4.8-68.5% using the Edinburgh tool in 2014-2017 and using the Beck tool between 3-78.27% in 2013-2014.. The most structural determinant related to postpartum mental health was education and the least factor related to social class.
Conclusion: Due to, the effects of numerous related factors on common postpartum mental disorders, it is suggested that, longitudinal studies studies be conducted to investigate the role of all the known factors, especially Intermediate factors, on postpartum mental health.

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